Chiwerengero cha amayi omwe akudwala nthawi yayitali kapena yaitali chikukula. Komanso, amayi ambiri amakakamizidwa kuti azisamalidwa ndi polyposis ndi zina zomwe zimafalikira za uterine mucosa - endometriosis . Zifukwa za matenda mwazimayi zingakhale zovuta za m'magazi, osauka magazi coagulability, matenda opatsirana ndi mazira. Chithandizo chochiza matenda, chomwe chikuwonetsedwa ndi matenda, sichipatsa nthawi zonse zotsatira zabwino. Njira yowonjezera yothetsa magazi ochulukirapo ndi kutha kwa endometrium.
Kodi kubereka kwa chiberekero ndi chiyani?
Kuchokera kwa endometrium ndi njira yomwe ikufuna kuthetsa makulidwe onse a uterine mucosa. Ndondomekoyi imakhala ngati njira yowonjezera ya uterine (hysterectomy kapena exterction ) ndi tizilombo toyambitsa matenda kapena endometriosis ya chiberekero.
Mucosa wamkati mwa thupi la uterine - endometrium - amatanthauza ziphuphu zomwe zimadalira mahomoni mu thupi la mkazi. Panthawi yonse ya kusamba, endometrium imasintha. Mwachitsanzo, m'gawo lachiwiri la kusamba, limafika pamtunda waukulu chifukwa chakuti magazi amatha kuwonjezeka ndipo chiwerengero cha progesterone chimakula. Zonsezi zimachitika kuti chiwalo cha uterine chikhale chokonzekera, ngati sichiyambire kutenga mimba, endometrium imayamba kukanidwa, yotchedwa kumwezi. Ngati nthawi ya mkazi ndi yochulukirapo ndipo imaphatikizapo kupha magazi, kupuma kwa endometrium kwa chiberekero kumachotseratu mkaziyo ndi chizindikiro chosautsa ichi.
Kodi ndi zizindikiro zotani zokhudzana ndi kupuma kwa endometrium?
Osati odwala onse akulimbikitsidwa ndi dokotala kuti apitirize kutha kwa endometrium, miyezo yolondola ikufunika kuti ipange opaleshoniyo. Odwala oposa zaka 35 omwe amadwala magazi nthawi yaitali, komanso omwe samapindula pambuyo pa mankhwala oyenera, kubwezeretsedwa kumalimbikitsa. Komanso, amayi omwe amatha kupha amayiwa, omwe sangathe kuchiritsidwa ndi mankhwala otchedwa hormone, ndi amodzi mwa odwala omwe amatha kuperewera kwa endometrium.
Asanayambe, dokotalayo ayenera kufotokoza kwa mayiyo kuti atatha kugwira ntchitoyo amatha kutaya, choncho nthawi zambiri amapereka mwayi kwa amayi omwe ali ndi zaka zoyambirira.
Njirayi siidakonzedwe kwa amayi omwe amavutika ndi msambo (oposa 150ml), omwe ali ndi zotsatira za khansa.
Kodi kupuma kwa endometrial kumagwira bwanji ntchito?
Ndondomekoyi imachitidwa pang'onopang'ono kumayambitsa matenda a anesthesia kapena epidural anesthesia. Pulojekiti yaing'ono imalowetsedwa mu chiberekero cha uterine, chomwe chimakhala ndi bubu lapadera poyang'ana makoma a chiberekero ndi pakamwa pamatope. Kuperekera kwa m'mimba kumatha kuchitika m'njira zingapo ndi:
- laser;
- madzi otentha;
- mphukira ya microwave;
- njira yamagetsi;
- chithunzi;
- kusungunula magetsi.
Kawirikawiri amachititsa kuperewera kwa phokoso la endometrium, komwe mkati mwacosa wa chiberekero chachotsedwa
Ubwino wa kupuma kwa endometrium, poyerekeza ndi kupopera ndi mankhwala a mahomoni, zimaphatikizirapo bwino, kulekerera bwino, zotsatira zochepa, kufulumizitsa bwino.
Kawirikawiri, koma nthawi zina zotsatira za kupuma kwa m'mimba zimaphatikizapo kutaya magazi, kutupa, kuvulaza kutentha kwa chiberekero, ndi kuwonongeka kwa chiberekero. Ululu wochitidwa opaleshoni ukhoza kukhala wogwirizana kwambiri ndi mavuto omwe amapezeka pamwambapa.