Ngenxa yokwesaba ukuva kugqirha kwiindaba ezimbi malunga nempilo yakhe, abaninzi abafazi abazange bavakashele i-gynecologist iminyaka. Kukhethwa ukuba bahlale bengenalwazi, nangona bafumana iintlungu, ukuphuma kwegazi kunye nezinye iimpawu ezingathandekiyo. Eyona nto inokuyikrakra kukungenelela kungenelelo, oko kungabangela umonakalo omkhulu kumabhinqa abo. Ukwenza oku, sebenzisa iindlela ezahlukeneyo zonyango lwe-myomas ye-uterine-ukusuka kwi-hormone unyango ukuya kwi-classical operations cavitary: i-myomectomy kunye ne-hysterectomy (ukususwa ngokukhawuleza okanye okuphelelweyo kwesibeletho). Imisebenzi enjalo iquka i-anesthesia jikelele, ihlala iiyure eziliqela, i-autopsy, kunye nokuvuselelwa kwexesha elide. Izindlela zamanqanaba ezincinci zonyango lwe-myomas ye-uterine - laparoscopy kunye nokuqulunqwa kwemibhobho - ngaphandle kwemingcipheko emininzi nokunciphisa ilahleko.
Ukucacisa ukuxilongwa
I-Fibromioma (i-myoma, i-leiomyoma) iyisisu esinobunzima esenza kwiisisu ze-muscular ze-uterus. Kukholelwa ukuba le mfundo inokufunyanwa phantse kumfazi wesibini. Umbuzo wukuthi, i-fibroids eninzi isebenza. Ngamanye amaxesha akazibonakalisi nhlobo (i-nodom e-myomatous isancinci kwaye ayinakuphazamisa ukusebenza kwendalo). Ukuba i-tumor ikhusela i-uterus ekuthengiseni (umzekelo, ngexesha lokuya esikhathini), kubangela ukuphuma kwegazi okanye ukuvakalelwa kwintlungu ngexesha lokwabelana ngesondo, ngaphezu koko, kwandisa ubungakanani, ngoko umbuzo uvela kusebenze. Ukujonga i-fibroids ngexesha le-ultrasound, ukuphonononga okanye u-hysteroscopy (uviwo ngefowuni ebonakalayo efakwe kwisini). Ukuba, xa uhlolisisa kwisitulo seentonga, ugqirha ugxeka i-myoma kwaye wanikeza uviwo olongezelelweyo - vumelana. Indlela yokonyango lwe-fibroids ye-uterine kwaye ngoncedo lwe-palpation ingabonwa ngokucacileyo ukuba iindawo eziphezulu kuphela.
Ngaba ndifuna ukuyilahla?
Ukuvela kunye nokukhula kwe-fibroids kunenxaxheba kwimibandela eyahlukeneyo: ukusetyenziswa okungalawulwayo kwemithi yokukhulelwa kwe-hormonal, ubomi bokuziphatha ngokwesondo okanye ukungafi ngokupheleleyo, ukunyanzelisa kunye nemithwalo engqongqo, izinto ezingekho phantsi kwamanye amazwe.
I-Myoma inokunyuka kunye nokwanda kwinqanaba le-hormone yesisu (i-hormone isrogen (ngexesha lokukhulelwa, ukuqala kokuphuma kwesisu). I-tumor ayikwazi nje ukudala ukuphuma kwegazi (okukhokelela ekuphuhliseni i-anemia), kodwa kwakhona kuvuselela intlungu, ukuvuthwa rhoqo, iingxaki ngamathumbu. Ukuba ngaba ibhinqa ayibonakali ukuba ayibonakaliswe ugqirha, i-myoma ingafikelela ubukhulu obukhulu - kukho iimeko xa oogqirha bekhutshwe isisu esilingana neekhilogram ezinhlanu okanye ngaphezulu.
Imisebenzi encinci
Indlela elula kunye engenakulimala yokuphatha i-uterine fibroids ibonakala i-hormonotherapy. Ekuqaleni, ukwehla kwinqanaba le-estrogen liyakuthintela ukukhula kwe-node okanye kuncitshiswe, kodwa emva kokususwa kwehommone yonke into ingaqalisa kwakhona. Ukongezelela, amahomoni anemiphumo emibi. Ngako oko, ukususwa kokugqithwa kwe-neoplasm kuthathwa njengempumelelo. Namhlanje, iindlela ezincinci zokunyanga i-myomas ze-uterine zisetyenziswa kakhulu, umzekelo, i-laparoscopy, apho i-node ivunwa ngaphandle kokuvula isisu esiswini. I-laparoscope efakwe kuyo kwi-tube encinci, apho ikhamera yevidiyo kunye nomthombo wokukhanya ixhunyiwe. Umfanekiso wezitho zangaphakathi udluliselwa kwisantya sevidiyo kwaye ugqirha ugqirha ngokucacileyo intsimi yokusebenza. Iipunctures ezincinci eziveliswa ngongenelelo oluncinci zilimaza iisisu zomzimba. Isigulane asikwazi ukuva ubunzima emva kokusebenza kwaye sibuyela ekhaya kwiintsuku ezimbalwa. Emva kweveki ezingama-2-3 umfazi angabuyela ngendlela eqhelekileyo yobomi.
I-Hysteroscopy iyasebenza nakwii-endoscopic. Ugqirha usebenzisa i-ultrathin isixhobo esinezixhobo ze-optics, ezijoyiweyo ngokuvuleka kwemvelo yomzimba. Ukususwa kwee-myomas ezincinci kuvela kumngcingo wesibeleko.
Ukuqhekeka "oksijini"
Kwiminyaka engaphezu kweyishumi kumazwe athuthukileyo (kwiminyaka yamuva nase-Ukraine) ngeendlela zokunyanga i-uterine fibroids, oogqirha basebenzise ngokusetyenziswa kwe-urter embolization (EMA). Ngokwezibalo, malunga neepesenti ezingama-98 zale misebenzi ziphumelele kwaye i-myoma ayibuyanga.
Ngethuba lokuhlinzwa, umthambo wesifazane utyhutyhwe ngenaliti ekhethekileyo kunye necatheter elincinci lwenziwa kwiiyeriyiti ezinika igazi kwiimmyomas. Zifakwe ngeengqungquthela ezincinci zeplastiki - emboli. Igalelo legazi le-myoma liyeka, kwaye liyeke ukukhula. Okokuqala, i-tumor iyancipha amaxesha angama-2-3, kwaye emva koko isiqingatha sonyaka siphendule ngokuthe ngqo. Inkqubo iqhubeka ukususela kumzuzu 40 ukuya kwiiyure eziyi-1.5. Emva kokuhlinzwa, misela iyeza zentlungu kunye nokulungiswa kwexesha lokuvuselela (malunga nenyanga).
Ngo bungqina
Kufuneka kwakhona ukwazi ukuba kukho ukungqinelana kokubili kweparoscopy kunye ne-EMA. Ukuba ugqirha wenze isigqibo malunga naloo hlobo okanye olo hlobo longenelelo, kufuneka kwenziwe uhlolo. Ukuba unokungathandabuzeki, kwaye ucinga ukuba umsebenzi ogqithisileyo ungagwenywa, uye kwenye ingcali okanye kwenye ikliniki apho kukho isiseko esifanelekileyo kunye nabagqirha abaqeqeshiweyo abanamacebo anamhlanje. Nangona kunjalo, ukhetha uphinde uphendule, kwaye isigqibo sokugqibela senziwe ngugqirha, uqhubeka kwiimeko zekhonkrithi. Mhlawumbi, kwimeko yakho, ukusetyenziswa kweendlela ezincinci ezingenasisiseko aziyi kukwanela, ingakumbi ukuba ugqirha kufuneka ajongane neoplasm enganaki. Yingakho kubaluleke kakhulu ukutyelela i-gynecologist rhoqo ukufumanisa isifo ekuqaleni kwesigaba.