ImpiloImpilo yabesifazane

Benign izimila wesibeletho: izifo, izimpawu, ukwelashwa

Ngo yesimanje zabesifazane ingozi izimila wesibeletho - inkinga yangempela. Nge lesi sifo kuphela "omncane" njalo ngonyaka. He is ngokulinganayo ukungenwa kokubili amantombazane asemancane nabesifazane asebekhulile. Ukungabikho ukunakekelwa izinga kungaholela emiphumeleni emibi, kuhlanganise nokufa.

izimila Benign nesibulalayo wesibeletho

Isimila ukukhula pathologically zikhubazekile izicubu cell. Lesi sakamuva akhiwa izakhi zasezindaweni ezihlukahlukene, enze ezihlukahlukene imisebenzi. Izimila zihlale zokwakheka ngakuthathu. Njengoba elowesifazane uhlelo zokuzala, kuleli cala, inqubo sokugembula lokuqala ucala kutfutfukisa kwezitho ngokwabo. Wabe ungaya izakhiwo angomakhelwane, banqoba ezindaweni ezintsha.

Ikhumbula izinguquko ezenzeka kumaseli kuzo zonke izimila kule ndawo kungenziwa selihlukene laba amaqembu amabili: kungavamile ukuba ingozi nesibulalayo izimila wesibeletho. Lokhu kuhlukaniswa kuyisigaba ezingafanele. Esikhathini esiyiminyaka zokuzala, ezinye ingozi siguqulelwa ebulalayo. Nokho, banalo umehluko mass.

isimila esibulalayo esikhula libhekene Ukushesha okukhulu kwezinguquko ukukhula kanye nekhono ukungena ku kwamanye amaseli enempilo. Konke lokhu nakanjani akuhileli ukuhluma amaseli sokugembula kule kwemigudu ye-lymph, futhi ukusabalala kwaleso wonke umzimba kanye ukugeleza kwegazi. Imiphumela iba yinhlanganisela yokukhandleka metastases amaningi. Histologically, amaseli abulalayo kuhluke isakhiwo zabo ezigabeni enempilo wesibeletho. Ngokubukeka, bona zahlukahlukene kakhulu, njengoba ehlale zokukhula ezihlukene.

Benign Unqunyelwe engumakhelwane izicubu emgodleni, ungalokothi ukudlula lokho. Noma kunjalo, 'zinezikhathi ikhono zikhule ngobukhulu, ngezinye izikhathi kuholela kokucindezelwa kwezitho engumakhelwane. izakhi okunjalo ungabhubhisi izicubu onempilo musa abonise ukuthambekela iyakhula. Ngemva ukususwa kuhlinzwa cishe njalo kuza umuntu alulame ngokugcwele. Ezimweni Ukushiyeka akuvamile ekukhanyeni.

Izici inqubo ingozi

Ezikhiqiza amaqanda ezibhekwa izitho ezibaluleke kakhulu kwesimiso sokuzala. Lakhicitwe hormone ocansini, amaqanda abavuthiwe. Ngakolunye uhlangothi, basuke ngempela ngokuvamile njengesithiyo okuqondiswe ezihlukahlukene izinqubo sokugembula. Izinhlumba kanye izimila phakathi kwezitho ahlukahlukene zokuzala ngokuvamile akhethe amaqanda. Basuke kubhekwe isakhiwo sengozini. Benign isimila wesibeletho akabashiyi imikhawulo isitho ethintekile, evumela ukuqeda lesi sifo. Indlela eyinhloko ukwelashwa ukuhlinzwa umusa.

Phakathi kwezinye izici lolu hlobo odokotela kukhona izinhlangano ezilandelayo:

  1. Ukwakhiwa ngasiphi yobudala.
  2. Ukunciphisa ezingaba abesifazane zokuzala.
  3. Ukuswelakala kokusebenza ngokuhlanganyela izimpawu ezithile.
  4. ingozi High ezinguquko abulalayo - ukuguqulwa ku isimila esibulalayo.

Ngokuvamile inqubo sokugembula kuthinta abesifazane emva kweminyaka engu-30. It libhekene asymptomatic. Lokhu "umdlavuza buthule". isihloko sayo sibophezela zonke wesifazane eduze ukuqapha impilo yabo futhi alandele wokuhlola ngezikhathi ngesikhathi udokotela wezifo zabesifazane.

Ngokwesibonelo, ukuvuvukala izinto ezihlobene ngendlela acute njalo kubangela ubuhlungu appreciable. Lokhu kubangela lady ukubona udokotela edilini lomshado okuyinto phendla isifo esiyingozi. Kwezinye izimo ezingajwayelekile kakhulu edonsa ukuzwa kule aphansi endaweni besisu. Ngakho-ke, inqubo umdlavuza kungaba kudidaniswe kwemikhuba emathunjini noma isifo kwesibeletho. Ngenxa yalokho yokugula ihlala indiva futhi ngenkuthalo eba.

zokugula Izimbangela

Omsakazo we ingozi izimila wesibeletho engaziwa. Odokotela ayaqhubeka ephikisana ngalolu daba, ezwakalisa ezizathwini ahlukahlukene. Ngokwesibonelo, odokotela bakwazi ukubona wonke iqembu provocateurs izici. umthelela wabo ngokushesha kakhulu kwandisa amathuba ukuthuthukiswa kwenqubo sokugembula. Lezi zinto zibandakanya:

  • iziyaluyalu hormone;
  • nge-ovulation okuqhubekayo;
  • yofuzo;
  • inqubo ukwephulwa nokuvuthwa follicular;
  • ethola progesterone;
  • ukubhema.

Ukukhulelwa kungaba kuvuse ukuthuthukiswa inqubo kungavamile ukuba ingozi.

emitholampilo isithombe

Ngokuvamile ku kusaqalwa ingozi izimila wesibeletho uzwakalise izimpawu zingasekho. Ngekukhula imfundo emitholampilo isithombe izinguquko. Ngokuvamile, abesifazane eze reception kuze udokotela wezifo zabesifazane zikhalazo:

  1. Ukudweba ubuhlungu kule aphansi endaweni besisu, libhekene eyodwa emaceleni.
  2. Okungavundile.
  3. Ukwephula umjikelezo sowesifazane.
  4. umuzwa njalo osindwayo esiswini ephansi.
  5. disorder Dizuricheskie.
  6. Izinkinga sokuzikhulula, anda ivolumu besisu ngenxa ukubuyisa.

Eminyakeni emibili kuwukubonakaliswa lesi sifo yilabo ezingavamile, kodwa futhi uphawu ekuseni ngisho usayizi encane yesimila. Abesifazane bona ngisho odokotela cishe ungalunikezi value.

Ezinye izinhlobo izinhlumba, ingozi yemvelo ehlukene, ziyakwazi ukukhiqiza ama-hormone. Ngenxa yalokho, lesi sifo kungase kuhambisane izinkinga zezempilo ezilandelayo:

  • ukungabi isikhathi eside zokwehlukaniswa;
  • ukukhulisa clitoral;
  • ukunciphisa usayizi we nezindlala mammary;
  • ukuthuthukiswa induna;
  • ngokweqile zonke iziboya emzimbeni ukukhula hlobo besilisa;
  • Cushing Syndrome.

Lezi zimpawu zingavela ngokuphelele ngasiphi yobudala, kuhlanganise ngesikhathi sokukhulelwa.

Izimpawu zesifo at imilenze isimila torsion

nezinye izimpawu eziningana elinesimo Yiqiniso kuyinkimbinkimbi kuwuphawu lwesimila ingozi we esibelethweni kwabesifazane. Ukubonakaliswa ezivame kakhulu kubhekwa ukuba torsion neoplasms imilenze. Lesi simo singenzeka kunoma uthi ingozi futhi emnceleni. Isakhiwo kuhlanganisa imilenze nezinzwa kuhlinzwa, imithambo yegazi, tube fallopian, ingxenye peritoneal kanye lesizalo umsipha. Izimpawu ezilandelayo zenzeka lapho amandla isimila ukuhlukumeza:

  • Ngokuzumayo ubuhlungu sohlangothi olulodwa kule aphansi endaweni besisu, okuyinto ngezinye izikhathi kuthatha umlingisi unomphela;
  • ukuhlanza nesicanucanu;
  • ukuvuvukala;
  • umjuluko clammy;
  • isikhumba eliphaphathekile;
  • ukwandisa izinga lokushisa komzimba.

Lezi izimpawu ukungakhuli akuhlali phakade. Endabeni ka torsion olungaphelele kobukhulu imilenze yabo ingasaphathwa. Zingase zinyamalale bebodwa futhi avele futhi.

isifo ngezigaba

Kuzo zonke zabesifazane neziqu yesimanje wenza ukusabalalisa amaqembu kanye subgroups. Kunezinhlobo eziningi ingozi izimila wesibeletho, ngamunye okuyinto ethatha njengesisekelo uphawu oluthile. Ngokwesibonelo, i-World Health Organization inikeza kukho okulandelayo nokuhlukanisa:

  1. izimila EPITHELIAL: serous, mucinous, endometrioid, iseli ecacile nokunye.
  2. Ubulili intambo-stromal neoplasms: Tecoma, fibroma, androblastoma.
  3. Amagciwane Engeke Esaba iseli izimila: simila dermoid, goiter wesibeletho.
  4. Isimila izinqubo: izinhlumba follicular amaningi, iveze inclusions EPITHELIAL, i-endometriosis, stromal Hyperplasia, njll gipertekoz.

Nokho, umkhuba ngokuvamile ezisetshenziswa ngokwahlukana inqubo sokugembula ku izigaba ezimbili: isimila kwetinhlavu kanye ebusweni (EPITHELIAL) isimila wesibeletho. Izici ehlukile ngayinye amaqembu amabili kuzoxoxwa ngezansi.

isimila ukwakheka

Lesi sigaba ingozi izimila wesibeletho kuhlanganisa:

  1. simila Follicular. Ngokuvamile kutholakala amantombazane asemancane. Simila eba kuphela kwelinye esibelethweni, elinesimo ukuhamba okusezingeni eliphezulu nakalula. Ubukhulu bayo ziyahlukahluka kusuka 2.5 kuya ku-10 cm. I zokugula wabonakaliswa ukwephulwa umjikelezo zesifazane. Ngokuvamile kuhambisana ukuthuthukiswa zokwehlukaniswa imisiwe, kulandele ukopha ezinzima. Ngemva 3-6 imijikelezo nginesimila ngokwakho iphele. It akahlukile ukuthambekela umdlavuza, kodwa kudinga ukuqapha. Ngemva kokuchaza Kunconywa liqashelwe.
  2. Corpus luteum simila. Usayizi izimila kungaba isukela 3-6.5 cm. Emtholampilo, sinezimfanelo menstruations, ukopha olungaphelele oluphuma esithweni sangasese, webele engorgement. Corpus luteum simila ngezinye izikhathi okucatshangelwayo ngesikhathi sokukhulelwa. Kungenzeka ukuba ucabangele isakhiwo usebenzisa ultrasound. Ukuba khona / ngodonga multiple olulodwa, amahlule kungukuthi ezikhishiwe. Okungenzeka igebe kumiswa emva ocansini.
  3. simila Serous. Ngaphambi zokugula Histology ngokuvamile kuba iphutha ngoba simila follicular. Kukhona iziphakamiso we umdlavuza konke okusemandleni kodwa abazange sifakazelwe practice. simila Serous eba kusukela izinsalela eyinhloko izinso sombungu. Kuyinto ezithathekayo imfundo nokunwebeka, ogama usayizi ingeqi 10 cm. Ngokuvamile abonise ukuvuvukala ngemva ezimazombe imilenze.

Ukwelashwa kweziguli ingozi izimila wesibeletho uqale kuphela emva ukuzimisela uhlobo ezihlukahlukene pathologies.

izimila EPITHELIAL

Le ngxenye yiqoqo elikhulu, okuyinto ebangela mayelana 70% azo zonke izimila benign wesibeletho. Izimila achazwayo kusukela stroma EPITHELIAL nomzimba ezingabalulekile. Ayevame abe umlingisi eyodwa emaceleni. On palpation hhayi kuhluke abagulela ukufa, kodwa zinezikhathi ukuhamba kanye ukungaguquguquki nokunwebeka. Ababili-indlela ubunjalo isifo uthathwa njengomgcini osolisayo ngoba umdlavuza.

lekubukana nemfundzi ngamunye, izimila emnceleni. Lokhu serous, lwamafinyila, izinhlobo nezezinye izinhlangano. Ngemva kokuhlinzwa, it is asikabi khona amathuba kokushelela. Ngokocwaningo olwenziwa, izimila emnceleni ihlukaniswa njengoba ongaphakeme-ebangeni kwezinso. Ngokuvamile, basuke kwatholakala ukuthi unesifo abesifazane abasebasha kusaqalwa yentuthuko.

ngihlolwa

Ukuhlonza Ukugula wesibeletho izimila benign ngempela eziyinkinga. Ikakhulukazi okwakuhlalwa kuzo lapho kusaqalwa, lapho izimpawu ezicacile yenqubo sokugembula bengekho. Abaningi zabesifazane wazibonela singakwazi ukubona ukuthi izimila ngu palpation. Ngokusebenzisa le ndlela, qiniseka iphendukele ngesikhathi sokuhlolwa.

Uma usola i-pathology nesineke ultrasound okhalo esimisiwe. Kuthathwa esihle ultrasonography transvaginal ngemibala Doppler luhlolo. Lokhu ulwazi luhlolo indlela yokunquma isakhiwo kanye nosayizi yesimila. Ngaphezu kwalokho inikezwa ukuhlolwa igazi sokunquma CA-19 nama-CA-125 umaka. Nge lembula ematfuba umdlavuza.

Isigaba sokugcina ubhekwa zokuxilonga luhlolo histological, phakathi kwesikhathi lapho udokotela ethatha isampula izicubu lwesimila. Ngemva kokutadisha impahla endaweni yokucwaninga angakhuluma ngokunembile yenqubo ingozi noma abulalayo.

ukwelashwa Izici

Indlela eyisisekelo kokuphatha ingozi izimila wesibeletho Uwukungenela kuhlinzwa. Ukwelashwa uhlelo nobubanzi operation akhethiwe ngamunye. Kulokhu, lo dokotela kufanele inake engu-isiguli, isifiso sakhe ukulondoloza umsebenzi zokuzala. Hhayi indima yokugcina idlalwa ngu ubunjalo izimila kule ndaba.

Namuhla, ochwepheshe abaningi uthanda ukuhlinzwa laparoscopic. Benign isimila wesibeletho - akuyona umusho. Nge ukwelashwa esifike ngesikhathi bathole usizo lwezempilo kungenzeka ukulondoloza umsebenzi zokuzala. Le ndlela kokungenela libhekene obuncane izinkinga ngemva kokuhlinzwa, futhi isikhathi nokuvuselelwa sihamba ngokushesha ngokwanele.

Uma laparoscopy ayikwazi oophorectomy kunikezelwe. Lo msebenzi lisikisela oophorectomy ephelele neoplasm zendawo. Kuyaphawuleka ukuthi resection kakhulu kwandisa ingozi ukungazali esikhathini esizayo. Ngakho-ke, ukwelapha ingozi izimila wesibeletho ngale ndlela Kwenziwa ezimweni ezibucayi. Lapho kwasendaweni kabili emaceleni yenqubo sokugembula eyenziwa pangisterektomiya - eyohlinzwa lapho kwesibeletho isuswe nge ezihlobene.

Ngezinye izikhathi izimila okutholakala ukuthi banesifo sochoko kwabesifazane abakhulelwe. Ngenhlanhla, lesi sifo ezingavamile, futhi% 0.4 kuphela amacala. I izinkomba main ukuhlinzwa ngesikhathi sokukhulelwa - isimila ingozi wesibeletho-10 cm ububanzi. Ukuhlinzwa wenziwa senyanga mina noma II kuphela.

yezinkinga kungenzeka

Phezu ukuthola izimila ezimweni eziningi, udokotela wathi ufuna ukungenzela ukususwa kwakhe. Isizathu salokhu isinqumo wukuba okusezingeni eliphezulu yezinkinga. Yiziphi izinkinga owesifazane angase abhekane nayo?

  1. Umdlavuza yenqubo sokugembula. Lona inkinga eyingozi kakhulu ingozi isimila wesibeletho. Ukusebenza kwenziwe ngendlela esifike ngesikhathi kusivumela ukuthemba ukuthi alulame ngokugcwele. Uma isimila kwatholakala at Usuqhubekile nokwelashwa ithoma Wakhumbula ematfuba ukuguqulwa kwalo abulalayo kuyinto 30-50%. Ngesikhathi esifanayo kukhona ikhono isimila ukuze ikhule ibe ezicutshini ezincikene nawo eziyishumi nemitshingo. izakhi soguquko lwegciwane singalawuleka ungasabalalisa wonke umzimba, okubangela izinqubo engelapheki anomdlavuza.
  2. Capsule ukudabuka. Le nkinga ngaso sonke isikhathi sihambisana sebuhlungwini obunzima, ukopha, futhi zangethusa lapho zenzeka. Ngokushesha ngokwanele okuqukethwe capsule ingena ngaphakathi komgodi ongaphakathi kwamathumbu. Ngenxa yalokho asathuthuka peritonitis aseptic. Lokhu inkinga edinga ngokushesha kuhlinzwa. Uma kungenjalo, liyakhula amathuba ukuvuvukala ukuthi engozini ikhono sowesifazane okukhulelwa.
  3. Torsion umlenze lwesimila. Lokhu inkinga eba ingozi isimila wesibeletho njalo ngokungalindelekile. Kuvame kwandulelwe kuvevezela yomzimba noma umzimba umsebenzi. Ukusonta ngokwayo kunomthelela iziyaluyalu trophic e yesimila. I zokugula kuhambisana ubuhlungu oyingozi. Skin iba eliphaphathekile futhi ishayela ophilisayo kakhulu. Torsion umlenze isimila kudinga ukusebenza esiphuthumayo. Kungenjalo, kunokwenzeka kakhulu ukuthi ukwakheka necrosis, ukutheleleka yesibili emzimbeni.

Lezi zinkinga, ibhekwa njengomlando wesonto ezivamile.

izindlela zokunqanda

Isizathu esiyinhloko egijima zokugula zamanje kubhekwa ukuthuthukiswa ezifihliwe. Kuze kube manje, izinyathelo eziqondile ukuze kuvinjelwe yayo kungukuthi athuthukile. Nokho, njalo siyohlolwa zokuvimbela ngesikhathi udokotela wezifo zabesifazane nge parallel US-ukuhlola vumela ngesikhathi esifanele ukuthola ukuvimbela umdlavuza okungenzeka ingozi isimila wesibeletho.

izincomo Clinical odokotela ngoba ukuvimbela izifo futhi yehlise nokuqapha gqwa besizinda hormone. Lokhu kubhekiswe kuzo zonke abagada Usufike yobudala zokuzala. Uma kudingekile, udinga ukubonana nodokotela asikisele futhi afeze imiyalo yakhe ibhalansi ukuzinza.

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