Kugadzira marwadzo mudumbu rezasi chiratidzo chisina kufanana chinowanzoita zvirwere zvakawanda. Munharaunda yepelvic kune huwandu hwakawanda hwehutachiona hwemutsipa, saka kurwadziwa kwepfungwa kunobva munhengo dzepachivande kunonetsa kuziva neCentral Nervous System. Kana uchinge uchinge uri mudumbu rezasi, iwe unoda kutsvaga mazano kune imwe nyanzvi uye unoongorora. Mushure mekudzidza yakamnesis (mararamiro emarwadzo, nzvimbo yekuparadzirwa, mamiriro ezvinhu okubva, kugarisana, kugadzirisa zviratidzo) uye kuongororwa kwebhuku re laboratori, chiremba achaisa chirwere chakakodzera uye anopa chirongwa chakakodzera.
Inokonzera pasi pemudumbu - zvinokonzera uye zviratidzo zvakajeka zvinoratidza zvirwere zvakasiyana:
- Kutapukira kwepamuviri kwezvikamu zvemuviri. Chills, fever, purulent discharge kubva mumudzimai, kurwadziwa nekuremera mumimba pasi;
- zvirwere zvinopfuurira zve genitourinary system (cystitis, endometritis, salpingitis). Vaginal kubuda ropa, chirwere chinorwadza chakakura nekuenda kumwedzi, kutora marwadzo mumimba pasi;
- chikamu chikuru che ovarian pathology (tumor neoplasm, cyst). Mucheche uri pasi unokwevera nekuda kwekubuda kwechivharo / cyst, inopa ropa / divergence ye cystic fluid inovhiringidza peritoneum;
- chirwere chekunyanyisa kunokonzera mavha mavari. Inowedzera kuvakadzi vanoshungurudza zvinodhaka zvinokonzera kuwedzera kwehutano hwechivharo, izvo zvinotungamirira mukurwadziwa kwakanyanya mudumbu rezasi, kubvisa, kuwedzera kuwanda;
- appendicitis. Chiratidzo chaicho - kurwadziwa kwakanyanya mumudumbu pasi pasi, kurwisa, kusutsa;
- ectopic pregnancy. MuEctopic pregnancy, kurwadziwa kwepamuviri kunorwadza sezvakaitwa pamwedzi, uye kuwedzera zvishoma nezvishoma muhutano hwepamuviri, pamusana pokuputika kwehuputi uye kubuda ropa mumimba, kurwadziwa kwakanyanya kunoitika.
Nei uchidhonza mucheche pasi pamberi pemwedzi
Zvinorwadza zvinorwadza kusati kwenda kumwedzi zvinoratidzwa nenzira dzakasiyana-siyana: mudumbu rinokwanisa kuvhomha, kuwedzera, kukuvadza. Zvose izvi zvinoitika pamwe chete nekuwedzera kwehutano hwehutachiona hwehutano, kuputsa kwekushanda kwepamuviri wepamuviri, maziso anokanganisa.
Zvinokonzera zviitiko zvezviitiko:
- kushanduka kamwe kamwe muhurumende yezororo, kurara, basa;
- kusingaperi kuneta;
- kushungurudzika, kushungurudzika kwekutya, kuora mwoyo;
- kuvapo kwechiputi chekuputika mune nhengo dzemazana mapfupi;
- kunyora kushandiswa kwekudzivirira kubata pamuviri;
- kubvisa pamuviri, kubhabhatidza maitiro emakumbo;
- kukanganisa kweeuropid lipid metabolism;
- kuunganidzwa kwemvura muviri;
- kushayikwa kweprogesterone uye kudarika isrogen yakagadzirwa muchikamu chekupedzisira chemuviri.
Zvinoshungurudza uye zvinokwevera mudumbu rezasi mushure memwedzi
Kusuruvara kwemuviri mudumbu panguva yakatarwa kana kuti kusati kwaenda kumwedzi ndeyemamiriro emuviri. Uye nei inokonzera mudumbu mushure mekuenda kumwedzi? Kune zvirevo zviviri zvekusimbiswa kwezviitiko: simba rehutachiona hwemamiriro ezvinhu, zvinoreva kupindira kwekukurumidza kunopera, uye kupererwa kunobvumidzwa kubva kune zvakasikwa.
Zvimwe zvinoshandiswa zvechimiro
- Postovulatory syndrome. Munguva yekuputika, mazai akagadzirira kubereka anosiya mavhiriyumu ovarian mudumbu remuviri, iyo "inonamatira" kune zvinoitwa ne fallopian tubes uye inotanga kuenda kumubereki. Mushure memazuva matatu kusvika masere mushure mokumwa mumugwagwa we fallopian, iyo fetal yai inowanikwa mu uterine mucosa, kana mimba isingaitike, mushure memaawa 24-36 mushure mechikamu chepabonde chinofa. Gynecologists anosiyanisa izwi rimwechete - postovulyatorny syndrome, zvichikonzerwa nekushandurwa kwemashure ehomoni.
Zviratidzo:
- dumbu riri pasi rinokuvadza;
- inowedzera libido;
- chimiro uye chiyero chekubuda kwemudzimai kumudzimai;
- hurumende yehutano nehupfumi hunoipisisa.
- Kuberekwa. Kana mushure mekuvhara kwechivhiri kunodhonza dumbu rezasi, rinogona kunge rakava nepamuviri. Kubudiswa kweii mumadziro emuviri kunosangana nekubudiswa kwemakemikari anonyungudutsa mazamu emuviri - izvi zvinokonzera kukanganisa kwemidziyo yeropa nekuvimbika kwemasumbu, anotsanangura kusuruvara kwemuviri. Chiratidzo chechipiri chekuzvitakura ndiko kubuda ropa (rakaonekwa mumadzimai gumi kusvika ku10), iyo inoputira tsvuku / tsvina.
- Premenstrual syndrome. Dambudziko rakawanda rezviratidzo rinotanga mazuva 3-10 kusati kwatanga kushanduka. Iine zviratidzo zvizhinji, kusanganisira kuvhiringidza marwadzo mudumbu rezasi, zvinokonzera zvinomera-vascular, uye kushungurudzika mupfungwa.
Zviratidzo zvePathological:
- kurwadziwa kwakanyanya mumudumbu, kusingabviswi neanalgesics uye kunonyanya kukuvadza kufara;
- kubuda ropa, izvo zvinosvibiswa zvakasiyana nekusimudzirwa;
- kushungurudzika kwechigaro, kuchenesa;
- kukanganiswa kwemisumbu yemudumbu;
- kusava nenzara, fivha, kuora musoro, kusuruvara, kurutsa, dutu, kushaya simba.
Anoshuva mudumbu rezasi shure kwepabonde
Pashure pehutano hwepabonde kwenguva yakareba, 20-25% yevakadzi vanoona episodic / nguva dzose marwadzo mudumbu rezasi. Vakawanda vanonyara kubvuma izvi kunyange kune nyanzvi, kuwedzere kutambura kwavo. Munguva iyi, vana gynecologists vanopokana kuti kune nzira dzakawanda dzinogona kuita kuti zvepabonde zvive zvisina kunaka zvachose.
Sei chichikuvadza mudumbu mushure mekuita zvepabonde - zvikonzero zvenguva yekuitika kwezvinhu:
- defloration. Kutya panguva yekuita zvepabonde kunokonzera musuru hwemadzimai kubvumirana-izvi zvinokonzera kusuruvara;
- Vaginismus. Kana hutano hwekutanga hwepabonde hwakanga husingabudiriri, mukadzi akaumba kusaziva kwekutya kunokonzera musikana kuputika, izvo zvinotungamirira kusakwanikidzwa kwekodhi yakazara;
- kukanganisa kwehutendeseka hwevanhu. Kana ukama hwuri hwekutanga, uye mudumbu rinokwevera sekutanga, zvichida kuti spate haina kuputsa zvachose. Dzimwe nguva mhandara mumurongwa weatoriki inoputsika zvachose panguva yebasa;
- kuputika. Izvo zvinopisa zvinoratidzirwa nekucheka, kupisa, kurwadziwa, kuoma mukati mechikadzi panguva / shure kwepabonde. Munyaya iyi, haukwanisi kuita pasina muedzo wezvirwere zvinotapurirwa zvepabonde (candidiasis, trichomoniasis, gonorrhea). Nokuda kwehutano hwehutachiona, basa repabonde rinofanira kunge risingakwanisi uye rinofanira kudzivirirwa nekondomu;
- spikes. Iyo inoumbwa semugumisiro wekuputika kwemukati kana zvikamu. Kuvapo kwekubata kunowanikwa mune 50% yevakadzi vezera rekubereka, kazhinji havakwanisi kupa zviratidzo zvinoratidza zviratidzo, asi vanozviratidza pachavo pavanenge vachiita. Nzira chete yekubuda nayo ndeyokutora nzira yekurapa uye kusarudza zvinonyanya kusununguka zvinoita zvepabonde;
- kuputsa / kushungurudzika mushure mekuvhiyiwa uye kuberekwa. Mubvunzo unogadziriswa nenzira yekushanda, kukurudzirwa kwemisungo yakanyanyisa uye kusarudzwa kwehutano hwakanaka;
- venous congestion. Kuramba kwenguva refu, hutano husingawanzoitiki hwepabonde, kusava nemararamiro kunotungamirira kurwadziwa mucheche mushure mushure mekuita zvepabonde. Nokufamba kwenguva, kusanganiswa kwepabonde kunyange nemamiriro ekugara zvepabonde kunowanzoita kuti zvive zvakakonzera mukugadzirwa kwezvirwere zvakakomba zvegynecological - endometriosis, kusagadzikana kwemavha mavari, uterine myomas, kutarisira;
- endometriosis. Inoratidzirwa nehutano syndrome, iyo yakaipisisa kusati yenda kumwedzi, kutarisa mushure memwedzi / kwemazuva ose, kunzwa kunorwadza shure kwepabonde;
- neuralgia yemapuropa epilvic. Iyo nharo inoputika nekuda kwehutachiona, kushushikana, kufungidzira, kunokonzera marwadzo anorwadza muhudyu;
- anatomical kusagadzikana kwevashandi;
- kukwana kusunungurwa kwemafuta. Ndiyo mugumisiro wokubvisa gland raBartholin, kupesana kwepfungwa (kutya kuve nepamuviri, kusada kuita zvepabonde) kana kusaenzana kwehomoni (kumisa mimba, postpartum period, hormones).
Panguva yepamuviri, mukadzi anofanira kubata zvepabonde zvakanyatsonaka. Gynecologists havatauri kuti vanoita zvepabonde nguva dzose, kunyanya kana mushure mekuita zvepabonde kunotora mudumbu. Ichi chikonzero ndechokuti tsika dzekugara dzisina kushamisika nekuda kwekuchinja mumatumbu emuviri uye mumudzimai, saka kuderedza kwavo kunokonzera marwadzo. Chero zviratidzo zvekurwadza, kurwadziwa kwenguva refu mucheche pasi shure kwepabonde - chiitiko chekutsvaga kurapwa kuitira kuti kudzivisa kuenderera mberi kwechiremera chechirwere chezvirwere.