Endometriosis

Kune tsananguro dzinoverengeka dzinobvira dzekuti chii chinokonzera kuti tishu inofanana neendometrium ikure kunze kwekwainofanira kunge iri. Asi chikonzero chaicho hachizivikanwi. Zvisinei, kune zvinhu zvinoita kuti munhu ave nechitarisiko chekuwana endometriosis, zvakadai sekusambobereka, kumwedzi kunouya kazhinji kupfuura mazuva makumi maviri nemasere ose, kumwedzi kwakakura uye kwenguva refu kunopfuura mazuva manomwe, kuva nemazinga epamusoro eestrogen mumuviri, kuva neBMI yakaderera, kuva nedambudziko remuviri wevagina, cervix, kana uterus rinodzivisa kupfuura kweropa remwedzi kubva mumuviri, nhoroondo yemhuri yeendometriosis, kutanga kumwedzi pazera duku, kana kutanga menopause pazera guru.

Chirwere chinonyanya kuzivikanwa cheendometriosis kurwadziwa kwepelvic, panguva yekumwedzi kana kunze kwekumwedzi kunopfuura kurwadziwa kwenguva yekumwedzi, Kurwadziwa kwenguva yekumwedzi kunofanira kushiviririka uye haufaniri kuita kuti munhu asapinde chikoro, basa kana mabasa akajairwa. Zvimwe zviratidzo zvinosanganisira kurwadziwa kunotanga usati watanga kumwedzi uye kunopera mushure mekumwedzi, kurwadziwa kwepasi kumashure kana mudumbu, kurwadziwa panguva yekubata, kurwadziwa panguva yekubuda kana kuenda kunzvimbo, uye kushaya simba rekubereka. Vanhu vane endometriosis vanogona kunetseka, kuvimba, kuzvimba, kana kusvotwa, kunyanya panguva yekumwedzi. Kana uri kunzwa zviratidzo izvi, zvakakosha kutaura nachiremba wako.

Chekutanga, chiremba wako achakutaurira kuti utsanangure zviratidzo zvako, kusanganisira nzvimbo yekurwadziwa kwepelvic. Zvadaro, vanogona kuita bvunzo yepelvic, ultrasound, kana MRI kuti vaone zviri nani nhengo dzekuzvara, kusanganisira uterus, ovaries, uye fallopian tubes. Kuti uone endometriosis zvakajeka, kuvhiya kunodiwa. Izvi zvinowanzoitwa ne laparoscopy. Murwere ari pasi peanesthesia yakazara apo chiremba anopinda kamera mudumbu kuburikidza nekucheka duku kuti aongorore tishu inofanana neendometrium. Chero tishu inoita seendometriosis inobviswa uye inotarwa pasi pemikroskopu kuti ione kana paine endometriosis kana kwete.

Kana zviri kurapwa kweendometriosis, matanho ekutanga anosanganisira kuedza kudzora zviratidzo kuburikidza nemishonga yekurwadziwa kana hormone therapy. Mahomoni, akadai semapiritsi ekudzora kubereka, anodzora kukwira nekuderera kweestrogen neprogesterone mumwedzi. Kana kurapwa kwekutanga kukundikana uye zviratidzo zviri kukanganisa hupenyu hwemunhu, kuvhiya kubvisa tishu yeendometriosis kunogona kufungwa.

Neendometriosis, zvidimbu zve lining yeuterine (endometrium) - kana tishu inofanana neendometrium - inokura kunze kweuterus pane dzimwe nhengo dzepelvic. Kunze kweuterus, tishu inokora uye inobuda ropa, sezvinoita tishu yeendometrium panguva yekumwedzi.

Endometriosis (en-doe-me-tree-O-sis) chirwere chinorwadza chinowanzoitika umo tishu inofanana nelining yemukati meuterus inokura kunze kweuterus. Inowanzoita kuti ovaries, fallopian tubes uye tishu inofukidza pelvic ikanganiswe. Zvisingawanzoitika, kukura kweendometriosis kunogona kuwanikwa kunze kwenzvimbo umo nhengo dzepelvic dziri.

Tishu yeEndometriosis inoshanda sezvinoita lining mukati meuterus - inokora, inoparara uye inobuda ropa nemwedzi wega wega. Asi inokura munzvimbo dzisingafanirwe, uye haibvi mumuviri. Kana endometriosis ichibatanidza ovaries, cysts inonzi endometriomas inogona kuumbwa. Tishu yakapoteredza inogona kukuvadzwa uye kuumba tishu yemavara. Mabhandi etishu ye fibrous anonzi adhesions anogona kuumbwawo. Izvi zvinogona kuita kuti tishu dzepelvic nenhengo dzinamatire pamwe chete.

Endometriosis inogona kukonzera kurwadziwa, kunyanya panguva yekumwedzi. Matambudziko ekubereka anogonawo kuitika. Asi kurapwa kunogona kukubatsira kutonga mamiriro ezvinhu uye matambudziko ayo.

Chirwere chikuru che endometriosis ndirwo kurwadziwa kwepelvic. Kazhinji inobatanidzwa nekumwedzi. Kunyange vazhinji vanhu vane marwadzo panguva yekumwedzi kwavo, avo vane endometriosis kazhinji vanorondedzera marwadzo ekumwedzi ari kuipa kupfuura kazhinji. Marwadzo acho anogona kuwedzerawo nekufamba kwenguva. Zviratidzo zve endometriosis zvinosanganisira: Kumwedzi kunorwadza. Kurwadziwa kwepelvic nemarwadzo kunogona kutanga usati wasvika kumwedzi uye kugara kwemazuva akawanda. Unogonawo kuva nemarwadzo ekumashure nemuudumbu. Zita rimwe rekumwedzi kunorwadza ndere dysmenorrhea.Kurwadziwa nepabonde. Kurwadziwa panguva kana mushure mepabonde kunoitika kazhinji ne endometriosis.Kurwadziwa nekuita chimbuu kana kuenda kunzvimbo. Unonyanya kukwanisa kuva nezviratidzo izvi usati wasvika kumwedzi kana panguva yekumwedzi.Kubuda ropa kwakanyanya. Dzimwe nguva, unogona kuva nekumwedzi kwakanyanya kana kubuda ropa pakati pemwedzi.Kushaya simba. Kune vamwe vanhu, endometriosis inowanikwa kekutanga panguva yekuongororwa kwemishonga yekurapa kushaya simba.Zvimwe zviratidzo. Unogona kuva nekuneta, manyoka, kuvimbiswa, kuzvimba kana kusvotwa. Zviratidzo izvi zvinowanzoitika usati wasvika kumwedzi kana panguva yekumwedzi. Kukomba kwemarwadzo ako kungave chiratidzo chehuwandu kana huwandu hwekukura kwe endometriosis mumuviri wako. Unogona kuva nehuwandu hushoma hwetsvina nemarwadzo akaipa. Kana kuti unogona kuva netumbuka yakawanda ye endometriosis netarwadzo shoma kana kusina. Zvisinei, vamwe vanhu vane endometriosis havachina zviratidzo. Kazhinji, vanoziva kuti vane chirwere ichi kana vasina kukwanisa kuva nepamuviri kana mushure mekuvhiyiwa nekuda kwechimwe chikonzero. Kune avo vane zviratidzo, endometriosis dzimwe nguva inogona kutaridzika sezvimwe zvirwere zvinogona kukonzera kurwadziwa kwepelvic. Izvi zvinosanganisira chirwere chepelvic inflammatory kana ovarian cysts. Kana kuti inogona kusanganiswa ne irritable bowel syndrome (IBS), iyo inokonzera manyoka, kuvimbiswa nemarwadzo emudumbu. IBS inogonawo kuitika pamwe chete ne endometriosis. Izvi zvinoita kuti zviome kuti timu yako yekuchengetedza utano iwane chikonzero chaicho chezviratidzo zvako. Ona nhengo yemhuri yako yekuchengetedza utano kana uchifunga kuti ungave nezviratidzo zve endometriosis. Endometriosis inogona kuva dambudziko rekutarisira. Ungakwanisa kutora chikamu chezviratidzo kana: Timu yako yekuchengetedza inowana chirwere icho nokukurumidza pane gare gare.Unozidza zvakawanda sezvinobvira nezve endometriosis.Unobatsirwa nechikwata chevanachiremba vehutano kubva muminda yakasiyana yekurapa, kana zvichidiwa.

Ona mushandi wechikwata chekuchengetedza utano hwako kana uchifunga kuti ungave uine zviratidzo zve endometriosis. Endometriosis inogona kunge iri dambudziko rekutarisira. Ungakwanisa zviri nani kutora mutoro wezviratidzo kana: - Chikwata chako chekuchengetedza chinowana chirwere ichi pakutanga pane gare gare. - Waudzidza zvakawanda sezvinobvira nezve endometriosis. - Wauwana kurapwa kubva kuchikwata chezvivakwa zvekuchengetedza utano kubva muminda yakasiyana yekurapa, kana zvichidiwa.

Chikonzero chaicho che endometriosis hachizivikanwi. Asi zvimwe zvinogona kukonzera zvinosanganisira:

• Kudzoka kwemwedzi. Izvi zvinoitika kana ropa remwedzi richidzokera shure kuburikidza nematumbo e fallopian uye mukati me pelvic cavity panzvimbo pokubuda mumuviri. Ropa rine masero endometrial kubva mukati me lining yemukati. Aya masero anogona kunamatira kumadziro e pelvic uye pamusoro pezvikamu zve pelvic. Iko, anogona kukura uye kuramba achifuza uye kubuda ropa panguva yega yega yemwedzi.
• Masero e peritoneal akachinjwa. Nyanzvi dzinokurudzira kuti mahomoni kana zvinhu zvekuzvidzivirira zvinogona kubatsira kuchinja masero anofukidza mukati mechidya, anonzi masero e peritoneal, kuita masero akafanana neaya anofukidza mukati memukati.
• Kuchinja kwe embryonic cell. Mahomoni akadai se estrogen anogona kuchinja masero e embryonic — masero ari padanho rekutanga rekukura — kuita kukura kwemasero akafanana ne endometrial panguva yepuberty.
• Dambudziko rekucheka kwemishonga. Masero e endometrial anogona kunamatira kune tishu rekucheka kubva pakachekwa panguva yekuvhiya kune nzvimbo yemudumbu, senge C-section.
• Kuendesa kwemasero e endometrial. Midziyero yeropa kana tishu fluid system inogona kufambisa masero e endometrial kune dzimwe nzvimbo dzemuviri.
• Mamiriro ezvirwere zvekuzvidzivirira. Dambudziko nesimba rekuzvidzivirira rinogona kuita kuti muviri usakwanise kuziva uye kuparadza tishu re endometriosis.

Zvinhu zvinosimudzira njodzi yeendometriosis zvinosanganisira:

• Kusambobereka.
• Kutanga kwemwedzi uchiiri mudiki.
• Kuenda kumamenopause uchiri mukuru.
• Kumwedzi kwenguva pfupi — semuenzaniso, kwemazuva mashoma kupfuura 27.
• Kumwedzi kwakakura kunopfuura mazuva manomwe.
• Kuve nemazinga epamusoro e-estrogen mumuviri wako kana kusimbiswa kwenguva refu kwe-estrogen inogadzirwa nemuviri wako.
• BMI yakaderera.
• Hama imwe kana kupfuura ine endometriosis, senge amai, tete kana hanzvadzi.

Chero mamiriro ezvehutano anodzivirira ropa kubuda mumuviri panguva yekumwedzi anogona zvakare kuva chinhu chinokonzera endometriosis. Saizvozvo zvinogona kuita mamiriro emukati mekubereka.

Zviratidzo zveEndometriosis kazhinji zvinoitika makore mushure mekutanga kwemwedzi. Zviratidzo zvinogona kuvandudza kwenguva nekuhwana. Kurwadziwa kunogona kuwedzera zvishoma nezvishoma nekukwegura, kunze kwekunge uchitora estrogen therapy.

Panguva yekubereka, sperm nezai zvinoenderana mumwe wematumbu e fallopian kuti zviite zygote. Zvadaro zygote inofamba pasi petumbo re fallopian, uko inova morula. Kana yasvika mudumbu, morula inova blastocyst. Blastocyst inobva yadzika mudenga re uterine - nzira inonzi kusimwa.

Dambudziko guru re endometriosis ndiro dambudziko rekuhwana pamuviri, rinonziwo kushaya simba. Kusvika hafu yevanhu vane endometriosis vane nguva yakaoma yekubereka.

Kuti pamuviri uitike, zai rinofanira kubudiswa kubva mu ovary. Zvadaro zai rinofanira kufamba nemutumbi we fallopian uye riberekerwe nesero resperm. Zai rakaberekwa rinofanira kubva razvikomba padenga re uterine kuti ritange kukura. Endometriosis inogona kudzivirira chubhu uye kudzivisa zai nesperm kubatana. Asi mamiriro acho anoitawo sekukanganisa kubereka munzira dzisingaenzaniswi. Semuenzaniso, inogona kukuvadza sperm kana zai.

Kunyangwe zvakadaro, vazhinji vane endometriosis yakapfava kusvika pakati vanogona kubereka uye kutakura pamuviri kusvika pakuguma. Vashandi vehutano hwehutano dzimwe nguva vanokurudzira avo vane endometriosis kuti varege kukurumidza kuva nevana. Izvozvo ndizvo nekuti mamiriro acho anogona kuipa nekufamba kwenguva.

Mamwe maonero anoratidza kuti endometriosis inowedzera njodzi yekenza ye ovarian. Asi njodzi yese yehupenyu hwekenza ye ovarian yakaderera pakutanga. Uye inoramba yakaderera zvakakwana muvanhu vane endometriosis. Kunyange zvazvo zvisingawanzoitika, imwe mhando yekenza inonzi endometriosis-associated adenocarcinoma inogona kuitika gare gare muhupenyu mune avo vane endometriosis.

Ndinoshuva dai ndaigona kukupa mhinduro yacho, asi zvinosuruvarisa kuti hatina chokwadi. Parizvino, tinofunga kuti tsime rinonyanya kukonzera endometriosis rinowanzoitika panguva yekukura semucheche. Saka kana mwana achikura mudumbu remai vake, ipapo patinofunga kuti endometriosis inotanga.

Uyu mubvunzo wakanaka chaizvo. Saka endometriosis chinhu chinogona kunge chisinganzwisisike, asi tinogona kucherechedza zvichienderana nezviratidzo zvaunogona kunge uine. Kana uri kurwadziwa nekumwedzi kwako, kurwadziwa mudumbu rako kazhinji kurwadziwa nekuita zvepabonde, kutsvaga, kufamba kwematumbo, izvi zvose zvinogona kutiratidza kuti tine endometriosis. Asi zvinosuruvarisa, nzira chete yekutaura 100% kana une kana usina endometriosis ndeyekuita opresheni. Nekuti panguva yekuvhiya tinogona kubvisa tishu, kuitarisa pasi pemikroskopu, uye kutaura zvakajeka kana une kana usina endometriosis.

Zvinosuruvarisa, kazhinji kwete. Chikamu chikuru cheendometriosis ndeye endometriosis yepamusoro, zvinoreva kuti yakafanana nekupenda spackling pamadziro, kuti hatigone kuiona kunze kwekunge tapinda toona nekuvhiya. Kunze kweizvozvo kana paine endometriosis inokura mune zviungo mudumbu kana mudumbu senge matumbo kana bhara. Izvo zvinonzi deep-infiltrating endometriosis. Mumamiriro ezvinhu iwayo, tinogona kazhinji kuona chirwere ichocho pane ultrasound kana pane MRI.

Kwete zvakakosha. Saka endometriosis, masero akafanana nelining yemukati wemukati anokura kunze kwemukati. Saka hachisi dambudziko nemucheche zvachose, ndicho chatinorapira nehysterectomy. Izvozvo zvakataurwa, kune mamiriro akafanana neendometriosis anonzi adenomyosis uye anowanikwa panguva imwe chete mu80 kusvika ku90% yevarwere, saka neadenomyosis, mucheche pachawo unogona kuva chikonzero chematambudziko, kusanganisira kurwadziwa. Mumamiriro ezvinhu iwayo, dzimwe nguva tinofunga nezve hysterectomy panguva yatinorapira endometriosis.

Chinhu chikuru chekuyeuka pano ndechekuti endometriosis mamiriro anokura, uye ichaenderera mberi ichikura uye inogona kukonzera zviratidzo zvinokura. Saka kune vamwe varwere, izvo zvinoreva kuti pakutanga kurwadziwa kwacho kwaiva chete nekumwedzi. Asi nekufamba kwenguva nekukura kwechirwere ichocho, kurwadziwa kunogona kutanga kuitika kunze kwekumwedzi, saka panguva dzakasiyana dzemwedzi, nekutsvaga, nekufamba kwematumbo, nekuita zvepabonde. Saka izvo zvinogona kutikurudzira kuti tiite chimwe chinhu toita kurapwa kana tisina kuita chero chinhu kare. Asi izvozvo zvakataurwa, kunyangwe tichiziva kuti endometriosis inokura, kune vamwe varwere, haina kumbofambira mberi kusvika pakuda kuita chero kurapwa nekuti inyaya yekunaka kweupenyu. Uye kana zvisingakanganisi hunhu hweupenyu, hatidi kuita chero chinhu.

100%. Unogona kuva nevana kana uine endometriosis. Patinokurukura nezvekushaya simba, avo ndivo varwere vari kurwisana nepamuviri kare. Asi kana tikatarisa varwere vose vane endometriosis, munhu wese ane chirwere ichocho, vakawanda vanokwanisa kuita pamuviri pasina chero dambudziko. Vanogona kuva nepamuviri, vanogona kutakura pamuviri. Vanofamba kumba kubva kuchipatara vane mwana akanaka mumaoko avo. Saka, hongu, zvinosuruvarisa, kushaya simba kunogona kuwirirana neendometriosis. Asi kazhinji kazhinji, hachisi dambudziko chairo.

Kuva shamwari yekiriniki yekurapa ndicho chinhu chikuru. Vanhu vazhinji vane endometriosis vakave vakarwadziwa kwenguva yakareba, izvo zvinosuruvarisa zvinoreva kuti muviri wakachinja semhinduro. Uye kurwadziwa kwave kwakafanana nehanyanisi neendometriosis pakati pehanyanisi iyoyo. Saka tinoda kushanda kwete kungorapira endometriosis, asi kurapa mamwe masosi ekurwadziwa anogona kusimukira. Saka ndinokukurudzira kuti uzvidzidzise, kwete kungoti ugone kuuya kumupi wehutano hwako uye uve nehurukuro uye kukurukura nezve zvaunoda uye zvaunonzwa. Asiwo kuti uve mutsigiri uye uve nechokwadi chekuti uri kuwana hutano hwako hwaunoda uye hwaunofanira kuwana. Uyewo taura nezvazvo. Vakadzi vakawanda, kwemakore nemakumi emakore, vakaudzwa kuti kumwedzi kunofanira kurwadza uye tinongofanira kutsungirira toita nazvo. Icho hachisi chokwadi. Chokwadi ndechekuti hatifanire kurara pasi peimba yekugezera patine kumwedzi kwedu. Hatifanire kurira panguva yekuita zvepabonde. Izvo hazvisi zvemazuva ano. Kana uri kuzviwana, taura. Taura nemhuri yako, Taura neshamwari dzako. Taura nemupi wehutano hwako. Vaudze zviri kuitika. Nekuti chokwadi, tiri pano kubatsira uye pamwechete tinogona kutanga kuita shanduko kwete chete pane endometriosis kwauri, asi endometriosis munharaunda yose. Usambofa wakarega kubvunza timu yako yekurapa chero mibvunzo kana zvinokunetsa zvaunazvo. Kuva neruzivo kunoshandura zvinhu zvese. Tinokutendai nekanguva kwenyu uye tinokushuvira zvakanaka.

Panguva ye ultrasound ye transvaginal, nyanzvi yekurapa kana tekisi inoshandisa chishandiso chakafanana newandi chinonzi transducer. Transducer inoiswa mumukati mako uri kurara pamusana pane tafura yekuongorora. Transducer inoburitsa mafungu esound anogadzira mifananidzo yezviungo zvako zvepelvic.

Kuti uwane kana une endometriosis, chiremba wako achakurumidza kutanga nekukuudza bvunzo yemuviri. Uchabvunzwa kuti utsanangure zviratidzo zvako, kusanganisira kwaunonzwa kurwadziwa uye nguva yaunonzwa kurwadziwa.

Kuongorora kuti uone zviratidzo zveendometriosis zvinosanganisira:

• Kuongorora kwePelvic. Nyanzvi yako yekurapa inonzwa nzvimbo mudumbu rako neminwe miviri yakapfeka magorovu kuti ione chero shanduko dzisingawanzoitika. Shanduko idzi dzinogona kusanganisira cysts pane zviungo zvekuzvara, nzvimbo dzinorwadza, kukura kwasingawanzoitika kunonzi nodules uye mavara kumashure kwemukati. Kazhinji, nzvimbo diki dzeendometriosis hadzigone kunzwisiswa kunze kwekunge cyst yakagadzirwa.
• Magnetic resonance imaging (MRI). Kuongorora uku kunoshandisa magnetic field nemafungu eradio kuita mifananidzo yezviungo nematishu ari mumuviri. Kune vamwe, MRI inobatsira nekuronga kuvhiya. Inopa chiremba wako ruzivo rwakadzama nezve nzvimbo nehukuru hwekukura kweendometriosis.
• Laparoscopy. Muzviitiko zvimwe, unogona kutumirwa kuchiremba wekuvhiya kuti uite izvi. Laparoscopy inobvumira chiremba wekuvhiya kuti aone mukati memudumbu mako kuti aone zviratidzo zve tishu yeendometriosis. Tisati taita kuvhiya, unowana mushonga unokupa mamiriro ekurara uye kudzivirira kurwadziwa. Zvadaro chiremba wako wekuvhiya anoita kucheka duku pedyo ne navel yako uye anoisa chishandiso chekuona chinonzi laparoscope.

Laparoscopy inogona kupa ruzivo nezve nzvimbo, ukuru nehukuru hwekukura kweendometriosis. Chiremba wako wekuvhiya anogona kutora sampuli yetishu inonzi biopsy kuti aite kuongorora zvakawanda. Nekuronga zvakanaka, chiremba wekuvhiya anogona kazhinji kurapa endometriosis panguva ye laparoscopy kuitira kuti utore kuvhiya imwe chete.

Laparoscopy. Muzviitiko zvimwe, unogona kutumirwa kuchiremba wekuvhiya kuti uite izvi. Laparoscopy inobvumira chiremba wekuvhiya kuti aone mukati memudumbu mako kuti aone zviratidzo zve tishu yeendometriosis. Tisati taita kuvhiya, unowana mushonga unokupa mamiriro ekurara uye kudzivirira kurwadziwa. Zvadaro chiremba wako wekuvhiya anoita kucheka duku pedyo ne navel yako uye anoisa chishandiso chekuona chinonzi laparoscope.

A laparoscopy inogona kupa ruzivo nezve nzvimbo, ukuru nehukuru hwekukura kweendometriosis. Chiremba wako wekuvhiya anogona kutora sampuli yetishu inonzi biopsy kuti aite kuongorora zvakawanda. Nekuronga zvakanaka, chiremba wekuvhiya anogona kazhinji kurapa endometriosis panguva ye laparoscopy kuitira kuti utore kuvhiya imwe chete.