Kune marara (genital) endometriosis, apo chirwere chetachiona chinowanikwa pane nhengo dzepabonde (endometriosis yechipupuri, maovha, mawere, vagina) uye zvinyorwa zvekare kana zviputi zvinowanikwa kunze kwenhengo dzebereki. Inogona kugariswa munzvimbo inenge yakasungwa, rectum, appendix, mafungiro, matumbo, diaphragm, mapapu uye kunyange pajunjuntiti yeziso. Genital endometriosis yakakamurwa kuva mukati nekunze. Chikamu chemukati chinosanganisira endometriosis ye chibereko uye chikamu chemukati che fallopian tubes. Kunze kwe-tubes, mavhai, vagina, vulva.
Ichi chirwere chinowanzowanikwa pakati pevakadzi makumi mashanu nemakore makumi mashanu nemashanu.
Pakati pezvikonzero zvinotungamirira ku endometriosis, kukosha kukuru kunowanikwa kune kukuvadzwa - kupindira kwokuvhiya, kubvisa pamuviri. Kurapa kugadziriswa kwe uterine mucosa, uterine kuongorora, kukanganisa kunogonawo kuita kuti kutanga kwe endometriosis. Zvirwere zvinogona kuonekwa mushure me diathermocoagulation - saka kune kervical uye retrocervical endometriosis. Kurapa kunokonzerwa kwechibereko kunogona kutungamirira kune endometriozone chete nekuda kwekukuvara, asiwo nekuda kwekudzorerazve kudonhedzera ropa mu fallopian tubes kana mudumbu. Kurwisana kunorwadza kwechibereko panguva yekuvhiyiwa, kunetseka mukubuda kwemwedzi kune imwe chikonzero kana imwe (atresia yemugero wechiberekero, retroflexia yechibereko) inotungamirirawo kutanga kwe endometriosis, kusanganisira extragenital.
Clinical picture.
Chiratidzo chikuru chemukati endometriosis ndiko kuputsa kwekuenda kumwedzi, iyo inowana unhu hwe hyperpolymenorrhea. Dzimwe nguva pane kubuda kwemavara pamusana pokuguma kwemwedzi kana mazuva mashomanana mushure maro. Chikamu chechiratidzo chacho chinonzi dysmenorrhea (kuchema kuenda kumwedzi). Njodzi inoitika mazuva mashomanana kusati kwaenda kumwedzi, panguva yokuenda kumwedzi inowedzera uye inoderera shure kwayo inoguma. Dzimwe nguva kurwadziwa kunogona kusimba zvakasimba, pamwe nekurasikirwa kwekuziva, kushungurudzwa, kusuruvara. Panguva yekuenda kumwedzi, nhengo dzinobatwa ne endometriosis dzinogona kuwedzera.
Endometriosis ye mavha mavari inokonzera endometrioid ("chocolate") cysts, kurwadziwa kunorwadza mudumbu rezasi uye pamuchinjikwa.
Retrocervical endometriosis inofambidzana nehuturu mucheche pasi nechezasi kumashure, iyo inobatanidza nekuenda kumwedzi. Huru hwehutano hunosimbiswa nechiito che defecation, kupukunyuka kwemagesi.
Endometriosis yemukiriniki inoratidzwa nekliniki kuburikidza nekuvapo kwekuona kuonekwa pamberi uye shure kwekuenda kumwedzi.
Extragenital endometriosis inowanzonyanya kushandiswa nemapanga uye maruva. Icho chinokura, sekutonga, mushure mekuita mabasa evanhukadzi. Mune nzvimbo dzekuwana nzvimbo yekugadzirisa magumo, magadzirirwo emagetsi emhando yakasiyana-siyana inowanika, iyo ropa rinogona kusunungurwa panguva yekuenda kumwedzi.
Pamadzimai akawanda pakutsvakurudzwa kwakanyatsojekesa kugoverwa kwemavara kubva kumajaya.
Muna 35-40% yevakadzi vane endometriosis, kuberekwa kunoonekwa. Asi, pano isu hatisi kutaura nezvekushaya vana, zvakadaro pamusoro pokuderedza kubereka-mukana wekuita pamuviri.
Kusarudzwa kwemuitiro wekurapa kunoenderana nezera remurwere, nzvimbo yekugadziriswa kwemagetsi uye kuoma kwezviratidzo zvechipatara. Iko mafungiro emazuva ano ekurapa kwepabonde endometriosis inobva pakubatanidzwa pamwe chete nekushandiswa kwechiremba uye nzira dzokuvhiya.