Fibromyoma yechipupuriro ndiyo inonyanya kufanana nemavhuvhu epachiviri muvakadzi. Vanachiremba vanoongorora chirwere ichi mumutsara wega wega wepabonde rakanaka.
Fibromioma yechibereko chinonzi benign neoplasm, iyo inonzi nodule yemagetsi anogadzirwa nepamusoro. Kukura kwavo kunogona kuve kwakasiyana-kubva pamaminiti mashoma kusvika 25 cm.
Apo bundu racho rinokura, chibereko chinowedzera - sekutakura kwomwana. Saka, chimiro chekukura kwe fibroids inotarwa mumavhiki ekudzivirira.
Vanachiremba vanotora fibromioma duku kana hukuru hwayo huri pasi pe 1.5 cm, iyo inofanana nevhiki 5 dzekudzivirira. Ivhareji yepamu inopindirana nevhiki 5-11 yekudzivirira. Chirwere chikuru chinonzi kana hukuru hwayo hukuru kune vhiki gumi nembiri.
Ndeipi ngozi ye fibroids?
- Dzidzo haifaniri kutendeuka kuva muchetura wekenza, asi zvakadaro inogoneka mu 2% yematambudziko.
- Mafungiro mu fibroids anowedzera kwenguva refu uye akawanda. Izvi zvinogona kukuvadza anemia.
- Kana fibromioma ichiwedzera, inomira kune dzimwe nhengo. Izvi zvinoratidzwa nemarwadzo, mumatambudziko akaoma, basa rekuvira uye marumbo zvinodhirwa
- Fibromyoma inogona kukanganisa chirwere chepamuviri: kusununguka kwepamuviri, kusungwa kwenguva isati yasvika kwepentecenta, kubuda ropa.
- Munguva yekushanda, mukana wekubuda kwechibereko unowedzera.
- Fibromioma inogona kuita kuti zvive zvakaoma kuti mwana apfuure nomugero wekubereka. Inotyisidzira hypoxia ye fetus.
Kuti kuderedze njodzi, vakadzi vane pamuviri vane fibroids vanofanira kuva pasi pekutarisirwa kwechiremba. A gynecologist anofanira kuziviswa chero, kunyange zviduku, kuchinja mune hutano.
Chirwere chacho chinokura sei?
Pane chirwere chevakadzi vane makore ekubereka, mune dzimwe nguva pazera remakore makumi matatu nemakumi maviri nemaviri. Pazera remakore makumi mashanu nemakumi matatu nemakumi mashanu, nhamba yakakura yemabasa ekubviswa kwe fibroids.
Nei fibroids iri kuwedzera, vanachiremba havazivi.
Shamwaridza maitiro echiremara ne:
- kusagadzikana kwehomoni yakabva. Izvozvo zvinokonzerwa nemhomoni zvinoratidzirwa nekuti hazviwanikwi muvanasikana vasati vasvika kumwedzi uye munguva yevakadzi mushure me-menopausal period;
- genetic predisposition. Kana amai kana mbuya vane fibromyoma, kazhinji chirwere chacho chinoratidzwa mumwanasikana;
- basa rakaoma romuviri.
Mhando dze fibroids
Vanachiremba vanosiyanisa mhando dzakawanda dzemakumbo, zvichienderana nepo majeedzi ezvisikwa zvakapfuura zviripo:
- zvinokonzera matumbo - zvinowedzera mukati mekunze kwechibereko uye zvinotungamirirwa munharaunda;
- maitiro e-interstitial fibroids - mukati memadziro;
- node dzinotyisa - dziri pasi pe endometrium uye dzinokura mumucheto wterine;
- atypical fibromiomas - kukura muhupamhi hwechirwere uye inotungamirirwa kuRecum kana retroperitoneal ligament.
Ndiani ari pangozi?
- Vakadzi vane dambudziko rekuenda kumwedzi (kunyanya zvakare kana kuti kunonoka kunotanga kuenda kumwedzi, kusagadzikana kwemuviri).
- Kubvisa pamuviri. Iyi ndiyo yakasimba yekushungurudzika kwemhomhoni yemuviri.
- Avo vakaberekerwa mushure memakore makumi matatu.
- Vakadzi vane uremu hunorema. Zvinyama zvinyama zvinokonzera hutachiona hwebonde nesrogen. Kuwedzerwa kwayo kunogona kukanganisa kuumbwa kwemarara.
- Vakadzi vakashandisa zvirongwa zvekuberekwa kwehomoni kwenguva refu.
Ndezvipi zvinoratidza uterine fibroids?
Kazhinji chirwere chacho hachina kumira. Kubudirira kwe fibroids kunogona kuratidzwa ne:
- kuwedzera munguva yekuenda kumwedzi;
- kugara uchicheka;
- Kutarisa marwadzo mucheche pasi kana mumucheto wezasi;
- zvinorwadza zvinorwadza panguva yepabonde;
- kuchinja muchiuno;
- huwandu hwepamuviri hwakakonzera kukanganisa.
Fibromyoma yemukamu uye pamuviri
Muzviitiko zvakawanda, fibroids haisi chipingamupinyi pamuviri. Zvidzidzo zvakawanda zvinoratidza kuti kubereka mwana, kuberekwa kwekuzvarwa nekuzotevera nekuwedzerwa kwenguva refu panguva yekuyamwisa mune zvimwe zviitiko zvinomisa kukura kwechirwere uye kunobatsira kuderera kwayo.
Fibromyoma uye postmenopausal nguva
Mushure mokutanga kwekumera, kuwanda kweserogen kunoderera. Madzimai akawanda, chironda chinoramba chichikura kana kuderera muhukuru. Kana izvi zvisingaitiki, gynecologist inorondedzera kurapwa.
Ko fibromy inoonekwa sei kune dzimwe nyika?
Kuongororwa kwehu uterine fibroids inotanga nekuunganidza zvakanyatsoziva nezvemuurwere. Mudzimai weGynecologist achakumbira kubvunza pamusoro pekutanga kwemwedzi, nguva yavo, zvirwere zvepabonde zvakatambiswa, kutora pamuviri uye kubvisa pamuviri.
Chikamu chinotevera chekuongororwa chichava kuongorora.
Kana chiremba achifungidzira kuti murwere ane chirwere, inofanira kuendeswa kune ultrasound. Chidzidzo chacho chinonyatsotsanangura kuti node idzi dziripi uye kuti zvakakura sei. Iyi nzira inoshandiswa kusimbisa kukurumidza kwechirwere chinokura.
Kuti uone kugadzirwa kwechirwere, vanachiremba vanoshandisa MRI.
Colposcopy uye hysteroscopy inobvumira chiremba kuti aongorore chibereko chechivharo uye uterine cavity kuburikidza nemashandisirwo akaisvonaka ezvinyorwa. Saka chiremba anosarudza imwe nzira yekurapa. Penguva iyo nzira, biopsy inoshandiswa inoitwa. Kuongororwa kwemuenzaniso pasi pekroscope kunotsigira kusavapo kwekenza masero.
Therapy, kuvhiyiwa kana kuona
Kana chironda chacho chiri kusvika ku 1.5 cm, murwere achiri muduku uye anoronga kuva nechecheche, kurapwa kwakanyanya hakudi. Chinhu chikuru pazera iri ndechekudzora kukura kwe fibroids.
Munyika dzeCIS, varwere vane fibromyoma vanowanzotaurirwa mishonga yemadhoni. Mumakiriniki ekune dzimwe nyika tsika iyi iri kuedza kubva kure-iyo nzira haibatsiri nguva dzose kukura kwehutachiona. Munyaya iyi, kudya kwenguva refu kwemasmoni kunokanganisa muviri wemukadzi uye kukwanisa kwake kuva nevana munguva yemberi.
Kurapa kwe fibromyoma mumakiriniki ekune imwe nyika
Mamwe makiriniki emakiriniki anoshandisa nzira dzokurapa:
- FUS-ablation. Chiremba anobata pane masero ekuumbwa kwaakanyatsotarisa ultrasound pasi pesimba reMRI. Iyo nzira haina kurwadziwa uye isingafambidzwi nekurasikirwa kweropa, saka zvakakwana zvachose. Maawa mashomanana gare gare, mukadzi anogona kubva kuchipatara. Pashure pemwedzi mitatu mushure mekuita, iwe unogona kuronga kubata.
- Embolization (kuvhara) yemidziyo inofadza neoplasm. Pasi pekutungamirirwa kwe-X-ray machine, kugadzirira kwakananga kunoendeswa kune chikadzi chechikadzi. Izvo zvikamu zvaro zvinodzivirira midziyo inodyisa tumarara. Somugumisiro, iyo fibroids inoderera mukukura kana kuparara zvachose.
Nzira dzinoratidzwa kana ukama hwe fibroids huri pasi pe6 cm.
Kana chironda ichi chikuru, vanachiremba vanobvisa node chirwere. Nokuda kweizvi, chirwere chinonzi laparoscopic chinoshandiswa. Inoshandiswa nekuvhiyiwa kweSILS - kuburikidza nechimwe chivharo munharaunda. Imwe nzira inosanganisira kuvhiyiwa kwechikadzi.
Kushandiswa kwekuchengetedzwa kwechikwata kunobvumira mukadzi kubata uye kubereka mwana mushure mokubviswa kwe fibroids.
Nhamba dzemakiriniki ekune dzimwe nyika dzinoratidza kuti mushure mokuvhiya kwevakadzi kuti vabvise fibroids, 85% yevakadzi vakachengeta mukana wekuva nevana.
Mamwe mashoko pamusoro pemikana yekurapa fibroids kune dzimwe nyika inogona kuwanikwa pa https://en.bookimed.com/.
Uterus kubviswa mu fibroids
Ne fibroids, kubviswa kwechibereko chinogona kuratidzwa. Kubudirira kwechirongwa ndechokuti iwe unogona kubvisa chirwere chacho kamwe chete. Mushure mekuvhiyiwa kwakadaro, kudzokazve kwechirwere hakusipo.
Ita kupindira kwakadaro zvakakwana maererano neuchapupu:
- fibromyoma yekurukuru;
- kukurumidza kukurumidza kwemuviri;
- pane kunyunyuta kuti bundu iri riri kuita kenza.
Kudzivirira kwe fibromyoma
Kuti urege kudzivirira, vanachiremba vanokurudzira kuti vakadzi vanamate pane zvakakwana, uye vanocherechedza ivo pachavo uremu. Chirwere ichi chinoenderana nemahomoni, saka unogona kuchengetedza kubva pakuberekwa kwomwana uye kuyamwisa kwenguva refu.