Kuchotsa uterine fibroids

Myoma ya chiberekero ndi matenda omwe amabwera ndi amayi ambiri. Ndipo pamene ali ndi zaka 35 zimakhudza amai 35-50%, ndipo ali ndi zaka 45 - kale 60-70%. Myoma ndi zotupa zowonongeka ndi mahomoni zomwe zimayamba kuchokera kumagulu ogwirizana ndi minofu a chiberekero ndipo ali ndi zigawo zambiri kapena zosakwatira. Kutuluka kwa myoma kungakhale kosiyana pa mitengo yosiyana ndipo makamaka imapezeka m'chiberekero.

Kuchiza kwa fibroids

Malingana ndi kukula kwa uoma wa myoma, malo ake komanso njira ya matendawa zimadalira mmene uterine fibroids amathandizira.

Pali njira ziwiri zochizira fibroids:

1. Njira yothandizira. Awa ndi mankhwala osagwiritsa ntchito opaleshoni pogwiritsa ntchito mankhwala osokoneza bongo. Njira imeneyi imagwiritsidwa ntchito kumayambiriro koyambirira kwa matendawa. Chifukwa cha chithandizo mwa mphamvu ya mahomoni, chitukuko cha fibroids chimachepa. Koma ndi chithandizo chotero ndi koyenera kuganizira zomwe zimachitika pamene mahomoni amaletsa kutenga, kukula kwa myoma kawirikawiri kumayambiranso.
2. Njira yachiwiri ndi yopaleshoni ndipo ikuphatikizapo njira zingapo zopaleshoni.

Kupewera opaleshoni ndi kuteteza ntchito yobereka

1. Matenda a myomectomy. Ndi opaleshoniyi, node za intrauterine zimachotsedwa.
2. Laparoscopic myomectomy. Iyi ndi njira yabwino kwambiri yopangira opaleshoni yochepa kwambiri. Ndi opaleshoniyi, nthati zam'mimba zimachotsedwa, zomwe zimakula m'mimba.
3. Njira ya m'mimba ya myomectomy ndi njira yomwe node ya myoma imakhala yosangalatsa. Koma sizimalimbikitsidwa kwambiri ndi amayi ndipo amafunika kukonzanso kwautali, choncho tsopano sagwiritsidwa ntchito kwambiri.

Njira zopangira popanda kusunga kubereka

1. Tsegulani myomectomy. Opaleshoniyi siyinakonzedwe kawirikawiri m'madera omwe njira zanenedwa zikutsutsana. Pogwiritsa ntchito njirayi, kutsekula kwa mitsempha ya m'magazi kumachitika, komanso kuchepetsa kutaya mwazi.
2. Hysterectomy. Njirayo imaphatikizapo kuchotsedwa kwa chiberekero ndipo imagwiritsidwa ntchito pamene njira zonse zatchulidwa kale sizingatheke kapena zimatsutsana.
3. Njira yoyanjana. Pachifukwa ichi, mankhwala a mahomoni amayamba kuchitika, ndipo mitsempha ya uterine imatsekedwa kuti asiye magazi a fibroid, motero amathandiza kuchepetsa nthenda ya uterine.

Tiyeni tione mwatsatanetsatane njira zomwe mkazi angabereke.

Laparoscopic myomectomy

Njirayi imalimbikitsidwa kwa amayi omwe uterine fibroids yafalikira kwambiri. Njirayi ndi yabwino chifukwa simukusowa kupanga zozizwitsa, koma ndizing'onozing'ono m'mimba pamunsi ndi kuzungulira phokoso, zomwe mungagwiritse ntchito laparoscope ndi kanema yamakanema ndi zipangizo zina zofunika. Ndiponso, ubwino wa njira iyi ndiwowirikiza wa nthawi yobwezeretsa, kuyenera kokwanira ndi chitetezo.

Matenda a myomectomy

Iyi ndi njira yomwe kuchotseramo nthano zopanda malire popanda kusokonezeka kumachitika. Njirayi ndi yopindulitsa, yamakono komanso yotchuka kwambiri pa opaleshoni. Chofunika kwambiri cha njirayi ndi chakuti kupyolera pang'onopang'ono kakang'ono m'kati mwa mimba, hysteroscope imalowetsedwa ndi kanema kamera yomwe chithunzi cha m'mimba chidzawonetsedwa. Pogwiritsa ntchito hysteroscope, pogwiritsa ntchito mtanda wa laser, myoma imadulidwa. Matenda a myomectomy amadziwika kwambiri chifukwa cha kudalirika, chitetezo, kuthamanga kwakukulu, kulekerera bwino mtima komanso machiritso mofulumira.

Chizindikiro cha kuchitapo opaleshoni

Kuchotsa fibroids kumachitika m'milandu yotsatirayi:

1. Kukula mwamsanga kwa chotupacho.
2. Kukula kwa fibroids.
3. Myoma pamimba.
4. Necrosis ya nthenda ya myomatous.
5. Kusuta, komwe kumayambitsa kuchepa kwa magazi m'thupi.
6. Kuphwanya ntchito za ziwalo zoyandikana.
7. Kuwopsya kwa chikhalidwe choipa cha fibroids.
8. Kukhalapo kwa chiwopsezo cha chiberekero ndi zamoyo zomwe zilipo kale.
9. Kukhalapo kwa endometriosis ndi zotupa za m'mimba mwa myomas.

Kuzindikira kwa fibroids kumayambiriro kwa chitukuko kumapereka chithandizo, osati kudula. Choncho, kawirikawiri pitani kwa mayi wazinayi ndi thanzi labwino kwa inu!