Mgbe ọ nụrụ dọkịta ahụ nyocha nke "adenomyosis nke akpanwa", ihe ọ bụ - ndị ọrịa amaghị mgbe niile. A na-akpọkarị ọrịa ahụ ụbụrụ na-ejedebe, na-ejikọta ya na ụdị ọrịa a. Otú ọ dị, ọtụtụ ndị dọkịta na-ahụdịrị ọrịa ndị a, ọ bụrụgodị na enwere ụfọdụ myirịta.
Adenomyosis nke akpanwa - gịnị ka asụsụ a nwere ike inweta?
Tupu ị chọpụta ihe adenomyosis dị n'ime ụmụ nwanyị, ọ dị mkpa ịtụle nkenke nke akụkụ ahụ nke anụ ahụ. Mgbidi nke akpanwa nwere atọ, nke dị n'ime bụ endometrium. A na-akpọkarị oyi akwa a - arụ ọrụ ọ bụla na ọnwa ọ bụla. Na njedebe nke oge ọmụmụ, a jụrụ ya, ma ọ bụrụ na imeghi ime, nwanyị ahụ na-edozi nkwụsị kwa ọnwa.
Site na adenomyosis, enwekwuwanye ụba nke mkpụrụ ndụ endometrial. Ha na-amụba ngwa ngwa ma jiri nwayọọ nwayọọ na-amalite ịgafe akpụkpọ anụ mucous. N'ime oge, mkpụrụ ndụ endometrial na-abanye n'ime oyi akwa ahụ na ọbụna n'ime akụkụ ndị agbata obi. Na ngwọta, enweghi uto nke endometrium na n'ime akpanwa, site n'ịgba ya, kama ọpụpụ - na ntụziaka nke myometrium.
Adenomyosis - kpatara
Kpatara aha ihe kpatara ya, n'ihi nke adenomyosis na - amalite, ma ọ bụ dị ka a na - akpọ - endometriosis n'ime, ndị dọkịta apụghị. Ọtụtụ ndị ọkachamara na-achọ ịkụzi ihe, dịka ọrịa ahụ si eme ka ọdịda nke mgbanwe mgbanwụ ahụ pụta. N'etiti usoro nke mmepe nke ọrịa ahụ, ndị ọkà n'ọrịa na-ahụ maka ọdịiche dị iche iche:
- Ntughari ihe omuma - eme ka adenomyosis guzobere site na nbudata nke ọbara site na eriri uterine n'ime oghere nke peritoneum.
- Metoplasia nke epithelium coelomic - a na - emepụta ọrịa ahụ site na mkpụrụ ndụ nke embrayo nke na - emebeghị mgbanwe na ntanpụta nke akụkụ ahụ nke usoro ọmụmụ.
- Mgbochi - nhazi nke adenomyosis hiwere isi n'okpuru mmetụta nke ihe ọjọọ.
Na mmepe nke ọrịa ahụ, ndị dọkịta na-achọpụta ihe ndị dị mkpa, na-eme ka ọnụọgụ ahụ pụta. N'ime ha bụ:
- ihe nketa nke neoplasms;
- n'oge ma ọ bụ mmalite mmalite nke nsọ nsọ ;
- oke ibu;
- oge mbido nke inwe mmekọahụ;
- nbido nke oru na usoro omumu;
- nsogbu nke ịmụ nwa;
- eji intrauterine spirals.
Kedu ihe ize ndụ nke endometriosis n'ime ụlọ?
Adenomyosis nke akụkụ akpanwa na ịchọpụtaghị nke ọma, enweghị ọgwụgwọ nwere ike ịkpata ọdachi. Na-emegide adenomyosis, enwere mgbe mgbe:
- nnukwu anemia (n'ihi oge buru ibu );
- nkesa nke nkpuchi na ngosiputa na ihe ndi ozo: mgbachi obi , hemothorax;
- nchịkwa nke foo adenomyosis.
Adenomyosis - ụdị
Endometriosis dị n'ime nke akpanwa nwere ọtụtụ ụdị nchịkwa. Dabere na okike, usoro na etolite na-ekenye:
- Densfunctional adenomyosis - nke ejiwanye mmepụta nke mkpụrụ ndụ endometrial n'ofe nke eriri uterine.
- N'ihu anya (nodular) - mmụba na ọnụ ọgụgụ nke mkpụrụ ndụ endometrial dị n'ọtụtụ ebe, ọhụụ.
- Ụdị nke ọma - e nwere ihe ịrịba ama nke abụọ aha.
E nwekwara nhazi nke adenomyosis dabere na ogo nke ịbanye n'ime mkpụrụ ndụ n'ime:
- Onu ogugu - a na - eme ka eto eto na mpaghara nke membmu submucosal nke akpanwa;
- Ọkara ogo - ntanye na-agbasa na oyi akwa ahụ, mana ọ bụghị ihe karịrị pasent 50 nke oke ya;
- 3 ogo - ihe karịrị ọkara nke myometrium emetụta;
- 4 degrees - mkpụrụ ndụ endometrial na-ahapụ muscular oyi akwa, gụnyere n'ime usoro ahụ n'akụkụ n'akụkụ.
Uzo adenomyosis
Nodular adenomyosis pụtara site n'ịbanye n'ime akwara muscle nke mkpụrụ ndụ nke mmalite endometrial. Mgbe ị na-eme ultrasound, ndị dọkịta na-achọpụta ụdị nodal nke dịgasị iche iche na ọnọdụ. Ọtụtụ mgbe, ha nwere ike jupụta na mmiri mmiri nke agba aja aja ma ọ bụ ọbara. Ka ha na-enwe ọganihu, ọnụ ọgụgụ ha na-abawanye, na anya n'etiti ha na-ebelata nke ọma.
Ụdị ọdịdị adenomyosis
A na-ahụ mgbasa adenomyosis mgbe mkpụrụ ndụ endometrial na-eto eto na n'elu mucosa. N'ime ime akwa dị n'ime, a na-akpọ ihe ndị a na-akpọ akpa mmiri kpuru, nke na-abanye n'ime omimi dị omimi nke ime n'ime akpanwa, nke mbụ nke ahụ ike. N'okwu a, enwere ike ịmepụta fistulas n'ime oghere abdominal, site na ịbanye n'ime mkpụrụ ndụ endometrial n'ime akụkụ nke obere pelvis. Mpempe akwụkwọ nwere ike ịbanye n'ime usoro nkwarụ.
Ụdị adenomyosis
Ụdị adenomyosis dị iche iche ma ọ bụ nke dị iche iche na-egosi na ọ bụ ọnụnọ nke ihe nrịba ama nke ma ọ bụ nke abụọ. Mgbe ị na-enyocha akụkụ anụ ahụ na ultrasound, ndị dọkịta na-edozi njikọta site na germination yana mgbagha nke adenomyosis. A na - ahụ ọrịa a na enweghi ọgwụgwọ kwesịrị ekwesị nke ụdị nhazi, nchọpụta nchọta nke ndị dọkịta. Na usoro ihe omimi, akụkụ ndị ọzọ nke obere pelvis gụnyere:
- eriri afọ;
- eriri afo;
- ovaries na tublopian tubes.
Adenomyosis - mgbaàmà
Dabere na ogo nke adenomyosis, oke mgbaàmà nke ọrịa ahụ nwere ike ịgbanwe. Mgbaàmà kachasị na njirimara nke ọrịa ahụ bụ mgbanwe na ọdịdị na oke nke ọhụụ nke ịhụ nsọ. Site na adenomyosis, oge nsọ dị 7 ụbọchị ma ọ bụ karịa, ebe ọnụ ọgụgụ ọbara ọkpụkpụ ọbara karịrị 80 ml. A na-ahụkarị uwe na ya. Ke adianade do, 2-3 ụbọchị tupu na ole oge ka e mesịrị, enwere ntụpọ nchara. N'ọnọdụ ụfọdụ, ndị ọrịa nwere ike iche na adenomyosis nke akpanwa, ihe mgbaàmà ya bụ:
- mmetụta dị egwu na-egbu mgbu n'ime ala ala, na-enye mpaghara pelvic, ọ bụghị nke metụtara kwa ọnwa;
- ihe mgbu n'oge mmekorita;
- ọnụ ala na hemoglobin megide nzụlite ọbara mgbapụta dị elu;
- ike ike;
- adịghị ike;
- dizziness.
Mgbu na adenomyosis
N'ịtụle ihe ịrịba ama nke adenomyosis, ọ dị mkpa iji kewaa ihe mgbu na-egosi na akụkụ ala nke afọ. Na mmalite nke ọrịa ahụ, ha dị obere, ọtụtụ ndị inyom adịghị etinye ha mkpa, na-edepụta ha na PMS. Mmetụta dị nro ga-agbanye 2-3 ụbọchị tupu oge eruo oge ma nwee ike ịnwụ ruo ụbọchị 3 ọzọ mgbe nkwụsịsị ha. Ụdị ihe mgbu na ọnọdụ ya bụ n'ihi ọnọdụ nke adenomyosis, ọnụ ọgụgụ ha. Ọ bụrụ na a na-ahụwanye mkpụrụ ndụ endometrial na mpaghara nke isthmus, ihe mgbu ahụ na-abanye n'ime perineum, ma ọ bụrụ na a kụrụ akụkụ nke akpanwa - ọ na-afụ ụfụ ma ọ bụ aka nri na oke.
Ihe ngbaghachi nke ntanetị nke esịtidem
Nchoputa nke nmalite bu ihe kpatara nkpu oku ndi achotara, mgbe ha nyochachara ihe omuma nke nsogbu a. Iji mee ka echiche, ultrasound nke akụkụ pelvic rụrụ. Akọpụta adenomyosis na ultrasound nwere ike ịdabere na njirimara atụmatụ:
- ọdịdị ụwa nke akpanwa;
- mmụba nke ogo ahụ;
- okpukpu dị iche iche nke mgbidi nke akpanwa;
- usoro nke cystic 3 mm na ibu na dayameta;
- Nsonye na njedebe nke oval ma ọ bụ ọdịdị gbara gburugburu, n'enweghị onyinyo n'azụ;
- nnukwu nzere nke nhazi.
Site na mgbasa ozi adenomyosis nke akpanwa (nke a bụ - akọwapụtara n'elu), irè nke ultrasound dị ntakịrị belata. N'iji ụdị ọgwụgwọ a, hysteroscopy bụ ụzọ bụ isi nyochaa. A na-eji ọmụmụ ihe a amụ ihe site n'enyemaka nke ngwá ọrụ vidiyo pụrụ iche. A na-etinye ihe mmetụta ahụ site na ikiri na n'olu kpọmkwem n'ime oghere utiri.
Adenomyosis - ọgwụgwọ
Mgbe ị nyochachara ihe ịrịba ama na ngosipụta nke ọrịa dịka adenomyosis nke akpanwa, ihe ọ bụ maka ọgwụgwọ, ọ dị mkpa ịkwụsị atụmatụ nke ọgwụgwọ. Tupu ị na-emeso adenomyosis, ndị dọkịta na-emepụta nchọpụta dị mgbagwoju anya iji mee ka ihe kpatara ọrịa ahụ. Ndabere nke ọgwụgwọ ọgwụgwọ bụ ọgwụgwọ hormonal, ebe ọ bụ na nsogbu a na-esonyere ya na nsụgharị nke na-eme na hormonal. Dị ka ọgwụ ọjọọ, ọgwụ mgbochi ọgwụ na etrogens na-ekwukarị:
- Janine ;
- Jess;
- Duphaston;
- Norkolut;
- Buserilin.
Otú ọ dị, iji kpochapụ adenomyosis nke akpanwa, ọgwụgwọ chọrọ njedebe jikọtara ya. N'ime usoro ọgwụgwọ, a ga-eme ka ihe ndị a pụta ìhè:
- nonspecific anti-inflammatory therapy - Ibuprofen, Paracetamol;
- ntinye nke ndi na - aghaghi - Phytoset, Dormiplant;
- eji immunomodulators - Immunal, Immunomax;
- mkpochapụ nke anaemia - Sorbifer;
- mmezi nke imeju - Essentiale;
- physiotherapy - electrocoagulation, embolization, ablation.
Adenomyosis nke akpanwa (nke a bụ - gosipụtara n'elu) a na-ejikarị ọgwụgwọ. N'okwu a, ọ dị mkpa ka dọkịta kpebisie ike maka ịgwọ ọrịa ahụ. Otu esi emeso adenomyosis nke akpanwa na ọnọdụ a kapịrị ọnụ - dọkịta na-ekpebi. Ntu maka ime ihe bu:
- diffuse adenomyosis nke 3-4 degrees;
- Ụdị nodal ma ọ bụ agwakọta n'enweghị mmetụta nke ọgwụgwọ hormonal;
- akwa ọrịa mgbu;
- nchikota na ihe omuma ndi ozo nke akpanwa (myoma, pathology nke olu), aru anu aru.
N'ụzọ dị iche, ọ dị anyị mkpa ikwurịta banyere ọgwụgwọ adenomyosis na ọgwụgwọ ndị mmadụ. E nwere ọtụtụ ụzọ na-akwado usoro ọrịa ahụ. Otú ọ dị, ha nwere ike iji ya mee ihe mgbe gị na dọkịta ahụ gachara.
Ọgwụgwụ Herbal
Efrata:
- akpa onye ọzụzụ atụrụ - 1 teaspoon;
- mgbọrọgwụ ahira - 1 teaspoon;
- ihe mkpuchi - 1 teaspoon;
- owu ngaji - 1 teaspoon;
- epupụta nke nettle - 1 teaspoon;
- sporish - 1 teaspoon;
- mmiri - 1 liter.
Nkwadebe, ngwa
- A na-agwakọta ọgwụ ndị a na-etinye na mmiri mmiri.
- Ọnwụ 2 awa.
- Nyocha ma were 0,5 iko ugboro 3 n'ụbọchị. Oge nke usoro ahụ bụ ọnwa 1.
Adenomyosis na afọ ime
A na-ahụkarị nsogbu na ịtụrụ ime na ọrịa gynecological. N'ịmụta banyere endometriosis n'ime, ma ọ ga-ekwe omume ịtụrụ ime, ma ọrịa ahụ gosipụtara na ọrụ ọmụmụ - nwanyị ọ bụla nwere mmasị. Adenomyosis na-esonyere ya na mmebi nke usoro ahụ, n'ihi ya, afọ ime na nzụlite ya nwere ike ọ gaghị eme. Otú ọ dị, ọrịa ahụ abụghị 100% ihe mgbochi ka e nwee ime. Ndị ọkachamara nke mba Europe na-arụ ụka na adenomyosis na-egbochi ime ime naanị ma ọ bụrụ na e nwere ihe ndị ọzọ pathologies.