Kufuridzirwa kwehuyo uterine ndiro nzira yekurapa uterine fibroids, iyo ndiyo imwe nzira yekubviswa kwechibereko chechibereko chemukadzi. Chinangwa cheyu nzira ndechekumira ropa rekuyerera kwemaoma nodes nekujova emboli (special agents), izvo zvakagadzirirwa kuvhiringidza lumen mumisungo. Somugumisiro, node dzinotyisa dzinofa uye kuratidzwa kwezviratidzo kunoderera.
Uterine arteri embolization (EMA): zviratidzo
Iyo nzira inoitwa maererano nezviratidzo:
- hukuru hwechibereko hunogona kuwirirana nemavhiki gumi nematatu ekudzivirira nekuwedzera;
- inomatous nodes kusvika 8 masendimita;
- kuvapo kwemashizha makuru munyaya ye fibroids dzakawanda ;
- menometrorrhagia;
- murwere anoramba dzimwe nzira dzokurapa.
Embolization ye uterine arteri: contraindications
Kungofanana nemhando ipi zvayo yekupindira kwekuvhiya, EMA ine zvinyorwa zvinopesana:
- hukuru hukuru hwechibereko (kupfuura mavhiki makumi maviri nemashanu ekuberekwa);
- huwandu hwemashoko emhando dzakasiyana;
- zvirwere zvepachikafu zvezvikamu zvepabonde zvemukadzi;
- kuvhiringidza zvirongwa mumudzimai;
- ropa rakasviba rinotenderera mumakumbo emakumbo;
- kidney failure;
- pamuviri.
Muchiitiko ichi, kubatana kweutterine mishonga inogona kushandiswa nekushandiswa kweutterine metroyoti, inoshandiswa ne laparoscopy nzira. Kugadziriswa kwenguva pfupi kweurterine mishonga inosanganisira kushandiswa kwekugadzirwa kwepamusoro, kupa mhedziso yenguva pfupi (mazamu eropa rake, zvinodhaka zvinogadzirwa pamusana pegelatin - kuparara pachavo pashure penguva). Izvozvo zvishoma hazviwanzoshandiswa.
Kugadzirira uterine arteri embolization
Pamberi penzira yacho, mukadzi anofanira kugadzirira: chiremba anonyora antianaerobic (ornidazole 1 tablet rimwe kaviri pazuva) uye zvinodhaka zvekare zvinopedzerwa mazuva mashanu pamberi peEEMA. Kana pane chirwere chetachiona gland, kurapwa kunoitwa kunoitwa. Embolization ye uterine arteri inoitwa muchipatara.
Mumaawa maviri, 500 mg ye ceftriaxone inotarisirwa mukati-kati kuitira kuderedza dambudziko rezvirwere zvinotapukira. Mumazuva ekuchenesa enema, uye pazuva rekuvhiyiwa, chirwere chinosunungura chinoshandiswa uchishandisa catheter.
Zvisinei, nzira yekugadzirisa inokurumidza uye mukadzi anogona kutumirwa kumusha musi iwoyo.
Migumisiro yeutterine arteri embolization
Kubudirira kweyi nzira ndeyokusakwana kweropa kurasikirwa mumukadzi semugumisiro wekupindira kwekuvhiya. Kubata kweutterine arteri kunogona kukonzera zvinetso zvinotevera:
- kurwadziwa mucheche pasi;
- hematoma panzvimbo yekutengesa;
- kushungurudza, kurutsa;
- fever.
Muzviitiko zvisingaiti, kune zvimwe zvakadai se:
- kupindira mukati mechibereko chekukuvadza kwema microorganisms;
- kusava neropa kunopa chibereko;
- peritonitis;
- thromboembolism ye pulmonary artery;
- necrosis yemadziro ezvimwe zvikamu zviripo pamberi pekutevedzera.
Kukwaniswa kubviswa kwechirwere chepachiviri kunowanikwa mune zvishoma pane imwechete yezana.
Matambudziko mushure mekugadzirwa kwepamusoro haatauri, saka nzira iyi inonyanyozivikanwa pakati pevarume vegynecologists.
Vazhinji vakadzi vanorondedzera kuderera kwekuenda kumwedzi. Vamwe vatsvakurudzi vakaratidza kuti kuitisa
Kusvikira ikozvino, kukanganiswa kweEEM pamabasa ekuberekwa kwevakadzi hakuzivikanwi. Zvisinei, pamuviri mushure mekugadzirwa kwemaketetera emuuviri unogona kupfuurira pasina zvinetso mumamiriro ekubudirira kwekuvhara kwemaseri. Zvisinei, maererano nemigumisiro yezvidzidzo zvakadzidziswa, hapana maitiro akawanda ekuchengetedzwa kwakachengeteka mushure mekushanda. Kufuridzirwa kweutterine arteri inzira inoshanda, yakachengeteka yekurapa uterine myomas. Munyaya iyi, mushure mekugadzirisa, hapana kuwedzera zvakare kwezviratidzo.