Kwenzeka kwindoda yokubeletha kweminyaka emihlanu. Ngokuqhelekileyo, i-fibroma ifumaneka kwabasetyhini abangaphezu kweminyaka engama-30 ubudala. Kwiimeko ezinqabileyo, zivela kwi-ovary, enokukwazi ukunyuka kwantoni na. Nqabile kakhulu, i-fibroids ibe yingozi. Iimpawu kunye nopiliso lwe-fibroids ye-uterine yintloko yesi nqaku.
Diagnostics
Ngokuqhelekileyo, ii-fibroids zifumaneka ngexesha lokuhlolwa rhoqo kwimizimba ye-pelvic, umzekelo, ukuhlolisisa umdlavuza wesibeleko. Ugqirha unokunokukrokreza i-fibroids ukuba isiguli sinamava okanye isisu esibuhlungu. Kwimviwo yeklinikhi, maxa wambi kunzima ukuhlula i-fibroids enkulu kwiimvumi zowama-ovari, ukukhulelwa okungafumanekiyo kunye nezicubu ezinobungozi obubi. Indlela efanelekileyo yokumisela umlo, ubukhulu, isikhundla kunye nesakhiwo saso nasiphi na iiplastiki zeeplavis kunye nesigxina esingaphansi kwesisu esisiswini. Ukuhlolwa kwamabhinqa kwithuba le-menopausal, i-radiography ingasetyenziswa. Ukuze kuqinisekiswe ukuxilongwa, i-imagination resonance magnetic isetyenziswa ngamanye amaxesha. I-fibroids encinci ingabonakali. Nangona kunjalo, ngokukhula ngaphakathi kwidumbu le-uterine, i-fibromyoma yandisa indawo ye-endometrium (i-membrane ye-mucous ye-uterus) eyenza i-flakes ngexesha lokuya esikhathini. Oku kukukhokelela ekuphumeni kwexesha lokuphuma kwexesha, elingapheli ixesha elide kunexesha eliqhelekileyo. Ukulahlekelwa okukhulu kwegazi kungabangela i-anemia, ngamanye amaxesha anzima. Ukungabi nantoni mhlawumbi iyinkxalabo eqhelekileyo ye-fibroids, eyona nto ihlala ikhula kwabantwana abangenamntwana. Ngamanye amaxesha ukukhula kwe-fibroids kuphuma ukuveliswa kwemithambo yegazi kuyo. Kule meko, kuya kuba buhlungu ngenxa yeenkqubo ezihlaziyo. Kwezinye iimeko, i-fibroids ne-blood supply enganeleyo ingabalwa. Ukutshintshwa okunjalo kuyamkeleka, njengoko izalathisi ezibalwe ziyeke ukukhula kwaye zingabi negazi. Ukuba i-tumor ibeka uxinzelelo kwicandelo eliphezulu le-bladder, isiguli sinamaxesha amaninzi anqwenela ukuvota. Kwimeko apho i-fibromioma igxininisa i-rectum, kukho iingxaki malunga nokuhamba kwe-stool, kubangele ukuphuhliswa kwengqumbo. I-Fibromiomas isoloko ikhula ekukhuleni kwe-muscular ye-uterus (intramuralia). Ngendawo ejulile kumgca we-muscle, i-fibroids ingakhula ibe yintambo ye-uterine (i-fibroids ephantsi), apho ihlanganiswe ne-endometrium, i-uterine mucosa. Ngamanye amaxesha, endaweni yokukhula komzimba, i-fibromioma ifumaneka kwisigxina, ngelixa inxalenye eyona nto iphambili iya kwi-uterine cavity.
Ubume bokukhula kwesisu
Ngokuqhelekileyo, i-fibromioma ikhula kwinqanaba le-périphronal, elingaphandle kombindi we-uterus (i-substrous fibroids). Nangona kunjalo, ngokuphindaphindiweyo ukukhula kwe-tumor kuncitshiswe kumgca we-muscle. Njengoko uphuhliso olujikeleze i-fibroids ludala i-capsule ye-tissue capsule. I-submucosal kunye ne-fibroids yesibeleko ingaba yedwa, kodwa ezininzi izigulane zinamaziko amaninzi. Isiqhumane sivame ukubonakaliswa ngokukhula okucothayo, kunye nokunyameka ukuyeka ngexesha lokutshatyalaliswa komzimba (emva kokuqala kwayo, banokuncipha). Inkxalabo enzima kakhulu kwixesha liphuma kakhulu. Indlela yokonyango ixhomekeka kubukho beempawu kunye nobudala besigulane. Ukuba iimpawu zingekho, kwaye ukuhlolwa kwe-ultrasound kubonisa enye okanye ezimbini ezincinci ze-fibroids, akukho mfuneko yokuba unyango olusebenzayo. Nangona kunjalo, isigulane kufuneka sifunde uvavanyo lwesibini lwe-ultrasound ezinyangeni ezimbalwa. Ukuxilongwa kwe-anemia kwenziwa ngeendlela zokuhlolwa kwegazi. Unyango lwe-anemia luquka ukunciphisa indawo ye-endometrium, kunye nokuzalisa inqanaba lesinyithi emzimbeni ngoncedo lwamacwecwe okanye iisenki.
Unyango o
Ukuphelisa i-fibroids yobukhulu obukhulu obukhulayo ngaphakathi kwinqanaba le-uterine, ityathemy and laser esebenzisa i-hysteroscope isetyenziswa. Iimfucu ze-fibroids zi-necrotic, ngenxa yokuba i-tumor volume emva kweenyanga ezimbalwa iyancitshiswa kakhulu. Ukubonakaliswa kwe-fibroids esekelwe ngaphaya kombhobho, i-laparoscopy isetyenziswa. Ngokuncediswa i-laparoscope, kunokwenzeka ukuba kususwe i-tumor, ngokukodwa xa ikhula kwindawo yokulala. Indlela endala ye-myomectomy (ukususwa kwe-fibromioma) kwisigxina sokuvuleka esiswini isasetyenziselwa ezininzi iintsholongwane ze-gynecologists malunga nezicubu zobukhulu obukhulu. I-hysterectomy - ukususwa kwe-uterus yonke - isetyenziswe kwabasetyhini abangasayi kuba nabantwana kwaye basesimeni sokumisa.
Unyango lweHormonal
Ubungakanani be-fibroids bunancitshiswa ngonyango lwe-hormone. Ngenxa yale njongo, umzekelo, amalungiselelo aqukethe njengesithako esisebenzayo se-goserelin, esichaphazela i-pituitary gland kwaye inqanda ukuveliswa kwe-hormone eshukumisayo, isetyenziswa. Esi sidakamizwa, ngaphezu koko, sincitshisa ubukhulu beembumbulu zomlenze wesibeletho. Inikezwa njengenjengelo eludongeni lwesisu rhoqo kwiintsuku ezingama-28 kwiinyanga ezintathu ngaphambi kokusebenza. Abasetyhini bexesha lokuyeka umyeni, ukuxhatshazwa kwe-fibromyoma, bahlaselwa yi-hormone ye-substitution therapy, kuba i-estrogens echaphazelekayo inomthelela ekuvelweni kwe-tumor ukukhula.