Gore roga roga, zviitiko zvekuona bhenign uterine matumbo zvinowedzera. Utume hwemhondi dzinonzi zvakasiyana, zvichienderana nokuti dzinokura (mune zvipi zviduku). Kune fibroids, fibroids, fibroids, leukemiomas.
Kana iwe uchitenda kuhuwandu hwezvokurapa, uterine fibroids inowanikwa mumukadzi wese wechishanu, ane makore ari makumi matatu kusvika makumi mana nemashanu. Sezvo mutemo, ava ndivo vakadzi vasiri nhengo. Mumapoka makumi mapfumbamwe nemashanu kubva kune zana, chironda chinowedzera mumuviri wechibereko uye mumatambudziko mashanu mumuviri wechibereko.
Chikonzero chikuru chekugadzirwa kwechirwere chetachiona chechibereko chekuberekwa ndekusava nehutano hwehutachiona hwemakondomu (kunoderera kweeestrogen). Kazhinji zvinowanzoitika panguva yekuenda kumwedzi. Izvo zvinofanira kuonekwa kuti tumorara inobata pamuviri inokonzera haigadziri.
Clinical picture
Chirwere chemakiriniki ye uterine myoma inoratidzirwa nehuwandu hwepolymorphism uye zvikurukuru inobva pazera remukadzi, nzvimbo, nguva yehutachiona, ukuru hwekuumbwa uye morphogenetic. Mukuwedzera, bundu racho rinogona kuchinjwa nehutano uye huwandu hwemagetsi. Mune makumi mana nemaviri kubva pamatambudziko, chironda chemazuva mazhinji hachikonzeri zviratidzo.
Mikana yekuderera mukati mechiremara chakaipa zvikuru kwazvo - 0,25-0,75%, panguva yekuenda kumwedzi ngozi inowedzera. Zvisinei, uterine fibroids inowanzosangana nekenza yepancreatic, mammary gland, endometrium.
Zviratidzo zve fibroids:
- kubuda ropa;
- kuwedzera muhukuru hwechiremara;
- kurwadziwa;
- kuvhiringidzwa kwebasa remuvakidzani.
Kurapa
Kugadzwa kwechiremba neyemaori kunobva pane nzvimbo yekuumbwa, ukuru uye nhamba yezvinyorwa zvinokonzera, zviratidzo, kuvapo kwekugadzikana kwemaitiro, makore emukadzi uye chido chake chokuva nevana mune ramangwana, zviitiko zve morpho-uye pathogenesis yezvedzidzo.
Pathogenetically kururamisirwa kurapwa kwe fibroids kunoitwa kurapwa uye kuvhiyiwa, i.e. kusanganiswa. Nokudaro, kunyange zvazvo nzira dzakawanda dzemazuva ano dzekurapa dzakaratidzwa-laser, electro-and cryosurgery, kushandiswa kwemaitiro endoscopic-kurapwa nemagadzirirwo emahomoni ndizvo zvakare zvakanyanya kukurumidza. Chinangwa chekuchengetedza chirwere ndechekuderedza kuoma kwezviratidzo uye (kana) ukuru hwechirwere.
Kushandiswa kwekupindira kwekuvhiya kunoratidzwa apo:
- kukurumidza nokukurumidza mumarara ekukura;
- kuputsa kwebasa remiviri yakakidzana;
- dzidzo yakawandisa (pamusoro pevhiki yechina yekubata);
- kuvapo kwevamwe zvirwere zvemuviri wechipfu, izvo zvinodikanwa kupindira;
- submucosal nzvimbo ye myoma, iyo inofambidzana nehuwandu uye nguva refu yekuenda kumwedzi, chirwere chekushaya ropa;
- necrosis yechipupuriro chemazwi;
- subperitoneal myoma, iyo ine nheyo shoma (pamutsipa "); maitiro akadaro anobatanidzwa nehupamhi hwepamusoro hwekutambudzwa kwechikonzero chechiziviso uye pamwe nekuvandudzirwa kwecroisis yayo munguva yemberi;
- kusabereka (mumatambudziko iwayo kana zvichiratidza kuti chikonzero chekushaya mwana ndiko chaizvoizvo chirwere ichi);
- myoma yemukati mutsva nemunharaunda mumudzimai.
Kupindira kwekuvhiya kunogona kuva: kuchengetedza, kwakasiyana-siyana uye kwakanyanya. Nenzira yekuwana nhengo dziri mumucheto maduku, maitiro anogona kuva emukadzi uye mumimba. Kuwanda kwekupindira kunobva pane zvirwere zviripo zvezvirwere (chimiro che fallopian tubes, endometrium, mavhesi uye mhondix), nguva yemukadzi, kubereka.
Mabasa ekuchengetedza anosanganisira:
- kubviswa kweiyo nhamba dzinotyisa;
- enucleation ye nodes (zvisinei, iyo inodzivirira myomectomy).
Nemajeri-radical mabasa anosanganisira:
- kukonzera kumusoro kwechibereko;
- kubhadhara kwechibereko.
Nezviitiko izvi, kuenda kumwedzi kwevakadzi kunoramba, asi kubereka hakusipo.
Radical operations:
- supravaginal amputation yechibereko;
- kubviswa kwechibereko;
Kana mukadzi achida kuchengetedza basa rekuberekwa, zvino iye ari muchetura mazwi matsva. Kana nzvimbo yechipfuva iri pasi-serous, ipapo inodzivirira myomectomy inogadzirwa nemimba uye nzira dzeparoscopic. Kana chironda chacho chiri pasi, myomectomy inoitwa ne hysteroresectoscopy.