Ngomphimbo leiomyoma: Izimpawu kanye Ukwelashwa

Ngokuvamile abantu babe kabi emphinjeni. Semali okungase kuthintwe lapho uvuleka, ukungakhululeki, ukucanuzela kwenhliziyo, ubuhlungu esiswini, isilungulela, nokubhamuka. Lezi izimpawu zibonisa zokugula yokusetshenziswa pheshana emathunjini. Yini Kungaba? Ngokwesibonelo, leiomyoma.

isimila Benign, okubonakala ezindongeni emphinjeni, obizwa ngalelo gama. zingase zimiswe isici Enje njengoba iyunithi ISIZINDA kanye kusukela amaningi. Ngu uqobo, lolu phiko ifana yayifanekisela nomxhantela okhanyayo pink futhi zingakhula 5 cm.

Ngakho yini leiomyoma we kuqhoqhoqho nendlela yokubhekana nale isici kulo, sicabanga ngezansi.

izimila Benign zingaveli emphinjeni

Okokuqala, kuyafaneleka egcizelela ukuthi leiomyoma kwenzeka ezimweni ezingajwayelekile. Njengomthetho, kuba amaphesenti angu-5% we-konke ukushiyeka isimila, futhi babonakala bethambekele kakhulu kulo umuntu.

leiomyoma ngomphimbo (ICD-10 libhekisela lesi sifo ikhodi D13.0) - isimila kungavamile ukuba ingozi, okuyinto abake umsipha noma isitho endwangwini, ngokuthumela ukudla esiswini. isici Enje has simise encane isiyingi, kodwa kungase ukwandisa bese udala emhlabeni ngokwabo i isibalo esingapheliyo amayunithi ahlukile kuphazamisa umsebenzi oyinhloko emphinjeni.

Yini engabangela le nkinga?

Kukhona ezinye izici engabangela ukuba ukubukeka leiomyomas, okuyilezi:

• izimila ebulalayo e eziseduze;

• ebuthaka sokuzivikela ezifweni;

• ukubhema nokuphuza utshwala;

• Ukudla okungalungile.

Lezi zizathu kungathinta yokuthi umzimba womuntu kukhona ukwehluleka, okuholela engaqinisekile eyenzeke cell division.

Izimpawu ezibonisa ukubukeka leiomyomas

Leiomyoma we kuqhoqhoqho cishe njalo kwenzeka ngaphandle izimpawu zokubonisa. Ngaphezu kwalokho, lokhu isimila isikhathi eside ngokuvamile uqobo akusho ukukhipha, kusukela ekukhuleni kwayo kuhamba kancane. Kungenxa yalesi sizathu ukuthi lokhu izimpawu isici futhi kancane kancane.

Nokho kuza isikhathi lapho isifo liqala ukuqinisa ngokwayo zimpawu ezilandelayo:

• Esokuqala futhi main isici - ukugwinya ukudla;

• ukubukeka kabi ngemuva breastbone, kodwa lokhu uphawu livela uma isimila safinyelela ngamasentimitha amane;

• okuvela njalo isilungulela nokubhamuka;

• amathe eqinile;

• nesicanucanu retching;

• palpitation kanye arrhythmia;

• isifuba esomile lapho kukhona isifiso ukukhwehlela com ngci;

• ukungakuthandi ukudla.

Ubuhlungu ukuthi kwenzeka uma uvuleka noma ngokushesha ngemuva kokudla ukudla, avame ukubonakala esifubeni unika emuva endaweni. Ngezinye izikhathi umuntu angase aphazamise, futhi ubuhlungu buthuntu le xiphoid. Kodwa ngokuphathelene ukushuba ubuhlungu, encike ngqo kwi kangakanani isimila ikhulile.

Uma leiomyoma ngomphimbo incane, ke iyoba njengamanje ngesimo spasm ezavela emphinjeni. Futhi kungase ngezinye izikhathi kube khona olunye umzimba ukuzwa ngemuva breastbone.

Kufanele kuqashelwe ukuthi umuntu ogulayo nale jikelele isifo asithinteki, kusukela babe nazo zonke izimpawu ngenhla kancane kancane.

Kubalulekile eceleni ukugcizelela ukuthi umuntu angase uhlangabezana nezinkinga inhliziyo, esimweni lapho emphinjeni leiomyoma inyuka ngosayizi. Lokhu kwenzeka ngenxa yokuthi enkulu iba isimila, kulapho-ke ngazo izitho zomzimba womuntu.

izici ezingeziwe

Futhi uma lokhu kwenzeka, umuntu inezimpawu ezengeziwe, ezifana:

• ukukhwehlela, lapho kungekho kungenzeka ukuba igxambukele umuntu ukukhwehlela;

• kufushane okunzima umoya;

• hoarseness;

• cyanosis, futhi arrhythmia.

Lokhu kwenzeka lapho isimila itholakala endaweni bifurcation we kuqhoqhoqho. Ngakho-ke, uma umuntu okungenani ambalwa izici ezichazwe ngenhla, ukuvakasha akufanele imisiwe kuya gastroenterologist. Kubalulekile ukuqonda ukuthi Sokuzivikela kwesikhathi angase avuse leiomyoma ukonakala ibe isimila esibulalayo. Lapho ukwenza biopsy we leiomyoma emphinjeni? Kule - ku.

Indlela ukuxilonga yini kulumkhuhlane?

Leiomyoma Kutholwe usebenzisa izinhlobo eziningana amasu, okuyilezi:

• kumele kwenziwe ukuhlolwa okugcwele;

• nge survey wezinsimbi;

• ngesisekelo izikhalazo isiguli.

Uma ukhohlwa ukususa isimila, ithuba ligweme izinkinga ezingase zivele kungenzeka mikhulu. Ngaphezu kwalokho, ukuqaliswa ngesikhathi esifanele ukwelashwa kuzasiza sempilo yomuntu.

Imiphumela yaloku kuhlola okungenhla nse is ezenziwe usebenzisa X-ray kanye endoscope, okuvumela uchwepheshe kungenzeka ukunquma indawo lapho isimila ngokunembile, futhi acoshe ukwelashwa kudingekile. Kanjani izithombe ezicacile etholakala? Leiomyoma emphinjeni ngu Endoscopy kuchazwe kahle.

Ngoba ukuthola ngamaqhubu encane isimila usebenzisa Endoscopy lonke wokugaya ukudla ithrekhi. Kulokhu, uma umuntu waqala ukusihlupha izimpawu zesifo, kufanele ngokushesha kudokotela ozoqhuba kokuhlaziya zonke izikhalazo kanye ukuthumela inhlolovo.

Ngokuvamile, umsolwa isifo gastroenterologist enjalo can kakade ngesisekelo izikhalazo nesineke. Kodwa ukuze uqinisekise izinsolo kuyadingeka ukuze luhlolo wezinsimbi.

Uma usebenzisa indlela enjalo zokuxilonga, like-X-ray, izimpawu zesifo kuvetwa ngokuya ukugcwaliswa emphinjeni ukuze afinyelele eqophelweni lapho isimila. Ngesikhathi esifanayo, uma esetshenziswa esimweni ethafeni ke isithombe bubonakala ngokucacile emthunzini izimila.

Njengoba kuchazwe ngenhla, leiomyoma kungenzeka njengenye sebuningini neoplasm noma izimila. Ukuze uqinisekise ngokunembile ukuxilongwa, sebenzisa indlela esophagoscopy. Nale ndlela kungenzeka ngeso lengqondo izimila ngokuningiliziwe, kanye ukuhlola isimo jikelele we mucosa futhi ukuthatha impahla ukufunda biopsy. It yi histological futhi kuqinisekisa ukuthi unesimila kuyinto kungavamile ukuba ingozi. Sikhona yini isidingo sokuba susa leiomyoma we kuqhoqhoqho?

Kwezinye izimo, ukuhlinzwa uqokwa?

Lahla leiomyoma kungenzeka kuphela ngosizo ukuhlinzwa. Kodwa uma acabangele ekukhuleni kwayo kancane ke ukususwa kuhlinzwa akuyona yakhetha esimweni lapho lokhu isimila incane.

kokungenela Steel inikezwa kuphela uma kwaba leiomyoma okudlangile emphinjeni. Ukusebenza kungenzeka kulezo zimo, uma isiguli kungekho Izimo kule nqubo.

kokungenela Steel akuyona kwenziwe:

• uma isimila esingaphansi 5 cm;

• uma umdlavuza isikhishiwe;

• abantu musa ulahlekelwe isisindo.

Uma umuntu isimila owayemude encane, udokotela amawashi kuphela Ukuhlolwa njalo usebenzisa Endoscopy futhi-X-ray. Lezi zinhlobo survey ukusiza ukuba asabele futhi afeze ukuhlinzwa.

Indlela ukusebenza

Ngakho, umuntu etholakele leiomyoma we emphinjeni. Ukwelashwa ngokuvamile uhlanganisa ekuhlinzeni. Kodwa uma lesi isimila emikhulu.

Ukuze wenze lokhu, sebenzisa indlela laparoscopic nge thoracotomy. Kodwa le ndlela wenziwa kanje: kudokotela, ukuhlinzwa ehola, kwenza imbobo kwesifuba futhi yenza umsebenzi. Le ndlela ngempela kuhlasimulise futhi kudinga isikhathi esengeziwe ukuze ukunciphisa isikhathi post-op.

Eminyakeni yamuva nje, odokotela baye okwamanje bamukela indlela entsha esisiza ukuqeda isimila ngaphandle ukusika esifubeni. Ingqikithi yale zokukhwabanisa ukuthi udokotela ikwenza punctures ezine esiswini noma sternum futhi husks leiomyoma ngokusebenzisa lezi pinholes. Futhi okubaluleke - ke yithuba asithinti nolwelwesi lwamafinyila.

Lokhu kuhlinza wenziwa ngaphansi kolawulo ezibukwayo, okuyinto eyenziwa esophagoscopy. A plus omkhulu yaleli su wukuthi kungenzeka aluqede ngokuphelele yezinkinga ezifana stenosis.

Lapho sebeqedile ukuhlinzwa, umuntu sebeziqhumbuza ezincane ezine ububanzi likhula libe amamilimitha angu. Njengoba yokuqagela ngalesosikhathi they are bonke ngomusa, futhi okwamanje akukho umuntu uyahluleka uma elwa babonakala ngesikhathi eside.

leiomyoma ngomphimbo: Izibuyekezo

Izibuyekezo basikisela ukuthi leiomyoma - isimila kungavamile ukuba ingozi, okuyinto eyenzeka kakhulu kuyaqabukela kubantu. Izimpawu zayo okuwuphawu ashesha avele kancane kakhulu. A ekwelapheni le nkinga kungenzeka kuphela ngosizo phakathi nenqubo yokuhlinzwa. Ngokuvamile, onalesi sifo ngempela evumayo ngenxa ukuthuthukiswa yayo kancane.

isiphetho

Kufinyeta bonke ngenhla, sifisa bonke abantu into eyodwa: ake neoplasms, ingozi ngisho ne ukuthuthukiswa kancane, ungalokothi uzivumele uhlupho. Hhayi-ke, uma kwakukhona ngisho omunye izimpawu ngenhla kufanele uvakashele masinyane gastroenterologist noma udokotela. Kubalulekile ukuqonda ukuthi impilo kuphela ezandleni endoda ngokwayo.