Izifo ze-gynecological: endometriosis

I-Endometriosis yisifo lapho khona ukukhula kwezicubu ze-endometrial kwenzeka (okungukuthi, ngezici zayo eziphathelene nokuziphatha, kufana ne-uterine mucosa) ngaphandle kwesiqephu se-uterine. I-Endometrium iyinhlamba yesisu esenqatshelwe ngesikhathi sokuya esikhathini futhi siphuma ngendlela yokuphuma kwegazi. Ngakho-ke, ngesikhathi sokuya esikhathini ezithombeni ezithintekayo nge-endometriosis, izinguquko ezifanayo zenzeka njenge-endometrium.

Kukhona i-endometriosis yezocansi (ngokobulili), lapho inqubo yokwelapha ivela ezithombeni zobulili (i-endometriosis yesisu, ama-ovari, amashubhu, ama-vagina) kanye ne-extragenital uma i-foci isendaweni engaphandle kwezitho zobulili. Kungenziwa endaweni yangasese, i-rectum, isithasiselo, izinso, amathumbu, i-diaphragm, amaphaphu ngisho nangokwakheka kweso. I-endometriosis yesisu ihlukaniswe ngaphakathi nangaphandle. Ingxenye yangaphakathi ihlanganisa i-endometriosis yesibeletho kanye nengxenye yezinhlangothi zamatayipi we-fallopian. Emathinini angaphandle, ama-ovari, isisu, i-vulva.

Lesi sifo sivame ukutholakala phakathi kwabesifazane abaneminyaka engu-35-45 ubudala.

Phakathi kwezimbangela eziholela ekupheleni kwe-endometriosis, ukubaluleka okukhulu kunamathele ekulimaleni - ukungenelela kokuhlinzwa, ukukhipha izisu. Ukwelashwa kokutholakala kwe-mucosa uterine, ukuhlolwa kwesifo sofuba, ukuphazamiseka nakho kungasiza ekwenzeni i-endometriosis. Izifo zingase zivele ngemuva kwe-diathermocoagulation - khona-ke kukhona i-endometriosis yomlomo wesibeletho kanye ne-retrocervical. Ukwehla kabusha kwesibeletho kungaholela ekupheleni kwe-endometriozone kuphela ngenxa yokuhlukumezeka, kodwa futhi ngenxa yokubuyisela emuva ukuwa kwegazi emathangeni noma emathunjini omzimba. Ukwelashwa kwesibeletho esinzima ngenkathi kuhlinzwa, kunzima ukuphuma egazini ngenxa yesinye isizathu (i-atresia yomsele wesibeletho, i-retroflexia yesibeletho) futhi iholela ekuthomeni kwe-endometriosis, kuhlanganise ne-extragenital.

Isithombe sezokwelapha.

Isibonakaliso esiyinhloko se-endometriosis sangaphakathi ukuphulwa kokuya esikhathini, okuthola umlingiswa we-hyperpolymenorrhea. Ngezinye izikhathi kukhona ukukhishwa okumnyama ekupheleni kokuya esikhathini noma ezinsukwini ezimbalwa emva kwalo. Ingxenye yesifo i-dysmenorrhea (ukuya esikhathini esibuhlungu). Ubuhlungu buba nezinsuku ezimbalwa ngaphambi kokuya esikhathini, ngesikhathi sokuya esikhathini kunyuke futhi kuncike ngemuva kokuphela kwesikhathi. Ngezinye izikhathi ubuhlungu bungaba namandla kakhulu, kuhambisane nokulahlekelwa ukwazi, ukunxanxathela, ukuhlanza. Ngesikhathi sokuya esikhathini, izitho ezithintekayo nge-endometriosis zinganda.

I-endometriosis yama-ovari idala i-endometrioid ("i-chocolate") ama-cysts, ubuhlungu obuhlungu emathunjini aphansi naphambanweni.

I-endometriosis ye-Retrocervical iphinde ihambisane nobuhlungu emathunjini aphansi futhi abuyele emuva, ahlobene nomjikelezo wesimiso. I-syndrome yobuhlungu iqiniswa yisenzo sokuhlukunyezwa, ukuphunyuka kwamagesi.

I-endometriosis yomlomo wesibeletho ibonakaliswa ngemitholampilo ngokuba khona kokubona indawo ngaphambi nangemva kokuya esikhathini.

I-endometriosis yangasese iyisivalo esiningi kakhulu se-postoperative neveli. Iqala, njengoba umthetho, emva kokusebenza komzimba. Ezindaweni zendawo yokwenza indawo yokugcizelela, ukufakwa kwe-cyanotic yobukhulu obuhlukahlukene kuyatholakala, lapho igazi lingakhishwa khona ngesikhathi sokuya esikhathini.

Kwabaningi besifazane ekuhloleni okuningiliziwe kubonisa ukwabiwa kwe-colostrum ezivela ezingeni.

Ku-35-40% yabesifazane abanesifo se-endometriosis, ukungatholakali kutholakala. Kodwa, lapha asikhulumi ngokungazali, kepha ngokunciphisa ukuzala - ithuba lokukhulelwa.

Ukukhetha indlela yokwelapha kuncike eminyakeni yobugulane, indawo yokuhluma kwe-endometrioid nokuqina kwempawu zomtholampilo. Umqondo we-pathogenetic wanamuhla wokwelashwa kwe-endometriosis ngokocansi isekelwe ekwelapheni ehlangene ngokusebenzisa izindlela zokwelapha nezokuhlinzwa.