Kodi Ndi Zizindikiro Ziti Zambiri za Uterine?

Khalani Maso Pogwiritsa Ntchito Magazini Ambiri Okhudzana ndi Matenda

Pafupifupi kotala la amayi onse amawona uterine poti, minofu yambiri mu endometrium. Ngakhale kuti amayi ambiri amawona kuti magazi amawopsa , kachilomboka ndikuti uterine amadzimadzi amadzimadzi.

Mavitini amtundu wotchedwa endometrial polyps, kawirikawiri amakhala aang'ono, omwe amaoneka ngati mababu a matenda a endometrial omwe amapezeka pachiberekero ndi phesi.

Zimakhala zofewa, mosiyana ndi uterine fibroids , zomwe zingamakula kwambiri ndipo zimapangidwa ndi minofu yolimba.

Zizindikiro za Uterine Polyps

Ngati zizindikiro za uterine zimakhala zoonekera, zimakhala zofanana ndi zomwe zimakhala zovuta kwambiri, monga khansa ya endometrial. Ngati muli ndi zizindikiro izi ndikofunika kuti muwone dokotala. Zizindikirozi zingakhale ndi mitundu yosiyanasiyana ya magazi ochizira monga:

• zolemetsa zimayambitsa magazi
• kuona pakati pa nthawi
• kutuluka magazi pambuyo pa kugonana
• kutuluka magazi pambuyo pa kutha kwa thupi

Ndani Ali Pangozi?

Chifukwa chenicheni cha uterine mapuloteni sichikudziwika, koma ndi ozindikira kwa hormone estrogen. Mwinanso mukhoza kupanga polyps ngati muli:

• ali ndi zaka 40 mpaka 50
• pre- kapena peri- menopausal
• ochepa kwambiri
• pakali pano kapena poyamba kutenga mankhwala oletsa anti-estrogen

Ndi ocheperapo gawo limodzi mwa magawo onse a uterine omwe amapangidwa ndi khansa.

Uterine Polyps ndi Infertility

Kusalongosoka kumatanthauzanso kusakhoza kutenga pakati pa chaka chimodzi choyesera.

Pamene mayi ali wosabereka ndipo alibe zizindikiro za uterine polyps, mwayi woti ali ndi mapuloteni amatha kukhala pakati pa atatu peresenti ndi asanu peresenti, malinga ndi Jones Institute of Reproductive Medicine. Ngati akukumana ndi magazi osadziwika, ndizowonjezereka kuti ma polyps alipo.

Mankhwalawa amatha kukhala ngati chipangizo cha intrauterine (IUD), kuteteza dzira la feteleza kuti lisamangidwe mu khoma la uterine.

Zikhozanso kutsekereza malo omwe khola lamagulu limagwirizanitsa ndi chiberekero cha uterine, kuteteza umuna kuti usalowe mu chubu kuti ukakumane ndi dzira. Mofananamo, amatha kuletsa chitseko cha mimba, chomwe chingalepheretse umuna kulowa m'berekero. Mapuloteni angathandizenso kuperekera padera kwa amayi ena.

Pa kafukufuku wofalitsidwa mu 2005 mu Journal of Human Reproduction , akazi akudziwitsidwa mwadzidzidzi atatha kuchotsa mapepala awo atakhala ndi pakati pafupifupi kawiri kuchuluka kwa amayi omwe analibe ma polyps awo. Ndipotu, amayi omwe anali ndi mapuloteni awo amachotsedwa nthawi zambiri amakhala ndi pakati popanda kusamalidwa.

Kuzindikira ndi Chithandizo

Dokotala wanu angakulangize imodzi mwa njira zingapo kuti mudziwe ngati muli ndi mawere a uterine:

• Hysterosalpingogram (HSG). Kuyezetsa magazi pogwiritsira ntchito x-ray, kumene katswiri wa ma radiology amachititsa dye kusiyana ndi chiberekero ndi mitsempha yambiri kuti zikhale zosavuta kuona mapepala ndi minofu ina.
• Ultrasound. Kuyika kachipangizo kameneka mu vaginja kamene kamatumiza mafunde amphamvu kuti apange mafano.
• Sonohysterogram. Mtundu wapadera wa ultrasound yomwe radiologist imadzaza chiberekero ndi saline pogwiritsa ntchito catheter yopapatiza. The saline imasokoneza chingwe (ngati baluni) ndipo imapanga malo pakati pa makoma. Zothandizira izi poyang'ana ma polyps omwe angawonongeke ndi chikhalidwe cha ultrasound.

• Hysteroscopy . Ndondomeko yogwiritsira ntchito chiwerengero choyendetsedwa kudzera m'mimba mwa chiberekero kuti muwone mapuloteni ndikuzindikira kukula kwake. Gawo kapena mapuloteni onse amatha kuchotsedwanso kafukufuku wamakono pogwiritsa ntchito zipangizo kudzera mu chubu.
• Chisankho kudzera mwa njira zamakono. Chitsanzo cha mapuloteni amatha kupyolera kupyolera ( kupopera kapena kupopera ) kapena biopsy (kuchotsa minofu pogwiritsa ntchito chida chofanana ndi udzu wakumwa), kapena pambuyo pa hysterectomy (kuchotsa chiberekero).

Kufufuza minofu pogwiritsa ntchito microscope ndiyo njira yokhayo yotsimikizirika kuti nthendayi imakhala yowononga (noncancerous) kapena yoopsa (khansa).

Ma polyps ena amatha okha. Pamene kuchotsedwa ndi kofunikira pofuna kuchepetsa kutaya mwazi, kuonjezera mimba ya mimba, kapena kuyang'ana khansara, chithandizo chotsogoleredwa ndi hysteroscope nthawi zambiri chimalimbikitsidwa. Njira yowonjezereka, kuchepetsa ndi kuyeretsa (D & C), kapena kudula chipinda cha uterine, ikugwiritsanso ntchito.

Kawirikawiri amagwiritsidwa ntchito pogwiritsa ntchito anesthesia kumalo kapena ayi, koma nthawi zambiri anesthesia amagwiritsidwanso ntchito. Pambuyo pa hysteroscopy, mukhoza kukhala ndi magazi pang'ono komanso ochepa thupi, koma muyenera kuyambiranso ntchito zachilendo nthawi yomweyo, mwinanso kupatulapo kugonana, zomwe mungafunikire kupewa kwa sabata kapena awiri ngati adokotala akukulangizani.

Pamene mapuloteni ali ochulukirapo chifukwa chochotsedwa, hysterectomy ingakonzedwe.

Palibe njira yeniyeni yothetsera uterine polyps, ngakhale kuti mukudzipiritsa kulemera kwabwino ndi kuwona kupanikizika kwa magazi ndi njira zabwino zochepetsera zoopsa zanu.

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