Endometriosis ndi kukula kwa endometrium (epithelium yamkati mkati mwa chiberekero cha uterine) kupita ku ziwalo zina kapena matenda ena.
Internal endometriosis ya chiberekero - ndi chiyani?
Pali endometriosis mkati ndi kunja, mkati mwa endometriosis - chotupa cha thupi la chiberekero ndi gawo la mkati mwa zida zake, zomwe zimakhudza kunja ziwalo zina - mazira, chiberekero ndi abambo, m'mimba.
Chizindikiro cha mkati mwa endometriosis
Pali madigiri 4 a mkati endometriosis ( adenomyosis ):
- mkati endometriosis ya digiri yoyamba, momwe malo onse a mucosa kupita ku myometrium amakhudzidwa, cholinga chimodzi chokha cha endometriosis chiripo;
- mkati endometriosis ya chiwerengero chachiwiri, pamene chotupachi chikupezeka pakati pa myometrium, pali foci zingapo;
- mkati endometriosis ya digiri ya 3, momwe endometriamu imayendera gawo la serous;
- mkati endometriosis ya 4 digitali, momwe makoma onse a chiberekero, kuphatikizapo parietal peritoneum, amakhudzidwa.
Zifukwa za endometriosis
Mpaka kutha kwa chifukwa cha endometriosis kusakhazikitsidwe . Koma njira iliyonse yothandizira pa chiberekero (kuchotsa mimba, chiwalo cha mchere, kupopera kwa chiberekero, kugwira ntchito pachiberekero) kungayambitse kumeza kwa endometrium kukhala minofu ya chiberekero ndikupangitsa intrauterine endometriosis. Zina zowonjezera zimayambitsa matendawa, kuteteza thupi kapena kutsekemera kwa amayi (mwachitsanzo, kuchuluka kwa estrogens ndi kusowa kwa progesterone).
Internal endometriosis - zizindikiro
Chimodzi mwa zizindikiro zazikulu za endometriosis ndikumva kupweteka kwa m'mimba mosiyanasiyana, komwe nthawi zambiri kumayenderana ndi kuyamba kwa msambo. Zowawa n'zotheka komanso panthawi ya kugonana, koma zikhoza kukhala zizindikiro za matenda ena m'matumbo aang'ono, kuphatikizapo kutupa.
Kutaya kwa bulauni koyambirira musanayambe kapena pambuyo pa kusamba, kutaya magazi kumatenda (kutaya mwazi kotheka pakati pa kusamba). Kupanda chilema kumakhalabe chimodzi mwa zizindikiro zazikulu za endometriosis, ngakhale zili kunja, m'malo moyambirira, endometriosis ya chiberekero sichimatengera mimba. Koma kuyamba kwa mimba kungayambitse kusintha kwa mkati mwa endometriosis, mpaka kuchiza kwakenthu.
Kuzindikira za endometriosis
Sizodziwikiratu kuti endometriosis yokha ndi yoyezetsa magazi - chiberekero cha chiberekero ndi kukula kwake sikumayambitsa matenda. Koma pogwiritsa ntchito njira yowonongeka ya ultrasound, makamaka m'mimba yamkati, zimatha kuzindikira nthendayi ya adenomyosis kapena kuti ipeze endometriosis yowonongeka mkati ndi chiwonongeko chofanana ndi chiberekero. Njira yeniyeni ya endometriosis yamkati imakhala yochepa kusiyana ndi mawonekedwe osiyana ndipo ayenera kusiyanitsidwa ndi foci yatsopano ya fibroids. Kuti mudziwe zambiri, kuyezetsa magazi kwa CA-125 endometriosis marker kumagwiritsidwa ntchito.
Internal endometriosis - mankhwala
Pali malingaliro ambiri pa momwe angagwiritsire ntchito endometriosis mkati, koma njira zothandizira zimagawidwa kukhala zosasamala, opaleshoni (opaleshoni) komanso kuphatikiza. Ngati mkazi amapezeka kuti ali ndi endometriosis yamkati ya digirii, ndiye kuti chithandizo chake chili chokhazikika ndipo chimakhala ndi mankhwala otalikitsa a hormone. Gwiritsani ntchito mankhwala osokoneza bongo - kuphatikizapo estrogen-gestagenic mankhwala (Marvelon, Non-ovolon, kupondereza ovulation), gestagenic mankhwala (Norkolut, Dyufaston, Utrozhestan, kuphatikizapo nthawi zambiri ntchito IUD ndi Mirren a gestagens).
Kuchiritsa endometriosis kuika mankhwala otchedwa antitigonadotropic, monga Danol, Danazol kapena Danogen, omwe amalepheretsa kusungunuka kwa mahomoni ogonana komanso kuchepetsa kukhudzidwa kwa mapulogalamu ogonana.
Ngati endometriosis ya m'kalasi ya 2 ikupezeka, ndiye kuti mankhwala ake sasiyana ndi endometriosis ya digirii imodzi. Ndipo ndi endometriosis 3 ndi 4 madigiri, komanso ndi endometriosis yosiyana, opaleshoni ingagwiritsidwe ntchito pochiza.
Kuchiza kwa mkati mwa endometriosis ndi mankhwala ochiritsira ndikugwiritsidwa ntchito kuphatikizapo zofunika phytotherapy - infusions of plantain, nettle, St. John's wort, koma sangakhale m'malo mwa mankhwala.