Endometriosis retrotservikalnogo

Ngoba kufike umuntu mumbe obuhlungu kunayo futhi iyingozi isifo izifo zabesifazane libhekisela endometriosis retrotservikalnogo. Lesi sifo libhekene labadubuli, abukhali izinhlungu imbuthuma esithweni sowesifazane, le ingemuva, emathangeni, perineum, umthondo. Ubuhlungu syndrome kwanda sokuzikhulula futhi kocansi. Ngaphambi nangemva kokuya esikhathini waphawula zokubona.

endometriosis Retrotservikalnogo - isifo ephelezelwa overgrowth kwezicubu ku endometriosis rectovaginal. Ngokusho ngezigaba emitholampilo ye isifo ihlukaniswe 4 izigaba:

1 - i-endometriosis foci zitholakala kuphela izicubu rectovaginal;

2 - ukuhluma kwenzeka endometriotic izicubu ku wesibeletho esifundeni, isitho sangasese somuntu wesifazane odongeni (kulesigaba, ukwakheka ezincane izinhlumba);

3 - sokugembula inqubo ukuqhutshwa kanye nemisipha sacro-lesizalo, serous integument ingemuva;

4 - e inqubo ekwandeni izicubu endometrial kuhileleke ingemuva lwamafinyila, isikhala rectouterine. Lesi sigaba libhekene kumiswa ukuvuvukala.

endometriosis Retrotservikalnogo kutholakala ukuthi uphethwe yini ngezizathu emitholampilo ocwaningweni lwezokwelapha. umahluko umdlavuza wayo wesibeletho kanye ikholoni.

Esikhathini posterior fornix palpable tuberous ifindo Friend (ubuhlungu obuhlabayo) ngesikhathi luhlolo lwesitho sangasese sowesifazane. Inani layo zingase zihluke. Gynecological luhlolo esibukweni sivame ukubona encane endometrioid simila, benesimo bluish "amehlo". Kungenxa yokuthi kuwo igazi amnyama ezikhishwe esesikhathini. Indlela eyinhloko ocwaningweni lwezokwelapha izifo lokhu kwasendaweni kuyinto biopsy.

Lapho kunqotshwa ikholoni izicubu wenziwa sigmoidoscopy, barium yombala enema kanye sextant biopsy. Iziguli kakhulu unciphise mafutha anciphisa isikhala esingaphakathi we esiswini. Uma heterotopias endometrioid lasakazekela retrotservikalnoy ngodonga uma kukhona parietografii eqinile ukuqina yayo kokuba bushelelezi, uhlaka ecacile. Ngo sigmoidoscopy wembula mucosal edema kanye hyperemia, ukuvuvukala odongeni esiswini.

Retrotservikalnogo endometriosis ziphathwa ngezindlela eziningana (kuye ngokuthi isiphi isigaba). Isigaba sokuqala indlela yokwelapha lesi sifo - ethwele excision focus yakhe ngokusebenzisa sangasese. It ikhiqizwa ngezinhloso zokwelapha kanye kusebenta kwahulumende. Nezicubu excised lunikeziwe cwaningo histological.

Ngezinye izinyathelo 1 no-2 Awukwazi ukususa i-endometriosis ngaphakathi izicubu onempilo ngaphandle colpotomy emuva. udonga sowesifazane sangasese emva kokuhlinzwa is sutured catgut sutures. Uma isikhungo sezokwelapha kuyinto amasu cryosurgical ukuba suturing odongeni, Kungcono cryodestruction embhedeni endometriosis. Le nqubo kunciphisa inani ngangibuye ngihluleke.

Ngo isinyathelo 3 retrotservikalnogo endometriosis uma kudingeka posterior colpotomy, excision ekhiqizwa ka izilonda nge serous integument ingemuva, nemisipha sacro-lesizalo. Kungase kube nesidingo sokuba laser ezengeziwe nemisipha cryotreatment.

On 4 izigaba ezigulini abasebasha kungcono excision we endometriosis luhlolo histological. Ngemva kwalokho, ukwelashwa ama-hormone gestagens norsteroidnogo antigonadotropiny chungechunge. Ukwelapha ahlangene we endometriosis retrotservikalnogo isicelo ukwelashwa kulesi sibhedlela (uxhumano lokudlulisa, Radon okugeza), ukupholisa, impatho lingaze.

Kuphela ngesikhathi esifanele kudokotela uyofuna icebiso, ungasebenzisa kususa ngokuphelele ukwelashwa i-endometriosis. Izibuyekezo iziguli kusikisela ukuthi izigaba zokuqala zesifo yelashwe ngokushesha ngokwanele ngaphandle kokuphinda kungenzeka. Phakathi kwezidakamizwa asetshenziswe esigabeni sokuqala, futhi lapho kuhlanganiswe izinto zokuvimbela inzalo "Diana-35", "LOGEST", "regulon". Omunye eziphumelela kakhulu lesi sidakamizwa "Janine." Ngo endometriosis isicelo yayo ngenxa yokubakhona therein we dienogest - progestagen ukuthi yisiphi i umphumela inhibitory ku heterotopia endometriotic. Lesi sidakamizwa ebangela ukuba abaphindela. Ukuze uthole umphumela omuhle ngemithamo ngokwanele elincane imithi. Isakhiwo "Janine" ifaka izidakamizwa estradiol, inikeza nokuvulwa menstrual cycle.