Uma ungqimba lwangaphakathi lwangaphakathi (i-endometrium) luqala ukuhluma ngaphakathi kwesiguli esiswini sangaphakathi sesisu, lesi sifo sibhekwa ngokuthi i-endometriosis yangaphakathi, noma enye i- adenomyosis . Yenza ukuqaliswa kwalolu hlelo lwezokwelapha okusetshenziselwa ukuxhaphazwa ngokweqile kwe-intrauterine, okwenza izimo zokungena kwamaseli zibe ngamanxeba angaphezulu kwe-myometrium. I-Foci ingathatha uhlobo lwezingqayizivele ezilodwa, ezifana ne-myoma, noma ukuhluma okubanzi okusabalalisa.
Ukwelashwa kwe-endometriosis wangaphakathi kwesibeletho
Noma yikuphi ukuphela kwe-endometriosis kunzima ukuphatha, futhi ngaphakathi - ikakhulukazi kusukela lapho i-foci yayo ingekho ebusweni, kodwa ku-thickness muscular. Okokuqala, kuyadingeka ukunquma indlela yokuphatha i-endometriosis yangaphakathi - ngokuzenzekelayo noma ngokuhlinzwa.
Imithi yokwelapha iboniswa ngabesifazane besinyaka yobudala abahlela ukukhulelwa esikhathini esizayo. Ngokuya ngesilinganiso sobukhulu, ukuma kwe-endometriosis nokuphendula kwayo kwe-hormone therapy, owesifazane umisiwe izidakamizwa ze-hormonal noma ezingekho-hormonal.
Inhloso yokwelapha okunjalo ukubuyisela ukulinganisela kwama-hormonal namakhono okuzala noma, ngokuphambene nalokho, ukucima umsebenzi wesifazane wokuya esikhathini. Ukwelashwa kwe-endometriosis yangaphakathi no-2 degrees, ukuvimbela izisu zomlomo, i-estrogens kanye ne-progesterone antagonists asetshenziswa.
Ukwelashwa kokusebenza kwe-endometosis yangaphakathi yesibeletho
I-3 -4 degree of adenomyosis isivele iyisibonakaliso sokwelapha ukwelashwa. Futhi, isizathu sokusebenza singasebenza njenge:
- uhlobo lwe-nodal lwe-endometriosis yangaphakathi;
- izicubu ezihambisanayo zesisu, ama-ovari;
- ukusakazeka kwe-endometriosis ngaphezu kwesibeletho;
- akukho mphumela we-hormone therapy.
Njengomthetho, ngefomu le-adenomyosis, ukuhlinzwa kunomlingiswa wokulondoloza umzimba. Njengoba kusakazwa kabanzi kwe-foci ehlukile, lesi sizalo asikwazi ukushiywa kanti omunye kufanele asebenze ekususweni okuphelele. Yingakho kubalulekile ukuxilonga lesi sifo ngendlela esifike ngesikhathi, ngoba izigaba zokuqala zingaphathwa ngezindlela ezincane kakhulu.