Ingozi ye-uterine fibroids kwi-trimester yokuqala yokukhulelwa.
Iingxaki kwi-trimester yokuqala yokukhulelwa zivela kunye noqhagamshelwano lwe-node ye-myomatous kunye ne-placenta. Okokuqala, apha kukho umngcipheko wokusilela kwe-oxygen kunye nezondlo eziza kumntwana. Oku kunokuchaphazela kakhulu ukukhula nokuphuhliswa kwayo, kubandakanywa ukusweleka kwesisu okanye ukukhulelwa okuqhubekayo.
Ingaba i-myoma iyingozi kwinqanaba lesibini nelithathu lesikhulelwe.
Kwiingqungquthela zesibini neyesithathu, umngcipheko wokubeletha kwangaphambi kokuzalwa kwangaphambili kunye nokwehla kwamathuba omzimba okwanda kwangaphambili kunokunyuka ngakumbi. Ekubeni i-tumor iyanciphisa indawo yokukhulula kwisibeleko, kuyimfuneko ekuphuhliseni ngokupheleleyo umntwana. Ukuba i-fibroid ikhulu, kungenzeka ukuba iintsana ezinomzimba ophantsi ziya kuzalwa.
Nawaphina isigaba sokukhulelwa.
Kwinqanaba lokukhulelwa, kungakhathaliseki ukuba i-trimester, kukho umngcipheko othile wesongelo lokupheliswa kokukhulelwa. Oku kungenxa yokuba inkontileka yesibeleko phambi kwe-fibroids iyanda.
Phantse i-20% yabasetyhini abane-uoma i-myoma bajongene nale meko. Ukuba, ngelixesha lokulinda umntwana, i-fibroid iyachithwa, i-prostaglandines ikhutshwa kuyo-i-hormone ekhethekileyo eyenza ukubethelwa kwezidumbu ezihamba kakuhle, kubandakanya izihlunu ze-uterine. Kule meko, abafazi abakhulelweyo banconywa ukuba bathathe amacandelwana ngokusekelwe kumacandelo engokwemvelo (motherwort, valerian), i-vitamin B6, amalungiselelo nge-magnesium yokukhusela. Ukongezelela, ngexesha lokukhulelwa, kufuneka ukhawuleze umsebenzi wokusebenza kwaye unikeze umfazi onokuphumla kwengqondo.
Ukuzala.
Inkqubo yokuhanjiswa kwe-myoma ayidla ngokusithintela inkqubo ngokwayo. Kodwa kukholwa ukuba yonke intokazi yesibini ene-uterine i-myoma inomntu osisigxina. Ngokuqhelekileyo oku kusebenza njengesizathu sokuvuselela izidakamizwa zabasebenzi. Kukho imeko xa iinqununu ezinkulu ze-fibroids, ezikufutshane nomlomo wesibeleko, ziba ngumqobo kumngcipheko womntwana ngokusebenzisa isalathiso sokuzalwa. Oku kusebenza njengesalathiso sokutyunjwa kwecesarean section. Ngamanye amaxesha i-myoma inokudibaniswa nesimo esinqumlayo se-fetus, ubuso okanye ubuso be-pelvic, apho ukuzalwa kwemvelo kungacetyiswa.
Ukutshatyalaliswa kwe-uterine fibroids.
Kwenzeka ukuba ukukhulelwa, ngokuchaseneyo, kukhokelela ekunciphiseni okubalulekileyo ngobukhulu be-fibroids, kwaye ngamanye amaxesha kuphele ukuphela kwayo. Oku kubangelwa utshintsho kwizinga kunye nokuxinwa kwamahomoni egazini lomfazi ngexesha lokukhulelwa. Kodwa le nqubo ibonakala kuphela kwiisisu ezincinci (ngaphantsi kwe-15-20 mm). Kwaye kule meko, emva kokuzalwa, ukupheliswa kokuncelisa kunye nokuqalisa kwakhona kwimijikelezo yokuya esikhathini, i-myoma iyakhula kwakhona. Ngokuphathelele ukutshatyalaliswa ngokupheleleyo kwe-myoma, le ngxaki ayikwazi ukuthathwa njengento enhle. Inyaniso kukuba le nkqubo inxulumene nokufa kwezicubu, kwaye oku kubakhokelela ekubangeni ukuphuma kwegazi nokuvutha. Isizathu sokutshatyalaliswa kwe-fibroids sinokuphulwa kwesondlo sakhe kunye nokwanda kwinqanaba leprogesterone egazini. Iimpawu zeli meko zintlungu kwisisu esisezantsi, ukwanda kwindleko yokushisa komzimba kunye neetoni zesisu. Ngokuchanekileyo, ukuxilongwa kuxhaswa yi-ultrasound. Ngokuqhelekileyo kule meko, unyango olulondolozayo luyenzelwa enye ukuya kwiiveki ezimbini. Ukuba iimpawu ziyaqhubeka, owesifazane okhulelweyo uyathunyelwa esibhedlele.
I-Myoma kunye nokukhulelwa komntwana.
Ukuba umfazi u tyelela i-gynecologist kwaye uyazi ukuba unayo i-fibroids, ngoko umbuzo uvela - indlela yokulungiselela kakuhle ukukhulelwa kunye nokuzala komntwana. Kule meko, yonke into iya kuxhomekeka kwindawo kunye nobungakanani bendawo yamathambo. Ukuba ubungakanani babo abugqithanga ngaphezu kwe-2 cm kwaye bahlala kwiindawo ezinobungakanani bomgca we-muscular we-uterus, ngoko unokucwangcisa ukukhulelwa ngokufunda ngokuqhelekileyo. Nangona kunjalo, ukuba i-myoma ikhulu ngokwaneleyo okanye ayiphumelelanga kakuhle, kungcono ukulinda ngokukhulelwa, njengokuba kungenelelo olungenelelo. Izona ziyingozi kakhulu ziimvumba "emlenzeni," ekubeni kubakho kuzo ukutya okuvame ukuphazamiseka, okuya kuba ngumthombo wempendulo yokuvuvukala.
Kananjalo ukwandisa umngcipheko wokutshatyalaliswa kweengcambu zeengxowankulu ezisezantsi ngaphantsi kwimbumba yesisu. Izindlela zamanje zonyango lwe-myomas zinyameko kangangoko kunokwenzeka. Usebenzo lwenziwe ngokusisigxina, oko kukuthi, ngaphandle kokunquma udonga lwesisu. Ukuba ububanzi beendoda zingaphezu kwama-5 centimeters, ngokuqhelekileyo ngaphambi kokusebenza, unyango lokuqala lwenziwa, luvumela ukunciphisa ubukhulu besisu. Emva kokususwa kwe-tumor, i-spikes iyakwenza kwaye ukukhulelwa kungahle kube kuhlelwe kwiinyanga ezintathu ukuya ezintandathu.