Njira zatsopano zothetsera matenda a endometriosis - mutu wa nkhaniyi. Izi zingachititse chitukuko cha zizindikiro zotsatirazi:
- Kusamba kwachisoni (dysmenorrhea) - ululu kawirikawiri umayamba masiku awiri mpaka nthawi isanakwane ndipo nthawi ndi nthawi imafooka, ngakhale nthawi zina sizimatha;
- ululu pa nthawi yogonana (dyspareunia) ikhoza kutha kwa maola 24;
- kumangokhalira kupanikizika mu rectum - nthawi zina pangakhale zopempha zofulumira kapena kupweteka panthawi yachisokonezo;
- ululu mu dera la lumbar ukhoza kugwirizanitsidwa ndi ingress ya magazi mu mkodzo; ululu mukakodza;
- Kusabereka - kwa amayi makumi anayi (40%) omwe ali ndi matenda a endometriosis omwe amakumana ndi vuto la kulera mwana.
Ngakhale kuti amayi ena sangawononge endometriosis konse, ambiri a iwo amavutika ndi ululu waukulu, zomwe zimayambitsa kuwonongeka kwakukulu kwa thanzi ndi kuvutika maganizo. Chifukwa chenicheni cha endometriosis sichidziwika, koma pali ziphunzitso zingapo:
- kubwezeretsa msambo - pazigawo za kumapeto kwa endometrium kupyolera mu ziphuphu zochokera ku chiberekero zimachokera pachiberekero kupita kumtunda; Ngati zidakonzedweratu, zidutswa izi zikhoza kumangirizidwa ku ziwalo zapakhosi;
- Zachibadwa - mkazi yemwe wachibale wake wapafupi akudwala ndi endometriosis, ndi nthawi 6-9 yowonjezereka kuti adziwe matenda;
- kufalitsa kupyolera mu magazi kapena mitsempha ya mitsempha - chiphunzitso ichi chimalongosola milandu yodziwika kwa foci ya endometriosis mu ziwalo monga mapapo komanso ubongo;
- Kukula kosabadwa kwa ziwalo zoberekera - minofu ya m'mimba imatha kukhala kunja kwa chiberekero pamene imayamba kusokonezeka popanga ziwalo zoberekera.
Zowopsa
Kafukufuku akuwonetsa kuthekera kwa ubale wa chitukuko cha matendawa ndi zifukwa monga:
- kawirikawiri, kusamba kwambiri;
- kuyambira msambo mpaka zaka 13;
- ali ndi zaka zoposa 25;
- kusakhala ndi pakati;
- kumwa mowa woposa 300 mg wa khofi tsiku;
- kusowa ntchito;
- kusakhazikika kumwezi;
- kulandila kulandira chithandizo.
Msambo ndi endometriosis
Pambuyo pa msambo, mlingo wa estrojeni umatuluka, ndipo mkati mwake chiberekero (endometrium) chimayamba kuuluka, kukonzekera kulandira dzira la umuna. Asanayambe kutulutsa mazira (kutuluka kwa dzira kuchokera ku ovary), mlingo wa progesterone ukuwonjezeka, umene umalimbikitsa kukula ndi magazi kudzazidwa kwa matenda a endometrial. Ngati feteleza sizimachitika, mlingo wa mahomoni umachepa. Endometriamu imakanidwa ndipo, pamodzi ndi chidziwitso chopanda chidziwitso, imatulukira kuchokera ku chiberekero cha uterine monga mwazi wamagazi (kumasamba). The foci of endometriosis imasungiranso magazi, omwe, komabe, alibe malo. M'malo mwake, kupanga mapuloteni a magazi amapezeka, omwe amatha kupanikizira ziwalo zozungulira. N'zotheka kuti iwo awonongeke kapena apsepetse ndi machiritso omwe amatsatira ndi kupanga mapangidwe.
Kusamba
Kufala kwa endometriosis sikudziwika bwinobwino, popeza amayi ambiri odwala sawona zizindikiro zilizonse. Komabe, amakhulupirira kuti amayi 10 mwa amayi 100 alionse a msinkhu wobereka amakhala ndi endometriosis.
Zosokoneza
Endometriosis ayenera kuganiza kuti mkazi aliyense yemwe ali ndi vuto lokhala m'mimba, lomwe limachepetsa moyo wake. Kufufuza kumaphatikizapo kufufuza zida za pelvic kudzera mu laparoscope (zomwe zimalowetsedwa m'mimba pamimba kudzera pang'onopang'ono kakang'ono) kapena panthawi yogwiritsira ntchito m'mimba. Mapulogalamu akuluakulu angapangitse kuyeza kwa laparoscopic kukhala kosatheka. Zida zopangidwa ndi mapuloteni otchedwa endometrioid cysts m'kati mwa chisawawa chidziwitso cha dokotala chimatha kuwerengera. Pali njira zikuluzikulu ziwiri zochizira endometriosis: mankhwala opaleshoni ndi opaleshoni. Mulimonsemo, mankhwala ayenera kukhala payekha. Mankhwala ochizira endometriosis ndi awa: kuphatikizapo njira zothandizira pakamwa zam'mimba zomwe zili ndi estrogen ndi progestogen (progesterone yokha). Nthawi ya chithandizo ndi miyezi 6 mpaka 9 yowonjezera. Monga momwe mungasankhire, chitetezo chokha cha progestogen, dydrogesterone kapena medroxy progesterone n'zotheka; danazol - hormone ya steroid yokhala ndi anti antirogenic ndi antiprogesterone zotsatira; mafanoni a gonadotropin-kutulutsa hormone (GnRH) amakhudza vuto la pituitary ndipo amaletsa kuyambira kwa ovulation; izi zingachititse kuti chitukuko cha matenda am'maopausal chikhale chonchi monga kutentha ndi kutsegula m'mimba. Pofuna kuchepetsa zotsatirazi, mphamvu yamadzimadzi imatha; Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) amagwiritsidwa ntchito kuthetsa ululu; Zitsanzo za mankhwalawa ndi mefenamic acid ndi neurooxene. Mankhwala opanga mahomoni, omwe amachititsa kuti ovulation asamayambe, nthawi zambiri amachepetsa ululu, koma samachiza matenda. Ngati palibe chithandizo, matendawa amakula mofulumira mpaka kumapeto kwa msambo kapena asanayambe mimba, pamene zizindikiro zimatha kuchepa. Wodwala ayenera kukambirana mwatsatanetsatane ndi dokotala zizindikiro zonse ndi kulandira chithandizo cha mankhwala.
Mimba
Amayi ambiri amatha kulandira matendawa mothandizidwa ndi njira imodzi ya chithandizo. Pafupifupi 60 peresenti ya odwala omwe ali ndi njira yochepa ya endometriosis atatha kuchipatala amatha kutenga pakati. Mkwatibwi wa mimba m'kati mwa matendawa yayamba kufika 35%. Kuchetsa foci ya endometriosis kungachepetse ululu ndi mankhwala a endometriosis, ndipo kupatukana kwa fissures kumapangitsa kuti pakhale mimba. Kwa ichi, laser therapy ndi cauterization ndi electrocoagulant angagwiritsidwe ntchito. Azimayi omwe akukonzekera mimba akulimbikitsidwa opaleshoni ya laparoscopic. Kuchotsa chiberekero, ziphuphu zamagazi ndi mazira a m'mimba zimaperekedwa kwa amayi oposa 40 omwe akwaniritsa ntchito yawo yobereka.