Myoma yechipupuriro pakuenda kumwedzi: zviratidzo uye kurapa. Nzira dzokurapa uterine myomas

To musi, fibroids kuitika vakadzi pakati makore makumi maviri uye mashanu navashanu. Kuyerwa bundu zvisimbiso dzinosiyana pane millimeters shoma kune makumi masendimita (vanachiremba yakanyorwa nyaya vasabatwa fibroids Ukuru vise). Most kazhinji chirwere rinowanikwa mune vakadzi kuswedera kubereka (chikonzero chiri hormone kukundikana). dzimwe nguva pashure kubereka ari kuchengetwa rutapudzo uye kunyangarika benign bundu. Asi chii kana paiva uterine fibroid ari kubereka? Zviratidzo uye pakurapa chirwere inokurukurwa pazasi.

General zvechadenga chirwere

Uterine fibroids anogona kupiwa somunhu benign bundu, iri tsandanyama, connective zvinyama zviri dumbu. Zvinoita sechisimbiso Semi-tenderera kana kumativi myoma raiva pedyo nebundu. The chirwere chinogona kuitika pasina marwadzo zviratidzo kana bundu iri diki. Kana nodes anoverengeka aumbwa, anowedzera kukura uterine fibroids, zvingaita sokuti maitiro zviratidzo (marwadzo, ropa).

Maererano nzvimbo benign anomera pakubhadhara zvina:

• subserous;
• seinäkartta;
• submucous;
• intraligamentarnaya.

In yokutanga nyaya fibroids yakaumbwa pasi tsandanyama rinenge kunze dumbu. It Anonziwo subperitoneal. Kusimukira, inokura munzvimbo pelvic mhango. Nokuda kuitika vomanikidza akakodzera zviremera. Zvadaro, unogona kuona marwadzo. The mhando chechipiri bundu inonzi intermuscular myoma raiva pedyo nebundu hwapedyo mukati tsandanyama rinenge riri dumbu, nekuti icho mudumbu inowedzerwa. Chechitatu mhando fibroids kuva pasi lining ari dumbu, nekuti bundu ichi anonzi submucosa. Mukupera Kana tiri kutaura pamusoro nezve benign nebundu pakati nemarunda.

chirwere ichi (uterine fibroids) achiri asina kudzidza navanachiremba. Zvinofungirwa kuti ayo zvikonzero zviri hormone disruptions, nemagene zvirwere, nomumwe Kupindura kukuvara rinenge (kubvisa pamuviri, kuvhiya), dzokubereka zvirwere, mangwanani kumwedzi (pasi gumi years), doro, kwemashifiti dzepabonde, masero okutodza, kwezvakatipoteredza ezvinhu.

Myoma uye uterine kenza

Vakadzi vazhinji vanodzidza kuti vane benign bundu, kutya pakarepo, nokuti kutya rufu. Zvisinei, paumbwe fibroids haisi akaipa bundu kenza. kenza Uterine, mumwe sarcoma - hadzi yakasiyana zvachose zvirwere. Gynecology, sezvo sayenzi inoratidza zvinotevera zvinokonzera kuti pave chimiro masero kenza:

• kusvuta;
• chirwere cheshuga;
• HIV;
• kumwedzi zvirwere;
• kuvapo papillomavirus kwevanhu;
• pabonde;
• kushaya mbereko;
• kunonoka kubereka;
• ambotaurwa zvizvarwa
• pabonde;
• shandisa nomumukanwa pamuviri;
• kufutisa;
• zvirwere dzevakadzi.

Gynecology achiri haitauri chaiyo zvinokonzera kenza dumbu, uyewo myomas. Sezvaunogona kuona kubva pasi kumusoro, panewo zvakawanda zvakafanana zvikonzero kwaita myoma nodes, yaingoda kunyatsodzidza pamwe Analyses, Ultrasound Diagnostics, biopsy.

The pakuonekwa gomarara, uyewo fibroids, maererano wokutanga kumwedzi hadzina kufambiswa zvakanaka. Kureva kusvibisa muri Kurohwa runobva, zvino chiregai, uye pashure imwe nguva ngapaonekwe rukuru, refu. Chimwe chiratidzo kurwadziwa yokuvamba panguva kana pashure zvepabonde, anokakavara kusagadzikana mune groin, tikarega shure. Woman nokukurumidza anorasikirwa uremu anoneta nokukurumidza,.

Uterine fibroids panguva kubereka: Zviratidzo uye kurapwa

Panguva kutanga pavaipfuura chirwere, pamwe kukura duku zviratidzo benign anomera hazvigoneki. Kuvapo fibroids akatsunga panguva dzose gynecological kuzviongorora. Kana pane chokwadi, zvinoita chinodiwa kuti tiwane ruzivo rwomene pamusoro nzvimbo fibroids, mumwe mukadzi akatumira yokuongororwa Ultrasound hysterosalpingography. Very kashoma kushandisa kusimbisa chirwere computed kana rinobva resonance tomography.

Kana maperembudzi atanga, zviratidzo fibroids dzinosanganisira:

• zvakakomba, mazhinji svota;
• vachirwadziwa marwadzo mudumbu;
• Kunzwa vomanikidza pelvic zvomukati;
• zvinorwadza kuita weti kakawanda;
• kupatira;
• marwadzo panguva bowel kufamba yakafanira kufurirwa pamusoro muura.

Kakawanda fibroids vari kubatwa kushanda kana kuchinja nzira, ndiko kuti, nokutora mushonga kukura fibroids vari kuderedzwa, ruduku zvisimbiso nyunguduka. The oparesheni rinoitwa chete paumbwe pfupi guru benign bundu sezvinobvira mukana leiomyosarcoma.

Types miomektomii pakurapa fibroids

Inonyatsobudirira kuvhiya dambudziko uterine fibroids. Miomektomiya - ndiro kuvhiya kubviswa munhu benign nebundu pamwe Kuchengetedzwa munhukadzi zvomukati. Kune zvitatu marudzi miomektomii:

• abdominal;
• laparoscopic;
• hysteroscopic;

Muchiitiko chokutanga kubviswa fibroids kunoitika pamwe uterine kuchengetedza, asi kana nhamba yavo haisi anopfuura mana. Abdominal miomektomiya anoitwa pasi zvavo yokutindivadza. Munzvimbo yacho bhikini incision, bundu chinobviswa, zvino rave sutured mumwe rukoko. The ngozi nzira iyi iri nezvokupindira dzimwe nhengo, utachiona, ropa, panowanikwa adhesions, mukana mbereko.

Kusarudza wechipiri chokubvisa subserous uye intramural nodes. Pamberi oparesheni iri basa yokurapa kosi zvainanga kuderedza hukuru pamusoro nodes. Next akabayiwa guvhu kana peritoneum, aine kamera uye pakuvhiya vanobviswa nodes. Tichienzanisa nzira iyi mhando miomektomii yakawanda nyarara rokutanga. Asi panewo njodzi kukuvara pedyo nhengo dzomukati, tsinga, paumbwe hematomas, chirwere, chimiro hernias.

Third pachake miomektomii nokuda namamota iri endometrium tishu. The oparesheni anotora nzvimbo pasi zvavo kana musana yokutindivadza unnotched. Rezetoskop akasuma kuburikidza nepanhengo kupinda dumbu, bundu chinobviswa. Kunakisa nzira iri shoma kurasikirwa neropa, zvizorwa zvazviri, zvinoita kuti atakure uye kubereka vana. The ngozi anogona kuva chirwere, vascular kukuvara, kutsva, kudzokorora oparesheni. Asi vazhinji zviratidzo fibroids pashure Kuvhiya kwakadaro hariwaniki.

Chibereko senzira kubvisa dumbu

Gisterektopiya - kuvhiyiwa kubvisa bundu pamwe dumbu. Rinogonawo kuitwa dzakasiyana: laparoscopically, kuburikidza nepanhengo kana yakazaruka. Nzira mbiri dzokutanga dziri pedyo zvizorwa nomugumisiro dzinoratidzwa kureva haazovi incision pamusoro muviri. Asi kusarudza norudzi kuvhiyiwa kunobva mukadzi zera, kwokuomerwa chirwere.

Zvinowanzoshandiswa zvishoma invasive uterine kuvhiyiwa. Kureva, mune imwe tsinga kuti mafuta bundu jekiseni microparticles, nokuda iyo masikirwo iri wakagumiswa leiomyomata, uye nokudaro bundu kukura rinomira.

Panguva pamuviri, zvimwe zvirwere anogumbura, nzvimbo bundu pamutsipa, pamberi submucous raiva pedyo nebundu iri nhete nedzinde contraindicated kuti kuvhiyiwa ichi (uterine fibroids). Migumisiro vari runoratidzwa kumwedzi zvinetso, amenorrhea, yokuzviparadzanisa kubva decomposing tishu bundu. The yakanakisisa kuita - kuona chiremba uye kubata fibroids mukutanga zvokukura kukura. Zvadaro vave nzira hormone zvinodhaka kudzivisa kugadzirwa estrogen, ndokusaka fibroids vari kuderedzwa ukuru.

How kurapa bundu pasina pakuvhiya?

Kakawanda, vanachiremba havana kubata fibroids diki, uye chete anoiona dzikure. Izvi zvinoshanda kuvakadzi vane uterine fibroids akaonekwa kubereka. Zviratidzo uye kurapwa achava siyanei. Chokutanga, murwere akatumirwa kuti biopsy atonge kunze chidzoke nemasero kenza. Chechipiri, marapirwo achava yakaoma, zvainanga imwe myoma uye Migumisiro yakaipa kubereka. Chechitatu, kemikari kurapa ichange iine mamwe mahormone (hapana inonzi estrogen).

Tikaitira fibroids zvinodhaka zvinogoneka kana:

• leiomyomata kukura zvishoma pane masendimita maviri;
• intramural bundu mhando kana subserous;
• uterine saizi hazvirevi kusapfuudza parameters ane 12-vhiki pamuviri;
• No kutyorwa zvakakomba pakati zvekuchipatara mufananidzo;
• hapana chirwere pedyo nhengo;
• Slow compression yakaipa;
• hapana Kurwara kune mishonga.

Kana mukadzi akaswedera kubereka, fibroids uye hukuru zvidiki, unogona chete kuongorora kukura bundu. Sezvo kwayo kubudirira kunoenderana pamusoro hormone progesterone uye estrogen, uwandu iyo ipfupi pa kutanga kubereka. Zvisinei, kana mukadzi inoshandisa piritsi iri kutsviriridza, pane uchapupu mahormone, ivo fibroids pachamera.

Kakawanda, kemikari ARV ichiitwa somunhu pre-kushanda kosi kuderedza kukura fibroids. Zvadaro varayire zvinodhaka kemikari gonadotropin-kusunungura kemikari (aGRG), mifepristone. Havafaniri kutora mwedzi anopfuura matanhatu, sezvo pane osteoporosis nokuda kungoitira kushayikwa calcium. Zvisinei, dzakawanda zvinodhaka izvi kurapa fibroids hazvibviri, sezvo migumisiro pfupi-rokuti kemikari kurapa, kwapera nguva, kukura mberi nodes.

Zvinoita kurapa bundu zvavo mishonga?

Vakadzi Most Russian uderedze kuzvida, kana vane uterine fibroid ari kubereka. Zviratidzo uye kurapwa kudzidza paIndaneti. Somugumisiro, vamwe akarwawo yemakwenzi infusions, kumhanyira mumwe muroyi, somuzivi, dema nevachenjeri. Dzimwe avo mamwe nzira chete "kutora" nguva inokosha apo unogona kurapa fibroids pasina wokuvhiya pedyo anokwanisa nyanzvi.

Chii miriwo vanosarudzwa nokuda pakurapa fibroids? Maererano yakakurumbira Recipes, sarudza zvirimwa kuti kuporesa kubva benign mapundu kuburikidza zvichivhiringidza muchitokisi nokupesana. The Recipes anobudiswa kubva musanganiswa uturu kana nonpoisonous zvirimwa (Baikalian uye dzhungar wrestler mistletoe mavara hemlock, Marsh Potentilla, European lycopus, Chandra vulgaris, namo, kuti chipimo chemushonga lungwort, knotweed nevamwe). Most kakawanda tincture kuti madonhwe akawanda ingestion asiwo zvinodhaka muvhenganiswa yakagadzirirwa Kutarisirwa tampon kupinda nyinyo.

The kosi kunogara kwemwedzi inoverengeka. Zvisinei, kubudirira mari pachena kuti haina pamutemo nekusimba. Saka, regai kuita tsika, mushonga Homeopathic pasina zano nyanzvi, sezvo uterine fibroids panguva kubereka ane zvakafanana zviratidzo kuti kenza. Kunyange kana chiremba diagnoses ari benign bundu, apo nokuda kuzviranga zvingaparadzwa, ipapo tinofanira zvinomuomera kuikanganwa nodes pamwe miviri yevakadzi.

Chinhu bedzi chiremba anobvumirana ndiko sangano kudya zvinovaka muviri. Kana fibroids haagoni kudya wakawanda, Spicy ndiro, zvokudya rurefu zviri mafuta, remafuta akawandisa, makabhohaidhiretsi. Kana akaumba fibroids ari dumbu, zvakakodzera kushandisa mavhitaminzi (folic acid, B, E, C, D, simbi, karusiyamu). Zvatinofarira anopiwa kuti mbishi michero, miriwo, Buckwheat Porridge uye herculean, yogati, koteji chizi, mapuroteni zvigadzirwa, akabika nyama. In chirwere ichi vanofanira zvishoma pachena kuti zvakananga chezuva, kubvisa chafariz, mumuviri, muviri zvazviri kutsvaka nodes.

Kana mukadzi ane fibroids chitarisiko rinobatana kutanga kubereka, unofanira kutora mavhitaminzi panguva kubereka: E, C, E, B6, B1, B12, B9, Omega-3. Wokutanga vhitamini tocopherol chete akazoita Migumisiro yakaipa kubereka nokuita kuti masero gonadal ushande. Askorbinka kunosimbisa midziyo ropa, akazoita panowanikwa edema munyama. Vhitamini D apo karusiyamu yaunodya kunoita mafupa.

B mavhitaminzi dzinotsigira zvemwoyo, huta uye rokuzvidzivirira, nokuda chakaipa mamiriro mwoyo chii, kugumbuka nokupera. Vhitamini yakaoma boka Omega-3 unokubvumira Activate pfungwa basa, kurera kushanda, yokufudza hormone kukundikana, kubatsira kunyanya kufuta.

Idya zvokudya zvine mavhitaminzi izvi uye zvicherwa, kuitira kuti kugarwa zvakanaka mune kubereka, uyewo paumbwe fibroids. Musakanganwa kuti firimu, sezvo chiremba anogona mishonga hormone zvinodhaka kune mavhitaminzi uye mapiritsi ari kubereka.

Fibroids uye kubereka

Zvinofungidzirwa kuti fibroids kuitika vakadzi panguva pamuviri nguva. Izvi imhaka pamberi mahormone zvakakodzera kukura mudumbu panguva pamuviri, asi kukanganisa kukura anomera. Uyezve, kana mukadzi aiva zviitiko pamuviri, kupfupfudzika nezvimwe zvomusejari ezvinhu, mavanga pamusoro tsandanyama rinenge riri dumbu uyewo kungatowedzera panowanikwa fibroids.

At kubereka padanho inonzi estrogen ipfupi, uye masendimita nokuti muduku nokusunungura mapfundo maviri kunogona kuderedzwa ukuru. Dzimwe nguva zvinogona zvachose uterine fibroids (mhinduro vakadzi vane chishamiso mushonga havasi nesayenzi mhosva). Asi kana kushandisa zvinodhaka pamwe inonzi estrogen bundu womuchero mberi, asi nekuti hwakura. Saka pasinei kubereka inofanira kuchengetwa panguva gayinakorojisiti, Ultrasound Diagnostics nomunyika yose mwedzi mina iri ndichibvunza kukura fibroids.

Kazhinji, chimiro panowanikwa fibroids achiri vanachiremba harina kudzidza. Kana yapfuura zvakanzi vaidavira kuti pashure kubereka fibroids sevasingazivi, asi ikozvino kwevakadzi pakugadzirwa namamota zvichemo panguva kubereka. Zvino zvakafanira kuti va- Ultrasound kuona mamiriro kwezvisimbiso kukaonekwa. Sezvo zera kunowedzera mukana kenza masero uye fibroids zvingava nechokuita.

Bundu migumisiro kurapwa: Osteoporosis

Kuderedza kukura myomas wakakodzera zvinodhaka hormone. Kana mukadzi kutsviriridza, zvinogona kutora mapiritsi pamwe estrogen, nokuda iyo inowedzera uterine fibroids. How ngozi ndiyo chirwere ichi? Varapi pauri murwi mapiritsi pamwe mahormone dzakasiyana: vamwe vavo vari nechinangwa mukuderedza bundu size, vamwe vanotamburira nezvisingafadzi zviratidzo kubereka. kushandiswa mahormone izvi refu kunoita kuti vasanyanye calcium wevasungwa uye kukura osteoporosis. Kuti, pamusoro kwenguva, mapfupa arambe achirema ipfupi, kuwedzera ngozi mitswe kunyange zvishoma kuwa.

Izvi imhaka ane kusaenzana kuti kushanda mapfupa masero. Kuti unowanzovapo hunodzorwa osteoclasts, nokuderedza mapfupa masero, sezvo zvichienzaniswa osteoblasts, pfupa-achiparadza. In osteoporosis pakuenzanisa masero aya achapiwa incremented achiparadza masero. Chimwe chikonzero cheizvi ndechokuti kuderedza kusawirirana pabonde mahormone panguva kubereka, kana kutora mishonga kuti kuderedza uwandu inonzi estrogen pamwe fibroids.

Migumisiro osteoporosis akataurwa mitswe ari femoral pamutsipa, vertebrae. In vakadzi vakuru mitswe makumi mashanu kwakadaro kupodza, uye zvose nokuda chinokurwadzai chaizvo kwati mwiro-o kukura osteoporosis. Asi kakawanda mitswe aya asymptomatic kana vanomirirwa yakaderera musana marwadzo, asi pashure penguva yakati pane curvature ari shure, akaumba ano.

Uterine fibroids: chii chinonzi ngozi?

Fibroids, uyewo kubereka, achiperekedzwa kunonyengedza ropa, izvo zvinogona kukonzera kupererwa neropa yakafanira. In vakadzi ungaderedza erythrocyte count, Chizenga pamwero kunodzikira, pane kushayikwa okisijeni, simbi. Mukadzi vakachengeta muutera, kurukutika, ganda rakachenuruka, kupfupika mweya, dzungu, nomusoro, tachycardia, muromo yakaoma.

Kuwedzera kupererwa neropa guru uterine fibroids raiva pedyo nebundu nokuda taifanira pedyo nhengo vanogona kukanganisa mashandiro avo (semuenzaniso, muura, itsvo, ureter). Izvi zvinogona kukonzera zvirwere zvakadai hydroureter (mvura kuunganidza ari ureter), hydronephrosis (the chiwedzerwa ndiro uye renal chiuno nokuda kwazvo kuunganidza weti), pyelonephritis (itsvo kuzvimba).

Kana fibroids kunoitika panguva pamuviri, ayo Kuwedzera uye yakakura kukura zvinogona kukonzera zvinoguma nokupfupfudzika, svuura uye placenta previa. Asi vakawanda fibroids ari kusimudzira zvakakwana mudumbu haina kukanganiswa, kunyange zvazvo pamuviri mwana anogona yanonoka nguva.

uterine fibroids vane kubereka rinowanzoberekera nokuda ane kusaenzana kwezvinhu hormone, uye saka angaperekedzwa thrush. Kuvapo chirwere dai mutoro hutano mukadzi, asi nekuti unofanira kuona chiremba kuti misoro kurapwa.

Saka, iwe haufaniri kurasikirwa pagore gynecological kunoonekwa nachiremba kunyange pasina chero kugunun'una. Pashure richisvika-makore makumi matatu nemashanu mukadzi aifanira kuva gayinakorojisiti, endocrinologist, internist, vascular chiremba, yezvokudya, mammalogy, vanosangana Ultrasound pamusoro thyroid, chipfuva, peritoneum mhango uye chiuno diki. Uye kupa ropa kungopa pachisara nemakemikari omuviri, ongorora remuromo cytology, ECG, lipid profile.

Sezvo matanho vanofanira kutarisira kutapata dzavo, muviri, kwemakemikari anobudiswa hurongwa. Kumbira chiremba wako, kana zvichibvira, akarayira mavhitaminzi ari kubereka, kwete mahormone. Yeuka kuti kuvapo pamusoro zviratidzo chaizvo kuona nyanzvi, asi regai zvakananga kutsvaka vari fibroids dzavo. Enough kuti vakaongororwa panguva gayinakorojisiti kaviri pagore.