Emva kokuva kugqirha ukuxilongwa kwe "adenomyosis of the uterus", yintoni na - izigulane azikwazi ukuhlala zihlala. Esi sifo sibizwa ngokuba yi-endometriosis yangaphakathi, ukulingana neentlobo ezahlukeneyo zezifo. Nangona kunjalo, oogqirha baninzi bahluke phakathi kwezi zifo, nangona kukho ukufana okufanayo.
I-Adenomyosis ye-uterus - luyintoni ulwimi olufikelelekayo?
Ngaphambi kokufumanisa ukuba yiyiphi intlobo yabasetyhini, kubalulekile ukuqwalasela ngokufutshane isakhiwo sesitho somzimba. Iindonga zesisu ziqulethwe ezintathu, i-inner intelitometerrium. Olu luhlu lubizwa ngokuba lusebenzayo - nganye inyanga luya kutshintsha utshintsho. Ekupheleni komjikelo wesini, uyalahlwa, ukuba akukho khulelwa, kwaye umfazi ulungisa ukukhutshwa kwenyanga.
Nge-adenomyosis, kukho ukunyuka okwandisiweyo kweeseli ze-endometri. Banda ngokukhawuleza kwaye ngokukhawuleza baqale ukuhamba ngaphaya kwebhubhane. Ngexesha elide, iiseli ze-endometriyali zingena kumgca we-muscle kwaye zize zibe ngamalungu angomakhelwane. Kwi-pathology, ukukhula kwe-endometrium akubonwanga ngaphakathi kwimbumba, ngokuyiqinisa, kodwa ngaphandle - kwicandelo le-myometrium.
Adenomyosis - Izizathu
Ngokuchanekileyo ukubiza isizathu, ngenxa yokuba i-adenomyosis ikhula, okanye njengoko kuthiwa - i-endometriosis yangaphakathi, oogqirha abanako. Uninzi lweengcali zithintele kwi-theory, ngokubhekiselele kwisifo esichasene nemvelaphi yeenguqu ze-hormones kumzimba. Phakathi kweendlela zokuphuhliswa kwesifo, izazi zonyango zihlula:
- Ukufakela i-theory - foci ye-adenomyosis yenziwa ngenxa yokuphosa kwegazi ngee-tuber uterine kwi-peritoneum.
- I-Metoplasia ye-coelomic epithelium - i-foci yesifo isakhiwe ukusuka kwiintsali zamathambo ezingama-embryonic ezingazange zithathwe ngokugqithisileyo ekubunjweni kwezicubu zezitho zenkqubo yokuzala.
- Ukuchithwa - ukubunjwa kwe-adenomyosis phantsi kwefuthe lezinto ezimbi.
Ekuphuhlisweni kwesi sifo, oogqirha bachonga kunye nezinto ezidlulileyo, ubukho obangela ingozi yokugula. Phakathi kwazo:
- iindawo eziza kuba yizinto eziza kuba zizahlula;
- ngokukhawuleza okanye ekuqaleni kokuya esikhathini ;
- u bunzima;
- ukuqala kokuqala kwesondo;
- ubukho bemisebenzi kwinkqubo yokuzala;
- iingxaki zokubeletha;
- ukusetyenziswa kwemimoya ye-intrauterine.
Iyintoni ingozi ye-endometriosis yangaphakathi?
I-Adenomyosis yomzimba wesibeleko ngokufumanisa ngokungabonakaliyo, ukungabikho kwonyango kunokubangelwa yimiphumo emibi. Ukulwa ne-adenomyosis, kukho rhoqo:
- i-anemia (okanye ngenxa yexesha elininzi );
- ukuhanjiswa kwee-foci kwiimpawu kunye neziko ezikufutshane: isithintelo samathumbu emathunjini , i-hemothorax;
- ukuphathwa kakubi kwe-foci ye-adenomyosis.
Iifom ze-Adenomyosis
I-endometriosis yangaphakathi yesibeleko ineefomathi ezininzi ze-morphological. Ngokuxhomekeka kwimeko, isakhiwo kunye nokuhluma kubelwe:
- I-adenomyosis engasebenziyo- ebonakaliswe ukwandiswa okufanayo kweseli ye-endometriyo kuwo wonke ummandla we-uterine.
- I-Focal (nodular) - ukwanda kwenani lamaseli e-endometriya kubonakala kwiindawo ezininzi, i-foci.
- Ifom exubileyo - kukho imiqondiso yezo zibini ezibizwa ngokuba yizilwanyana.
Kukho ukuhlelwa kwe-adenomyosis ngokuxhomekeke kwisilinganiso sokungena kweeseli ngaphakathi:
- Iidanga ezili-1 - ukukhula kuzinzileyo kummandla we-membrane ye-uterus;
- Iqondo eli-2 - ukusabalala kusasazeka kumgca we-muscle, kodwa kungabi ngaphezu kwe-50% yobukhulu bayo;
- Iidanga ezi-3 - ngaphezulu kwengxenye ye-myometrium ichaphazelekayo;
- Iiseli ezine-endometrili zishiya umgca we-muscular, ezibandakanya kwinkqubo yezilwanyana eziseduze.
I-adalomyosis Focal
I-adenomyosis ye-nodular ibonakaliswe ukungena kumgca we-muscle weeseli zemvelaphi ye-endometri. Xa wenza i-ultrasound, oogqirha bafumanisa ukubunjwa kweentlobo zobukhulu obuhlukeneyo kunye nolwazi lwendawo. Ngokuqhelekileyo banokuzaliswa ngombala wombala obomvu okanye igazi. Njengoko beqhubeka, inani labo liyanda, kwaye umgama phakathi kwabo wehla kakhulu.
Ukwahlula uhlobo lwe-adenomyosis
Ukusabalalisa i-adenomyosis kuphawulwa xa iiseli ze-endometrial zikhula ngokukodwa phezu komphezulu we-mucosa. Kwinqanaba elingaphakathi, okubizwa ngokuba yimpumpo eziyimfama, ezithe zangena kwiintlobo ezahlukeneyo zengxube zangaphakathi zesisu, okokuqala kwisisipha. Kule meko, kukho ukuxhomekeka kwi-fistula kwisigxina sesisu, kunye nokungena kweeseli ze-endometrial zibe ngamalungu entloko encinci. Ifomu ekwahlukileyo ingadlulela kwiifom ezimbi.
Ifom ehlanganisiweyo ye-adenomyosis
Ifom ye-adenomyosis edibeneyo okanye eyahlukileyo ibonakaliswa ngokuba khona kweempawu zendlela zombini zentsholongwane. Xa uhlola isitho sobulili kunye ne-ultrasound, oogqirha balungise ukudibanisa ngokuhluma kunye ne-foci ye-adenomyosis. Esi sifo siyabonwa ngokungabikho kwonyango olufanelekileyo lweefom ezigxininisiweyo, ukufunyanwa kwazo ngokukhawuleza ngamagqirha. Kwinkqubo ye-pathological, ezinye iinxalenye zeeplavis ezincinci zibandakanyeka:
- mathumba;
- ibhanti;
- ii-ovari kunye namathambo.
Adenomyosis - iimpawu
Ngokuxhomekeke kwinqanaba le-adenomyosis, ubunzima beempawu zesifo singatshintsha. Uphawu oluqhelekileyo nolumpawu lwesifo ngulo tshintsho kwimeko kunye nomthamo wokuhamba kwexesha. Nge-adenomyosis, ukuya esikhathini kuqhubeka iintsuku ezingama-7 okanye ngaphezulu, ngelixa inani legazi lokuya esikhathini lidlula i-80 ml. Iingubo zivame ukufumaneka kuyo. Ukongezelela, iintsuku ezingama-2-3 ngaphambili kwaye ixesha elingakanani emva koko kukho ukuthungwa kwebala elimnyama. Kwezinye iimeko, izigulana zinokuthi zitshutshise i-adenomyosis ye-uterus, iimpawu zazo zilandelayo:
- Uvakalelo olubuhlungu kwisisu esezantsi, unikezela kwingingqi ye-pelvic, engahambelani nenyanga;
- intlungu ngexesha lokulala;
- ukuhla kwe- hemoglobin malunga nemvelaphi yokulahlekelwa kwegazi eliphezulu;
- ukukhathala ngokukhawuleza;
- buthathaka;
- ukungcola.
Ubuhlungu kwi-adenomyosis
Ukuqwalasela iimpawu ze-adenomyosis, kuyimfuneko ukuhlukanisa iintlungu eziqhelekileyo kwingxenyana ephantsi kwesisu. Ngokuqala kwesi sifo, banobunzima obuphantsi, amaninzi amabhinqa awabambathisi ukubaluleka kubo, ebhala phantsi kwi-PMS. Iimvakalelo ezibuhlungu ziza kuhamba iintsuku ezintathu ngaphambi kokuya esikhathini kwaye zingapheli iintsuku ezi-3 emva kokuphela kwazo. Ubume bentlungu kunye nendawo yaso ngenxa yendawo yokuhlaziywa kwe-adenomyosis, inombolo yabo. Ukuba ukukhula kweeseli ze-endometriya kubonakala kwingingqi ye-isthmus, intlungu i-irradiates kwi-perineum, ukuba i-angle ye-uterus ibetha - ibuhlungu okanye ikunene kwi-groin.
Yenza uphawu lwe-endometriosis yangaphakathi
Ukuxilongwa kwangaphambili kwenziwa ngesiseko se-anamnesis eqokelelweyo, emva kokuvavanya kweempawu ezikhoyo zesifo. Ukwenza uluvo, i-ultrasound yamalungu epilvic eyenziwa. Ukucacisa i-adenomyosis kwi-ultrasound inokusekelwe kwizinto eziphawulekayo:
- isimo se-globular yesisu;
- ukwanda kobukhulu bomzimba;
- ubukhulu obuhlukeneyo beendonga zesisu;
- i-cystic formations 3 mm kunye nobubanzi obubanzi;
- kufakwa kwi-endometrium ye-oval okanye ifom ejikelezayo, ngaphandle kwesithunzi emva;
- ukunyaniseka okuphezulu kokubumba.
Nge-adenomyosis ye-ustus (echazwe apha ngasentla), ukuphumelela kwe-ultrasound kuncitshiswa kakhulu. Ngolu hlobo lwesifo, i-hysteroscopy yindlela ephezulu yokuxilonga. Olu phofu lujoliswe ekufundeni izicubu ngoncedo lwezixhobo ezikhethekileyo zevidiyo. I-sensor ifakwe kwi-vagina nentamo ngqo kwi-uterine cavity.
Adenomyosis - unyango
Emva kokuba uhlolisise impawu kunye nokubonakaliswa kwesi sifo njenge-adenomyosis ye-uterus, yintoni yokukhubazeka, kuyimfuneko ukumisa kwiinkalo zonyango. Ngaphambi kokunyanga i-adenomyosis, oogqirha benza izifo ezixilongo ezijoliswe ekumiseni imbangela yesifo. Isiseko semilinganiselo yokwelapha yonyango lwe-hormonal, kuba le ngxaki ihamba neenguqu kwimvelaphi ye-hormonal. Njengoko iziyobisi, ukukhulelwa komlomo kunye ne-estrogens zivame ukunyulwa:
- UJanine ;
- Jess;
- Duphaston;
- Norkolut;
- Buserilin.
Nangona kunjalo, ukwenzela ukuphelisa i-adenomyosis ye-uterus, unyango lufuna indlela edibeneyo. Phakathi kwezi ndawo eziphambili zonyango, oku kulandelayo makubekwe uphawu:
- unyango olungabalulekanga oluchasayo - Ibuprofen, Paracetamol;
- ukwamkelwa kwezidalwa - Ukuguqula, Ukutshabalalisa;
- ukusetyenziswa kwabasebenzisi bamachiza-immunomodulators - Immunal, Immunomax;
- ukuphelisa i-anemia - Sorbifer;
- ukugcinwa kwesibindi somsebenzi - Essentiale;
- i-physiotherapy - i-electrocoagulation, i-embolization, i-ablation.
I-Adenomyosis ye-uterus (yile nto-eboniswe ngasentla) idlalwa unyango. Kule meko, imfuno yokungenelela ngophengululo yenziwa ngugqirha. Indlela yokuphatha unyango lwe-uterus kwindawo ethile - ugqirha ugqiba. Iimpawu zokusebenza zi:
- ukusabalalisa i-adenomyosis yee-3-4 degrees;
- Iifom ze-Nodal okanye ezixubekileyo ngokungabikho kwefuthe lokunyanga kwama-hormone;
- isifo esibuhlungu;
- ukudibanisa nezinye iimeko zesifo sebele (i-myoma, ukukhubazeka entanyeni), isifo se-ovari.
Ngokwahlukileyo, kufuneka sikhulume ngonyango lwe-adenomyosis kunye nezilwanyana zabantu. Kukho iindlela ezininzi eziququzelela inkqubo yesifo. Nangona kunjalo, zinokusetyenziswa kuphela emva kokubonisana nodokotela.
I ziNyango
Izithako:
- isikhwama somalusi - 1 ithisipuni;
- iingcambu ze-aira - 1 ithisipuni;
- coil - 1 ithisipuni;
- ikhapuni yepuni - 1 ithisipuni;
- amagqabi e-nettle - 1 ithisipuni;
- i-sporish - 1 ithisipuni;
- amanzi - 1 litre.
Ukulungiselela, isicelo
- Iitrob zixutywe, zithelelwa ngamanzi abilayo.
- Ukunyanzelisa iiyure ezingama-2.
- Hlaziya uze uthathe 0.5 indebe kathathu ngosuku. Ubude bekhosi buyi-1 inyanga.
Adenomyosis kunye nokukhulelwa
Iingxaki zokukhulelwa zivame ukugqithwa ngezifo zentsholongwane. Ukufunda nge-endometriosis yangaphakathi, nokuba ingaba nako ukukhulelwa, nokuba eso sifo sibonakaliswe kumsebenzi wokuzala - ngamnye umfazi unomdla. I-Adenomyosis ihlala ihamba kunye nokuphulwa komjikelo, ngoko ukukhulelwa kwimvelaphi yayo kungenzeki. Nangona kunjalo, lesi sifo asiyithintelo ye-100% yokukhulelwa. Iingcali zeNtshona zithi i-adenomyosis inqanda ukukhulelwa kuphela xa kukho ezinye izifo.