Myoma wa chiberekero - kukula kwa ntchito ndi mitundu yochizira opaleshoni ya chotupacho

Myoma ndi nthenda yokhayokha yomwe imakhala mkati mwa chiberekero. Matendawa sapereka zizindikiro kwa nthawi yaitali, choncho amapezeka kumapeto, pamene myoma imakhala ndi buku lalikulu. Mankhwalawa, mtengo umene uterine wa uterine uli nawo uli wofunika, miyeso - chifukwa cha ntchito izi ndi zofunika magawo.

Kuzindikira za uterine fibroids

Myoma ndi minofu yomwe imapangidwa kuchokera ku maselo osalala. Miyeso yake ingakhale yochokera pa millimeters pang'ono mpaka 30 cm kapena kuposa. Komabe, nthata yaing'ono ingathe kupezeka pogwiritsa ntchito ultrasound. Kufufuza kwa ultrasound ya uterine fibroids ndiko maziko a zonse zoyezetsa matenda. Kugwiritsira ntchito lusoli ndizotheka kukhazikitsa osati kukula kokha kwa maonekedwe, nambala yawo, komanso kumudzi komweko komwe kumayambira.

Chofunika kwambiri pa matenda a fibroids ndi kufufuza kwa bimanual. Ndi chithandizo chake, myma yaikulu ya uterine ikhoza kudziwika, kukula kwake kwa ntchito kumatsimikiziridwa ndi ultrasound. Dokotala, akumva mapangidwe kudzera mu khoma la m'mimba, amatha kuganiza za mawonekedwe, kukula kwake ndi malo a chotupacho. Kuti mudziwe zambiri zokhudza chiwerengero cha maphunziro, mapangidwe ake, chiwerengero cha foci, maphunziro owonjezereka akuchitika:

Myoma wa chiberekero - miyeso

Makulidwe a uterine fibroids ndi ofunikira kwambiri. Izi zimasankhidwa mwachindunji posankha njira ya mankhwala. Ndi kukula kwake kochepa, chithandizo chodziletsa chingathe kuchitidwa. Zimaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo omwe amachepetsa kukula kwa chotupacho. Kuwonjezeka kwa mahomoni opatsirana pogonana kumabweretsa kuwonjezeka kwa nthati zowopsa. Chifukwa chake, kukula kwa chiwalo chogonana kumakula. Malingana ndi izi, chotupacho chikuwonetsedwa mu masabata a mimba (kukula kwake kwa chiberekero kukufaniziridwa ndi mimba ya chiberekero).

Malingana ndi kukula kwake kwa nthendu, nthmatous nodes zingathe kugawidwa:

Miyeso ya fibroids mu milimita

Miyeso ya uterine fibroids mm imatha kukhazikitsidwa pa ultrasound. Dokotala amaonetsetsa mosamala chingwe cha pakhosi, makamaka chiberekero. Potsatira ndondomekoyi, timaphunzira osati kukula kwa maphunziro, komanso kufufuza momwe zimakhalira, chiwerengero cha malo omwe alipo. Ndikofunika kudziwa kuti chiwombankhanga ndi chiani. Chofunika chodziwitsa matenda ndi kukula kwa myoma.

Pomalizira, adokotala amasonyeza mfundo zotsatirazi:

Kukula kwa uterine fibroids mu masabata

Chifukwa cha chotupacho, madokotala nthawi zambiri amayesa kukula kwa fibroids mu masabata pamene ayesa chotupacho. Mwachitsanzo, ngati mayi amapezeka ndi uterine masabata 11, izi zikutanthauza kuti chiberekero cha chiberekero chawonjezeka mpaka kukula kwa chiwalo chogonana pamasabata 11 a mimba. Choncho, ndi myome ikulemera masentimita 3-4, mapeto amasonyezedwa pamapeto pake: a neoplasm (myoma) ndi masabata 6-7.

Madokotala amafotokoza kukula kwa uterine fibroids mu masabata motere:

Kodi kukula kwa uterine fibroids kumagwira ntchito yotani?

Pamene chiberekero cha uterine chimapezeka, miyeso ya opaleshoni ndiyake yomwe madokotala amachitira, kuwonjezera pa kapangidwe ka mapangidwe. Ndikofunika kuyang'ana chotupa mu mphamvu. Azimayi omwe ali ndi matenda ofananawo nthawi zonse amafufuza, ultrasound. Ngati pali chotupa chofulumira, opaleshoni yovomerezeka ndi yodalirika. Ngati opaleshoniyo sichikuchitika, chotupacho chimatenga malo onse omasuka m'kati mwa pakhosi. Pali kuphwanya ntchito zowonongeka.

Pa matenda a hysteromyoma, kukula kwake kumagwiritsa ntchito ma millimeters madokotala samakhazikitsa kapena kukhazikitsa. Chizindikiro cha kuchitidwa opaleshoni yovomerezeka ndi kukula kwa fibroids - mapangidwe akuwonjezeka ndi 20 mm ndipakati pa chaka. Kuphatikiza apo, ma fibroids omwe alibe kukula kwakukulu amagwira ntchito, koma pali mwendo woonda kwambiri. Modzidzimutsa pamalo ano pali chiopsezo chachikulu cha kuzunzika, komwe kumayambitsa kusintha kwa minofu, necrosis. Zizindikiro zina za kuchotsedwa kwa fibroids zingaphatikizepo izi:

Amatsitsa myoma ya chiberekero - miyeso ya ntchitoyo

Kugonjetsa myoma kumatanthauzira maonekedwe oopsa. Zimakhudza mbali yakunja ya limba, imakula mu njira ya pamphuno yaing'ono. Mu mawonekedwe, amafanana ndi mfundo yozungulira kapena mapazi oonda. Mankhwala otchedwa hysteromyoma a kukula kwakukulu amavomerezedwa kuchotsedwa. Pa nthawi imodzimodziyo, funso loyambitsa chithandizo cha opaleshoni limatuluka pamene mapangidwe ake amapita 80mm.

Uchitine uterine myoma - miyeso ya opaleshoni

Matenda a hysteromyoma kuti agwiritse ntchito mapangidwe awa samasiyana ndi otchulidwa pamwamba (8 sm ndi zina). Chidziwikiritso cha myoma yopambana ndichimake pamtundu wa mfundo yokha. Pachifukwa ichi, fibrosis zamtundu wa chiberekero cha chiberekero zilipo mu mapangidwe. Kukula kwa chotupacho kumayendetsedwa mkati mwa chiwalo chogonana. Kuchiza opaleshoni ya mtundu umenewu kumatha kupangidwa pogwiritsa ntchito njira zotsatirazi:

Ambiri amtundu waukulu

Poyang'ana kukula kwa uterine fibroids, tifunika kukumbukira kuti pakupanga maulendo angapo, madokotala samvetsera mavoliyumu amodzi. Posankha njira ya opaleshoniyi, kumvetsetsa kwa myomas ndi msinkhu wa wodwalayo kumaganiziridwa. Ngati mayiyo akukonzekera kukhala ndi ana, perekani myoectomy ndi kusunga chiwalo chogonana. Opaleshoni imachitidwa ndi laparoscopy. Kubwezeretsa kwa thupi pambuyo pochita opaleshoni ndi njirayi mofulumira, kotero chaka chimodzi pokhapokha ngati palibe vutoli amaloledwa kukonzekera mimba.

Kodi mtheradi wa uterine umachotsedwa bwanji?

Kuchotsa uterine fibroids ndi njira yapadera ndi myoectomy. Amachitidwa pansi pa anesthesia kapena pogwiritsa ntchito epidural anesthesia. Asanayambe kuchotsa chiberekero cha mitsempha, miyeso ya ntchito yomwe wapatsidwa imayang'aniridwa musanachitike opaleshoniyo. Ikhoza kuchitidwa mwa njira imodzi zotsatirazi:

  1. Tsegulani ntchito yamagetsi - yopingasa yopangidwa ndi masentimita 2-3 masentimita pamwamba pa chiwonetsero cha pubic. Kenaka pang'onopang'ono mutsegulire ku jumbo ndikukongoletsa. Amagwiritsidwa ntchito popanga kukula kwakukulu.
  2. Laparoscopy - pamwamba pa mimba, mabowo angapo amapangidwa kudzera mwa zipangizo zamakono ndi zipangizo zamagetsi.
  3. Myomectomy yamatsenga - yogwiritsidwa ntchito kwa myomas. Kupeza kudzera mu vaginayi, pogwiritsa ntchito resectoscope. Pogwiritsira ntchito chida ichi, chomwe chimagwira pa chotupacho ndi nthawi yamakono, myoma yawonongeka, ndipo zidutswa zake zimatsukidwa kuchoka ku chiberekero cha uterine.

Kuchiza kwa uterine fibroids wa kukula kwakukulu popanda opaleshoni

Ngati kachilombo ka uterine kamapezeka, madokotala amayesetsa kuchiza mankhwalawa. Mankhwala aakulu a fibroids popanda kugwiritsa ntchito opaleshoni yopanda opaleshoni saloledwa. Chotupacho chidzapitirirabe kukula, kotero ntchito za ziwalo zina ndi machitidwe akhoza kusokonezeka mwamsanga. Kugwiritsa ntchito mankhwala osokoneza bongo kumawoneka ngati ali ndi chiberekero cha mtundu wa myoma, kukula kwake komwe kumakhala pa 3 masentimita. Nthawi zambiri, mankhwala osokoneza bongo amatha kanthawi kochepa chabe, ndipo kutaya kwathunthu sikutheka.