Endometriosis ndi matenda a umoyo omwe maselo a endometrial amakula kukhala ziwalo zotsatizana ndi matenda. Kukhalapo kwawo kumakhazikitsidwa pa peritoneum, m'mimba mwake, mazira komanso ngakhale chikhodzodzo. Taganizirani za matendawa mwatsatanetsatane, tiwone ngati endometriosis ndi mimba ndizogwirizana.
Ndingathe kutenga mimba ndi endometriosis?
Amayi ambiri omwe ali ndi matenda omwewo amakhala ndi chidwi ndi yankho la funso lakuti kaya mimba ndi yotheka ndi endometriosis. Chilichonse chimadalira kukula kwa matendawa ndi kufotokozera kwapadera kwa kukula kwa minofu ya endometrial. Kawirikawiri, amayi amavutika ndi vuto la kulera m'mimba. Poyankha funso lakuti kaya mimba ndi yotheka ndi endometriosis ya chiberekero, amuna azimayi amvetsetse zotsatirazi:
- Kutaya kwa ovulation. Zikatero, amayi amatha kulemba zochitika zapadera za kusamba, zomwe sizowonongeka, zopanda nthawi zonse, zimakhala zomvetsa chisoni. Njira za ovulatory mu nkhaniyi zikhoza kukhala palibe, chifukwa cha kugonana komwe sikungatheke. Izi zimawoneka pamene mazira a m'mimba mwake amakhudzidwa.
- Matenda okhazikitsa. Zimapezeka ndi adenomyosis , pamene chipolopolo chamkati cha chiberekero chawonongeka kwambiri. Pa nthawi yomweyi, feteleza n'kotheka, mimba imatuluka, koma imasokonezeka pafupipafupi, masiku asanu ndi awiri (7-10) pambuyo pa mimba. Dzira la fetusalo silingagwirizane ndi khoma la chiberekero, chifukwa chaichi chimamwalira ndi kumasulidwa kunja.
- Kusokonezeka mu dongosolo la endocrine. Zozizwitsa zoterezi zimapangitsa kufalikira kwa endometriosis ku ziwalo zoyandikana ndi minofu, kugonjetsedwa kwa dongosolo lonse la kubala.
Malingana ndi chiwerengero cha deta, mwayi wa mimba ndi endometriosis pafupifupi 50%. Theka la odwala ali ndi vuto la pathupi. Tisaiwale kuti pafupifupi 30-40% amapezeka mwachindunji panthawi ya mimba. Ichi ndi chitsimikiziro cha momwe mungathe kukhalira pakati pa matenda. Chilichonse chimadalira zomwe zimakhudzidwa mwachindunji. Ngati kugonana kwagonana kapena chimodzi mwa izo zimagwira ntchito mwachizolowezi, kuthekera kwa umuna kulipo.
Mimba ndi endometriosis ya mazira ambiri
Pochita zinthu ndi endometriosis ya mazira ochuluka, kaya n'zotheka kutenga pakati pa izi, ziyenera kukumbukira kuti pakuchita izi ndizovuta kwambiri. Kawirikawiri mapangidwe amtundu wambiri m'magulu ogonana amawoneka ngati mpweya wambiri wodzaza ndi madzi. Mimba mwake imasiyanasiyana ndi 5mm mpaka masentimita angapo. Pachifukwa ichi, kugwirizana kwa zochitika zingapo kukhala chimodzi kungathe kukhazikitsidwa. Chotsatira chake, minofu yonse ya kugonana imakhudzidwa ndipo njira ya ovulation imakhala yosatheka. Zida zam'mimba zotchedwa endometrial zimatha kulowa m'mimba mwa mazirawa motere:
- ochizira - ndi magazi;
- Amaliseche - kudzera m'mimba.
Mimba ndi endometriosis ya chiberekero
Monga tanena kale, kutenga mimba ndi endometriosis ya chiberekero n'kotheka. Pankhaniyi, kawirikawiri matendawa amapezeka mwachindunji poyezetsa amayi oyembekezera. Madokotala panopa amatha kudikirira ndikuwona machenjerero. Poyesa kuchuluka kwake kwa zilonda zam'mimba, malo ake, amayi ochita masewera olimbitsa thupi amapanga chisankho chowonjezereka pa mtundu wa mankhwalawa. Komabe, nthawi zambiri endometriosis palokha imakhala chifukwa cha kuchepa kwa mimba.
Pambuyo pomaliza feteleza, dzira la mazira amatha kutumizidwa ku chiberekero cha uterine. Kutsekemera kwa dzira la fetus pamtambo wa chiwalo chogonana ndi nthawi yofunika kwambiri pakubwera kwa mimba. Ngati zipolopolo zamkati zimakhudzidwa kwambiri, sizikhoza kulowera khoma la uterine, chifukwa cha zotsatira zake zimamwalira pambuyo pa masiku 1-2. Mimba sichibwera, ndipo mayiyo amawoneka ngati akumwa magazi, zomwe zimatenga nthawi kuti amalize kusamba.
Endometriosis ndi mimba pambuyo pa zaka 40
Endometriosis ndi mimba pambuyo pa 40 ndizosavomerezeka. Chiwerengero cha milandu yotereyi ndi yaing'ono, koma n'zosatheka kuthetsa zonsezi. Chidziwikiritso cha matendawa ndicho kufalikira kwa ziwalo zapafupi ndi machitidwe. Kuonjezera apo, kutsegula kwa ovulation pa msinkhu uno sikuli kosalekeza, kotero kuti mwayi wa pakati umachepetsa kangapo.
Mzimayi akamasonyeza endometriosis ndi mimba nthawi yomweyo, madokotala amati amalimbikitsa kugonana. Pali chiopsezo chachikulu chotenga padera, chifukwa cha kusintha kwa thupi komanso kusintha kwa thupi. Chithandizo cha matendawa chimaphatikizapo kulumikiza opaleshoni, zomwe sizigwirizana ndi mimba. Zina mwa zovuta zokhudzana ndi kugonana pa nthawi ino:
- mimba ikufalikira;
- Kuphwanya njira za kukula kwa mwana wamwamuna;
- kubereka msanga;
- vuto la kubadwa.
Kodi mungakhale bwanji ndi pakati pa endometriosis?
Kawirikawiri amayi a amayi amauza mayi yemwe ali ndi vuto la kubadwa kuti kutenga mimba ndi chiberekero cha uterine endometriosis sizitanthauzira padera. Pochita zimenezi, nthawi zonse amaonetsetsa kuti pakhoza kukhala ndi pakati. Ngakhale nthawi yomwe umuna umachitika, mimba siimayambira chifukwa cha kusowa kwachibadwa. Kuti atenge mimba ndi kupirira mwanayo ndi matendawa, madokotala amalangiza kuti:
- Pitirizani kuchipatala ngakhale musanayambe kukonza mimba;
- kuthetsa njira zomwe zilipo kale ndi zotupa;
- onetsetsani zomwe analandira.
Mimba pambuyo pa chithandizo cha endometriosis
Mimba pambuyo pa endometriosis sizimasiyana ndi imene imachitika pamene palibe matenda. Kubwezeretsanso kwa chiberekero cha chiberekero kumapangitsa kukhazikika. Kuwonjezera pamenepo, pambuyo poti apita kuchipatala, njira zochepetsera mazira zimakhala zozolowereka. Ndi lingaliro ili n'zotheka mwezi woyamba. Mwachizolowezi, ndi mankhwala osankhidwa bwino, amapezeka mkati mwa 3-5.
Kupanga mimba mu endometriosis
Mimba mu endometriosis ndi yosayenera. Ngati pali kuphwanya, madokotala amalimbikitsidwa kuti apite kuchipatala asanakonzekere mwana. Pambuyo pa chithandizo cha opaleshoni, makonzedwe a mankhwala osokoneza bongo amalembedwa. Kuchiza koteroko kumatenga nthawi yaitali - miyezi 4-6. Mankhwala opanga mahomoni amachititsa kuti pakhale njira yopuma, choncho ndi bwino kuti musayese kutenga mimba. Pambuyo pa maphunzirowa, madokotala omaliza amapereka chilolezo chokonzekera mimba.
Kodi endometriosis imakhudza bwanji mimba?
Akazi omwe adziwa za endometriosis ndi mimba pafupifupi tsiku limodzi amafunsidwa ndi momwe mimba imachitikira endometriosis. Madokotala samapereka yankho losavomerezeka, akuchenjeza za zovuta zowonongeka. Zina mwaziphuphu:
- kuchotsa mimba nthawi yomweyo;
- kubereka msanga;
- kupweteka kwa uterine;
- kuchepetsa kugonana kwa chiberekero pakubereka;
- Kuchiza magazi pambuyo pobereka.
Kodi mungapulumutse bwanji mimba mu endometriosis?
Atatha kufotokoza endometriosis pa nthawi yomwe ali ndi pakati, madokotala amapereka ndondomeko yodabwitsa kwa mayi wamtsogolo. Izi zimagwiridwa ndi chiopsezo chachikulu cha mavuto - mimba yakufa , kupititsa padera. Powapewa, amayi oyembekezera ayenera kutsatira malamulo ndi mankhwala. Kawirikawiri, mankhwala a mahomoni amalamulidwa kuti athandizidwe. Pofuna kuteteza mimba yake, amayi oyembekezera ayenera:
- pitani kwa amayi amodzi kamodzi pa mwezi;
- akuyesa mayeso;
- yang'anani zochitika tsiku ndi tsiku;
- Tengani mankhwalawa muyezo woyenera, powona kuchulukitsa ndi nthawi.
Kodi mimba endometriosis imachiza?
Madokotala amanena kuti endometriosis yomwe ilipo kale, panthawi yomwe ali ndi mimba ndi yosaonekera ndipo pafupifupi sizimamuvutitsa mkaziyo. Izi zimachitika chifukwa cha kuchuluka kwa progesterone, zomwe zimakhudza kukula kwa foci. Zing'onozing'ono zingathe kutha konse. Zikatero, amayi amanena kuti adachiritsa endometriosis ndipo posachedwa mimba idzabwera posachedwa. Gawoli ndiloona - chithunzi chachipatala chikusowa, wodwalayo sakuvutanso. Komabe, mutatha kubereka, m'pofunika kuti muyesetse kuthetsa matendawa.