Myomatous nodes: kurapa, kubviswa. Kunyoresa nhamba yakashata. Nhamba dzomukati dzomukati

Mumakore achangobva kupfuura, vakadzi vari kutarisana nehutachiona hwezvirwere. Kurasikirwa kunogona kuva nezvikonzero zvakasiyana-siyana zvezvakabva, kubva pakushata kwezvisikwa kusvika pakushaikwa kwebasa uye kubvisa pamuviri nguva dzose. Myoma nodes yaive yakaremara chiremera. Vanowanzoonekwa kakawanda mumakore avo ekubereka. Zvisinei, panguva iyi ingangowanikwa. Zvisinei, panguva iyo kuswedera kumwedzi uye kumisa kwemwedzi kunowanzoona zviratidzo zvechirwere ichi.

Kuchengeta nhamba dzomukati kana kwete kwete nyaya yemukadzi mumwe nomumwe pachake. Zvisinei, zvakakosha kuratidza tumarara kune chiremba. Muzviitiko zvakawanda, hutachiona hahuri kukura kuva chirwere chinotyisa, asi mukana akadaro uchiripo. Ichi chinyorwa chichakuudza nezvechinhu chisingaoneki chinogona kuva. Iwe uchawana humwe hutsika hwekugara kwechirwere. Uyewo ona kuti ungaporesa sei myoma yechirumbu.

Unhu hwehutachiona hwekuita

Node yakashata inoumbwa pachirongwa chekurera kana mumumvuri wayo inhengo inobata. Ukuru hwehutachiona hunoverengwa mumavhiki ekudzivirira. Zviduku zviduku zvinokanganisa kakawanda hazvizviratidzi. Zvisinei, sezvo ukuru huchiwedzera, mukadzi anotanga kuongorora zviratidzo zvakasiyana-siyana. Zvinowanzozivikanwa ndezvizvi:

• Mucheche kurwadziwa;
• Anonoka pakuenda kumwedzi kana kubuda kwenguva refu;
• Kuwedzerwa muhutano hwemuviri (nekutakura kukuru);
• Kuvharwa uye kusakatika kwepamu kudarika;
• Pathology ye urethra nezvimwewo.

Myomatous nodes inowanzove yakagadzikana uye inosanganisira yakasanganiswa nemashuga. Vanokwanisa kuva vasina kuroora uye vazhinji, vari pamheto mutsvuku kana kugara zvakasimba pamusoro penhengo yebonde.

Uterine myoma inowanikwa sei

Izvi zvinokonzera chikonzero chekukurukura gynecologist. Vanenge vanenge 250 vakadzi kubva kune 1000 vane myoma panguva inotevera kuongororwa. Nzira dzekuona tumarara dzinogona kunge dzakasiyana.

Kana ukuru hwechigunwe ichi huri pasi pemasentimita maviri muhupamhi, iwe unogona kuzviona chete panguva ye ultrasound. Nechitarisiko chezvipembenene zvakakura uye kukura kwakasimba, gynecologist ane ruzivo anogona kuisa kufanana kwakadaro ne palpation. Uyewo, uterine fibroids inowanzowanika panguva yekunyora tomography uye magnetic resonance imaging.

Mhando dzemaoma

Sezvaunenge watoziva, chirwere chinogona kuva chisina kukwana uye chakawanda. Mukuwedzera, pane chimwe chikwata chinowedzera, chinokubvumira kuparadzanisa hutachiwana munzira dzekuumbwa kwayo. Mhando yemarara inogona kuva seyizvi:

• Kunoita kuti nhengo dzomukati dzisingaiti (submucosal neoplasm ine tsvuku shoma);
• Nhengo dzomukati, kana dzemuviri dzemuviri (intermuscular pathologies iri mumadziro emuviri wechipfu);
• Kuonekwa kwemashure (kunowanikwa pamadziro kunze kwechibereko uye kazhinji kune tsoka);
• Intraligamentary tumor (node iri pane kana pakati pemigumisi).

Mukuwedzera kune izvi, kune vashoma vedhondi uye nodes. Muchiitiko ichi, mutumbi wechipfuva uri munharaunda yemudzinza kana kuti unongorira mauri.

Zvingave zvakakodzera kurapa chirwere

Myoma node node inogona kunge yakasiyana. Izvo zvose zvinotarisa pane kuti tumarara iri kupi. Kuvapo kwezviratidzo kunokosha zvakare. Kana mukadzi asingatauri mhere-mhere, ipapo chiremba anowanzotaurira kungoona ronda. Panguva imwecheteyo kuongororwa nguva dzose uye miedzo ye ultrasound inogadzwa. Apo bundu rinotanga kuwana kukura uye kuwedzerwa, kurapwa kunotarisirwa.

Kururamiswa kunogona kuitwa nenzira dzinoverengeka. Iyo inowanzokurudzirwa kubviswa kwezvinyorwa zvangu. Zvisinei, nokuda kweizvi panofanira kunge kune zvimwe zviratidzo (kukura kuwedzera, kuvapo kwekunyunyuta nekudaro). Uyezve, chiremba anogona kusarudza kurapa kwakakodzera. Zvisinei, haisi nguva dzose inopa maitiro akanaka. Kazhinji mushure mekugadziriswa kwehomoni kunotanga kuwedzera kukura kwemarara, uye kunowedzera kudarika kupfuura pakutanga. Ngationgororei nzira dzinokosha dzekurapa kwezvinyorwa zvitsva.

Kurapa Kwemishonga

Kazhinji pane zvisiri izvo, nyanzvi dzinoratidzira mishonga yehomoni ine hormone agonists gonadotropin-yakasununguka. Iboka iri remishonga rinobatsira kuderedza kugadzirwa kweedrogen. Izvi zvinoderedza kukura kwemarara. Zvisinei, mushure mokunge mishonga ichibviswa, kushandiswa kunopisa kunogona kuitika. Muchiitiko ichi, ukuru hwechiremera chinotanga kuwedzera zvakasimba uye kusvika kusvika pakukura kwayo kwekare. Kakawanda, kushungurudza myoma node kunogona kukurisa gumbo rayo uye kuputika kwayo kuchaitika.

Mukuwedzera kune mahomoni, tranexamic acid inogona kugadziriswa . Inokurudzira kugadzirisa kwemimwe midziyo. Somugumisiro, chikafu chechirwere chinopesana. Izvo zvinotyisa zvinokonzerwa nehutano uye mamwe maitiro ezvikwata zvinogona kufa zvachose. Zvisinei, izvi hazvirevi kuti hakuzovi nekudzoka zvakare.

Kazhinji, kurapwa kwechiremba kunoshandiswa vasati vambovhiyiwa. Muchiitiko ichi, chiitiko chemushonga chichave chakanyanya.

Arterial immobilization

Iyi nzira inobvumira kuporesa zvose zvinyorwa zvinokonzera mhuka uye mamwe mhando yemarara. Inoitwa mukati memasvingo echipatara. Icho hachidi kushandiswa kweanesthetics uye kugara kwenguva refu.

Murwere anokonzerwa mukati mechizimbu chechikadzi ne catheter inopinda mune imwe yezviyo zveuterine pasi pekuona kwe-X-ray. Mushure mokunge, chirwere chinodzivirira kubuda kweropa chinodururwa mukati. Chimwe chezvikonzero izvi ndeyekuvhara kwemishonga inopa maoma. Usanetseka pamusoro pemamiriro ezvinhu ekurera vana nekutenda kwakadaro. Kuyerera kweropa kwaari kuchava kuburikidza nemaritiro akasara nemidziyo miduku.

Ultrasound

Chirwere chemuviri chisingaiti, semamwe mhando dzemuviri wakafanana, inogona kurapwa nemafungu emhepo. Nzira yacho hairevi anesthesia uye hospitalisation.

Pakugadzirisa, mukadzi anoiswa patafura, uye chiremba anorayira kufamba kwemafungu kune imwe nzvimbo. Basa racho rinoshandiswa pasi pekutonga kwezvigadzirwa zve ultrasound kana MRI. Mazaya emhepo inokurudzira kupisa kwemarara. Nhengo dzekuvakidzani hadzina kukuvara. Pasi pesimba iri, node inofa, uye chimiro chayo chinotsiviwa nehutachiona.

Iyi nzira yekurapa inoshandiswa kuvasikana vaduku uye vakadzi vasiri nulliparous. Kushatiswa kwakatsva uye kunodhura. Zvinosuruvarisa, kwete ose masangano ekurapa ane mukana wekutungamirira kurapa kwakadaro zvakadaro.

Kuvhiya: kubviswa kwemaoma

Nhamba yepamusoro yenhamba yechiremba inokurudzirwa kuti ibudiswe chirwere. Izvi zvakagadziriswa pamadziro ekunze emuviri wechikadzi. Kazhinji kazhinji kemukari ine gumbo rakatetepa rinogona kukanganisa. Iyi neoplasm inogonawo kukanganisa basa rezvikamu zvinopoteredza: fallopian tubes, ovaries uye matumbo. Kuvhiya kubvisa chirwere chakadaro kunoitwa pasi peanesthesia. Muchiitiko ichi, chirwere chinonzi laporoscopic kana laparotomy chinogona kushandiswa. Nekubatsirwa kwezvishandiso zvakakosha, chiremba anosiya tsvimbo yehutambo hwe fibroid uye anobvisa zvimedu zvakakuvara.

Nzira yepamusoro inobatsira inogonawo kubviswa nenzira iyi. Zvisinei, mishonga yechipfini inoparadza. Pane izvo inonzi resection ye mucous membrane. Iyi kururamisa inogona kuva nemigumisiro inosuruvarisa, kunyanya kana mukadzi ari kuronga kubata pamuviri. Ndokusaka vechidiki vaduku vakakurudzirwa kusarudza nzira dzakawanda dzemazuva ano dzokurapa.

Uterine kubviswa

Apo hukuru hukuru hwehutachiona hunofunga hunoonekwa, mukadzi anoratidzwa kubvisa chiremera chepabonde. Zvisinei, zvakakosha kufunga nezvezera remurwere uye kuvapo kwevana vake. Pasina mubvunzo, kana zvichibvira, chiremba anoedza kuchengetedza chibereko. Zvisinei, izvi hazviiti nguva dzose.

Kubviswa kwechibereko chinoitwa nekukuvadza kwakakura kune mucous membrane uye kuvapo kwezviratidzo zvinopesana nehupenyu hwehupenyu. Basa racho riri pasi peanesthesia yakawanda. Panguva imwe chete mukadzi ari muchipatara kwemazuva mazhinji.

Ndechipi musiyano pakati pekushungurudza myoma uye nhengo dzomukati

Aya maitiro emakumbo akasiyana munzvimbo yavo uye ane simba kune basa remukadzikadzi. Saka, node inoshungurudza inowanikwa mudumbu remuviri. Zvisinei, haisi kukonzera kubuda ropa nguva dzose, kusiyana nemasikirwo emakumbo. Uyezve, chirwere chacho hachikuvadzi kubata pamuviri uye nzira yekuita pamuviri. Nechirwere chakadaro, kukanganiswa kwehomoni hakuwanzoitiki. Kunyange zvazvo chirwere chepakati chinokonzera kushaya ropa, kurasikirwa kweropa kukuru uye kurwadziwa kunowanzoitika mumaduku maduku.

Migumisiro ye fibroids

Kazhinji inowanikwa uye inorapwa zvirwere munguva inenge isingakonzerwi nemigumisiro uye zvinetso. Kana iwe wakaziva nodes maduku, kururamisa kunogona kupedzisira kusingagumi. Muchiitiko ichi, zvakakosha kunyatsocherechedza kukura kwemarara.

Kana iwe usingafariri nezvehutano hwako uye usakanganise maoma emuviri, zvino unogona kukura zvakakurisa muhukuru uye huchitungamirira kukushaya. Uyewo, hutachiona hune mukana wekutsvaira huri muitiro wakaipa, asi izvi hazviwanzoitiki.

Kuramba uchibuda ropa uye kusabatwa kwemuviri kunopesana nehupenyu hwemukadzi. Ndicho chikonzero kana iwe ukawana chirwere iwe unofanirwa kuonana naGynecologist nekukurumidza. Vakadzi mushure memakore makumi mana vanowanzoshanyira makamuri e-ultrasound uye vanotongerwa miedzo yekudzivirira. Izvi zvinobvumira kuonekwa panguva yakakodzera yekodha yekodha uye kutanga utano.

Summing up

Iwe zvino unoziva zvakawanda nezvehutachi uoma. Vakadzi vakawanda vanogona kutora pamuviri uye vanoberekwa nehutachiona. Zvisinei, panguva yekuzadzika kwechecheche, chironda chacho chinogona kuva chikuru uye chinotyisa kuhupenyu hwemucheche. Vaya vakadzi, vane amai na vanasekuru vanotambura neuterine fibroids, vanowanzova nehutano hwakadaro.

Tora utano hwako zvakanyatso. Kana iwe uine mibvunzo kana zviratidzo zvechirwere, taura nejena gynecologist kuti uwane mazano. Kana zvichidiwa, chiremba achaisa zvidzidzo zvakare uye anokurudzira kurapa. Utano kwauri!