Unyaka ngamnye, iimeko zokufumanisa izicubu ze-uterine ezinobuninzi ziba ngakumbi. Izibilini ze-Benign zibizwa ngokungafaniyo, kuxhomekeka apho zikhulayo (ziphi izicubu). Kukho i-fibroids, i-fibroids, i-fibroids, i-leukemiomas.
Ukuba ukholelwa kwiinkcukacha zonyango, i-uterine fibroid efunyanwe kuwo onke amabhinqa amahlanu, aneminyaka engama-30 ukuya kwamashumi amane anesihlanu. Njengomthetho, lawa mabhinqa angama-nulliparous. Kwiminyaka engamashumi asithoba anesithandathu ephuma kwikhulu, i-tumor iyavela emzimbeni wesisu kwaye kuphela kwiimeko ezintlanu kwi-cervix.
Isizathu esibalulekileyo sokuphuhliswa kwesisu esinobungozi besisu sisingqinisiso kwi-hormone yesondo (ukwehla kwe-estrogen). Ngokuqhelekileyo kwenzeka ngexesha lokumisa. Kufuneka kuqatshelwe ukuba isisu esinomdla emdlalweni ngokusesikweni asihlaziyi.
Umfanekiso wekliniki
Umfanekiso wekliniki we-myoma uterine ihlukaniswe yipolymorphism ephawulekayo kwaye kuxhomekeka kakhulu kumfazi wesigaba, ukuhlala kwendawo, ubude besi sifo, ubukhulu bokubunjwa kunye nohlobo lwalo lwe-morphogenetic. Ukongezelela, i-tumor ingathinteka ngumzimba kunye ne-extragenital comorbidities. Kwimizuzu engamashumi amabini anesibini yamatyala, i-tumor ixesha elide ayibangeli nayiphi na impawu.
Ubungakanani bokuguqulwa kwesifo esibi kakhulu buphantsi kakhulu - u-0,25-0,75%, ngethuba lokusuka kwimiba yengozi iphezulu. Nangona kunjalo, i-uterine fibroids ihlala ihamba kunye nomdlavuza we-pancreatic, izilonda ze-mammary, i-endometrium.
Iimpawu ze-fibroids:
- kuphuma;
- ukwandiswa ngobukhulu besisu;
- intlungu;
- ukuphazamiseka komsebenzi wezitho zommelwane.
Unyango
Ukutyunjwa kweengcali kunye ne-myome kuxhomekeke kwisiza sokwakheka, ubukhulu kunye nenani lamathambo angama-myomatous, iimpawu, ubukho be-pathology edibeneyo, ubudala bomfazi kunye nomnqweno wakhe wokuba nenzalo kwixesha elizayo, iimpawu ze-morpho- ne-pathogenesis yemfundo.
I-Pathogenetically ilungelelweyo unyango lwe-fibroids lugqirha kwaye lugqirha, idibeneyo. Ngoko ke, nangona kukho iindlela ezininzi zonyango zonyango ziye zavela-i-laser, i-electro-and-cycurgery, ukusetyenziswa kwamagcino-endoscopic-unyango kunye nokulungiswa kwama-hormone nako konke okuphuthumayo. Injongo yonyango oluxhasayo kukunciphisa ubunzima beempawu kunye (okanye) nobukhulu besisu.
Ukusetyenziswa kwongenelelo lokuphaphaza kuboniswa xa:
- ukwanda ngokukhawuleza kwesiqununu;
- ukuphulwa komsebenzi wemimandla engummelwane;
- isixa esikhulu semfundo (ngeveki yeshumi elinesine yokukhulelwa);
- ubukho bezinye izifo zamalungu omzimba, ezifuna ukungenelelo ngoncedo;
- indawo engaphantsi kwe-myoma, ehamba kunye nexesha elide kunye nexesha elide, isifo semvelo;
- i-necrosis ye-node ye-myomatous;
- i-myoma engaphantsi, enesiseko esincinci ("emlenzeni"); ezo zakhiwo zidibaniswa kunye nokuphakama okukhulu kwesohlwayo sesiseko se-node kunye nokuphuhliswa kwe-necrosis kwixesha elizayo;
- ukungabikho kwengqondo (kulawo matyala xa kuboniswa ukuba imbangela yokungabikho kwengqondo ngokuchanekileyo kwesi sifo);
- i-myoma yomlomo wesibeleko kunye neendawo ezisemzini.
Ingenelelo yokuphanda ingabakho: ulungelelaniso, ulungelelaniso olunzulu kwaye lukhulu. Ngokwemeko yokungena kwizitho ezisemagqabini amancinci, imisebenzi ingaba isisu kunye nesisu. Isixa sokungenelela sincike kwizifo zesifo se-gynecological (imeko yee-tublopian tubes, endometrium, ama-ovari kunye nomlomo wesibeleko), iminyaka yobufazi, umsebenzi wokuzala.
Imisebenzi yokugcinwa kwemilinganiselo iquka:
- ukususwa kweengcambu ezincinci;
- inucleation of nodes (ngaphandle koko, i-myomectomy yolondolozo).
Ngomsebenzi oqhelekileyo uquka:
- ukukhishwa okuphezulu kwesisu;
- uhlawulelo lwemveliso.
Ngale mi sebenzi, isisithabathazelo sesisu sihlala, kodwa umsebenzi wokuzala awukho.
Imisebenzi enkulu kakhulu:
- ukuxothwa kwe-uterus;
- ukukhutshwa kwesisu;
Ukuba ibhinqa inomdla wokugcina umsebenzi wokuzala, ngoko ke iinjongo ze-myomatous zincinci. Ukuba indawo ye-tumor i-sub-serous, ke i-myomectomy ekhuselekileyo yenziwa ngeendlela zesisu kunye ne-laparoscopic. Ukuba i-tumor i-submucosal, i-myomectomy yenziwa nge-hysteroresectoscopy.