Zizindikiro za fibroids uterine: bwanji kuzindikira matenda

Thupi makhalidwe a zotsatira wamkazi thupi mu kukhudzana mkulu pathologies zosiyanasiyana matenda. Malinga ndi malipoti zachipatala, udindo woyamba amatenga fibroids uterine.

Malinga WHO, oposa 25% ya amayi a zaka ubereki mu dziko lino matenda a chotupa. Ndipo chiwerengero zikuchulukirachulukira likunena chaka. Matendawa amapezeka achinyamata ndi odwala kusintha. Ngakhale dokotala kuzionetsetsa ndi matenda sangathe nthawi zonse kusiyanitsa pakati zizindikiro za fibroids uterine. Kodi kuzindikira maphunziro pa siteji oyambirira ndi kupewa opaleshoni? Mayankho a mafunso onse mudzapeza amagonjera ake.

Kodi mtundu wa matenda ndi kuti?

Izi ndi mtima wabwino neoplasm zamitundu yosiyanasiyana. Myoma mfundo ili mu myometrium - minofu wosanjikiza. Kutupa ulusi ndi yosalala anamaliza mawonekedwe, kuli kuluka Mitsempha. Imatha kulemera, m'mimba ndi buku akhoza kukhala chiphona. Mu yochizira matenda, atathana mfundo 63 makilogalamu kulemera. Koma uterine ambiri fibroids kukula ang'onoang'ono. Zizindikiro ndi zizindikiro ndi mwachindunji amadalira otaya, ndi mapazi, malo anatomic, kukula kugunda, chiwerengero cha mfundo ndi zaka wodwalayo. Izi matenda timadzi amadalira, kotero chitukuko amakhala ndi okhutira mkulu timafunika (mahomoni kugonana mkazi).

Mitundu formations kutanthauzira

Mankhwala kuchipatala zimatulutsa angapo ndipo limodzi maphunziro miomnye, malingana ndi malo awo:

• Submucosal, kapena intracavitary, mawonekedwe akufotokozera mu endometrium, akhoza kugwera mu nyini ndi khomo pachibelekeropo.
• Subserous kapena subperitoneal, anapeza pansi wosanjikiza kunja kwa thupi.
• Interstitial (kwapakati pa-akulu) - ambiri nodal uterine fibroids. Zizindikiro yodziwika ndi magazi chowawa msambo. Mfundo ndi limagwirizana ndi makulidwe a wosanjikiza mu malo thupi kapena pansi.
• Khomo lachiberekero.
• Mezhsvyazochnaya podbryushinnye isanafalikire mu mlengalenga ndipo nthawi zambiri imaimira yokha.

Ena mitundu ya dongosolo akhoza kukula kwa makilogalamu 2-3. Only ndi wokhazikika (miyezi sikisi iliyonse) dispensary Kupenda akhoza kukonza matenda ndi kukumana mankhwala.

Amene ali pa chiopsezo?

N'zotheka zikamera wa matenda mu nyengo ya mapangidwe kugonana. Koma Zikatero n'zochepa kwambiri. Kwenikweni kudwala limapezeka patapita zaka 30. Zizindikiro zoyambirira za fibroids uterine ndi imperceptible, mwachitsanzo wodwala amakhala moyo wabwino, popanda kumverera ululu komanso ululu.

Waukulu precipitating chinthu, malinga ndi akatswiri, ndi vutoli m'thupi (milingo owonjezera timafunika ndi progesterone akusowa, mkhutu ntchito ya zokhudzana ndi). Kawirikawiri matendawa atsikana kenako mwezi, ndi zina sanali sakupezeka.

Yofunika kwambiri pakutchulidwa wa fibroids umachita osasamba moyo kugonana (kugonana yosowa kusakhutira). Imeneyi, otaya magazi anawawidwa ndipo pali kuchulukana. Chatsimikiziridwirapo mwasayansi kuti matenda ali ndi khalidwe chibadwa. Iye anaonekera kwa iwo amene mu banja kupyolera mu mzere wamkazi anakumana fibroids.

zinthu kukulitsa komanso ndi yotupa njira (adnexitis, endometritis, endometriosis), pobereka mochedwa, matenda endocrine, angapo mimba kuchotsa, zoopsa ndi opaleshoni matenda. Zonsezi kumabweretsa kusinthasintha m'thupi.

Main zizindikiro za fibroids uterine: bwanji kuzindikira chotupa?

Choncho, tiyeni tikambirane za matendawo. Pa koyamba siteji osowa matenda zizindikiro za fibroid uterine wapezeka. Kodi kuzindikira matenda? Only mothandizidwa ndi chiwerengero cha njira yodziwira. Monga zotupa anayamba kusokoneza mtima maganizo omangika kuti chizindikiro deficiencies mu thupi. Kuti zinthu monga:

• Yaitali ndi katundu msambo magazi. Kenako, zimenezi zingayambitse magazi m'thupi (chizungulire, pallor chimakwirira, kupweteka kwa mutu, kufooka). A chodabwitsa ofanana ali anachenjezedwa kwambiri. Nthawi zina muyenera mwamsanga m'chipatala.
• Ululu amanena kuti chotupa m'kati ndi kukula. Zizindikiro za fibroids uterine kukula yaing'ono, kawirikawiri mochenjera, nthawi zina limodzi ndi ululu pamimba m'munsi ndi kuchepetsa kumbuyo.
• Kulephera kwa ziwalo oyandikana - ndi chikhodzodzo ndi rectum. Pali zikayamba, kulemera, matenda micturition, ndi kudzimbidwa. Kodi kukaona urologist, gynecologist, gastroenterologist.
• Kuwonjezera chotupa yodziwika ndi ululu mu mtima mwathu. Komanso, pali kuthamanga, kufupika kwa mpweya, matupi awo sagwirizana totupa ndi matenda kagayidwe kachakudya.

atsikana ndi inachepetseratu ntchito yobereka (chiberekero). Nthawi zambiri amakhala ndi chifukwa osabereka. Pakuti kupewa matenda ayenera kukhala yake kuchita kafukufuku ndi mankhwala ndiwofatsa. Pali umboni kuti maphunziro akhoza kutha paokha kapena kuchepa mu kukula ndi kubera kusintha. Koma musati muziyang'anira izo, ndi bwino kuthetsa unit pamaso izo kuonjezera ndipo kuwononga mpaka kalekale thanzi.

Matenda mawonetseredwe a mtundu chotupa

Pakuti aliyense fomu amakhala ndi zizindikiro zosiyanasiyana. Zizindikiro zoyambirira za fibroids yaing'ono kukula kwa uterine mfundo submucous chifukwa cha matenda kusamba. Cramping ululu limati pokhapokha ngati chotupa ndi adatchithisira kuti patsekeke thupi.

Subserroznoe anatomical malo ndi asymptomatic. Ikukoka mayunitsi pa odwala amadandaula zonse kulongolola ululu pamimba. Mawonetseredwe zambiri kusokonezedwa ndi chipatala pachimake m'mimba ndi mtima anaikidwa mu dipatimenti opaleshoni.

Obwerawa myoma mapangidwe pa siteji oyambirira si zikuchitika. Kusapeza zikayamba ziwalo moyandikana ndi matenda defecation amalembedwa ndi ndalama chidwi chotupa.

Mimba ndi myoma

Ngati mfundo za zili kutali latuluka, musati bwanji izo, nthawi gestation kawirikawiri unachitikira popanda pathologies. Mavuto ngati kumene mapangidwe myoma isanafalikire pafupi thupi embryonic. chakuti chotupa umabala zinthu zimene zimachititsa contractions uterine. Iwo kumaonjezera ngozi ya kubadwa msanga kapena kupita padera. Kuti mimba anapita bwino, madokotala anatiyangata ndi mfundo kukula. Ndipotu, monga iwo kuonjezera wosabadwa angathe zosiyanasiyana mapindikidwe cranial, hypoxia ndi kudwala ena. ntchito angaperekedwe nthawi zambiri ofooka ndi protracted zimenezi madokotala anachita gawo cesarean.

njira matenda

Pamaziko a mbiri zachipatala zoona m'chiuno sangathe kuzindikiridwa fibroid chiberekero. Ultrasound (zizindikiro, zimene kumupima Amasankhidwa, - magazi, kupweteka, osabereka) akhoza kuthandiza kupeza mapindikidwe wa uterine patsekeke. Wapadera nkhani njira amasankha kusintha onse pathological: kukula, malo, eg.

Pakuti yambiri chotupa akusankhidwa ndi Kujambula. Ndi bwino limasonyeza chiwerengero cha mfundo kudziwa mawonekedwe awo ndi malo. Zizindikiro Sonographic wa fibroids uterine pa maphunziro subperitoneal yodziwika ndi kuchuluka zvukopogloschaemostyu. Pakuti matenda molondola matenda ayenera maphunziro angapo: yopangidwa tomography, laparoscopy, hysterosalpingography.

mankhwala

Ndi posachedwapa, njira yokha kuwononga matenda ndi opaleshoni. Masiku ano, madokotala anatha iyende lalikulu mankhwala. Pang'onopang'ono kukula tinatake tozungulira yaing'ono imene ili mu makulidwe a endometrium, musati chifukwa anachitazi, koma pofuna kupewa chitukuko, Kwalamulidwa ndiwofatsa mankhwala. dokotala n'kukulemberani mankhwala m'thupi: umatulutsa androgens, progestogens, kuphatikiza kulera ndi analogues GnRHa.

Mitundu ya makono ya opaleshoni

mankhwala ndiwofatsa si mmene zinalili m'mbuyomu, cangu, makamaka ndi dongosolo lalikulu. Ngati nthawi sikuchotsa mfundo, zizindikiro za kukula uterine fibroid zingathe kusokoneza moyo wa azimayi. Wochuluka magazi imfa kungachititse kuti imfa kapena kumana chimwemwe mayi muyaya.

Pali zingapo zimene mungachite kuti alowererepo opaleshoni (payekha imodzi kapena njira ina kuchotsa, motero ayenera kuganizira zaka wodwalayo, mlingo wa kukula chotupa cha kutanthauzira, kukula ndi zinthu zina):

• Laparoscopic myomectomy - mothandizidwa ndi chipangizo wapadera, ndi laparoscope, ndi ang'ambe thupilo yaing'ono wapangidwa ndi gaga M'mimbamo mfundo.
• Hysteroscopic myomectomy kuchotsa mkati mwa chotupa cha.
• FUS ablation - ikuchitika mwa mafunde akupanga akapatsidwa kokha pamene mabungwe umodzi.
• Embolization ya mitsempha - kumathandiza otaya zakudya mfundo za.
• Hysterectomy - njira kwambiri ikuchitika milandu kumene zotupa kufika kukula yaikulu. Yopangidwa uterine amputation.

Kuti inu simungakhoze pamene fibroids?

Pali zina zofooka kuti ziyenela kuyan'anidwa kuti akazi ndi matenda amenewa, kuti kukulitsa nkhaniyo. Contraindicated ntchito zilizonse pa Malo peritoneum ndi mafupa a chiuno. Dzitetezeni ku kukwera kavalo ndi kupalasa njinga. Mukhoza kuchita anati yoga, kuyenda pa matayala ndipo onetsetsani kuti nezi tsiku - ichi adzasintha magazi. Madokotala sali amalangiza Vibro mabafa ndi matope. M'pofunika kulabadira zakudya zanu; kuthetsa olimba ndi mafuta zakudya amalimbikitsa kukula kwa chotupa cha.

Zothandiza chakudya, wolemera mu polyunsaturated mafuta zidulo. Zomwe kumwa nsomba, mbale masamba, mtedza ndi nyongolosi tirigu. Musaiwale kugwira vitamini mankhwala nthawi 3-4 chaka. Phatikizani mankhwala chikhalidwe ndi mankhwala mankhwala wowerengeka. Khalani diso pa umoyo wawo ndi kafukufuku chaka chilichonse, ngakhale palibe zizindikiro za fibroids uterine. Kodi kuzindikira matenda ndi kuteteza chitukuko, kulongosola mwatsatanetsatane gynecologist.