Endometriosis na mahaifa - abin da yake da shi da kuma yadda za a bi da shi?

Endometriosis na mahaifa: abin da yake a cikin m harshe?

Matsalar endometriosis na mahaifa yana da matukar dacewa ga magungunan zamani. Hakan na faruwa ne saboda yadda cutar ke karuwa daga shekara zuwa shekara. Bisa kididdigar da aka yi, daga kashi 5 zuwa 10 cikin 20 na mata matasa a duniya suna fama da cutar endometriosis. Daga cikin marasa lafiya da aka gano tare da rashin haihuwa, endometriosis ya fi kowa: a cikin 30-XNUMX% na lokuta.

Endometriosis - wannan shi ne pathological yaduwa na glandular kyallen takarda na mahaifa, wanda ba shi da kyau. Sabbin kwayoyin halitta suna kama da tsari da aiki zuwa sel na endometrium na mahaifa, amma suna iya wanzuwa a waje da shi. Girman girma (heterotopias) da suka bayyana suna ci gaba da yin canje-canje na cyclic, kama da canje-canjen da ke faruwa kowane wata tare da endometrium a cikin mahaifa. Suna da ikon shiga cikin maƙwabta masu lafiya da kuma samar da mannewa a can. Sau da yawa endometriosis yana tare da wasu cututtuka na ilimin ilimin hormonal, alal misali, fibroids na mahaifa, GPE, da dai sauransu.

Endometriosis cuta ce ta mahaifa, tare da samuwar nodes marasa kyau waɗanda ke da tsari iri ɗaya da rufin mahaifa na ciki. Wadannan nodes suna iya kasancewa duka a cikin mahaifa kanta da kuma wajen sashin jiki. Barbashi na endometrium, wanda duk wata bangon mahaifa ya ki amincewa da shi a lokacin zubar jinin haila, ba zai iya fitowa gaba daya ba. A karkashin wasu sharudda, wasu daga cikinsu suna dadewa a cikin tubes na fallopian, da kuma wasu gabobin, kuma suna fara girma, wanda ke haifar da endometriosis. Matan da ke fama da damuwa akai-akai sun fi kamuwa da cutar.

Tare da cuta, endometrium yana girma a inda bai kamata ya kasance ba. Haka kuma, kwayoyin da ke wajen mahaifa suna ci gaba da aiki kamar yadda suke a cikin kogonsa, wato karuwa a lokacin haila. Mafi sau da yawa, endometriosis yana shafar ovaries, tubes na fallopian, na'urar gyaran ligamentous na mahaifa, da mafitsara. Amma a wasu lokuta ana gano endometriosis har ma a cikin huhu da kuma a kan mucosa na kogin hanci.

Dalilan ci gaban endometriosis

Endometriosis za a iya kiransa cuta tare da ilimin ilimin da ba a bayyana ba. Ya zuwa yanzu, likitoci ba su iya gano ainihin musabbabin faruwar ta ba. Akwai kawai ka'idodin kimiyya akan wannan batu, amma babu ɗayansu da aka tabbatar. An yi imani da cewa abubuwan haɗari ga ci gaban endometriosis sune cututtuka masu yawa da suka sha wahala a cikin yara, rashin daidaituwa na hormonal a cikin jiki, kumburi na ovaries. Kamar yadda aka ambata, endometriosis sau da yawa yana hade da fibroids na mahaifa.

Ka'idar retrograde haila zuwa yau ta sami mafi girman martani a tsakanin kwararru da ke da hannu a cikin binciken matsalar endometriosis. Hasashen ya taso ne a lokacin zubar jinin haila, wasu barbashi na magudanar mahaifa tare da kwararar jini suna shiga cikin kogon cikin da kuma tubes na fallopian, su zauna a can su fara aiki. Yayin da jinin haila da ke fitowa daga mahaifa ta cikin farji yana shiga waje na waje, jinin da ke fitowa daga kwayoyin halittar endometrial da suka yi tushe a wasu gabobin baya samun mafita. A sakamakon haka, microhemorrhages yana faruwa kowane wata a cikin yanki na endometriosis foci, wanda ke haifar da matakai masu kumburi.

Sauran ra'ayoyin da ke nuna abubuwan da ke haifar da endometriosis sune kamar haka:

• implantation hypothesis. Yana tafasa ƙasa da gaskiyar cewa an dasa ƙwayoyin endometrial a cikin kyallen jikin gabobin, suna zuwa can tare da jinin haila.

• metaplastic hasashe. Yana tafasa zuwa gaskiyar cewa ƙwayoyin endometrial ba su da tushe a cikin wuraren da ba a saba da su ba, amma kawai suna motsa kyallen takarda zuwa canje-canje na pathological (zuwa metaplasia).

Duk da haka, har yanzu babu amsa ga babbar tambaya: me ya sa endometriosis tasowa kawai a wasu mata, kuma ba a duk na adalci jima'i. Bayan haka, ana lura da haila a kowane ɗayansu.

Masana kimiyya sun ba da shawarar cewa endometriosis yana tasowa ne kawai a gaban abubuwan haɗari masu zuwa:

• Cututtukan rigakafi a cikin jiki.

• Predisposition na gado ga ci gaban cutar.

• Wani tsari na appendages, wanda ke haifar da yawan jini yana shiga cikin kogon peritoneal yayin haila.

• Yawan adadin isrogen a cikin jini.

• Shekaru daga shekaru 30 zuwa 45.

• Yawan shan barasa da abubuwan sha masu dauke da maganin kafeyin.

• Shan wasu magunguna.

• Cututtukan da ke haifar da kiba.

• Ragewar haila.

Lokacin da tsarin rigakafi ke aiki yadda ya kamata, yana sa ido kuma yana dakatar da duk rarrabuwar ƙwayoyin cuta a cikin jiki. Gutsure na kyallen takarda da ke shiga cikin rami na peritoneal tare da jinin haila kuma suna lalata su ta hanyar rigakafi. An lalata su ta hanyar lymphocytes da macrophages. Lokacin da tsarin rigakafi ya gaza, ƙananan barbashi na endometrium suna daɗe a cikin rami na ciki kuma su fara yin zane. Don haka, endometriosis yana tasowa.

Ayyukan da aka jinkirta a kan mahaifa suna kara haɗarin kamuwa da cutar. Wannan kuma ya haɗa da waraka, zubar da ciki, cauterization na yashwar mahaifa, da dai sauransu.

Amma ga hereditary predisposition zuwa endometriosis, kimiyya san lokuta lokacin da a cikin iyali daya duk mata wakilan sha wahala daga cutar, fara da kakar da kuma kawo karshen tare da jikoki.

Duk da cewa akwai da yawa theories na ci gaban endometriosis, babu daya daga cikinsu iya 100% bayyana dalilin da ya sa cutar har yanzu bayyana kanta. Duk da haka, a kimiyance an tabbatar da cewa haɗarin kamuwa da cutar endometriosis yana ƙaruwa a cikin matan da suka zubar da ciki. Ƙarshen wucin gadi na ciki shine damuwa ga jiki, wanda ke rinjayar duk tsarin ba tare da togiya ba: juyayi, hormonal, da jima'i.

Gabaɗaya, waɗancan matan da sukan fuskanci nauyin motsin rai (danniya, damuwa, damuwa) suna iya kamuwa da cutar endometriosis. Dangane da asalinsu, rigakafi ya gaza, wanda ke ba da damar ƙwayoyin endometrial suyi girma cikin sauƙi a cikin sauran gabobin da kyallen takarda. Kamar yadda aikin gynecological ya nuna, waɗannan matan da ayyukan sana'a ke da alaƙa da ƙara yawan tashin hankali sun fi dacewa a gano su tare da endometriosis.

Wani abu mai haɗari ga ci gaban cutar shine rayuwa a cikin yanayin muhalli mara kyau. Masana kimiyya sun gano cewa daya daga cikin abubuwa mafi haɗari da ke cikin iska shine dioxin. Kamfanonin masana'antu na fitar da shi da yawa. An tabbatar da cewa matan da suke shakar iska tare da babban abun ciki na dioxin sun fi kamuwa da cutar endometriosis, ko da a lokacin ƙuruciyarsu.

Abubuwan da ke biyowa na endogenous da exogenous na iya ƙara haɗarin haɓaka endometriosis:

• Shigar da na'urar intrauterine.

• Shan maganin hana haihuwa na hormonal.

• Tabar taba.

Alamomin endometriosis a cikin mata

Alamun endometriosis ba sa samar da hoto mai haske na asibiti. Don haka, har sai mace ta yi gwajin inganci mai inganci, ba za ta san cutar ta ba. Sau da yawa, ko da jarrabawa a kan kujera ta gynecological ta yin amfani da madubai baya yarda da ganewar asali. Saboda haka, yana da kyau a kula da alamun endometriosis. Bugu da ƙari, kowace mace da ke fama da wannan cuta ko da yaushe tana da haɗuwa da siffofi masu yawa.

Na farko, shi ne rashin iya ɗaukar yaro. Rashin haihuwa shine lokacin da mace ta kasa samun ciki tare da jima'i ba tare da kariya ba har tsawon shekara guda. Endometriosis yana hana kwai samun takin maniyyi ko kuma ya ci gaba da wanzuwa. Pathological yaduwa na endometrial Kwayoyin take kaiwa zuwa hormonal rushewa, hana samar da hormones da suka zama dole ga al'ada hanya na ciki.

Lokacin da adhesions na endometriotic ya girma a cikin appendages, a cikin yankin mahaifa, wannan zai haifar da haɗuwa da gabobin da ganuwar su tare da juna. A sakamakon haka, toshewar tubes na fallopian ya haifar, wanda shine babban dalilin rashin haihuwa a cikin mata a kan bangon endometriosis.

Na biyu, zafi. Yanayin jin zafi a cikin mata masu fama da endometriosis ya bambanta. Ciwo na iya zama ja da mara nauyi, ba a kan ci gaba. Wani lokaci suna da kaifi da yankewa kuma suna faruwa a cikin ƙananan ciki kawai lokaci-lokaci.

A matsayinka na mai mulki, jin zafi saboda endometriosis ba a bayyana cewa mace ta nemi likita saboda abin da ya faru. A mafi yawancin lokuta, ana ɗaukar su alamun PMS, ko sakamakon motsa jiki.

Don haka, yana da mahimmanci a kula da yanayin zafi na yau da kullun da ke faruwa a lokacin jima'i, lokacin haila ta gaba da lokacin ɗaukar nauyi.

Na uku, zubar jini. Bayyanar tabo bayan jima'i yana daya daga cikin alamun endometriosis, ba tare da la'akari da wurin da nodes suke ba. Lokacin da adhesions ya samo asali a cikin sassan sassan tsarin urinary ko hanji, to, zubar da jini zai kasance a cikin najasa ko a cikin fitsari.

A matsayinka na mai mulki, jinin yana bayyana 'yan kwanaki kafin farkon lokacin haila na gaba. Sakinta yakeyi da zafi. Bayan kwana 1-3, jinin ya daina bayyana, bayan kwana 1-2, mace ta fara wani haila.

A lokacin jinin haila, jini yakan fita daga farji. Siffar su yayi kama da guntuwar ɗanyen hanta. Don haka, idan mace ta lura da irin wannan fitar ruwa kuma tana da sauran alamun endometriosis, to ya zama dole ta kai rahoto ga likita.

Na hudu, rashin daidaituwar al'ada. Kusan koyaushe ba daidai ba ne a cikin endometriosis.

Ya kamata mace ta kasance a faɗake akan abubuwa kamar haka:

• Zagayowar tana canzawa koyaushe.

• Mai yiwuwa haila ba ta zuwa watanni da yawa.

• Haila yana tsawaita tare da zubar da jini mai yawa.

Tare da irin wannan gazawar, bai kamata ku yi jinkirin tuntuɓar likita ba. In ba haka ba, mace tana fuskantar haɗarin samun manyan matsalolin lafiya. Idan ba a kula ba, endometriosis na iya haifar da samuwar ciwace-ciwacen daji, rashin haihuwa da kumburin gabobin ciki.

Alamun nau'ikan endometriosis daban-daban

Alamomin endometriosis a cikin manyan mata

Endometriosis yana tasowa ba kawai a cikin matasa ba, har ma a cikin tsofaffin mata masu shekaru 50. Bugu da ƙari, bayan menopause, haɗarin haɓaka cutar yana ƙaruwa, wanda ya faru ne saboda rashin progesterone a cikin jiki.

Wadannan dalilai na iya haifar da ci gaban endometriosis a cikin tsufa:

• Kiba;

• ciwon.

• Cututtuka na thyroid gland shine;

• Cututtuka masu yaduwa da mace ke fama da ita a tsawon rayuwarta;

• Matsalolin tiyata da yawa, da wurin da aka gano su ba shi da mahimmanci.

Alamomin endometriosis a cikin mata sama da 50 na iya haɗawa da:

• Ciwan ciki;

• Ciwon kai;

• Dizziness;

• Wani lokaci amai yana faruwa;

• Ƙaruwar rashin jin daɗi, hawaye, tashin hankali.

Ciwo a cikin ƙananan ciki da wuya yana damun manyan mata.

Alamomin endometriosis na ciki

Alamomi masu zuwa zasu nuna endometriosis na ciki:

• Ciwon wurin da abin ya shafa akan palpation.

• Zafafan radadi a lokacin zubar jinin haila, wanda ke cikin kasan ciki.

• Ƙara zafi a lokacin kusanci, bayan ɗaukar nauyi.

Wani mai bincike na duban dan tayi yana hango kan allon sifofin halayen da ke jikin bangon mahaifa.

Hoton gwajin jini na asibiti yana da anemia, wanda aka bayyana ta hanyar zubar da jini na yau da kullum.

Alamomin rashin lafiya bayan sashin caesarean

Endometriosis yana tasowa a cikin matan da aka yi wa sashin caesarean a kashi 20% na lokuta. Kwayoyin sun fara girma a cikin yanki na tabo da suture.

Alamomi masu zuwa zasu nuna cutar:

• Bayyanar zubar jini daga kabu;

• Jinkirin girma na tabo;

• Itching a cikin kabu;

• Bayyanar nodular girma a karkashin kabu;

• Zana raɗaɗi a cikin ƙananan ciki.

Idan mace ta sami irin waɗannan alamun a cikin kanta, sai ta tuntuɓi likitan mata a duba. A wasu lokuta, ana buƙatar maganin marasa lafiya.

Endometriosis, endometritis da fibroids uterine - menene bambanci?

Endometriosis, endometritis da fibroids uterine cututtuka ne daban-daban.

Endometritis wani kumburi ne na ciki Layer na mahaifa, wanda tasowa a kan bango na shigar da pathogenic microorganisms a cikin kogo. Endometritis yana haifar da ƙwayoyin cuta, ƙwayoyin cuta, fungi, parasites. Endometritis ba ya shafar sauran gabobin, kawai mahaifa. Cutar ta fara da sauri, tare da zazzabi, jin zafi a cikin ƙananan ciki, fitarwa daga sashin al'aura. Endometritis na yau da kullun yayi kama da alamun endometriosis.

Uterine fibroids ciwon mara kyau ne na tsoka mai santsi da haɗin haɗin mahaifa. Myoma yana tasowa a kan bangon cututtukan hormonal.

Shin endometriosis da adenomyosis abu ɗaya ne?

Adenomyosis wani nau'in endometriosis ne. A cikin adenomyosis, endometrium yana girma cikin ƙwayar tsoka na mahaifa. Wannan cuta tana shafar matan da suka kai shekarun haihuwa, kuma bayan fara al'ada sai ta tafi da kanta. Adenomyosis ana iya kiransa endometriosis na ciki. Yana yiwuwa a haɗa waɗannan pathologies guda biyu tare da juna.

Me yasa endometriosis na mahaifa ke da haɗari?

Endometriosis na mahaifa yana da haɗari ga matsalolinsa, ciki har da:

• Samuwar kyawon kwai wanda zai cika da jinin haila.

• Rashin haihuwa, zubar da ciki (rashin ciki, zubar da ciki).

• Cututtukan jijiyoyi saboda matsawa kututturen jijiyoyi ta hanyar girma endometrium.

• Anemia, wanda ke haifar da rauni, fushi, ƙara yawan gajiya da sauran bayyanar cututtuka.

• Foci na endometriosis na iya raguwa zuwa ciwace-ciwacen daji. Ko da yake wannan yana faruwa ba fiye da 3% na lokuta ba, duk da haka, irin wannan hadarin ya wanzu.

Bugu da kari, ciwon na kullum da ke addabar mace yana shafar lafiyarta kuma yana kara tabarbarewar rayuwa. Saboda haka, endometriosis cuta ce da ke ƙarƙashin magani na dole.

Shin ciki zai iya ciwo tare da endometriosis?

Ciki zai iya ciwo tare da endometriosis. Kuma wani lokacin zafi yana da tsanani sosai. Kamar yadda aka ambata a sama, ciwon yana ƙaruwa bayan jima'i, lokacin jima'i, bayan motsa jiki, lokacin ɗaukar nauyi.

Ciwon pelvic yana faruwa a cikin 16-24% na duk mata. Yana iya samun siffa mai yaduwa, ko kuma tana iya samun bayyanannen wuri. Sau da yawa ciwon yana ƙaruwa kafin farkon haila na gaba, amma kuma yana iya kasancewa a kan ci gaba.

Kusan kashi 60% na matan da ke da endometriosis sun ce suna da lokaci mai zafi. Ciwo yana da matsakaicin matsakaici a cikin kwanaki 2 na farko daga farkon haila.

Ganewar asali na endometriosis

Binciken endometriosis yana farawa tare da ziyarar likita. Likita yana sauraron koke-koken majiyyaci kuma ya tattara anamnesis. Sa'an nan kuma a duba mace a kan kujerar gynecological. A lokacin jarrabawar, yana yiwuwa a gano mahaifa mai girma, kuma zai zama mafi girma, mafi kusa da haila na gaba. Mahaifa yana da siffar zobe. Idan adhesions na mahaifa sun riga sun samo asali, to za a iyakance motsinsa. Yana yiwuwa a gano nodules guda ɗaya, yayin da ganuwar gabobin za su sami fage da rashin daidaituwa.

Don bayyana ganewar asali, ana iya buƙatar gwaje-gwaje masu zuwa:

1. Binciken duban dan tayi na gabobin pelvic. Alamun da ke biyo baya suna nuna endometriosis:

   • Anechogenic formations har zuwa 6 mm a diamita;

   • Kasancewar wani yanki na ƙara yawan echogenicity;

   • Girman mahaifa a girman;

   • Kasancewar cavities tare da ruwa;

   • Kasancewar nodes waɗanda ke da nau'ikan blurry, kama da oval (tare da nau'in nodular na cutar), wanda ya kai 6 mm a diamita;

   • Kasancewar sifofin saccular har zuwa 15 mm a diamita, idan cutar tana da nau'i mai mahimmanci.

2. Hysteroscopy na mahaifa. Alamun da ke biyo baya suna nuna endometriosis:

   • Kasancewar ramuka a cikin nau'i na ɗigon burgundy wanda ya bambanta da bangon kodadde mucosa na mahaifa;

   • Faɗaɗɗen rami na mahaifa;

   • Basal Layer na mahaifa yana da wani kwane-kwane mai kama da tsefe mai haƙori.

3. Metrosalpingography. Ya kamata a gudanar da binciken nan da nan bayan kammala haila na gaba. Alamomin endometriosis:

   • Girman mahaifa;

   • Wurin da aka kwatanta da wakilin a waje da shi.

4. MRI. Wannan binciken yana da 90% bayani. Amma saboda tsadar tsada, ba a cika yin na'urar daukar hoto ba.

5. Colposcopy. Likita yana nazarin mahaifar mahaifa ta hanyar amfani da binoculars da na'urar haske.

6. Gano alamomin endometriosis a cikin jini. Alamun kai tsaye na cutar shine karuwa a CA-125 da PP-12. Ya kamata a la'akari da cewa tsalle a cikin furotin-125 ana lura ba kawai a kan bango na endometriosis ba, amma har ma a gaban mummunan neoplasms na ovaries, tare da fibromyoma na mahaifa, tare da kumburi, da kuma a farkon ciki. Idan mace tana da endometriosis, to CA-125 za a haɓaka a lokacin haila da kuma a cikin kashi na biyu na sake zagayowar.

Maganin endometriosis na mahaifa

Kawai hadaddun magani na endometriosis zai sami sakamako mai kyau.

Tare da gano cutar a kan lokaci, akwai kowane damar da za a kawar da ita ba tare da shigar da likita a cikin magani ba. A yayin da mace ta yi watsi da alamun cutar kuma ba ta ziyarci likitan mata ba, wannan zai haifar da gaskiyar cewa kowane wata sabon nau'i na endometriosis zai bayyana a jikinta, cystic cavities zai fara samuwa, nama zai yi tabo, adhesions. zai samu. Duk wannan zai haifar da toshewa na appendages da rashin haihuwa.

Magungunan zamani sunyi la'akari da hanyoyi da yawa don magance endometriosis:

• Aiki. Likitoci suna ƙoƙarin yin aikin tiyata da wuya sosai, lokacin da magani bai ba da sakamako mai kyau ba. Gaskiyar ita ce, bayan tiyata, damar yin ciki a cikin mace zai ragu. Ko da yake sabon ci gaba a cikin magani da shigar da laparoscopes a cikin aikin tiyata yana ba da damar aiwatar da ayyukan tare da ƙarancin rauni ga jiki. Sabili da haka, yuwuwar ɗaukar ciki na gaba har yanzu ya rage.

• Gyaran likita. Shan magunguna a cikin maganin endometriosis yana daya daga cikin hanyoyin magani mafi inganci. An wajabta wa mace hormones waɗanda ke taimakawa daidaita aikin ovaries da hana samuwar foci na endometriosis.

Magungunan da ake amfani da su don magance cutar suna da nau'i mai kama da na maganin hana haihuwa na hormonal daga ƙungiyar Decapeptyl da Danazol. Jiyya ga mace zai dade, a matsayin mai mulkin, ba'a iyakance ga watanni da yawa ba.

Don rage tsananin zafi, an wajabta wa majiyyaci magungunan kashe zafi.

Har zuwa farkon 80s, ana amfani da magungunan hana haihuwa don magance endometriosis, wanda ya zama madadin tiyata. An rubuta su na tsawon watanni shida zuwa shekara, 1 kwamfutar hannu kowace rana. Sa'an nan kuma an ƙara yawan adadin zuwa allunan 2, wanda ya guje wa ci gaban zub da jini. Bayan kammala irin wannan gyaran na likita, yiwuwar yin ciki da yaro shine 40-50%.

Kiwon lafiya

• Antiprogestins - yana daya daga cikin magunguna mafi inganci don maganin endometriosis. Ayyukansa yana da nufin hana samar da gonadotropins, wanda ke haifar da dakatarwar sake zagayowar haila. Bayan katsewar maganin, haila ta sake dawowa. A lokacin jiyya, ovaries ba sa samar da estradiol, wanda ke haifar da lalacewa na endometriosis foci.

  Daga cikin waxannan munanan abubuwan da suka faru:

  • Karuwar nauyi;

  • Rage girman mammary gland;

  • kumburi;

  • Halin damuwa;

  • Yawan girma na gashi a fuska da jiki.

• GnRH agonists - kashe aikin tsarin hypothalamic-pituitary, wanda ke haifar da raguwa a cikin samar da gonadotropins, sa'an nan kuma yana rinjayar ɓoyewar ovaries. A sakamakon haka, endometriosis foci ya mutu.

  Abubuwan da ke haifar da jiyya tare da agonists GnRH sune:

  • Rashin cin zarafi na kasusuwa tare da yiwuwar sake dawowa kashi;

  • Menopause mai tsayi, wanda zai iya ci gaba ko da bayan kawar da kwayoyi a cikin wannan rukuni, wanda ke buƙatar alƙawari na maganin maye gurbin hormone.

• Haɗaɗɗen maganin hana haihuwa na baka (COCs). Nazarin asibiti sun tabbatar da cewa sun kawar da bayyanar cututtuka na endometriosis, amma ba su da tasiri a kan matakai na rayuwa, suna hana samar da estradiol ta hanyar ovaries.

Maganin tiyata na endometriosis

Yin aikin tiyata na endometriosis yana ba da garantin kawar da abubuwan da ke tattare da shi, amma ba ya kawar da sake dawowa da cutar. Sau da yawa, matan da ke da wannan cutar sai an yi musu aiki da yawa. Haɗarin sake dawowa ya bambanta tsakanin 15-45%, wanda ya dogara ne akan girman yaduwar endometriosis a cikin jiki, da kuma wurin da aka yi amfani da shi. Yana shafar yuwuwar sake komawa da kuma yadda sa baki na farko ya kasance mai tsauri.

Laparoscopy shine ma'auni na zinariya na aikin tiyata na zamani don maganin endometriosis. Tare da taimakon laparoscope da aka saka a cikin rami na ciki, yana yiwuwa a cire ko da mafi ƙarancin ilimin cututtuka, cire cysts da adhesions, yanke hanyoyin jijiyar da ke haifar da bayyanar cututtuka na ci gaba. Ya kamata a lura cewa cysts da aka tsokane ta endometriosis dole ne a cire. In ba haka ba, haɗarin sake dawowa da cutar ya kasance mai girma.

Maganin kai na endometriosis ba shi da karbuwa. Dole ne likita ya ƙayyade dabarun warkewa.

Idan endometriosis yana da tsanani, to ya zama dole a cire sashin da ya shafa. Hakanan yana yiwuwa tare da yin amfani da laparoscope.

Likitoci sunyi la'akari da mace ta warke daga endometriosis idan ba ta damu da zafi ba kuma ba ta sake komawa bayan shekaru 5 ba.

Idan aka gano endometriosis a cikin macen da ta kai shekarun haihuwa, to likitoci sun yi iyakacin kokarinsu don kiyaye aikinta na haihuwa. Ya kamata a lura cewa matakin aikin tiyata na zamani yana da yawa kuma yana ba da damar mata masu shekaru 20-36 a cikin kashi 60% na lokuta su jure kuma su haifi ɗa mai lafiya.

Yin amfani da endoscopes a lokacin tiyata yana ba ku damar cire ko da mafi ƙanƙanta abubuwan da ke cikin endometriosis. Ƙarin maganin hormonal ya sa ya yiwu a guje wa sake dawowa da cutar. Idan endometriosis ya kai ga rashin haihuwa, to, maganin endoscopic shine kawai damar da mace ta samu don samun nasarar zama uwa.

Endometriosis cuta ce mai rikitarwa mai haɗari. Sabili da haka, yana da mahimmanci don ganowa da kuma magance shi a kan lokaci. Hadadden amfani da duk fasahar zamani na tsoma baki: hadewar cryocoagulation, cire laser, electrocoagulation yana ba da damar aiwatar da aikin tare da matsakaicin damar samun nasarar kammalawa.

Hanyar da ta fi dacewa don magance endometriosis ana daukarta a matsayin laparoscopy (ba shakka, tare da gazawar magani mai ra'ayin mazan jiya) tare da ƙarin maganin hormonal. Amfani da GTRG bayan tiyata yana ƙara tasirin sa da kashi 50%.

Wane likita ne ke maganin endometriosis?

Endometriosis ana kula da shi ta likitan obstetrician-gynecologist.