I-Myoma yesibeletho yisifo se-genital endaweni yowesifazane, ebonakala ngokubonakala kocansi lwesisu somzimba wesisu esibuhlungu. Izimpawu ezibonakalayo ze-fibroids ziphuma, zihamba isikhathi eside futhi zikhukhumeza, ziveza izinhlungu, zivuthwa njalo, ukuqothulwa futhi kwezinye izimo ukungasebenzi. Lesi sifo sitholwa yi-ultrasound. Ukwelashwa kuncike eminyakeni yobugulane, kanye nobukhulu be-myoma ngokwayo. Uma owesifazane ehlela ukuba nezingane esikhathini esizayo, izidakamizwa ze-hormone zisetshenziswa. Ukuze uthole ubukhulu obukhulu be-fibroids, ukususwa kokuhlinzwa kwe-tumor, okungukuthi, i-myomectomy, noma ukususwa kwesibeletho ngokwayo, kunconywa - i-hysterectomy.
Akunakwenzeka ukusho ukuthi yini imbangela kanye nokuthuthukiswa kwezidakamizwa ze-uterine fibroids. Njengomthetho, i-myoma ikhula kancane: ngesizathu esithile iseli elilodwa liqala ukuhlukanisa, ukudala amangqamuzana amathumba omzimba akha ama-node. Kuye ngendawo yabo, i-myoma ingaphansi kwe-serous , i- submucous , isibeletho noma i-intraligamentary. Uma izimbangela ze-uterine fibroids zingacacile, imiphumela ingabangela ukuthi isibeletho siphume kancane kancane njengokukhulelwa okujwayelekile. Yingakho ubukhulu bayo buboniswa emavikini.
Kungani i-myoma yezibeletho ibonakala?
Ukukhula kwe-hormone-dependent tumor kuthinteka yi-progesterone ne-estrogens. Kunezici eziningi ezichaza ukuthi kungani i-myoma yebele ivela. Ngakho, phakathi kwezimbangela zengqondo zokubunjwa kwe-myoma, kukhona ukucindezeleka okude nokuqine, umsebenzi okhuni wengqondo nomzimba. Futhi, i-myoma ingashukunyiswa ukuphulwa kokukhiqizwa kwe-hormone, uma kunezifo ze-ovaria, izifo ezingelapheki ezingasetshenziswayo, izifo zezingqungquthela ze-endocrine, ukuhlukunyezwa kwe-fat metabolism nokuphila. Uma i-myoma isivele isakhiwe, ukukhula kwayo kuyathinteka nokukhipha isisu, ukwenqaba ukuncelisa, ukushiya izingane ezingaphansi kweminyaka engamashumi amathathu, izifo ezingenabuhlungu ezingapheli zesifazane wesifazane ngokocansi, kanye nokudla isikhathi eside kwezindlela zokuvimbela umlomo ezihlangene nokuvezwa kwelanga njalo.
Indlela yokwelapha i-myoma?
Uma sicabanga ngezindlela ezizenzekelayo, ukwelashwa kwe-fibroids kunokwenzeka kuphela uma lesi sifo sincane (kuze kube amasonto ayishumi nambili), sikhula kancane futhi sitholakala ngaphansi kwendwangu yesisu noma ngaphakathi kwesigcawu semisipha. Odokotela bahlinzekela ukwelashwa okuphawulekayo, kuhlangene nokudla kwezidakamizwa ze-hormonal. Lezi zihlanganisa i-goserelin, i-buserelin, i-zoladex, i-triptorelin, i-gestrinone.
Ubukhulu obukhulu be-fibroids (amasonto angaphezu kweshumi nambili), ukukhula okusheshayo kwe-tumor kanye nezimpawu eziphawulekayo yizinkomba eziqondile zokungenela okuhlinzekwa. Indlela yokuphambana kakhulu ukusetshenziswa kwe-myomectomy laparoscopic, okungukuthi, ukususwa kwe-tumor ngezinsimbi ezifakwe emibhalweni yesisu esiswini. Ngemuva kokugwema ukuhlinzwa lo wesifazane uphinde abuyiselwe, futhi naye
I-myoma enomdlandla idinga i-myomectomy ye-hysteroscopic, okungukuthi, ukususwa okuphelele kwesibeletho ngethuluzi elikhethekile - i-hysteroscope efakwe ngaphakathi kwesifazane. Ngokwemvelo, ngemuva kokuchazwa okusebenzayo kakade akunakwenzeka ukuba nezingane. Indlela ebuhlungu kunazo zonke, kodwa ephumelelayo, iyindlela yokwenza umthambo wesibindi, lapho into ekhethekile ijojowe khona, ivimba ukugeleza kwegazi. I-Myoma iyeka ukukhula futhi ekugcineni ife.
Kukhona indlela ye-FUS ablation, efanelekayo kwabesifazane abangafuni ukuba nezingane esikhathini esizayo. Isekelwe ekusetshenzisweni kwamagagasi agxile ama-ultrasonic, okunciphisa ubukhulu bezingqimba ze-myoma.