Chifukwa cha mantha kumva kwa dokotala nkhani zosasangalatsa zokhudza thanzi lake, amayi ambiri sanapite kwa amayi ambiri kwa zaka zambiri. Ndibwino kuti iwo akhalebe osadziwa, ngakhale atakhala ndi ululu, magazi ndi zizindikiro zina zosasangalatsa. Chowopsya choopsa kwambiri ndi kupaleshoni, zomwe zingayambitse kuwonongeka kwa chikazi chawo. Kuti muchite izi, gwiritsani ntchito njira zosiyanasiyana zochizira ma chiberekero cha uterine - kuchokera kuchipatala kupita ku ntchito zapamwamba zowonongeka: myomectomy ndi hysterectomy (kuchotsa chiberekero kapena kuchotsa chiberekero). Ntchito zoterezi zimaphatikizapo anesthesia wambiri, yokhalitsa maola angapo, autopsy, komanso kukonzanso nthawi yaitali. Njira zamakono zochiritsira matenda a uterine myomas - laparoscopy ndi kuika mitsempha ya mitsempha - osaika zoopsa zambiri ndikuchepetsa malire.
Sankhani matendawa
Fibromioma (myoma, leiomyoma) ndi chotupa champhamvu chomwe chimayamba mu minofu ya chiberekero. Amakhulupirira kuti maphunzirowa amapezeka pafupifupi mkazi aliyense wachiwiri. Funsolo ndiloti, fibroids zambiri zimagwira ntchito bwanji. Nthawi zina samadziwonetsa yekha (nthenda ya myomatous ndi yaing'ono ndipo sichitsutsana ndi chilengedwe cha chiberekero). Ngati chotupacho chimalepheretsa chiberekero kuti chisatengeke (mwachitsanzo, pa nthawi ya kusamba), zimayambitsa magazi kapena zowawa panthawi yogonana, komanso zimakhala zazikulu, ndiye funso limayamba ntchito. Zindikirani ulusi pa nthawi ya ultrasound, kuyesa kapena kusungunula (kuyesa ndi chipangizo chowonekera chomwe chimalowetsedwa mu chikazi). Ngati, atakuyang'anitsani pa chikwama cha adokotala, adakayikira myoma ndikupatsanso mayeso - avomereze. Njira yamachiritsira ya uterine fibroids komanso mothandizidwa ndi palpation imatha kuzindikira kuti ndi zazikulu zokhazokha.
Kodi ndikufunika kuchotsa?
Kuwonekera ndi kukula kwa fibroids kumapangitsa zinthu zosiyanasiyana: kusagwiritsidwa ntchito kosagwiritsidwa ntchito kosamalidwa ndi mahomoni, moyo wamagonana osagonana kapena kusakhala kwathunthu, kumangopanikiza ndi kulemetsa kwambiri, zosakondera zina.
Myoma ingawonjezeke ndi kuchuluka kwa mahomoni amtundu wa abambo estrogen (pa nthawi ya pakati, kuyamba kwa kusamba). Chotupacho sichingowonjezera kutuluka kwa magazi (komwe kumayambitsa kukula kwa kuchepa kwa magazi), komanso kumapweteketsa ululu, kukodza nthawi zambiri, mavuto a m'matumbo. Ngati mayi sawonetsedwa kawirikawiri ndi dokotala, myoma ikhoza kufika kukula kwakukulu - pali milandu pamene ochita opaleshoni amachotsa chotupa cholemera makilogalamu asanu kapena kuposa.
Ntchito zochepa zomwe zimawonongeka
Njira yophweka komanso yopanda phindu yochizira uterine fibroids ikuwoneka ngati hormonotherapy. Poyamba, kuchepa kwa mlingo wa estrogen kumalepheretsa kukula kwa chidziwitso kapena kuchepetsa, koma pambuyo poyeretsa mahomoni chirichonse chingayambirenso. Komanso, mahomoni ali ndi zotsatira zambiri. Choncho, kuchotsa opaleshoni ya mankhwalawa kumapindula kwambiri. Masiku ano, njira zochepa zowononga mazira amagazi amagwiritsidwa ntchito kwambiri, mwachitsanzo, laparoscopy, yomwe nambala imakololedwa popanda kutsegula m'mimba. Laparoscope imalowetsamo mkati pang'onopang'ono, komwe kanema kanema ndi gwero lachikondi zimagwirizana. Chifaniziro cha ziwalo zamkati chimatumizidwa ku kanema wa kanema ndipo dotoloyo amawona bwino malo omwe akugwira ntchito. Mankhwala ochepa omwe amapangidwa ndi zinthu zoterezi amavulaza minofu. Wodwalayo samamva kupweteka atatha kugwira ntchito ndipo amabwerera kunyumba masiku angapo. Pambuyo pa masabata 2-3 mkazi amatha kubwerera kumoyo wamba.
Hysteroscopy imagwiranso ntchito pa ntchito zosatha. Dokotala amagwiritsa ntchito chida cha ultrathin chokhala ndi optics, chomwe chimayikidwa kudzera mwa kutseguka kwa thupi. Kuchotsedwa kwa myomas yaing'ono kumachitika kudzera mu ngalande yachiberekero.
Kutsegula "oxygen"
Kwa zaka zoposa khumi m'mayiko otukuka (m'zaka zaposachedwa ndi ku Ukraine) pofuna njira zothandizira uterine fibroids, madokotala opaleshoni akugwiritsa ntchito chiberekero cha umtine (EMA) mwakhama. Malingana ndi chiwerengero, pafupifupi 98 peresenti ya ntchitoyi ndi opambana ndipo myoma siibwereranso.
Pa opaleshoni, mitsempha ya chikazi imadulidwa kupyolera mu singano yapadera ndi catheter yopyapyala imapangidwa ku mitsempha yomwe imapereka magazi ku myomas. Zili ndizitsulo zokhala ndi tinthu ting'onoting'ono ta pulasitiki - emboli. Magazi a myoma amaima, ndipo amatha kukula. Choyamba, chotupacho chicheperachepera 2-3, ndiyeno mkati mwa theka la chaka chimatsutsana pang'ono. Njirayi imatenga mphindi 40 mpaka 1.5 maora. Pambuyo pa opaleshoni, perekani mankhwala opweteka komanso kuonetsetsa kuti nthawi yowonongeka (pafupifupi mwezi umodzi).
Malingana ndi umboni
Muyeneranso kudziwa kuti pali zotsutsana ndi laparoscopy ndi EMA. Kuti dokotala wapanga chisankho pa izi kapena njira yotereyi, kuyendera kumafunika. Ngati mukukayikira, ndipo mukuganiza kuti ntchito yaikulu ingapeĊµe, pitani kwa katswiri wina kapena ku chipatala china komwe kuli madokotala ochita opaleshoni omwe ali ndi njira zamakono zamakono. Ngakhale, mumasankha ndi kufufuza, ndipo chisankho chomaliza chimapangidwa ndi dokotala, akuchoka pa konkire. Mwinamwake, mwa inu, kugwiritsa ntchito njira zochepa zosawonongeka sizidzakwanira, makamaka ngati dokotala akuyenera kuthana ndi vuto losavomerezeka. Ndicho chifukwa chake ndikofunikira kwambiri kupita kukaonana ndi azimayi nthawi zonse kuti adziwe matendawa kumayambiriro.