Inowanikwa mumukadzi ane makore ekuberekwa kwevashanu. Kazhinji kacho kupfuura, haiti, fibroma inowanika kuvakadzi vanopfuura makore makumi matatu. Muzviitiko zvisingawanzoitiki, zvinowanzoitika muhuvha, iyo inogona kupararira kune chero mhando ipi zvayo yemaviri. Kazhinji kazhinji, fibroids inova yakaipa. Zviratidzo uye kurapa kweUterine fibroids ndiyo iyo nyaya yenyaya yacho.
Diagnostics
Kakawanda, fibroids inowanika panguva yekuongorora zviitiko zvemukati, somuenzaniso, kuongororwa kwemukenza wechibereki. Chiremba anogonawo kufungidzira fibroids kana murwere achinetseka kana achishungurudzika kuenda kumwedzi. Mumakiriniki ekuongororwa, dzimwe nguva zvakaoma kusiyanisa fibroids huru kubva mumakumbo evhavari, kutora mimba isina kuwanikwa uye yakaipa mutezo. Nzira yakanakisisa yekugadzirisa maitiro, ukuru, chimiro uye chimiro chezvimwe zvipiko zvemapapiro uye chidziro chemuviri chepasi chiri ultrasound. Kuti uongorore vakadzi munguva ye-post-menopausal, radiography inogona kushandiswa. Kuti ave nechokwadi chekuongororwa, maginist resonance imaging dzimwe nguva inoshandiswa. Minimum fibroids inogona kunge isingabvumirwi. Zvisinei, nekukura mukati memukati, hutumbromyoma inowedzera nzvimbo ye endometrium (mucous membrane yechibereko) inopisa panguva yekuenda kumwedzi. Izvi zvinotungamirira pakuwedzera kwekuenda kumwedzi, izvo zvinogona kuramba kwenguva refu kupfuura nguva. Kurasikirwa kukuru kweropa kunogona kukonzera anemia, dzimwe nguva yakaoma. Infertility ingangodaro kusangana kukuru kune fibroids, iyo inonyanya kuitika mumadzimai asina vana. Dzimwe nguva kukura kwe-fibroids kunobuda pakuvandudzwa kwemidziyo yeropa mairi. Muzviitiko izvi, zvinoshungurudza pamusana pekugadzirisa zvirongwa. Mune zvimwe zviitiko, fibroids nehuwandu hwekupa ropa inogona kuverengwa. Kuchinja kwakadaro kunofadza, sezvo mabhuku akaenzaniswa anoramba achikura uye asingadi ropa. Kana bundu racho rinomanikidzira chikamu chepamusoro chechirwere, murwere anowanzoda kukurudzira. Muchiitiko apo fibromioma inodzvinyirira rectum, pane zvinetso nechechikamu chechigaro, zvichikonzera kukura kwekudzivirirwa. Fibromiomas inotanga kukura mu muscular layer ye chibereko (intramuralia). Nechitsiko chakasimba mumusana, musikirini inogona kukura muuterine cavity (submucous fibroids), iyo yakafukidzwa ne endometrium, uterine mucosa. Dzimwe nguva, panzvimbo yekuwedzera kukura, fibromioma iri pachigamba, asi chikamu chikuru chacho chinowedzera mukati mumiriri.
Chimiro chemuviri wekukura
Kazhinji kazhinji, fibromioma inokura mumharaunda yekunze, iri pane kunze kwechibereko (subserous fibroids). Zvisinei, kazhinji kuwedzera kwemarara kunokonzerwa nemusanganiswa. Sezvo kuenderera kwakapoteredza fibroids kunoumba hutachiona hwemapukisi. Izvozvo zvinowanzoita kuti munhu asarudze, asi varwere vakawanda vane maitiro akawanda. Chirwere chinowanzozivikanwa nekukura kunononoka, nechinangwa chekumira panguva yekupera kwemazuva (mushure mokunge yava kutanga, inogona kuderedza). Dambudziko rakaoma kwazvo munguva iyo rinorema zvikuru. Nzira yekurapa inobva pakuvapo kwezviratidzo uye nguva yemurwere. Kana zviratidzo zvisipo, uye ultrasound yekuongorora inoratidzira imwe kana maviri michina ye fibroids, hapana chikonzero chekurapa kwakasimba. Zvisinei, murwere anofanirwa kuongorora rwechipiri chekuongorora kwechirwere mumwedzi mishomanana. Kuongororwa kwekushaya ropa kunowanikwa nenzira yekuongorora ropa. Kurapa kweanemia kunosanganisira kuderedza nzvimbo ye endometrium, uyewo pakuzadzisa huwandu hwesimbi mukati mumuviri nekubatsirwa kwemapiritsi kana injikisi.
Mushonga wokuvhiya
Kuti abvise michina yepakati yakakura inowedzera mukati mehutachi uterine, diathermy uye laser therapy kushandisa hysteroscope inoshandiswa. Mucheka we fibroids unova necrotic, nemhaka yekuti chiremera chemuviri pashure pemwedzi mishomanana chakanyanya kuderedzwa. Kuti zvionekwe zve fibroids zviri panzvimbo yekunze kwechibereko, laparoscopy inoshandiswa. Nekubatsirwa kwelaparoscope, zvinogonawo kubvisa tumarara, kunyanya kana ikakura mumucheka. Imwe nzira yakakura ye myomectomy (kubviswa kwe fibromioma) mudumbu remuviri wakazaruka ichiri kushandiswa nevakawanda vemazino zvegynecologist nokuda kwemamota ekukura kukuru. Kunyengedzera - kubviswa kwechibereko chose - kunoshandiswa kuvakadzi vasingachadi kuva nevana uye vari pakuguma kwemwedzi.
Hormonal therapy
Urefu hwe fibroids hunogona kuderedzwa nehormonal therapy. Nokuda kwechikonzero ichi, somuenzaniso, kugadzirira rine sangano rinoshingaira goserelin, rinoita kuti chirwere chepituitary chidzivise uye chinodzivisa kugadzirwa kwehomoni inokurudzira, inoshandiswa. Izvi zvinodhaka, pamwezve, zvinoderedza kuwanda kwemukati wechipfuva chechibereko. Inopiwa sejojo mumadziro emimba mazuva makumi mana nemasere pamwedzi mitatu isati yasvika. Vakadzi mukugumira kumwedzi, vachitambura ne fibromyoma, vanoratidzwa nehomoni inotsiva-shandiswa, nokuti estrogens inobatanidzwa nayo inobatsira kutangazve kwechirwere kukura.