Izimpawu nezinkomba lesizalo fibroids: indlela lesi sifo

izici bokuphila imiphumela umzimba female endaweni ebuka kakhulu pathologies ezehlukene izifo zabesifazane. Ngokusho kwemibiko yezokwelapha, endaweni yokuqala ithatha lesizalo fibroids.

Ngokwe-WHO, abangaphezu kuka-25% abesifazane ubudala zokuzala kulelizwe uxilongwe yesimila. Futhi isibalo kwanda unyaka ngamunye. Lesi sifo kwenzeka abantu abasha futhi iziguli nambili kuya kwabadala. Ngisho udokotela ekuhloleni izifo zabesifazane abanakwethenjwa ngaso sonke isikhathi ukuhlukanisa phakathi izimpawu of lesizalo fibroids. Indlela ukuqaphela imfundo efanele usaqala futhi ugweme ukuhlinzwa? Izimpendulo kuyo yonke imibuzo uzothola uthobela yayo.

Hlobo luni isifo wukuthi?

Lena neoplasm ingozi letingemasayizi lahlukene. Myoma ISIZINDA ise myometrium - ungqimba kwemisipha. Ukuvuvukala kwezintambo zesivikelo sesifuba kuyinto ukuma bushelelezi oyindilinga, kwakheka imithambo yegazi ezinabantu aluka. Isisindo sayo, ububanzi kanye ivolumu kungaba omkhulu. Zokwelapha, fixed kg isisindo node 63. Kodwa lesizalo kwande fibroids usayizi encane. I izimpawu zesifo encike ngqo kwi ukugeleza, izinyathelo, indawo ezicacile zomzimba, izinga lokukhula, inombolo yezimo, isizinda kanye yobudala isiguli. Lesi sifo ama-hormone engaphansi, ngakho ukuthuthukiswa yayo libhekene wokuqukethwe lelisetulu estrogen (hormone ocansini nabesifazane).

Izinhlobo zokwakheka kwasendaweni

Kwezokwelapha emitholampilo ezishisa kakhulu zikhipha izinhlayiyana eziningi futhi olulodwa miomnye imfundo, kuye ngokuthi indawo yabo:

• Submucosal, noma intracavitary, ifomu ikhulela endometrium, angase awele sangasese kanye wesibeletho.
• Subserous noma subperitoneal, atholakala ngaphansi olwelwesini umzimba.
• Sesikhala (naphakathi-kwemisipha) - ezivamile nodal lesizalo fibroids. Izimpawu nezinkomba zinezikhathi ubuhlungu ukopha esesikhathini. ISIZINDA ahambelana e ukushuba we ungqimba ezindaweni zomzimba noma ezansi.
• Wesibeletho.
• Mezhsvyazochnaya podbryushinnye isebenze Isikhala ifanekisela uqobo.

Ezinye izinhlobo okwakheke zingakhula 2-3 kg. Kuphela njalo (njalo emva kwezinyanga eziyisithupha) Dispensary okuqotho kungase ulungise Ihlahlubo avume ukwelashwa izidakamizwa.

Ubani isengozini?

Kungenzeka ukuvela kwalesi sifo esikhathini kumiswa ngokobulili. Kodwa ezimweni ezinjalo ezingajwayelekile kakhulu. Ngokuyinhloko zokugula ibonakala ngemuva kweminyaka engu-30. Izimpawu zokuqala lesizalo fibroids kukhona imperceptible, ie nesineke uphila ukuphila okuvamile, ngaphandle kokuzizwa kabi ubuhlungu.

The main ayeke ukunisa isici, ngokusho kongoti, ukungalingani hormone (amazinga ngokweqile estrogen futhi progesterone ukuntuleka kwamavithamini, ukungezwani umsebenzi kahle we ezihlobene). Ngokuvamile in iziyaluyalu enjalo e amantombazane kamuva ngenyanga, futhi ngezinye izikhathi non-akukho.

Indima ebalulekile okuvela fibroids ufeza ukuphila okungajwayelekile ngokocansi (bezoziphatha ezingavamile, ukungeneliseki). Kulesi simo, ukugeleza kwegazi kuyaphazamiseka futhi kukhona ukuminyana. Ngokwesayensi kungase kutholakale ukuthi isifo has a uhlamvu zofuzo. Ubethula obala kulabo emkhayeni ngokusebenzisa umugqa zesifazane wahlangana fibroids.

izici ngodlame nazo izinqubo ukuvuvukala (adnexitis, endometritis, i-endometriosis), lapho ebeletha ngoba engalutholanga ngasekupheleni, isifo endocrine, amaningi sokukhulelwa ukuqedwa, ukuphatheka kabi kakhulu ukuhlinzwa izifo zabesifazane. Konke lokhu kuholela iyehla iyenyuka hormone.

izimpawu eziyinhloko lesizalo fibroids: kanjani ukuqaphela ukuthi unesimila?

Ngakho, ake sixoxe izimpawu zakho. Ngesikhathi sokuqala esiteji ezingavamile isifo izimpawu of lesizalo fibroid itholiwe. Indlela bathola lesi sifo? Kuphela ngosizo eziningana zokupopola. Njengoba izimila aqale ukuphazamisa imizwa nesineke ungakhululekile ukuthi i-signal kwamaphutha emzimbeni. Ukuze labo zihlanganisa:

• Isikhathi eside futhi elisindayo ukopha esesikhathini. Ngemva kwalokho, lokhu kungase kuholele ekubeni anemiya (nesiyezi, pallor nesembozo, migraines, ubuthakathaka). Isenzakalo esifanayo iye uxwayiswe kakhulu. Ngezinye izikhathi udinga esibhedlela esiphuthumayo.
• Ubuhlungu zisikisela ukuthi isimila sichubeka ikhula. Izimpawu lesizalo fibroids usayizi encane, ngokuvamile kungabonakali, ngesinye isikhathi esihambisana nokukhithika ubuhlungu esiswini engezansi bese wehlise emuva.
• Ukwehluleka kwezitho angomakhelwane - esinyeni futhi ingemuva. Kukhona yobunzima, ukusinda, micturition neziyaluyalu, kanye ukuqunjelwa. Kufanele uvakashela Urologist, udokotela wezifo zabesifazane, gastroenterologist.
• Ukwanda isimila libhekene ubuhlungu enhliziyweni. Futhi, kukhulile ingcindezi, iphika, ukuqubuka iguliswa futhi iziyaluyalu umzimba.

Abesifazane abasha is wancipha umsebenzi zokuzala (amashubhu fallopian). Isikhathi esining impela lokhu kuba imbangela ukungabi nenzalo. Ukuze ukuvimbela izifo kufanele kube esifike ukuqhuba ucwaningo kanye therapy olandelanayo. Kunobufakazi bokuthi imfundo ingashabalala bebodwa noma wehlise ngosayizi kanye ukufika nambili kuya kwabadala. Kodwa awawabheki ke, kungcono ukuqeda iyunithi ngaphambi kuzokhulisa futhi kuzobangela umonakalo ongalungiseki impilo.

ukubonakaliswa Clinical yohlobo isimila

Ukuze ifomu ngalinye libhekene izimpawu ezinhlobonhlobo. Izimpawu zokuqala fibroids usayizi elincane lesizalo ISIZINDA submucous kubangelwa iziyaluyalu kokuya esikhathini. Cramping ubuhlungu uthi kuphela uma isimila lehliselwa ngalo ingaphakathi lomzimba.

Subserroznoe indawo yokwakheka kukhona asymptomatic. amayunithi uzotshala iziguli esekhala njalo ubuhlungu ukubelesela esiswini. Izenzo ngokuvamile kudidaniswe acute umtholampilo besisu futhi isiguli yafakwa umnyango kuhlinzwa.

Ezixutshiwe myoma kumiswa ngendlela efanele usaqala engekho ngokwabo. Ukungakhululeki yobunzima izitho eduze futhi sokuzikhulula iziyaluyalu imakwe ngemadlana abalulekile lwesimila.

Ukukhulelwa myoma

Uma ISIZINDA zitholakala kude nge placenta, musa kuthinte ke, isikhathi sokukhulelwa ngokuvamile labetibambile ngaphandle pathologies. ibuphi ubunzima esingase sibhekane esimweni lapho kumiswa myoma yenziwe yaba yasendaweni eduze umzimba sombungu. Iqiniso lokuthi isimila ukhiqiza izinto ezibangela lesizalo Kufinyeta. It kwandisa ingozi wazalwa kungakabi isikhathi noma ukuphuphuma. Lokho sokukhulelwa yahamba ngokushelela, odokotela bazama ukuzivimba lezi ISIZINDA ukukhula. Phela, njengoba ukwandisa i-fetus iyakwazi ukuthuthukisa ezihlukahlukene ukusonteka cranial, hypoxia nezinye egunjini lokuhlolwa kwezifo. Ngokuvamile imisebenzi IsiZulu ebuthaka kakhulu futhi eside, ngakho odokotela isigaba cesarean.

izindlela ukuxilongwa

Ngesisekelo nemlandvo wetekwelashwa kwakhe neluhlolo kwezitho zangasese kungakhonjiswa ngendlela ukukhonjwa fibroid kwesibeletho. Ultrasound (izimpawu, lapho luhlolo qobo oqokiwe, - ukopha, ubuhlungu, ukungazali) kungasiza ukukhomba ukusonteka we umgodi lesizalo. Abahlukile indlela ulwazi inquma zonke izinguquko sokugembula: usayizi, indawo, isakhiwo.

Ukuze uthole amanani enkulu isimila aqokwe MRI. Kuyinto kahle kwembula inani ifindo, ukunquma isimo sabo nendawo. izimpawu Sonographic of lesizalo fibroids lemfundo subperitoneal libhekene zvukopogloschaemostyu anda. Ukuze ukusazi ngokunembile isifo esikuphethe lesi sifo kufanele zidlule izifundo eziningana: ngekhompyutha tomography, laparoscopy, hysterosalpingography.

Ukwelapha

Esanda kutholakala, indlela kuphela ukubhubhisa sifo ukuhlinzwa. Namuhla, odokotela bakwazi ukufeza imiphumela omkhulu ekwelapheni. Slow ekhula Izigaxana ezincane elise ukushuba we endometrium, musa abangele ngokungalungile, kodwa ukuze kuvinjelwe ukuthuthukiswa, ebekiwe yokwelapha olandelanayo. Udokotela sinquma izidakamizwa hormone: ezivezwa androgens, progestogens inzalo elihlangene futhi analogue GnRHa.

izinhlobo banamuhla bokuhlinzwa

yokwelapha okulondoloza kuyinto akuhlali, ngendlela efanele, ikakhulukazi nge zokwakheka ezinkulu. Uma isikhathi akususi ISIZINDA, izimpawu lesizalo fibroid ukukhula kungathikameza kabi empilweni yabesifazane. Okuchichimayo igazi ukulahleka kungaholela ekufeni noma ukuphuca injabulo ngokuba umama kuze kube phakade.

Kunezindlela eziningana ongakhetha kuzona lokungenela kuhlinzwa (ngamunye akhethiwe eyodwa noma ngenye indlela ukususa, ngaleyo ndlela kufanele inake yobudala lesiguli, ngesilinganiso isimila ukukhula, ukuze enziwe wasendaweni, usayizi nezinye izinto):

• myomectomy Laparoscopic - ngosizo idivayisi okhethekile, laparoscope, a imbobo encane senziwa futhi husks ingaphakathi ISIZINDA.
• myomectomy Hysteroscopic ukususa ngaphakathi yesimila.
• FUS ablation - Kwenziwa esebenzisa amagagasi ultrasonic inikezwa izinhlangano kuphela lapho bengakashadi.
• Embolization lemithambo - kuvimbela ukugeleza izakhamzimba ISIZINDA.
• Hysterectomy - indlela kakhulu Kwenziwa ezimweni lapho izimila ukufinyelela usayizi omkhulu. Ikhishwa lesizalo ukunqunywa.

Lokho ongakwenza hhayi uma fibroids?

Kunemikhawulo ethile okufanele okuqhubekisela abesifazane nge kokutshelwa ngokukhubazeka kwengane, ukuze singathwesi senze isimo sishube. Contraindicated kunoma yimuphi umsebenzi ngokomzimba endaweni peritoneum kanye ukhalo. Zivikele gibela ihhashi ngebhayisikili. Ungenza i-yoga, bahamba ngezinyawo phezu kwezingqimba treadmill futhi qiniseka ukwenza izizinda nsuku zonke - lokhu kuzokwenza ngcono ukugeleza kwegazi. Odokotela musa batusa Vibro zangasese nasodakeni. Kuyadingeka ukuba banake ekudleni kwakho: ukuqeda ukudla okuqinile kanye okunamafutha ekhuthaza ukukhula yesimila.

ukudla ewusizo, ecebile polyunsaturated okunamafutha acid. Ukwandisa ukusetshenziswa inhlanzi, nemifino izitsha, amantongomane kakolweni lwegciwane. Ungakhohlwa ubambe Vitamin yokwelapha 3-4 izikhathi ngonyaka. Hlanganisa ukwelapha ngokwendabuko amakhambi yokwelapha yesintu. Unake impilo yabo futhi okwaxoxwa minyaka yonke, ngisho nalapho kukhona azikho izimpawu zokuphela lesizalo fibroids. Indlela bathola lesi sifo futhi kuvimbele ukuthuthukiswa yayo, wachaza ngokuningiliziwe wezifo zabesifazane.