A na-akpọkarị ụba nke anụ ahụ endometrial na gynecology dị ka endometriosis. Ọrịa ahụ nwere ọtụtụ ụdị ọgwụgwọ, dịgasị iche iche na mpaghara. Kedu ihe mgbaàmà na-eso endometriosis nke akpanwa, gịnị bụ asụsụ a nwere ike inweta - ka anyị gbalịa ịkọwa ya n'isiokwu ahụ.
Endometriosis nke akpanwa bụ ihe?
A na-eji nchịkwa nke mkpụrụ ndụ glandular, bụ nke na-agbanwe ọnọdụ ebe ha na-emekarị ka a na-enwe ọgwụgwụ nke akpanwa. Mgbe ị na - achọpụta ọrịa, ndị dọkịta nwere ike ịchọta ihe mgbagwoju anya nke okpukpu ahụ, ntanye nke akpanwa. Tụkwasị na nke a, mkpụrụ ndụ ndị a dị nnọọ nhazi ma nwee ike ịrụ ọrụ ndị ahụ dị ka endometrium nke akpanwa.
Ihe ndị a na-enweta growths (heterotopies) nwere ike ịmalite mgbanwe mgbanwe cyclical, nke a na-ekpughere na akpanwa kwa ọnwa. N'ihi eziokwu ahụ bụ na akụkụ ndị a na-arụ ọrụ cellular nwere ike ịbanye n'ime ihe ndị dị ya nso, na-eme ihe nsị, endometriosis na-esonyekarị na ọrịa ndị ọzọ nke etiology hormonal:
- ihe omimi;
- hyperestrogenia.
Endometriosis nke ahụ nke akpanwa
A na-akpọ ụdị ụdị ọgwụgwọ a dị ka endometriosis n'ime ụlọ akpanwa. A na - ejikọta aha a na njirimara nke ịchọta mpaghara nke usoro nchịkwa. Site na endometriosis nke ahụ, ntinye nke mkpụrụ ndụ endometrial n'ime muscular oyi akwa nke akpanwa (adenomyosis) dị. Dịka ozo, n'agbata myometrium (akwara muscle) na endometrium, enwere mkpụrụ ndụ nke na-adọta ebe ndị a.
Otú ọ dị, ọ bụrụ na mbufụt ma ọ bụ ọrịa na-apụta, nchekwa ahụ nwere ike ịkụ emerụ. N'ihi ya, mkpụrụ ndụ endometrial na-abanye na oyi akwa ahụ n'oge mgbanwe nke cyclic ọzọ, na-etinye anya nke mbufụt. Mgbe ị na-enyocha onye ọrịa na ultrasound, dọkịta ahụ na-agbanwe mgbanwe njirimara, akụkụ ndị dị iche na muscular - endometriosis nke akpanwa, ihe mgbaàmà na ọgwụgwọ nke a kọwara n'okpuru ebe a.
Endometriosis nke cervix
Ụdị ngwọta a bụ nke uto nke tisọtị endometrial, nke ji nwayọọ nwayọọ amalite ịkwaga na-emetụta akụkụ ahụ nke akụkụ ahụ. N'ihi njirimara a, ọrịa ahụ nwere aha nke abụọ - oke endometriosis dị elu. Ọrịa ahụ bụ nke na-adịghị mma, n'ihi ya, a na-achọpụtakarị ya na nyocha.
Endometriosis nke cervix nke akpanwa - ihe ọ bụ, ndị dọkịta na-akọwa na asụsụ nwere ike ịchọta mgbe nchọpụta - bụ hormone-dabere, ya bụ, ọ na-amalite n'ihi nsonaazụ nke hormonal. Nke a na-akwado eziokwu ahụ bụ na ọrịa ahụ na-emekarị mgbe ụmụ nwanyị na-amụ nwa ma na-agbagha na mbido nke oge ochie. Na nke a, mkpụrụ ndụ endometrial dị na mbara ala mucous layer n'olu, n'ebughị n'ime ime.
Endometriosis nke akpanwa - akpata
Ọ gaghị ekwe omume ịchọpụta kpọmkwem ihe na-akpata endometriosis nke akpanwa, ọbụna mgbe ọtụtụ ọmụmụ gasịrị. E nwere ọtụtụ echiche nke ndị dọkịta na-agbaso mgbe ị na-akọwa etiology nke ọrịa ahụ:
- Akwụkwọ nke retrograde nsọ nsọ. Dika nkwenye a si kwuo, n'oge otu n'ime usoro ihe omimi nke ogugu ogugu nke ozo nke nwere mmuta obara na-abanye n'ime tubes, nke a na-eme ya. Na-edozi ebe a ma na-akpụ ọkụ ọkụ, ha na-amalite ịrụ ọrụ dị ka njedebe.
- Ihe ntụgharị uche. Dịka nkwupụta a si kwuo, ọ dịghị nnweta onwebata nke mkpụrụ ndụ endometrial n'ime ihe ndị ọzọ, mana ọ bụ naanị anụ ahụ na-akpali akpali mgbanwe ntụgharị (metaplasia).
Ke adianade do, ekwesiri iburu n'uche na mmepe nke oria a ga-ekwe omume nani na onodu ufodu. Dị ka ihe na - akpali akpali nwere ike ime:
- belata ike nke aru;
- ịkwa iko;
- ihe na-ezighi ezi nke ntanye , nke akụkụ nke ọbara ọbara ọbara na-abanye n'ime ọnụ;
- enwekwu ọdịnaya nke estrogens n'ime ọbara;
- afọ 30-45;
- oge izu ike.
Kedu ihe ize ndụ nke endometriosis nke akpanwa?
Ngwunye endometriosis nke akpanwa na-anọchite anya ihe ize ndụ nye ahụike nke ụmụ nwanyị, n'ihi nsogbu ndị nwere ike ime. Ha dị iche na oge ọdịdị na ike. Ndị dọkịta na-achọpụta ozugbo mgbe nchọpụta na-amalite na-emeso endometriosis nke akpanwa, ihe ndị si na ya pụta nwere ike ịbụ ndị a:
- usoro nke ovarian ovarian ;
- ime ime ime ;
- infertility ;
- ọrịa na-adịghị na nchịkwa na mkparịta ụka nke nkwụsị nke akwara na endometrium gbakwunyere;
- anemia;
- mgbanwe na nhazi usoro ọjọọ (na 3% nke ikpe).
Enwere m ike ime ime na endometriosis nke akpanwa?
Mgbe nyochachara ihe kpatara ya ma chọpụta ihe dị ize ndụ maka endometriosis nke akpanwa, gịnị ka asụsụ a nwere ike inweta, ndị dọkịta na-eme ngwa iji mesighachi nwanyị nwere ike imebi iwu ịzụ nwa. Ndị ọkachamara na-arụ ụka na ime ime na endometriosis nke akpanwa ga-ekwe omume. Ọ bụrụ na ọnya nke endometrium adịghị ọtụtụ, mkpụrụ ndụ ya adịghị agafe akụkụ anụ ahụ, nwaanyị nwekwara ike ịghọ nne.
Otú ọ dị, na ngwụsị oge nke ọgwụgwọ, na-eleghara ụdị adịghị ahụ anya, endometriosis nke akpanwa (ihe dị na asụsụ nwere ike ịkọwa - akọwapụtara n'elu) nwere ike ibute infertility. Ọ bụ usoro nhazi nke na-esote ọrịa ahụ. A na-amalite ikpo ọkụ mgbe a na-eme ka anụ ahụ kwụsị ma na-egbochi usoro a na-ahụkarị, na-enweghị ime ime.
Endometriosis nke akpanwa - mgbaàmà
Mgbaàmà nke endometriosis nke akpanwa na mmalite oge nke pathology adịghị anọ. Ihe mgbaàmà mbụ na-egosi na ọganihu dị ukwuu nke endometrium. N'ọtụtụ ọnọdụ, ndị inyom na-ahụ oké mgbu na endometriosis nke akpanwa n'oge nsọ nsọ, na ala ala na na azụ ala. A na-ejikọta ha na ịjụ njigide nke njedebe. Na-ekwu banyere ihe na-ejikọta na endometriosis nke akpanwa, ihe a bụ asụsụ a na-enwe ike inweta, ndị ọkà n'ọrịa na-aṅa ntị na mmụba nke mmụba nke ịhụ nsọ. N'ime ihe mgbaàmà ndị ọzọ nke endometriosis ọ dị mkpa ịmata ọdịiche:
- Mgbu na mpaghara pelvic, ọ bụghị metụtara nsọ nsọ.
- Dyspareunia - ihe mgbu n'oge mmekọahụ.
- Menorrhagia - na-achacha aja aja n'ụbọchị ọ bụla.
- Imebi ihe omumu.
Ogo nke endometriosis nke akpanwa
Mkpụrụ ndụ endometrial nwere ike banye n'ime akwara muscular na akụkụ ndị agbata obi dị omimi dị omimi. Dabere na nke a, na nchoputa ọrịa ahụ, ndị dọkịta ghọtara ogo nke endometriosis:
- Onu ogugu 1 - enwere ugwo mmadu.
- 2 degrees - endometriosis ruru na muscular oyi akwa, ọnụ ọgụgụ nke foci na-abawanye.
- Nri 3 - a na - ahụ ọtụtụ foci, a na - emepụta cysts endometrioid na otu ma ọ bụ abụọ ovaries, e nwere spikes nke peritoneum.
- 4 degrees - miri emi, otutu foci nke endomeriosis, nnukwu akwara endometrioid na ovaries. Ọkụ na-epupụta n'ime mgbidi nke ikpu, ntanetị.
Kedu ka e si achọpụta ụbụrụ endometriosis?
Tupu ị chọpụta njedebe nke akpanwa, iji mee nchoputa, ndị dọkịta na-eduzi ọtụtụ ọmụmụ. Ọrụ kachasị na nchoputa ọrịa ahụ bụ ultrasound. N'omume ya, ndị dọkịta na-ege ntị n'ihe ịrịba ama ndị na-esonụ nke endometriosis:
- usoro anechoic ruo 6 mm na dayameta;
- ọnụnọ nke mpaghara echogenicity dị ukwuu;
- akpanye nke ụba abawanye;
- ọnụnọ cavities jupụtara na mmiri, ntụpọ nke ọdịdị ọdịdị.
N'ime ụzọ ndị ọzọ nke nyocha ọrịa, ọ dị mkpa ịkpọ aha:
- Hysteroscopy nke akpanwa - enwere obere oghere n'ụdị ihe burgundy, a na-eme ka oghere uterine dịkwuo ibu, akwa ala basal nwere ahụ efe, nke yiri ezé nke ikpere.
- MRI - dị oke ihe ọmụma, mana chọrọ ịnweta ngwá ọrụ dị oké ọnụ na ọkachamara ruru eru.
Endometriosis nke akpanwa - ọgwụgwọ
Tupu ị na-emeso endometriosis nke akpanwa, ndị dọkịta na-ekpebi kpọmkwem ebe na ogo nke ọnya ahụ. Dabere na ọrịa ahụ dị njọ, usoro ihe omimi ahụ na-emepụta usoro nlekọta ahụike. Usoro ọgwụgwọ na-amalite site na nhọpụta nke ọgwụ, nke gụnyere ọgwụ ọgwụ ọjọọ. A na-agwọ ọgwụgwọ iji mee ka ọrụ nke gonads na-arụ ọrụ ma na-ewepu mmepe nke ọhụụ ọhụrụ nke endometriosis. Na enweghị mmetụta nke ọgwụgwọ dị otú ahụ, a na-ahazi ọrụ.
Olee otu esi emeso endometriosis nke akpanwa ahụike?
A na-ahọrọ ihe mgbakwasị ụkwụ maka endometriosis n'otu n'otu. Nzuzu nile ka ndi dọkịta na-eme, na-achoputa ụdị ọgwụ, usoro onu ogugu, oge nchịkwa na ogologo oge. Na nkà mmụta ọgwụ nke oge a, a na-eji ọgwụ ọjọọ ndị na-esonụ eme ihe na-emeso endometriosis:
- progestogens - Utrozhestan , Dyufaston;
- antigonadotropins - Danazol;
- agonists nke gonadotropin-na-atọhapụ hormone - Zoladex.
Dịka akụkụ nke ọgwụgwọ dị mgbagwoju anya nke ọrịa ahụ, a pụrụ iji ọgwụ ndị ọzọ dị iche iche mee ihe iji kwado ọdịmma nke ọrịa ahụ:
- anti-inflammatory - Ibuklin, Nurofen;
- antispasmodics - Papaverin, Drotaverin;
- ndị na-eme ihe ike - tincture nke valerian, motherwort;
- immunomodulators - Immunomax, Immunal;
- nkwadebe ígwè - Ferretab, Sorbifer.
Endometriosis nke akpanwa - ọgwụgwọ na ọgwụgwọ ndị mmadụ
A na-ewere ọgwụgwọ ndị mmadụ nke endometriosis nke akpanwa dị ka usoro ọgwụgwọ ọzọ. Site n'enyemaka ya, ọ gaghị ekwe omume iwepụ ọrịa ahụ kpamkpam, ma ọ ga-ekwe omume ịkwụsị ọrịa ahụ ma mee ka ahụ ike nke nwanyị dịkwuo mma. Iji mee nke a, jiri:
Infusion nke akpanwa borage
Efrata:
- Borovoe akpanwa - 1 tsp;
- mmiri - 200 ml.
Nkwadebe, ngwa
- A na-awụsa ahihia mmiri mmiri.
- Nagide ọnwụ 15 nkeji.
- Were n'oge nri otu iko otu ugboro ugboro atọ n'ụbọchị.
Nri Beet
Efrata:
- Bekee - 1 PC.
Nkwadebe, ngwa
- A na-ehichasị beets, grated.
- A na-agbapụta mkpụrụ osisi ahụ na gauze ma wepụ ya ihe ọṅụṅụ.
- A na-etinye ihe ọṅụṅụ maka awa 4-5, mgbe ahụ jiri nwayọọ gụchaa na-enweghị sedimenti.
- Were n'ime 100 ml 2-3 ugboro n'ụbọchị, nke nta nke nta na-amụba dose ahụ.
Infusion nke nettle
Efrata:- epupụta nke nettle - 2 tbsp. ngwunye;
- mmiri - 200 ml.
Nkwadebe, ngwa
- Ị na-agbazi nettle, wụsa mmiri mmiri.
- Ọ na-ekpo ọkụ na mmiri bath maka minit 15.
- Gbakwunye ihe mmiri na-eme ka mmiri sie mmiri ruo 200 ml.
- Were ugboro ise n'ụbọchị maka ọkara otu iko.
Endometriosis nke akpanwa - ọrụ
Na enweghị mmetụta nke ọgwụgwọ ọgwụ, a na-eji ọgwụgwọ eme ihe. A na-emecha ọcha nke ugbo na endometriosis n'ebumnuche nke ichebe ovaries, igbochi mgbasa nke ọrịa ahụ. A na-eme ya site na usoro nke laparoscopy, mgbe a na-enweta eriri uterine site na obere oghere na mgbidi abdominal ihu. N'ime ụmụ nwanyị na-adịghị emepụta afọ na-enwe afọ ojuju nke ukwuu, a na-arụ ọrụ nke a - site na mkpịsị nke mgbidi abdominal. Ntu maka ime ihe bu:
- enyo nke oncology;
- ọnụnọ nke fibroid;
- endometrioid ovarian cysts;
- mmebi nke ọrụ nke akụkụ ndị dị nso.