I-Endometriosis kukukhula kwe-endometrium (i-epithelium yangaphakathi ukusuka kwisigxina se-uterine) ukuya kwezinye izitho okanye izicubu.
I-endometriosis yangaphakathi yesisu - yintoni na?
Kukhona i-endometriosis yangaphakathi kunye yangaphandle, i-endometriosis yangaphakathi-isilonda somzimba wesisu kunye nengxenyana yangaphakathi yamathubhu, ngaphandle kwathintela ezinye izitho - ii-ovaries, i-cervix kunye nesisu, isisu somzimba.
Ukwahlula kwe-endometriosis yangaphakathi
Kukho ama-4 degrees e-endometriosis yangaphakathi ( adenomyosis ):
- i-endometriosis yangaphakathi ye-degree ye-1, apho zonke iindawo ze-mucosa ukuya kwi-myometrium zichaphazelekayo, kuphela ukujoliswa kwe-endometriosis kuphela;
- i-endometriosis yangaphakathi yezinga lesi-2, apho lesi sifo sibhekwa khona phakathi kwe-myometrium, kukho iindawo ezincinci ze-foci;
- i-endometriosis yangaphakathi yesilinganiso se-3, apho i-endometrium ixinzelele kwisiseko se-serous;
- endometriosis yangaphakathi ye-4 degree, apho zonke iindonga zesisu, kuquka i-parietal peritoneum, zichaphazelekayo.
Izizathu ze-endometriosis
Kuze kubekho ukuphela kwesizathu sokuphela kwe- endometriosis . Kodwa naziphi na iindlela zokungenelela kwintsholongwane (ukukhupha isisu, isahluko sokutsala, ukutshatyalaliswa kwesibindi sesisu, ukusebenza kwesibeletho) kunokususa ukungena kwe-endometrium zibe zicubu ze-uterus kwaye kubangele i-endometriosis ye-intrauterine. Ezinye izizathu ezinokubangela izifo, ukukhuselwa komzimba okanye ukuphazamiseka kwama-hormone kubasetyhini (umzekelo, ubuninzi bama-estrogens abanokunqongophala kweprogesterone).
I-endometriosis yangaphakathi - iimpawu
Enye yeempawu eziphambili ze-endometriosis yintlungu engaphantsi kwesisu yokuxhatshazwa kwezinto eziqhelekileyo, ezihlala zihambelana nokuqala kwenyanga. Iintlungu zinokwenzeka kwaye ngexesha lokulala, kodwa zinokuba zizibonakaliso zezinye izifo kwi-pelvis encinci, kubandakanya ukuvuvukala.
Ukukhutshwa komdaka obunobuncwane ngaphambi okanye emva kokuya esikhathini, ukuphuma kwintsholongwane engasebenziyo (ukuphuma kwintsholongwane okuphakathi kwimijikelezo yokuya esikhathini). Ukungabi naluphi uhlobo luhlala lunye lweempawu eziphambili ze-endometriosis, nangona zingaphandle, kunokuba zingaphakathi, i-endometriosis yesisu ayifaki ukukhulelwa. Kodwa ukuqala kokukhulelwa kungabangela ukuphuhliswa okuphambeneyo kwe-endometriosis yangaphakathi, kuze kube yonyango olupheleleyo.
Ukuxilongwa kwe-endometriosis
Akunqabile ukukrokreza i-endometriosis kuphela ngovavanyo lwe-gynecological - uhlobo olujikelezayo lwesisu kunye nokunyuka kwalo kubukhulu aluyikuseka ukuxilongwa. Kodwa ngokuphononongwa kwe-ultrasound, ngokukodwa kwintsholongwane yomzimba, kunokwenzeka ukufumanisa i-foci ye-adenomyosis okanye ukufumana i-endometriosis yangaphakathi kunye nomonakalo ofanayo kwi-uterus yenkqubo. Ifom ye-endometriosis yangaphakathi ayifani ngokuqhelekileyo kunokuba ifom edibeneyo kwaye kufuneka ihluke ngohlobo olutsha lwe-fibroids. Ukufumana uvavanyo oluchanekileyo ngokuchanekileyo, ukuhlolwa kwegazi malunga ne-CA-125 marker endometriosis isetyenzisiwe.
Endometriosis yangaphakathi - unyango
Kukho imbono ezininzi malunga nendlela yokuphatha nokuphela kwe-endometriosis yangaphakathi, kodwa iindlela zonyango ziyahlula zibe ngunyango oluchanekileyo, unyango (unyango ogqitywayo) kwaye ludibene. Ukuba ibhinqa ifunyaniswa ne-endometriosis yangaphakathi ye-degree, ke unyango lwakhe luyalondolozo kwaye luquka unyango lwe-hormone olude. Faka isicelo sokukhulelwa kwe-hormonal - i-esrogen-gestagenic drugs (i-Marvelon, i-Ovolon, i-ovulation), izidakamizwa ze-gestagen (i-Norkolut, iDyufaston, i-Utrozhestan, kuquka ukusetyenziswa kwe-IUD kunye ne-Mirren's gestagens).
Ukunyanga i-endometriosis ibeke i-antitigonadotropic drugs, njengeDanol, i-Danazol okanye i-Danogen, ephazamisa ukukhuselwa kwe-hormones yesini kunye nokunciphisa ubuzwe beemitholamli.
Ukuba i-endometriosis yangaphakathi yebakala 2 ifunyaniswa, ngoko unyango lwayo alufani ne-endometriosis ye-1 degree. Kwaye kunye ne-endometriosis 3 ne-4 degrees, kwakunye ne-endometriosis ebonakalayo, ukungenelela ngophengululo kungasetyenziselwa unyango.
Unyango lwe-endometriosis yangaphakathi kunye nezilwanyana zoluhlobo luhambisana kunye ne-phytotherapy eyisiseko - i-plantain, i-nettle, iSt John's wort, kodwa ayikwazi ukufaka endaweni yamachiza.