Izivivinyo ezi-5 zokuxilonga i-endometriosis

-Delile

• 1. Ukuhlolwa kwabesifazane
• 2. I-ultrasound yesisu noma ye-transvaginal
• 3. CA 125 ukuhlolwa kwegazi
• 4. Ukuzwakala kwamandla kazibuthe
• 5. I-laparoscopy yevidiyo
• Izivivinyo ezihambisanayo

Uma kusolwa i-endometriosis, udokotela wezifo zabesifazane angakhombisa ukusebenza kwezinye izivivinyo zokuhlola umgodi wesibeletho kanye ne-endometrium, njenge-transvaginal ultrasound, i-resonance kazibuthe nokukalwa komaka we-CA 125 egazini, ngokwesibonelo. Kodwa-ke, ezimweni lapho izimpawu zikhulu kakhulu, udokotela angakhombisa ukusebenza kwezivivinyo ezivumela ukuhlola ezinye izingxenye zomzimba futhi ngaleyo ndlela ahlole ubunzima be-endometriosis.

I-Endometriosis ibonakala ngokutholakala kwezicubu ze-endometrium, okuyizicubu ezibeka isibeletho ngaphakathi, ezindaweni ezingaphandle kwesibeletho, njenge-peritoneum, amaqanda, isinye noma amathumbu, isibonelo. Imvamisa udokotela wezifo zabesifazane uyala lezi zivivinyo lapho kusolwa lesi sifo ngoba kunezimpawu ezinjengokuqina okukhulu kokuya esikhathini nokuya phambili, izinhlungu phakathi kokuthintana noma ubunzima bokukhulelwa.

Izivivinyo ezivame uku-oda ukuxilonga i-endometriosis zifaka:

1. Ukuhlolwa kwabesifazane

Ukuhlolwa kwabesifazane kungenziwa ekuphenyweni nasekuxilongweni kwe-endometriosis, futhi udokotela wezifo zabesifazane kumele abheke isitho sangasese sowesifazane nesibeletho nge-speculum. Ngaphezu kwalokho, ngokusho kwezici ezibonwe, i-rectum nayo ingabonwa ukuze kuseshwe ama-cysts, okungakhombisa i-endometriosis yamathumbu.

2. I-ultrasound yesisu noma ye-transvaginal

Ukuhlolwa kwe-ultrasound kungenye yezivivinyo zokuqala ezenziwa ekuphenyweni kwe-endometriosis, futhi kungaba nge-pelvic noma nge-transvaginal. Ukuze wenze lokhu kuhlolwa kunconywa ukuthi ukhiphe ngokuphelele isinye, njengoba kungenzeka ukuthi ubone ngeso lengqondo izitho.

Ukuhlolwa kwe-ultrasound futhi kuyasiza kakhulu ekuhlolweni kwe-endometriosis yama-ovari, lapho izicubu ze-endometrium zikhula khona kuma-ovari, kodwa futhi zikwazi ukukhomba i-endometriosis esinyeni, esithweni sangasese nasodongeni lwe-rectum.

3. CA 125 ukuhlolwa kwegazi

I-CA 125 umaki okhona egazini futhi isilinganiso esingcolile sivame ukucelwa ukuhlola ubungozi bomuntu bokuhlaselwa umdlavuza noma i-cyst esibelethweni nase-endometriosis, ngokwesibonelo, ngoba kulezi zimo amazinga e-CA 125 egazini phezulu. Ngakho-ke, lapho umphumela we-CA 125 ungaphezu kwama-35 IU / mL, kubalulekile ukuthi udokotela ayale ezinye izivivinyo ukuze aqinisekise ukuxilongwa. Bona ukuthi yini ukuhlolwa kwe-CA 125 nokuthi uwuqonda kanjani umphumela.

4. Ukuzwakala kwamandla kazibuthe

Ukucabanga ngemagnificent resonance kuyacelwa uma kukhona okusolisayo ngobuningi bama-ovari okudingeka ukuthi buhlolwe kangcono, ngaphezu kokukhonjiswa ngenhloso yokuphenya i-endometriosis ejulile, ethinta namathumbu. Lokhu kuhlolwa kungabonisa i-fibrosis ehlakazekile nezinguquko ezithweni, izicubu ezingaphansi, udonga lwesisu, kanye nangaphezulu kwesithambisi.

5. I-laparoscopy yevidiyo

I-Videolaparoscopy ukuhlolwa okuhle kakhulu ukukhomba i-endometriosis ngoba ishiya ngokungangabazeki lesi sifo, kepha akusona ukuhlolwa kokuqala ukwenziwa, ngoba ukuhlolwa okuthe xaxa, ngaphandle kwalokho kungenzeka ukuphetha ukuxilongwa ngezinye izivivinyo.

Ngaphezu kokukwazi ukukhonjiswa ekutholeni i-endometriosis, i-videolaparoscopy nayo ingacelwa ukuthi iqaphe ukuvela kwesifo futhi ibheke ukuthi ikhona yini impendulo ekwelashweni. Qonda ukuthi kwenziwa kanjani i-videolaparoscopy.

Izivivinyo ezihambisanayo

Kukhona ezinye izivivinyo ezihambisanayo ezingabuye zi-ode, njenge-resonance rectal noma i-echo endoscopy, ngokwesibonelo, ezisiza ukubuka kangcono izindawo lapho izicubu ze-endometrium zikhula khona ukuze kuqale ukwelashwa okuhle kakhulu, okungenziwa nge iphilisi eliqhubekayo, izinyanga eziyisithupha. Ngalesi sikhathi, udokotela angaphinda i-laparoscopy futhi ukuze ahlole ukuqhubeka kwesifo.

Ezimweni ezinzima kakhulu, kungadingeka ukwenza ukuhlinzwa ukuze kususwe izicubu ezikhula ngaphandle kwesibeletho, okungadala inzalo uma izitho zangasese nazo zisuswa. Bona ukuthi kwenziwa kanjani ukuhlinzwa kwe-endometriosis.