Sabbin hanyoyin maganin endometriosis - batun batun. Wannan zai haifar da ci gaban wadannan alamun cututtuka:
- Mai haɗuri mai raɗaɗi (dysmenorrhea) - ciwo yakan fara daya zuwa kwana biyu kafin lokacin haɓakawa kuma yana raunanawa, ko da yake wasu lokuta basu ɓacewa gaba daya;
- zafi a lokacin jima'i (dyspareunia) zai iya wuce har zuwa awa 24;
- wani matsin lamba a cikin dubura - wani lokaci akwai damuwa da gaggawa ko kuma ciwo a lokacin cin zarafi;
- ciwo a cikin yankin lumbar za a iya haɗuwa da satar jini a cikin fitsari; zafi lokacin urinating;
- rashin haihuwa - har zuwa kashi 40 cikin dari na mata masu fama da damuwa na endometriosis suna da wuyar haifar da yaro.
Kodayake wasu mata bazai bayyana endometriosis ba, yawancin su suna fama da ciwo mai tsanani, wanda zai haifar da mummunar cututtuka a cikin lafiyar da ciki. Dalili na ainihin endometriosis ba a sani ba, amma akwai dabaru da yawa:
- retrograde haila - a lokacin gutsutsi na ɓangare na endometrium ta hanyar tubes na fallopian daga cikin mahaifa a cikin kogin pelvic; idan an riga an gabatar da su, wadannan gutsutsure za a iya haɗuwa da gabobin kwakwalwa;
- dalilai na kwayoyin halitta - mace wanda danginta na kusa da shi yana da rashin lafiya tare da endometriosis, yana da sau 6-9 sau da yawa ya haifar da cutar;
- yadawa ta hanyar jini ko kwayar halitta - wannan ka'idar ta bayyana lokuta na gano ƙwayar endometriosis a cikin kwayoyin halitta irin su huhu da har ma da kwakwalwa;
- Rashin haɓaka da ƙananan gabobin jiki - nama na endometrial zai iya bunkasa a waje da membran mucous na mahaifa a yayin da ake rushewa daga cikin kwayar halitta.
Dalili na Hadarin
Nazarin ya nuna yiwuwar dangantaka da ci gaba da cutar tare da irin wadannan matsaloli kamar:
- m, haɗuwa da haila;
- fara al'ada har zuwa shekaru 13;
- shekaru fiye da 25;
- babu ciki;
- amfani da fiye da 300 MG na kofi a rana;
- rashin aiki na jiki;
- al'ada ba bisa doka ba;
- liyafar maganin ƙwaƙwalwa.
Mace da kuma endometriosis
Bayan haila, matakin isrogen ya tashi, da kuma cikin ciki na ciki (endometrium) fara ɗauka, shirya don tallafar kwai kwai. Kafin kwayoyin halitta (sakin kwai daga ovary), matakin progesterone ya ƙaru, wanda ke inganta fadada da kuma cikawar jini na gindin endometrial. Idan hadi ba zai faru ba, matakin hawan haɗari ya rage. An dakatar da ƙarsometrium kuma, tare da ovum maras kyau, ya fito daga kogin cikin mahaifa a cikin nauyin jini (al'ada). Hannun na endometriosis kuma ya ɓoye jini, wanda, duk da haka, ba shi da wata mahimmanci. Maimakon haka, samuwar kyakoki na jini yana faruwa, wanda zai iya damfara kayan yaduwa. Haka kuma yana yiwuwa a gare su su rushe ko kuma su ji daɗi tare da warkaswa da kuma samuwar adhesions.
Tsarin juyayi
Ba'a san abin da aka sani ba game da endometriosis, saboda da yawa mata marasa lafiya basu fuskanci wani bayyanar cututtuka ba. An yi imanin cewa, akalla kashi 10 cikin dari na dukkan mata na haihuwa masu haihuwa suna shan wahala daga endometriosis.
Diagnostics
Dole ne a yi la'akari da azabar ƙaddara a kowace mace da ke shan wahala daga haila mai haɗari, wadda ta rage girman rayuwar. Binciken ganewa yana dogara ne akan nazarin ƙananan ƙwaƙwalwa ta hanyar laparoscope (wanda aka sanya shi a cikin rami na ciki ta wurin karamin incision) ko a lokacin aiki na ciki. Ƙananan zane-zane na iya yin jarrabawar laparoscopic ba zai yiwu ba, a irin waɗannan lokuta zan yi amfani da nazarin MR, wadda, duk da haka, ba ta da tabbaci. Tsarin halittu masu tsinkar rayuwa a cikin ƙananan ƙwayar ƙwayar ƙwayar likita zai iya zubar da hankali tare da gwaji. Akwai hanyoyi guda biyu na magance endometriosis: maganin miyagun ƙwayoyi da kuma tiyata. A kowane hali, magani ya zama mutum. Magunguna don maganin endometriosis sun hada da: hada haɗin da ke dauke da ciwon estrogen da progestogen (progesterone na roba). Tsawancin magani shine watanni 6-9 na ci gaba. A matsayin wani zaɓi, gwamnati mai tsauraran tsirrai, dydrogesterone ko medroxy progesterone zai yiwu; danazol - hormone steroid tare da sakamako antiestrogenic da antiprogesterone; Maganar ana amfani da hormone (GnRH) na gonadotropin (GnRH) yana shafar gland shine kuma ya hana jigilar kwayar halitta; wannan zai haifar da ci gaba da bayyanar cututtuka na menopausal kamar su walƙiya da osteoporosis. Don rage waɗannan sakamako na gefen, maye gurbin hormone zai yiwu; Kwayoyin anti-inflammatory mai cututtuka marasa amfani (NSAIDs) ana amfani dashi don rage zafi; Misalai irin wannan kwayoyi sune acid mefenamic da neurooxene. Hormonal far, abin da tubalan ovulation, yawanci yadda zai sauƙaƙa zafi, amma ba ya warkar da cutar. Idan ba tare da magani ba, cutar ta ci gaba da tsananta har sai al'ada ta tsaya ko kuma kafin ciki, lokacin da bayyanar cututtuka ta ragu. Mai haƙuri ya kamata yayi cikakken bayani tare da likita duk bayyanar cututtuka kuma ya samo tsarin kulawa.
Hawan ciki
Yawancin mata suna kula da cutar a karkashin iko tare da taimakon daya daga cikin hanyoyin maganin. Kimanin kashi 60 cikin dari na marasa lafiya da matsakaici na endometriosis bayan mikiya sun iya iya haifar da yaro. Halin yiwuwar daukar ciki a cikin mummunan yanayin cutar ya rage zuwa 35%. Tsarkewa daga damuwa na endometriosis zai iya taimakawa ciwo da kuma maganin endometriosis, kuma rabuwa da fissures yana ƙaruwa da daukar ciki. Don haka, ana iya amfani da farfitiyar laser da cauterization tare da mai amfani da ƙirar wuta. Matan mata masu shirin ciki suna bada shawarar tiyata laparoscopic. Ana cirewa daga cikin mahaifa, tubes na fallopian da ovaries ne ga mata fiye da 40 wadanda suka cika aikin haifa.