Izifo zemizimba: i-endometriosis

I-Endometriosis yisifo apho ukukhula kweethambo ze-endometrial kwenzeka (apho, ngokubonakala kwayo, kufana ne-uterine mucosa) ngaphandle kwendawo yamanzi. I-Endometrium yinqanaba lebeleko elithatyathwa ngexesha lokuya esikhathini kwaye liphuma ngendlela yokukhutshwa kwamanzi. Ngoko, ngexesha lokuya esikhathini kwiimpawu ezichaphazelekayo yi-endometriosis, utshintsho olufanayo luyafana ne-endometrium.

Kukho isifo somzimba (sexital) endometriosis, xa inqubo yesifo senzobubele ivela kwizitho zomzimba (endometriosis yesibindi, amaqanda, ama-tublopian tubes, isondo) kunye ne-extragenital ukuba i-foci ilapha ngaphandle kwezitho zobulili. Iyakwazi ukuhlaliswa kwindawo yebladder, i-rectum, isihlomelo, izintso, amathumbu, isithsaba, imiphunga kunye nakwi-conjunctiva yelihlo. I-endometriosis yesisu ihlukaniswe ngaphakathi nangaphandle. Inxalenye yangaphakathi iqukethe i-endometriosis yesibindi kunye nenxalenye yesigxina se-tublopian tubes. Kwii-tubes zangaphandle, ama-ovari, isondo, i-vulva.

Esi sifo sivame ukufunyanwa phakathi kwabasetyhini abaneminyaka engama-35-45 ubudala.

Phakathi kwezizathu ezikhokelela ekupheleni kwe-endometriosis, ukubaluleka okukhulu kunamathele ekutyitheni - ukungenelela kokuhlinzwa, ukukhupha isisu. Ukuhluthwa kwe-diagnostic of uterine mucosa, ukuhlolwa kwe-uterine, ukuphazamiseka kungafaka isandla ekuqaleni kwe-endometriosis. Izifo zingabonakala emva kwe-diathermocoagulation-ke kukho i-endometriosis yomlomo wesibeleko kunye ne-retrocervical. Ukutshatyalaliswa kwakhona kwesibeletho kungakhokelela ekupheleni kwe-endometriozone kuphela ngenxa yexinzelelo, kodwa nangenxa yokubuyisela ukuhlaselwa kwegazi kumathambo okanye kwisisu esiswini. Ukuxhatshazwa kwesibindi ngexesha lotyando, ubunzima ekuphumeni kwegazi ngenxa yesinye isizathu okanye enye (i-atresia yesigodlo somlomo wesibeleko, i-retroflexia yesisu) nayo ibangela ukuqala kwe-endometriosis, kubandakanywa ne-extragenital.

Umfanekiso wekliniki.

Uphawu oluphambili lwe-endometriosis lwangaphakathi kukuphula umthetho, okufumana umgangatho we-hyperpolymenorrhea. Ngamanye amaxesha kukho ukubola okumnyama ekupheleni kwenyanga okanye iintsuku ezimbalwa emva kwayo. Ingxenye yesifo i-dysmenorrhea (isisu esibuhlungu). Ubunzima buba khona iintsuku ezimbalwa ngaphambi kokuya esikhathini, ngexesha lokunyuka kwexeshana kwaye lixhaswa emva kokuba liphela. Ngamanye amaxesha iintlungu zinokuba ziqine kakhulu, zihamba kunye nokulahleka kwengqondo, isisongela, ukuhlanza. Ngethuba lokuya esikhathini, iinxalenye ezichaphazelekayo yi-endometriosis zinokunyuka.

I-Endometriosis yama-ovari yenza ukuba i-endometrioid ("ithokolethi") i-cysts, intlungu ebuhlungu kwisisu esisezantsi nasemnqamlezweni.

I-endometriosis ye-Retrocervical nayo ihamba kunye nentlungu kwisisu esezantsi kwaye iphantsi, idibene nomjikelezo wesini. I-syndrome yesifo iqiniswa ngumsebenzi wokuchasana, ukusinda kwamagesi.

I-Endometriosis yomlomo wesibeleko ibonakaliswe kliniki ngenxa yobuninzi bokubona indawo ngaphambi nangemva kokuya esikhathini.

I-endometriosis engapheliyo yinto edlalwa yimizila kunye nemivalo. Ikhula, ngokusemthethweni, emva kokusebenza komzimba. Kwiindawo zokuhlala kwenkqubo yokugqibela, i-cyanotic formations yobukhulu obuhlukahlukeneyo ifumaneka, apho igazi lingakhululwa ngexesha lokuya esikhathini.

Kwabaninzi abasetyhini ekuhlolisweni okucacileyo kubonakalisa ukwabiwa kwebala elivela kwiinjunu.

Ku-35-40% yabasetyhini abane-endometriosis. Kodwa, apha asikathethi ngokusweleka okunjalo, kodwa ngokunciphisa ukuzala - ithuba lokukhulelwa.

Ukukhethwa kwendlela yokonyango kuxhomekeke kwiminyaka yesigulane, indawo yokuhluma kwe-endometrioid kunye nobukhulu beempawu zeklinikhi. Ingcamango ye-pathogenetic yonyango ye-endometriosis yesisu isekelwe kunyango oludibeneyo kunye nokusetyenziswa kwezonyango kunye neendlela zokucoca.