Nzira itsva dzekurapa kwekupedzisira kwema endometriosis - musoro wehurukuro. Izvi zvinogona kutungamirira kukurudzirwa kwezviratidzo zvinotevera:
- kunonoka kuenda kumwedzi (dysmenorrhea) - marwadzo anowanzotanga mazuva maviri kusvika kwemazuva asati asvika panguva uye zvishoma nezvishoma anowedzera, kunyange dzimwe nguva hazvibviri zvachose;
- kurwadziwa panguva yepabonde (dyspareunia) kunogona kupera kusvika maawa makumi maviri nemaviri;
- manzwiro ekumanikidzwa mumutsara - dzimwe nguva kungave nekukurumidzira kunokurudzira kana kurwadziwa panguva yekuzvidzivirira;
- kurwadziwa munharaunda yegungwa kunogona kusanganiswa ne ingress yeropa mumuguta; kurwadziwa kana uchibhururuka;
- kusabereka - kusvika ku40% yevakadzi vane endometriosis vane ruzivo rwokutora mwana.
Kunyange zvazvo vamwe vakadzi vangave vasina kuratidza endometriosis zvachose, vazhinji vavo vanotambura nekutambudzika kwakanyanya, izvo zvinoita kuti kuora kwehuwandu huve hutano uye kuora mwoyo. Iyo chaiyo inokonzera endometriosis haisati yazivikanwa, asi pane mazano mazhinji:
- Kudzorera kumwedzi - panguva yekuenda kwemwedzi zvese zve endometrium kuburikidza ne fallopian tubes dzinobva pachibereko ichipinda mumupata wepelvic; kana yakagadziriswa, zvidimbu izvi zvinogona kuiswa kune nhengo dzemuviri;
- chikonzero chemuviri - mukadzi ane hama yepedyo anorwara ne endometriosis, inowanzoita 6-9 dzimwe nguva yekuwedzera chirwere ichi;
- kupararira kuburikidza neropa kana lymphatic system - iyi nyanzvi inotsanangura matambudziko ekuonekwa kwe foci ye endometriosis muzvikamu zvakaita semapapu uye kunyange uropi;
- Kukura kwechimiro chemuviri unobereka - nhengo dzomumakumbo dzemuviri dzinogona kukura kunze kwechibereko chechibereko chemukati pamusana pekuvhiringidzika kwepiruterine mukuumbwa kwenhengo dzebonde.
Risk Factors
Zvidzidzo zvinoratidza kuvepo kwehukama hwekuvandudzwa kwechirwere nematambudziko akadaro se:
- kazhinji, kazhinji kuenda kumwedzi;
- kutanga kwemwedzi kusvika kumakore gumi nematanhatu;
- anopfuura makore makumi maviri;
- kusavapo kwekudzivirira;
- kushandiswa kwepamusoro 300 mg kofi pazuva;
- kusava nekuita basa;
- kusagadzikana kwezuva;
- kugamuchirwa kwemakwenzi ekudzivirira kubata pamuviri.
Mwedzi uye endometriosis
Mushure mokunge ava kuenda kumwedzi, uwandu hwewesrogen hunomuka, uye kubatana kwemukati kwechibereko (endometrium) inotanga kuvhara, kugadzirira kubvumirwa kwezai rinogadzirwa. Pamberi pekuvhurwa (kusunungurwa kweii kubva kune ovary), huwandu hweprogesterone hunowedzera, iyo inokurudzira kuwedzera uye kuzadza ropa kwezvipembenene zvekupedzisira. Kana kudyara kusati kwaitika, uwandu hwemhomoni inoderedza. Iyo endometrium inorambwa uye, pamwe chete neunfertilized ovum, inobuda kubva muhutachi uterine muchimiro chekubuda ropa (kumwedzi). Ikoko ye endometriosis inobatanidza ropa, iro, zvisinei, risina nzvimbo. Pane kudaro, kuumbwa kweropa-rine cysts kunoitika, iyo inogona kudzvinyirira mishonga yakapoteredza. Izvo zvinogona zvakare kuti ivo vaparare kana kuti vashandise nekuzotevera kuporesa nekuumbwa kwekubatira.
Kusvika kumwedzi
Kupararira kwekupedzisira kwemapetomeriyo hakuzivikanwi zvakajeka, sezvo vakadzi vakawanda vanorwara vasina zviratidzo. Zvinotendwa, zvisinei, kuti 10% yevakadzi vose vemakore ekuberekwa vanotambura ne endometriosis.
Diagnostics
Endometriosis inofanirwa kufungidzirwa mumudzimai wese anotambura nemwedzi unorwadza, izvo zvinoderedza hupenyu hwehupenyu. Kuongororwa kunobva pakucherechedza chipando chepilvic kuburikidza ne laparoscope (iyo inopindirwa mukati mechidziro chemuviri kuburikidza nekudhonza zvishoma) kana panguva yekushanda kwepamuviri. Zvinyorwa zvemasimba zvinogona kuita kuti kuongorora kweparuscopic kusakwanisa, mumamiriro ezvinhu akadaro ndinoshandisa MR scanning, izvo zvisinei, zvisinganyatsovimbi. Yakagadziridzwa kugadziriswa kwegasi mujinga rekudzivirira chiremba chiremba anokwanisa kutarisa nevakadzi. Kune nzira mbiri huru yekurapa endometriosis: drug therapy uye chirwere. Chero zvazvingaitika, kurapwa kunofanira kuva munhu oga. Mishonga yekurapa endometriosis inosanganisira: kusanganiswa kwemishonga yepurogiramu yemvura ine estrogen uye progestogen (yakagadzirwa progesterone). Nguva yekurapa ndeye mwedzi 6-9 yekuenderera mberi. Sekusarudza, kushandiswa kwega kwega kweprogestogen, dydrogesterone kana medroxy progesterone inogoneka; danazol - steroid hormone ine antiestrogenic uye antiprogesterone effect; mifananidzo yegonadotropin-releasing hormone (GnRH) inobata planditary gland uye inodzivirira kutanga kwekuvhunga; izvi zvinogona kutungamirira kukurudzirwa kwemainopaopaal zviratidzo zvakadai sekupisa kunopisa uye osteoporosis. Kuti kuderedze iyi migumisiro yechirwere, kushandiswa kwehomoni kunobvira; Kwete-steroidal anti-inflammatory drugs (NSAIDs) inoshandiswa kugadzirisa kurwadziwa; mienzaniso yemishonga yakadai ndeye mefenamic acid uye neurooxene. Hormonal therapy, iyo inovhara ovulation, kazhinji inobatsira kugadzirisa marwadzo, asi haiporese chirwere chacho. Kana pasina kurapwa, chirwere chinoramba chichiwedzera kusvika pakuenda kumwedzi kunomira kana kusati mimba, apo zviratidzo zvinowanzoperera. Murwere anofanirwa kukurukura zvakadzama nachiremba zvose zviratidzo uye agadzira chirongwa chekurapa.
Kuberekwa
Vazhinji vakadzi vanogona kutora chirwere chinotungamirirwa nekubatsirwa neimwe nzira yekurapa. Vanenge 60 muzana yevarwere vane nzira inonyorera ye endometriosis mushure mekurapwa kunokwanisa kukwanisa kubereka mwana. Mikana yekuve nepamuviri munguva yakaoma yechirwere ichi yakaderera kusvika 35%. Kugadziriswa kwepecometriosis kunogona kubvisa kurwadziwa uye kurapa kwe endometriosis, nekuparadzaniswa kwefisiti kunowedzera mikana yekudzivirira. Nokuda kweizvi, laser therapy uye cauterization ne electrocoagulant inogona kushandiswa. Vasikana vaduku vanoronga pamuviri vanokurudzirwa kurapwa kweparoscopic. Kubviswa kwechibereko, fallopian tubes uye mazai anowanikwa chete kune vakadzi vanopfuura makumi mana vakazadzisa basa ravo rekubereka.