Zomwe zimapezeka m'magazi: mankhwala, kuchotsedwa. Kugonjetsa nthendayi ya myomatous. Mfundo zamakono zokhudzana ndi zovuta

Zaka zaposachedwapa, amayi akukumana ndi matenda opatsirana. Matenda amatha kukhala ndi zifukwa zosiyana siyana, kuchokera ku zachilengedwe zosauka kufikira kusagwira ntchito ndi kuchotsa mimba nthawi zambiri. Matenda a Myoma anali otupa kwambiri. Amawoneka kawirikawiri m'zaka zawo zobereka. Komabe, panthawi imeneyi sangapezeke. Komabe, panthawi yomwe akusamba ndi kusamba kwa thupi kumawoneka zizindikiro zambiri za matendawa.

Kuchita nthendayi kapena ayi si nkhani ya mkazi aliyense. Komabe, ndi bwino kusonyeza chotupa kwa dokotala. Nthaŵi zambiri, matendawa sakhala ngati chotupa choopsa, koma mwayi woterewu ulipobe. Nkhaniyi ikuuzani za momwe nthenda ya myomatous ingakhalire. Mudzapeza zenizeni za malo a chotupacho. Komanso onani momwe mungachiritse myoma ya chiberekero.

Makhalidwe a chotupacho

Nthano ya myomatous yomwe imapangidwa pa chiwalo cholera kapena m'kati mwake ndi chinthu choipa. Kukula kwa matendawa kumawerengedwa mu masabata a mimba. Nthano zazing'ono zosawerengeka nthawi zambiri sizidziwonetsera zokha. Komabe, pamene kukulaku kukukula, mayiyo amayamba kusonyeza zizindikiro zosiyanasiyana. Zowonjezeka kwambiri ndi izi:

• Kupweteka m'mimba;
• Kutha msinkhu kumapeto kapena kutuluka kwa magazi kwa nthawi yaitali;
• Kuwonjezeka kulemera kwa thupi (ndi zopanga zazikulu);
• Kusamalidwa ndi kupweteka kwa m'mimba kutuluka;
• Matenda a urethra ndi zina zotero.

Nthata za myomatous nthawi zambiri zimakhala zozungulira ndipo zimakhala ndi mitsempha yozungulira. Amatha kukhala osakwatiwa komanso amodzi, omwe amakhala pamtunda woonda kwambiri kapena amakhala pamtunda pa chiwalo chogonana.

Kodi uterine amapezeka bwanji?

Matendawa ndi chifukwa chothandizira kukambirana ndi azimayi. Azimayi okwana 250 kuchokera 1000 ali ndi myoma pa kufufuza kwotsatira. Njira zodziwira chotupa zingakhale zosiyana.

Ngati kukula kwa chilondacho n'chachifupi ndi masentimita awiri, ndiye kuti mungathe kuziwona pokhapokha pa ultrasound. Ndi maonekedwe ambiri a foci ndi kukula kwakukulu, katswiri wamagetsi angayesetse kufanana ndi matendawa. Ndiponso, uterine fibroids amapezeka nthawi yamakono ojambula zithunzi komanso maginito opanga maginito.

Mitundu ya myoma

Monga mukudziwa kale, chotupa chingakhale chosakwatiwa komanso chokhala ndi zambiri. Kuonjezerapo, palinso mndandanda wowonjezerapo, womwe umakulolani kugawaniza zochitikazo mwa njira zomwe zimapangidwira. Mitundu ya chifuwa ikhoza kukhala motere:

• Zomwe zimayambitsa matendawa (submucos neoplasm ndi tsinde lakuda);
• Kupanga miyambo, kapena kupanga thupi (intermuscular pathologies pa khoma la chiwalo chogonana);
• Kuwoneka kovuta (komwe kuli pa khoma lakunja la chiberekero ndipo nthawi zambiri liri ndi phazi);
• Chotupa cha Intraligamentary (mfundo yomwe ili pamtunda kapena pakati pa mitsempha).

Kuphatikiza pa izi, pali ziwerengero zochepa za chiberekero ndi zochepa. Pachifukwa ichi, thupi la chotupacho liri mumtsinje wa chikhomo kapena zimangolowera.

Kaya ndi koyenera kuchiza matenda

Matenda a mankhwala a Myoma angakhale osiyana. Zonse zimadalira kumene chotupacho chili. Kukhalapo kwa zizindikiro n'kofunikanso. Ngati mkazi sakunena zodandaula zilizonse, ndiye kuti nthawi zambiri dokotala amalimbikitsa kungoyang'ana chotupacho. Panthawi imodzimodziyo kafukufuku wokhazikika ndi mayeso a ultrasound amaikidwa. Pamene chotupa chiyamba kukula ndikuwonjezeka, chithandizo chili chovomerezeka.

Kukonzekera kungapangidwe m'njira zingapo. Kawirikawiri amalimbikitsa kuchotsedwa kwa nthmatous nodes. Komabe, pazimenezi ziyenera kukhala ndi zizindikiro zina (kuchuluka kwa kukula, kukhalapo kwa madandaulo ndi zina zotero). Komanso, dokotala akhoza kusankha mankhwala othandizira. Komabe, sikuti nthawi zonse zimapereka mphamvu. Kawirikawiri kukonzekeretsedwa kwa mahomoni kumayamba kuwonjezeka kukula kwa chotupa, ndipo kumakhala kochuluka kwambiri kuposa pachiyambi. Tiyeni tione njira zoyenera zothandizira matendawa.

Thandizo la Mankhwala

Nthaŵi zambiri, akatswiri amalemba mankhwala osokoneza bongo okhala ndi horonone agonists gonadotropin-kumasula. Gulu la mankhwalawa limathandiza kuchepetsa kupanga estrogens. Izi zimachepetsa kukula kwa chotupacho. Komabe, mankhwalawa atachotsedwa, zowonjezereka zimatha kuchitika. Pachifukwa ichi, kukula kwa chotupacho kumayamba kuwonjezeka mwamphamvu ndikufikira kukula kwake koyambirira. Kawirikawiri, mankhwala osokoneza bongo a myoma angawonjezere mwendo wake ndipo kupotoza kwake kudzachitika.

Kuwonjezera pa mahomoni, tranexamic acid ingaperekedwe . Amalimbikitsa zombo zina. Chotsatira chake, njala ya chotupa imasokonezeka. Nthendayi yodabwitsa kwambiri ndi mitundu ina ya mapangidwe akhoza kufa. Komabe, izi sizikutitsimikizira kuti sipadzakhalanso kubwerera.

Kawirikawiri, mankhwala opaleshoni amagwiritsidwa ntchito opaleshoni isanakwane. Pachifukwa ichi, zotsatira za mankhwala zidzakhala zapamwamba.

Kusokoneza mabakiteriya

Ndondomekoyi imalola kuchiza zonse zokhudzana ndi nthendayi komanso mitundu ina ya chithokomiro. Ikuchitika kokha mkati mwa makoma a chipatala. Sichikusowa kugwiritsa ntchito anesthetics ndi kuchipatala kwa nthawi yaitali.

Wodwala amalowetsedwa mu mitsempha ya chikazi ndi catheter yomwe imalowetsa mu imodzi mwa zida za uterine pansi pa ma X-ray. Pambuyo pake, mankhwala osunga magazi akutsanulidwa mkati. Chotsatira cha izi ndikutseka kwa mitsempha yomwe imadyetsa myoma. Osadandaula za momwe chiwalo cholera chilili ndi chithandizo. Kuyenda kwa magazi kwa iye kudzakhala kudzera m'mitsempha yotsalira ndi ziwiya zazing'ono.

Ultrasound

Nthendayi yodabwitsa kwambiri, monga mitundu ina ya chotupa chofanana, ikhoza kuchiritsidwa ndi mafunde akupanga. Ndondomekoyi sizimafuna anesthesia ndi hospitalization.

Pogwiritsidwa ntchito, mayiyo amaikidwa patebulo, ndipo dokotala amatsogolera mafunde kuti apite kumalo ena. Ntchitoyi imagwiritsidwa ntchito poyendetsa zipangizo za ultrasound kapena MRI. Mafunde a mafunde amachititsa kuti kutentha kwa tizilombo toyambitsa matenda kukhale kotentha. Ziwalo zoyandikana siziwonongeka. Pogwiritsa ntchito mphamvuyi, node imatha, ndipo mawonekedwe ake amaloledwa ndi minofu yogwirizana.

Njira imeneyi imagwiritsidwira ntchito kwa atsikana komanso amayi omwe sagulitsidwa. Kugwidwa kumakhala kwatsopano komanso kotsika mtengo. Mwamwayi, si mabungwe onse azachipatala omwe ali ndi mwayi wochita chithandizo chotero.

Opaleshoni: kuchotsedwa kwa myoma

Chidziwitso chodzidzimutsa cha dokotala chikulimbikitsidwa kuchotsedwa opaleshoni. Mapangidwewa ali pa khoma lakunja la chiwalo chogonana. Nthawi zambiri chifuwacho chili ndi mwendo woonda kwambiri, womwe ungapotoke. Izi zimapanganso ntchito za ziwalo zoyandikana nazo: mazira, mazira ndi matumbo. Opaleshoni yochotsera zotupa zoterezi zimachitika pansi pa anesthesia. Pachifukwa ichi, njira yotchedwa laporoscopic kapena laparotomy ingagwiritsidwe ntchito. Mothandizidwa ndi zida zapadera, dokotala amachotsa pansi pa tsinde la fibroid ndikuchotsa minofu yowonongeka.

Nthendayi yamakono imatha kuchotsedwa motere. Komabe, ziwalo za chiwalo chogonana zimawonongeka. Pali otchedwa resection ya mucous nembanemba. Kukonzekera kumeneku kungakhale ndi zotsatira zowawa kwambiri, makamaka ngati mayi akukonzekera kutenga mimba. Ndicho chifukwa chake odwala akulimbikitsidwa kusankha njira zamakono zamakono.

Kuchotsedwa kwa chiberekero

Pamene kukula kwakukulu kwa mitsempha ya myomatous ikupezeka, amai amasonyeza kuti amachotsa chiwalo chogonana. Komabe, ndi bwino kulingalira zaka za wodwala komanso kukhalapo kwa ana ake. Mosakayikira, ngati n'kotheka, dokotala amayesetsa kuteteza chiberekero. Komabe, izi sizimagwira ntchito nthawi zonse.

Kuchotsa chiberekero kumachitika ndi kuwonongeka kwakukulu kwa mucous nembanemba ndi kukhalapo kwa zizindikiro zomwe zimasokoneza moyo wamba. Ntchitoyi ili pansi pa anesthesia. Panthawi imodzimodziyo, mayi amakhala m'chipatala masiku angapo.

Kodi pali kusiyana kotani pakati pa chikhalidwe cha myoma ndi mfundo zamkati

Mapangidwe otupawawa amasiyana ndi malo awo ndipo amakhudzidwa pa ntchito ya thupi lachikazi. Choncho, mfundo yovuta kwambiri imapezeka m'mimba. Komabe, sizimayambitsa magazi nthawi zambiri, mosiyana ndi zolemba zamkati. Komanso, chotupacho sichikhudza kukhudzidwa ndi kutenga pakati. Ndi nthenda yotero, kusokonezeka kwa mahomoni sikochitika kawirikawiri. Ngakhale chotupa chamkati chimayambitsa matenda a kuchepa kwa magazi, kutayika kwa magazi kwakukulu komanso kumva ululu kawirikawiri m'mimba yaing'ono.

Zotsatira za fibroids

Kawirikawiri kawirikawiri amadziwika ndi kuchiritsidwa kwa nthawi sizimayambitsa mavuto ndi mavuto. Ngati mwapeza nambala zing'onozing'ono, kukonzekera kungasinthidwe kosatha. Pankhaniyi, m'pofunikira kuyang'anitsitsa kukula kwa chotupacho.

Ngati simusamala za thanzi lanu ndipo musamamvetsere za chiberekero cha chiberekero, ndiye kuti akhoza kukula msanga mofulumira ndi kutsogolera. Komanso, matenda amakhala ndi mwayi wowonongeka kukhala mawonekedwe oipa, koma izi ndizosawerengeka.

Kutuluka mwadzidzidzi komanso kutaya thupi kumakhudzanso moyo wabwino wa mkazi. Ndicho chifukwa chake pamene mukupeza matenda muyenera kuonana ndi azimayi mwamsanga mwamsanga. Azimayi atatha zaka makumi anai akuyendera zipinda za ultrasound nthawi zonse ndikuyesa zochitika zowononga. Izi zidzalola kuti nthawi yeniyeni idziwe kuti ndi yotheka bwanji ndipo imayamba mankhwala.

Kusinkhasinkha

Tsopano mumadziwa zambiri za uterine wa myoma. Amayi ambiri amatenga mimba ndipo amabereka ndi matendawa. Komabe, pakatha mwana, chotupacho chingakhale chachikulu ndipo chikhoza kuopseza moyo wa mwanayo. Azimayi omwe amayi awo ndi agogo awo amavutika ndi uterine fibroids, amakhala ndi matenda ambiri.

Samalani thanzi lanu mosamala. Ngati muli ndi mafunso kapena zizindikiro za matenda, funsani azimayi anu kuti awathandize. Ngati kuli kotheka, dokotalayo adzaika maphunziro ena owonjezera ndikupempha mankhwala. Thanzi kwa inu!