I-Fibromyoma yesisu: ukukhulelwa njengendlela yokuvimbela nokwelashwa

I-Fibromyoma yesibeletho yisifo esivame kakhulu se-pelvic kubesifazane. Odokotela baxilonga lesi sifo kuzo zonke izici zobulili obuhle.

I-Fibromioma yesibeletho isifo esibucayi esine-neoplasm, esiyi-nodule yezingxube ezithinta kakhulu. Usayizi wabo ungahluka - kusuka kumamitha ambalwa kuya ku-25 cm.

Uma lesi sifo siqala, isibeletho siyakhula - njengokuba kubelethwe ingane. Ngakho-ke, ngokwejwayelekile ubukhulu be-fibroids bubalwa ngamasonto wokukhulelwa.

Odokotela bacabanga ukuthi i-fibromioma encane uma ubukhulu bayo bungaphansi kuka-1.5 cm, okuhambisana namasonto amahlanu okukhulelwa. I-tumor yesilinganiso ihambisana namaviki angu-5-11 wokukhulelwa. I-tumor enkulu ibizwa ngokuthi ubukhulu bayo bungaphezulu kwamaviki angu-12.

Iyini ingozi ye-fibroids?

  1. Imfundo ayithambekele ekubeni yisifo somdlavuza, kepha namanje kungenzeka ngamacala angu-2%.
  2. Ama-fibroids amaningi kakhulu futhi anene kakhulu. Lokhu kungabangela ukuphazamiseka kwegazi.
  3. Uma i-fibromioma ikhula, icindezela kwezinye izitho. Lokhu kubonakala ngobuhlungu, ezimweni ezimbi, umsebenzi wesisu nesisu kuphazamiseka
  4. I-Fibromyoma ingabangela ukukhulelwa kwesisu sokukhulelwa: ukukhulelwa kwesisu, inqwaba yamatente, ngaphambi kwegazi.
  5. Ngesikhathi sokubeletha, ingozi yokukhulelwa kwesibeletho iyakhula.
  6. I-Fibromioma ingenza kube nzima ukuthi ingane idlule emgodini wokuzalwa. Isongela u-hypoxia we-fetus.

Ukuze unciphise izingozi, abesifazane abakhulelwe abane-fibroids kudingeka babe ngaphansi kokuqondiswa udokotela. Udokotela wezifo kufanele aziswe nganoma yikuphi, ngisho nezincane, izinguquko empilweni.

Lesi sifo sakha kanjani?

Kukhona isifo kwabesifazane abaneminyaka yobudala yokubeletha, ezimweni eziningi ezineminyaka engama-30-35. Lapho uneminyaka engu-45-50 ubudala, inombolo enkulu kakhulu yokukhishwa kwe-fibroids.

Kungani i-fibroids ikhula, odokotela abazi okwamanje.

Hlanganisa ukubonakala kwesisu nge:

Izinhlobo ze-fibroids

Odokotela bahlukanisa izinhlobo eziningana zezifo, kuncike lapho i-nodules ye-tishu egcwele ikhona khona:

Ngubani osemngciphekweni?

  1. Abesifazane abanenkinga yokuya esikhathini (ukuqala esikhathini esisheshayo noma sekuphuzile kakhulu, umjikelezo ongavamile).
  2. Ukwenza isisu. Lokhu ukucindezeleka okukhulu kwe-hormonal yomzimba.
  3. Labo ababeletha ngemva kweminyaka engu-30.
  4. Abesifazane abanesisindo esiningi. Izicubu ezinamafutha zikhiqiza i-hormone ye-sex estrogen. Ukweqile kwalo kungabangela ukubunjwa kwesisu.
  5. Abesifazane abaye basebenzisa izakhi zokuvimbela i-hormonal isikhathi eside.

Ziyini izimpawu ze-uterine fibroids?

Ngokuvamile lesi sifo sinamandla. Ukuthuthukiswa kwe-fibroids kungaboniswa ngu:

I-Fibromyoma yesisu nokukhulelwa

Ezimweni eziningi, i-fibroids ayiyona isithiyo ekukhulelweni. Ucwaningo oluningi lufakazela ukuthi ukuzala umntwana, ukubeletha okulandelayo futhi ukubeletha isikhathi eside kwezinye izimo kumisa ukukhula kwesisu futhi kunomthelela ekunciphiseni kwawo.

Isikhathi se-Fibromyoma ne-postmenopausal

Emva kokuqala kokuya esikhathini, inani le-estrogen liyancipha. Kulaba besifazane abaningi, i-tumor iyakhula noma iyancipha ngobukhulu. Uma lokhu kungeke kwenzeke, umjozi wezifo zogciwane ubeka ukwelashwa.

I-fibromy ihlolwe kanjani phesheya?

Ukuthola izifo ze-uterine fibroids kuqala ngokuqoqa ngokucophelela kolwazi ngesiguli. Umgogodla uzobuza ngokuqala kokuya esikhathini, isikhathi sakhe, izifo zobulili ezidlulisiwe, ukukhulelwa kanye nokukhipha isisu.

Isigaba esilandelayo sokuxilongwa sizobe sihlola.

Uma udokotela esolwa ukuthi isiguli sinesisu, kudingeka adlule i-ultrasound. Ucwaningo luzocacisa ngokunembile ukuthi amakhodi atholakala nokuthi bunjani ubungako. Le ndlela isetshenziselwa ukusungula ukuthi i-tumor ikhula ngokushesha kangakanani.

Ukunquma isakhiwo se-tumor, odokotela basebenzisa i-MRI.

I-colposcopy kanye ne-hysteroscopy vumela udokotela ukuthi ahlole umlomo wesibeletho kanye nesiguli se-uterine ngokusebenzisa izinhlelo ezikhethekile ze-optical. Ngakho udokotela unquma indlela yokwelapha eqhubekayo. Phakathi nenqubo, i-biopsy yezicubu zenziwa. Ukuhlolwa kwesampula ngaphansi kwe-microscope kuqinisekisa ukungabikho kwamangqamuzana omdlavuza.

Ukwelashwa, ukuhlinzwa noma ukubonwa

Uma lesi sifo singama-1.5 cm, isiguli sisencane futhi silungiselela ukuba nomntwana, ukwelashwa okukhethekile akudingeki. Into esemqoka kulesi sigaba ukulawula ukukhula kwama-fibroids.

Emazweni e-CIS, iziguli ezine-fibromyoma zivame ukushiwo izidakamizwa ze-hormonal. Emitholampilo yangaphandle, lo mkhuba uzama ukuhamba - indlela ayisize ngaso sonke isikhathi ukuyeka ukukhula kwezifo. Kulokhu, ukudliwa kwama-hormone isikhathi eside kuthinta umzimba wesifazane kanye nekhono lakhe lokuba nezingane esikhathini esizayo.

Ukwelashwa kwe-fibromyoma emitholampilo yangaphandle

Imitholampilo yamazwe angaphandle isebenzisa izindlela zokwelapha:

  1. I-FUS-ablation. Udokotela wenza amangqamuzana ekwakhiwa yi-ultrasound egxile ngaphansi kokulawulwa kwe-MRI. Inqubo ayibuhlungu futhi ayihambisani nokulahlekelwa kwegazi, ngakho-ke kuphephile ngokuphelele. Ngemva kwamahora ambalwa, owesifazane angashiya emtholampilo. Ngemuva kwezinyanga ezintathu emva kwenqubo, ungakwazi ukuhlela ukukhulelwa.
  2. Ukumiswa (ukuvinjelwa) kwezitsha ezondla i-neoplasm. Ngaphansi kokulawulwa komshini we-X-ray, ukulungiswa okukhethekile kuhlinzekwa ku-artery wesifazane. Izinhlayiyana zalo zivimba izitsha ezidla lesi sifo. Ngenxa yalokho, i-fibroids iyancipha ngosayizi noma iyanyamalala ngokuphelele.

Izinqubo ziboniswa uma usayizi we-fibroids ungaphansi kuka-6 cm.

Uma lesi sifo sikhulu, odokotela basusa i-node ngokuhlinzwa. Ngenxa yalokhu, ukuhlinza laparoscopic isetshenziswa. Yenziwa ukuhlinzwa kwe-SILS - ngokufaka isikhala esisodwa endaweni yenkaba. Enye inqubo ihilela ukuhlinzwa kwesisu.

Ukusetshenziswa kwezihlinzeko zokulondoloza igciwane kuvumela owesifazane ukuba ukhulelwe futhi athathe ingane ngemuva kokususwa kwe-fibroids.

Izibalo zemitholampilo yangaphandle zikhombisa ukuthi emva kokuhlinzwa komzimba ukukhipha i-fibroids, abesifazane abangama-85% baye bahlala nethuba lokuba nezingane.

Ulwazi olungaphezulu mayelana namathuba okuphatha i-fibroids phesheya ingatholakala ku-https: //en.bookimed.com/.

Ukususwa kwesibeletho ku-fibroids

Nge-fibroids, ukususwa kwesibeletho kungaboniswa. Inzuzo yale nqubo ukuthi ungasusa lesi sifo kanye nhlobo. Ngemva kokuhlinzwa okunjalo, ukubuyela emuva kwesifo kukhishwe.

Yenza ukuphazamiseka okunjalo ngokuvumelana nobufakazi:

Ukuvimbela i-fibromyoma

Ukuze ugweme isisu, odokotela batusa ukuthi abesifazane balandele ukudla okunempilo, balandele isisindo sabo. Lesi sifo sincike kuma-hormone, ngakho ungagcina kuwo ukuzalwa kwengane nokuncelisa isikhathi eside.