Myoma inorwara neoplasm inowanikwa mukati mechibereko. Chirwere hachina kupa zviratidzo kwenguva yakareba, saka inowanikwa pakupedzisira, apo myoma pachayo ine guru guru. Kurapa, kukosha kwokuti uterine myoma inowanikwa yakakosha, zviyero - zvekushanda izvi zvinokosha maparameter.
Kuongororwa kweutterine fibroids
Myoma inonzi neoplasm yakaumbwa kubva pamasero masero. Kukura kwaro kunogona kubva kune mashoma mamita kusvika 30 cm kana kupfuura. Kunyange zvakadaro, kakanga kari kamudiki kanogona kuonekwa achishandisa ultrasound. Ultrasound diagnosis ye uterine fibroids ndiyo nheyo yezvose zvinongororwa zviratidzo. Kushandisa teknolojia iyi inogona kuitika kwete kwete chete ukuru hwemaumbirwo, nhamba yavo, asiwo kunyatsoziva nzvimbo dzezvematongerwo enyika.
Zvinokosha pakutsvakurudza kwe fibroids kuongorora bimanual. Nekubatsira kwayo, uterine yakakura myoma inogona kuonekwa, ukuru hwekushanda kunotsanangurwa ne ultrasound. Chiremba, anonzwa kuumbwa kuburikidza nekunze kwemadziro emadziro, anogona kuita mhedziso pamusoro pemufananidzo, ukuru uye nzvimbo yechirwere. Kuti uwane mamwe mashoko akajeka pamusoro pehuwandu hwezvedzidzo, chimiro chayo, nhamba ye foci, zvidzidzo zvakare zvinowanikwa:
- X-radhi: X-radhi yezvikamu zvemuviri;
- endoscopic: hysteroscopy , cervicoscopy, colposcopy .
Myoma yechibereko - zviyero
Izvo zviyero zve uterine fibroids ndezvakakosha kuongororwa kunokosha. Iyi parameter inotorwa zvakananga pakusarudza nzira yekurapa. Nekukura kwechirwere chemazana, mushonga unogadzirisa unogona kuitwa. Inosanganisira kushandiswa kwemishonga inokonzerwa nehomoni inotadzisa kukura kwemarara. Kuwedzera kwehutachiona hwemashure ehutano kunokonzera kukura kuwedzerwa kwezvinyorwa zvinotyisa. Somugumisiro, ukuru hwechirwere chechiberekwa chinowedzerawo. Mukubatana neizvi, chiremera chemuviri chinoratidzwa mumavhiki ekudzivirira (ukuru hwechibereko chinofananidzirwa neicho chekuvhara muviri).
Zvichienderana nehukuru hwehutachiona, nodhi dzomukati dzinogona kugoverwa mu:
- zviduku;
- average;
- guru.
Kukura kwe fibroids mumamilimita
Kuyera kwehutterine fibroids mumami kunogona kusimbiswa munguva ye ultrasound. Chiremba anonyatsotarisa rutivi rwebato duku, kunyanya chibereko. Panguva yekufamba, tinodzidza kwete chete ukuru hwemari, asi zvakare kuongorora sarudzo yayo, nhamba ye nodes iripo. Zvakakosha kuziva kuti chiremara chacho ndechipi. Chimwe chinhu chinokosha kuongororwa kwehuwandu ukuru hwemaoma.
Mukupedzisa, chiremba anoratidza ruzivo rwakatevera:
- michina yakakosha - hutachiona hunoitwa kana chiremara chepamuviri hachipfuuri 20 mm;
- muvhareji - izvi zvinogadziriswa kana chidimbu chemuviri wacho chiri 20-60 mm;
- Makuru - muhuwandu anodarika 60 mm.
Hukuru hwehutterin fibroids mumavhiki
Nokuda kwehutano hwechiremera chacho, vanachiremba vanowanzofungidzira hukuru hwe fibroids mumavhiki kana vachiongorora ronda. Somuenzaniso, kana mukadzi akaonekwa kuti ane uterine myoma masvondo gumi nemaviri, izvi zvinoreva kuti uwandu hwechibereko hunowedzera kusvika pakukura kwechirwere chemazuva masere ekuberekwa. Nokudaro, nemwero wekuyera masendimita 3-4 muhupamhi, mhedziso inoratidzwa mumhedziso: neoplasm (myoma) masvondo matanhatu kusvika ku7.
Vanachiremba vanotsanangura hukuru hwaUterine fibroids mumavhiki sezvinotevera:
- myoma shoma - ukuru hwechiremera chebonde haupfuuri mavhiki masere;
- chiyero -chinoratidzwa apo chibereko chinokwana mavhiki 10-11;
- guru - rakaenzana nevhiki 12-16 yekusununguka.
Ndezvipi zvingaita uterine fibroids kuita basa racho?
Apo uterine myoma inowanika, zviyero zvekushanda zviyero izvo vanachiremba vanobata, pamwe nekushanduka kwekuumbwa. Zvakakosha kutarisa tumarara mune simba. Vakadzi vane chirwere chakafanana nguva nenguva vanoongororwa, ultrasound. Kana pane chirwere chinokurumidza kutsva, kupindira kwekuvhiya kunotarisirwa. Kana kushanda kusati kwaitwa, tumarara inotora nzvimbo yose isina mahwanda mudiki. Pane kukanganisa kwebasa rakadzama.
Pamusoro pekuongororwa kwe hysteromyoma masikirwo ekushanda mumamilimita madhaini haaiti kana kuisa. Chiratidzo chekumanikidzira kupindira kwekupindira ndiko kukura kwe fibroids - kuumbwa kunowedzerwa nemamiriyoni makumi maviri nekuwedzera mukati megore. Mukuwedzera, iyo fibroids isina hukuru hukuru hunoshanda, asi kune gumbo rakatetepa. Pamwe munzvimbo ino kune ngozi yakakura yekutambudzwa, zvichikonzera kuchinja kwezvinhu zvemaziso, necrosis. Zvimwe zviratidzo zvekubviswa kwe fibroids zvinogona kusanganisira:
- secondary infertility ;
- kazhinji kuora mitezo;
- kurwadziwa kukuru kwemarwadzo (kurwadziwa kunoramba kuchiri mudumbu, mumutsara, chikafu).
Inoshandura myoma yechibereko - zviyero zvekushanda
Kushandura myoma kunoreva maitiro akanaka. Iyo inokanganisa chikamu chekunze chechirongwa, inokura munharaunda yeganda rediki duku. Mune chimiro, inofanana nehomwe ine ruvara rukuru kana rutsoka rwakatetepa. Subserous hysteromyoma yekukura kukuru inotarisirwa kubviswa. Panguva imwecheteyo, mubvunzo wekuita kurapwa kwakakwira apo kuumbwa kwemasimba kunosvika 80 mm.
Submucous uterine myoma - zviyero zvekushanda
Masikirwo e hysteromyoma nokuda kwekushandiswa kwemhando iyi yakasiyana-siyana haisi yakasiyana neyakataurwa pamusoro apa (8 sm uye zvimwe). Ihwo humwe humwe hutsika hwemaoma inoma huwandu hwemamiriro ehutu huno. Muchiitiko ichi, fibrosis fiber ye muscular layer ye chibereko chinowanikwa mukuumbwa. Kukura kwemarara kunotungamirirwa mukati memutumbi wepabonde. Kuvhipwa kwechirongwa ichi chinonzi neoplasm kunogona kuitwa kuburikidza nehutsika hunotevera:
- myoectomy - kubviswa kwe nodes;
- Kufuridzirwa kweutterine arteri iko kukanganisa kwezvokudya zvemuviri, semugumisiro wekutsvaga kwayo kunopera.
Multiple uterine myoma yakakura
Kana uchitarisana nehupamhi iyo uterine fibroids inobviswa, inofanira kuonekwa kuti nokuda kwekuumbwa kwakasiyana, vanachiremba havateereri kuwanda kwezvimwe nodes. Paunosarudza nzira yekushanda, kugona kwema myas uye zera remurwere zvinotorwa. Kana mukadzi wacho achiri kuronga kuva nevana, nyora myoectomy nekuchengetedzwa kwechirwere chepabonde. Kuvhiya kunoitwa ne laparoscopy. Kudzorerwa kwemuviri mushure mekuvhiyiwa neyi nzira inokurumidza, saka gore rinotevera mukusavapo kwezvinetso zvinobvumirwa kuronga pamuviri.
Uterine myoma inobviswa sei?
Kubvisa uterine fibroids neklassical method myoectomy. Iyo inoitwa pasi peanesthesia yakawanda kana kushandisa kwepidural anesthesia. Usati uterine isoma yakabviswa, kukosha kwebasa rakapiwa kunongororwa kusati kwavhiyiwa pachayo. Inogona kuitwa mune imwe yenzira dzinotevera:
- Vhura chirongwa chemukati - kusanganisa kwakakonzerwa kunoitwa 2-3 cm pamusoro pekubudisa mashoko. Zvadaro zvishoma nezvishoma kuzarura kuwanika kwejumbo uye kugadzira iyo. Inoshandiswa nokuda kwemazana makuru ekuumbwa.
- Laparoscopy - pamusoro pepamuviri, mashumo akawanda anogadzirwa kuburikidza nekushandisa zvidimbu zvinokosha uye zvigadzirwa zvevhidhiyo.
- Hysteroscopic myomectomy - inoshandiswa pamusana wangu. Kutsvaga kuri kuburikidza nevakadzi, vachishandisa resectoscope. Kushandisa ichi chiridzwa, icho chinoita pamaronda ane-high-frequency current, myoma inoparadzwa, uye zvidimbu zvayo zvinoshambidzwa kunze kweuterine cavity.
Kurapa kweUterine fibroids yehukuru hukuru pasina upiyona
Apo kamudiki kemu uterine inowanika, vanachiremba vanoedza kuchirapa iyo mishonga. Kurapa kwekukura kwei-fibroids pasina kushandisa kwekupindira kwekuvhiya hakugamuchirwi. Chirwere ichi chicharamba chichikura, saka basa reimwe nhengo uye zvirongwa zvinogona kukurumidza kupwanyika. Kurapa kwezvinodhaka kunogona kuitika kana uine chirwere chechibereki chinonzi myervic, chiremera chinogamuchirwa chinowanikwa pamasendimita matatu. Muzviitiko zvizhinji, mishonga yemadhimoni inongoguma kwenguva pfupi, uye kupera zvachose kwechirwere hazviitiki.