Myoma submucous: iyo huru zviratidzo uye tsanangudzo. Treatment Scheme uye Migumisiro

Myoma yechibereko - chirwere chinowanzoitika uye chinotyisa kuvakadzi, chinoratidzika nechitarisiko chebenign neoplasm. Kune marudzi akasiyana-siyana ezvinyorwa zvinokanganisa, imwe yaro inonyanyisa myoma, inogona kukura nekukura.

Ichi chirwere chirwere chinorwara chinoputika kunze kwechibereko, chakaumbwa kubva mumasumbu ayo. Ikoko kunogona kunge kune ma fibroids akawanda, ayo anowanikwa nendima dzinoverengeka kamwechete, uye anowanikwa pakarepo munzvimbo dzakawanda.

Zviratidzo zvekunyora uterine myoma

Inomusa myoma - ine bhondi neoplasm, inoumbwa mu submucosal layer ye chibereko. Ihwo hunoshamisa hwechirwere ichi ndechekuti nhubu dzomukati hadziwedzereri mumumvuri wechibereko, asi kumakumbo emimba.

Yakave yakaratidza kuti zvipfeko zvakadaro zvinokura zvakakurumidza kudarika mamwe marudzi ose emaronda, uye vane chirevo chechirevo chechiratidzo. Zvichienderana nezvakanyatsozivikanwa kuti node inoshandiswa sei, inogona kukonzera kushungurudzika kumwe, nokuti inomanikidza pane dzimwe nhengo dzinowanikwa.

Kana iyo nhamba dzomukati dzikawanda , dzinodzvinyirira hutachiva uye hutumbu, hunoonekwa mumatambudziko nekugunzva nekudzivirira. Mukuwedzera, neoplasm yakadaro inogona kutungamirira kumubhedha wakafa kana kumutsa kusununguka kwepamuviri.

Zvinokonzerwa nekuumbwa kwemaoma myoma

Kusvika iye zvino, vanachiremba havagoni kunyatsotaura nezvezvikonzero zvipi zvinosanganisira myoma, asi pane zvimwe zvinhu zvinokonzera kuumbwa kwehutachiona, kunyanya zvakadai se:

• Kushandurwa muhutori hwemashure;
• Kuramba uchinetseka;
• Basa rechiito;
• Kuneta;
• Kugamuchirwa kwekudzivirira kubata pamuviri;
• Kusabata pamuviri nekuberekwa kusvikira makore makumi matatu;
• Hereditary factor;
• Kuramba kubvisa pamuviri;
• Zvirwere zvinoputika zvejenital area.

Chikonzero chikuru chekuumbwa kwemashoko akasiyana-siyana anogona kungogadziriswa nachiremba. Zvakakosha kuziva kuti chii chakakonzera chirwere, sezvo izvi zvicharambidza kuitika kwayo munguva yemberi.

Zviratidzo zvikuru zvechirwere

Myoma submucose chirwere chinotyisa zvikuru, sezvo muzvikamu zvekutanga hazvizviratidzi zvachose. Nodes dzinowedzera nokukurumidza muhukuru, saka zviratidzo zvinyatsojeka. Kunyanya, pane zviratidzo zvakadai se:

• Kuenda kumwedzi kwenguva refu uye kunowedzera;
• Zvinorwadza zvinorwadza mudumbu rezasi;
• Kuvapo kwemafupa eropa munguva yekuenda kumwedzi;
• Uterine yakanyanya kubuda ropa;
• Bloating;
• Wedzera mukushisa;
• Kushaya simba uye malaise;
• Infertility.

Mune zvimwe zviitiko, myoma inotyisa haina kuzviratidza pachedu, kunyanya mumatanho ekutanga. Nekubudirira kwehutachiona, zviratidzo zvinotanga kukura zvakanyanya. Zvakakosha kuitisa kuongororwa munguva yekuona kusangana kwehutachiona, sezvo izvi zvinoita kuti kurapwa kwakakurumidza uye kupora.

Kuongororwa kwechirwere

Myoma nekukura kwechimiro inowanikwa nehutano hwegynecological uchishandisa nzira ye palpation. Muchiitiko ichi, chiremba anokwanisa kuona chinyorwa chinokanganisa chemaitiro akaoma.

Kuongororwa kunosimbiswa paunoita kuongorora nekubatsirwa kwezvionioni, sezvaunogona kuona kusimbiswa kwemavara akachena nekatumidzwa vascular pattern. Chibereko chacho chinogona kusvika pakukura kwakakura, nzvimbo yacho inova tuberous, node dzine dense, uye kana kupararira kuchivhiringidzika, zvinorwadza.

Kuti zvive zvakanyatsoongororwa, X-ray inoitwa, sezvo mufananidzo unoratidza kuwedzera kana kuputika kwemumvuri wemarara. Nhamba dzemaodzanyemba mumufananidzo dzinotsanangurwa sechiremera chisina kujeka nemitambo yakaoneka yakajeka.

Imwe yenzira dzinoshandiswa pakudzidza dzinonyatsobatsira kuziva kana kune imwe nzvimbo inobatsira-mymousous myoma inyanzvi. Kuziva kushandiswa kweiyo nzira yakakwirira, sezvo zvitsva uye zvekare zvishandise uye zvigadzirwa zvemazuva zvino zvakaonekwa. Ultrasonic scanning inoita kuti zvibvirire kuona nheyo dzomumakumbo, kunyange kana dzine zvishoma.

Kujekesa kuongororwa, inonzi ultrasound tomogram inoitwa, sezvo zvichikwanisika kuwana katatu-dimensional ultrasound image. Iyi inzira inonyatsodzidzisa, sezvo inotibvumira kunyatsotarisisa kuenderera mberi kwehutano hwekutenda uye kurondedzera kana kune chinogadzirisa chirwere chepfungwa.

Kurapa kwe fibroids

Iyo myoma inobatsira yakanga yakambotapwa chete neyo nzira yekushanda. Muchiziviso chechidimbu chinotyisa, chete kubviswa kwechibereko kwaiitwa kare, mushure mokunge mukadzi wacho aisagona kubereka mwana.

Zvisinei, ikozvino zvinokwanisika kuitisa kurapwa nenzira yekuchengetedza. Pakutanga kwekutanga, bundu racho rine zviduku zvishoma, asi rudzi urwu rwekukura huri kukura zvikuru, ndicho chikonzero chakakosha zvikuru kuziva kuti ichakurumidza kukura sei panguva yekuongorora.

Chirwere chacho chinonyanya kushandiswa pakurapa nemishonga, asi hormone-ine zvinodhaka zvinogona kuita kuti irege kusimbiswa. Kushandiswa kwemishonga inokonzera mishonga inogona kupa mukati momukadzi muviri wakadaro semarimoni, iyo inofananidzwa nenguva yekuenda kumwedzi.

Kana murwere aine myoma inobatsira, kurapwa nemishonga yemishonga inogadzirisa zvinogona kuunza zvinodiwa kana murwere ane makore anopfuura makumi mana uye ava pedo nekuguma kwemwedzi. Nekubudirira kurapwa, kune uwandu hwakakosha hwokuti myoma inotanga kuderera muhukuru uye pakupedzisira inonyangarika zvachose.

Varwere vakawanda vanosarudza kuita chirwere nemubatsiro wehutano hwevanhu, asi pakutanga zvakakosha kubvunzurudza chiremba, sezvo kusarudzwa kusina kusarudzwa kwechirwere kunogona kukuvadza zvakanyanya mamiriro ehutano uye kukonzera matambudziko.

Mishonga

Kana murwere ane fibroids, nhamba ye submucosal yakareba kupfuura masentimita mashanu, haapi kuvhiyiwa, sezvo zvinetso zvakasiyana-siyana zvinogona kuitika.

Mumamiriro ezvinhu akadaro, kurapwa kwemishonga kunoitwa uye murwere anorayirwa mishonga, somuenzaniso, "Zoladex" kana kuti "Decapeptil-Depot", iyo inobvumira kugadzira hutano hwakanaka hwehutoni. Muchiitiko ichi, uwandu hweeestrogens hwakanyanya kuderedzwa, izvo zvinoita kuti kuderedzwa kwe fibroid muhukuru.

Mukuwedzera, murwere angave akarayirwa zvinodhaka zvinodhaka izvo zvinoshandiswa zvakanyanyisa kana zvisingatauriki. Mune zvimwe zviitiko, kana nodhi dzichiri duku, kurapwa kwehomoni-kuporesa kunoratidzwa.

Vakadzi vemakore ekuberekwa vane zvirwere zvakakomba vanorayirwa mushonga we "Esmia." Zvisinei, ine zvimwe zvinopesana, zvinoreva:

• Kubata uye nguva yekuyamwisa;
• Asthma;
• Zvirwere zveAcological;
• Vaginal kubuda ropa.

Ichi chemishonga hachibvumirwi kushandiswa kwenguva yakareba, sezvo inogona kukuvadza zvinetso zvakakomba.

Operative intervention

Kana iyo uterine fibroids yakakura kwazvo, basa racho rinomanikidzwa, sezvo rinogona kuva dambudziko guru muupenyu. Myoma inogona kubviswa ne laparoscopy kana hysteroscopy. Laparoscopy inoitwa kuburikidza nekamberi kworusvingo rwemuviri wepamu, uye hysteroscopy - kuburikidza neuterine cavity.

Kana nzira idzi dzisingauyi zvinodiwa kana kuti pane zviratidzo, saka kubviswa zvachose kwechibereko. Myoma inogona kuva nemigumisiro yakakomba, saka zvakakosha kuitisa murwere nekuongororwa nekukurumidza nokukurumidza.

Zviratidzo zve hysteroresectoscopy

Nzira ye hysteroresectoscopy inofungidzirwa kuti ndiyo imwe yenzira dzakanyanyisa dzekupindira kwekuvhiya uye inoitwa kuchengetedza basa rekubereka, sezvo izvi zvakakosha pakugadzirira kwekuzvarwa kwemwana.

Paunenge uchiita upiyona muuterine cavity under general anesthesia, an electrocoagulator ane kambani inokosha inowanikwa. Ipapo, uterine cavity inoongororwa uye ukuru hwema node inogadziriswa uye yabviswa, asi chibereko hachibatsiri.

Kupindira kwakadaro kunopihwa kuburikidza nemukadzi uye chirwere chechibereki. Nokuda kwekuiswa kwezviridzwa, chirwere chechibereki chinowedzera zvishoma. Nguva yekuvhiya haisi maminitsi makumi matanhatu. Kana nenzira iyi iyo myoma inobviswa inobviswa, mhinduro dzevarwere ndeyoyo chete inofadza, iyo inonyanya kukosha kune varwere vachironga kuberekwa.

Kutakura ma mechanical myomectomy

Nhamba dzemaodzanyemba dzemazinga akakura zvakasunungurwa dzinogadziriswa. Pakutanga, node yacho inoshandiswa kushandisa zvishandiso zvakakosha, uye zvishoma nezvishoma pasi pekutonga kwe hysteroscope.

Capsules inogona kuparadzaniswa kushandiswa kwekodzero yakasarudzwa uye kubviswa kwekodhi. Kubviswa kwemaoma anonzi mymectous by my mechanical myomectomy ine zvakanakira, iyo:

• Short duration;
• Hapana chikonzero chekushandisa zvimwe zvinoshandiswa;
• Hapana matambudziko.

Mushure mokupindira kwebasa, nguva yekudzosa haitore nguva yakawanda. Mukuwedzera, hapana chakaipa kune nhengo huru, pamwe nekuwedzerwa kwemidziyo yeropa.

Zvikamu zve electrosurgical myomectomy

Electrosurgical myomectomy inoitwa kana node iri mu 1 st kana 2 nd step. Mukuwedzera, nenzira iyi, kubviswa kwemasvositi ari mumakona emuberechi ari kuitwa, izvo zvisingagoni kubviswa mune imwe nzira.

Kushanda kupindira kunogona kuitwa mune imwe kana zvikamu zvakasiyana, zvose zvinoenderana nemamiriro ewebsite. Apo uterine uterine fibroids iri panzvimbo yakakwirira, kuongororwa kweiyo nzira yekurapa kwakanaka chaizvo.

Mimwe nzira dzokugadzirira kupindira

Mimwe nzira dzekupindira kwekuvhiya dzinogona kuitwawo mumatanho akasiyana-siyana emaoma. Kana pasina chekudzivirira nzira dzokuvhiya inobereka chibereko chaidiwa kana kana pane zvimwe zviratidzo, ipapo chibereko chinobviswa zvachose pamwechete nemukati.

Pakubviswa zvakakwana, zvepabonde, mumimba, uyewo mararamiro eparoscopic anoshandiswa.

Submucous fibroids sechikonzero chekushaya vana

Myoma yechibereko chinonzi breatin tumor. Pakati pezvinhu zvose zvinokonzerwa nehutachiona hwevanhu, zvinowanzoita zvechipiri muhuwandu hwezvakaitika. Panogona kuva nemhando dzakasiyana-siyana dzechirwere ichi, icho chinopesana kubva kune mumwe mimwe munzvimbo yepamusoro yenharaunda. Kunyanya, zvinotevera zvipenyu zvakasiyana:

• Submucous;
• Intermuscular;
• Subserous.

Nechemousous myoma nodhi dzinogona kunge dziri pane imwe nheyo yakawanda kana paine tsvuku shoma. Izvi zvinomisa chimwe chinyorwa pane zvose zvechirwere chechirwere chechirwere chacho. Ichi ndicho chinetso chakakomba uye chinotyisa, chinokonzera kutyisa kwakanyanya kuhutano uye hupenyu hwomurwere uye kunotungamirira mukushaya simba.

Zvinonyanya kukonzera kuberekwa

Nhamba dzinoshandiswa neuterine myoma dzinotungamirira kukusava nechikonzero chezvikonzero zvakawanda. Kune zvikonzero zvakadaro zvinokwanisika kutakura:

• Mechanical factor, sezvo kune matambudziko nekuiswa kweii rinogadzirwa;
• Hormonal disorders, iyo inotungamirira kumatambudziko nechirwere;
• Kuvharwa kwekuvhura kwe fallopian tubes, iyo inonyanya kusimbisa nzira yekufamba kweii panzvimbo yayo yekuisa nzvimbo;
• Pane njodzi yekugadzira ectopic pamuviri;
• Kuwedzerwa kwemuitiro wekupedzisira kwemagetsi;
• Kusagadzikana kunokonzera kusagadzikana, kunokanganisa kushandiswa kwemaitiro.

Mukuwedzera, chirwere ichi chinogona kukonzera kusakanganisika nekuda kwesimba rekuberekwa, nhengo dzomukati, uye mamwe mahomoni anopesana nekutakura kwekuberekwa kwomwana.

Nokudaro, uterine myoma inonyora zvakadzama pamabasa ekuberekwa kwekuberekwa. Ndokusaka zvakakosha kutanga utachiona hwechirwere nekukurumidza.