I-Myoma yesibeletho. Ukususwa. Imiphumela emzimbeni

I-Myoma yesibeletho ibizwa nangokuthi i-fibroma. Lesi sifo yisifo esibuhlungu esivela kubafazi ngenxa yezici ezihlukahlukene - ukwehluleka kwe-hormonal, ukuguqula izakhi zofuzo, impilo engavamile yocansi. Ngemuva kokulimala komshini, ngenxa yokukhipha isisu nokukhishwa, i-myoma ye-uterine nayo ingakhula. Ukususwa, imiphumela yokungenelela okunjalo - izinkinga ezithandayo abesifazane abaningi abaye bakuzwa lokhu kutholakala.

Ukumiswa kwesifo kuncike emlandweni wezempilo kanye nesimiso se-hormonal. Ngokuyinhloko, i-myoma itholakala kwabesifazane abaneminyaka engama-35 kuya kwengu-50. Kule minyaka yobudala, ngeshwa, ukuxilongwa okunjalo akuvamile. Kodwa-ke, maduzane usemncane kakhulu - ngisho nabesifazane abangaphansi kweminyaka engama-30 ubudala kukhona i-myoma ye-uterine. Ukususwa, imiphumela yokuhlinzwa, ukwelashwa okulindelekile kwesifo - isihloko sibi kakhulu.

Izimpawu

Esikhathini sokuqala, lesi sifo asikho izimpawu. Uma ubukhulu bezinyosi ze-myomatous kuseyingcosana, kungenzeka ukuthi uhlolisise i-myoma kuphela ngengozi - kokungenwa kwamagciwane lapho kuhlolwa noma ngesikhathi sokuhlolwa kwe-ultrasound. Noma kunjalo, kunezibonakaliso eziningana okufanele zixwayise owesifazane - zihlanganisa ubuhlungu obuhlungu njalo emathunjini aphansi, ukuhlukunyezwa nokuphuza kakhulu, ukuphulwa kwemisebenzi yamalungu angomakhelwane. Isibonelo, i-myoma ingabangela ubuhlungu emathunjini noma ngesinye isisu - ngakho kufanele uqaphele ukuqothulwa okungapheli noma izinkinga ngokuchama. Ngokuvamile izimpawu ezinjalo ziphutha ngenxa yokuhluka okuvamile, futhi owesifazane akasoli isiguli noma amakheli izinkinga hhayi gynecologist, kodwa kuya proctologist noma nephrologist.

Izinhlobo ze-myoma

I-Myoma yesibeletho ihlukaniswe ngezinhlobo ezintathu ezihlukene kuye ngokuthi indawo yayo. Uma i-node ye-myomatous ikhona ngaphandle kwezindonga zesibeletho engaphandle yayo futhi ikhula ngaphakathi kwesigxobo sesisu, le-myoma ebizwa ngokuthi i-suboma. I-myoma ene-submuc isifo se-intrauterine esiqeda isisu bese sishintsha indawo yayo yangaphakathi. I-myoma yezinhlangothi ezisezindongeni zesisu, ibizwa nangokuthi ingaphakathi.

Ukwelapha

Esigabeni sokuqala, ukwelashwa kwe-fibroids kulula kakhulu kunezinye izifo ezinganakiwe. Ngokuvamile, ukwelashwa kwe-hormonal kunconywa iziguli. Kunezinhlobo zezidakamizwa ezivame ukubekwa odokotela uma behlola ama-fibroids. Lokhu kufaka phakathi izimali "Danazol", "Gestrinone" nezinye izidakamizwa - ezivela ku-androgens. Imishanguzo enjalo yokwelapha i-hormonal igxilisa ukuqala kwama-hormone e-steroid emaqanda ama-ovari, lapho ehlushwa, ukukhula kwe-tumor kunciphisa kakhulu. Kwezinye iqembu, ezisetshenziselwa ukwelashwa kwe-fibroids, zithwala ama-gestagens - amalungiselelo "Dyufaston", "Utrozhestan". Bambezela ukukhula kwe-endometrium. Nge-fibroids ye-uterine, lokhu kusebenza kahle. Zonke izidakamizwa ze-hormonal zibekiwe isikhathi eside, ngokuvamile inkambo yokwelapha cishe izinyanga ezingu-8.

Ukwelashwa okunjalo kuboniswa uma i-myoma iyingcosana - amasonto angu-12. Ukuphakama kwalo kubaluleke kakhulu ekukhetheni ukwelashwa, kulinganiswa kuye ngobukhulu besisu - njengokukhulelwa, emasontweni. Lokhu kungukuthi, ekhadini lesiguli, ngaphezu kokuxilongwa "kwe-myoma", ubukhulu besibeletho bubonakala, isici sokukhulelwa ngesikhathi esithile - kuze kube amasonto angu-12, isibonelo. Le ndlela ibangelwa isidingo sokulinganisa ngokunembile lesi sifo.

Enye indlela ephumelelayo yokwelashwa yi-"Mirena" evunguza. Idivayisi ye-hormonal intrauterine, eyabekwa udokotela isikhathi esingama-5. Inemisebenzi emibili - ukwelashwa kwama-nodes ama-myomatous ngokukhululwa kwamahomoni njalo nokuvikelwa ekukhulelwe okungadingeki. Ukufakwa kwe-spiral kusebenza kuphela lapho kukhona khona ama-fibroids asezindaweni ze-uterine. Uma i-sub-serous, ekhulayo esuka ngaphandle kwesibeletho singena emgodini wesisu, ukwelashwa nge-spiral ngeke kusebenze.

Ukuhlanganiswa kokubeletha komlomo nakho kunomthelela, okusiza ukumisa ukukhula kwe-fibroids, kodwa kuphela uma lesi sifo sitholakala kusengaphambili, futhi isayizi sesayithi ayidluli ku-2 cm.

Ukwelashwa okuhlinzwa: i-myoma yezizalo

Ukususwa, imiphumela yokusebenza okunjalo - isihloko sezingxoxo ezinkulu nodokotela. Kunezikhathi lapho kungenzeki ukuphatha i-myoma yesibeletho ngezidakamizwa ze-hormonal, kanti odokotela bancoma ukuthi baphendule ekungeneni kokuhlinzwa. Isiboniso sokusebenza singaba kanje:

• Ubukhulu obukhulu be-fibroids (uma ubukhulu besibeletho bungaphezu kwamaviki angu-12 wokukhulelwa).
• Ukukhula okusheshayo kwe-tumor - kulezi zimo, izinkinga ezihlukahlukene kungenzeka, futhi akunakwenzeka ukuhlehlisa umsebenzi.
• Ukungaziphathi kahle nokukhulelwa - uma isiguli sisekhulile, ukutholakala kwama-fibroids kungaphazamisa inkambo evamile yokukhulelwa nokubeletha. Khona-ke isisu singcono ukususa, ukuze ukukhulelwa nokubeletha kungabikho izinkinga.
• I-tumor ye-ovari, eyenziwa ngokufana ne-myoma yesibeletho.

Ukuhlinzwa kuhilela ukususa lesi sifo. Ukubuyekezwa mayelana nokusebenza okunjalo kuhlukile, konke kuxhomeke kuzo izici zomzimba nomphumela. Ukungenelela kokuhlinzwa nge-myomas kungahluka kuye ngokuthi iminyaka yesiguli, ubukhulu besisu, impilo ejwayelekile yowesifazane. I-myomectomy ye-conservative iyisusa kuphela se-noma ye-myoma ye-uterine, ingxenye enempilo igcinwa. Imisebenzi enjalo yenza abesifazane besiminyaka yokuzala abahlela ukuba nezingane esikhathini esizayo. I-Hysteroresectoscopy ukususwa kwe-fibroids kusuka emgodleni wangaphakathi wesibeletho. I-Hysterectomy iyisusa esiphelele sesisu. Lena yindlela eyikhadineli, ngoba ukungabi khona kwesigungu kuholela ekuswelekeni kwezinkinga nazo. Ukusebenza okunjalo kwenziwa kuphela uma ezinye izindlela zokususa isisu zingalungile, noma kuphela uma iminyaka yesiguli ibonisa ukuthi ikhono lokuba nezingane alisabalulekile. I-hysterectomy iholela ekusaneni, kodwa ivumela owesifazane ukuba aphile ngokocansi, abe nesifiso socansi nokuthokozisa. Eminyakeni yamuva, odokotela abaningi baye basebenzisa inqubo efana ne- uterine artery embolization. Ezitsheni zesisu kuqaliswa isidakamizwa esikhethekile. Iwagcoba imithwalo yegazi, igazi alifaki izigulane ze - myomatous futhi ukufa kwabo kwenzeka. Lokhu kuyindlela encane yokwelapha i-myoma, okunconywa ukuthi abesifazane bahlela ukuba nezingane ngemuva kokwelashwa.

Imiphumela yokungenela okuhlinzayo

Noma yikuphi ukuhlinza okuhlinzayo akudluli ngaphandle komkhondo emzimbeni, futhi imiphumela ingahluka. Ngemuva kokusebenza, ngokuvamile iziguli zibekwe izindlela ezibizwa nge-hormonal - lokhu kwenziwa ukuze i-myoma ingabonakali futhi. Uma imbangela yesisu ihlulekile ukungena kwe-hormonal, ukuthatha imithi efanele kuyosiza ukugwema ukubuyela emuva. Kubalulekile ukuqhuba ucwaningo bese uthola izimbangela zesifo, uma lokhu kungenziwanga, khona-ke i-myoma ye uterine izovela futhi.

Ukususwa, imiphumela yokuhlinzwa (ukuvuselelwa) - lezi zihloko zithandekayo kwabesifazane abaningi futhi zixoxwa ngenkuthalo emaforamu. Kulezo zimo lapho isisu sisuswa ngokuhlinzwa, enye yezinhlobo zezinkinga ibhekwa njengengozi eyengeziwe yokwelashwa kwebele. Umphumela osobala we-hysterectomy ungenasifo. Uma isisu singasusiwe ngokuphelele, ukuya esikhathini kungase kuqhubeke, kodwa kaningi ngeke kube khona.

Ngokuvamile imiphumela yokuhlinza isifo sofuzo. Ngokuvamile, umphumela wesabekayo kakhulu we-uterine fibroids yi-oncology. I-Myoma yesisu isifo esibi, ukuguqulwa kwayo ibe yisifo esiyingozi kakhulu, kodwa okwamanje kwenzeka kanjalo. Kungcono ukwazi ngalokhu bese uzama ukwelapha i-myoma ngokushesha ngangokunokwenzeka.

Izincomo ngemuva kokwelashwa

Isikhathi sokuphumula emva kokusebenza okunjalo njengokususwa kwe-uterine fibroids (ubufakazi besiguli buqinisekisa lokhu) bufana nokulandela noma yikuphi ukuhlinzwa okunye. Ngokuvamile kunconywa ukuba uthathe i-multivitamin ukusekela umzimba, udle kahle futhi udle ukudla okungaphezulu kwamaprotheni. Ukuzivocavoca umzimba kunqatshelwe ezinyangeni ezingu-3-4 zokuqala, kodwa kancane kancane ukuhamba nokuhamba kusasebenza. Enye yezingqinamba ngesikhathi sokubuyiselwa umphumela wokushisa: ugweme ukuvakashela i-sauna ne-sauna, i-solarium. Awukwazi ukushisa ilanga futhi ngokuvamile kufanele unciphise ukuhlala kwakho elangeni.