Myoma yechipupuriro chirwere chemuviri wevakadzi, yakaratidzwa nechitarisiko mu muscular uterine yakakosha ye tumorine inorwara. Izvo zvinonzi zviratidzo zve fibroids zvinopa ropa, nguva refu uye inopedza mwedzi, kutora marwadzo, kugara uchidzoka, kuvhiringidzika uye mune dzimwe nguva kusagadzikana. Chirwere ichi chinowanikwa ne ultrasound. Kurapa kunoenderana nezera remurwere, pamwe nekukura kwemaoma. Kana mukadzi akaronga kuva nevana mune ramangwana, zvinodhaka zvinodhaka zvinoshandiswa. Nokuda kwemasimba makuru e-fibroids, kubviswa kushandiswa kwechirwere, kureva, myomectomy, kana kubviswa kwechiberekero pachako, zvinokurudzirwa - hysterectomy.
Hazvibviri kutaura chaizvoizvo zvinokonzera uye kukura kweuterine fibroids vanachiremba havakwanise. Sezvo mutemo, myoma inokura zvishoma nezvishoma: pane imwe chikonzero imwe sero inotanga kuparadzanisa, ichiita musuru mutsara masero ekuumba node. Zvichienderana nenzvimbo yavo, myoma is sub-serous , submucous , cervical kana intraligamentary. Kana zvikonzero zvinokonzera uterine fibroids hazvisi pachena, migumisiro inogona kutungamirira kukuti chibereko chinowedzera zvishoma nezvishoma sekuita pamuviri wakakwana. Ndosaka zviyero zvaro zvinoratidzwa mumavhiki.
Nei uterine myoma ichionekwa?
Iko kukura kwehomoni-inotarisa tumarara inobatwa neprogesterone uye estrogens. Pane zviitiko zvakawanda zvinotsanangura chikonzero nei uterine myoma inowoneka. Saka, pakati pezvikonzero zvepfungwa zvinokonzera myoma kugadzirisa, kune nguva refu uye yakasimba, kushungurudza, basa rakaoma mupfungwa uye mumuviri. Uyewo, myoma inogona kutsamwiswa nekutyora kwekubudisa mahomoni, kana pane zvirwere zvekuvhara, zvirwere zvisingaperi zvinopararira, zvirwere zvezvipembenene zve endocrine, kuputsa kwemafuta metabolism, uye hutano. Kana iyo myoma yatove yakasikwa, kukura kwayo kunobatwa nekubvisa pamuviri, kuramba kwekuyamwisa, kusavapo kwevana vasati vava nemakore makumi matatu, zvirwere zvinopisa zvisingagumi zvepabonde revakadzi, pamwe nekuwedzerwa kwenguva refu kwemuviri pamwe chete nekudzivirira zuva.
Nzira yekurapa myoma?
Kana tikatarisa nzira dzinogadzirisa, ipapo kurapwa kwe fibroids kunogoneka chete kana chironda chacho chiri chiduku (kusvika kumavhiki gumi nemaviri), chinokura zvishoma uye chiri pasi pehutachiona hwemukati kana mukati mutsvuku. Vanachiremba vanoratidzira zviratidzo zvechiratidzo, zvinosanganiswa nekudyiwa kwemishonga yemadhoni. Izvi zvinosanganisira goserelin, buserelin, zoladex, triptorelin, gestrinone.
Kukura kukuru kwe fibroids (mavhiki anopfuura gumi nemaviri), kukurumidza kukurumidza kwechirwere uye zviratidzo zvakaratidzwa zviratidzo zvakananga zvekupindira kwekuvhiya. Nzira inonyanya kushandiswa ndiyo kushandiswa kwe laparoscopic myomectomy, kureva, kubviswa kwechirwere nemidziyo inowanikwa kuburikidza nezvakaitwa mumakumbo epamuviri. Mushure mokurega kuvhiyiwa mukadzi uyu anokurumidza kudzorerwa, uye iye
Inoma inonzi myoma inoda hysteroscopic myomectomy, kureva kuti, kubviswa zvakakwana kwechibereko nechirongwa chakakosha-hysteroscope inowanikwa kuburikidza nemukadzi. Zvinonzwisisika, mushure mekutsanangurwa kushandiswa kwave kutokwanisika kuva nevana. Iyo inorwadza zvikuru, asi inoshanda, nzira inogadzirisa uterine arteri, umo mune chinhu chakakosha chinoshandiswa, zvichimisa kubuda kweropa. Myoma anoramba achikura uye pakupedzisira anofa.
Panewo nzira yekubatsira kweFUS, iyo yakakodzera kune vakadzi vasingadi kuva nevana mune ramangwana. Inobva pakushandiswa kwema ultrasonic yakaisa mazaya, izvo zvinoderedza hukuru hwe node dze myoma.