Zimapezeka mwa mkazi wokhala ndi zaka zisanu zokha. Kawirikawiri, fibroma imapezeka mwazimayi oposa zaka 30. Nthawi zambiri, zimapezeka m'matumbo, omwe amatha kufalikira pafupifupi mtundu uliwonse wa minofu. Kawirikawiri, fibroids imakhala yoipa. Zizindikiro ndi chithandizo cha uterine fibroids ndi mutu wa nkhaniyi.
Zosokoneza
Kawirikawiri, froids zimapezeka panthawi yoyezetsa ziwalo za m'mimba, mwachitsanzo, kuyang'ana khansara ya khola lachiberekero. Dokotala angakayikire ngati fibroids ngati wodwala akuvutika kapena akuvutika msambo. Mu kafukufuku wamakono, nthawi zina zimakhala zovuta kusiyanitsa makina akuluakulu a m'mimba, zilonda zam'mimba, mimba yosawerengeka komanso zilonda zoopsa za uterine. Njira yabwino yodziwira mawonekedwe, kukula kwake, malo ake ndi kapangidwe kamene kalikonse kamene kamakhala m'mimba mwa pelvis ndi m'mimba mwa m'mimba ndi ultrasound. Pofufuza amayi pa nthawi ya menopausal, radiography ingagwiritsidwe ntchito. Pofuna kutsimikizira kuti matendawa ndi otani, nthawi zina imagwiritsidwa ntchito pogwiritsa ntchito maginito. Small fibroids ikhoza kukhala yokwanira. Komabe, ndi kukula mkati mwa chiberekero cha uterine, fibromyoma imachulukitsa dera la endometrium (mucous membrane ya chiberekero) yomwe imafalikira pa nthawi ya kusamba. Izi zimapangitsa kuti magazi azipita kumsana, zomwe zingakhalepo nthawi yaitali kuposa nthawi zonse. Kutayika kwakukulu kwa magazi kungayambitse magazi m'thupi, nthawizina kuli kovuta. Kusaganizira ndi mwina vuto lofala kwambiri la fibroids, lomwe nthawi zambiri limakhala ndi amayi opanda ana. Nthaŵi zina kukula kwa fibroids kumachokera ku chitukuko cha mitsempha ya magazi mmenemo. Pazochitikazi, zimakhala zopweteka chifukwa cha njira zowonongeka. Nthawi zina, kutentha kwa magazi ndi kuchepa kwa magazi kumatha kuwerengedwa. Kusintha koteroko kumakhala koyenera, monga mawonekedwe owerengedwa amasiya kukula ndipo samatuluka. Ngati chotupacho chimaumiriza kumtunda kwa chikhodzodzo, wodwalayo amakumana ndi zofuna zambiri kuti azisamba. Zikanakhala kuti fibromioma imawombera kachilomboka, pali mavuto ndi gawo lachitetezo, zomwe zimapangitsa kuti chidziwitso chikhale chonchi. Fibromiomas nthawi zonse imayamba kukula mu mimba yosanjikiza (intramuralia). Ndi malo ochepa kwambiri a minofu, fibroids imatha kukula mu uterine (submucous fibroids), kumene imakhala ndi endometrium, mutersa mucosa. Nthaŵi zina, mmalo mwa kukula kofala, fibromioma ili pa phesi, pomwe gawo lalikulu lalo likulowa mu chiberekero cha uterine.
Chikhalidwe cha kukula kwa zotupa
Kawirikawiri, fibromioma imakula mumtunda, womwe uli pamtunda wa chiberekero (subserous fibroids). Komabe, kawirikawiri kukula kwa chotupacho kumangokhala kucheka kwa minofu. Pamene chitukuko chozungulira ma fibroids chimapanga kapule wothandizira. Mankhwalawa amatha kukhala osakwatira, koma odwala ambiri amakhala ndi maulendo angapo. Chotupacho nthawi zambiri chimadziwika ndi kukula msanga, ndi chizoloŵezi chosiya nthawi ya kusamba (pambuyo poyambira, zikhoza kuchepa). Vuto loopsya kwambiri m'nthawiyi ndilokutuluka kwambiri. Njira ya chithandizo imadalira kukhalapo kwa zizindikiro komanso zaka za wodwalayo. Ngati zizindikiro sizilipo, ndipo kufufuza kwa ultrasound kumatulutsa imodzi kapena ziwiri zazing'ono zochepa, palibe chifukwa chochizira mankhwala. Komabe, wodwalayo ayenera kuyesedwa kachiwiri kayezi ultrasound mu miyezi ingapo. Kuzindikira kwa kuchepa kwa magazi kumachitika mwa kuyesera magazi. Kuchiza kwa magazi m'thupi kumapangitsa kuchepetsa dera la endometrium, komanso kubwezeretsa mlingo wa chitsulo m'thupi mothandizidwa ndi mapiritsi kapena jekeseni.
Chithandizo cha opaleshoni
Pofuna kuthetsa kukula kwa miyendo yapakati yomwe ikukula mkati mwa chiberekero cha uterine, diathermy ndi laser mankhwala pogwiritsa ntchito hysteroscope amagwiritsidwa ntchito. Minofu ya fibroids ndi yokhayokha, chifukwa chomwe chotupacho chimakhala patapita miyezi ingapo. Kuwonekera kwa fibroids komwe kuli kunja kwa chiberekero, laparoscopy imagwiritsidwa ntchito. Mothandizidwa ndi laparoscope, n'zothekanso kuchotsa chotupacho, makamaka ngati chikukula muzitsulo. Njira yakale ya myomectomy (kuchotsedwa kwa fibromioma) m'mitsempha yotsegula m'mimba imagwiritsidwabe ntchito ndi amayi ambiri a zazimayi chifukwa cha zotupa zazikulu. Kusokoneza ubongo - kuchotsedwa kwa chiberekero chonse - kumagwiritsidwa ntchito kwa amayi omwe safunanso kukhala ndi ana ndipo akutha msinkhu.
Thandizo la mahomoni
Kukula kwa fibroids kungachepetsedwe ndi mankhwala a mahomoni. Mwachitsanzo, mwachitsanzo, kukonzekera komwe kumagwiritsidwa ntchito monga goserelin, yomwe imakhudza vutoli ndipo imalepheretsa kutulutsa timadzi timene timagwiritsa ntchito. Izi mankhwala, kuwonjezera, amachepetsa makulidwe a mucous nembanemba wa chiberekero. Amapatsidwa ngati jekeseni mu khoma la m'mimba masiku khumi ndi atatu (28) kwa miyezi itatu isanayambe kugwira ntchito. Azimayi pokhala pa nthawi yopuma, omwe amavutika ndi fibromyoma, amawerengedwa ndi mankhwala otchedwa hormone m'malo mwake, chifukwa ma estrojeni omwe akugwiritsidwa ntchito amathandizira kuti ayambe kukula.