Endometriosis retrotservikalnogo

I se tasi o le tele o le tiga ma le matautia e faasino retrotservikalnogo endometriosis faaletonu gynecological. ua faamatalaina ai lenei faamaʻi e le firing, maai tiga susulu i le measā, o le māliuga, ogavae, perineum, measā. faateleina syndrome tiga ma defecation ma feusuaʻiga. I luma ma ina ua mavae matauina maʻimāsina spotting.

Retrotservikalnogo endometriosis - faamaʻi tuuina atu faatasi ma overgrowth o pepa solo i le endometriosis rectovaginal. E tusa ai ma le faavasegaina togafitiga o le faamai ua vaevaeina i 4 laasaga:

1 - foci endometriosis ua tu na o le pepa solo rectovaginal;

2 - germination tupu pepa solo endometriotic i le itulagi cervical, o le pa vaginal (i lenei tulaga, i le faavaega o cysts laiti);

3 - tupe pathological faagasologa ma le sacro-uterine uaua tetele, māliuga integument serous;

4 - i le faagasologa o proliferation o pepa solo endometrial o māliuga mucous aafia, avanoa rectouterine. Mo lenei laasaga, faamatalaina e ala i le faavaeina o adhesions.

endometriosis Retrotservikalnogo maua i luga o mafuaaga togafitiga ma suesuega faafomai. O lona kanesa ovarian differentiated ma Colón.

I le posterior fornix palpable faapona fufusi tuberous (tiga maamaai) i le taimi o suesuega vaginal. e mafai ona ese lona taua. suesuega Gynecological i le faaata e masani ona vaaia laiti sisite endometrioid, ua i ai se ituaiga o bluish "mata". Talu ai ona o latou toto pogisa faamaloloina i maʻimāsina. O le auala autu o le suesuega faafomai mo faamai o lenei localization o se biopsy.

Ma o loo faatinoina le toilalo o le pepa solo Colón sigmoidoscopy, barium enema ma sighting biopsy. Gasegase ma le tele o le a faaitiitia le lumen o le gāʻau. Afai e salalau endometrioid heterotopias e retrotservikalnoy partitions pe a iai se parietografii malosi lona mafiafia ua lamolemole, otootoga manino. I sigmoidoscopy faaalia mucosal edema ma hyperemia, fula i le pa gāʻau.

Retrotservikalnogo endometriosis ua faatatauina i le tele o auala (e faalagolago i le tulaga). O le vaega muamua o togafitiga i lenei faamai - tauaveina excision lona taulaiga e ala i le measā. E gaosia i le faamoemoega faafomai ma diagnostic. O le excised pepa solo ua tuuina mai i le suesuega histological.

I laasaga 1 ma le 2 e le mafai ona aveesea endometriosis i totonu o le pepa solo ma maloloina e aunoa toe colpotomy. pa vaginal mavae se taotoga ua sutured sutures catgut. Afai o le faalapotopotoga e auala cryosurgical faafomai e suturing le pa, e sili atu le cryodestruction moega endometriosis. O lenei taualumaga faaitiitia le aofai o relapses.

I laasaga 3 retrotservikalnogo endometriosis pe a tatau ai colpotomy posterior, gaosia excision o manuʻa ma māliuga serous integument, uaua tetele sacro-uterine. Atonu ei ai se manaoga mo leisa faaopoopo ma uaua tetele o le cryotreatment.

I le aso 4 laasaga i gasegase laiti e fautuaina e excision o le endometriosis mo suesuega histological. Mulimuli ane, o le togafitiga hormonal ma gestagens faasologa antigonadotropiny norsteroidnogo. O le tuufaatasi o togafitiga o endometriosis faaaogaina togafitiga sanatorium retrotservikalnogo (bromine, tapu radon), faʻamoega, togafitiga symptomatic.

Na faatalanoa i le taimi tatau a le fomai, e mafai ona e faaaogaina atoatoa e aveesea ai le togafitiga endometriosis. Toe iloiloga o gasegase e taʻu mai ai i le laasaga muamua o le faamaʻi ua faia vave lava e aunoa ma le toe faiga e mafai ai. I totonu o le fualaau faasaina o loo faaaoga i le tulaga muamua, ma o iina tuufaatasi contraceptives "Diana-35", "Logest", "regulon". O se tasi o le sili ona lelei o le fualaau faasaina "Janine." I endometriosis ana talosaga ona o atu i le afioaga i totonu o dienogest - progestagen o aafiaga o lona se aafiaga inhibitory i endometriotic heterotopia. O lenei fualaau faasaina mafua ai i latou e regress. Ina ia maua se taunuuga lelei inumaga itiiti lava o vailaau. O le faatulagaina o le "Janine" e aofia ai foi estradiol fualaau faasaina, e maua ai le toe faaleleia o le faataamilosaga o palapala masina.