Fibroids: ukwelashwa kanye nokususwa. Subserous myoma engeyokuqala. Sesikhala myoma node

Eminyakeni yamuva, abesifazane ngokwethukela ebhekene zokuzala izifo uhlelo. Pathology kungase kudingeke izimbangela ezahlukahlukene imvelaphi, kulesi simo esibi ziphethe bikho bokubeletha njalo futhi isisu. A lalivamile fibroids isimila steel. Bona zivame ukubonakala engu zokuzala. Nokho, lesi sikhathi angase nje alitholakali. Nokho, ngesikhathi nokunqamuka avele izimpawu eziningi zalesi sifo.

Phatha fibroids noma cha - kuyindaba yangasese ngayinye wesifazane. Nokho, lo dokotela kumele sibonise yesimila. Ezimweni eziningi, le zokugula ingavuli ku isimila esibulalayo, kodwa okungenzeka sisekhona. Lesi sihloko uzokutshela kungaba kanjani myoma engeyokuqala. Wena ukuthola izici yesimila. Futhi ukuthola ukuthi ukwelapha lesizalo myoma engeyokuqala.

Ubunjalo inqubo isimila

Myoma node kwakheka kwi Izitho zokuzala noma umgodi kuyindlela kungavamile ukuba ingozi. Ubukhulu yalesi sifo kulinganiselwa ku Emasontweni onke okukhulelwa. fibroids Small ngokuvamile akusho ukuzibonakalisa. Nokho, njengoba ubukhulu wesifazane uqala ukubona izimpawu ezinhlobonhlobo. Ngokuvamile, lezi zihlanganisa lezi ezilandelayo:

• Ubuhlungu obukhulu besisu,
• kokuya esikhathini imisiwe noma nokunwetshiwe ukopha;
• anda esisindo (izinhlangano ezinkulu);
• ukuqunjelwa kanye wamathumbu disorder patency;
• urethral umnyango zokugula nokunye.

Myoma ISIZINDA ngokujwayelekile umumo isiyingi futhi aqukethe ezihlangene imisipha zesivikelo sesifuba. Zingaba eyodwa noma amaningi, wahlela ohlangeni mncane noma ahlale Friend phezu isitho zokuzala.

Njengoba kwembulwe lesizalo fibroids

Lokhu zokugula kuyimbangela ezivamile ukwelashwa kuya wezifo zabesifazane. Cishe 250 abesifazane e-1000 lapho ucwaningo esilandelayo wembula fibroids. Isimila ukuthola izindlela zingase zihluke.

Uma usayizi izimila esingaphansi 2 ngamasentimitha ububanzi, ke kuyabonakala phakathi ultrasound kuphela. Lapho foci amaningi sokukhula olunzulu kanye wezifo zabesifazane onolwazi kungakwenza ngu palpation ukubeka kokutshelwa ngokukhubazeka kwengane. Lesizalo fibroids ngokuvamile zitholakala phakathi computed tomography futhi magnetic resonance imaging.

izinhlobo fibroids

Njengoba kakade, isimila kungenzeka olulodwa futhi amaningi. Ngaphezu kwalokho, kukhona ngezigaba ezengeziwe evumela ukwehlukana zokugula akuzo izindlela lasungulwa. Isimila izinhlobo zimi kanje:

• submucous myoma engeyokuqala (neoplasms submucosal kokuba umlenze mncane);
• kumiswa interstitial noma intramural (zokugula intermuscular ise udonga umthondo);
• ifomu subserous (esisogwini udonga lwangaphandle kwesibeletho futhi ngokuvamile kuba umlenze);
• intraligamentarnaya isimila (engeyokuqala ohlala nemisipha noma phakathi kwabo).

Ngaphezu kwalezi, kancane ezivamile futhi ISIZINDA wesibeletho ozalwa. Kulesi isimila itholakala emzimbeni umsele wesibeletho noma umane uhlanganyela kuso.

Ingabe ngidinga aphathe zokugula

ukwelashwa Myoma iyunithi angase abe ehlukile. Konke kuncike lapho isimila itholakala. Futhi kudlala indima ebalulekile khona izimpawu. Uma owesifazane engazimbozi baveze izikhalazo, udokotela ngokuvamile itusa ukuba umane ukugcina yesimila. Ngesikhathi esifanayo esimisiwe ukuyohlolwa njalo kanye ultrasound. Lapho ukukhula isimila isiqala athole umfutho futhi ukwandisa ukwelashwa liyadingeka.

Ukulungiswa zingenziwa ngezindlela eziningana. Ngokuvamile kutuswa ukususwa fibroids. Nokho, lokhu kumelwe kube ezinye ubufakazi (ukukhula anda, ukutholakala izikhalazo nokunye). Ngaphezu kwalokho, udokotela angase akhethe yokwelapha olandelanayo. Nokho, akusiyo njalo nomphumela omuhle. Ngokuvamile emva ukulungiswa kwama-hormone iqala nekusita isimila ukukhula, futhi kuba baningi ngisho nangaphezu kwezinwele ekuqaleni. Cabangela izindlela eziyisisekelo ekwelapheni fibroids.

ukwelashwa

Ngokuvamile, ochwepheshe linqume ejenti hormone equkethe agonists hormone gonadotropin-lokukhululwa. Leli qembu izidakamizwa kusiza ukunciphisa ukukhiqizwa estrogen. Lokhu kunciphisa isimila ukukhula. Nokho, ngemva izidakamizwa ukuhoxiswa singenzeka ukubuya kwagcizelela umphumela. Kulokhu ubukhulu isimila uqala ukwandisa ngokushesha futhi ifinyelela ubukhulu wangaphambili. Ngokuvamile subserous myoma node kungandisa umlenze wakho futhi ezimazombe kuziwa.

Ngaphandle Gomonov kungenzeka iqondiswa tranexamic acid. Ukhuthaza trombirvaniyu ezinye izitsha. Ngenxa yalokho, amandla iphazamisekile lwesimila. Subserous myoma node kanye nezinye izinhlobo izinhlangano kungase abune away ngokuphelele. Nokho, lokhu akusho ukuthi nakanjani kuyoba nale nkinga futhi.

Ngokuvamile, imithi isetshenziswa ngaphambi kokuhlinzwa. Kulokhu, umphumela ukwelashwa uzobe laba likhulu.

lwemithambo emobilizatsiya

Lokhu ikhambi inqubo njengoba interstitial myoma node, kanye nezinye izinhlobo lwesimila. Kungakhathaliseki ukuthi iyasebenza kuphela ngaphakathi kwezindonga esibhedlela. Akudingi imithi ebulala izinzwa kanye nokulaliswa esibhedlela isikhathi eside.

Isiguli saphathwa phakathi femoral Umthambo ipayipi ngaphansi-X-ray observation okuyinto ingena phakathi omunye izitsha lesizalo. Ngemva kwalokho, izidakamizwa kuthululwe, ivimbela ukugeleza kwegazi. Imiphumela iba yinhlanganisela yokukhandleka ukuvaleka kwemithambo ingenisa khona fibroids. Akubalulekile ukuba sikhathazeke ngokuthi isimo umthondo e impatho enjalo. ukugeleza kwegazi nalokho oyokwenziwa ngokusebenzisa imithambo esele encane nempahla.

sonication

Intramural myoma node, efana nezinye izinhlobo ezifanayo izimila ingelapheka ngu zokuchayekela emagagasini ultrasonic. Kulesi inqubo akudingi izinzwa kanye nokulaliswa esibhedlela.

Phakathi zokukhwabanisa yowesifazane etafuleni, futhi lo dokotela ithumela amagagasi ageleze nesifunda okhalo. Ukusebenza wenziwa ngaphansi ultrasound noma i-MRI kulandzelana nekuhlunga tinsita. Igagasi osabalalayo ukukhuthaza isimila nezicubu bafudumale. Kulokhu, izitho engumakhelwane azilimele. Ngaphansi kwethonya enjalo engeyokuqala uyafa, futhi isakhiwo yayo esikhundleni ezicutshini.

Le ndlela yokwelapha esetshenziswa abesifazane abasha nulliparous nabobulili bubuhle. Izikhundla kuyinto entsha kanokusho futhi angabacwasi. Ngeshwa, akuyona yonke ezikhungweni zokwelapha nethuba ukuqhuba lokhu kwelashwa.

Ukuhlinzwa: ekususeni fibroids

Subserous myoma node odokotela batusa ukususa surgically. Ezemfundo isendaweni udonga lwangaphandle umthondo. Ezimweni eziningi, isimila has a stem mncane ezingavikelekile ezingase zibe elisontiwe. Futhi, lokhu kumiswa entsha okungase kuthinte izitho elingumakhelwane: i fallopian amashubhu, amaqanda namathumbu. Ukusebenza ukuze asuse isimila wenziwa ngaphansi izinzwa jikelele. Ngakho laparotomy noma laparoscopic indlela singasetshenziswa. Ngosizo amathuluzi akhethekile Dr. excised base fibroids imilenze futhi kususa izicubu.

Sesikhala myoma node Ungase futhi zisuswe ngale ndlela. Nokho, izicubu ezonakele ka sobulili. Kukhona okuthiwa resection mucosal. Lokhu ukulungiswa kungaba nemiphumela ngempela ebuhlungu, ikakhulukazi uma owesifazane uhlela ayakhulelwa. Yingakho seziguli ezisencane belulekwa ukukhetha izindlela more yokwelapha yesimanje.

hysterectomy

Phezu ukuthola ezinkulu leiomyomata owesifazane kususa umthondo. Nokho, kufanele acabangele engu isiguli kanye phambi kwezingane zakhe. Yiqiniso, uma kukhona kungenzeka udokotela uzama ukulondoloza kwesibeletho. Nokho, lokhu akusebenzi njalo.

Hysterectomy wenziwa nge izilonda olubanzi nolwelwesi lwamafinyila kanye khona izimpawu ukuthi liphazamisane ukuphila okuvamile. Ukusebenza wenziwa ngaphansi izinzwa jikelele. Kulokhu, lo wesifazane esibhedlela izinsuku ezimbalwa.

Uyini umehluko phakathi subserous futhi interstitial myoma node

Lezi ukwakheka lwesimila zihlukaniswa indawo yayo kanye nomthelela wakhona umsebenzi umzimba female. Ngakho, engeyokuqala subserous ungaphakathi komgodi ongaphakathi kwamathumbu. Ngesikhathi esifanayo awusebenzi ukopha njalo, ngokungafani fibroids interstitial. Futhi, isimila akuphazamisi sokukhulelwa ekukhulelweni inqubo. Nge izifo ezifana kuyaqabukela zenzeka ukuphazamiseka kwama-hormone. Nakuba isimila interstitial kubangela ukuntuleka kwegazi emzimbeni, i-high blood ukulahlekelwa futhi ubuhlungu kaningi ukhalo.

Imiphumela fibroids

Ngokuvamile, isikhathi sitholakele disinfected akubangi imiphumela sokugembula kanye nezinkinga. Uma ngabe ukhombe amayunithi amancane, ukulungiswa kungenziwa lihlehliselwe isikhathi esingaziwa. Kuyadingeka ukuba eduze ukuqapha ukukhula yesimila.

Uma siyishaya indiva ukukhathazeka impilo futhi musa unake lesizalo fibroids, kungaba ukwandisa angabacwasi ngokushesha ngobukhulu futhi kuholele nenzalo. Futhi, zokugula ukuthi kungenzeka ukonakala kwifomu ebulalayo, kodwa kwenzeka kakhulu kuyaqabukela.

ukopha njalo, futhi ukungasebenzi umthelela somzimba omubi inhlalakahle abesifazane. Yingakho kokutholakala isifo kuyadingeka ngokushesha ngangokunokwenzeka ikheli le wezifo zabesifazane. Abesifazane ekupheleni kweminyaka emine engabiza uvakashelwa njalo kumagumbi kanye ultrasound ukuhlolwa. Lokhu kuzovumela isikhathi ukuhlonza kungenzeka ukukhula entsha bese uqale ukwelashwa.

Efingqa

Manje usuyazi kabanzi mayelana lesizalo fibroids. Abesifazane abaningi ngokujabula ukhulelwe futhi ubelethe isifo. Nokho, ngenkathi enza ingane ukuvuvukala bangaba kakhudlwana futhi ziyingozi empilweni yengane. Kulabo abesifazane okungenzeka ukuthi unina noninakhulu wahlushwa lesizalo fibroids, kukhona amathuba ngaphezulu zokugula ezinjalo.

Mayelana nempilo yakho ngokucophelela. Uma unemibuzo noma izimpawu, xhumana wezifo zabesifazane yakho iseluleko. Uma kudingeka, udokotela wakho angase akukhuthaze olunye ucwaningo kanye nokwelashwa. Ngifisa sengathi ngabe impilo!