Ipesenteji yabasetyhini abaneengxaki ezinzima okanye ezide zihlala zikhula. Kwakhona, abaninzi abafazi baphoqelelwe ukuba baphathwe iipolposis kunye nezinye izifo zokusasazeka kwe-uterine mucosa - endometriosis . Izizathu zokugula kwabasetyhini zingabangela ukuphazamiseka kwe-hormonal, i-coagulability yegazi engekho kakuhle, izifo ezithathelwanayo kunye neoplasms. Ukunyangwa kwe-Treatment-diagnostic curettage, eboniswa ngezifo ezinjalo, ayisoloko isinika impembelelo enokuthi ihlala njalo. Enye indlela yokurhoxisa ukuphuma kwamanzi kukupheliswa kwe-endometrium.
Yintoni ekugqithiseni isisu?
Ukupheliswa kwe-endometrium yinkqubo ejolise ekubhubhiseni lonke ubungqina be-uterine mucosa. Inkqubo yenziwa njengenye indlela yokususa i-uterine (hysterectomy okanye ukutshatyalaliswa kwe- uterine ) kunye ne-fibroids encinane okanye i-endometriosis yesisu.
Incosa yangaphakathi yomzimba we-uterine - i-endometrium-ibhekisela kwizicubu ezixhomekeke ngqo kwi-hormone kumzimba wowesifazane. Kulo lonke umjikelezo wokuya esikhathini, i-endometrium iyaguquka. Ngokomzekelo, kwisigaba sesibini somjikelezo wesini, sifinyelela ubukhulu becala ngenxa yokuba igazi le-membrane ye-uterus linyuka kwaye izinga le progesterone landa. Zonke ezi tshintsho zenzeka ukuze i-uterine cavity ikulungele ukukhulelwa, xa kungenakuqala kokukhulelwa, i-endometrium iyaqala ukukhishwa, into ebizwa ngokuba yimihla. Ukuba amaxesha amabhinqa aninzi kwaye afaka i-clots yegazi, ukuphuma kwe-endometrium yesibeleko kunokususa isigxina umfazi wale mpawu engathandekiyo.
Ziziphi iimpawu zokususwa kwe-endometrium?
Akubona zonke izigulane ezicetyiswa ngugqirha ukuba zithathe i-endometrium, iimilinganiselo ezichanekileyo zifunekayo ukwenza umsebenzi. Abagulayo abangaphezu kweminyaka engama-35 abanesifo esilaphakade kunye negazi, kwaye abangenakho ukuphucula emva kokunyanga okunyanzelisayo, ukucetyiswa okucetyiswayo. Kwakhona, abafazi be-postmenopaus, abangenako ukuphathwa ngonyango lwe-hormone, ziphakathi kwezigulane ezithatha i-endometrium.
Ngaphambi kwenkqubo, ugqirha kufuneka achaze loo mfazi ukuba emva kokuphelelwa komsebenzi ulahlekelwa ngumzimba wakhe, ngoko ke ngokuphindaphindiweyo ukuphulukiswa kunconywa kubasetyhini kwiminyaka engaphambi komama.
Inkqubo ayenzelwa abafazi abanesifo esinzima (ngaphezu kwe-150 ml), ezibangelwa ngumhlaza.
Ukusebenza kwe-endometrial?
Inqubo yenziwa phantsi kwe-aneshesia okanye i-anesthesia ye-epidural. Intambo encinci ifakwe kwisigxina se-uterine, esinombhobho okhethekileyo wokuvavanya iindonga zesisu kunye nomlomo wamathambo e-fallopian. Ukunciphisa i-Endometrial kungenziwa ngeendlela ezininzi:
- laser radiation;
- lushisayo;
- umbhobho we-microwave;
- indlela yefowuni;
- ukucinywa;
- i-electrosurgery.
Ixesha eliqhelekileyo lenziwe nge-hysteroscopic ablation ye-endometrium, apho i-mucosa yangaphakathi yesibeleko ichithwa
Iintlobo zokuphulukiswa kwe-endometrium, xa kuthelekiswa nokutshiza kunye ne-hormone therapy, zibandakanya ukusebenza kakuhle, ukunyamezela kakuhle, imiphumo embalwa, ukuphucula ngokukhawuleza.
Kunqabile kakhulu, kodwa ngamanye amaxesha, iziphumo ze-endometrial ablation zingabandakanywa ukuphuma kwegazi, ukuvuvukala, ukulimala kwesibindi kwi-vaginal or vulva, kunye nomonakalo kwisibeleko. Ubuhlungu emva kokuhlinzwa kungabhekisana ngqo neengxaki zokuqhelisa ezichazwe ngasentla.