Chaka chilichonse, zizindikiro za matenda oopsa a uterine zimakhala zowonjezereka. Matenda a Benin amatchedwa mosiyana, malingana ndi komwe amakulira (mu minofu). Pali fibroids, fibroids, fibroids, leukemiomas.
Ngati mumakhulupirira ziwerengero za zachipatala, uterine fibroids imapezeka mumkazi aliyense wachisanu, yemwe ali ndi zaka makumi atatu ndi makumi anayi ndi zisanu. Monga lamulo, awa ndi akazi omwe ali nulliparous. Mu makumi asanu ndi anai mphambu zisanu ndi zisanu ndi makumi asanu ndi zisanu ndi zitatu, chifuwachi chimayamba mu thupi la chiberekero komanso m'mimba zisanu zokha mu chiberekero.
Chifukwa chachikulu cha chitukuko cha chifuwa chachikulu cha chiberekero ndi kusamvetsetsana pamtundu wa mahomoni ogonana (kuchepa kwa estrogen). Kawirikawiri zimachitika panthawi ya kusamba. Tiyenera kukumbukira kuti chotupa chothetsa khansa sichikutha.
Chithunzi chachipatala
Chithunzi cha kachipatala cha uterine myoma chimasiyanitsa ndi polymorphism yaikulu ndipo makamaka zimadalira msinkhu wa mkazi, malo ake, nthawi ya matenda, kukula kwa mapangidwe ndi mtundu wake wa morphogenetic. Kuwonjezera apo, chotupacho chingakhudzidwe ndi ziwalo zoberekera komanso zosavomerezeka. Pa makumi anayi ndi awiri peresenti ya milandu, chotupa kwa nthawi yaitali sichimayambitsa zizindikiro zirizonse.
Kuwoneka kwa chifuwa chachikulu ndi chochepa kwambiri - 0,25-0,75%, panthawi ya kutha kwa chiwopsezo ndizochepa kwambiri. Komabe, uterine fibroids nthawi zambiri amatsatiridwa ndi kansa ya pancreatic, gland mammary, endometrium.
Zizindikiro za fibroids:
- magazi;
- kuonjezera kukula kwa chotupa;
- ululu;
- kusokoneza ntchito ya ziwalo zozungulira.
Chithandizo
Kusankhidwa kwa katswiri wina wamakhalidwe abwino kumadalira malo omwe amapangidwira, kukula ndi chiwerengero cha zizindikiro zodziwika bwino, zizindikiro, kukhalapo kwa chidziwitso, zaka za mkazi komanso chikhumbo chokhala ndi ana m'tsogolomu, zochitika za morpho- ndi pathogenesis ya maphunziro.
Matenda opatsirana pogwiritsira ntchito fibroids ndi mankhwala ndi opaleshoni, mwachitsanzo, kuphatikiza pamodzi. Choncho, ngakhale njira zamakono zamakono zothandizira zatulukira-laser, electro- and cryosurgery, kugwiritsa ntchito njira zamakono-mankhwala opangira mahomoni amakhalanso ofulumira kwambiri. Cholinga cha mankhwala oyenera ndi kuchepetsa kuopsa kwa zizindikiro ndi (kapena) kukula kwa chotupacho.
Kugwiritsa ntchito opaleshoni ya opaleshoni kumawonetsedwa pamene:
- kuwonjezeka mwamsanga mu chotupa kukula;
- kuphwanya ntchito za matupi oyandikana nawo;
- maphunziro ochuluka (pa sabata la 14 lakumayi);
- kukhalapo kwa matenda ena a ziwalo zoberekera, zomwe zimafuna opaleshoni;
- malo amodzi a myoma, omwe amatsatizana ndi nthawi yambiri komanso yaitali ya kusamba, kuchepa kwa magazi;
- necrosis wa nthenda ya myomatous;
- subperitoneal myoma, yomwe ili ndi gawo lochepa (pa "mwendo"); Mapangidwe oterowo akugwirizanitsidwa ndi msinkhu waukulu wa kuzunzika kwa maziko a mfundo ndi chitukuko cha necrosis yake mtsogolo;
- Kusabereka (pazochitikazi pakatsimikiziridwa kuti chifukwa cha kusabereka ndi chithunzithunzi cha matendawa);
- myoma ya chiberekero ndi kumidzi komweko.
Njira yothandizira opaleshoni ikhoza kukhala: yosasamala, yosasinthasintha komanso yogwira mtima kwambiri. Mwachikhalidwe cha ziwalo za ziwalo zomwe zili m'mimba yaing'ono, ntchitoyi ingakhale yamayi ndi m'mimba. Kuchuluka kwa mankhwalawa kumadalira matenda omwe alipo omwe alipo (matenda a mazira, endometrium, mazira ndi chiberekero), zaka za mkazi, ntchito yobereka.
Ntchito zosamala zowonjezera ndizo:
- kuchotseratu zigawo zochepa;
- enucleation ya nodes (mwinamwake, chodziwitsira myomectomy).
Ndi ntchito zochepa zomwe zikuphatikizapo:
- kuchotsedwa kwachiberekero kwa chiberekero;
- chiwerengero cha chiberekero.
Ndi ntchitozi, kusamba kwa mayi kumakhalabe, koma ntchito yobereka siipo.
Ntchito zovuta kwambiri ndi izi:
- chotsitsa chiberekero cha chiberekero;
- kuchotsa chiberekero;
Ngati mkazi ali ndi chidwi chokhala ndi ntchito yobereka, ndiye kuti ali ndi kachilombo koyambitsa matenda. Ngati malo a chotupacho ndi sub-serous, ndiye kuti chidziwitso cha myomectomy chimapangidwa ndi njira zamimba ndi laparoscopic. Ngati chotupacho ndi submucosal, myomectomy imachitidwa ndi hysteroresectoscopy.