Phakathi kwezifo zesifo somzimba, ezihamba kunye nokukhula okungavamile kwimizimba yokuzala, i-endometriosis inqanaba lesibini kwi-propagence. Esi sifo sibonakaliswe kwindlela ekhohlakeleyo, ngoko kuyafumaneka kwiimeko ezilandelayo.
Endometriosis - yintoni na?
Ukuva ku-gynecologist ukuxilongwa okunjalo, abaninzi abasetyhini abanalwazi ukuba i-endometriosis yintoni, indlela ebonakalisa ngayo nendlela yokuphathwa ngayo. Isi sifo sinobuchopho sibonakala ngokunyuka kwandala yamathambo e-glandular of uterus of character character. Iiseli ezisandul 'ukufana zifana nezakhiwo kunye nemisebenzi kunye neeseli ze-endometrial, kodwa nazo zikhona ngaphandle kwesibeleko. Ukuhluma rhoqo ngenyanga kuguqulwa utshintsho, njenge-endometrium.
Njengomphumo wokungena kweeseli kumalungu angamakhelwane kunye nezicubu, i-foci entsha iyenziwa, eyakhokelela ekubunjweni kwamanyathelo kunye nama-cysts. Ngokuqhelekileyo i-endometriosis ihamba nezinye izifo zentsholongwane:
- myoma ;
- hyperestrogenia;
- polycystosis.
Endometriosis - Iindidi
Ukujongana nesifo se-endometriosis, yintoni uhlobo lokugula, makhe sihlale kwiintlobo zayo. Kufuneka kuqatshelwe, xa ibhinqa lidala i-endometriosis, oku akubonakali ngokukhawuleza. Iimpawu zokugula zikhula njengoko iqhubeka. Ngokuxhomekeke kwinqanaba lokuphazamiseka kunye nokutshintshwa kwe-endometrium, iintlobo ezininzi zeentlupheko ziyahluka. Ngoko, ngokuxhomekeka kwendawo yokwenza indawo, hlukana:
- I-endometriosis yesisu - ichaphazela kuphela iziko zenkqubo yokuzala;
- i-extragenital - ihamba ngaphaya kwesibindi, ingena kwiimimandla ezakhelene.
Endometriosis yesisu
Ukuva ukuxilongwa kwe-endometriosis yesini somzimba, yintoni na kwaye kubonakala njani - abafazi abamele. Kufuneka kuqatshelwe ukuba ihlulwe ibe yangaphakathi nangaphakathi. Ngohlobo lwangaphakathi lwesifo, i-foci ingene kwi-wall thickness, ishiya imida ye-mucosa yayo (adenomyosis). I-endometriosis yangaphandle ibonakala ngokusasazeka kwe-foci ngaphandle kwemida yesigxina.
Ifomu eqhelekileyo kule meko i-endometriosis yomlomo wesibeleko, xa iiseli ze-endometrial zifunyenwe emlonyeni womngcingo womlomo wesibeleko. Kwakhona, i-endometrial foci ingafumaneka kwindawo:
- iindonga zesini;
- zixhobo;
- mibhobho;
- maqanda.
I-endometrioid foci, njenge-endometrium, iphendule kwizenzo zama-hormone ezihlanganiswa kwiingcingo zesini. Ekupheleni komjikelezo ngamnye wokuya esikhathini, baphuma igazi, bangela ukutshabalaliswa. Endaweni yabo, kugxininiswe ukuvuvukala, kwaye ekugqibeleni ama-cysts agcwele umbane omnyama, ukuxhamla, iinkohlakalo zingabonakala. Ukutshintshwa okunjalo kuphazamisa umsebenzi wokuzala, kuphazamise ukukhulelwa. Ngaloo mpawu, umfazi ujika ugqirha.
Endometriosis yangaphandle
I-endometriosis yangaphandle kunye yangaphakathi neyohlukeneyo ayifani nje kuphela kwindawo yendawo yokugxila kuyo, kodwa nakwimifanekiso yeklinikhi. Uhlobo lwe-endometriosis lwangaphandle lugqitywe lilungu apho uphuma khona. Uninzi oluchaphazelekayo:
- intumbo - endometriosis ibonakala njengenkqubo yesibini kwinqanaba elide;
- Iiseli ze-endometrial zesibhanti zingena kwi-genitourinary system kunye negazi lokuya esikhathini;
- i-peritoneum-ifom iyahamba kunye neentlungu zeplavic;
- amaseli-endometrial amaseli angena kwinkqubo yokuphefumula kunye negazi;
- Uluhlu olusemva kokusebenza luhlobo oluqhelekileyo oluqhubekela phambili kwimvelaphi yokusebenza komzimba okanye ngenxa yokungenwa kweengqungquthela ze-endometriya kwinqwelwe yokuhlinzwa.
Endometriosis - Izizathu
I-Endometriosis, yintoni uhlobo lwesifo esicatshangelwa ngasentla, izifo zengqondo zibhekisela kwizo zifo, i-etiology engacaciswanga ngokupheleleyo. Kukho iingcamango ezininzi ezichaza indlela yokuphuhliswa kwenkqubo yokugula. Eyona nto ixhaphake phakathi koogqirha yimbono yokubuyiswa kwesisu kwakhona. Ngokutsho kwakhe, kunye negazi lokuya esikhathini, iinqununu ze-endometrium ezifayo zingena kwisisu esiswini, iibhubhu kwaye ziqale ukusebenza khona. Xa ugxininiso lusasazeka, kukho i-endometriosis ye-ovary. Phakathi kwezinto ezibangela umngcipheko wophuhliso:
- izifo ezithathelwanayo rhoqo;
- izifo zehomoni ;
- izifo zokuzivikela emzimbeni;
- uzuzo lwezinto;
- i-anatomy yee-appendages;
- hyperestrogenism;
- uneminyaka engama-30-45 iminyaka.
Iimpawu ze-endometriosis kubafazi
Esi sifo sibonakaliswe yinkqubo eqhubekayo kwaye iqhubekayo, ngoko iimpawu ezibonakalayo ze-endometriosis bafazi sele sele ziphakathi kwesi sifo. Kweminye, i-endometriosis iyimfuneko kwaye ifunyenwe ngokuhlolwa kweengozi. Phakathi kwezibonakaliso ezibalulekileyo zesifo, oogqirha bathi:
- Iimvakalelo ezibuhlungu. Isimilo sendawo yentlungu siyinxalenye engaphantsi kwesisu. Inkalo yayo iyomeleza ngexesha lokuya esikhathini nangomhla wokuya esikhathini. Ngokuqhelekileyo ukuvakalelwa okubuhlungu kufikelela kummandla wesinqe kunye ne-sacrum. Abasetyhini abaneesifo esifanayo esifana nesifo sesifo esifanayo sanda ubuhlungu ngexesha lokulala.
- Shintsha ngohlobo lwesisini. Ngokuqhelekileyo, abafazi bayathetha malunga nokuya kwimihla yokuya esikhathini , okungahle kulandelwe ngendawo encinane. Kule meko, ukuhlaziywa kwexesha lokunyuka kwexesha kuya kwaphulwa.
- Ukuphulwa komsebenzi wokuzala. I-Endometriosis ihamba kunye nenkqubo yokuvuvukala kunye nokwakhiwa kokunamathela. Ngenxa yolu tshintsho, izigulane ezine-endometriosis zihlala zifumana iingxaki zokukhulelwa.
- Ukunyameka kwendawo echaphazelekayo ngexesha lokunyuka. Le mpawu iboniswa nge-endometriosis yangaphandle, xa kugxininiswa ngaphandle kwesibeleko kwaye kuthintela amalungu omakhelwane.
Kukho impawu ezingenasigxina ezingabonakalisa i-endometriosis:
- ukubethelwa kwamathumbu;
- isicefe
- ukuqothulwa;
- isicupunu kunye nokuhlanza ngexesha lokuya esikhathini;
- ukwanda kwentlungu xa uphakamisa izisindo.
Iziganga ze-endometriosis
Ngokuxhomekeka kokusasazeka kwesi sifo, inani lamathambo kunye namaziko achaphazelekayo, kukho iindidi ezininzi zenkqubo yokugula:
- Iqondo eli-1 - eso sifo sichaphazela umphezulu wesibeleko, kungabikho ngaphezu kwezinto ezimbini. Ubuhlungu obuphethwe yi-endometriosis yalolu hlobo alukho okanye lubonakaliswe ngokungathinteli.
- Iidanga ezi-2 - zichaphazela izalathisi ezinzulu zesibindi, ngokugqithiseleyo kugxininiswe enye, kodwa inkulu.
- Iidanga ezi-3 - inani elikhulu lezinto zokukhula, ezisezantsi kwiindawo ezinzulu zesisu. Inkqubo iyaqhubeka ngokuqhubekayo kwinkqubo yokuzala, ama-cysts amancinci avela kuma-ovari kunye neepikhi ezincinci kwi-peritoneum.
- Izidanga ezine- pathological foci ezinzulu zenziwe kwii-ovari, kukho ukuxuba kwezitho phakathi kwabo, i-spikes yenziwa. Ngokuqhelekileyo kuvela ukuhluma kwesisu kwisigxina. Eli nqanaba kufuna ukungenelelo okutyathwayo.
Endometriosis - unyango
Ngaphambi kokunyanga i-endometriosis, oogqirha banika uviwo olunzulu lomzimba ukuba umfazi abeke isizathu esona. Ukugqitywa kwe-endometriosis kugxininiswe ngumsebenzi oyintloko oogqirha. Kukho iindlela ezimbini zonyango:
- unyango lweziyobisi;
- utyando.
Endometriosis - iziyobisi unyango
Ulwaphulo olunzima lwe-endometriosis kubasetyhini lubandakanya ukuphuhliswa kwe-algorithm nganye yonyango. Ukulungiswa kukhethwa ngokuqwalasela ubunzima besifo, isigaba senkqubo yesifo. Phakathi kwamayeza asetyenziswayo, kubalulekile ukuhlula:
- I-Antiprogestins (iDanazol) - cima i-gonadotropin.
- I-Gonadoliberin agonists (iBurselin, Tryptorelin, Leuprorelin) igxotha umsebenzi we-hypothalamic-pituitary system, ukunciphisa ukuveliswa kwe-gonadotropins kunye nokuchaphazela ukukhutshwa kwama-ovari.
- Ukuhlanganiswa kwezicwangciso zomlomo (Dienogest, iDuphaston) - kunye ne-endometriosis kunceda ukulungelelanisa umsebenzi wama-ovari. I-COC uJeineine nge-endometriosis idala i-hormone ephakamileyo egazini, kwaye umzimba uyanciphisa kakhulu ukuveliswa kwawo.
Unyango lwe-endometriosis kunye nezilwanyana zomntu
Ngenxa yesifo esinjengo-endometriosis, unyango kunye nezilwanyana zoluhlobo luyongeziweyo. Iphucula inhlalakahle jikelele yowesifazane, iyanciphisa iimpawu zesifo.
Boron endometriosis
Izithako:
- I-borovaya uterus - 1 tbsp. isipuni;
- amanzi - 500 ml.
Ukulungiselela, isicelo
- Ingca iyachithwa ngamanzi abilayo kwaye igqoke ukuhlamba amanzi.
- Ukhulelwe imizuzu eyi-15.
- Umhluzi olungiselelwe ulwahlula kwiingxenye ezintathu. Thatha 1 inxalenye ngosuku ngemva ngaphambi kokutya.
Ukucoceka kwi-endometriosis
Izithako:
- i-celandine - 1 tbsp. isipuni;
- amanzi - 200 ml.
Ukulungiselela, isicelo
- Ingca ithululwa ngamanzi abilayo aphelayo, iyanqatshwa kwiiyure ezingama-2.
- Hlaziya uze uthathe ama-50 ml amaxesha 3-4 imihla ngemihla ngaphambi kokutya. Inkqubo yokonyango imihla ezili-10-12.
I ziNyango
Izithako:
- Ingcambu yekhoyili i-1 tbsp. isipuni;
- isikhwama somalusi - 1 tbsp. isipuni;
- i-sporish - 2 tbsp. iipuni;
- amaqabunga ama-nettle - 2 tbsp. iipuni;
- ingcambu ye-aira - 2 tbsp. iipuni;
- ingcambu yepuni yekotoni - 2 tbsp. iipuni;
- amanzi 400 ml.
Ukulungiselela, isicelo
- Iifom zixutywe.
- 2 tbsp. Iiponji zomxube ofunyenweyo zithelelwa ngamanzi abilayo, zixinzelele iiyure ezingama-2 kwibhotile ye-thermos.
- Hlaziya uze uthathe isiqingatha seglasi ingqindi yeyure ngaphambi kokutya. Thatha inyanga, uze uthathe ikhefu iintsuku ezili-10.
Iyintoni ingozi ye-endometriosis?
Esi sifo sishiya impawu ekusebenzeni kwenkqubo yokuzala kunye nempilo yabasetyhini ngokubanzi. I-Endometriosis yomlomo wesibeleko kunye nomzimba we-uterine unokukhokelela kwezi zifo ezilandelayo:
- polycystic;
- ukukhulelwa kwegazi;
- ukungabikho;
- ukwakheka kwezicubu ezibi (ngokungafanekiyo).
Endometriosis nokukhulelwa
Nge-endometriosis, unokukhulelwa, kodwa abaninzi abafazi baneengxaki zokukhulelwa. Phantse i-50% yabasetyhini abanokuxilongwa okufanayo ixesha elide abanako ukuba ngumama. Oku kubangelwe utshintsho kwicala lokugqibela lwe-endometriyamu, ukuphulwa kweendawo zokuguquka kwee-tublopian tubes. Nangona kunjalo, kukho umphumo ochaseneyo: kwabasetyhini ababelethayo, i-foci iyanyamalala yodwa. Le nto ibangelwa ukuhla kwe-estrogens kunye nokwanda kwinqanaba leprogesterone. Abafazi ngonaphakade bayakhohlwa malunga ne-endometriosis, uhlobo luni lokugula kunye nendlela ebonakalisa ngayo.