Lesizalo fibroids ngesikhathi menopause: izimpawu kanye nokwelashwa. Izindlela ukwelapha lesizalo fibroids

Kuze kube manje, fibroids kwenzeke abesifazane abaneminyaka ephakathi kwengu-engamashumi amabili amahlanu nanhlanu. Izilinganiso of isimila lwezimpawu zingahluka kusuka kwangu ambalwa amashumi amasentimitha (odokotela eqoshiwe icala ukuthola fibroids nenkundla ikhabe). Ngokuvamile lesi sifo kwenzeka kwabesifazane abaya le menopause (isizathu itholakala ukwehluleka hormone). Ngemva kokuma ukuya esikhathini ngezinye izikhathi waphawula ukunciphisa kanye ukunyamalala isimila kungavamile ukuba ingozi. Kodwa kuthiwani uma kwakukhona fibroid lesizalo ukuya esikhathini? I izimpawu nokwelashwa isifo sichaziwe ngezansi.

izici Jikelele lesi sifo

Lesizalo fibroids kungenziwa inikezwe njengoba isimila kungavamile ukuba ingozi, elise imisipha, ezicutshini kwesibeletho. Kubukeka sengathi kophawu semi isiyingi noma round myoma engeyokuqala. Lesi sifo kungavuka ngaphandle izimpawu ubuhlungu uma isimila incane. Uma kwakhiwa ISIZINDA eziningana is, kwandisa ukukhula lesizalo fibroids, kungase kuvele izimpawu isici (ubuhlungu, ukopha).

Ngokusho indawo izimila benign ezine izinhlobo:

• subserous;
• mural;
• submucous;
• intraligamentarnaya.

Endabeni fibroids lokuqala kwakheka kwi kwemisipha izicubu ngaphandle kwesibeletho. Ibizwa nangokuthi subperitoneal. Ukuthuthukisa, likhula phakathi komgodi okhalo. Ngenxa okwenzekayo ingcindezi emagunyeni afanele. Khona-ke, ungase uzizwe ubuhlungu. Uhlobo lwesibili of isimila ngokuthi intermuscular myoma node eba ngaphakathi izicubu imisipha kwesibeletho, ngenxa lapho esiswini luyanda. Uhlobo lwesithathu fibroids ukuthuthukisa ngaphansi ulwelwesi kwesibeletho, ngoba lokhu isimila ubizwa ngokuthi submucosa. Kulo mBhalo sikhuluma ukubonakala isimila ingozi phakathi emisipheni.

Lesi sifo (lesizalo fibroids) namanje engakaze ufundwa odokotela. Kusolwa ukuthi izimbangela kwakhona ukuphazamiseka kwama-hormone, izifo zofuzo, impendulo eyodwa ukuze izicubu ukulimala (isisu, ukuhlinzwa), izifo zangasese, esikhathini ekuseni (ngaphansi eyishumi), ukusebenzisa kabi utshwala, ubuhlobo bobulili okungajwayelekile, ufuzo, zezemvelo.

Myoma kanye lesizalo umdlavuza

Abesifazane abaningi bafunda ukuthi banamandla isimila kungavamile ukuba ingozi, uvalo zisuka, ngokwesaba ukufa. Nokho, kumiswa fibroids akuyona isimila esibulalayo umdlavuza. umdlavuza lesizalo, a Sarcoma - a izifo zesifazane ehluke ngokuphelele. Zabesifazane, njengoba isayensi ayembuli lezi zinto ezilandelayo iqhaza ekuveleni amangqamuzana omdlavuza:

• ukubhema;
• sikashukela;
• HIV;
• iziyaluyalu kokuya esikhathini;
• khona Papillomavirus womuntu;
• izifo ezithathelwana ngobulili;
• ukungazali;
• menopause ngasekupheleni;
• zezizukulwane zangaphambili
• ubudlelwano bezocansi;
• ukusebenzisa izinto zokuvimbela inzalo ngomlomo;
• ukukhuluphala;
• izifo zabesifazane.

Zabesifazane namanje akazivezi izimbangela esiqondile umdlavuza kwesibeletho, kanye myomas. Njengoba ubona ohlwini ngenhla, kunezici eziningi esifana izizathu ukuvela myoma ISIZINDA, ezidinga balifundisise nge cwaningo, ultrasound ukuhlola, biopsy.

Ukubukeka umdlavuza wesibeletho, kanye fibroids, ngokuvumelana semfene kuqala lapho umuntu esesikhathini. Okungukuthi zokubona kukhona imivimbo senhlekelele, kodwa ke bame endleleni, futhi ngemva kwenkathi ethile avele olukhulu ngokwengeziwe, eside. Olunye uphawu kuba ubuhlungu ezenzeka ngesikhathi noma ngemuva kokuya ocansini, ukungakhululeki ukubelesela e imbilapho, wehlise back. Owesifazane ilahlekelwa ngokushesha isisindo, uyakhathala ngokushesha.

Lesizalo fibroids ngesikhathi menopause: izimpawu kanye nokwelashwa

Ngesikhathi besanda kuqala lesi sifo, nge Ubukhulu encane izimpawu izimila ingozi hhayi kungaba. Ukuba khona fibroids kunqunywa ngesikhathi evamile luhlolo izifo zabesifazane. Uma kukhona ukungabaza, kuyadingeka ukuze uthole imininingwane eqondile kundawo fibroids, owesifazane zithunyelwe zokuxilonga ultrasound hysterosalpingography. Kakhulu akuvamile eziwasebenzisayo ukuqinisekisa sifo kukhompyutha noma i-magnetic resonance tomography.

Uma lesi sifo saqala, izimpawu fibroids zihlanganisa:

• ezinzima, ukopha nokunwetshiwe;
• ezidabukile ubuhlungu esiswini;
• umuzwa ingcindezi ezithweni kwezitho zangasese;
• ubuhlungu ukuchama kaningi;
• ukuqunjelwa;
• ubuhlungu ngesikhathi wamathumbu ukunyakaza ngenxa ingcindezi amathumbu.

Ngokuvamile fibroids ziphathwa by izindlela op noma ngoludala, okungukuthi, ngokuthatha usayizi imithi ka fibroids ziyancipha, le zamanzi ezincane kunazo chaza. Ukusebenza wenziwa kuphela ekwakhekeni esifushane ezinkulu isimila ingozi ngangokunokwenzeka ingozi leiomyosarcoma.

Izinhlobo miomektomii ekwelapheni fibroids

Indlela ephumelela kakhulu yokwelapha kuhlinzwa of lesizalo fibroids. Miomektomiya - ukususwa kuhlinzwa kuwuphawu lwesimila ingozi nge ukulondolozwa kwezitho zesifazane. Kunezinhlobo ezintathu miomektomii:

• besisu;
• laparoscopic;
• hysteroscopic;

Esimweni sokuqala ukususwa fibroids kwenzeka nge lesizalo nokongiwa, kodwa uma isibalo sabo sincane lemine. miomektomiya besisu wenziwa ngaphansi izinzwa jikelele. Endaweni we imbobo bikini, isimila isuswe ke yanjalo sutured kusendlalelo ngasinye. Ingozi le ndlela itholakala ukubandakanywa kwezinye izitho, ukutheleleka, ukopha, okuvela ukuvuvukala, ingozi nenzalo.

Eyesibili inketho zokususa ISIZINDA subserous futhi intramural. Ngaphambi ukusebenza inikezwa Yiqiniso yezokwelapha okuhloswe ngazo ukunciphisa osayizi ISIZINDA. Okulandelayo inkaba abamhlaba noma peritoneum, ikhamera futhi amathuluzi okuhlinza kukhona ISIZINDA ekhishiwe. Kuqhathaniswa indlela yokuqala yalolu hlobo miomektomii kobuhlungu ngaphezulu. Kodwa kukhona ingozi lokulimala angomakhelwane izitho zangaphakathi, imithambo yegazi, ukwakheka hematomas, ukutheleleka, ukubukeka hernias.

Okwesithathu samuntu miomektomii for izimila etholakala izicubu endometrium. Ukusebenza okwenzeka ngaphansi jikelele noma umgogodla izinzwa unnotched. Rezetoskop ethulwe ngemithetho sangasese esibelethweni, isimila iyasuswa. Buhle le ndlela iyona okungenani igazi ukulahleka, umphumela yezimonyo, kungenzeka ukuba athwale kanye uzale izingane. Ingozi kungaba ukutheleleka, umonakalo semithambo, ukusha, obukwenza. Kodwa iningi izimpawu fibroids emva kokuhlinzwa enjalo akubonakali.

Hysterectomy njengendlela ukususa kwesibeletho

Gisterektopiya - eyohlinzwa ukususa isimila kanye esibelethweni. It kungabuye kwenziwe ngezindlela ezahlukene: laparoscopically, ngokusebenzisa sangasese noma evulekile. Izindlela ezimbili zokuqala zinezikhathi nomphumela yezimonyo, okusho ngeke imbobo emzimbeni. Kodwa kukhethwa hlobo lokuhlinza incike yobudala sowesifazane, ngobucayi isifo.

kuvame kakhulu ukuba kusetshenziswe kancane koda ukuhlinzwa lesizalo. Okungukuthi, i Umthambo ukuthi uphethiloli isimila injected microparticles, ngenxa okuyinto ukwakheka inqanyulwa leiomyomata, futhi kungakho isimila ukukhula uyama.

Phakathi nenkathi yokukhulelwa, izifo ezithize ukuvuvukala, indawo yesimila entanyeni, ebukhoneni engeyokuqala submucous ku ohlangeni mncane contraindicated lo msebenzi (lesizalo fibroids). Imiphumela eshiwo ku iziyaluyalu kokuya esikhathini, amenorrhea, sokuzihlukanisa isimila ukubola izicubu. Inketho engcono - ukubona udokotela futhi aphathe fibroids kusaqalwa yentuthuko. Khona-ke ungase ukhethe inkambo izidakamizwa hormone ukuvimbela ukukhiqizwa estrogen, yingakho fibroids ziyancipha ngosayizi.

Indlela esiphatha ngayo isimila ngaphandle kokuhlinzwa?

Ngokuvamile, odokotela ungamphathisi fibroids encane, futhi nje ukuwabuka ikhule. Lokhu kusebenza sabesifazane abangakaze lesizalo fibroids uvele nambili kuya kwabadala. Izimpawu kanye nokwelashwa kuyoba ukuhluka. Okokuqala, isiguli wathunyelwa okwesikhathi biopsy wokuthi yadalwa ukuvela zamangqamuzana omdlavuza. Okwesibili, ukwelashwa kuyoba eziyinkimbinkimbi, okuhloswe ngaso myoma futhi imiphumela emibi nambili kuya kwabadala. Okwesithathu, ukwelashwa i-hormone sizoqukatha nezinye hormone (akukho estrogen).

Ukwelapha fibroids izidakamizwa kungenzeka uma:

• usayizi leiomyomata esingaphansi ngamasentimitha amabili;
• intramural isimila hlobo noma subserous;
• usayizi lesizalo ingeqi kwemigomo ukukhulelwa ngesonto-12;
• Ayikho nokwephula yesithombe emitholampilo;
• kungekho isifo izitho angomakhelwane;
• Slow kokucindezelwa inzuzo;
• kungekho umzimba wakho uxabana imithi.

Uma owesifazane esondela menopause fibroids nosayizi ezincane, ungakwazi kuphela ukuqapha ukukhula yesimila. Njengoba ukukhula kwawo kuxhomeke kulokho amahomoni progesterone futhi i-estrogen, isibalo okuyinto kuyehla at ukuqala nambili kuya kwabadala. Nokho, uma owesifazane isebenzisa iphilisi ngesikhathi emvuthwandaba, lapho kukhona hormone ubufakazi, fibroids luyokhula.

Ngokuvamile, ukwelashwa i-hormone uqhutshwa njengoba Yiqiniso pre-op ukuze unciphise ukukhula fibroids. Khona-ke linqume izidakamizwa nge-hormone i-gonadotropin-ukukhulula ama-hormone (aGRG), mifepristone. Akufanele bathathe izinyanga ezingaphezu kweziyisithupha, njengoba kukhona ukukhumuzeka kwamathambo ngenxa yokungabi bikho bodwa calcium. Nokho, iningi lemithi ukwelapha fibroids akunakwenzeka, njengoba umphumela wesikhathi esifishane yokwelapha i-hormone, ngemva kwesikhathi esithile, ukukhula uyaqhubeka ISIZINDA.

Kungenzeka yini ukuba aphilise amakhambi isimila abantu?

Iningi labesifazane Russian ivame ukuba yokuzithiba, lapho babe fibroid lesizalo ukuya esikhathini. Izimpawu kanye cwaningo ukwelashwa ku-intanethi. Ngenxa yalokho, ezinye ziye zanquma ukuba infusions amakhambi, baphuthuma nezinye oyisangoma, Sage, mages abamnyama. Ngezinye izikhathi lezo ezinye izindlela nje "thatha" isikhathi esiyigugu uma elaphe fibroids ngaphandle kokuhlinzwa nguchwepheshe oqeqeshiwe.

Yini amakhambi zikhethwa ekwelapheni fibroids? Ngokwe zokupheka athandwayo, khetha izitshalo aphilisayo kusukela ezimileni ingozi by ezivimbela cell division. The zokupheka akhiqizwa inhlanganisela izitshalo ezinobuthi noma nonpoisonous (Baikalian futhi dzhungar wrestling Mistletoe, ngumhlonyane nezimanakanaka, marsh Potentilla, lycopus European, Chandra vulgaris, propolis, umthamo lungwort, knotweed nabanye). Iningi babevame tincture ngoba kokungenisa amathonsi eziningana kodwa futhi izidakamizwa ingxube sikulungele ekuphathweni Tampon esithweni sowesifazane.

Inkambo eqhubeka izinyanga eziningana. Nokho, ukuphumelela imali yomphakathi engakaze ngokusemthethweni efakazelwe. Ngakho-ke, aziphendukeli bendabuko, imithi homeopathic ngaphandle iseluleko ochwepheshe, njengoba lesizalo fibroids ngesikhathi menopause inezimpawu ezifanayo ngenxa yomdlavuza. Ngisho noma udokotela iSifo isimila kungavamile ukuba ingozi, kanti ngenxa ingalahleka self ke sidinga ukususa ISIZINDA kanye imizimba yabesifazane.

Into kuphela odokotela uyavumelana ne iyona inhlangano umsoco ofanele. Lapho fibroids akakwazi ukudla okunosawoti, izitsha okubabayo, ukudla nge wokuqukethwe lelisetulu fat, cholesterol, ama-carbohydrate. Uma kwakhiwa fibroids esibelethweni, kubalulekile ukusebenzisa amavithamini (i-folic acid, B, E, C, D, insimbi, i-calcium). Kukhethwa ikakhulu izithelo eluhlaza, imifino, nokunye okufana nokolweni iphalishi kanye herculean, yogurt, cottage shizi, imikhiqizo amaprotheni, yenkomo abilisiwe. Kulesi isifo kumele kancane elangeni ngqo, ukuqeda ezishisayo, ngokomzimba, massage umphumela ukuthola ISIZINDA.

Uma owesifazane enezinwele fibroids ukubukeka kuvumelana ukuqala menopause, kufanele uthathe amavithamini ngesikhathi menopause: E, C, E, B6, B1, B12, B9, i-omega-3. Eyokuqala Vitamin tocopherol nje kunciphisa imiphumela emibi menopause by inkanuko umsebenzi gonadal. Askorbinka kuqinisa imithambo yegazi, kunciphisa okuvela edema emisipheni. Vitamin D ngenkathi ne-calcium eyanele ikhuthaza ithambo.

B amavithamini ukusekela esimiso senhliziyo nemithambo yegazi, onovalo mzimba, ngenxa yalokho esimweni esejwayelekile yokukhathazeka, ukucasuka iphele. Vitamin iqembu eziyinkimbinkimbi Omega-3 ikuvumela ukuba kusebenze umsebenzi engqondo, ukukhulisa kahle, silinganise ukwehluleka hormone, ngisize nge ngokweqile isisindo somzimba.

Yidla ukudla equkethe la amavithamini namaminerali, ukuze kube lula inhlalakahle ukuya esikhathini, kanye kumiswa fibroids. Ungakhohlwa ukuba bahlolwe, njengoba Udokotela angase anikeze isiguli imithi hormone ukuze amavithamini kanye amaphilisi ukuya esikhathini.

Fibroids kwabadala

Kukholakala ukuthi fibroids zenzeka abesifazane ngesikhathi zokuzala. Lokhu kungenxa yokuba khona hormone ezidingekayo ekukhuleni umbungu ngesikhathi sokukhulelwa, kodwa okuthinta ukukhula izimila. Ngaphezu kwalokho, uma umuntu wesifazane kwaba nezigameko kwezisu, izisu kanye nezinye izimo kuhlinzwa, izibazi ku izicubu imisipha kwesibeletho naso singaholela okuvela fibroids.

Ngezinye menopause ezingeni estrogen kuyehla, futhi amasentimitha ngoba ifindo ezincane ezimbili kungancipha ngosayizi. Ngezinye izikhathi kungase zinyamalale fibroids ngokuphelele lesizalo (izimpendulo zabesifazane nge umlingo akuzona ngokwesayensi kulingane). Kodwa uma usebenzisa izidakamizwa nge-estrogen isimila ukwakheka uyaqhubeka, kodwa ngenxa ikhule. Ngakho kungakhathaliseki ukuthi ukuya esikhathini kumele amqaphela wezifo zabesifazane, ultrasound ukuhlola idlule njalo ezinyangeni ezine ekuthuthukisweni kakhulu fibroids.

Ngokuvamile, uhlobo okuvela fibroids namanje odokotela engakaze wafunda. Uma ngaphambili kukholakala ukuthi ngemva kokuma ukuya esikhathini fibroids zingase zingaveli, kodwa manje lichaza kwabomake kumiswa izimila izikhalazo phakathi kwabadala. Khona-ke kubalulekile ukuba ibhekane ultrasound ukucacisa uhlobo lwezimpawu yavela. Njengoba engu kukhulisa ematfuba amangqamuzana omdlavuza futhi fibroids kungenzeka asihlangene ngalutho.

Isimila imiphumela yokwelashwa: Kwamathambo

Ukunciphisa usayizi myomas kuyinto izidakamizwa hormone ngenxa. Uma umvuthwandaba sowesifazane, kungathatha amaphilisi nge-estrogen, ngenxa okwandisa fibroids lesizalo. Yeka indlela okuyingozi ngempela lesi sifo? Odokotela kukhishelwa inqwaba amaphilisi nge-hormone ezahlukene: abanye babo okuhloswe ngazo ukunciphisa usayizi isimila, abanye ulwa izimpawu engakhi nambili kuya kwabadala. ukusetshenziswa kwesikhathi eside la ma-hormone kuholela ukwehla kwe-calcium okuhlushwa ukukhumuzeka kwamathambo. Lokho, ngokuhamba kwesikhathi, kwamathambo kuyehla, okwandisa ingozi waphuka ngisho ne ukuwa okuncane.

Lokhu kungenxa Ukungadli ka isebenze ithambo amaseli. Lokho ngokuvamile ubuswa osteoclasts, ekunciphiseni ithambo amaseli, njengoba kuqhathaniswa osteoblasts, ithambo-echithayo. Ngo kwamathambo ibhalansi kula maseli uzobe abaqhubeke kokubhubhisa amaseli. Esinye isizathu salokhu ukunciphisa hormone nokungezwani ubulili ngesikhathi menopause noma ukuthatha imithi ukuthi inciphise izinga le-estrogen nge fibroids.

Imiphumela kwamathambo kuvetwa waphuka entanyeni femoral, amathambo. Ngo abesifazane abadala kuka amahlanu nanhlanu waphuka ezinjalo abakwazi ukuphulukisa, futhi zonke ngoba kuphakamisa obucwathile okukhulu ukukhumuzeka kwamathambo. Kodwa ngokuvamile lezi waphuka kukhona asymptomatic noma amelwa ukhwaliti ubuhlungu emuva, kodwa ngemva kwesikhashana kukhona ugobile emuva, idolo kwakhiwa.

Lesizalo fibroids: lokho kuyingozi?

Fibroids, kanye menopause ephelezelwa ukopha kakhulu, okungabangela anaemia esifanele. Kwabesifazane kwehle erythrocyte ukubala, i-hemoglobin ezingeni liyancipha, kukhona ukuntuleka komoya-mpilo, yensimbi. Owesifazane waphawula ubuthakathaka, ukukhathala, isikhumba ugodo, iphika, isiyezi, ubuhlungu bekhanda, tachycardia, nomlomo owomile.

Ngaphezu anaemia ezinkulu lesizalo fibroids node ngenxa ingcindezi engapheli izitho eduze angase konakalise nokusebenza kwabo (isib ikholoni, izinso, ureter). Lokhu kungadala izifo ezifana hydroureter (inqwaba oketshezini ureter), hydronephrosis (isandiso amapuleti ukhalo kwezinso ngenxa ekuqongeleleni ngokweqile umchamo), pyelonephritis (izinso ukuvuvukala).

Uma fibroids kwenzeka ngesikhathi sokukhulelwa, ekukhuleni kwayo ngokushesha kanye nosayizi ezinkulu kungabangela ukuchitheka kwesisu, ikhasi previa placenta. Kodwa iningi fibroids e ekuthuthukiseni umbungu asithinteki, nakuba kungenzeka ukukhulelwa wengane zephuze ngesikhathi.

lesizalo fibroids nge menopause ngokuvamile kwenzeka ngenxa Ukungadli hormone, ngakho-ke kungase kuhambisane thrush. Ukuba khona ukutheleleka obusezinhliziyweni impilo yowesifazane, kodwa ngoba udinga ukubona udokotela ukuze ukwelashwa olunzulu.

Ngakho, akufanele miss izifo zabesifazane bayohlolwa yonyaka ngisho nalapho engekho isikhalazo. Ngemva kokufinyelela owesifazane oneminyaka engamashumi amathathu nanhlanu ekuqaleni kumelwe ibhekane udokotela wezifo zabesifazane, endocrinology, wemithi yangaphakathi, udokotela ohlinza imithambo yegazi, okunomsoco, mammalogy, ibhekane ultrasound yendlala, webele, ingaphakathi peritoneum kanye ukhalo encane. Futhi ukunikeza igazi for ukuhlaziya jikelele, oyisazi samakhemikhali ezinto eziphilayo, ukuhlola Cytology wesibeletho, ECG, iphrofayela lipid.

Njengoba izinyathelo okudingeka anakekele amasosha omzimba abo, umzimba, endocrine uhlelo. Buza udokotela wakho, uma kunokwenzeka, linqume amavithamini ukuya esikhathini, hhayi ama-hormone. Khumbula ukuthi ukuba khona izimpawu ngenhla engcono ukubona onguchwepheshe, kodwa musa ngokuqondile bafune e fibroids yabo. Enough ukuba okwaxoxwa ngaso wezifo zabesifazane kabili ngonyaka.