Chiberekero cha Fibromioma ndi chotupa chochititsa manyazi chomwe chimagwiritsidwa ntchito kwambiri ndi ziwalo zomangira thupi. Zimapezeka kawirikawiri kwa amayi omwe ali ndi zaka zakubadwa zaka 20-45. Ikhoza kukula, kuchepa kapena kuthera kwathunthu mu nyengo yovuta ya mkazi. Chiberekero cha chiberekero chingakhale ndi miyeso yaing'ono (yofanana ndi nthawi ya mimba 10), ndipo ikhoza kukula mpaka mamita 30 masentimita.
Zilonda zamtundu wa chiberekero: zimayambitsa
Zambiri za uterine fibroids zingayambitsidwe ndi zifukwa zotsatirazi:
- Mayi amene wafika zaka makumi atatu ndi makumi atatu alibe mbiri ya kubadwa ndi kuyamwitsa;
- kukhalapo kwa mimba;
- njira yosasamalidwa bwino;
- kupweteka kwakukulu kwa mapulogalamu ndi chiberekero;
- zovuta;
- kukhalapo kwa cysts m'mimba mwake;
- anatchula kunenepa kwambiri;
- matenda a chiwindi.
Nodal fibromyoma ya chiberekero: zizindikiro ndi zizindikiro
Malingana ndi kukula kwake kwa chotupacho, malo ake ndi chikhalidwe chogonana cha amayi, ndizotheka
- zizindikiro zoterezi;
- Kuphwanya kwa msambo;
- kusintha kwa kuchuluka ndi kuchulukanso kwabwino: kuyambira wochepa mpaka wochuluka;
- kuchulukitsa kwa umwazi wamagazi;
- ululu m'mimba pamunsi ndi kumbuyo, nthawi zambiri m'magulu a m'munsi.
Kuchotsa uterine fibroids
Pafupipafupi, ali ndi zaka 45, njira zambiri zochitiramo opaleshoni zothandizira kuchotsa ulusi wawo komanso chiberekero chonse, zimaoneka kuti fibromioma imadziwika kuti ikukula kwambiri ndipo imatha kuyambitsa matenda a endometrial. Kuchotsa fibromioma kumachitika molingana ndi zizindikiro pamaso pa zotsatirazi zikutsatira zizindikiro:
- Pali kukula kwa spasmodic ya chotupa;
- kukhalapo kwa endometrial hyperplasia, zotupa za m'mimba;
- kufinya ziwalo zofupika (rectum, chikhodzodzo).
Kuchotsa fibroids kumachitika makamaka mwa njira ya laparoscopy, ngati mkazi sali wamkulu kuposa zaka 40. Pambuyo pake, monga lamulo, chiberekero chachotsedwa, chifukwa chiopsezo cha khansa ikukula (sarcoma, adenocarcinoma).
Palinso njira zina zowonongeka ma ptagic tishu a fibroids:
- laser;
- pozizira kwambiri.
Komabe, kugwiritsa ntchito njira zoterezi sikuvomerezedwa kwa amayi omwe sali okonzeka kukonzekera mtsogolo. N'zotheka kugwiritsa ntchito njira yosagwiritsira ntchito ntchito kuchotsa uterine fibroids: kukumbidwa kwa uterine mitsempha (EMA), pamene kutuluka kwa magazi kupita ku myoma kumatha. Chifukwa chake, fibroids ikhoza kutheka kwathunthu. Chiberekero ndi njirayi chimasungidwa, koma nthawi zambiri atagwira mkaziyo sangathe kutenga pakati. Choncho, EMA imangotchulidwa kwa amayi omwe amabereka komanso osati kukonzekera mtsogolo.
Ndi zochepa za fibroids, chithandizo chowongolera n'chotheka: dokotala amalemba mankhwala osokoneza bongo kapena osadziwika, omwe amayesetsa kuchepetsa kukula kwa chotupacho ndi kusowa kwake.
Chiberekero cha chiberekero: zotsutsana ndi kuchotsedwa ndi EMA
Kuchotsa fibroids ndi njira ya EMA kuli ndi zotsutsana:
- matenda a mtima;
- matenda a pamtunda wakupuma;
- zovuta zamagetsi m'thupi;
- njira zolimbana ndi matenda opatsirana.
Fibromyoma ya chiberekero: zizindikiro
Pafupifupi theka la mavoti atatha opaleshoni kuchotsa fibroid, mayi ali ndi mimba, yomwe ikhoza kuyenda popanda mavuto. Koma kawirikawiri mkazi akakhala ndi mimba ndi kubala angakhale ndi mavuto awa:
- toxicosis;
- kuopsetsa mimba mu 30% za milandu;
- kusamba kwa amniotic madzi;
- fetus hypoxia fetus;
- kuphwanya ntchito zapakhomo (mwachitsanzo, zofooka zochepa).
Pa gawo limodzi mwa magawo atatu, adabwereranso m'zaka khumi zotsatira pambuyo pa opaleshoniyi.
Tiyenera kukumbukira kuti matenda oyambirira komanso chithandizo cham'tsogolo adayamba kulola kuti mkaziyo asunge ntchito yobereka.