Fibroids Submucosal: izimpawu eziyinhloko kanye nencazelo. Isimiso ukwelashwa kanye nemiphumela

Miomatoz kwesibeletho - a zokugula lalivamile futhi iyingozi kubantu besifazane, futhi ebonakala ukuvela neoplasms kungavamile ukuba ingozi. Kunezinhlobo eziningana izinhlobo ezahlukene fibroids, enye yazo fibroids submucosal, kungaba ngenkuthalo ukuthuthukisa futhi ukhule.

Lesisifo bemvelo ingozi yesimila, amehlo aphumele ngaphandle ngaphandle kwesibeletho, kumiswa imisipha yakhe. Mhlawumbe fibroids amaningi, esakhiwa ISIZINDA eziningana ngesikhathi esisodwa, futhi ahlelwe esishintshashintshayo eziningana.

Izici submucous lesizalo fibroids

myoma Submucous - neoplasm kungavamile ukuba ingozi, kwakhiwa okuyinto ungqimba submucosal kwesibeletho. Isici yalesi sifo kubhekwa ukuthi izingxenye fibrous ayibi ekujuleni komgodi lesizalo, futhi isiqondiso komgodi ongaphakathi kwamathumbu.

Emtholampilo it is neshaya, ukuthi lezi izimila zikhula ngokushesha ngaphezu kwawo wonke amanye izinhlobo fibroids, kanye njengoba ziye zathi izimpawu. Kuye lapho likhona myoma node, kungasilethela kwaba lokungahlaliseki, njengoba ingcindezi eziningi imizimba etholakala.

Uma ISIZINDA submucous of usayizi esikhulu, icindezela le ureters futhi izibilini, esizibonakalisa nezinkinga nge ukuchama futhi sokuzikhulula. Ngaphezu kwalokho, isimila enjalo kungaholela isisu ezingabanjwanga nobe imbangela yisisu.

Izimbangela submucosal fibroids

Kuze kube manje, odokotela abakwazi nakanjani ukusho kukhona fibroids submucosal ngasizathu simbe, kodwa kukhona ezicini eziningana ezibanga zokwakha leli zokugula, ikakhulukazi ezifana:

• ukushintsha kwama-hormone;
• ukucindezeleka njalo;
• umsebenzi ngokomzimba;
• ukukhuluphala;
• zokuvimbela inzalo ngomlomo;
• ukungabi khona ukukhulelwa nokubeletha iminyaka engu-30;
• Isici lezinceku;
• izisu njalo;
• Izifo ukuvuvukala we sphere ngokobulili.

Thola umnyombo, ezakhiwe fibroids may udokotela kuphela okuyinto. Kubalulekile ukucacisa ukuthi kwabangela zokugula, njengoba lokhu kuzovimbela okuvela kuyo esikhathini esizayo.

Izimpawu eyinhloko lesi sifo

fibroids Submucosal - isifo esiyingozi kakhulu, ngoba emabangeni kokuqala brand akusho ukuzibonakalisa. ISIZINDA ukwandisa ngokushesha ngobukhulu, ngakho izimpawu ngempela elikhanyayo. Ikakhulu, i-izimpawu manifest ezifana:

• isikhathi eside ukuya esikhathini esindayo;
• ubuhlungu esiswini;
• khona amahlule e kokuya esikhathini;
• lesizalo ukopha ezinzima;
• ukuvuvukala;
• ukwandisa izinga lokushisa;
• ubuthakathaka, futhi umkhuhlane;
• nenzalo.

Kwezinye izimo, submucosal fibroids ngokuphelele akusho ukuzibonakalisa, ikakhulu uma nisanda kokuqala. With ukuthuthukiswa izimpawu isifo ziqala ezingasho sikhule. isikhathi kubaluleke kakhulu lokwenza ukuxilongwa ukucacisa khona isifo, ngoba kunomthelela ukwelashwa okusheshayo kanye nokuvuselelwa.

sitholakele isifo

Fibroids nge submucosal ukukhula sitholakale ngesikhathi luhlolo izifo zabesifazane ngu palpation. Kulokhu, lo dokotela kungathola myoma node ukungaguquguquki obukhulu.

Imiphumela yaloku kuhlola okungenhla kuqinisekisiwe ngesikhathi sokuhlolwa usebenzisa izibuko, njengoba kungabonwa uphawu off umthunzi white nge evelele iphethini semithambo. Kwesibeletho angase afinyelele ezingeni babebaningi kakhulu, ubuso bayo iba engalingani, isizinda obukhulu, ngesikhathi kahle kwegazi abe buhlungu.

Ukuze izifo olucacile eyenziwa roentgen, njengoba kubonakala ukunwetshwa isithombe noma eguqa kwethunzi lwesimila. ISIZINDA Submucous esithombeni zinqunywa ngesimo ukukhubazeka cacisa wabuka kuyabonakala.

Eyodwa yezindlela kakhulu ulwazi of ukuhlola, esiza ukunquma ngokunembile ukuthi fibroids interstitial-submucous, ultrasound kubhekwa. Informativeness le ndlela impela high, njengoba kwakukhona ngaphezulu amathuluzi amasha nezanamuhla futhi amasu. Ultrasound ukuskena ikunika ikhono ukuthola fibroids, noma ngabe ububanzi ezincane.

Ukuze sicacise uphethwe eyenziwa ultrasound tomography, kusukela kungenzeka ukuthola umfanekiso ngakuthathu ultrasound. Lena indlela kunalokho ulwazi, njengoba ikuvumela ukuba siyazise ngokuphelele egeleza inqubo sokugembula futhi ukucacisa ukuthi kukhona khona concomitant inqubo isifo.

Ukuqhuba ekwelapheni fibroids

fibroids Submucosal ngaphambilini iphathwa indlela op kuphela. Ngo sitholakele myoma node ngaphambili kuphela ukususwa kwesibeletho, ngemva kwalokho lona wesifazane akakwazanga babe nomntwana.

Nokho, manje kungenzeka ukuba afeze ekwelapheni indlela olandelanayo. Ngesikhathi besanda kuqala isimila has usayizi encane, kodwa lolu hlobo izimila kukhula ngokushesha kakhulu, yingakho ngesikhathi uphethwe kubaluleke kakhulu ukunquma ngokushesha kangakanani ukukhula kwayo.

Lesi sifo kakhulu kabi yokwelapha, ukwelashwa imithi, kodwa izimali gormonsoderzhaschie ingamisa abanye ngendlela eyengeziwe. Ukusetshenziswa kwama-hormone ungahlinzekela umzimba labesifazane elinjalo ngemuva kwama-hormone, okuzokwenza sihambisana nesikhathi of nambili kuya kwabadala.

Uma isiguli submucosal fibroids, ukwelapha imithi yokwelapha hormone kungaletha umphumela oyifunayo uma isiguli eminyakeni engaphezu kuka-40 futhi iseduze kwenkathi nambili kuya kwabadala. Lapho ukwelashwa okuphumelelayo, kukhona awokuthi ukuthi fibroids baqala shwabanisa ngobukhulu ngokuhamba kwesikhathi zinyamalale ngokuphelele.

Iziguli eziningi uncamela lokufeza ukwelashwa nge zokwenza ezithandwa, kodwa ekuqaleni kudingeka ubonane nodokotela ziye kahle abakhethiwe yokwelapha inqubo ingase kakhulu konakalise isimo lesiguli navusa okuvela ukuxakeka.

imithi

Uma isiguli fibroids, usayizi node submucous mkhulu kunezinhliziyo 5 amasentimitha ke ukuhlinzwa akuyona kwenziwe, njengoba lokhu kungabangela ezihlukahlukene izinkinga.

Kulokhu, ukwelashwa izidakamizwa futhi prescribers nesineke, njengokuthi "Zoladex" noma "Dekapeptil Depot", okuvumela ukwakha ibhalansi elilungile hormone. Kulokhu, lizinga estrogens is kakhulu ziyancipha, okuyinto enomthelela ukuncishiswa ngobukhulu fibroids.

Ngaphezu kwalokho, kungenzeka isiguli imithi ethize ebekiwe esizosingathwa intramuscularly noma ngemithambo yegazi. Kwezinye izimo, lapho ISIZINDA ezincane, okubonisa hormone kanye nokwelashwa kuhlinzwa.

Nabesifazane asebeneminyaka efanele yobudala zokuzala, "Esmiya" izidakamizwa engabelwe ezifweni ezimbi. Nokho, it has ezinye Izimo, njenge:

• Nokukhulelwa kanye lactation;
• somoya;
• izifo oncologic;
• ukopha lwesitho sangasese sowesifazane.

Lesi sidakamizwa ayivunyelwe ukusebenzisa isikhathi eside, njengoba kungabangela eziyingozi.

kokungenela op

Uma usayizi elikhulu has a fibroids lesizalo submucosal, ukuhlinzwa wenziwa nsuku saziso, njengoba kungaba usongo olukhulu ekuphileni. Fibroids kungenziwa isuswe ngu laparascopy noma hysteroscopy. Laparoscopy wenziwa ogangeni phambi isisu, hysteroscopy - ngalo ingaphakathi lesizalo ngokusebenzisa.

Uma lezi zindlela Ungasingenisi umphumela oyifunayo, noma kukhona izinkomba, elaliba nokususwa ngokuphelele esibelethweni. Fibroids izinto ungaba nemiphumela emibi kakhulu, ngakho udinga ngokushesha ngangokunokwenzeka ukuqhuba ukuhlolwa nesineke kanye nokwelashwa.

Izici hysteroresectoscopy

Inqubo hysteroresectoscopy kubhekwa eyodwa yezindlela ingozi kakhulu ukuhlinzwa futhi wenziwa ukuze alondoloze umsebenzi zokuzala, njengoba kubalulekile sokuhlelwa okwengeziwe lokuzalwa kwengane.

Phakathi ukuhlinzwa ngaphakathi komgodi lesizalo ngaphansi jikelele izinzwa electrocoagulator siqala ikhamera ekhethekile. Khona-ke, ukuhlola kwesibeletho nokuzimisela inani ISIZINDA nokususwa yabo, kwesibeletho ayiphazamiseki.

ukuhlinzwa okunjalo wenziwa ngokusebenzisa sangasese kanye umsele wesibeletho. Ngamathuluzi ekuphathweni canal wesibeletho yandisa kancane. Isikhathi ukuhlinzwa akuyona ezingaphezu kuka imizuzu ayisithupha. Uma kunjalo ukususa fibroids submucosal, iziguli libuyekeza kuphela omuhle kakhulu, okuyinto ebaluleke kakhulu ezigulini uhlela ukukhulelwa.

Ukuqhuba myomectomy mechanical

ISIZINDA Submucous kunalokho enkulu isuswe ngu esebenza ngemishini. Ekuqaleni nomhlangano ukulungisa amathuluzi akhethekile, bese ziba ngcono ngaphansi kokulawulwa hysteroscope.

Rassekanie amaphilisi kungenzeka olwenziwa engeyokuqala resector akhethekile isizinda. Ukususwa kwezimiso submucosal fibroids ngu myomectomy mechanical kunezinzuzo ezithile, okuyilezi:

• esifushane;
• asikho isidingo ukusebenzisa imishini ezengeziwe;
• azikho izinkinga.

Ngemva kwesikhathi ukuhlinzwa yokutakula akuthathi isikhathi esiningi. Ngaphezu kwaloko, akukho izitho ezinkulu umonakalo, nokucinana semithambo nge uketshezi.

myomectomy electrosurgical Ikakhulukazi

myomectomy Electrosurgical wenziwa uma engeyokuqala ivuliwe isinyathelo 1st noma 2nd. Ngaphezu kwalokho, ukususwa Kwenziwa ngaleyo ndlela ISIZINDA sise amakhona kwesibeletho, okuyinto engenakwenzeka ukususa ngezinye izindlela.

kokungenela Steel kungase kwenziwe eyodwa noma ezimbalwa izigaba, konke kuncike uhlobo isayithi. Lunini phezu egijima submucosal lesizalo fibroids esiteji Izibuyekezo le ndlela yokwelapha muhle ngokwanele.

Ezinye izindlela ukuhlinzwa

Ingenziwa nezinye izindlela ukungenela kuhlinzwa angefani we fibroids. Uma kungekho izindlela mnene kokungenela kuhlinzwa akuzange elamukelekile, noma kukhona ezinye izinkomba ke kwesibeletho lususwe nge entanyeni.

Lapho ukususwa ephelele sowesifazane sangasese isicelo, besisu futhi indlela laparoscopic.

fibroids Submucosal njengoba imbangela ukungazali

Lesizalo fibroids kukhona isimila kungavamile ukuba ingozi. Phakathi kwazo zonke pathologies izifo zabesifazane it has imvamisa esibili aphakeme nesenzakalo. Kungase kube eziningana izinhlobo ezahlukene zezifo ezingalapheki kuhluke kwasendaweni leiomyomata. Ikakhulu, i-izinhlobo ezahlukene ezifana:

• submucous;
• intermuscular;
• subserous.

Lapho submucous myoma ISIZINDA kungaba nsuku ezibanzi, noma stem mncane. It kunomphumela ezithile jikelele isithombe emtholampilo. Lena zokugula sasivumela kuyinkimbinkimbi futhi iyingozi okuyinto kuyingozi enkulu empilweni uhlala iziguli kanye kuholele nenzalo.

Ziyini izimbangela eziyinhloko zalokhu ukungabi nenzalo

Submucous lesizalo myoma ISIZINDA kuholele ukungazali ngenxa yezizathu eziningana. Lezi zizathu zihlanganisa:

• Isici mechanical, njengoba kukhona izinkinga yenzeka iqanda eselivundisiwe;
• iziyaluyalu hormone, okuholela yezinkinga nge-ovulation,
• ukuvala ukuvuleka amashubhu fallopian, okuyinto nzima kakhulu inqubo ukunyakaza iqanda endaweni ka yenzeka yayo;
• kukhona ingozi ukhulela ethunjini;
• umsebenzi okwandisiwe endometrium;
• izinkinga zesimiso sokuzivikela somzimba ukuthi zibulale inqubo yenzeka.

Ngaphezu kwalokho, i-pathology kungaholela izisu ngenxa yokuthi kukhona kokucindezelwa kwesibeletho, izibilini labelwe kwama-hormone athile ukuthi liphazamisane ingane esindayo evamile.

Ngakho, lesizalo fibroids abeke uphawu sina imisebenzi uhlelo zokuzala. Ngakho-ke kubalulekile ngokushesha ngangokunokwenzeka ukuze uqale ukwelapha lesi sifo.