Adenomyosis uye pamuviri. Vane enderana?

Chimwe chezvinhu asinganzwisisiki gynecological zvirwere nhasi ndiyo adenomyosis. Nyanzvi vachiri hatinyatsonzwisisi zvikonzero panowanikwa chirwere ichi. Hazvina kujeka uyewo nei adenomyosis uye pamuviri vari zvakakwana aibatanidza mune vamwe vakadzi, apo vamwe chete zvokuongorora havagoni pamuviri.

chirwere ichi ndiyo mhando iyi inotyisa chirwere sezvo endometriosis. To musi, zvinofungidzirwa kuti kurapa zvachose hazviiti. Kana zvokurwara masero endometrial vachaonekwepi muri havafanire.

Ivo anowanikwa dundira, maziso, asi kakawanda muna ovaries, cervix pamusoro fallopian sepombi. Masero endometrial dziri muna myometrium, kunonzi adenomyosis.

chirwere ichi haagoni unooneka nenzira ipi zvayo, uye dzimwe nguva anoita kutambura, kuti zvakakosha kuti kubvisa dumbu. Asi vakadzi chirwere ichi kazhinji kuziva kana unogona pamuviri apo adenomyosis. Varwere vakawanda vane ichi zvokurwara inoita nokuberekwa noutano vacheche, uye mamwe makore haagoni kuzviita.

Nyanzvi dzinodavira kuti kurapa adenomyosis kunokosha chete pamberi zviratidzo, rimwe riri kushaya mbereko. Naizvozvo, kurapa tinotanga pashure 2 makore kundikana kuedza kuva nepamuviri.

The mwero wokubudirira pamuviri kunoenderana padariro adenomyosis yayo nezvimiro. Govera 4 rwakadini chirwere, izvo kuvimba kwakaita endometriosis. The mukana mukuru amai vari vakadzi padanho 1 of adenomyosis.

Uyewo chinokosha kana chichigamuchirwa kubatanidzwa nemamwe zvirwere gynecological. Nyanzvi dzinodavira kuti huru kukonzera adenomyosis - inonzi estrogen zvakawandisa kana kuperevedza progesterone.

Ichi kungaita kuti pakupedzisira endometrial hyperplasia isiri yekenza, umo pamuviri pane matambudziko chaizvo uye kunyange ngozi. Uyezve, hormone kusaenzana inowanzoshandiswa akaita, uye dzimwe nguva nemhaka yokushaya ovulation, pasina pazviri pasingabviri kuti pamuviri zvakare.

Naizvozvo, uterine adenomyosis uye pamuviri anofanira pamwe nokungwarira. Unofanira kugara kuronga pamuviri pasi kudzorwa gayinakorojisiti-endocrinologist. The chiremba kuongorora rwakadini chirwere, kuvapo concomitant zvirwere, kuda kuongorora uye taurira kurapwa kana zvakakodzera.

Kana uine chirwere kuti "adenomyosis", uye pamuviri pachavo hariwanikwi mukati 2 years, zvinokosha kupedza mishonga. Zvichienderana kukura kwakaita chirwere zvingava operative uye kuchinja.

The kurapa anoshandisa mahormone, immunomodulatory zvinodhaka, uyewo mavhitaminzi. Chiremba anogona zvakare taurira zvakasiyana dzokuzorora mishonga, somumwe zvinokonzera adenomyosis nyanzvi dzinodavira mupfungwa.

Pakati gadziriro hormone vari kushandiswa COCs progestins, GnRH agonists uye antigonadotropnym gadziriro. Yawapiwa kunotora 3 kusvika 8 months. Chinangwa chikuru chemusha zvinodhaka izvi tunodzivisa kukura masero endometrial ari myometrium, zvichiita kuti kubva atanga.

Chokwadi ndechokuti pasi pokudzora inonzi estrogen vanokura panguva kutenderera, uye ipapo kuramba kwavo panguva yekutevera. Zvisinei, kusiyana myometrium endometrium hairevi. Naizvozvo ropa kuitika, pane ari kuzvimba uye kuzvimba, vavhunduke kushanda tsandanyama rukoko.

Sangana adenomyosis pamuviri uye kunyange chinodiwa sezvo kuchinja iwayo hormone kuti kuitika panguva ino ari mumuviri, kutungamirira regression kuti endometriosis. Zvisinei, muna nekubereka mbudzana kubva pamazuva okutanga kutevera anokwanisa nyanzvi, sezvo chirwere ichi kunowedzera mukana wokuti nokupfupfudzika uye matambudziko. The pakuonekwa mwana panyika vanofanirawo kutora nzvimbo sangano zvokurapa vakanyatsoshongedzwa kuti, uyewo matambudziko zvichibvira basa uye ropa.

Saka, adenomyosis uye pamuviri aigona uye zvinofanira zvabatanidzwa, asi pasi pokudzora anokwanisa gayinakorojisiti-endocrinologist. Dzimwe nguva chirwere ichi hazvirevi unooneka uye haatarisiri kurapwa. Zvisinei, vamwe vakadzi kuti kuwana mufaro amai, uye yekudyidzana akazoita mararamiro. Muchiitiko chino, kurapwa yaifanira, zvinogona surgically uye conservatively.