Imiqondiso neempawu ze fibroids zesibeleko: indlela ingqalelo esi sifo

iimpawu bokuphila iziphumo zomzimba basetyhini baziswa kakhulu ezimbi ezahlukeneyo yamanina. Ngokutsho iingxelo zonyango, indawo yokuqala kuthatha fibroids zesibeleko.

Ngokutsho WHO, ngaphezulu kwama-25% abasetyhini ubudala okuzala kweli lizwe owona thumba. Ke inani kwanda ngonyaka ngamnye. Isifo kwenzeka kubantu abatsha kunye izigulane ukuya exesheni. Nditsho ugqirha kwi uviwo yamanina ayikwazi akusoloko Makangagocagoci phakathi iimpawu fibroids zesibeleko. Indlela ukuqaphela imfundo kusekwangoko kwaye kuthintele uqhaqho? nina iimpendulo yonke imibuzo ziya kufumana kokungeniswa kwazo.

Loluphi uhlobo sifo kukuba?

Oku a neoplasm elihle ezinobukhulu obahlukileyo. nodes Myoma akhiwe myometrium - umaleko kwezihlunu. Ekweneni ngefayibha imilo egudileyo esondezwe, imithambo yegazi exineneyo aluka. ubunzima bayo, ubukhulu kunye umthamo kunokuba wawumkhulu. Xa yezonyango, esisigxina node 63 kg ubunzima. Kodwa wesizalo eqhelekileyo ngakumbi fibroids ubungakanani omncinane. Iimpawu kunye iimpawu ixhomekeke ngqo ukuhamba, amanyathelo, indawo zomzimba, izinga lokukhula, inani ezalathelwe, kunye nobudala isigulane. Esi sifo enama-abaxhomekeke, ngoko uphuhliso yayo iphawulwa ezinomthamo eliphezulu estrogen (hormone ngesondo obhinqileyo).

Types namabandla kwasendaweni

Xa amayeza onyango kukhutshwe imfundo ezininzi nabangatshatanga miomnye, kuxhomekeka kwindawo yabo;

• Submucosal, okanye intracavitary, uhlobo senzeka kwi endometrium, uyakwazi kweyela lobufazi kunye wesibeleko.
• Subserous okanye subperitoneal, ezifunyanwa phantsi kwe umphandle wayo umzimba.
• Embi (intra-dystrophy) - ezi fibroids zixhaphakileyo zesibeleko kwelini. Lweempawu luphawulwa ukopha kabuhlungu exesheni. Nodes angqamene Ebubanzini umaleko kwiindawo emzimbeni okanye ezantsi.
• Womlomo wesibeleko.
• Mezhsvyazochnaya podbryushinnye eyendayo isithuba kwaye kaninzi imela ngokwalo.

Ezinye iintlobo kwingxelo angakhula ukuya ku 2-3 kg. Kuphela rhoqo (qho kwiinyanga ezintandathu) yoviwo lemithi ukuze ulungise baphethwe kufumana unyango ngamachiza.

Ngubani na isengozini?

Kusenokwenzeka ukuvela kwesi sifo kwisithuba wesiseko ngokwesondo. Kodwa iimeko ezinjalo zinqabile kakhulu. Ngokomthetho ngezifo kuvela emva kweminyaka engama-30. Iimpawu zokuqala fibroids zesibeleko ezi imperceptible, okt isigulane uphila ubomi obuqhelekileyo, ngaphandle uziva ubuhlungu kunye neentlungu.

Eyona nto iphambili ukunisa, ngokutsho kwiingcali, kukho kungalingani hormone (amanqanaba ezingaphezu estrogen kunye dlala izivuka, umsebenzi othile we ezihlobene). Ngokuqhelekileyo enokuphazamisa ezinjalo amantombazana kamva ukuza ngenyanga, yaye maxa wambi azikho kwaukubakho.

Indima ebalulekileyo kukuvela fibroids kudlala ubomi mgaqweni ngokwesondo (iintlobano ezinqabileyo, ukunganeliseki). Kulo meko, ukuhamba kwegazi aphazanyiswa kwaye kukho ingxinano. Lahamba kubonakele ukuba esi sifo inophawu yemfuza. Yena ndazi abo entsatsheni ngokusebenzisa umgca imazi badibana fibroids.

mandundu nazo iinkqubo ukudumba (adnexitis, endometritis, endometriosis), ekubelekeni kade, isifo yonyango, ukupheliswa ukhulelwe, umothuko kunye notyando yamanina. Konke oku kukhokelela okunzulu hormone.

Iimpawu eziphambili of fibroids zesibeleko: malunga nendlela yokuqonda ithumba?

Ngoko ke, makhe sithethe ngeempawu zakho. Ngelo sigaba sokuqala isifo ezinqabileyo iimpawu zesibeleko fibroid elibhaqiweyo. Indlela ukuqaphela esi sifo? Kuphela ngoncedo eziliqela ubuchule diagnostic. Njengoko nangezilonda aqalise ukuphazamisa iimvakalelo nomonde engonwabanga abonisa ixesha.Ngalo ezisilelayo emzimbeni. To ezo ziquka:

• ukopha exesheni ixesha elide kwaye inzima. Kamva, oku kungakhokelela ekubeni anaemia (nesiyezi, izingxobo pallor, uqaqanjelwa, ubuthathaka). A meko efanayo iye yaziswe kakhulu. Ngamanye amaxesha ufuna esibhedlele ngokungxamisekileyo.
• Intlungu lubonisa ukuba thumba siqhuba lukwasetyenziswa ukuvavanya ekhula. Iimpawu fibroids zesibeleko ubungakanani obuncinane, ngokuqhelekileyo Babaqhathanisele, maxa wambi sikhatshwe intlungu ezisezantsi esisu kunye sinciphise umva.
• Ukungaphumeleli amalungu elimelene - esinyini isikali. Kukho yobunzima, edandatheka, iingxaki micturition, nokuqunjelwa. Ukuba utyelele womchamo, ugqirha, gastroenterologist.
• Ulwando Ithumba luphawulwa iintlungu entliziyweni. Kwakhona, akukho ukwanda koxinzelelo, ukuphelelwa umoya, irhashalala komzimba kunye neengxaki metabolic.

abafazi emancinane wancipha umsebenzi zokuzala (tubes). amaxesha amaninzi oku kuba ngunobangela ukungachumi. Kuthintelo sifo kufuneka ngexesha ukuqhuba uphando kunye nonyango ngendeb '. Kukho ubungqina bokuba imfundo ungalahleka ngokwabo ukuncipha ubungakanani kunye ukufika ukuya exesheni okanye. Musa ukukhangela kuba, kungcono ukuba ukuphelisa le yunithi phambi kokuba iya kwanda yaye kuya kubangela umonakalo noqhekeko kwimpilo.

ezibonisa kwezonyango uhlobo ithumba

Kuba ifomu nganye iphawulwa ezahlukeneyo iimpawu. Iimpawu zokuqala fibroids ubungakanani amancinane zesibeleko nodes submucous okubangelwa ukuphazamiseka exesheni. Cramping ubuhlungu ithi kuphela xa nethumba uvikivwa kuloo ndawo ibinomthwebeba emzimbeni.

Subserroznoe indawo yokwakheka ezi nazimpawu. kwiiyunithi ukumpompa xa izigulane akhalaze buhlungu onochuku rhoqo esiswini. Obubonakala basoloko bexakaniseka kwikliniki ngenzolo etsolo kwaye isigulane yafakwa kwisebe utyando.

Mixed myoma uluhlu kusekwangoko akakho ngokwabo. Kuyaphela yobunzima amalungu ezisecaleni kunye neengxaki defecation ziphawulwe ubeka imali ebonakalayo ithumba.

Ukukhulelwa ne myoma

Ukuba iindawo ibekwe kude ngumkhaya, musa kuchaphazela nto, ixesha lokumitha idla kubanjwa ngaphandle ezimbi. kuvela Ubunzima kwimeko apho ukuyilwa myoma lobulali kufuphi umzimba osandul. Isibakala sokuba thumba uvelisa izinto ezibangela kwamathumbu zesibeleko. Oku kwandisa amathuba yokuzalwa okanye ukuphuphuma kwexesha. Oko kwaqhuba kakuhle ukukhulelwa, oogqirha bazama ukuphelisa setyana. Kakade ke, njengoko ukwandisa Ingane ukuphuhlisa iindidi deformation cranial, hypoxia kunye nezinye ngezifo. Imisebenzi Generic basoloko buthathaka kakhulu kwaye uthathe, ngoko oogqirha wenza uqhaqho.

iindlela isifo

Ngenxa yokuba imbali yezonyango kunye noviwo zangasese ayikwazi kuchongwa fibroid esibelekweni. Ultrasound (imiqondiso, apho uviwo onyulwe, - ukopha, iintlungu, ukungachumi) kunceda ukuchonga deformation le lweHo- zesibeleko. indlela Unique ulwazi imisela zonke utshintsho lwezidumbu: ubungakanani, indawo, isakhiwo.

Kuba eninzi ithumba oqeshwe yi-MRI. Kuhle ityhila inani amaqhina, ukumisela ubume babo kunye nendawo. Iimpawu Sonographic of fibroids zesibeleko kumaziko emfundo subperitoneal luphawulwa ngokwanda zvukopogloschaemostyu. Moshilongo oluchanileyo sifo kufuneka aye kwizifundo ezininzi: ayinakubalwa Itomography, laparoscopy, hysterosalpingography.

therapy

Ngokwentelekiso kutshanje, ekuphela kwendlela kutshabalalisa sifo uqhaqho. Namhlanje, oogqirha bakwazi ukufikelela iziphumo enkulu unyango. Slow sandayo maqhuqhuva encinane Ebubanzini le endometrium, musa kubangela iingxaki, kodwa ukuze iyaluthintela uphuhliso, emiselweyo unyango elondoloza. Ugqirha ekunika hormone: eziveliswa androgens, progestogens, zokucwangcisa ezidibeneyo kunye analogue GnRHa.

iintlobo Modern zotyando

Unyango Conservative akusoloko kunjalo, ngempumelelo nangobuchule, ingakumbi namaqonga ezinkulu. Ukuba ixesha alisusi iindawo, iimpawu zokukhula zesibeleko fibroid ezinokuchaphazela kakubi impilo yabafazi. ukopha oluninzi kunokukhokelela ekufeni okanye kukuhlutha ulonwabo ngumama ngonaphakade.

Kukho iinketho eziliqela yokungenelela ngotyando (ngamnye ezikhethiweyo enye okanye ngenye indlela ukususa, ngoko kufuneka ithathele ingqalelo ubudala yesigulane, izinga lokukhula ithumba, eyendawo, ubungakanani kunye nezinye izinto):

• myomectomy laparoscopy - ngoncedo isixhobo okhethekileyo, a laparoscope, liqatywe encinane senziwa neendawo asikwe umgodi.
• myomectomy Hysteroscopic ukususa ngaphakathi nethumba.
• FUS ablation - ikhutshwa phandle ngokusebenzisa ngamaza cuke wabelwa ezikhoyo kuphela xa engatshatanga.
• Embolization ezincinane - uthintele kwemali kwezondlo ukuya kwiindawo.
• Hysterectomy - indlela kakhulu oluqhutywa kwiimeko apho nangezilonda bafikelele ubukhulu enkulu. Iveliswe umlenze wesizalo.

Ukuba wena awukwazi xa fibroids?

Kukho izinto ezifika zibe yimiqobo ethile ekufuneka ilandelwe ukuze abafazi unesifo enjalo, ukuze sibe sibi. Contraindicated na umsebenzi ebonakalayo kwindawo ye peritoneum kunye isinqe. Zikhusele wena evela ekukhweleni nehashe kunye ngebhayisekile. Uyakwazi ukwenza yoga, ukuhamba phezu obuqinileyo naabo ababathandayo uze uqiniseke ukuba iin- yemihla ngemihla - oku kuya kuphuculwe ukuhamba kwegazi. Oogqirha azilukhuthazi Vibro zokuhlambela kunye nodaka. Kuyimfuneko ukunikela ingqalelo ekudleni kwakho; kuphelisa ukutya okuqinileyo kunye olunamafutha ukukhuthaza ukukhula nethumba.

ukutya eluncedo, ninendyebo fatty polyunsaturated. Ukwandisa ukusetyenziswa iintlanzi, izitya imifuno, amandongomane kunye lwegciwane ingqolowa. Musa ukulibala ukubamba ivithamin unyango amaxesha 3-4 ngonyaka. Dibanisa unyango bemveli mayeza zonyango abanam. Gcina iso impilo yabo yaye uhlolisiso minyaka yonke, naxa akukho iimpawu fibroids zesibeleko. Indlela ukuqaphela sifo kunye nokuthintela uphuhliso yayo, ukuchaza ngokweenkcukacha ugqirha.