Njengoba esezwile kudokotela ukuxilongwa "kwe-adenomyosis of the uterus", kuyini - iziguli azikwazi njalo. Lesi sifo sivame ukubizwa ngokuthi i-endometriosis yangaphakathi, ukulinganisa nalezi zifo ezihlukahlukene. Kodwa-ke, odokotela abaningi baze bahlukanise lezi zifo, ngisho noma kukhona ukufana okufanayo.
I-Adenomyosis kwesibeletho - liyini ulimi olufinyelelekayo?
Ngaphambi kokuthola ukuthi yiziphi izidakamizwa ezithinta abesifazane, kubalulekile ukucabangela okwesikhashana isakhiwo socansi. Izindonga zesisu zihlanganisa izingqimba ezintathu, ingaphakathi liyi-endometrium. Lokhu kungqimba kuvame ukubizwa ngokuthi ukusebenza - njalo ngenyanga kuguquka izinguquko ze-cyclic. Ekupheleni komjikelezo wokuya esikhathini, unqatshelwe, uma engekho ukukhulelwa, kanti owesifazane ulungisa ukukhishwa kwenyanga.
Nge-adenomyosis, kukhona ukwanda okwandisiwe kwamaseli e-endometri. Banda ngokushesha futhi kancane kancane baqale ukuya ngaphesheya kwendwangu yamangcwaba. Ngokuhamba kwesikhathi, amangqamuzana e-endometrili angena emgqeni wesisindo futhi aze angene ezingxenyeni ezingomakhelwane. E-pathology, ukukhula kwe-endometrium akugcini ngaphakathi kwesibeletho, ngokuyiqinisa, kodwa ngaphandle - ngokuya kwe-myometrium.
Adenomyosis - Izimbangela
Ngokuqondile ukubiza isizathu, ngenxa yokuthi i-adenomyosis iqala, noma njengoba ibizwa ngokuthi - i-endometriosis yangaphakathi, odokotela abakwazi. Ochwepheshe abaningi bathambekele kulo mqondo, ngokusho ukuthi lesi sifo sibhekene nesimo sezinguquko ze-hormone emzimbeni. Phakathi kwezinqubo zokuthuthukiswa kwesifo, izifo zokwelapha zihlukanisa:
- Ukufakela i-theory - foci ye-adenomyosis yenziwa ngenxa yokulahla kwegazi ngezikhumba ze-uterine ukuya emgodini we-peritoneum.
- I-Metoplasia ye-coelomic epithelium - i-foci yesifo isakhiwe kusuka emasala e-embryonic tishu ezingakaze zithole ukuguqulwa ekwakheni izicubu zezinhlaka zesistimu yokuzala.
- Ukwenyuka - ukubunjwa kwe-adenomyosis ebusweni ngaphansi kwethonya lezinto ezimbi.
Ekuthuthukiseni lesi sifo, odokotela baveza nezici ezibalulekile, okukhona okwandisa ingozi yokugula. Phakathi kwabo kukhona:
- ukulungiswa kwefa ku-neoplasms;
- ukuphumula noma ukuqala kokuya esikhathini sokuqala ;
- ukukhuluphala;
- ukuqala kwesikhathi sokusebenza kocansi;
- ukutholakala kwemisebenzi ohlelweni lokuzala;
- izinkinga zokubeletha;
- ukusetshenziswa kwe-spirrauterine lemiklamo.
Iyini ingozi ye-endometriosis yangaphakathi?
I-Adenomyosis yomzimba wesibeletho ngokubona okungakazelelwe, ukungabikho kokwelapha kungabangela imiphumela emibi. Ngokumelene ne-adenomyosis, kunezikhathi eziningi:
- i-anemia esiphuthumayo noma engapheli (ngenxa yezikhathi eziningi );
- ukusatshalaliswa kwe-foci ezithandeni ezithandanayo nezitho: ukuvimbela emathunjini , i-hemothorax;
- ukuhlukunyezwa kwe-adenomyosis.
Ama-adenomyosis - amafomu
I-endometriosis yangaphakathi yesibeletho inamafomu amaningana e-morphological. Kuye ngesimo, isakhiwo kanye nokuhluma kubelwe:
- I-adenomyosis engasebenzi - egcizelelwe ukwanda komfaniswano wamaseli e-endometrili kuwo wonke umgogodla we-uterine.
- I-Focal (nodular) - ukwanda kwenani lamaseli e-endometrili kubonakala ezindaweni eziningana, i-foci.
- Ifomu elixubile - kunezibonakaliso zombili izinhlobo ezibizwa ngokuthi yizinhlobo.
Kubuye kube nokuhlelwa kwesimo sokuhlunga ngokuya ngesilinganiso sokungena kwamaseli ngaphakathi:
- I-degree eli-1 - ukukhula kulungiswe esifundeni sekhanda elincane lesibeletho;
- I-2 degree - ukusabalala kusakazeka emgqeni wesisindo, kodwa hhayi okungaphezu kuka-50% ubukhulu bayo;
- I-3 degree - engaphezu kwengxenye ye-myometrium ithintekile;
- Amaseli angu-4 - amangqamuzana e-endometriya ashiya ungqamuzana wemisipha, ehilela enkambeni izitho eziseduze.
I-adenomyosis yokugxila
I-adenomyosis ye-nodular ibonakala ngokungena emgqeni wesisipha wamangqamuzana emvelaphi ye-endometri. Lapho wenza i-ultrasound, odokotela bathola ama-nodal okwenziwa ngobukhulu besayizi nokwasekhaya. Ngokuvamile bangagcwala umbala ombala obomvu noma igazi. Njengoba ziqhubeka, inani labo liyakhula, futhi ibanga phakathi kwabo liyehla kakhulu.
Ukusabalalisa uhlobo lokuzibandakanya
Ukunciphisa i-adenomyosis kugcinwa lapho amangqamuzana e-endometrili ekhula ngokulinganayo phezu kwe-mucosa. Esikhathini esingaphakathi, okuthiwa amapokhethi ampofu akhiwa, awela emanzini ahlukahlukene emigqeni yangaphakathi yesibeletho, okokuqala kumisipha. Kulesi simo, kunesimo esithile sokwakhiwa kwe-fistula emgodini wesisu, ngokungena kwamangqamuzana e-endometrili abe yizingxenye zesikhumba esincane. Ifomu lokusabalalisa lingadlulela ezifweni ezimbi.
Ifomu elixubile le-adenomyosis
Ifomu elixubile noma elibucayi le-adenomyosis libhekwa ngokuba khona kwezibonakaliso zombili izigaba ze-pathology. Lapho ehlola isitho sobulili nge-ultrasound, odokotela balungise inhlanganisela yokuhluma kanye ne-foci ye-adenomyosis. Lesi sifo sibonakala ngokungabikho kokwelashwa okufanele kwamafomu okugxila, ukutholakala kwawo kwesikhathi eside odokotela. Inqubo yokwelashwa, ezinye izitho ze-pelvis encane zihilelekile:
- amathumbu;
- isisindo;
- ama-ovari nama-tubespian tubes.
Adenomyosis - izimpawu
Kuye ngokuthi izinga le-adenomyosis liphi, ubukhulu bezimpawu zesifo bungashintsha. Isibonakaliso esivamile kakhulu nesibonakaliso sesifo yilona ushintsho esimweni nasendleleni yokugeleza kokuya esikhathini. Nge-adenomyosis, ukuya esikhathini kunamalanga ayisikhombisa noma ngaphezulu, kanti inani legazi lokuya esikhathini lidlula u-80 ml. Izingubo zivame ukutholakala kuwo. Ngaphezu kwalokho, izinsuku ezingu-2-3 ngaphambili futhi isikhathi esingakanani kamuva kukhona ukuthungwa kwe-brown spotting. Kwezinye izimo, iziguli zingase zikhohlwe ukuthi zikhona izifo zesibindi, izimpawu zazo zilandelayo:
- izinzwa ezibuhlungu kakhulu esiswini esingaphansi, enikeza esifundeni se-pelvic, hhayi ezihambisana nenyanga;
- ubuhlungu ngesikhathi sokulala;
- ukwehla kwe- hemoglobin ngesimo sokulahlekelwa kwegazi eliphezulu;
- ukukhathala okusheshayo;
- ubuthakathaka;
- isiyezi.
Ubuhlungu ku-adenomyosis
Uma sicabangela izibonakaliso ze-adenomyosis, kubalulekile ukuhlukanisa izinhlungu zesici engxenyeni engezansi kwesisu. Lapho kuqala lesi sifo, banesisindo esiphansi, abesifazane abaningi abathinteki ukubaluleka kubo, babhala phansi kwi-PMS. Izinzwa ezibuhlungu zizohamba ezinsukwini ezingu-2-3 ngaphambi kokuya esikhathini futhi zingadlulela izinsuku ezintathu emva kokuphela kwazo. Ubunjani bobuhlungu kanye nendawo yaso ngenxa yendawo yokwaziswa kwe-adenomyosis, inombolo yabo. Uma ukukhula kwamangqamuzana e-endometriya kubonakala esifundeni se-isthmus, ubuhlungu buya e-perineum, uma i-angle yesibeletho ishaywa - ibuhlungu ngakwesokunxele noma ngakwesokudla ku-groin.
Izimpawu ze-endometriosis yangaphakathi
Ukuxilongwa kwangaphambili kwenziwa ngesisekelo se-anamnesis eqoqwe, ngemva kokuhlolwa kwezimpawu ezikhona zalesi sifo. Ukwenza umbono, i-ultrasound yezitho zangasese zenziwa. Chaza i-adenomyosis kwi-ultrasound ingase isekelwe kuzici zesici:
- isimo se-globular sesibeletho;
- ukwanda ngobukhulu bomzimba;
- ubukhulu obuhlukahlukene bezindonga zesisu;
- ama-cystic formations 3 mm kanye nobukhulu obubanzi;
- ukufakwa ku-endometrium ye-oval noma nxazonke, ngaphandle kwesithunzi ngemuva;
- ukuqina okuphezulu kwe-echo of formations.
Nge-adenomyosis ejwayelekile yesisu (okuyinto lokhu - echazwe ngenhla), ukuphumelela kwe-ultrasound kunciphise kakhulu. Ngalolu hlobo lwe-pathology, i-hysteroscopy iyindlela enkulu yokuxilonga. Lolu cwaningo luhlose ukutadisha izicubu ngosizo lwemishini ekhethekile yevidiyo. Inzwa ifakwa ngaphakathi kwesisu nangentamo ngqo emgodini we-uterine.
Adenomyosis - ukwelashwa
Ngemva kokuhlola izibonakaliso nokubonakaliswa kwesifo esinjalo njenge-adenomyosis of the uterus, kuyini ukugula, kubalulekile ukuyeka izici zokwelapha. Ngaphambi kokwelapha izidakamizwa, odokotela benza izifo eziyinkimbinkimbi ezihloswe ekuqaliseni imbangela yalesi sifo. Isisekelo sezinyathelo zokwelapha yi-therapy ye-hormonal, ngoba le nkinga ihambisane noshintsho emlandweni we-hormonal. Njengezidakamizwa, izisu zokubeletha ngomlomo kanye nama-estrogen zivame ukushiwo:
- UJanine ;
- Jess;
- I-Duphaston;
- I-Norkolut;
- Buserilin.
Kodwa-ke, ukuze kuqedwe ukwanda kwesisu, ukwelashwa kudinga indlela edidiyelwe. Phakathi kwezindawo eziyinhloko zokwelapha, okulandelayo kufanele kugcizelelwe:
- ukwelashwa okungavamile okuphikisayo - Ibuprofen, Paracetamol;
- ukwamukela izidakamizwa - Ukuguqula, Ukudiliza;
- ukusetshenziswa kwama-immunomodulators - Immunal, Immunomax;
- ukuqeda i-anemia - Sorbifer;
- ukugcinwa kwesibindi umsebenzi - Essentiale;
- physiotherapy - electrocoagulation, embolization, ablation.
I-Adenomyosis of the womb (okuyinto lokhu - eboniswe ngenhla) ivame ukuphathwa ngokuhlinzwa. Kulesi simo, isidingo sokungenelela okuhlinzekwa ngukuhlinzwa kunqunywa udokotela. Indlela yokuphatha ukwelashwa kwesibeletho esimweni esithile - udokotela unquma. Izinkomba zokusebenza ziyi:
- ukusabalalisa i-adenomyosis ye-3-4 degrees;
- Amafomu e-Nodal noma ahlanganisiwe ngokungabikho komphumela wokwelashwa kwama-hormone;
- isifo sobuhlungu obukhulu;
- inhlanganisela nezinye izifo zesifo sofuba (i-myoma, i-pathology entanyeni), isisu se-ovarian.
Ngokwehlukana, kudingeka sikhulume ngokuphathwa kwe-adenomyosis ngamakhambi abantu. Kunezindlela eziningi ezenza kube lula ukwenza lesi sifo. Nokho, zingasetshenziswa kuphela emva kokubonisana nodokotela.
Izifo Zemithi
Izithako:
- isikhwama somalusi - ithisipuni 1;
- izimpande aira - 1 ithisipuni;
- coil - 1 ithisipuni;
- ukotini spoon - ithisipuni 1;
- amaqabunga enambuzane - 1 ithisipuni;
- sporish - 1 ithisipuni;
- amanzi - ilitha eli-1.
Ukulungiselela, uhlelo lokusebenza
- Amakhambi ahlanganiswe, athululelwe ngamanzi abilayo.
- Bambelela amahora amabili.
- Hlunga futhi uthathe 0.5 indebe kathathu ngosuku. Ubude benkambo yinyanga engu-1.
Adenomyosis nokukhulelwa
Izinkinga zokukhulelwa zivame ukubonwa ngezifo zamazinyo. Njengoba ufunde nge-endometriosis yangaphakathi, kungakhathaliseki ukuthi kungenzeka yini ukuthi ukhulelwe, ngabe isifo sibonakala emsebenzini wokuzala - wonke owesifazane unesithakazelo. I-Adenomyosis ivame ukuhambisana nokuphulwa komjikelezo, ngakho ukukhulelwa ngemuva kungase kwenzeke. Kodwa-ke, lesi sifo asiyona ingqinamba engu-100% ekukhulelwe. Ochwepheshe baseNtshonalanga bathi i-adenomyosis ivimbela ukukhulelwa kuphela uma kunezinye izifo.