Sezvo wakanzwa kubva kuna chiremba kurwara kwe "adenomyosis yechibereko", chii ichocho - varwere havazivi nguva dzose. Chirwere ichi chinowanzodanwa mukati memagumo endometriosis, ichienzanisa nemhando dzakasiyana-siyana dzechirwere ichi. Kunyange zvakadaro, vanachiremba vakawanda vanosiyanisa zvirwere izvi, kunyange kana pane zvimwe zvakafanana.
Adenomyosis yemubereki - chii ichi chinowanikwa mutauro?
Usati wakaziva kuti adenomyosis ndeyevakadzi, zvinokosha kuti uone muchidimbu chimiro chechirwere chepabonde. Masvingo emuviri anoumbwa nezvikamu zvitatu, mukati maro ndeye endometrium. Izvi zvinowanzozonzi basa - mwedzi woga woga unoshandurwa pakuchinja. Pakuguma kwekuenda kumwedzi, anorambwa, kana pasina kutora, uye mukadzi anogadzirisa kubuda kwemwedzi.
Ne adenomyosis, kune kuwedzerwa kwekuwedzera kwemasero endometrial. Vanowedzera nokukurumidza uye zvishoma nezvishoma vanotanga kuenderera mberi kupfuura mucous membrane. Nokufamba kwenguva, masero endometriyumu anopinda mumusara wepamusoro uye kunyange kupinda munhengo dzakapoteredza. Muhutano, kukura kwe endometrium hakuonekwi mukati memukuchi, nekuchikurisa, kunze kwekunze - mune chinangwa che myometrium.
Adenomyosis - Zvinokonzera
Kunyatsotaura zita racho, nemhaka yekuti adenomyosis inotanga sei, kana kuti inonzi chii-mukati endometriosis, vanachiremba havagone. Nyanzvi dzakawanda dzinofanirwa kune dzidziso, maererano nezvirwere izvo chirwere chinokurwisana nemamiriro ekushanduka kwehomoni mumuviri. Pakati pezvirongwa zvekuvandudzwa kwechirwere, gynecologists anosiyanisa:
- Kushandisa nheyo - foci ye adenomyosis inoumbwa semugumisiro wekudonhera kweropa kuburikidza neuterine tubes mumupata we peritoneum.
- Metoplasia ye coelomic epithelium - foci yechirwere inoumbwa kubva kumasara emumisumbu emumvuri asina kumbogadziriswa pakuumbwa kwemashupu ezviviri zvekuberekwa.
- Kunyunyuta - kuumbwa kweiyo focal adenomyosis pasi pesimba rezvinhu zvakashata.
Mukufambisa kwechirwere, vanachiremba vanotsanangura uye zvinogadzirisa zvinhu, kuvepo kwecho kunowedzera dambudziko rekurwara. Pakati pavo pane:
- chizvarwa chinokonzerwa nemadzinza neoplasms;
- kunonoka kana kunotanga kupinda kumwedzi ;
- overweight;
- kunonoka kutanga kwepabonde;
- kuvapo kwekushanda purogiramu yekubereka;
- zvinetso zvekuberekwa;
- kushandisa intrauterine spirals.
Ndeipi njodzi yegomba remukati endometriosis?
Adenomyosis yomuviri wekuberekwa nekuona kusingatarisirwi, kusabatwa kwerapi kunogona kuguma nemigumisiro yakaipa. Kurwisa adenomyosis, pane kakawanda:
- acute kana chisingarapiki anemia (zvichienderana nenguva dzakawanda );
- kugoverwa kwema foci kune zvipfeko zvakagadzikana uye nhengo: kubatwa kwepamu , hemothorax;
- kunyadzisa kwe foci ye adenomyosis.
Adenomyosis - mafomu
Pakupedzisira endometriosis yechibereko chinenge chiine maitiro akawanda. Zvichienderana nehupenyu, chimiro uye kukura zvinopa:
- Dysfunctional adenomyosis - inoratidzwa nekuwedzera kweyunifomu yemasero endometrial yose pamusoro peuterine cavity.
- Focal (nodular) - kuwedzera kwenhamba yemasero endometrial anoonekwa munzvimbo dzakawanda, foci.
- Mixed form - pane zviratidzo zvezvose zvinonzi zvipenyu.
Kunewo maitiro eAdenomyosis zvichienderana nehuwandu hwekupindira kwemasero zvakadzika mukati:
- 1 degree - kukura kunogadzirirwa munharaunda ye submucosal membrane ye chibereko;
- 2 degree - kupararira kunopararira pamusana wechipfuva, asi kwete kupfuura 50% yehupamhi hwayo;
- 3 digita - inopfuura hafu ye myometrium inobatwa;
- 4 digita-endometrial masero anosiya muscular layer, inosanganisira mukugadzirisa nhengo dziri pedyo.
Focal adenomyosis
Nodular adenomyosis inoratidzwa nekupinda mukati memasero masero emakemetometrial kubva. Paunenge uchiita ultrasound, vanachiremba vanoona maitiro akasiyana-siyana akasiyana-siyana uye nzvimbo. Kazhinji vanogona kuzadzwa nemvura yakasvibira kana ropa. Sezvo vachifambira mberi, nhamba yavo inowedzera, uye nzvimbo iri pakati pavo inoderera zvikuru.
Kupararira kwechimiro chedenomyosis
Kuparadzanisa adenomyosis kunoonekwa apo masero ekupedzisira ekukura ari kukura pamwe chete pamusoro pemucosa. Mukati mukati, izvo zvinonzi mapofu mapofu zvinoumbwa, izvo zvinopinda mukati mezvisikwa zvakasiyana-siyana zvemukatikati mukati memukuchi, chekutanga chemuviri. Muchiitiko ichi, kune chikonzero chekugadzirwa kwefistulas mudumbu remuviri, uye kuburikidza nekupinda mukati memasero emakemetari muzvikamu zvediki duku. Kupararira kwemafomu kunogona kupinda muhutano hwakaipa.
Mixed form of adenomyosis
Mafungiro akasiyana-siyana kana akasiyana-siyana eAdenomyosis anoratidzwa nekuvapo kwezviratidzo zvezvikamu zviviri zvehutano. Paunenge uchitarisa nhengo yepabonde ne ultrasound, vanachiremba vanogadzira kusangana kwekukura pamwe chete ne foci ye adenomyosis. Ichi chirwere chinowanikwa mukusavapo kwekurapa kwakakodzera kwemafomu ekudzivirira, kuonekwa kwavo kwenguva refu nevechiremba. Muchiito chetachiona, dzimwe nhengo dzebato duku dzinobatanidzwa:
- matumbo;
- chikafu;
- mazai uye fallopian tubes.
Adenomyosis - zviratidzo
Zvichienderana nehuwandu hweadenomyosis, kuoma kwezviratidzo zvechirwere kunogona kuchinja. Chimwe chinonyanya kuzivikanwa uye chinoratidza chiratidzo chechirwere ndiko kushanduka mumamiriro ezvinhu uye kuwanda kwekuenda kumwedzi. Nekudzivirira, kuenda kumwedzi kunotora mazuva manomwe kana kupfuura, asi kuwanda kwemwedzi kunopfuura 80 ml. Zvivharo zvinowanzowanikwa mazviri. Mukuwedzera, mazuva maviri asati apfuura uye nguva yakareba sei gare gare pane mavara ekuvaraidza kubviswa. Mune zvimwe zviitiko, varwere vanogona kunge vachifungidzira adenomyosis yechibereko, zviratidzo zvaro ndezvizvi:
- kushungurudzika kunorwadza mumudumbu wepasi, kupa kune nzvimbo yepacvic, isina kufanana nemwedzi wega wega;
- kurwadziwa panguva yepabonde;
- kuderera kwe hemoglobin pamusoro penheyo yekurasika kweropa;
- kuneta zvakaneta;
- kushaya simba;
- chizoro.
Pain mu adenomyosis
Tichifunga nezviratidzo zveadenomyosis, zvakakosha kuparadzanisa zvinetso zvinorwadza muchikamu chezasi chemuviri. Nekutanga kwechirwere ichi, ivo vane simba rakadzika, vakadzi vakawanda havakwanisi kuisa kukosha kwavari, vachivanyorera pane PMS. Zvinorwadza zvinorwadza zvichaputira mazuva maviri kusati kwaenda kumwedzi uye zvingaguma kwemazuva matatu mamwe mushure mekuguma kwavo. Chimiro chekutambudzika uye nzvimbo yaro inokonzerwa nekuwana nzvimbo yeadenomyosis, nhamba yavo. Kana kukura kwemasero endometrial kuchionekwa munharaunda ye-isthmus, marwadzo anowedzera mukati me perineum, kana mazamu emuviri ari kurohwa - zvinorwadza zvakasara kana kurudyi mumugwagwa.
Echo zviratidzo zvemukati endometriosis
Kutangira kuongororwa kunoitwa pamusana peiyo yakabatwa anamnesis, mushure mekuongorora kwezviratidzo zviripo zvechirwere. Kuita maonero, sarudzo yezvikamu zvepachiviri inoitwa. Tsanangudzo yeadenomyosis pa ultrasound inogona kuve yakakosha pane zvinoita zvinhu:
- globular shape ye chibereko;
- kuwedzera kwehukuru hwemuviri;
- kusimba kwakasiyana kwemadziro emuviri;
- cystic formations 3 mm uye yakakura muhupamhi;
- kubatanidzwa mu endometrium yemuvhiri kana mushure mairi, pasina mumvuri shure;
- high echo density of formations.
Nekudzivirira adenomyosis yechibereko (izvozvi-zvinotsanangurwa pamusoro), kubudirira kwe ultrasound kunowedzera kuderedzwa. Nechimiro chechirwere, hysteroscopy ndiyo nzira huru yekuongororwa. Ichi chidzidzo chinangwa chekudzidza mavara nemubatsiro weiyo mavhidhiyo emichina. Iyo sensor inowanikwa kuburikidza nemukadzi nemutsipa zvakananga mu uterine cavity.
Adenomyosis - kurapwa
Kana uchitarisa zviratidzo uye kuratidzwa kwechirwere chakadai seAdenomyosis yechibereko, zvinorevei nezvekurwara, zvinokosha kumira pane zvinoitwa zverapi. Vasati vabata chirwere chinonzi adenomyosis, vanachiremba vanoita hutano hwakaoma hunoshandiswa pakugadzira chikonzero chechirwere. Nheyo yekurapa maitiro ndiyo hormonal therapy, sezvo chirwere ichi chiri pamwe chete nekushandurwa kwemashure ehomoni. Sezvinodhaka, mishonga yekudzivirira pamuviri uye estrogen inowanzotarisirwa:
- Janine ;
- Jess;
- Duphaston;
- Norkolut;
- Buserilin.
Zvisinei, kuitira kuti kubvisa adenomyosis yebereki, kurapwa kunoda nzira yakabatana. Pakati pemakona makuru ekurapa, zvinotevera zvinofanira kuiswa pachena:
- nonspecific anti-inflammatory therapy - Ibuprofen, Paracetamol;
- kugamuchirwa kwevanhu vanopesana - Kupedza, Dormiplant;
- kushandiswa kwema immunomodulators - Immunal, Immunomax;
- kubviswa kweanemia - Sorbifer;
- kuchengetedza chiropa basa - Essentiale;
- physiotherapy - electrocoagulation, embolization, ablation.
Adenomyosis yechibereko (iyo iri-inoratidzwa pamusoro) inowanzorapwa chirwere. Muchiitiko ichi, kudiwa kwekupindira kwakagadzirirwa nechiremba. Nzira yekurapa adenomyosis yechibereko mumamiriro ezvinhu chaiwo - chiremba anogadza. Zviratidzo zvekushanda ndezvi:
- diffuse adenomyosis ye 3-4 degrees;
- Nodal kana maitiro akavhenganiswa mukusavapo kwemagumisiro ehomoni;
- kurwadziwa kwakanyanya;
- kusanganiswa nezvimwe zvirwere zvehutachiona (myoma, pathology yemutsipa), chirwere chemavhiri.
Zvakasiyana, tinoda kutaura pamusoro pekurapa kweAdenomyosis nemishonga yevanhu. Kune nzira dzakawanda dzinofambisa nzira yechirwere ichi. Zvisinei, vanogona kushandiswa chete mushure mekutaurirana nachiremba.
Herbal Remedies
Zvisungo:
- bhokisi remufudzi - 1 teaspoon;
- midzi aira - 1 teaspoon;
- coil - 1 teaspoon;
- kamba yekotoni - 1 teaspoon;
- Mashizha e nettle - 1 teaspoon;
- sporish - 1 teaspoon;
- mvura - 1 litre.
Kugadzirira, kushanda
- Mishonga inosanganiswa, inodururwa nemvura inopisa.
- Simbisa maawa maviri.
- Futa uye utore 0.5 mukombe katatu pazuva. Nguva yenguva yacho mwedzi 1.
Adenomyosis uye pamuviri
Zvinetso nekutora pamuviri zvinowanzoonekwa nezvirwere zvegynecological. Sezvo wakadzidza nezvemapendeririyo emukati, zvisinei kuti zvinokwanisika kuva nepamuviri, kana chirwere chacho chinoratidzwa mumabasa ekubereka - mukadzi wese anofarira. Adenomyosis inowanzosangana nekuputsa kwehupenyu, saka kubata pamusana wayo hakugone kuitika. Zvisinei, chirwere hachisi chetabhenakeri yepamuviri yekubata pamuviri. Nyanzvi dzekuMadokero dzinopikisa kuti adenomyosis inodzivirira kubata pamuviri chete kana pane zvimwe zvirwere.