Endometrioid chotupa

Endometrioma endometriosis ndi zotsatira za n'kuwasanganiza lapansi. Endometrioid chotupa amatchedwa "chokoleti" chifukwa M'mimbamo wa n'kuwasanganiza ladzala ndi wandiweyani, clotted magazi mtundu red-bulauni. chotupa kukula zimadalira buku la madzi mu izo. Endometrial chotupa akhoza kukula kwa lalikulu (10 cm) miyeso, zikhale zikutsatiridwa kapena kuchepa pambuyo kusintha. matenda ndi khalidwe la zaka ubereki. Kumachitika mu akazi pafupifupi 25 kuchokera 100 akudwala osabereka. cysts Endometrial ali bwino kuonekera pa ultrasound. Pali madigiri zinayi chitukuko:

1 digiri - ndi yamchiberekero chotupa kochepa, zotupa kudziwa n'zochepa;

Siteji 2 - kuonjezera cysts mu n'kuwasanganiza 5 - 6 cm (mbali imodzi); adhesions mu zokhudzana; Stock peritoneal endometriosis;

3 digiri - cysts kuonekera pa mazira onse, amaona oposa 6 masentimita; endometriotic seeding chiberekero, chiberekero, peritoneum; adhesions zambiri zokhudzana;

4 digiri - cysts lalikulu pa mazira onse, anapha ziwalo wapafupi.

Endometrioid chotupa. zizindikiro

Mawonetseredwe osiyana, zimadalira makamaka pa siteji ndi chitukuko (zochitika). Pa siteji koyamba za matenda mkazi sangakhale akumva nkhawa. Mavuto kudzachitika pokhapo ndi pakati. Monga kudwala akuyamba adzangokumvera pamimba. The mwamphamvu ndi chikhalidwe cha ululu osiyana, makamaka itakula pa msambo kapena kale. Pa matenda ndi mapangidwe adhesions, imbaenda bloating, kudzimbidwa, pokodza, etc. Koma zotsatira zikachitika -. Osabereka. Nthawi zina pali mavuto (ngati pali chotupa kapena abscess chophukacho).

Endometrioid chotupa - ndithu wamba kudwala imene N'zosatheka kutenga mimba. Ndipo ngakhale kutenga mimba kumachitikita (kani, izo ndi nkhani yapadera), n'zotheka magazi, padera, zosokonezeka pa mimba ndi wangobereka kumene. Kwa nthawi yayitali. Madera a endometriosis mwina pokhala adenoacanthoma ndi adenocarcinoma. A mkulu zokwanira kuchuluka zotupa yamchiberekero. Matendawa amapezeka 17% ya amayi ndi ngati sanalandire chithandizo akhoza khansa.

Chotupa gynecologist anapezeka ndi Kupenda chikazi (wakulitsidwa zokhudzana, kupweteka pamimba) ndi tomography yopangidwa, ultrasound.

Endometrioid chotupa. Chithandizo.

Chithandizo kokha kugwira ntchito. opaleshoni amatchedwa cystectomy. Spay ndipo zimakhala moyandikana vuto la kuwonongeka (ngati gawo matenda 3-4). Choncho zoyenera kudziwa matenda pamisinkhu kale. Zokonda zapatsidwa kwa njira laparoscopic. njira angatchedwe wofatsa, opaleshoni imagwiridwa pogonekedwa ndi mankhwala ambiri. Pa m'mimba khoma ang'ambe thupilo (amangoona 3-4), womwe kudzera mwa zida wapadera, ndipo opareshoni ikuchitika. Kutalika kwa maola pafupifupi awiri. odwala ambiri pambuyo opaleshoni akhoza kukhala okonzeka kuti akatulutsidwa mkati mwa tsiku. The pochira zambiri mofulumira kuposa pambuyo opaleshoni ochiritsira, ndi kuchira kwathunthu kumachitika kale kwambiri. A kuchuluka otsika kwambiri a mapangidwe a adhesions mu mafupa a chiuno ndi pamimba. Chepetse chiwerengero cha musabise. Ngati opaleshoni ikuchitika mu magawo oyambirira a matenda, nthawi zambiri, anabwerera luso kubala ana. Pambuyo zinafunika timadzi mankhwala.

Zimayambitsa chenicheni cha matenda adakali osadziwika, koma udindo waukulu mu chitukuko cha dziko la sewero chitetezo chokwanira, udindo m'thupi, kutengera za kumtundu, chilengedwe, matenda yapita (kuphatikizapo Ziwalo zoberekera) ndi makhalidwe ambiri.