Iko myoma yakakura sei?
Zvinofanira kuonekwa kuti zvishoma zvishoma zveeoplasm zvinowanzodikanwa chete kutarisirwa kwechiremba, kurapa kwezvinodhaka uye kuongorora kwehuwandu hwezvidzidzo mune simba.
Kana uchitarisa chirwere, kutanga kune zvose, teerera hukuru hwe fibroids. Inowanzo kuverenga mumami uye kuenzanisa ukuru hwechirongwa pachako, icho chakawedzera nechirwere chacho, pamwe nenguva yekuzvitakura. Ndicho chikonzero nei kazhinji mukadzi ari kutariswa ne-ultrasound kuongororwa anobva kuna chiremba: "mavhiki masere", "masvondo masvondo mashanu".
Zvichienderana nehukuru hwekodhi, inowanzosiyanisa:
- Minoma myoma - tumoramu yakakura haina kudarika 20 mm. Muchiitiko ichi, chibereko chinokwana mavhiki 4-5 ekudzivirira;
- muvhareji - kubva pa20 kusvika ku 60 mm. Nechiyero ichi chemari, taura nezve nguva yevhiki 5 kusvika ku11;
- guru fibroids - inopfuura 60 mm, kana masvondo 12 kana kupfuura.
Zvakakosha kuziva kuti kunyange nehukuru hwedzidzo, vakadzi havasi nguva dzose vanoziva nezvekuvapo kwomuviri. Kazhinji inowanika munguva yekudzivirira kudzivirira uye ultrasound.
Zvisinei, mumatambudziko akawanda, vakadzi vane chirwere chakafanana vane kuwedzera kwenguva uye kuwedzera kwekuenda kumwedzi, iyo, zvakare, inosangana nekunzwa kunorwadza. Nekukura kukuru kwe fibroids, kune kuwedzera kwehuwandu hwemuviri, asi huwandu hwehuviri hwemuviri hunoramba husingachinji. Ikoko kunogonawo kuva nekuvhiringidza kushanda kwezvikamu zviri pedyo nezvirongwa. Izvi zvinopa manzwiro ekumanikidza mumimba pasi. Kazhinji kune kuwedzerwa kwehuwandu hwekudzora, zvakafanana nekuitika kwaanoita mwana paanozvarwa.
Myoma inobatwa sei?
Kune maitiro maviri akasiyana-siyana akasiyana-siyana ekurapa chirwere ichi: chengetedza uye chinotyisa. Muchiitiko chekutanga, chirwere chacho chinorapwa nemishonga, mune yechipiri - kushanda kunoitwa.
Vakadzi vakawanda, vanotya kurapwa, vanofarira: paiyasi yei uterine fibroids inoshanda sei. Iko kunofanira kutaurwa kuti kuwedzera kuhukuru kune zvimwe zviratidzo zvekupindira kwokuvhiya:
- mukana wekutsvaga kwekudzidziswa muitiro wakaipa;
- kuronga kwekuita pamuviri munguva pfupi iri mberi;
- akadanidzirwa kurwadziwa;
- Kuvapo kwehupenyu hwekushaya ropa muhutano hwekudzivirira ropa;
- kukanganisa kwekugadzirisa;
- kuvapo kwe nodes.
Kana tichitaura zvakananga pamusoro pehukuru hwehutachiwana hwemaoma, zvino kuitira kuti uite basa racho inofanira kunge inenge inenge 40-50 mu mm. Kana zviri zviyero zvinogamuchirwa zve uterine fibroids zvinowanikwa pamutsipa, hukuru hwayo hahufaniri kudarika mavhiki gumi nemaviri.
Ndeipi ngozi yeukuru uterine fibroids uye chii chingaita nekuputsa kwakadaro?
Muzviitiko zvakawanda, vakadzi vane chironda chediki vanoonekwa vanonoka kuvhiyiwa. Panguva imwe chete, tariro yavo yakabatana neicho chokuti hormonal therapy ichagadzirisa dambudziko racho. Zvisinei, izvi zvinogoneka chete pazvikamu zvekutanga zvechirwere. Uyezve, vanachiremba vanowanzotaurira kuti kana hormone therapy inopera, hukuru hwemaoma hahuwedzeri, asi kana kugamuchirwa kwapera, dzidzo inokura.
Kutaura nezvemigumisiro yechirwere, zvinokosha kutumidza:
- njodzi yakawanda yekuputika kwepvo;
- kuwedzerwa kwechiremera chekubata muviri kune chinorwadza;
- kuwedzera kukura nekudzikisa nhengo;
- kusabereka.
Ne uterine myoma kukuru-kupindira ne laparoscopy hazvibviri. Kuvhiya kunoitwa kuburikidza nemadziro emimba. Zvakakoshawo kuziva kuti kurapa kweutterine fibroids muhukuru hwakakura pasina kushanda kunenge kusingaiti.
Vakadzi avo vakashandisa nguva yakakwana yekubatsira vanowanzoda kufarira mubvunzo wehukuru hwe fibroid umo chibereko chinobviswa. Kazhinji, chirwere chakafanana chinoitwa apo chikamu ichi chinoshandisa nzvimbo yose yetroperitoneal uye inosundira nhengo dzomukati kusvika kune imwe nguva kuti mune dzimwe nguva zvinowanzoomera kuti mukadzi afema.