Zviratidzo uye zviratidzo uterine fibroids: sei kuziva chirwere

Vasiri zvechadenga munhukadzi muviri kunoguma refu uchinzwa siyana gynecological pathologies. Maererano zvokurapa nemishumo, wokutanga nzvimbo anotora uterine fibroids.

Maererano neWHO, vanopfuura 25% vakadzi dzokubereka zera munyika ino vari panoonekwa bundu. Uye nhamba iri kuwedzera zvishoma nezvishoma gore rimwe nerimwe. Hosha rinowanikwa mune vechidiki vanhu uye varwere vari kubereka. Kunyange chiremba pamusoro gynecological kuongororwa havangagoni kusiyanisa pakati zviratidzo uterine fibroids. Sei kuziva dzidzo achiri Danho uye kudzivisa kuvhiyiwa? Mhinduro dzose mibvunzo uchawana wayo pasi.

Imhandoi chirwere ndechokuti?

Uyu benign neoplasm pamusoro inosiyana. Myoma nodes riri myometrium - tsandanyama rukoko. Kuzvimba fibers risina mvere woita chimiro, dzine vakaruka nemidziyo ropa. uremu Its, dhayamita uye inzwi kunogona kuva yakakura. In okurapa, wakaiswa raiva pedyo nebundu 63 makirogiramu uremu. Asi zvinozivikanwa uterine fibroids diki saizi. Zviratidzo uye zviratidzo zviri zvakananga novimba kuerera, nhanho, anatomic nzvimbo, kukura zvazvingava, nhamba nodes, uye zera murwere. Izvi kemikari-zvaanoda chirwere, saka kukura kwazvo kunoratidzwa refu zviri inonzi estrogen (munhukadzi pabonde mahormone).

Types idzodzo localization

In kurapwa mushonga emit akawanda uye kuroorwa miomnye dzidzo, zvichienderana nzvimbo yavo:

• Submucosal, kana intracavitary, chimiro ikabuda iri endometrium, anogona kuwira nepanhengo uye cervix.
• Subserous kana subperitoneal, akawana pasi rokunze rukoko muviri.
• Interstitial (intra-tsandanyama) - rakajairika nodal uterine fibroids. Zviratidzo uye zviratidzo vanoonekwa ne kurwadza kumwedzi ropa. Nodes zvichienderana mu pakukora zvakaturikidzaniswa munzvimbo muviri kana pasi.
• Remuromo.
• Mezhsvyazochnaya podbryushinnye vemunyika muchadenga uye inowanzomirira pacharo.

Zvimwe mhando idzodzo vanogona kukura 2-3 makirogiramu. Chete nguva dzose (mwedzi mitanhatu ose) dispensary Kuongorora anogona kugadzirisa chirwere uye achiona kwezvinodhaka mishonga.

Ndiani pangozi?

Zvinokwanisika kuti chidzoke chirwere ichi munguva dzepabonde inotungamirwa. Asi nyaya dzakadaro ndidzo apo neapo. Kumboda zvokurwara sokuti pashure pemakore 30. Zviratidzo uterine fibroids yokutanga imperceptible, kureva murwere ari kuraramawo sevamwe, pasina kunzwa kusagadzikana uye kurwadziwa.

Chikuru precipitating chinhu, maererano nenyanzvi, ndiyo hormone kusaenzana (zvakawandisa kwevari inonzi estrogen uye progesterone kushaikwa, havachanyatsogoni kushanda zvinoshandiswa). Kazhinji zvinetso zvakadaro vasikana Papera kuuya pamwedzi, uye dzimwe nguva dzisiri aripo.

Basa rinokosha panowanikwa fibroids anoita kwemashifiti pabonde upenyu (isingawanzowanikwi kurara, kusagutsikana). Pakadaro, ropa kuyerera akashatirwa uye varipo kuzara. Nesayenzi nekusimba kuti chirwere ane majini hunhu. Akanga pachena kune avo vari mumhuri kuburikidza nehadzi mutsetse akasangana fibroids.

Sembura Zvinhu zvakare anogumbura urongwa (adnexitis, endometritis, endometriosis), mushakabvu mwana, kwemakemikari anobudiswa chirwere, vakawanda pamuviri kugumiswa, kunotevera uye gynecological kuvhiyiwa. izvi zvose zvinotungamirira hormone nokufamba.

Main zviratidzo uterine fibroids: sei kuziva bundu?

Saka, ngatimbotaura pamusoro wako zviratidzo. Panguva kwokutanga Danho isingawanzowanikwi chirwere zviratidzo uterine fibroid dzakaonekwa. Sei kuziva chirwere? Chete tichibatsirwa zvinoverengeka chirwere nzira. Sezvo yamamota vanotanga kunokanganisa murwere dzamira manzwiro kuti chiratidzo pokuperevedza mumuviri. To avo vanosanganisira:

• Refu uye rinorema kumwedzi ropa. Zvadaro, izvi zvingaita kuti kupererwa (dzungu, pallor cover, kutemwa nemusoro, utera). Zvakafanana Fani anenge achitokuudza zvikuru. Dzimwe nguva unofanira kukurumidza muchipatara.
• Pain anoratidza kuti bundu mberi uye inokura. Zviratidzo uterine fibroids duku saizi, kazhinji nemanomano, dzimwe nguva vaine kurwadziwa rezasi mudumbu uye tikarega shure.
• Kukundikana pedyo nhengo - dundira uye mugaranhoko. Pane tightness, kufundumwara, micturition zvirwere, uye kupatira. Vanofanira kushanyira chiremba wezvedundira, gayinakorojisiti, gastroenterologist.
• Kuwedzera bundu inozivikanwa uchirwadziwa mumoyo. Uyewo, pane rwuchiwanzwa kumanikidzwa, kupfupika mweya, sema rashes uye metabolic zvirwere.

vakadzi vaduku iri zvikuru wakaderedzwa dzokubereka nerevane (fallopian sepombi). Kakawanda izvi anova chinokonzera kushaya mbereko. Nokuti kudzivirira zvirwere kunofanira yakakodzera kuitisa ongororo uye kuchinja kurapa. Pane uchapupu hwokuti dzidzo inogona kubviswa pamusoro dzavo kana kutapudzwa kukura pamwe asvika kubereka. Asi regai kutsvaka izvozvo, zviri nani kubvisa chikwata pamberi kuchawedzera uye achaita irreparable kukuvadza utano.

Clinical kuratidzwa bundu mhando

Nokuti mumwe nomumwe chimiro kunoratidzwa dzakasiyana-siyana zviratidzo. Zviratidzo zvokutanga fibroids duku kukura uterine submucous nodes anokonzerwa kumwedzi zvirwere. Cramping marwadzo inoti chete kana bundu iri akatura kupinda mumuviri mhango.

Subserroznoe anatomical nzvimbo dziri asymptomatic. Kupomba zvidzidzo panguva varwere vanotsutsumwa tinyanye anokakavara kurwadziwa mudumbu. Kuratidza kazhinji kuvhiringidzwa chakasimba abdominal kiriniki uye murwere yakaiswa kuvhiya dhipatimendi.

Mixed myoma inotungamirwa achiri chikuva usipo pachavo. Kusagadzikana tightness pedyo nhengo uye defecation zvirwere anozivikanwa ne zvinokosha yakawanda bundu.

Pregnancy uye myoma

Kana nodes dziri kubva placenta, regai kukanganisa izvozvo, nguva gestation rinowanzoshandiswa inoitwa pasina pathologies. Zvinetso panyaya apo paumbwe myoma vemunyika pedyo embryonic muviri. Chokwadi kuti bundu unobereka zvinhu zvinokonzera uterine sunga. It kunowedzera ngozi yokubatwa vakurumidze yokuberekwa kana kubva kwepamuviri. Kuti pamuviri akaenda zvakanaka, vanachiremba vanoedza kumisa kukura nodes. Pashure pezvose, sezvo ivo kuwedzera fetus angatanga zvakasiyana cranial deformation, hypoxia nezvimwe zvokurwara. Generic mabasa kakawanda simba chaizvo uye kuramba tichishanda, saka vanachiremba akaitawo cesarean chikamu.

nzira nechirwere

Pahwaro nhoroondo wezvokurapa uye pelvic kuongororwa haagoni kuzivikanwa fibroid dumbu. Ultrassom (zviratidzo, umo kuongororwa anogadzwa, - ropa, marwadzo, kushaya mbereko) unogona kubatsira kuona deformation yacho uterine mhango. Unique zvakwo nzira anosarudza zvose Kumwe kuchinja kunotanga: saizi, nzvimbo, mamiriro.

For yakawanda bundu akagadzwa MRI. Zvakanaka anoratidza nhamba nokusunungura mapfundo, uzive chimiro chavo uye nzvimbo. Sonographic zviratidzo uterine fibroids panguva subperitoneal dzidzo dzinoratidzwa kwakawedzera zvukopogloschaemostyu. Nokuti chirwere yakarurama chirwere anofanira kuenda kuburikidza zvidzidzo zvinoverengeka: computed tomography, laparoscopy, hysterosalpingography.

kurapa

Tichishandisa yapfuura, nzira bedzi kuzoparadza chirwere ndiye kuvhiyiwa. Nhasi, vanachiremba vakakwanisa kubudirira zvabuda mukuru kurapwa. Slow-kukura nodules duku riri pakukora ari endometrium, regai kukonzera zvingasanakira, asi kuti kudzivisa kukura, ndishandise kuchinja kurapa. Chiremba prescribes zvinodhaka hormone: zvinoberekwa androgens, progestogens, nhumbu yaisanganisa uye analogues GnRHa.

Mhando Modern Kuvhiya

Kuchinja kurapa haisi nguva dzose zvakadaro, zvinobudirira pasina chinovhiringidza, kunyanya makuru idzodzo. Kana nguva hakubvisi nodes, zviratidzo uterine fibroid kukura kunogona kukanganisa utano vakadzi. Zhinji kurasikirwa ropa kunogona rufu kana kunyima kufara amai nokusingaperi.

Pane zvakawanda zvaunogona kuita kuti kuvhiya kupindira (nomumwe mumwechete kana imwe nzira kubvisa, saka tinofanira kufungawo murwere zera, mwero bundu kukura, nokuti localization, ukuru uye zvimwewo):

• Laparoscopic myomectomy - tichibatsirwa rinokosha mudziyo, mumwe laparoscope, mumwe incision duku unoitwa uye husks mhango nodes.
• Hysteroscopic myomectomy kubvisa mukati bundu.
• FUS ablation - rinoitwa pachishandiswa ultrasonic mafungu riri basa chete kana kuroorwa masangano.
• Embolization pamusoro arteries - kunodzivisa aibuda zvinovaka muviri kune nodes.
• Chibereko - nzira hwakanyanya rinoitwa muzviitiko apo mapundu vanosvika rakakura saizi. Yakabudiswa uterine kudimurwa.

Kuti haukwanisi kana fibroids?

Pane zvimwe zvausingakwanisi kuita kuti inofanira kuchengetwa kuti vakadzi vane chirwere chakadai, kuti arege kutowedzera ezvinhu. Contraindicated chero basa rinoda munharaunda yacho peritoneum uye chiuno. Zvidzivirire kubva bhiza mabhiza uye kuchovha. Unogona kuita yoga, famba pamusoro wekusimbisa muviri uye kuva nechokwadi kuti famba nezuva - ichi kuchaita ropa riyerere. Vanachiremba regai kuvakurudzira Vibro zvimbudzi uye madhaka. Zvakakosha kuti unyatsoteerera zvaunodya: kubvisa zvikukutu uye mafuta zvokudya inosimudzira kukura bundu.

Inobatsira zvokudya, akapfuma polyunsaturated mafuta acids. Kuwedzera kudyiwa hove, miriwo madhishi, nzungu uye gorosi utachiona. Musakanganwa kuti abate vhitamini kurapa 3-4 pagore. Nokubatanidza chinyakare kurapwa pamwe mushonga acho mishonga. Rambai ziso utano hwavo uye vakarondedzera zvose gore, kunyange kana pasina zviratidzo uterine fibroids. Sei kuziva chirwere uye kudzivirira kukura kwayo, hunonyatsodonongodza gayinakorojisiti.