Uterine fibroids. mabatiro

Vakadzi vari nechirwere fibroid dumbu, mishonga inogona kuitwa kuchinja kana zvomusejari.

Kana wokutanga hormone, mwaranzi, hemostatic kurapa. Surgery anogona kupfeka kukuru, poluradikalny uye kuchinja.

Uterine ropa chokuita anovulatory zvinogara, kunowanzoguma uterine fibroids. Treatment izvi ezvinhu ari kunoshanda kemikari. Zvakarurama intramuscular kugadzirira "Progesterone" nokuti masere kana gumi mazuva. kugadzwa zviri pamberi pakutsvaga maviri-danho kutenderera kumwedzi uye saturation pamwero inonzi estrogen muviri. Kuti izvi zvidaro, tembiricha kunoyerwa basal (nekuzorora state), tsvakurudzo colpocytologic, curettage pamusoro endometrium kuti chirwere zvinangwa uye zvimwe zviitiko. Zvinofanira kucherechedzwa kuti progesterone unoshanda chete dzimwe nguva. kemikari ichi, sezvo iri inonzi estrogen antagonist, kuchititadzisa mugumisiro yavo mucous Kamudzira uye myometrium (tsandanyama rusvingo) ari dumbu. The mugumisiro progesterone chinotungamirwa kurutivi chinovhiringidza pakati follicle-anotokonya basa iri pituitary shwanu uye kuchiderera kwetunhu inonzi estrogen panguva degeneration pakati ovaries polycystic zvisikwa.

Kazhinji pakurapa fibroids zvinosanganisira mishonga androgenic. Zvinoshanda rinoreva "Testosterone propionate", "Testenat". Maererano nenyanzvi, yakanakisisa kuchirapa mugumisiro zvinodhaka ane "Sustanon-250." Mune zvimwe zviitiko, androgen zvinodhaka kupiwa piritsi fomu. zvinodhaka izvi, kunyanya zvinosanganisira "Methyltestosterone". Androgens tunodzivisa kweShanduro ovarian estrogen, follicle-anotokonya basa iri Anterior pituitary, tunodzivisa mucosal proliferative pezvakaitwa (Kuwedzera).

Kazhinji, pashure pakurapa androgenic kwamira kumwedzi, pane kunonoka, uye mune zvimwe zviitiko kumira kukura fibroids rakakwana. Rinotanga kwayo neizvi kukura. Zvisinei, kana nechirwere huru (kukura dumbu kwevhiki dzinopfuura gumi pamuviri), uterine fibroids, kurapwa pamwe androgens ndiko isashande. Zvazvakashatira androgen mishonga inofanira kusanganisira masculinization (tsandanyama kukura, bvudzi kukura riri mumuviri hono mhando), mburwa (mburwa), kupfupika mweya, kuda kurutsa, palpitations.

Kuti awedzere uterine vanokwanisa gemotaticheskuyu ushandiswe kurapa. Intramuscularly raitongwa mishonga "Oxytocin", "Gifototsin", "Pituitrin" uye dzimwe nzira.

Kuti vabvise uterine ropa kuti anoenda uterine fibroids, kurapwa prescribers kukwanisa kuwedzera ropa pakugwamba.

Pasina mugumisiro kemikari yokutsiva mishonga uye hemostatic, pamwe contraindications kunorapwa yakatarwa X-ray irradiation of ovaries. Zvirongwa zvinoitiswa daily irradiation dose anosarudzwa zvichienderana moupamhi hworusvingo pamberi peritoneum uye ukuru nehanya of ovaries. Nokudaro, ichimbomira mu fibroid kukura. Treatment muchiitiko ichi chinotungamirwa panguva kudzivisa mashandiro inonzi estrogen inotungamirwa ari ovaries. Mushure X-ray irradiation rinomira kumwedzi, uterine ropa. Zvinofanira kucherechedzwa kuti nzira iyi haisi anokurudzirwa okubereka (rokubereka vana) zera. Zvakanyanya zvichakubatsirai kuita X-ray irradiation mu kubereka.

Contraindications nzira iyi zvinosanganisira submucosa, zvinoumba remuromo fibroids, pamusoro refu gumbo podseroznye nodes, fibroids kukura pamwe vanofungidzirwa kuberekwazve mu sarcoma kana nzvimbo necrosis. Uyezve, X-ray irradiation haina kuitwa pamberi pamuviri, piosalpinks, bundu iri ovary uye kenza yacho uterine muviri.