Adenomyosis nokukhulelwa. Aziyona ehambisanayo?

Esinye sezifo oluyimfihlakalo kunalo lonke izifo zabesifazane namuhla adenomyosis. Ochwepheshe namanje abaqondi ngokuphelele izizathu okuvela yalesi sifo. It is hhayi ukususa futhi kungani adenomyosis nokukhulelwa ehlangana kahle abanye besifazane, kuyilapho amanye uphethwe efanayo abakwazi esizicabangelayo.

Lesi sifo uhlobo yilesi sifo esesabekayo njengoba i-endometriosis. Kuze kube manje, kunenkolelo yokuthi ukwelapha kungenzeki ngokuphelele. Lapho zokugula lamaseli endometrial avele lapho ukhona akufanele.

Zitholakala esinyeni, amehlo, kodwa isikhathi esiningi siye sitholakale ezikhiqiza amaqanda, wesibeletho phezu amashubhu fallopian. Lapho amangqamuzana omzimba endometrial zitholakala myometrium, ibizwa ngokuthi adenomyosis.

Lokhu isifo singalapheki ukuzibonakalisa nganoma iyiphi indlela, futhi ngezinye izikhathi kubangela ukuhlupheka okungaka, ukuthi kubalulekile ukususa kwesibeletho. Kodwa abesifazane nale Ihlahlubo ngokuvamile nesithakazelo ukuthi ungakwazi ukhulelwa ngesikhathi adenomyosis. Iningi leziguli ezine-lokhu neyokukhuliswa zokugula futhi ubelethe izingane enempilo, futhi eminye iminyaka akakwazi ukukwenza.

Ochwepheshe bakholelwa ukuthi ukuba aphathe adenomyosis kuyadingeka kuphela khona izimpawu, enye yazo nenzalo. Ngakho-ke, indlela yokwelapha ngokuvamile ziqala emva kweminyaka 2 yokuzama akuphumelelanga ukukhulelwa.

Izinga okuphumelela wokukhulelwa kuncike esigabeni ka adenomyosis futhi izinhlobo zawo. Ukunikeza 4 sezingeni sifo, ancike nokudlanga endometriosis. Ithuba enkulu yokuba umama besifazane nge esiteji 1 ka adenomyosis.

Lokunye lokubaluleke kakhulu yini noma cha it is kuhlangene nezinye izifo gynecological. Ochwepheshe bakholelwa ukuthi imbangela eyinhloko adenomyosis - ngokweqile estrogen noma ukushoda progesterone.

Lesi simo kungaholela ekugcineni Hyperplasia endometrial, lapho sokukhulelwa kuyinkinga kakhulu futhi kungaba ngisho nayingozi. Ngaphezu kwalokho, ukungalingani hormone ngokuvamile kubangelwa, futhi ngezinye izikhathi umphumela yokuntuleka nge-ovulation, ngaphandle okuyinto akunakwenzeka ukuba akhulelwe futhi.

Ngakho-ke, lesizalo adenomyosis nokukhulelwa kufanele kuhlanganiswe ngokuqapha. Ngaso sonke isikhathi kufanele uhlele ukuba akhulelwe ngaphansi kokulawulwa wezifo zabesifazane-endocrinology. Udokotela uzohlola kube sezingeni isifo, khona izifo concomitant, intando luhlolo futhi zibeka ukwelashwa uma kunesidingo.

Uma une ukuxilongwa "adenomyosis", nokukhulelwa bebodwa ingekho phakathi neminyaka engu-2, kubalulekile ukuchitha ukwelashwa. Kuye ngezinga lesi sifo kungase tekusebenta futhi olandelanayo.

Yokwelapha isebenzisa ama-hormone, izidakamizwa immunomodulatory, kanye namavithamini. Udokotela angase futhi linqume ezihlukahlukene zokuzilibazisa zokwelapha, njengoba omunye izimbangela adenomyosis izazi zikholelwa ukucindezeleka.

Phakathi amalungiselelo hormone kukhona esetshenziswa COCs progestins, GnRH agonists futhi antigonadotropnym amalungiselelo. Inkambo yokwelashwa Uthatha 3 kuya kwezingu-8. Injongo eyinhloko yale izidakamizwa zinqanda ukukhula amaseli endometrial ku myometrium, kubenze abaphindela.

Iqiniso liwukuthi bedle estrogen zikhula phakathi umjikelezo, bese kukhona bo rejection esesikhathini. Nokho, ngokungafani endometrium myometrium angahambisani. Ngakho-ke ukopha zenzeka, kukhona ukuvuvukala nokuvuvukala, siyabhubha isebenze imisipha ungqimba.

Hlanganisa adenomyosis sokukhulelwa ngisho ezifiselekayo njengoba labo ukushintsha kwama-hormone ezenzeka kulesi sikhathi emzimbeni, kuholele ekuhlehleni ka endometriosis. Nokho, ingane esindayo izinyane lembuzi elivela ezinsukwini zakuqala ukulandela onguchwepheshe oqeqeshiwe, ngoba lesi sifo kwandisa amathuba kwesisu kanye nezinkinga. Ukubukeka ingane ezweni Kufanele uthathe indawo isikhungo sezokwelapha kahle, kanye nezinkinga kungenzeka emshikashikeni ukopha.

Ngakho, adenomyosis nokukhulelwa kungenzeka futhi kufanele kuhlanganiswe, kodwa ngaphansi kokuqondisa afanelekayo wezifo zabesifazane-endocrinology. Ngezinye izikhathi lesi sifo akusho ukuzibonakalisa futhi ayidingi noma iyiphi inqubo yokwelapha. Nokho, abanye abesifazane, ke phuca injabulo yakhe yokuba umama, njalo iyehlisa izinga lempilo. Kulokhu, ukwelashwa kufanele kwenziwe, kungaba surgically futhi conservatively.