Mayeso 5 kuti mupeze endometriosis
Zamkati
- 1. Kufufuza kwazimayi
- 2. Pelvic kapena transvaginal ultrasound
- 3. CA 125 kuyesa magazi
- 4. Maginito akumveka
- 5. laparoscopy kanema
- Mayeso owonjezera
Ngati mukukayikira za endometriosis, a gynecologist atha kuwonetsa momwe mayesero ena amayendera kuti awunikire chiberekero ndi endometrium, monga transvaginal ultrasound, magnetic resonance ndi muyeso wa chikhomo cha CA 125 m'magazi, mwachitsanzo. Komabe, ngati zizindikilo zimakhala zazikulu kwambiri, adotolo amatha kuwonetsa mayesedwe omwe amalola kuyesa ziwalo zina za thupi ndikuwunika kuuma kwa endometriosis.
Endometriosis imadziwika ndi kupezeka kwa minofu ya endometrium, yomwe ndi minofu yomwe imayendetsa chiberekero mkati, m'malo akunja kwa chiberekero, monga peritoneum, ovaries, chikhodzodzo kapena matumbo, mwachitsanzo. Nthawi zambiri azachipatala amalamula mayeso ngati matendawa akukayikiridwa chifukwa pali zisonyezo monga kusamba kwam'mimba kwambiri, kupweteka kwakanthawi kovuta kapena kuvutika kutenga pakati.
Mayeso omwe amalamulidwa kuti azindikire endometriosis ndi awa:
1. Kufufuza kwazimayi
Kufufuza kwazimayi kumatha kuchitika ndikufufuza za matenda a endometriosis, ndipo a gynecologist amayenera kuwona ukazi ndi chiberekero ndi speculum. Kuphatikiza apo, malinga ndi zomwe zimawonedwa, rectum imathanso kuwonedwa kuti ifufuze ma cysts, omwe atha kukhala am'mimba endometriosis.
2. Pelvic kapena transvaginal ultrasound
Mayeso a ultrasound ndi amodzi mwamayeso oyamba omwe adachitika pofufuza za endometriosis, ndipo imatha kukhala m'chiuno kapena yopingasa. Kuti muchite izi ndikulimbikitsidwa kutulutsa chikhodzodzo kwathunthu, chifukwa ndizotheka kuwona ziwalozo bwino.
Kuyezetsa magazi kwa ultrasound kumathandizanso kwambiri pakuwunika kwamchiberekero cha endometriosis, momwe minofu yam'magazi imakulira m'mimba mwake, komanso imatha kuzindikira endometriosis mu chikhodzodzo, kumaliseche komanso pakhoma la rectum.
3. CA 125 kuyesa magazi
CA 125 ndi chikhomo chomwe chimapezeka m'magazi ndipo mulingo wonyansa nthawi zambiri umafunsidwa kuti uwonetse chiwopsezo cha munthu kukhala ndi khansa kapena chotupa mu ovary ndi endometriosis, mwachitsanzo, popeza munthawi imeneyi milingo ya CA 125 m'magazi ndi mkulu. Chifukwa chake, zotsatira za CA 125 zikaposa 35 IU / mL, ndikofunikira kuti adotolo ayese mayeso ena kuti atsimikizire kuti ali ndi vutoli. Onani momwe mayeso a CA 125 alili komanso momwe mungamvetsere zotsatira zake.
4. Maginito akumveka
Kujambula kwa maginito kumafunsidwa ngati pali kukayikira kwa magulu owerengera ovulala omwe amafunika kuwunikiridwa bwino, kuphatikiza pakuwonetsedwanso ndi cholinga chofufuza za endometriosis, yomwe imakhudzanso matumbo. Kuyeza uku kumatha kuwonetsa fibrosis yomwazikana ndikusintha m'chiuno, minofu yocheperako, khoma m'mimba, komanso pamwamba pake.
5. laparoscopy kanema
Videolaparoscopy ndiye mayeso abwino kwambiri kuti azindikire endometriosis chifukwa imatsimikizira kuti matendawa alipo, komabe sikumayeso koyamba kuchitidwa, chifukwa ndikuwunika kovuta kwambiri, kuphatikiza apo ndikotheka kumaliza kupimako kudzera m'mayeso ena.
Kuphatikiza pa kuwonetsedwa pakuwunika kwa endometriosis, videolaparoscopy itha kupemphedwanso kuti iwunikire momwe matendawa adasinthira ndikuwona ngati pali yankho kuchipatala. Mvetsetsani momwe videolaparoscopy imagwirira ntchito.
Mayeso owonjezera
Palinso mayeso ena owonjezera omwe atha kuyitanidwanso, monga ma rectal resonance kapena echo endoscopy, mwachitsanzo, omwe amathandizira kuwunika bwino malo omwe minofu ya endometrial ikukula kuti chithandizo choyenera chikhoza kuyambika, chomwe chingachitike ndi piritsi mosalekeza, kwa miyezi 6. Munthawi imeneyi, adotolo amatha kubwereza laparoscopy kuti awone momwe matendawa akuyendera.
Milandu yovuta kwambiri, pangafunike kuchita opaleshoni kuti muchotse minofu yomwe ikukula kunja kwa chiberekero, zomwe zingayambitse kusabereka ngati ziwalo zam'mimba zimachotsedwanso. Onani momwe opaleshoni ya endometriosis yachitidwira.