Okuqukethwe
I-Endometriosis yisifo se-multifactorial ukuthi, ngaphezu kwezitho ze-pelvic, sithinta izinhlelo ze-endocrine nezinzwa. Ngalesi sifo, i-endometrium yesibeletho isakazeka kuwo wonke umzimba, ngesikhathi sokuya esikhathini, ngaphansi kwethonya lamahomoni e-ovarian, iphuma igazi, ibangele izimpawu ezingathandeki.
Ukungasebenzi kahle kwamaseli e-endometrial kubangela ukwakheka kwama-adhesion, ama-cysts, izicubu ezibomvu. Lokhu kuholela ekubukeni kobuhlungu, ukungazali, izimila ezimbi. Isisekelo salesi sifo siwukuphulwa kokuzivikela komzimba, ukungalingani kwe-hormonal. Njengoba i-endometriosis iyisifo esincike ku-hormone, izidakamizwa ze-hormonal zivame ukufakwa ohlelweni lwayo lokwelapha. Ukusetshenziswa kwezidakamizwa kuleli qembu le-pharmacological kudinga ukucatshangelwa okuqinile kwe-contraindication, imiphumela emibi engenzeka. Akubona bonke abesifazane abangasebenzisa izidakamizwa ze-hormonal, ngakho-ke indlela ekhethekile yokwelashwa kwe-endometriosis ivame ukudingeka.
Contraindication ekwelashweni kwe-hormone
Uhlu lwe-contraindication lubandakanya izizathu ezilandelayo:
I-Dysplasia yomlomo wesibeletho;
Ukungezwani nezidakamizwa eziqukethe ama-hormone;
Izifo zenhliziyo nemithambo yegazi, predisposition to thromboembolism;
I-uterine fibroids, i-cyst ovarian enezinkomba zokususwa kokuhlinzwa;
Izifo zesistimu ye-metabolic;
Izifo zezitho ze-hematopoietic (porphyria, thrombocytopenia);
Ukuhluleka kwesibindi nezinso;
Umfutho wegazi ophakeme;
Izifo ze-endocrine (isifo sikashukela mellitus);
Ama-neoplasms ayingozi.
Lapho kukhona okungenani ukuphikisana okukodwa, uhlobo lokwelashwa komuntu ngamunye lwe-endometriosis luyadingeka.
Izindlela zokwelashwa okungezona i-hormonal
I-Endometriosis therapy, lapho ama-hormone engafakwanga ohlelweni lokwelapha, isetshenziswa ezigabeni zokuqala zesifo. Uma izimpawu zakhe zizimbi, le ndlela ngeke isasebenza.
Izigaba ze-endometriosis:
Kukhona i-foci engayodwa yesifo.
Amaseli e-glandular asakazeka emathunjini, ama-ovari, angene emaphashini, esinyeni.
I-foci yesifo ingena ezingxenyeni ezijulile zezicubu, inqubo yokunamathela iqala.
Ukukhubazeka okungathi sína kwenzeka ezithweni, ama-cysts agcwele okuqukethwe okufana ne-tar akhiwa, ukunamathela kanye nezibazi kwenza izitho zinganyakazi zihlobene nomunye nomunye, ukubhobozwa kwezitho ezingenalutho kungase kwenzeke.
Esigabeni sesithathu nesine se-endometriosis, ukwelashwa kokuhlinzwa kwe-foci yesifo kuboniswa.
Izindlela zokwelapha ezingekho-hormonal:
Ukwelashwa ngama-antispasmodics, ama-immunomodulators, ama-sedative kanye nezidakamizwa ezilwa nokuvuvukala;
Ukuxilongwa kwe-laparoscopy;
I-reflexology yekhompyutha;
Ukwelashwa komzimba;
I-Hirudotherapy - ukwelashwa ngama-leeches;
I-Balneotherapy - ukwelashwa ngodaka;
I-Homeopathy kanye nemithi yendabuko.
I-Conservative therapy ye-endometriosis ngaphandle kwama-hormone
Isiqondiso esiyinhloko sokwelashwa okuphawulekayo kwe-endometriosis ukukhulisa ukumelana kwamasosha omzimba, ukukhulula ubuhlungu, ukwelapha imiphumela ye-anemia yokopha, nokuqeda ukubonakaliswa kwe-neuropsychiatric.
Amaqembu ezidakamizwa:
Ama-immunomodulators. Imvamisa, ama-lymphocyte nama-macrophages - ama-fighters amasosha omzimba - asusa amaseli angaphandle ngaphandle kwendawo yawo yemvelo. Uma kwenzeka i-endometriosis, ukuzivikela komzimba kuncipha, ngakho izicubu ze-endometrial zisakazeka ngaphandle kwesibeletho. Ekwelapheni lesi sifo, kusetshenziswa ama-immunomodulators afana neViferon ngendlela ye-suppositories, i-Ronkoferon, i-Cycloferon, i-Timogen, i-Levamisole.
Ama-Antioxidants. Amalungiselelo aleli qembu akha isivikelo kuma-radicals mahhala athwala ingozi yokuguqulwa kwamangqamuzana ayingozi. Kulezi zinhloso, kusetshenziswa i-Pycnogenol, i-tocopherol acetate, i-ascorbic acid.
Ama-Antispasmodics. Imithi imisa i-spasm yemisipha ebushelelezi, ephazamisa ukuhamba kwegazi okujwayelekile nokusebenza kwezitho - No-shpa, Spasmalgon, drotaverine hydrochloride.
Ama-tranquilizers. Zinomphumela wokudambisa, zithulisa isimiso sezinzwa, zikhulule ukucindezeleka kwengqondo-ngokomzwelo - i-Seduxen, i-Elenium, i-Tazepam, i-Phenazepam.
Amalungiselelo ensimbi. Ukwelashwa kwe-anemia ye-hemorrhagic kwenziwa ngezindlela ezifana ne-Ferroplex, i-Fenyuls.
Amalungiselelo okujwayelekile kwamazinga e-hormonal (phytohormones). Ngokwezinkomba zikadokotela, ama-analogues ama-hormone emvelaphi yezitshalo anqunyelwe, anciphisa ukukhiqizwa kwe-prolactin, enze umjikelezo wama-hormone ajwayelekile, futhi kuthinte kahle ukuguquguquka kwesifo - i-Cyclodinone.
I-Lyophilisate yemvelaphi yezilwane. I-Endoferin eyinkimbinkimbi yokulungiselela amaprotheni isetshenziswa kabanzi ekwelapheni i-endometriosis. Ivimbela i-anemia, ukubambezeleka kokuya esikhathini, ukuphuma kwegazi. Isidakamizwa senziwa kuma-ovari ezinkomo, kodwa akusona isidakamizwa se-hormonal. Ivimbela izicubu ze-endometrial ngenxa yokuthi icindezela ukukhiqizwa kwama-cytokines, kuholela ekungasebenzi kanye ne-atrophy yamangqamuzana e-gland asebenzayo. I-Endoferin ayibangeli ukungezwani komzimba, ayinabo ubuthi, ayiphazamisi umsebenzi wokuzala.
I-reflexology yekhompyutha
Le ndlela isetshenziselwa ukwelapha zonke izinhlobo ze-endometriosis. Isekelwe ekubuyiselweni kokuxhumeka kwe-neuroendocrine, ukulawulwa kokuzivikela komzimba wesifazane. Umphumela wokwelashwa okunjalo ukujwayelekile kwemisebenzi yokuzala kanye nokulinganisela kwe-hormonal.
Ingqikithi yendlela iwumthelela wokukhishwa okubuthakathaka okuqondile kwamanje kumaphoyinti asebenza ngokwebhayoloji axhuma uhlelo lwezinzwa oluzimele kanye nobuchopho. Imithi ayisetshenziswa kule ndlela yokwelapha.
Umphumela we-computer reflexology:
Umsebenzi wamasosha omzimba kanye nezinzwa ujwayelekile;
Ukungalingani kwe-hormonal kuqedwa - ukukhiqizwa kwe-estrogen kunciphisa, futhi i-progesterone, ngokuphambene nalokho, iyanda;
Ukugcinwa kwangaphakathi kwezitho zokuzala kubuyiselwa;
Ngokuvamile kuba khona ikhambi lokungatholi abantwana;
Isakhiwo esinempilo nokusebenza okuvamile kwesibeletho, ama-ovari, nezindlala zebele kuyaqinisekiswa.
Umphumela omuhle wendlela ungabhekwa izifundo ze-hormonal.
I-Laparoscopy
Izindlela zesimanje ezingangeneleli kancane zokungenelela kokuhlinzwa zizosiza ukugwema imiphumela yokuhlinzwa emikhulu emzimbeni. Enye indlela enjalo i-laparoscopy. Kwenziwa ngokuxhaphaza i-cavity yesisu ngezinsimbi ezikhethekile ngaphansi kokulawulwa kwe-high-resolution optics. Odongeni lwangaphambili lwe-peritoneum, kwenziwa izimbobo ezi-3 - iziteshi ezisebenzayo zezinsimbi. Nakuba inqubo ingeyesikhashana, yenziwa ngaphansi kwe-anesthesia ejwayelekile ngenkathi ihlangabezana nazo zonke izidingo zokungenelela kokuhlasela.
Izinzuzo ze-laparoscopy:
Ngaphezu kokuxilongwa, kukhona ithuba lokususwa okuhlosiwe kwe-foci encane ye-endometriosis yangasese kanye ne-extragenital;
Izitho zilimale ngezinga elincane, owesifazane akalahlekelwa amandla okuzala;
Ngesikhathi se-laparoscopy, udokotela ususa ukunamathela, okunomthelela omuhle ekuzaleni.
Umuthi wesimanje unamandla wokushintsha ukunqunywa kokugxilwa kwe-endometriosis nge-cauterization kusetshenziswa i-electrocoagulation noma ummese we-laser. Ukungenelela okunjalo akubuhlungu kakhulu, kunciphisa ingozi yokusabalalisa amangqamuzana e-endometrial, okucatshangwa ukuthi kukhona ngokukhishwa okungalungile kwezicubu ze-pathogenic. Ngokuvamile, izinto ezisetshenziswayo zisuswa ngesiteshi sokusebenza esitsheni esikhethekile ukuze kuvikelwe ezimweni ezinjalo.
Physiotherapy
Ukusetshenziswa kwezindlela ze-physiotherapy kuboniswa i-endometriosis ngezizathu ezilandelayo:
I-Physiological;
Ezokuphepha;
Ukungabi nabuhlungu;
Amathuba okukhetha umthwalo ngamunye;
Umphumela omude;
Ukuntuleka kobuthi, isici se-allergenic;
Ukuhambisana nezinye izindlela zokwelapha;
Indawo yomphumela wokwelapha;
Inzuzo yezomnotho.
Ukwelashwa okunjalo kuboniswa ezigabeni zokuqala zesifo, kusiza ukuqeda inqubo yokunamathisela nokuvimbela izinkinga zangemva kokuhlinzwa, kumisa ukuqhubeka kwe-endometriosis.
Contraindication ku-physiotherapy:
Ukuba khona kwe-endometrioid ovarian cysts;
Izigaba III-IV zesifo;
Ukuthatha izidakamizwa ze-psychotropic ukwelapha izifo ze-neuropsychiatric.
Izici zomzimba ezisetshenziswa ekwelapheni i-endometriosis:
I-low-frequency pulsed currents (i-iodine electrophoresis) - i-anesthetize, ibe nomphumela wokudambisa, yenza ibhalansi ye-hormonal ibe evamile, ingathathi nge-urolithiasis, umphumela uqhubeka izinyanga ezingu-2-4;
I-Magnetotherapy - ijwayele isimiso sezinzwa, ikhiqize umphumela wokudambisa, ithuthukise i-microcirculation yezicubu;
Imisebe ye-UV, i-magneto-laser therapy - ine-analgesic, anti-inflammatory, effect biostimulating on the foci yesifo.
Nge-endometriosis, akuvunyelwe ukusebenzisa lezi zindlela ezilandelayo ze-physiotherapeutic: ukusikwa kwendawo ye-lumbosacral, ukwelashwa kodaka, i-diathermy, ukwelapha upharafini, i-hydrogen sulfide kanye nokugeza kwe-turpentine, njengoba lezi zinqubo zivuselela ukukhiqizwa kwe-estrogen ngokweqile, okungafuneki kulokhu.
I-Balneotherapy
Lolu hlelo olunamandla futhi olusebenzayo lokwelapha i-endometriosis luhlanganisa ukusetshenziswa kwe-radon ne-iodine-bromine yokugeza ngokuhambisana nokuchelela kwesitho sangasese sowesifazane kanye nama-microenemas ngamanzi e-radon.
Umphumela we-radon emzimbeni wesifazane:
Izinzwa,
umphumela wokudambisa;
Ukujwayelekile kwezinga le-gonadotropins;
Ukuncipha kwe-hyperestrogenism, ukwanda kwamazinga e-progesterone.
Isikhathi somphumela wokusetshenziswa kokugeza kwe-radon sihlala izinyanga eziyisi-6.
Umphumela wokugeza nge-iodine-bromine kanye nokuchelela kwesitho sangasese sowesifazane:
Ukwandisa umkhawulo wokuzwela ubuhlungu;
Ukuncipha komfutho wegazi;
Ukujwayelekile komsebenzi we-thyroid;
Ukucindezelwa kokukhiqizwa kwe-estrogen ngokweqile;
Isenzo sokulwa nokuvuvukala.
Isikhathi somphumela wokugeza kwe-iodine-bromine yizinyanga ezi-4.
Ukwengeza, kusetshenziselwa ukugeza kwe-coniferous kanye ne-bischofite, okune-sedative, i-antispastic effect, enomphumela we-analgesic ngenxa yemiphumela yokushisa, yamakhemikhali kanye nemishini kuma-receptors esikhumba. Umphumela wenkambo yokwelashwa ngamabhati usuka ezinyangeni ezi-3 kuye kwezingu-5.
I-Hirudotherapy
Ukwelashwa kwe-endometriosis nge-leeches kwenziwa kuphela ngaphansi kokuqondiswa kochwepheshe nangemva kokuhlolwa kokuxilonga. Udokotela unquma imvamisa kanye nobude bendlela. Ezikhathini ze-hirudotherapy, ama-leeches ezokwelapha asetshenziswa ezindaweni zokuqagela zesibeletho, ama-ovari, i-sacrum, amaphuzu we-acupuncture, ngisho nangaphakathi kwesitho sangasese sowesifazane. Bakhipha izinhlobo ezingaphezu kwe-100 zezinhlanganisela eziphilayo ezisebenzayo endaweni yokulunywa, okunomthelela omuhle kumandla okwelapha i-endometriosis.
Umphumela we-hirudotherapy:
I-endometrium ekhulile iyancipha;
Umjikelezo wokuya esikhathini ujwayelekile;
Uzinzisa umthamo wokuya esikhathini;
Ukunamathela kanye nama-cysts e-endometrioid axazulula;
Ukukhulelwa kwenzeka ngokungabi nabantwana okubangelwa i-endometriosis;
Amandla e-pain syndrome ayancipha.
Kungenzeka ukusebenzisa izifundo eziningana zokwelapha nge-leeches, lapho kufanele kube khona amakhefu ezinyanga ezimbalwa phakathi kwabo.
Ukwelashwa kwe-endometriosis ngezinye izindlela kunomphumela omuhle empilweni yeziguli eziphikisana nokwelashwa kwe-hormone, kanye namandla okwelapha izimpawu ze-endometriosis.