Nemhaka yekutya kunzwa kubva kuna chiremba nyaya dzisina kufadza nezvehutano hwake, vakadzi vazhinji havana kushanyira gynecologist kwemakore. Zviri nani kwavari kuti varambe vachiziva, kunyange kana vachitambura nemarwadzo, kubuda ropa uye zvimwe zviratidzo zvisingafadzi. Chinhu chinonyanya kutyisa ndechekupindira kwekupindira, izvo zvinogona kukonzera kukanganisa kwakakura kumadzimai avo. Kuti uite izvi, shandisa nzira dzakasiyana-siyana dzokurapwa kweukterine myomas - kubva kuHermone therapy kuenda kuchikoro chekuvhara majekiti: myomectomy uye hysterectomy (kusarudzwa kana kukwana kwakakwana kwechibereko). Basa rakadaro rinosanganisira aneshehesia yakawanda, inopedza maawa akawanda, autopsy, pamwe nekugara kwenguva refu. Nhasi nzira dzisingasviki dzisingaiti dzokurapa kweukterine myomas - laparoscopy uye kuumbwa kwemishonga - kusabvisa njodzi dzakawanda nekuderedza kurasikirwa.
Sarudza kuongorora
Fibromioma (myoma, leiomyoma) inonzi tumorine inorwara inokura mumatumbu ane musimba. Zvinotendwa kuti iyi dzidzo inogona kuwanikwa inenge mudzimai wese wechipiri. Mubvunzo ndewokuti mafroids akawanda anoshanda sei. Dzimwe nguva haazviratidzi zvachose (chirwere chinoputika chidiki uye hachina kupindira nekushanda kwechibereko chechibereko). Kana chirwere ichi chichidzivirira chibereko kubva pakubata chibvumirano (somuenzaniso, panguva yekuenda kumwedzi), chinokonzera kubuda ropa kana kunzwa kunorwadza panguva yepabonde, zvakare, inowedzera muhukuru, ipapo mubvunzo unobva mukushanda. Tsvaga fibroids panguva ye ultrasound, kuongorora kana kuti hysteroscopy (kubvunzurudza nemichina inoshandiswa iyo inowanikwa mumudzimai). Kana, paakuongorora iwe pachigaro chechigaro, chiremba akafungidzira myoma uye akapa imwe nyanzvi-anobvumirana. Nzira yekurapa uterine fibroids uye nerubatsiro rwehupati inogona kunge yakanzwisiswa chete nodes huru chete.
Ndinofanira kuibvisa here?
Kubva nekukura kwe fibroids kunobatsira kune zvakasiyana-siyana: kusadzivirirwa kushandiswa kwemishonga yekudzivirira mishonga yepabonde, upenyu hwepabonde hwepabonde kana kusakwana kwaro, kushungurudzika uye kutakura zvakanyanya, zvisina kunaka kunze kwezvinhu.
Myoma inogona kuwedzera nekuwedzerwa kwehutachiona hwemadzimai ehommoni estrogen (panguva yekuzvitakura, kutanga kwekuenda kumwedzi). Dumbu racho haigoni kungokonzera kubuda ropa (izvo zvinotungamirira kukurudzirwa kweanemia), asiwo kunokonzera kurwadziwa, kugara uchidzoka, zvinetso nematumbo. Kana mukadzi asingawanzobudisirwi nachiremba, myoma inogona kusvika kuhukuru hukuru - kune zviitiko apo vanachiremba vanobudiswa chironda chinorema makirogiramu mashanu kana kupfuura.
Minimally invasive operation
Nzira isina ruvara uye isingakuvadzi nzira yekurapa uterine fibroids inoratidzika kuva hormonotherapy. Pakutanga, kuderera kwehutachiona hwesterogen kunodzivisa kukura kwechidimbu kana kuideredza, asi mushure mokuregwa kwehomoni kunogona kutanga zvakare. Mukuwedzera, mahomoni ane mamiriyoni emigumisiro. Nokudaro, kubviswa kushandiswa kweeoplasm kunoonekwa sechishanda. Nhasi, nzira shoma dzisina kuipa dzekurapa uterine myomas dzinoshandiswa zvakanyanya, somuenzaniso, laparoscopy, umo iyo node inokohwa isina kuvhura mimba yemimba. A laparoscope inopindirwa mukati maro pane duku duku, iyo iyo video yekhamera uye chiedza chine simba. Chimiro chemuviri chemukati chinoparidzirwa kuonei yevhidhiyo uye chiremba anovhiya anonyatsoona munda unoshanda. Zviduku zviduku zvinokonzerwa nekupindira kwakadaro zvishoma zvinokuvadza mishonga. Murwere anenge asingagoni kurwadziwa mushure mokuvhiya uye anodzokera kumba mumazuva mashomanana. Mushure memasvondo matatu mukadzi anogona kudzokera nenzira inowanzoita yehupenyu.
Hysteroscopy inoshandawo kune endoscopic operation. Chiremba anoshandisa chiridzwa chettrathin chakagadzirirwa optics, chinoshandiswa kuburikidza nekuzaruka kwemuviri kwemuviri. Kubviswa kwemasomas maduku kunowanikwa kuburikidza nemugero wemudzimai.
Kuputika "oksijeni"
Kwemakore anopfuura gumi munyika dzakabudirira (mumakore achangopfuura uye muUkraine) nenzira dzekurapa uterine fibroids, vanachiremba vanoshandisa uterine arteri embolization (EMA). Maererano nehuwandu, anenge 98 muzana yemabasa aya akabudirira uye myoma haina kudzoka.
Panguva yekuvhiyiwa, chirwere chechikadzi chinoputika nechemberi chaiyo uye catheter ine tsvina inoitwa kune mishonga inopa ropa kune myomas. Iyo yakavharwa nediki duku epurasitiki-emboli. Ropa rinopa myoma rinomira, uye rinogumira kukura. Chokutanga, tumarara inopera 2-3 nguva, uye mukati mehafu yegore zvishoma nezvishoma. Iyo nzira inotora kubva pamaminitsi makumi mana kusvika ku5 maawa. Mushure mekuvhiyiwa, rondedzera mishonga inorwadza uye kuregererwa kwekugadzirisa nguva yekudzorera (anenge mwedzi).
Maererano neuchapupu
Iwe unodawo kuziva kuti pane zvinopesana nemazano maviri eparoscopy uye EMA. Kuti chiremba akaita sarudzo pamusoro peizvi kana kuti irworwo rwekupindira, kuongorora kunodiwa. Kana usina chokwadi, uye iwe unofunga kuti kushanda kukuru kunogona kudziviswa, enda pane imwe nyanzvi kana kune imwe kliniki uko kune chikonzero chakakodzera uye vanachiremba vane chiremba vane maitiro emazuva ano. Chero zvaunosarudza, iwe unosarudza uye unotsvaga, uye chisarudzo chokupedzisira chinogadzirwa nachiremba, achienderera mberi kubva mumamiriro ekhonkiti. Zvichida, iwe pachako, kushandiswa kwemaitiro mashoma asingasviki hakuzokwanisi, kunyanya kana chiremba achifanira kutarisana neoplasm isina hanya. Ndicho chikonzero nei zvakakosha kushanyira gynecologist nguva dzose kuti aone chirwere chepakutanga.