Uterine fibroids - zimayambitsa

Myoma ya chiberekero ndi matenda a chiwalo cha mkazi, chomwe chimadziwika ndi maonekedwe a mitsempha ya chiberekero cha chotupa chopha. Zizindikiro zotchulidwa za fibroids zimachotsa magazi, zimatenga nthawi yaitali komanso zimakhala zovuta kwambiri, zimabweretsa ululu, zimathamanga nthawi zambiri, zimathamangitsidwa, ndipo nthawi zina zimakhala zosabereka. Matendawa amapezeka ndi ultrasound. Chithandizocho chimadalira m'badwo wa wodwalayo, komanso kukula kwake kwa myoma. Ngati mkazi akukonzekera kukhala ndi ana m'tsogolomu, mankhwalawa amagwiritsidwa ntchito. Kwa kukula kwakukulu kwa fibroids, kuchotsa opaleshoni ya chotupacho, mwachitsanzo, myomectomy, kapena kuchotsa chiberekero chomwecho, akulimbikitsidwa - hysterectomy.

N'zosatheka kunena chomwe chimayambitsa ndi chitukuko cha uterine fibroids madokotala sangathe. Monga lamulo, myoma imakula pang'onopang'ono: pazifukwa zina selo limodzi limayamba kugawa, kupanga minofu ya minofu yopanga ziwalo. Malingana ndi malo awo, myoma ndi sub-serous , submucous , cervical kapena intraligamentary. Ngati zifukwa za uterine fibroids siziwonekeratu, zotsatira zake zingapangitse kuti chiberekero chiwonjezeke pang'onopang'ono ngati mimba yabwino. Ndicho chifukwa chake miyeso yake imasonyezedwa mu masabata.

Chifukwa chiyani uterine amaoneka?

Kachilombo kamene kamakhala ndi kathupi kamene kamakhudzidwa ndi progesterone ndi estrogens. Pali zifukwa zingapo zomwe zikufotokozera chifukwa chake uterine amapezeka. Choncho, pakati pa zomwe zimayambitsa matenda a myoma, pali mavuto aakulu komanso amphamvu, ntchito yaikulu ya maganizo ndi thupi. Komanso, myoma ikhoza kukwiyidwa ndi kuphwanya mahomoni, ngati pali matenda ozunguza matenda, matenda aakulu opatsirana, matenda a mapuloteni otchedwa endocrine, kuphwanya mafuta amtundu wa thupi, ndi chibadwidwe. Ngati myoma yakhazikitsidwa kale, kukula kwake kumakhudzidwa ndi kuchotsa mimba, kukana kuyamwitsa, kusowa kwa ana osapitirira zaka makumi atatu, matenda opatsirana opatsirana a chiwopsezo cha chiwerewere, komanso kudya kwa nthawi yaitali kumagwiritsidwe ntchito ka njira zothandizira kulumikizana pakamwa komanso kuwonetseredwa kwa dzuwa nthawi zonse.

Momwe mungachitire mankhwala a myoma?

Ngati tilingalira njira zowonongeka, ndiye kuti chithandizo cha fibroids n'chotheka kokha ngati chotupacho chiri chochepa (mpaka masabata khumi ndi awiri), chimakula pang'onopang'ono ndipo chiri pansi pa chiberekero cha uterine kapena pakati pa minofu yosanjikiza. Madokotala amapereka chithandizo chamankhwala, kuphatikizapo kudya mankhwala osokoneza bongo. Izi zikuphatikizapo goserelin, buserelin, zoladex, triptorelin, gestrinone.

Kutalika kwakukulu kwa fibroids (masabata opitirira khumi ndi awiri), kukula kwa chifuwa ndi zizindikilo zozindikiritsa ndizomwe zikuwonetseratu kuti mwachita opaleshoni. Njira yowonongeka kwambiri ndiyo kugwiritsa ntchito laparoscopic myomectomy, ndiko kuti, kuchotsa chotupacho ndi zipangizo zomwe zimapangidwira kupyolera mu zochitika m'mimba. Pambuyo poletsa opaleshoni mkaziyo akubwezeretsedwa mwamsanga, ndi iye mwayi wokhala ndi pakati ndi wapamwamba kwambiri.

Myoma yopatsa mphamvu imafuna kuti chiberekerocho chichotse chiberekero, ndiko kuti, kuchotsa kwathunthu chiberekero ndi chida chapadera - kachilomboka kamene kamaphatikizidwa kupyolera mukazi. Mwachidziwikiratu, atatha kufotokozera ntchitoyi ndizosatheka kukhala ndi ana. Njira yopweteka kwambiri, koma yogwira mtima, ndiyo njira yowonjezereka ya mitsempha yotchedwa uterine, yomwe imayikidwa mankhwala apadera, kuimitsa kutuluka kwa magazi. Myoma amasiya kukula ndikufa.

Palinso njira yowonjezeramo FUS, yomwe ili yoyenera kwa amayi omwe safuna kukhala ndi ana m'tsogolomu. Zimagwiritsidwa ntchito pogwiritsa ntchito akupanga mafunde, zomwe zimachepetsa kukula kwa nthata za myoma.