I-Endometriosis ukukhula kwe-endometrium (i-epithelium yangaphakathi kusuka emgodini we-uterine) kuya kwezinye izitho noma izicubu.
I-endometriosis yangaphakathi yesisu - iyini?
Kukhona i-endometriosis yangaphakathi nangaphandle, i-endometriosis yangaphakathi - isilonda somzimba wesibeletho kanye nengxenye yangaphakathi yamatayipi ayo, ngaphandle kwangathinta ezinye izitho - ama-ovari, umlomo wesibeletho kanye nesiswini, isisu somzimba.
Ukuhlukaniswa kwe-endometriosis yangaphakathi
Kunezinhlobo ezine ze-endometriosis yangaphakathi (i- adenomyosis ):
- i-endometriosis yangaphakathi yezinga eli-1, lapho zonke izindawo ze-mucosa eya kwi-myometrium zithinteka, okuwukuphela kokugxila kwe-endometriosis kukhona;
- i-endometriosis yangaphakathi yezinga lesibili, lapho lesi sifo sibhekwa khona phakathi kwe-myometrium, kunezinhlobo ezimbalwa ze-foci;
- i-endometriosis yangaphakathi yezinga lesi-3, lapho i-endometrium ihlushwa ku-layerous serous;
- i-endometriosis yangaphakathi ye-4th degree, lapho zonke izindonga zesisu, kuhlanganise ne-parietal peritoneum, zithintekile.
Izimbangela ze-endometriosis
Kuze kube sekupheleni kokuphela kwesizathu se- endometriosis . Kodwa noma yikuphi ukungenelela kokuhlinzwa esibelethweni (ukukhipha izisu, isigaba se-cearean, ukukhipha isisu, ukuhlinzwa kwesibeletho) kungabangela ukungena kwe-endometrium zibe izicubu zesisu bese kubangela i-intrauterine endometriosis. Ezinye izimbangela ezibangelwa ukugula, ukuzivikela komzimba noma ukucindezeleka kwama-hormone kubesifazane (isibonelo, ngokweqile kwama-estrogens ngokuntuleka kwe-progesterone).
Endometriosis yangaphakathi - izimpawu
Esinye sezibonakaliso eziyinhloko ze-endometriosis ubuhlungu obuphansi besisu obukhulu kakhulu, okuvame ukuhambisana nokuqala kokuya esikhathini. Ubuhlungu bungenzeka futhi ngesikhathi sokuya ocansini, kodwa kungaba izimpawu zezinye izifo ku-pelvis encane, kufaka phakathi ukuvuvukala.
Ukukhishwa okumnyama okwenzeka ngaphambi noma emva kokuya esikhathini, ukuphuma kwegazi okungenayo i-uterine (ukuphuma kwegazi okungenzeka phakathi nesikhathi sokuya esikhathini). Ukungabi namuntu okuqhubekayo kuyisinye sezimpawu eziyinhloko ze-endometriosis, nakuba kungaphandle, kunokuba ngaphakathi, i-endometriosis yesibeletho akubandakanyi ukukhulelwa. Kodwa ukuqala kokukhulelwa kungaholela ekuthuthukiseni okuqhubekayo kwe-endometriosis yangaphakathi, kuze kube sekugcineni ukwelashwa okuphelele.
Ukuxilongwa kwe-endometriosis
Kuyinto engavamile ukusola i-endometriosis kuphela ngokuhlolwa kwegazi - isakhiwo esiyindilinga sesisu kanye nokwanda kwayo ngobukhulu asisunguli ukuxilongwa. Kodwa ngokuhlolwa okunamandla kwe-ultrasound, ikakhulukazi inzwa yesisindo, kungenzeka ukukhomba i-adenomyosis noma ukuthola i-endometriosis yangaphakathi emisha ngokulimala komfaniswano esibelethweni ngenqubo. Ifomu eligxile le-endometriosis langaphakathi livamile kakhulu kunefomu elimele futhi kufanele lihlukaniswe ne-foci fresh ye-fibroids. Ukuze uthole ukuxilongwa okunembile, ukuhlolwa kwegazi kwe-CA-125 endometriosis marker isetshenziswa.
Endometriosis yangaphakathi - ukwelashwa
Kunezimbono eziningi mayelana nendlela yokuphatha nokuphela kwe-endometriosis yangaphakathi, kodwa izindlela zokwelashwa zihlukaniswe ngokuziqhenya, zokwelapha (ukwelashwa okuhlinzayo) nokuhlanganiswa. Uma owesifazane ethola ukuthi une-endometriosis yangaphakathi ye-degree, ukuphathwa kwakhe kuyisimo sokuzimela futhi kuqukethe ukwelashwa kwe-hormone ende. Faka isicelo sokukhulelwa kwe-hormonal - izidakamizwa ezihlanganisiwe ze-estrogen-gestagenic (i-Marvelon, i-non-ovolon, ukucindezela i-ovulation), izidakamizwa ze-gestagenic (i-Norkolut, i-Dyufaston, i-Utrozhestan, kufaka phakathi ukusetshenziswa kwe-IUD nama-gestagens kaMirren).
Ukwelapha i-endometriosis ukuqoka izidakamizwa ze-antigonadotropic, njengeDanol, i-Danazol noma i-Danogen, ezivimbela ukuvinjelwa kwamahomoni ocansi kanye nokunciphisa ubuzwe bezinkathazo kubo.
Uma i-endometriosis yangaphakathi yebanga lesi-2 ifunyanwa, ukwelashwa kwayo akufani neze-endometriosis ye-degree elingu-1. Futhi nge-endometriosis 3 no-4 degrees, kanye nokuphela kwe-endometriosis, ukungenelela kokuhlinzwa kungasetshenziswa ekwelapheni.
Ukwelashwa kwe-endometriosis wangaphakathi kanye namakhambi omuntu uhlelo lokusebenza oluhambisana ne-phytotherapy eyisisekelo - izifo ezincane ze-plantain, i-nettle, i-wort yaseSt. John, kodwa azikwazi ukufaka esikhundleni semithi.