Uterine fibroids. Kuchotsa. Zotsatira zake thupi

Uterine fibroids ali amatchedwanso fibroids. matenda ndi mtima wabwino chotupa kuti amapezeka akazi chifukwa cha kukhudzana ndi ntchito zosiyanasiyana za zinthu - m'thupi disruptions, kutengera za kumtundu, osasamba moyo kugonana. Pambuyo kuwononga makina monga chotsatira cha mimba anasamutsidwa ndi curettage, Komanso fibroids uterine. Kuchotsa zotsatira za opaleshoni ya - mavuto chidwi akazi ambiri kumva matenda izi.

Kutengera za matenda zimadalira thanzi akukhudzidwira ndi milingo m'thupi. Kwenikweni fibroids wapezeka mu akazi pakati pa zaka 35 ndi 50. Pamsinkhu uwu, mwatsoka, chotero matenda - si zachilendo. Posachedwapa, iye ali wamng'ono kwambiri - ngakhale akazi zaka wocheperapo 30 fibroids uterine. Kuchotsa zotsatira za opaleshoni, ndiwofatsa chithandizo cha matenda - mutu lalikulu ndithu.

zizindikiro

Mu siteji yoyamba ya matenda ndi pafupifupi popanda zizindikiro. Pamene kukula kwa fibroids akadali ang'ono, ama fibroids angakhoze kokha mwangozi - pa phwando pa gynecologist pa kuyenderako kapena pa ultrasound bwino. Komabe, pali ena zizindikiro kuti ayenera kuchenjeza mkazi - zimenezi zimaphatikizapo zonse kupweteka ululu pamimba m'munsi, chowawa ndi kulemedwa kwambiri ndi kusamba, kuphwanya ziwalo pafupi. Mwachitsanzo, fibroids zingachititse kusapeza matumbo chikhodzodzo - ndiye muyenera khutu ku kudzimbidwa aakulu kapena mavuto mkodzo. Kawirikawiri zizindikiro si zoona kwa zosinthika wa mwakale, ndi mkazi sadziwa kukhalapo kwa chotupa kapena kusamalira vuto si gynecologist, ndi proctologist kapena nephrologist.

mitundu ya fibroids

fibroids Uterine akhoza kugawidwa mu mitundu itatu osiyanasiyana malingana ndi malo ake. Ngati myoma mfundo ili kunja kwa mpanda uterine pa mbali ake akunja ndi kukula mu m'mimba zibowo zam'mano myoma amenewa amatchedwa subserous. Submucosal fibroids - ndi intrauterine chotupa chimene deforms chiberekero nasintha M'mimbamo ake mkati. Interstetsialnaya fibroids inali ku linga la chiberekero, umatchedwa intramural.

chithandizo

Mu ndime yoyamba mankhwala a fibroids kwambiri chosavuta kumva osati mu nkhani ya matenda patsogolo. Kawirikawiri odwala akulimbikitsidwa timadzi mankhwala. Pali mankhwala nthawi zambiri zotchulidwa dokotala matenda a fibroids uterine. Zikuphatikizapo ndalama "Danazol," "Gestrinone" ndi mankhwala ena - zotumphukira wa androgens. Chotero mlingo m'thupi kupondereza kaphatikizidwe mahomoni steroid ambiri m'mimba, ndi awo kukula amadza chotupa kubweza kwambiri. Gulu linalo kuti ntchito mankhwalawa fibroids monga progestins - mankhwala "Djufaston", "Utrozhestan". Iwo m'mbuyo kukula kwa endometrium lapansi. Pamaso pa fibroids uterine ndi othandiza kwambiri. mankhwala onse m'thupi ndi Kwalamulidwa kwa nthawi yaitali, kawirikawiri njira ya mankhwala za 8 miyezi.

Chotero mankhwala akusonyeza, ngati fibroids ochepa kukula - mpaka milungu 12. Mtengo wake zofunika posankha chithandizo, izo chimaonekera malinga ndi kukula kwa chiberekero - monga mimba, mu masabata. Kuti ndi khadi la wodwalayo, kuwonjezera pa matenda a "fibroids" pankakhala kukula uterine, khalidwe kwa mimba kwa zaka zina - kwa masabata 12, mwachitsanzo. Njira imeneyi yakeyi chifukwa kufunika molondola kuyeza chotupa.

mankhwala ena ogwira chimatengedwa ngati mwauzimu "Mirena". Ndi mahomoni intrauterine chipangizo, amene anaika dokotala kwa nthawi ya zaka 5. Zikuyenera ntchito awiri - mankhwala a fibroids ndi zonse kumasulidwa mahomoni ndi chitetezo mimba zapathengo. Unsembe helix amagwira ntchito pokhapokha pamaso pa fibroids unali mu uterine patsekeke. Ngati subserous amene akukula kunja kwa chiberekero mu m'mimba mbali M'mimbamo, mankhwala adzakhala sizithandiza mwauzimu.

Tikaphatikiza kulera m'kamwa komanso kumukhudwitsa, kuthandiza kuletsa kukula kwa fibroids, koma pokhapokha ngati nthendayo matenda oyambirira, ndi kukula mfundo alibe upambana 2 cm.

Opaleshoni chithandizo cha fibroids uterine

Kuchotsa zotsatira za ntchito zimenezi - mutu pokambirana kwambiri ndi dokotala. Pali milandu pamene ankachitira fibroid mahomoni chiberekero ndi operewera, ndiye madokotala amalangiza amachita opaleshoni. The zikuonetsa kwa opaleshoni ali motere:

• The chachikulu cha fibroids (pamene uterine wokulirapo kuposa 12 masabata gestation).
• Kwafalikira chotupa cha - milandu zimenezi zingakhale zosiyanasiyana zosokonezeka, ndi ntchito sangathe kaye.
• Padera ndi osabereka - Ngati wodwala a msinkhu wobereka pamaso pa fibroids ungatilepheretse njira yachibadwa ya mimba ndi kubereka. Ndiye kuchotsa chotupa bwino mimba ndi kubadwa anapita popanda matendawo.
• Yamchiberekero chotupa, kumene limodzi ndi myoma uterine.

Opaleshoni alowererepo ikukhudza kuchotsa chotupa cha. Ndemanga pa wotuluka ngati pali chosiyana, izo zidalira pa munthu ndipo chifukwa. Opaleshoni kwa fibroids akhoza osiyanasiyana malingana ndi zaka wodwalayo, chotupa kukula, ambiri thanzi la mkazi. Ndiwofatsa myomectomy akuimira pochotsa mfundo fibroids uterine, wathanzi gawo anakhalabe. ntchito zoterozo akazi a zaka ubereki amene akukonza m'tsogolo ana. Hysteroresectoscopy - fibroids ndi kuchotsa lamkati uterine patsekeke. Hysterectomy - wathunthu kuchotsa chiberekero. njira iyi kwakukulu, kuyambira kupanda ulamuliro kumabweretsa pakalibe mavuto ndi izo. ntchito zoterezi zimagwiridwa pokhapokha ngati njira zina kuchotsa chotupa sali oyenera, kapena ngati m'badwo wodwala ukuonetsa kuti luso la ana salinso zofunika. kumam'phunzitsa Hysterectomy kuti sterility Komabe, timatha mkazi kugonana, kuona ndi chilakolako chogonana ndi zosangalatsa. M'zaka zaposachedwapa zambiri madokotala ayamba ndondomeko monga mtsempha wamagazi uterine embolization. mankhwala apadera jekeseni ziwiya uterine. Iye akuwasindikiza ziwiya magazi, magazi fibroids ndi sanalandire ndipo pamenepo iwo amafa. Umu ndi wofatsa kuchitira fibroids, amene akulimbikitsidwa akazi amene akufuna kukhala ndi ana mankhwala.

Zotsatira za opaleshoni

Aliyense opaleshoni sikuti kudali chabe kwa thupi, ndipo zotsatira angakhale osiyana. Pambuyo pa opaleshoni, nthawi zambiri Kwalamulidwa kwa odwala mahomoni - zimenezi kuti fibroids sizinayambe kachiwiri. Ngati chifukwa cha chotupa anali m'thupi kulephera, kumwa mankhwala zoyenera kupewa zisadzachitikenso. Onetsetsani kuchita kafukufuku ndi kupeza zimayambitsa matenda, ngati izi sanachite, fibroids uterine reappear.

Kuchotsa zotsatira za ntchito (konzanso) - mitu chidwi kuti akazi ambiri ndi Chikukambidwa mu maonekedwe. Nthawi imeneyo, pamene opaleshoni yochotsa chiberekero anali mmodzi wa mitundu ya mavuto kuzindikira chiopsezo khansa kuchuluka. Zoonekeratu zotsatira za hysterectomy ndi osabereka. Pamene chiberekero si kwathunthu kuchotsedwa kusamba angapitirizebe, koma nthawi zina zikusoŵa.

Nthawi zambiri chifukwa cha opaleshoni matenda a kumaliseche. Ambiri chopweteka kwambiri lowopsya la fibroids uterine ndi Oncology. Uterine fibroids - mtima wabwino chotupa kusinthika ake kupita ku zilonda chosowa kwambiri, koma Zikatero kuchitika. Ndi bwino kudziwa izi ndi kuyesera kuchiza fibroids mwamsanga.

Ayamikira mankhwala

Nthawi kuchira pambuyo opareshoni monga kuchotsa fibroids uterine (mayankho odwala kutsimikizira izo), sasiyana ku konzanso ina pambuyo opaleshoni. Kawirikawiri amalangiza kutenga multivitamin kuthandiza thupi, kudya bwino komanso kudya mankhwala zambiri zomanga thupi. thupi ndi contraindicated mu miyezi 3-4 choyamba, koma kuyenda pang'ono ndipo komabe kusuntha zothandiza. contraindications chimodzi panthawi pochira zotsatira matenthedwe: kupewa kuyendera malo osambira ndi saunas, solarium. N'zosatheka sunbathe ndi zambiri ayenera kuchepetsa kukhala pa dzuwa.