Kuchiza kwa uterine myoma popanda opaleshoni

Myoma ya chiberekero ndi chimodzi mwa machitidwe ochizira ambiri omwe amapezeka m'mabanja ndipo amapezeka mwa amai 25%. Myoma amapezeka koyamba kwa amayi a zaka zapakati pa 30 ndi 40, pamene kusintha kwa mahomoni kumakhala kofunika koposa. Kawirikawiri, myoma, yomwe imakula mofulumira ndipo imayambitsa magazi nthawi zambiri, ndiyo chifukwa cholowerera mwamsanga. Koma kodi n'zotheka ndi momwe angachiritse fibromy popanda opaleshoni? Tidzayesa kufotokoza za njira izi m'nkhani yathu.

Kupanda opaleshoni ya uterine fibroids

Kuchiza kwa uterine fibroids popanda opaleshoni n'kotheka lero, koma ngati mayi alibe zizindikiro za kugwira ntchito. Zisonyezo za ntchitoyi ndi izi:

• ngati kukula kwa nthenda ya myomatous kufika pamasabata 12-14 (chiberekero chawonjezeka ndi masabata 14 a mimba);
• ngati kukula kwa fibroids kumawonjezeka mofulumira ndipo chiberekero chimawonjezeka masabata 4 pa chaka (izi ndizoopsa kuti zikhale ndi zilonda zoopsa za chiberekero);
• ngati nthenda ya myomatous ili m'dera lachiberekero;
• ngati uterine myoma ndi chifukwa cha kupha magazi (kumaliseche ndi kupuma), komwe kumayambitsa kuchepa kwa magazi;
• ngati node yaikulu yotchedwa myomatous node imamenyana ndi ziwalo zozungulira ndipo zimasokoneza ntchito yawo (intestine ndi chikhodzodzo).

Zisonyezero izi ndi chifukwa cha ntchito yokonzedweratu, koma pakali pano zinthu zofunikira. Izi zimaphatikizapo kuzunzika kwa miyendo ya nthenda ya myomatous ndi necrosis.

Kodi kuchiza fibroids popanda opaleshoni?

Kuchiza kwa chiberekero cha chiberekero popanda opaleshoni chitha kuchitidwa mothandizidwa ndi mankhwala, ndipo n'zotheka ndi chithandizo cha njira zamagetsi. Kotero, mwachitsanzo, tizilombo tating'ono ting'onoting'ono tingathenso kuchotsedwa mothandizidwa ndi hysteroresectoscopy. Mankhwala osokoneza bongo ndi njira ina yothandizira oterine fibroids. Pakati pazitsulo zochepa zowonjezereka, zimangowonjezera kukula kwake, ndipo nthawi zina zimalimbikitsanso.

Ngati kukula kwa myoma ndi kwakukulu mokwanira, pali magazi ochuluka omwe amachititsa kuti magazi asapitirire, ndipo opaleshoni sangathe kupeŵa, ndiye kuti mankhwala opangidwa ndi mahomoni amafunika kuti asankhe kuchepetsa kuchuluka kwa magazi ndi kuchuluka kwa magazi. Akazi amene sapeza nthawi yoyamba ya menopausal akulamulidwa kukonzekera 19-norsteroid (Norkolut), yomwe imachepetsa kuchuluka kwa magazi a minofu. Izi ziyenera kutengedwa kuchokera pa 16 mpaka 25 tsiku lozungulira kwa theka la chaka. Azimayi amene anafika kumayambiriro kwa nthawi ya minofu amauzidwa kuti agonists gonadotropin-release hormone (Buserelin), yomwe amagwiritsidwa ntchito ngati jekeseni katatu patsiku. Chofunika cha zochita zawo ndi kupititsa patsogolo kuyambira kwa kusamba kwa thupi komanso kutha kwa mphamvu ya mahomoni.

Mmene mungachotsere fibroids popanda opaleshoni: chiberekero cha uterine chimangidwe

Kuwongolera mitsempha ya uterine ndi imodzi mwa njira zatsopano komanso zamakono zothandizira uterine fibroids. Ngakhale kuti izo zimatanthauzanso zovuta, koma ndizochepa kuposa ntchito. Chofunika cha njirayi ndi chakuti wodwalayo ali ndi catheterized ndi mitsempha ya chikazi ndipo catheter imabweretsedwa ku umtine umisiri pansi pa kuyang'anira zida X. Kupyolera mu catheter, chojambulira chosiyana chimayambitsidwa, chomwe chiyenera kudzaza nthati ya myomatous. Mitundu yaing'ono ya polyurethane ya poizoni imalowetsedwa mu catheter, yomwe imatsegula mitsempha ya mitsempha yaing'ono yopatsa mitsempha ya myomatous, motero imaletsa magazi awo. Njirayi iyenera kuchitika mbali zonse.

Motero, tinalingalira njira zonse zomwe zilipo zopanda opaleshoni zochizira uterine fibroids. Koma kuti iwo akhale ndi zotsatira, muyenera kupempha thandizo mwamsanga. Zoonadi, kawirikawiri myulu kwa zaka sizidziwonetsa yokha, ndipo kwa nthawi yoyamba ikhoza kudzidzimva yokha chifukwa cha magazi. Choncho, mayeso oletsa ndi ma test ultrasound ndi ofunika kwambiri.