Myoma yechipupuriro chirwere chakanyanya kufanana nevakadzi muvakadzi. Uye pazera remakore makumi matatu nemashanu, zvinokanganisa 35-50% yevakadzi, uye pazera remakore makumi mashanu nemakumi mashanu (60-70%). Myoma iyi inonzi hormone-dependent benign tumor inokura kubva ku-connective uye muscular tistues yechibereko uye ine nodes akawanda kana isina kuroorwa. Kubuda kwemaoma kunogona kusiyana pamitengo yakasiyana uye inonyanya kuwanika muchibereko.
Kurapa kwe fibroids
Zvichienderana nehukuru hwehutachi uhu, nzvimbo iyo uye chirwere chechirwere ichi chinoenderana nekuti uterine fibroids ichabatwa sei.
Kune nzira mbiri dzokurapa fibroids:
- Nzira yekuchengetedza yakachengetedza. Ichi chirwere chisina kupirisa chinoenderana nekushandiswa kwemishonga yemadhoni. Iyi nzira inoshandiswa pamatanho ekutanga ekuvandudzwa kwechirwere. Somugumisiro wehutano pasi pesimba rehomoni, kukura kwe fibroids kunonoka. Asi nekurapa kwakadaro kunofanirwa kufungisisa icho icho apo mahomoni akamira kutora, kukura kwemaoma kunowanzotangazve.
- Chechipiri nzira yekuvhiya uye inosanganisira nzira dzakasiyana dzekuvhiya.
Kupindira kwekupindira nekuchengetedza basa rekubereka
- Hysteroscopic myomectomy. Nekushanda uku, node dze intrauterine dzinobviswa.
- Laparoscopic myomectomy. Iyi ndiyo nzira yakanakisisa yekuvhiya inoshandiswa. Nekushanda uku, nodhi dzomukati dzinobviswa, dzinokura dzikava mudumbu remuviri.
- Nzira yekudzivirira mimba myomectomy ndiyo nzira iyo node dzenhengo dze myoma dzakanyanyisa. Asi zvakanyanyisa kutaridzirwa nevakadzi uye zvinoda kubhadhara kwenguva yakareba, saka ikozvino haisi kushandiswa zvikuru.
Nzira dzokuvhiya dzisingachengetedzi kubereka vana
- Vhura myomectomy. Kuvhiya uku kunowanzosarudzwa mumamiriro ezvinhu apo zvinotevera zvinopesana. Nenzira iyi, iyo yakawanda coagulation yemidzi yeropa inoitika, pamwe nekuderedza ropa kurasikirwa.
- Hysterectomy. Nzira yacho inofambidzana nekubviswa kwechibereko uye inoshandiswa apo nzira dzose dzataurwa kare dzisingabatsiri kana kuti dzinopesana.
- Nzira yekubatana. Muchiitiko ichi, mahomoni inotanga kuitwa, uye ipapo uterine mitsetse yakavharwa kuti irege ropa rinoshandiswa ne-fibroid, zvichidaro zvichiita kuti kuderedza uterine node.
Ngatimbokurukurai zvakajeka nzira iyo mukadzi anogona kubereka nayo.
Laparoscopic myomectomy
Iyi nzira inokurudzirwa kuvakadzi avo vane uterine fibroids vakawedzera nhengo dzomukati kana dzisina simba. Nzira yacho yakanaka nokuti haufaniri kuita zvakanyanya kufungidzirwa, asi zviduku zviduku mucheche pasi uye zvakakomberedza ruvhuro, kuburikidza nazvo iwe unogona kuisa laparoscope nevhidhiyo kamera uye mamwe matanho anodiwa. Uyewo, zvakanakira nzira iyi ndeyekurumidza kwekudzorera nguva, kukwanisa kwakakwana uye kuchengeteka.
Hysteroscopic myomectomy
Iyi ndiyo nzira iyo kubviswa kwemashoko matsvene asina kufungidzika kunoitika. Nzira yacho inobatsira zvikuru, yemazuva ano uye yakakurumbira mukuvhiya. Icho chinonyanya kukosha ndechokuti kuburikidza nekambani kadiki kamuviri mudumbu mutsva inonzi hysteroscope inowanikwa nevhidhiyo kamera iyo iyo chifananidzo chemuviri wechipfu chichaonekwa. Kushandisa hysteroscope, uchishandisa raser, bundu redu rinotemwa. Hysteroscopic myomectomy inonyanyozivikanwa nekuda kwekuvimbika kwayo, kuchengeteka, kunyatsogadzirisa, kushivirira kwevashandi uye kukurumidza kuporesa.
Chiratidzo chekupindira kwekuvhiya
Kubviswa kwe fibroids kunoitwa mumatambudziko anotevera:
- Kukurumidza kukura kwechirwere.
- Zvikuru zvakakura zve fibroids.
- Myoma pamuviri wemukati.
- Necrosis yenhamba yakashata.
- Kubvumira, izvo zvinoita kuti uwane chirwere chekushaya ropa.
- Kuita zvechisimba kwemabasa ezvikwata zviri pedyo.
- Kushungurudzika kwechimiro chakaipa che fibroids.
- Kuvapo kwekunze kwemamiriro emukati nemukomana uripo.
- Kuvapo kwe endometriosis uye zvipembenene zvemapapiro mumaromu.
Kuonekwa kwe fibroids pamusana pekutanga kwekukura kunobvumira kuti iroshwe, panzvimbo yekucheka. Saka, kazhinji shanyira gynecologist uye hutano hwakanaka kwauri!