I-Fibromyoma yesibeleko yisisu se-pelvic esiqhelekileyo kubasetyhini. Oogqirha baxilonga isifo ngasinye kwisibini sezesini ezifanelekileyo.
I-Fibromioma yesisu i-neoplasm ebunobunzima, eyi-nodule ye-tissue ye-conjunced overgrown. Ubungakanani babo bunokuhluka - ukusuka kumitha ambalwa ukuya kwi-25 cm.
Xa i-tumor ikhula, i-uterus iyanda - njengokuba kuthwala umntwana. Ngoko ke, ngokuqhelekileyo ubungakanani be-fibroids bubalwa kwiiveki zokukhulelwa.
Oogqirha bajonga i-fibromioma encinci ukuba ubukhulu bayo buphantsi kwe-1.5 cm, ehambelana neiveki ezi-5 zokukhulelwa. Umsinga wesilinganiso uhambelana neiveki ezi-5-11 zokukhulelwa. I-tumor enkulu ibizwa ngokuba ubukhulu bayo bukhulu kuneentsuku ezili-12.
Iyintoni ingozi ye-fibroids?
- Imfundo ayithambekele ekubeni yi-tumor, kodwa kunjalo kunokwenzeka kwi-2% yamatyala.
- Ama-fibroids amaninzi aninzi kwaye aninzi. Oku kunokususa i-anemia.
- Ukuba i-fibromioma iyanda, icinezela kwezinye izitho. Oku kubonakala ngentlungu, kwiimeko ezinzima, umsebenzi we-vestile kunye namathambo aphazamiseka
- I-Fibromyoma inokubangela ukuba i-pathology ye-pregnancy ikhulelwe: ukukhulelwa kwesisu, isithintelo esingaphambi kwe-placenta, ukuphuma kwamanzi.
- Ngexesha lomsebenzi, umngcipheko wokukhulelwa kwesibeletho ukwanda.
- I-Fibromioma ingenza kube nzima ukuba umntwana adlule kwinqanaba lokuzalwa. Isongela i-hypoxia yomntwana.
Ukunciphisa ingozi, abafazi abakhulelweyo abane-fibroids kufuneka babe phantsi kolawulo logqirha. I-gynecologist kufuneka ixelelwe nayiphi na, nokuba yincinci, utshintsho kwimpilo.
Isi sifo sakha njani?
Kukho isifo kwabasetyhini bexesha lokuzala, kwiimeko ezininzi kwi minyaka engama-30 ukuya ku-35. Xa uneminyaka engama-45 ukuya kuma-50 ubudala, inani elikhulu kunomsebenzi wokususwa kwe-fibroids.
Kutheni i-fibroids ikhula, oogqirha abakwaziyo.
Hlanganisa ukubonakala kwe-tumor nge:
- ukungazinzi kwemvelaphi ye-hormonal. Ubume obuxhomekeke kwi-hormone ye-tumor buboniswa kukuba ayifumanwanga kumantombazana ngaphambi kokuya kwesithanga sokuqala kunye nakwabasetyhini kwithuba lesithuba sokumisa umntu;
- imfuza. Ukuba unina okanye ugogo wayephethe i-fibromyoma, kwiimeko ezininzi isifo sibonakaliswe kwintombi;
- msebenzi onzima.
Iintlobo ze-fibroids
Oogqirha bahlula iintlobo ezininzi zeentlungu, kuxhomekeke apho iigununu zamathambo aninzi zikhona:
- izicubu ezincinci - zikhula kwinqanaba langaphandle lombele kwaye zijoliswe kwingingqi ye-pelvic;
- ii-fibroids zangaphakathi-ngaphakathi kwodonga;
- iinombolo eziphantsi - eziphantsi kwe-endometrium kwaye zikhule zibe yintlambo ye-uterine;
- ii-fibromiomas ezinama-atypical - zikhula ngobunzima bomlomo wesibeleko kwaye zijoliswe kwi-rectum okanye i-retroperitoneal ligament.
Ngubani osemngciphekweni?
- Abasetyhini abaneengxaki zokusesikhathini (ngokukhawuleza okanye ngokukhawuleza ukuqala kokuya esikhathini, umjikelezo ongaqhelekanga).
- Ukwenza isisu. Oku kukuxinwa kwe-hormone eyomeleleyo yomzimba.
- Abo babeletha emva kweminyaka engama-30.
- Abasetyhini abanomthwalo obunzima. Iifama ezinamafutha zivelisa i-hormone yesrogen yesini. Ukugqithisa kwayo kungakhupha ukubunjwa kwesisu.
- Abasetyhini abasetyenziselwe ukukhulelwa kwe-hormonal ixesha elide.
Ziziphi iimpawu ze-uterine fibroids?
Ngokuqhelekileyo eso sifo sisisifo. Uphuhliso lwe-fibroids lungaboniswa ngu:
- ukwanda ngexesha lokuya esikhathini;
- ukucoca rhoqo;
- Ukubetha iintlungu kwisisu esisezantsi okanye kumqolo osezantsi;
- uvakalelo olubuhlungu ngexesha lokulala;
- utshintshe ezinqeni;
- ukukhulelwa okuqela okubangele ukulahleka kwamathambo.
I-Fibromyoma yesisu kunye nokukhulelwa
Kwiimeko ezininzi, i-fibroids ayiyithintelo ekukhulelweni. Izifundo ezininzi zibonisa ukuba ukuzala umntwana, ukubeletha okulandelayo kunye nokunyamezela ixesha elide kwezinye iziganeko kuyeke ukukhula kwesisu kunye negalelo ekunciphiseni kwalo.
I-Fibromyoma kunye nexesha le-postmenopausal
Emva kokuqala kokuphuma kwesisu, inani le-estrogen liyancipha. Kula maninzi a mabhinqa, i-tumor iyayeka ukukhula okanye ukunciphisa ngobukhulu. Ukuba oku kungenzeki, umgulane wezilwanyana uchaza unyango.
Ufunyenwe ngaphaya kwe-fibromy?
Ukuxilongwa kwe-uterine fibroids kuqala ngokuqokelela ngokucophelela ulwazi malunga nesigulane. Umzimba wezilwanyana uya kubabuza ngokuqala kwimizi, ixesha labo, izifo zesondo ezithintekayo, ukukhulelwa nokukhupha isisu.
Isigaba esilandelayo sokuxilongwa siya kuhlola.
Ukuba ugqirha ugxeka ukuba isigulane sinomsila, kufuneka adle i-ultrasound. Uphononongo luya kuchonga ngokuchanekileyo ukuba ziphi na iinombolo kunye nokuba zibukhulu kangakanani. Le ndlela isetyenziselwa ukuseka ukuba i-tumor ikhula ngokukhawuleza kangakanani.
Ukuchonga isakhiwo se-tumor, oogqirha basebenzisa iMRI.
I-colposcopy kunye ne-hysteroscopy vumela ugqirha ukuba ahlolisise umlomo wesibeleko kunye nesigxina se-uterine ngokusebenzisa iindlela ezikhethekileyo ze-optical. Ngoko ugqirha ugqiba indlela yokwenza unyango. Ngethuba le nkqubo, i-biopsy yamathambo yenziwa. Ukuhlolwa kwesampula phantsi kwe-microscope kuqinisekisa ukungabikho komhlaza wamaseli.
Unyango, utyando okanye ukubonwa
Ukuba i-tumor ifike kwi-1.5 cm, isigulane siselula kwaye siceba ukuba nomntwana, unyango olulodwa alufunwa. Into ephambili kweli nqanaba kukulawula ukukhula kwe-fibroids.
Kwilizwe le-CIS, izigulane ze-fibromyoma zidlalwa ngamayeza e-hormonal. Kwiikliniki zangaphandle le nkqubo izama ukuhamba - indlela ayisoloko isinceda ukuyeka ukukhula kwezilwanyana. Kule meko, ukutya kwexesha elide kwama hormone kuyathintela umzimba womfazi kunye nokukwazi kwakhe ukuba nabantwana kwikamva.
Unyango lwe-fibromyoma kwiiklinikhi zangaphandle
Iikliniki zezilwanyana zangaphandle zisebenzisa iindlela zokonyango:
- I-FUS-offlation. Ugqirha uyasebenza kwiiseli zokwakhiwa kwe-ultrasound ejoliswe phantsi kwe-MRI. Inkqubo ayibuhlungu kwaye ayihambisani nokulahleka kwegazi, ngoko kuphephile. Kwiiyure ezimbalwa kamva, umfazi unokushiya kwiklinikhi. Emva kweenyanga ezintathu emva kwenkqubo, unokucwangcisa ukukhulelwa.
- Ukubambisa (ukucinywa) kweempahla ezondla i-neoplasm. Ngaphantsi kolawulo lomshini we-X-ray, ukulungiswa okukhethekileyo kulawulwa kumzobo wesifazane. Iingqungquthela zalo zivimba izitya ezondla i-tumor. Ngenxa yoko, i-fibroids iyancipha ngobunzima okanye ichitheka ngokupheleleyo.
Iinkqubo ziboniswa ukuba ubukhulu be-fibroids buphantsi kwe-6 cm.
Ukuba isifo sikhulu, oogqirha basusa i-node. Kule nto, utyando lwe-laparoscopic lusetyenziswa. Iyenziwa ngophenyo lwe-SILS - ngokukhenkcezwa kwelinye kwintonga yomnatha. Enye inqubo iquka ukuhlinzwa kwesisu.
Ukusetyenziswa kwamagqirha okulondoloza igciwane kuvumela umfazi ukuba akhulelwe aze athathe umntwana emva kokususwa kwe-fibroids.
Izibalo zeeklinikhi zangaphandle zibonisa ukuba emva kokusebenza komzimba ukususa i-fibroids, i-85% yabasetyhini baye bagcina ithuba lokuba nabantwana.
Olunye ulwazi malunga namathuba okuphatha i-fibroids phesheya ingafumaneka kwi-https: //en.bookimed.com/.
Ukususwa kwesibeletho kwi-fibroids
Nge-fibroids, ukususwa kwesibeletho kungaboniswa. Ubuncedo bezobugcisa kukuba unokususa eso sifo kanye kunye. Emva kokuhlinzwa okunjalo, ukuphindaphinda kwesi sifo kungabandakanywa.
Ukwenza okuphazamiseka ngokungqinelana nobungqina:
- i-fibromyoma yobukhulu obukhulu;
- ukukhula ngokukhawuleza kwesisu;
- kukho ukukrokra ukuba i-tumor iba ngumhlaza.
Ukuthintela i-fibromyoma
Ukuze ugweme i-tumor, oogqirha bancomela ukuba abafazi banamathele kwisondlo esifanelekileyo, bazimelele ubunzima babo. Esi sifo sincike kwi-hormone, ngoko unako ukusindisa kuyo ukuzalwa komntwana kunye nokuncelisa ixesha elide.