txheem
Endometriosis yog ib hom kab mob multifactorial uas, ntxiv rau cov kab mob hauv plab hnyuv, cuam tshuam rau endocrine thiab paj hlwb. Nrog rau qhov no pathology, endometrium ntawm lub tsev menyuam kis thoob plaws lub cev, thaum cev xeeb tub, nyob rau hauv kev cuam tshuam ntawm zes qe menyuam cov tshuaj hormones, nws los ntshav, ua rau cov tsos mob tsis kaj siab.
Kev ua haujlwm tsis zoo ntawm cov hlwb endometrial provoke tsim cov adhesions, cysts, caws pliav nqaij. Qhov no ua rau cov tsos mob ntawm tus mob, infertility, malignant qog. Lub hauv paus ntawm no pathology yog ua txhaum ntawm kev tiv thaiv kab mob, hormonal tsis txaus. Txij li thaum endometriosis yog ib yam kab mob ntawm cov tshuaj hormones, cov tshuaj hormonal feem ntau suav nrog hauv nws txoj kev kho mob. Kev siv cov tshuaj los ntawm pawg kws tshuaj no yuav tsum tau saib xyuas nruj ntawm contraindications, ua rau muaj kev phiv. Tsis yog txhua tus poj niam tuaj yeem siv tshuaj hormonal, yog li feem ntau yuav tsum muaj kev tshwj xeeb rau kev kho mob endometriosis.
Contraindications rau kev kho cov tshuaj hormones
Cov npe ntawm contraindications suav nrog cov laj thawj hauv qab no:
Dysplasia ntawm lub ncauj tsev menyuam;
Kev ua xua rau cov tshuaj uas muaj tshuaj hormones;
kab mob plawv, predisposition rau thromboembolism;
Uterine fibroids, zes qe menyuam cyst nrog cov lus qhia rau kev phais tshem tawm;
Cov kab mob metabolic;
Cov kab mob ntawm cov kab mob hematopoietic (porphyria, thrombocytopenia);
Lub siab thiab lub raum tsis ua haujlwm;
Arterial hypertension;
Cov kab mob endocrine (mob ntshav qab zib mellitus);
Malignant neoplasms.
Nyob rau hauv lub xub ntiag ntawm tsawg kawg yog ib tug contraindication, ib tug neeg kho mob regimen rau endometriosis yog yuav tsum tau.
Txoj kev mus rau kev kho tsis yog hormonal
Kev kho mob endometriosis, uas cov tshuaj hormones tsis suav nrog kev kho mob, yog siv rau thawj theem ntawm tus kab mob. Yog tias nws cov tsos mob hnyav, txoj hauv kev no yuav tsis muaj txiaj ntsig ntxiv lawm.
Cov theem ntawm endometriosis:
Muaj cais foci ntawm tus kab mob.
Glandular hlwb kis los ntawm txoj hnyuv, zes qe menyuam, nkag mus rau hauv lub ntsws, zais zis.
Lub foci ntawm tus kab mob nkag mus rau hauv cov txheej txheem tob ntawm cov ntaub so ntswg, cov txheej txheem nplaum pib.
Kev ua haujlwm hnyav tshwm sim hauv cov kabmob, cov hlwv uas muaj cov ntsiab lus zoo li tar yog tsim, adhesions thiab nti ua rau lub cev tsis sib haum xeeb rau ib leeg, perforation ntawm hollow organ yuav tshwm sim.
Hauv theem thib peb thiab thib plaub ntawm endometriosis, kev kho mob ntawm foci ntawm tus kab mob yog qhia.
Cov txheej txheem ntawm kev kho tsis yog hormonal:
Kev kho mob nrog antispasmodics, immunomodulators, sedatives thiab tshuaj tiv thaiv kab mob;
Diagnostic laparoscopy;
Khoos phis tawj reflexology;
Kev kho lub cev;
Hirudotherapy - kho nrog leeches;
Balneotherapy - kev kho nrog av;
Homeopathy thiab tshuaj ntsuab.
Conservative kho ntawm endometriosis tsis muaj cov tshuaj hormones
Cov kev taw qhia tseem ceeb ntawm kev kho cov tsos mob ntawm endometriosis yog ua kom lub cev tsis muaj zog, txo qhov mob, kho qhov tshwm sim ntawm hemorrhagic anemia, thiab tshem tawm cov tsos mob neuropsychiatric.
Tshuaj pab pawg:
Immunomodulators. Feem ntau, lymphocytes thiab macrophages - cov neeg tua hluav taws ntawm lub cev tiv thaiv kab mob - tshem tawm cov hlwb txawv teb chaws sab nraum lawv qhov chaw hauv zos. Nyob rau hauv cov xwm txheej ntawm endometriosis, lub cev tiv thaiv tsis muaj zog, yog li cov ntaub so ntswg endometrial kis mus rau sab nraum lub tsev menyuam. Hauv kev kho tus kab mob, immunomodulators xws li Viferon hauv daim ntawv suppositories, Ronkoferon, Cycloferon, Timogen, Levamisole yog siv.
Antioxidants. Kev npaj ntawm pab pawg no tsim kev tiv thaiv tawm tsam dawb radicals uas ua rau muaj kev pheej hmoo ntawm kev hloov pauv ntawm tes tsis zoo. Rau cov hom phiaj no, Pycnogenol, tocopherol acetate, ascorbic acid yog siv.
Antispasmodics. Cov tshuaj nres qhov spasm ntawm cov leeg du, uas cuam tshuam nrog cov ntshav ncig thiab kev ua haujlwm ntawm cov kabmob - No-shpa, Spasmalgon, drotaverine hydrochloride.
Cov tshuaj loog. Lawv muaj cov nyhuv sedative, calm lub paj hlwb, daws kev puas siab puas ntsws kev ntxhov siab - Seduxen, Elenium, Tazepam, Phenazepam.
Hlau npaj. Kev kho mob hemorrhagic anemia yog ua los ntawm txoj kev xws li Ferroplex, Fenyuls.
Kev npaj rau normalization ntawm cov tshuaj hormones (phytohormones). Raws li tus kws kho mob cov lus qhia, analogues ntawm cov tshuaj hormones ntawm cov nroj tsuag keeb kwm raug sau tseg, uas txo qhov tsim ntawm prolactin, normalize hormonal voj voog, thiab zoo cuam tshuam rau lub zog ntawm tus kab mob - Cyclodinone.
Lyophilisate ntawm tsiaj keeb kwm. Cov protein complex npaj Endoferin yog dav siv rau kev kho mob endometriosis. Nws tiv thaiv anemia, ncua sij hawm cev xeeb tub, los ntshav. Cov tshuaj yog tsim los ntawm zes qe menyuam ntawm nyuj, tab sis tsis yog tshuaj hormonal. Nws inhibits cov ntaub so ntswg endometrial vim qhov tseeb tias nws inhibits zus tau tej cov cytokines, ua rau inactivation thiab atrophy ntawm active glandular hlwb. Endoferin tsis ua rau muaj kev tsis haum tshuaj, tsis muaj tshuaj lom, tsis cuam tshuam rau kev ua me nyuam.
Khoos phis tawj reflexology
Txoj kev no yog siv los kho txhua hom endometriosis. Nws yog raws li kev kho dua tshiab ntawm kev sib txuas neuroendocrine, kev tiv thaiv kab mob ntawm tus poj niam lub cev. Qhov tshwm sim ntawm cov kev kho mob zoo li no yog normalization ntawm kev ua haujlwm ntawm kev ua me nyuam thiab kev sib npaug hormonal.
Qhov tseem ceeb ntawm txoj kev yog qhov cuam tshuam ntawm qhov tsis muaj zog ncaj qha tam sim no tawm ntawm cov ntsiab lus lom neeg lom zem uas txuas rau lub paj hlwb thiab lub hlwb. Cov tshuaj tsis siv rau hauv txoj kev kho no.
Qhov tshwm sim ntawm computer reflexology:
Kev ua haujlwm ntawm lub cev tiv thaiv kab mob thiab lub paj hlwb yog normalized;
Hormonal imbalance yog tshem tawm - estrogen ntau lawm, thiab progesterone, ntawm qhov tsis tooj, nce;
Lub innervation ntawm lub cev xeeb tub yog rov qab los;
Feem ntau muaj kev kho rau infertility;
Cov qauv noj qab haus huv thiab kev ua haujlwm ntawm lub tsev menyuam, zes qe menyuam, thiab cov qog mammary tau ua tiav.
Cov txiaj ntsig zoo ntawm txoj kev tuaj yeem saib xyuas los ntawm kev tshawb fawb hormonal.
Laparoscopy
Niaj hnub nimno minimally invasive txoj kev phais kev cuam tshuam yuav pab kom tsis txhob muaj kev phais loj rau lub cev. Ib txoj kev zoo li no yog laparoscopy. Nws yog ua los ntawm kev tswj lub plab kab noj hniav nrog cov cuab yeej tshwj xeeb nyob rau hauv kev tswj ntawm high-resolution optics. Nyob rau hauv lub anterior phab ntsa ntawm lub peritoneum, 3 incisions yog ua - kev khiav hauj lwm raws rau cov twj paj nruag. Txawm hais tias tus txheej txheem yog luv luv, nws tau ua raws li kev siv tshuaj loog thaum ua tau raws li tag nrho cov kev cai rau kev cuam tshuam.
Cov txiaj ntsig ntawm laparoscopy:
Ntxiv nrog rau kev kuaj mob, muaj qhov ua tau ntawm lub hom phiaj tshem tawm me me foci ntawm qhov chaw mos thiab extragenital endometriosis;
Lub cev raug mob rau qhov tsawg kawg nkaus, tus poj niam tsis poob lub peev xwm los yug menyuam;
Thaum laparoscopy, tus kws kho mob tshem tawm cov adhesions, uas muaj txiaj ntsig zoo rau kev xeeb tub.
Cov tshuaj niaj hnub no muaj peev xwm hloov qhov kev txiav txim siab ntawm endometriosis nrog nws cov cauterization siv electrocoagulation lossis laser riam. Xws li kev cuam tshuam tsis tshua muaj kev puas tsuaj, txo qhov kev pheej hmoo ntawm kev kis kab mob endometrial, uas muaj qhov theoretically nrog kev tshem tawm cov ntaub so ntswg tsis raug. Nquag, cov khoom raug tshem tawm los ntawm kev khiav hauj lwm channel hauv lub thawv tshwj xeeb txhawm rau tiv thaiv cov xwm txheej zoo li no.
Physiotherapy
Kev siv cov txheej txheem physiotherapy yog qhia rau endometriosis rau cov laj thawj hauv qab no:
Physiological;
Kev ruaj ntseg;
Tsis mob;
Muaj peev xwm xaiv ib tus neeg thauj khoom;
Ntev tom qab ua haujlwm;
Tsis muaj toxicity, allergenic yam;
Compatibility nrog rau lwm yam kev kho mob;
Qhov chaw ntawm cov nyhuv kho;
Kev pab nyiaj txiag.
Xws li kev kho mob tau qhia nyob rau hauv thawj theem ntawm tus kab mob, nws pab tshem tawm cov txheej txheem nplaum thiab tiv thaiv cov teeb meem tom qab phais, nres qhov kev loj hlob ntawm endometriosis.
Contraindications rau physiotherapy:
Lub xub ntiag ntawm endometrioid zes qe menyuam;
III-IV theem ntawm tus kab mob;
Noj cov tshuaj psychotropic rau kev kho mob ntawm neuropsychiatric mob.
Cov yam ntxwv ntawm lub cev siv hauv kev kho mob endometriosis:
Tsawg zaus pulsed tam sim no (iodine electrophoresis) - tshuaj loog, muaj cov nyhuv sedative, normalize hormonal tshuav, tsis txhob noj nrog urolithiasis, cov nyhuv txuas ntxiv rau 2-4 lub hlis;
Magnetotherapy - normalizes lub xeev ntawm lub paj hlwb, tsim ib tug sedative nyhuv, txhim kho cov ntaub so ntswg microcirculation;
UV hluav taws xob, kev kho magneto-laser - muaj cov tshuaj tua kab mob, tiv thaiv kab mob, biostimulating nyhuv ntawm foci ntawm tus kab mob.
Nrog endometriosis, nws yog txwv tsis pub siv cov txheej txheem physiotherapeutic hauv qab no: zaws ntawm thaj chaw lumbosacral, kho av nkos, diathermy, paraffin therapy, hydrogen sulfide thiab turpentine da dej, vim tias cov txheej txheem no txhawb nqa cov tshuaj estrogen ntau dhau, uas yog qhov tsis xav tau hauv qhov no.
Balneotherapy
Qhov kev pab cuam muaj zog thiab muaj txiaj ntsig zoo rau kev kho mob endometriosis suav nrog kev siv radon thiab iodine-bromine da dej ua ke nrog cov dej hauv qhov chaw mos thiab microenemas nrog dej radon.
Cov nyhuv ntawm radon rau ntawm poj niam lub cev:
Tshuaj loog,
sedative nyhuv;
normalization ntawm qib gonadotropins;
Txo hyperestrogenism, nce qib progesterone.
Lub sijhawm ua haujlwm tom qab los ntawm kev siv radon da dej kav ntev txog 6 lub hlis.
Cov nyhuv ntawm iodine-bromine da dej thiab qhov chaw mos dej:
Nce qhov pib ntawm qhov mob rhiab heev;
Txo cov ntshav siab;
Normalization ntawm cov thyroid ua haujlwm;
Kev tawm tsam ntawm cov tshuaj estrogen ntau dhau;
Anti-inflammatory kev txiav txim.
Lub sijhawm ua haujlwm tom qab da dej iodine-bromine yog 4 lub hlis.
Tsis tas li ntawd, coniferous thiab bischofite da dej yog siv, uas muaj ib tug sedative, antispastic nyhuv, uas muaj ib tug analgesic nyhuv vim thermal, tshuaj thiab mechanical teebmeem ntawm daim tawv nqaij receptors. Cov txiaj ntsig tom qab kev kho mob nrog da dej yog los ntawm 3 mus rau 5 lub hlis.
Hirudotherapy
Kev kho mob ntawm endometriosis nrog leeches yog nqa tawm tshwj xeeb hauv kev saib xyuas ntawm tus kws kho mob tshwj xeeb thiab tom qab kuaj mob. Tus kws kho mob txiav txim siab qhov zaus thiab lub sijhawm ntawm txoj kev. Ntawm kev kho mob hirudotherapy, kev kho mob leeches yog siv rau ntawm qhov chaw ntawm lub tsev menyuam, zes qe menyuam, sacrum, acupuncture cov ntsiab lus, thiab txawm nyob rau hauv qhov chaw mos. Lawv tso tawm ntau tshaj 100 hom tshuaj lom neeg lom neeg ntawm qhov chaw ntawm qhov tom, uas muaj txiaj ntsig zoo ntawm kev kho mob endometriosis.
Cov nyhuv ntawm hirudotherapy:
Lub overgrown endometrium yog txo;
Kev coj khaub ncaws yog normalized;
Stabilizes qhov ntim ntawm kev coj khaub ncaws;
Adhesions thiab endometrioid cysts daws;
Kev xeeb tub tshwm sim nrog kev xeeb tub los ntawm endometriosis;
Qhov kev siv ntawm qhov mob syndrome txo qis.
Nws muaj peev xwm siv ntau yam kev kho mob nrog leeches, nyob rau hauv cov ntaub ntawv twg yuav tsum tau so ntawm ob peb lub hlis ntawm lawv.
Kev kho mob ntawm endometriosis nrog lwm txoj kev muaj txiaj ntsig zoo rau kev noj qab haus huv ntawm cov neeg mob uas muaj contraindicated hauv kev kho tshuaj hormone, nrog rau kev kho mob ntawm kev kho mob ntawm cov tsos mob ntawm endometriosis.