Iroji yevakadzi vanotambura kwenguva yakareba kana kwenguva refu inoramba ichikura. Uyewo, vakadzi vakawanda vanomanikidzwa kurasikirwa kuti ive polyposis uye zvimwe zvirwere zvekupararira kweutterine mucosa - endometriosis . Zvinokonzera zvirwere kuvakadzi zvinogona kuva zvirwere zvehomoni, kusava neropa coagulability, zvirwere zvinotapukira uye neoplasms. Kurapa-kuongororwa kunorapwa, iyo inoratidzwa nemararamiro akadaro, haisi nguva dzose kupa chiitiko chakanaka uye chinogara kwenguva refu. Imwe nzira inogona kubvisa kubuda ropa kukuru ndeyekubvisa kwepometrium.
Chii chinopa kubereka kwechibereko?
Ablation ye endometrium ndiyo nzira inosanganisa kuparadza huwandu hwose hwehutachi mucosa. Iyo nzira inoitwa seimwe nzira yeutterine kubviswa (hysterectomy kana uterine ex- traction ) nediki duku fibroids kana endometriosis yechibereko.
Incosa yomukati yemuviri weutterine - endometrium - inoreva maviri anoenderana zvakakwana nemahomoni ari mumuviri wemukadzi. Mukufamba kwemwedzi, endometrium inoshandurwa. Semuenzaniso, muchikamu chechipiri chekuenda kumwedzi, inosvika pakukwirira kwaro pamusana pekuti ropa rinopa mucous membrane yechibereko chinowedzera uye huwandu hweprogesterone hunowedzera. Zvose izvi zvinoshandiswa kuitira kuti uterine cavity igare yakagadzirira kugadziriswa pamuviri, munyaya yekusati yatanga kubata pamuviri, endometrium inotanga kurambwa, iyo inonzi kumwedzi. Kana nguva dzomukadzi dzikawanda uye dzinosanganisira kuvhara ropa, kubvisa kwe endometrium yechibereko kunogona kubvisa zvachose mukadzi wechi chiratidzo ichi chisingafadzi.
Ndezvipi zviratidzo zvekubatsira kwekupedzisira kweendometrium?
Haasi vese varwere vanokurudzirwa nachiremba kuti abate endometrium, zviyero zvakarurama zvinodiwa kuita basa racho. Varwere vakwegura kudarika makore makumi matatu avo vanotambura nekubuda ropa kwenguva refu, uye vasina kuve nekuvandudza mushure mekuchengetedzwa kwekuchengetedza, kubvisa zvinokurudzirwa. Uyezve, vakadzi ve postmenopausal, avo vasingakwanisi kurapwa nemishonga yehomoni, ndevamwe vevarwere vanopedzisira vabatwa ne endometrium.
Pamberi penzira yacho, chiremba anofanira kutsanangurira mukadzi kuti mushure mekushanda iye anorasikirwa nekubereka, saka kazhinji kacho kubhadhara kunorayirwa vakadzi pazera remakore risati rasvika.
Iyo nzira haina kuitwa kuvakadzi vanotambura nekunyanya kuneta (kupfuura 150 ml), iyo inokonzera kenza.
Basa rekugadzirisa magetsi rinoshanda sei?
Nzira yacho inowanikwa pasi peinternet anesthesia kana epidural anesthesia. Shanduro shomanana inowanikwa muuterine cavity, iyo ine bhazi inokosha yekuongorora masvingo emuviri uye muromo weiyo fallopian tubes. Kugadziriswa kwemugumo kunogona kuitwa nenzira dzinoverengeka ne:
- laser radiation;
- hot liquid;
- microwave nozzle;
- radio frequency method;
- crystestruction;
- electrosurgery.
Iyo inowanzoitwa yakagadziriswa kwekupedzisira kwe endometrium, iyo mukati mucho mubereki inokonzerwa
Kubatsira kwekubvisa kwe endometrium, kana tichienzanisa nekucheka uye hormone therapy, zvinosanganisira zvakakosha, kushivirira, mamiriyoni emigumisiro, kukurumidza kugadzirisa.
Hazviwanzoitiki, asi dzimwe nguva, migumisiro yekupemetrial ablation inogona kusanganisira kubuda ropa, kuvhuvhuta, kupisa kupisa kumudzimai kana kuvhara, uye kukanganisa mubereki. Njodzi mushure mekuvhiyiwa inogona kuwirirana zvakananga nezvinetso zvekubvisa zviri pamusoro apa.