Iimvavanyo ezi-5 zokufumanisa i-endometriosis

Umxholo

• 1. Uvavanyo lweGynecological
• 2. I-Pelvic okanye i-transvaginal ultrasound
• 3. CA 125 uvavanyo lwegazi
• 4. Isandi semagneti
• 5. I-laparoscopy yevidiyo
• Iimviwo ezincedisayo

Kwimeko apho kukrokrelwa i-endometriosis, ugqirha wezifo zabasetyhini unokubonisa ukusebenza kweemvavanyo ezithile ukuvavanya isibeleko kunye ne-endometrium, enje nge-transvaginal ultrasound, magnetic resonance kunye nomlinganiso we-CA 125 egazini, umzekelo. Nangona kunjalo, kwimeko apho iimpawu zinzima kakhulu, ugqirha angabonisa ukusebenza kovavanyo oluvumela ukuvavanya amanye amalungu omzimba kwaye ke ujonge ubukhali be-endometriosis.

I-Endometriosis ibonakaliswa bubukho bethishu ye-endometrium, esisicwili esigcina isibeleko ngaphakathi, kwiindawo ezingaphandle kwesibeleko, ezinje nge-peritoneum, amaqanda, isinyi okanye amathumbu, umzekelo. Ngokwesiqhelo ugqirha wamabhinqa u-odola ezi mvavanyo xa kurhanelwa isifo kuba zikhona iimpawu ezinje ngokuxhuzula kakhulu nokuqhubela phambili kokuya exesheni, iintlungu ngexesha lokudibana okanye ukusokola.

Uvavanyo oluhlala lu-odolwa ukuba luchaze i-endometriosis lubandakanya:

1. Uvavanyo lweGynecological

Uviwo lwe-gynecological lungenziwa kuphando kunye nokuchongwa kwe-endometriosis, kwaye ugqirha wamazinyo kufuneka agcine ubufazi kunye nesibeleko kunye ne-speculum. Ukongeza, ngokweempawu eziqwalaselweyo, i-rectum inokujongwa kwakhona ukukhangela ii-cysts, ezinokuthi zibonise i-endometriosis yamathumbu.

2. I-Pelvic okanye i-transvaginal ultrasound

Uvavanyo lwe-ultrasound lolunye lweemviwo zokuqala ezenziwa kuphando lwe-endometriosis, kwaye inokuba yi-pelvic okanye ye-transvaginal. Ukwenza oku kuvavanyo kuyacetyiswa ukuba ukhuphe ngokupheleleyo isinyi, njengoko kunokwenzeka ukuba ubenombono ongcono kumalungu.

Uvavanyo lwe-ultrasound lukwaluncedo kakhulu ekuchongeni i-ovari endometriosis, apho izicwili ze-endometrium zikhula khona kwii-ovari, kodwa zikwazile ukubona i-endometriosis kwisinyi, kwilungu lobufazi nakudonga lwe-rectum.

3. CA 125 uvavanyo lwegazi

I-CA 125 ngummakishi okhoyo egazini kwaye idosi emdaka ihlala icelwa ukuba ivavanye umngcipheko womntu wokuba nomhlaza okanye i-cyst kwi-ovary kunye ne-endometriosis, umzekelo, kuba kwezi meko amanqanaba e-CA 125 egazini phezulu. Ke, xa iziphumo ze-CA 125 zingaphezulu kwe-35 IU / mL, kubalulekile ukuba ugqirha ayalele ezinye iimvavanyo ukuze aqinisekise isifo. Jonga ukuba yintoni uviwo lwe-CA 125 kunye nendlela yokuqonda iziphumo.

4. Isandi semagneti

Ukucingelwa kwemagnetic resonance kuyacelwa xa kukho ukukrokreleka kwemithambo ye-ovari efuna ukuvavanywa ngcono, ukongeza ekubonakalisweni ngenjongo yokuphanda i-endometriosis enzulu, echaphazela namathumbu. Olu vavanyo lunokubonisa i-fibrosis ethe saa kunye notshintsho kwi-pelvis, kwizicwili ezingaphantsi, kudonga lwesisu, nakumphezulu wedayaphragm.

5. I-laparoscopy yevidiyo

I-Videolaparoscopy lolona vavanyo lubalaseleyo lokuchonga i-endometriosis kuba ishiya ngaphandle kwamathandabuzo kwesi sifo, nangona kunjalo ayisosivivinyo sokuqala ukwenziwa, kuba luvavanyo olungenayo, ngaphandle kokuba kunokwenzeka ukugqiba isifo ngovavanyo olunye.

Ukongeza ekubeni nokubonakaliswa ekuchongeni isifo se-endometriosis, ivideolaparoscopy nayo inokucelwa ukuba ibeke esweni ukuvela kwesi sifo kwaye ijonge ukuba ngaba kukho impendulo kunyango. Qonda indlela eyenziwa ngayo i-videolaparoscopy.

Iimviwo ezincedisayo

Kukho ezinye iimviwo ezincedisayo ezinokuthi zi-odolwe, ezinje nge-rectal resonance okanye i-echo endoscopy, umzekelo, enceda ukujonga ngcono iindawo apho kukhula khona izicwili ze-endometrium ukuze kunyangwe olona nyango, olunokwenziwa ipilisi eqhubekayo, iinyanga ezi-6. Ngeli xesha, ugqirha unokuphinda aphindaphinde i-laparoscopy ukuvavanya inkqubela phambili yesi sifo.

Kwiimeko ezinzima kakhulu, kunokuba yimfuneko ukwenza uqhaqho ukususa izicwili ezikhulayo ngaphandle kwesibeleko, ezinokubangela ukuchuma ukuba amalungu esibeleko nawo ayasuswa. Jonga ukuba lwenziwa njani utyando lwe-endometriosis.