Popeza atamva kuchokera kwa dokotala kuti akudwala "chiberekero cha chiberekero", ndi chiyani - odwala samadziwa nthawi zonse. Nthendayi imatchedwa mkati endometriosis, yomwe imafanana ndi matenda osiyanasiyana. Komabe, madokotala ambiri amasiyanitsa matendawa, ngakhale pali zofanana.
Adenomyosis ya chiberekero - ichi ndi chiyankhulo chofikira?
Musanadziwe zomwe adenomyosis ili kwa amai, m'pofunika kulingalira mwachidule kapangidwe ka chiwalo chogonana. Makoma a chiberekero amakhala ndi zigawo zitatu, mkati mwake ndi endometrium. Izi zowonjezera zimatchedwa ntchito - mwezi uliwonse zimasintha kusintha. Kumapeto kwa msambo, amakanidwa, ngati palibe mimba, ndipo mkaziyo amatha kutuluka mwezi uliwonse.
Ndi adenomyosis, pali kuwonjezeka kwakukulu kwa maselo a endometrial. Zimachulukana mofulumira ndipo pang'onopang'ono zimayamba kupitirira pambali. M'kupita kwanthawi, maselo a endometrial amalowa m'mimba mwachisawawa komanso mpaka kumalo ozungulira. Pachilombo, kukula kwa endometrium sikukuchitika mkati mwa chiberekero, pochikulitsa, koma kunja - motsogoleredwa ndi myometrium.
Adenomyosis - Zimayambitsa
Pofuna kutchula chifukwa chake, chifukwa cha zomwe adenomyosis imayambitsa, kapena momwe zimatchulidwira - mkati endometriosis, madokotala sangathe. Akatswiri ambiri amakhulupirira chiphunzitsochi, malinga ndi momwe matendawa amachitira poyambitsa kusintha kwa mahomoni m'thupi. Pakati pa njira za chitukuko cha matendawa, akatswiri a zazimayi amasiyanitsa:
- Kupanga chiphunzitso - foci ya adenomyosis imapangidwa chifukwa cha kutaya mwazi kudzera m'machubu ya uterine kulowa m'kati mwa peritoneum.
- Mitsemphasia ya coelomic epithelium - foci ya matendawa imapangidwa kuchokera ku mabwinja a ma embrionic minofu omwe sanagonjetsedwe popanga mapangidwe a ziwalo za kubereka.
- Kuchulukitsa - mapangidwe a adenomyosis poyambitsa zovuta.
Pa chitukuko cha matendawa, madokotala amadziwika ndi zinthu zomwe zimayambitsa matendawa, kupezeka komwe kumapangitsa kuti pakhale ngozi. Zina mwa izo ndi:
- choloŵa choloŵa cholowa chokhala ndi ziphuphu;
- kumapeto kapena kumayambiriro kwa msambo ;
- kunenepa kwambiri;
- kumayamba mofulumira kwa kugonana;
- kukhalapo kwa machitidwe pa kubereka;
- mavuto a kubereka;
- kugwiritsa ntchito intrauterine spirals.
Kodi choopsa cha endometriosis ndi chiyani?
Adenomyosis ya thupi la chiberekero ndi kuzindikira mosadziwika, kusowa kwa mankhwala kungabweretse mavuto. Kulimbana ndi adenomyosis, nthawi zambiri:
- kuchepa kwa magazi m'thupi mwachangu (chifukwa cha kuchuluka kwa nthawi );
- Kugawidwa kwa foci ku ziwalo ndi ziwalo zofupika: matumbo a m'mimba , hemothorax;
- maligning of foci adenomyosis.
Mitundu ya Adenomyosis
Internal endometriosis ya chiberekero ali ndi maonekedwe angapo a morphological. Malingana ndi chikhalidwe, mawonekedwe ndi kukula:
- Matenda osadziwika - amadziwika ndi kukula kwa maselo a endometrial pamwamba pa uterine.
- Chowonekera (nodular) - kuwonjezeka kwa chiwerengero cha maselo a endometrial kumapezeka m'malo angapo, foci.
- Maonekedwe osakanikirana - pali zizindikiro za mitundu yonse yotchedwa mitundu.
Palinso gulu la adenomyosis malingana ndi mlingo wa maselo olowera mkati:
- 1 digita - zowonjezera zimayikidwa m'chigawo cha submucosal membrane ya chiberekero;
- 2 digiri - kufalikira kufalikira pa minofu yosanjikiza, koma osapitirira 50% ya makulidwe ake;
- 3 digiri - theka la myometrium yakhudzidwa;
- Madigiri 4 - maselo a m'magazi amasiya minofu yosanjikizana, yomwe ikugwirizanitsa ndi ziwalo zapafupi.
Zovuta kuzigwiritsa ntchito
Matenda osadziwika amadziwika ndi kulowa mkati mwa maselo a maselo a endometrial. Pochita ma ultrasound, madokotala amatha kupanga mawonekedwe okhwima a kukula kwakukulu ndi malo ake. Kawirikawiri amatha kudzazidwa ndi mtundu wa bulauni kapena magazi. Pamene akupita, chiwerengero chawo chikuwonjezeka, ndipo mtunda wa pakati pawo umachepa kwambiri.
Kusokoneza mtundu wa adenomyosis
Kukula kwa adenomyosis kumachitika pamene maselo a endometrial amakula mofanana pamwamba pa mucosa. M'kati mwake, zomwe zimatchedwa zikopa zam'mafupa zimapangidwa, zomwe zimalowa mkati mozama mkati mwa chiberekero, choyamba cha minofu. Pachifukwa ichi, pali malo omwe amapangidwira kupanga fistula m'mimba, ndi kupyolera mwa maselo a m'magazi kuti alowe m'ziwalo zazing'ono. Fomu yofalikira ikhoza kudutsa maonekedwe opweteka.
Mitundu yosiyanasiyana ya adenomyosis
Maonekedwe osakanikirana kapena ofanana a adenomyosis amadziwika ndi kukhalapo kwa zizindikiro za zigawo ziwiri za matenda. Poganizira za chiwalo chogonana ndi ultrasound, madokotala amatha kupanga mitundu yosiyanasiyana ya kumera pamodzi ndi foi ya adenomyosis. Matendawa amachitika popanda kusamalidwa bwino kwa mawonekedwe ozama, kuchedwa kwawo kwa madokotala. Pazifukwa zowonongeka, ziwalo zina za pakhosi laling'ono zimakhudzidwa:
- matumbo;
- chikhodzodzo;
- mazira ndi mazira oyipa.
Adenomyosis - zizindikiro
Malingana ndi mlingo wa adenomyosis, kuopsa kwa zizindikiro za matenda kungasinthe. Chizindikiro chodziwika kwambiri ndi chizindikiro cha matendawa ndi kusintha kwa chikhalidwe komanso kuchuluka kwa msambo. Ndikumenyana, kumapeto kumatenga masiku asanu ndi awiri kapena kuposerapo, pamene kuchuluka kwa magazi kumadutsa 80ml. Zovala nthawi zambiri zimapezeka mmenemo. Kuonjezerapo, masiku 2-3 asanafike ndi nthawi yochulukirapo pali bulauni. Nthawi zina, odwala akhoza kukayikira kuti chiberekero chimasokonekera, zomwe zizindikiro zake ndi izi:
- kupweteka koopsa m'mimba pamunsi, kupereka kumadera amtunda, osagwirizana ndi mwezi;
- ululu pakugonana;
- kuchepa kwa hemoglobin kumbuyo kwa kutaya magazi kwakukulu;
- kutopa mwamsanga;
- kufooka;
- chizungulire.
Ululu mu adenomyosis
Poganizira zizindikiro za adenomyosis, m'pofunika kusiyanitsa ululu wa m'mimba m'munsi mwa mimba. Pamene chiyambi cha matendawa, iwo ndi ofooka kwambiri, amayi ambiri samagwirizana nawo, amawalembera pa PMS. Zowawa zidzasambira masiku awiri musanafike msambo ndipo zikhoza kukhala masiku atatu patapita nthawi. Chikhalidwe cha ululu ndi malo ake ndi chifukwa chokhazikitsidwa kwa foci ya adenomyosis, chiwerengero chawo. Ngati kukula kwa maselo a endometrial kumaonekera m'deralo, kupweteka kumapangika mu perineum, ngati mimba ya chiberekero ikugunda - zimapweteka kumbuyo kapena kumalo komweko.
Lembani zizindikiro za endometriosis mkati
Kufufuza koyambirira kumapangidwa chifukwa cha anatoledwa anamnesis, atatha kuwona zizindikiro za matendawa. Kuti apange lingaliro, ultrasound ya ziwalo za m'mimba zimagwiritsidwa ntchito. Kutanthauzira adenomyosis pa ultrasound kungakhale kochokera pa zikhalidwe zomwe zimakhala:
- chiwonetsero cha chiberekero;
- kuwonjezeka kwa kukula kwa thupi;
- kukula kwakukulu kwa makoma a chiberekero;
- ma cystic 3 mm ndi lalikulu mmimba mwake;
- kuikidwa mu endometrium ya mawonekedwe ozungulira kapena ozungulira, opanda mthunzi pambuyo;
- kuthamanga kwakukulu kwa mawonekedwe.
Ndi chizoloŵezi chochepa cha chiberekero (chomwe chiri ichi - chafotokozedwa pamwambapa), mphamvu ya ultrasound yachepa kwambiri. Ndi mtundu uwu wa matenda, hysteroscopy ndiyo njira yaikulu yowonetsera. Phunziroli likufuna kuphunzira minofu mothandizidwa ndi zipangizo zamakono zavidiyo. Sensulo imayikidwa kupyolera mumaliseche ndi khosi mwachindunji.
Adenomyosis - mankhwala
Pambuyo pofufuza zizindikiro ndi mawonetseredwe a matenda monga matenda a chiberekero, kodi ndi matenda otani, m'pofunika kusiya zotsatira za mankhwala? Musanayambe kuchipatala, madokotala amapanga zovuta zowunikira kuti adziwe chifukwa cha matendawa. Maziko a chithandizo ndi mankhwala a mahomoni, chifukwa matendawa amaphatikizidwa ndi kusintha kwa mahomoni. Monga mankhwala, njira zothandizira pakamwa ndi maestrogen nthawi zambiri amalembedwa:
- Janine ;
- Jess;
- Duphaston;
- Norkolut;
- Buserilin.
Komabe, pofuna kuthetsa vuto la chiberekero, chithandizo chimaphatikizapo njira yowonjezera. Pazigawo zazikulu za mankhwala, zotsatirazi ziyenera kuwonetsedwa:
- mankhwala osakanikirana otetezeka - Ibuprofen, Paracetamol;
- phwando la zosokoneza - Kuthetsa, Kutha;
- kugwiritsa ntchito ma immunomodulators - Immunal, Immunomax;
- kuthetsa magazi m'thupi - Sorbifer;
- kusamalira chiwindi ntchito - Essentiale;
- physiotherapy - electrocoagulation, embolization, ablation.
Adenomyosis ya chiberekero (yomwe ili - yasonyezedwa pamwambapa) nthawi zambiri imachizidwa opaleshoni. Pachifukwa ichi, kufunika kochita opaleshoni kumatsimikiziridwa ndi dokotala. Mmene mungachiritse chiberekero cha chiberekero mwapadera - dokotala amatsimikiza. Zisonyezo za ntchitoyi ndi izi:
- kusokoneza adenomyosis ya madigiri 3-4;
- Mankhwala osokoneza bongo kapena osakanikirana popanda kusokoneza mankhwala;
- matenda aakulu;
- kuphatikizapo zizindikiro zina za chiberekero (myoma, matenda a khosi), chotupa cha m'mimba.
Mosiyana, tifunika kukambirana za chithandizo cha adenomyosis ndi mankhwala ochiritsira. Pali njira zambiri zomwe zimathandizira njira ya matenda. Komabe, angagwiritsidwe ntchito pokhapokha atakambirana ndi dokotala.
Mankhwala Amitsamba
Zosakaniza:
- thumba la abusa - supuni 1;
- mizu aira - supuni 1;
- chophika - supuni 1;
- supuni ya thonje - supuni 1;
- masamba a nettle - supuni 1;
- sporishi - supuni 1;
- madzi - lita imodzi.
Kukonzekera, ntchito
- Zitsamba zimasakanizidwa, zimatsanulidwa ndi madzi otentha.
- Imani maola awiri.
- Sakanizani ndi kutenga 0,5 chikho 3 pa tsiku. Kutalika kwa maphunzirowo ndi mwezi umodzi.
Adenomyosis ndi mimba
Mavuto okhudzidwa ndi kachilombo kawirikawiri amapezeka ndi matenda a mthupi. Podziwa za endometriosis zamkati, kaya n'zotheka kutenga pakati, kaya matendawa akuwonetseredwa mu ntchito yobereka - mkazi aliyense ali ndi chidwi. Adenomyosis kawirikawiri imaphatikizapo kuphwanya mchitidwewu, kotero kutenga mimba kumbuyo kwake sikutheka. Komabe, matendawa sali olepheretsa kutenga pakati. Akatswiri a kumadzulo amanena kuti adenomyosis imateteza mimba yokha ngati pali zovuta zina.