Adenomyosis ndi mimba. Kodi n'zogwirizana?

Amodzi mwa matenda ambiri chachinsinsi matenda lero adenomyosis. Akatswiri sakumvetsabe bwino zifukwa pakutchulidwa za matenda. Izo si bwino komanso chifukwa adenomyosis ndi mimba ali mwangwiro amaphatikiza akazi ena, pamene ena ndi matenda sizili pakati.

matenda ndi mtundu wa matenda oopsa monga endometriosis. Chibwenzi, akukhulupirira kuti kuchiza kwathunthu zosatheka. Pamene kudwala maselo endometrial kuoneka pamene muli asapembedzere.

Zikupezeka mu chikhodzodzo, maso, koma nthawi zambiri ambiri m'mimba ndi, khomo pachibelekeropo pa machubu mazira. Pamene maselo endometrial zili myometrium, iwo amatchedwa adenomyosis.

matenda sangathe kuonekera mwa njira iliyonse, ndipo nthawi zina amayambitsa mavuto kwambiri, kuti m'pofunika kuchotsa chiberekero. Koma akazi ndi matenda kawirikawiri chidwi ngati mungathe kutenga mimba pamene adenomyosis. odwala ambiri ndi izi asamalidwe kudwala ndi kubereka ana athanzi, ndipo zaka zina simungakhoze kuchita izo.

Akatswiri akukhulupirira kuti kuchitira adenomyosis Ndikofunikira pamaso pa zizindikiro, mmodzi amene ali osabereka. Choncho, mankhwala kawirikawiri patapita zaka 2 kufuna zinalephereka anayamba kukhala ndi pakati.

Mlingo bwino mimba zimadalira siteji ya adenomyosis ndi mtundu uliwonse. Kuonetsetsa 4 mmene matenda, amene amadalira kuchuluka kwa endometriosis. The mwayi waukulu kwambiri wa mayi mu akazi ndi gawo 1 adenomyosis.

Chinanso chofunika kapena ayi izo pamodzi ndi matenda ena matenda. Akatswiri akukhulupirira kuti chifukwa chachikulu cha adenomyosis - esitirojeni owonjezera kapena kuchepa kwa progesterone.

chikhalidwe Zimenezi zingachititse kuti m'kupita hyperplasia endometrial, imene mimba ndi mabvuto kwambiri ndi woopsa. Komanso, mahomoni vutoli nthawi zambiri kumachitika, ndipo nthawi zina chifukwa chosowa ovulation, popanda zomwe n'zosatheka pakati nawonso.

Choncho, uterine adenomyosis ndi mimba ayenera pamodzi ndi mosamala. Nthawi zonse muyenera kukonzekera lingaliro pansi pa ulamuliro wa gynecologist-m'thupi yemwenso. adokotala ganizilani kuchuluka kwa matenda, kukhalapo kwa matenda concomitant, chifuniro kuona ndi mankhwala mankhwala ngati ndi kotheka.

Ngati muli ndi matenda a "adenomyosis", ndi mimba paokha zimachokeradi pasanathe zaka 2, m'pofunika kucheza chithandizo. Malinga mmene matenda zingakhale ntchito ndi ndiwofatsa.

mankhwala amagwiritsa ntchito mahomoni, mankhwala immunomodulatory, komanso mavitamini. dokotala komanso mankhwala zosiyanasiyana mankhwala zosangalatsa, monga mmodzi mwa zifukwa zimene akatswiri adenomyosis mukukhulupirira nkhawa.

Mwa kukonzekera m'thupi ndi ntchito COCs progestins, GnRH agonists ndi kukonzekera antigonadotropnym. The njira ya mankhwala kumatenga kwa miyezi 3 mpaka 8. Cholinga chachikulu cha mankhwala ziletsa kukula kwa maselo endometrial mu myometrium ndi kuwachititsa amayambiranso.

mfundo ndi yakuti mchikakamizo timafunika iwo kukula pa kuzungulira, kenako pali kukana kwawo pa msambo. Komabe, mosiyana ndi myometrium endometrium izo si woyenera. Choncho kukha magazi kumachitika, pali kutupa ndi kutupa, kusokoneza likugwira minofu wosanjikiza.

Phatikizani adenomyosis mimba ndipo ngakhale zamtengo wapatali ngati zimenezi mahomoni kuti pa nthawi iyi mu thupi, kuyambitsa mgwirizano wa endometriosis. Komabe, mwana wobala mwana kuyambira masiku oyambirira ndi kutsatira katswiri oyenerera, kuyambira matenda kumachititsa a padera ndi zosokonezeka. Maonekedwe a mwana mu dziko ayenera kutenga malo kosamalira ndi zida zamankhwala, komanso mavuto mu ntchito ndi magazi.

Choncho, adenomyosis ndi mimba anali ndi ayenera pamodzi, koma kuyang'aniridwa ndi woyenera gynecologist-m'thupi yemwenso. Nthawi zina matenda alibe kuonekera ndi sikutanthauza chithandizo chilichonse. Komabe, akazi ena, zimaphwanya ufulu zisangalalo za amayi ndipo kwambiri kumachepetsa khalidwe la moyo. Pankhaniyi, mankhwala ayenera kuchitidwa, zingakhale opaleshoni ndipo conservatively.