Uterine fibroids. chithandizo

Akazi amene anapezeka ndi fibroid chiberekero, mankhwala akhoza kuchitika ndiwofatsa kapena opaleshoni.

Mbali yoyamba, ndi m'thupi, poizoni hemostatic mankhwala. Opaleshoni akhoza kuvala kwakukulu, poluradikalny ndi ndiwofatsa.

Uterine magazi kugwirizana ndi m'zinthu anovulatory, nthawi zambiri limodzi ndi fibroids uterine. Chithandizo cha mavuto amenewa amagwira ntchito timadzi. Ntchito mu mnofu kukonzekera "Progesterone" kwa masiku asanu kapena khumi. Pamaso atasankhidwa anatsimikiza ndi ziwiri gawo mkombero kusamba ndi mlingo machulukitsidwe timafunika thupi. Kuti zimenezi zitheke, kutentha chimaonekera woyambira (kupumula boma), anachititsa kafukufuku colpocytologic, curettage wa endometrium zolinga matenda ndiponso zinthu zina. Tikumbukenso kuti progesterone amagwira ntchito pokhapokha zina. timadzi izi, monga kwa esitirojeni antagonist, kumabwezera mmbuyo mmene pa Kakhungu mucous ndi myometrium (akulu khoma) la chiberekero. Zotsatira za progesterone imatsogoleredwa cha chopinga wa follicle-zolimbikitsa ntchito mu pituitary England ndipo kuchepa kaphatikizidwe timafunika pa alibe wa thumba losunga mazira polycystic chikhalidwe.

Nthawi zambiri mankhwalawa fibroids monga mankhwala androgenic. Zona njira "testosterone propionate", "Testenat". Akatswiri amanena zabwino achire zotsatira mankhwala ali "Sustanon-250." Nthawi zina, mankhwala androgen kuperekedwa ku mtundu piritsi. Mankhwalawa, makamaka monga "Methyltestosterone". Androgens ziletsa kutulutsidwa kwa yamchiberekero esitirojeni, follicle-zolimbikitsa ntchito mu pituitary zapambuyo, ziletsa njira mucosal proliferative (kukukulirakulira).

Monga ulamuliro, pambuyo mankhwala a oyima androgenic kusamba, pali ikuchedwa, ndi zina kutha kwathunthu kwa kukula kwa fibroids. Umayamba chitukuko iwowo. Komabe, ngati anapezeka ndi lalikulu (kukula kwa chiberekero masabata oposa khumi ndi pakati), fibroids uterine, mankhwala ndi androgens ndi operewera. The kuipa mankhwala androgen pazikhalanso masculinization (kukula kwa thupi, kukula tsitsi pa thupi la mtundu aamuna), ziphuphu (ziphuphu zakumaso), kufupika kwa mpweya, nseru, palpitations.

Pofuna kuonjezera uterine mphamvu gemotaticheskuyu Kwalamulidwa mankhwala. mankhwala Intramuscularly kutumikiridwa "oxytocin pamene", "Gifototsin", "Pituitrin" ndi njira zina.

Pofuna kuthetsa magazi uterine kuti silipita fibroids uterine, chithandizo prescribers angathe kuwonjezera magazi clotting.

Popeza zotsatira za timadzi m'malo mankhwala ndi hemostatic, ndi contraindications kwa opaleshoni yoikidwiratu X-ray walitsa wa thumba losunga mazira ndi. Magawo imachitika tsiku walitsa mlingo amasankhidwa malingana ndi makulidwe a linga kutsogolo kwa peritoneum ndi mlingo wa tilinazo mazira a. Choncho, oyima pa chitukuko fibroid. Chithandizo Pankhaniyi amachitira kupondereza ntchito timafunika mapangidwe ambiri m'mimba lapansi. Pambuyo X-ray walitsa mabasi msambo, magazi uterine. Tikumbukenso kuti njira imeneyi ali osavomerezeka mu ubereki (kubala) zakubadwa. Nkokoma kwambiri kuchita X-ray walitsa kusamba.

Contraindications njirayi monga submucosa, kupanga fibroids khomo lachiberekero, pa nthawi mwendo podseroznye mfundo, fibroids kukula mofulumira ndi amaganiziridwa kubadwanso sarcoma kapena malo necrosis. Komanso, X-ray walitsa si ikuchitika pamaso pa mimba, piosalpinks, chotupa mu n'kuwasanganiza ndi khansa ya uterine thupi.