Phakathi kwezifo ze-gynecological, ezihambisana nokukhula okungajwayelekile ezingxenyeni zokuzala, i-endometriosis iyingxenye yesibili ngokusakazeka. Lesi sifo sibonakala inkambo elula, ngakho kutholakala ngezigaba kamuva.
I-Endometriosis - iyini?
Ukuzwa ku-gynecologist okunjalo ukuxilongwa, abesifazane abaningi abazi ukuthi i-endometriosis iyini, ukuthi ibonakala kanjani nokuthi iyaphathwa kanjani. Lesi simo sesifo segazi sibonakala ukwanda okwandayo kwezicubu ezinamahloni esibelethweni somuntu onobuningi. Amaseli asanda kuhlanganiswa afana nesakhiwo kanye nemisebenzi yawo ngamaseli e-endometrium, kodwa angaba khona ngaphandle kwesibeletho. Ukuhluma kwanyanga zonke kuguqulwa izinguquko ze-cyclic, njenge-endometrium.
Ngenxa yokungena kwamangqamuzana ezithombeni nasezingxenyeni ezingomakhelwane, kwenziwa ama-foci amasha, okuholela ekubunjweni kokunamathela kanye nama-cysts. Ngokuvamile i-endometriosis ihambisana nezinye izifo zesimo somzimba:
- i-myoma ;
- hyperestrogenia;
- i-polycystosis.
Endometriosis - Izinhlobo
Lapho sibhekene nesifo se-endometriosis, yiluhlobo luni lwesifo, masihlale sibheke ngezinhlobo zayo. Kumele kuqashelwe, uma owesifazane eqala i-endometriosis, lokhu akubonakali ngokushesha. Izimpawu ze-pathology zanda njengoba ziqhubeka. Kuye ngesilinganiso sokuphazanyiswa kanye nezinguquko ku-endometrium, izinhlobo eziningi ze-pathology ziyahlukahluka. Ngakho-ke, kuye ngokuthi indawo ye-foci yendawo, yahlukanisa:
- I-endometriosis yesisu - ithinta izitho kuphela zesistimu yokuzala;
- i-extragenital - ihamba ngaphezu kwesibeletho, ifinyelela ezingxenyeni ezingomakhelwane.
Endometriosis yesisu
Ukuzwa ukuxilongwa kwe-endometriosis yesisu, kuyini nokuthi kubonakala kanjani - abesifazane abamele. Kumele kuqashelwe ukuthi lihlukaniswe libe langaphandle nangaphakathi. Njengoba uhlobo lwangaphakathi lwesifo, i-foci ingene ebunjini bodonga, ishiya imingcele ye-mucosa yayo (i-adenomyosis). I-endometriosis yangaphandle ibonakala ngokusabalalisa kwe-foci ngaphandle kwemingcele yesitho sobulili.
Ifomu elivamile kulokhu i-endometriosis yomlomo wesibeletho, lapho amangqamuzana e-endometrili atholakala ebusweni bomngcwabo womlomo wesibeletho. Futhi, i-foci ye-endometrial ingenziwa endaweni:
- izindonga zesifazane;
- i-ligamentous apparatus;
- amapayipi;
- ama-ovari.
I-endometrioid foci, njenge-endometrium, isabela esenzweni se-hormone esakhiwe ezithombeni zobulili. Ekupheleni komjikelezo ngamunye wokuya esikhathini, bahamba, baholele ekubhujisweni. Endaweni yabo, kugxilwe ukuvuvukala, futhi ekugcineni ama-cysts agcwele amanzi amnyama, ukunamathela, izibazi zingavela. Izinguquko ezinjalo ziphazamisa umsebenzi wokuzala, zivimbela ukukhulelwa. Ngesifo esinjalo, owesifazane uphendukela kudokotela.
Endometriosis yangaphandle
I-endometriosis yangaphandle neyangaphakathi ayifani nendawo kuphela yendawo yokugxila, kodwa futhi emfanekisweni wesitholampilo. Uhlobo lwe-endometriosis yangaphandle lunikezwe isitho lapho kuvela khona ukuphuma. Iningi elivame ukuthinteka:
- Amathumbu - i-endometriosis ibonakala njengenqubo yesibili ngesikhathi esiphezulu;
- Amaseli e-endometriya ekhanda - angena ohlelweni lwe-genitourinary kanye negazi lokuya esikhathini;
- i-peritoneum - ifomu ihambisana nezinhlungu ezihlala njalo;
- Amaphaphu - amangqamuzana endometria angena ohlelweni lokuphefumula kanye negazi;
- Ukushaywa kwe-postoperative kuyindlela evamile eqhubekela phambili emisebenzini yokudluliswa komzimba noma ngenxa yokungenisa izinhlayiya ze-endometrili enqoleni yokuhlinzwa.
I-Endometriosis - Izimbangela
I-Endometriosis, yiluphi uhlobo lwesifo olubhekwa ngenhla, izazi zezinzwa zibhekisela kulezi zifo, i-etiology engacaciswanga ngokugcwele. Kukhona imibono eminingana echaza indlela yokuthuthukiswa kwenqubo yokwelapha. Okusabalala kakhulu odokotela kuyimbono yokubuyela esikhathini. Ngokusho kwakhe, kanye negazi lokuya esikhathini, izinhlayiya ze-endometrium ezifile ziyangena emgodini wesisu, izibhubhu bese ziqala ukusebenza lapho. Lapho kugxila kakhulu, kukhona i-endometriosis ye-ovary. Phakathi kwezici ezandisa ingozi yentuthuko:
- izifo ezithathelwanayo njalo;
- ukuphazamiseka kwe-hormonal ;
- izifo zokuzivikela emzimbeni;
- ukulungiswa kwefa;
- i-anatomy ye-appendages;
- i-hyperestrogenism;
- uneminyaka engama-30-45.
Izimpawu ze-endometriosis kwabesifazane
Lesi sifo sibonakala inkambo eqhubekayo futhi eqhubekayo, ngakho-ke izimpawu ezicacile ze-endometriosis abesifazane sezivele ziphakathi kwesifo. Kwamanye, i-endometriosis iyinkimbinkimbi futhi iyatholakala ngokuhlolwa ngengozi. Phakathi kokubonakaliswa okuyinhloko kwesifo, odokotela bayabiza:
- Izinzwa ezibuhlungu. Isici sokubona indawo ubuhlungu yingxenye engezansi yesisu. Isici saso siqinisa ngesikhathi sokuya esikhathini nangesikhathi sokuya esikhathini. Ngokuvamile izinzwa ezibuhlungu zifinyelela esifundeni sesinqe nesigrum. Abesifazane abanesifo esifanayo nesifo esifanayo banyuke ubuhlungu ngesikhathi socansi.
- Shintsha esimweni sokuya esikhathini. Ngokuvamile, abesifazane bakhuluma ngokuya esikhathini , okungahle kulandelwe ukungena okuncane. Kulesi simo, i-periodicity yokuya esikhathini nayo iphulwa.
- Ukuphulwa komsebenzi wokuzala. I-Endometriosis ihambisana nenqubo yokuvuvukala nokubunjwa kokunamathela. Ngenxa yezinguquko ezinjalo, iziguli ezine-endometriosis zivame ukubhekana nezinkinga zokukhulelwa.
- Ukukhathazeka kwendawo ethintekile ngesikhathi sokulunywa. Lesi sibonakaliso sibonakala nge-endometriosis ye-extragenital, lapho kugxila ngaphandle kwesibeletho futhi kuthinta izitho ezingomakhelwane.
Kunezinhlobo eziningi zezimpawu ezingapheli ezingabonisa nokuthi i-endometriosis:
- ukubhoboza emathunjini;
- isicasuli;
- ukuqotshwa;
- ukunxanxathela nokuhlanza ngesikhathi sokuya esikhathini;
- ubuhlungu obukhulu lapho bephakamisa izisindo.
Ama-degree of endometriosis
Ngokuya ngokusakazeka kwalesi sifo, inani lezicubu nezinhlangothi ezithintekile, kunezinyathelo eziningana zokwelapha:
- I-degree elingu-1 - lesi sifo sithinta ububele besisu, okungenabangaphezu kwama-foci amabili. Ubuhlungu nge-endometriosis yalolu hlobo alukho noma buvezwe ngokungaqondile.
- I-2 degree - ithinta izingqimba ezijulile zesisu, ukugxila kuvame ukukodwa, kepha kunkulu.
- I-3 degree - inqwaba ye-foci yokukhula, etholakala ezindaweni ezijulile zesibindi. Le nqubo iqhubeka ngokuqhubekayo ohlelweni lokuzala, ama-cysts amancane avela emaqanda ama-ovari nama-spikes amancane ku-peritoneum.
- Ama-4 degree - focial pathological ejulile akhiwa emaqanda ama-ovari, kukhona ukuhlanganiswa kwezitho phakathi kwabo, ama-spikes akhiwa. Ngokuvamile kwenzeka ukuhluma kwesifazane ngaphakathi kwe-rectum. Lesi sigaba sidinga ukungenelela kokuhlinzwa.
Endometriosis - ukwelashwa
Ngaphambi kokwelapha i-endometriosis, odokotela banquma ukuhlolwa okuphelele komzimba ukuze owesifazane abeke isizathu esiqondile. Ukuqedwa kwe-endometriosis kugxile kungumsebenzi oyinhloko odokotela. Kuneziqondiso ezimbili zokwelapha:
- ukwelashwa kwezidakamizwa;
- ukuhlinzwa.
Endometriosis - izidakamizwa zokwelashwa
Ukwelashwa okunzima kwe-endometriosis kwabesifazane kuhilela ukuthuthukiswa kwe-algorithm ngayinye yokwelashwa. Ukulungiswa kukhethwa ngokucabangela ubukhulu besifo, isigaba senqubo yokugula. Phakathi kwemithi esetshenzisiwe, kubalulekile ukuhlukanisa:
- I-Antiprogestins (i-Danazol) - cindezela ukuhlanganiswa kwe-gonadotropins.
- I-Gonadoliberin agonists (i-Burselin, i-Tryptorelin, i-Leuprorelin) igxilile umsebenzi we-hypothalamic-pituitary system, ukunciphisa ukukhiqizwa kwe-gonadotropins futhi kuthinte ukucinwa kwama-ovari.
- Ukuhlanganiswa kokubeletha komlomo (Dienogest, Duphaston) - nge-endometriosis kusiza ukulungisa umsebenzi wama-ovari. I-COC uJeineine ene-endometriosis idala i-hormone ephakeme egazini eliphakeme, futhi umzimba uyanciphisa kakhulu ukukhiqizwa kwawo.
Ukwelashwa kwe-endometriosis ngamakhambi abantu
Njengoba isifo esinjalo njenge-endometriosis, ukwelashwa ngamakhambi abantu kuyisilinganiso esengeziwe. It ngcono inhlalakahle jikelele owesifazane, ukunciphisa izimpawu zesifo.
I-Boron endometriosis
Izithako:
- Isibeletho se-Borovaya - 1 tbsp. isipuni;
- amanzi - 500 ml.
Ukulungiselela, uhlelo lokusebenza
- Utshani uthululwa ngamanzi abilayo bese ugqoka amanzi okugeza.
- Ikhathele imizuzu engu-15.
- Umhluzi olungiselelwe uhlukaniswe izingxenye ezintathu. Thatha ingxenye engu-1 ngosuku ngehora ngaphambi kokudla.
Ukuhlanzeka kwe-endometriosis
Izithako:
- i-celandine - 1 tbsp. isipuni;
- amanzi - 200 ml.
Ukulungiselela, uhlelo lokusebenza
- Utshani uthululwa ngamanzi abilayo amanzi, kuqhutshwa amahora amabili.
- Hlunga bese uthatha ama-50 ml izikhathi ezingu-3-4 nsuku zonke ngaphambi kokudla. Inkambo yokwelashwa yizinsuku ezingu-10-12.
Izifo Zemithi
Izithako:
- impande yekhoyili ingu-1 tbsp. isipuni;
- isikhwama somalusi - 1 tbsp. isipuni;
- i-sporish - 2 tbsp. izinkezo;
- ishidi lezinambuzane - 2 tbsp. izinkezo;
- impande aira - 2 tbsp. izinkezo;
- impande yekhasi lekotini - 2 tbsp. izinkezo;
- amanzi 400 ml.
Ukulungiselela, uhlelo lokusebenza
- Amakhambi ahlanganiswe.
- 2 tbsp. Amapuni we-mix etholakalayo athululelwa ngamanzi abilayo, agcizelela amahora amabili ebhodleleni le-thermos.
- Hlunga bese uthatha ingxenye yengilazi isigamu sehora ngaphambi kokudla. Thatha inyanga, bese uthatha ikhefu izinsuku ezingu-10.
Iyini ingozi ye-endometriosis?
Lesi sifo sishiya impendulo ekusebenzeni kwesistimu yokuzala kanye nempilo yabesifazane ngokujwayelekile. I-endometriosis yomlomo wesibeletho nomzimba we-uterine ingaholela ezifweni ezilandelayo:
- i-polycystic;
- i-anemia;
- ukungabi namuntu;
- ukwakheka kwezicubu ezimbi (okungavamile).
I-Endometriosis nokukhulelwa
Nge-endometriosis, ungakhulelwa, kodwa abesifazane abaningi banezinkinga zokukhulelwa. Abesifazane abangaba ngu-50% abanesifo esithile esifanayo isikhathi eside abakwazi ukuba omama. Lokhu kungenxa yezinguquko ekugqeni kwe-endometriyamu yesisu, ukwephulwa kobuciko bama-tubespian tubes. Kodwa-ke, kukhona nomphumela ohlukile: kwabesifazane ababeletha, i-foci iyanyamalala yedwa. Lesi simo sibangelwa ukwehla ekugxilweni kwe-estrogens kanye nokwanda kwezinga le-progesterone. Abesifazane bakhohlwa phakade nge-endometriosis, uhlobo luni lokugula nokuthi lubonakala kanjani.