Myoma yemubereki ndeimwe yezvinowanzozivikanwa zvegynecological pathologies uye inowanikwa mu25% yevakadzi. Myoma inotanga kuonekwa mumadzimai ane makore makumi matatu nemakumi matatu nemakumi mana, apo kuchinja kwemashure ehomoni ndiko kunonyanya kukosha. Kazhinji, myoma, iyo inokura nokukurumidza uye inokonzera kubuda ropa, ndiyo chikonzero chekupinda pakarepo. Asi zvinokwanisika uye nzira yekurapa fibromy pasina kuvhiyiwa here? Tichaedza kutaura pamusoro pezvizvi nzira munyaya yedu.
Kwete-kurapwa kwehutachi uterine fibroids
Kurapa kweUterine fibroids pasina chirwere kunobvira nhasi, asi pamamiriro ezvinhu kuti mukadzi haana zviratidzo zvebasa rekupindira. Zviratidzo zvekushanda ndezvi:
- kana uwandu hwenheyo yepamusoro inosvika mavhiki 12-14 (chibereko chinowedzera nemavhiki 14 ekuzvitakura);
- kana ukama hwe fibroids huchikura nokukurumidza uye chibereko chinowedzera nemavhiki mana pagore (ichi chiitiko chekuita zvirwere zvinouraya zvechibereko);
- kana iyo nhamba yechinhu chinoputika inenge iri munharaunda yemudzinza;
- kana uterine myoma ndiyo iyo inokonzera uterine kubuda ropa (kumwedzi uye mukati-kati), izvo zvinotungamirira ku chirwere chekushaya ropa;
- kana node yakakura yakawanda inoputika nhengo dzomukati uye inokanganisa basa ravo (mukati uye chidzitiro).
Izvi zvinoratidza chikonzero chekushandurwa kwakarongeka, asi kune zvimwe zvinhu zvinokurumidzira. Izvi zvinosanganisira kutambudzwa kwemakumbo ezvinyorwa zvesimba uye necrosis.
Nzira yekurapa fibroids pasina chirwere?
Kurapa kwe fibroids yechibereko pasina chirwere kunogona kuitwa kuburikidza nemubatsiro wemishonga, uye zvinobvira nekubatsirwa nenzira dzekushandisa. Saka, semuenzaniso, maduku maduku e-submucous fibroids anogona kubviswa nekubatsirwa kwe hysteroresectoscopy. Hormonal madhiragi ndeimwe nzira yekuchengetedza kweutterine fibroids. Pamasikisi maduku ejecha rinopisa rinopesana nekukura kwaro, uye dzimwe nguva kunyange kukurudzira kugadzirisa kwayo.
Kana uwandu hwemumoma hwakawanda zvakakwana, pane hutachiona hwehutachiona hunopa uye chirwere hachigoni kudziviswa, ipapo hormone therapy inokurudzirwa kugadzirisa kuderedza kuwanda uye kuwanda kweropa. Vakadzi vasingatauri nguva yekutanga-menopausal inorayirwa kugadzirira 19-norsteroid (Norkolut), iyo inoderedza kuwandisa kwemainopaususal ropa. Inofanira kutorwa kubva musi we16 kusvika pazuva rechi25 wekutenderera kwehafu yegore. Vakadzi vakazosvika pakutanga kwemazuva ekutenda manopausal vanorayirwa agonists gonadotropin-kurega hormone (Buserelin), iyo inoshandiswa sejojo katatu pazuva. Chinokosha chechiito chavo ndechokuratidzira kutanga kwekuguma kwemwedzi uye kupera kwehomoni inoshanda ye mavha mavari.
Nzira yekubvisa fibroids pasina chirwere: uterine arteri embolization
Embolization ye uterine arteri ndiyo imwe yenzira itsva uye dzemazuva ano dzokurapa uterine fibroids. Pasinei nokuti iyo inorevawo kusakundikana, asi iri kunyanya kuderera kupfuura basa. Chinokosha chemuitiro uyu ndechokuti murwere ane catheterized nechisimba chechikadzi uye catheter inounzwa uterine arteri pasi pekutonga kwe-X-ray midziyo.
Nokudaro, takakurukura nzira dzese dzisati dzisati dzashandiswa yekurapa uterine fibroids. Asi kuti ivo vave nemigumisiro, munofanira kukumbira rubatsiro nokukurumidza sezvinobvira. Zvechokwadi, kazhinji myoma kwemakore haisati izviratidzira, uye nokuda kokutanga inogona kuzviita inofanirwa neutterine kubuda ropa. Nokudaro, zviongorori zvekudzivirira uye miedzo ye ultrasound inokosha zvikuru.