Ukwakhiwa kwemithambo ye-uterine ne-myoma ye-uterine: ukwelashwa nemiphumela

Omunye wamagatsha omuthi ukhiqiza. Ngenye yezintitikazi kakhulu, ngoba ihlobene ngokuqondile nenjongo ebaluleke kunawo wonke owesifazane - ukuba ngumama.

Izindlela ezenziwa kulo mboni nazo zihlose ukulungiselela umzimba ngomcimbi oyinhloko empilweni yowesifazane. Kumele kuqashelwe ukuthi ezikhathini zanamuhla inani elikhulu labesifazane lihlushwa izifo ezihlukahlukene zokuvuvukala nezifo ezithathelwanayo zesimiso sokuzala, okuvame ukubangela ukungabi namuntu noma ukungakwazi ukubekezelela ingane.

Ngokuvamile phakathi kwazo zonke izifo zathola izifo ze-uterine fibroids. Kungabangela ukungabi nabantwana, unyaka ngamunye umuthi uhambisa izindlela ezintsha zokwelashwa ezivela phambili ezingabangela abesifazane ukuba bafinyelele emgomweni wabo abawuthandayo.

Enye yalezi zindlela zanamuhla kuhloswe kwe-arterium uterine e-uterine myomas. Ngalolu hlelo lokususa i-fibroid, sizokwazi ukuxhumana nathi esihlokweni sethu.

Iyini i-myoma yesibeletho?

Lezi zifo zihlanganisa neoplasm enobungozi emcimbini wesisu sombeletho. Ekuqaleni kokuthuthukiswa kwayo kubonakala sengathi i-nodule encane yesimo esingavamile.

Kulula kakhulu ukubona lesi sifo ekuhlolweni kwe-ultrasound, kodwa ngaphambi kokuba udokotela avakashele owesifazane angazizwa ubuhlungu esiswini esingaphansi, ukwephulwa kwenqubo yokuchama. Abaningi banesifo sokuphuma kwamagciwane, abanye abanye abazama ukukhipha umjikelezo wokuya esikhathini.

Iningi livame ukubhekana nalesi sifo somuntu wesifazane oneminyaka yobudala bokubeletha, uma kuphuzekwe ukwelashwa, bese kufinyelela ekungeneni kwesinye isikhathi kanye nezinye izinkinga.

Okuyinhloko yendlela

Ukwakhiwa kwemithambo ye-uterine e-uterine myomas kuyindlela entsha yokwelashwa kwalesi sifo, okukuvumela ukuba ulahle izicubu ngaphandle kokusebenzisa ukungenelela okuhlinzayo. Izinkinga ngemuva kokungenelela okunjalo ziyinto engavamile, ngakho-ke le ndlela ibhekwa njengento evulekile kakhulu futhi ephumelela kakhulu.

Uma uketshezi lwe-uteri lwe-uterine lubekelwe i-myoma ye-uterine, isisekelo sokwelapha sincishisiwe ukuba kungeniswe amabhola e-plasticizer emithonjeni yokudla i-neoplasm. Bayovimba ukugeleza kwegazi, futhi i-fibroids ifa kancane kancane.

Uma kuqaliswa ukufakwa kwemvelo

Abesifazane abaningi banombuzo othi: "Uma kukhona i-neoplasm, ngabe ukuhlanganiswa kwe-arterium uterine ne-uterine myoma uma kuqokwe?" Ingabe kukhona ukuphikisana nale nqubo? Okokuqala, sizohlaziya ubufakazi, futhi lezi ziyizi:

• I-Myoma ikhula.
• Akunakwenzeka ukwenza ukwelashwa okuhlinzekwayo.
• Owesifazane unesifo esinzima.
• Izinhlungu ezinamandla.

• Kubalulekile ukugcina isisu ngenxa yokuthwala ingane.

Okuyisisekelo sonke isici esifanayo esenza odokotela basebenzise le ndlela yokulahla i-myoma, isifiso sowesifazane ekulandeleni izingane. Kunezimo lapho kuhlanganiswa khona ngaphambi kokususwa kokusebenza kwe-fibroids, ukuze kuncishiswe ingozi yokugaya kakhulu.

Kumele kuqashelwe ukuthi ezweni lakithi le ndlela ibhekwa njengento entsha, ngakho-ke akunakwenzeka ukuthola ochwepheshe kuwo wonke amadolobha abenza imisebenzi enjalo.

Uma kusetshenzwa imithi ye-uterine ye-uterine ye-uterine, i-Kaoma inganikela ngezinsizakalo ezinjalo kubakhamuzi nezivakashi zayo. I-City Clinical Hospital No. 7 iye yabona odokotela nayo yonke imishini edingekayo yokwelapha le ndlela.

Ukulungiselela ukufakwa embukisweni

Ngaphambi kokuthumela owesifazane kule nqubo, udokotela uzokwabela izifundo ezithile ezidingekayo:

1. I-Ultrasound, ngosizo lwayo ungakwazi ukucacisa indawo yangakini, ubukhulu be-fibroids.
2. Ukuhlolwa okujwayelekile kwegazi kanye nomchamo.
3. Thatha i-smear ukuze unqume i-microflora ye-vagin.
4. I-oncocytology iqhutshwa ukukhipha ukubola kwamaseli.
5. Fundisisa ukutheleleka.
6. Ukuhlolwa kwegazi nge-HIV, i-hepatitis C no-B.
7. Ukuhlolwa komlomo wesibeletho ngaphansi kwe-microscope.
8. I-cardiogram yenziwe.
9. Isiphetho sezinye izazi siyadingeka uma kukhona izifo ezingelapheki, kanye nomtholampilo.

Ngemuva kwazo zonke izifundo, isiqondiso sokuqokwa sinikezwa. Ngosuku lwenqubo, akukhuthazwa ukuba udle futhi uphuze, ukuqinisekisa ukuqina okuphezulu endaweni yokulima, susa izinwele. Uma owesifazane ehlushwa imivimbo ye-varicose, udokotela kufanele ancome ukuthi agqoke ukuhlanganiswa kokucindezela ngisho neviki ngaphambi kwenqubo.

Okuyisisekelo sendlela

Akubona wonke umuntu oqonda ukuthi yikuphi ukuvuselelwa kwe-arterium uterine uma kwenzeka i-myoma ye-uterine, njengoba inqubo enjalo isenziwa. Ake sibone lokhu. Yonke indlela yokwelapha inezigaba ezilandelayo:

1. Ukuhlolwa kokuqala kwe-ultrasound kwezitho zomzimba.
2. I-mucus yomlomo wesibeletho ithathwa ukuba ingabandakanyi izifo ze-inkolo, izifo ezivuvukalayo. Ngabo, le nqubo ayisetshenzisiwe.
3. Khona-ke i-puncture yenziwa emhlanjeni wokugcoba, futhi i-catheter ifakwa emthini wesifazane. Inqubo ayibuhlungu kakhulu, i-anesthesia yendawo yakwanele.
4. Udokotela olawulwa yi-radiography uqhuba i-catheter endaweni yombuso wesibindi, lapho uqala khona ukufaka amagatsha, unikeza i-myoma.
5. Ukuze kuqinisekiswe ukufaneleka kokuxilongwa kanye nendawo yesikhala, i-arteriogram yenziwa-ukusungulwa kwe-agent ehlukile.
6. Uma ukuqinisekiswa kwezenzo kuqinisekisiwe, lochwepheshe usungula nge-catheter amalungiselelo akhethekile okuthi, ukungena ezitsheni ezincane, uzigqoke, futhi igazi alifaki izicubu zesisu.
7. Ukuqeda ngokuphelele ukunikezwa kwegazi emthonjeni wegazi, ukuvinjelwa kwenzelwa kokubili kwemithwalo yezinsikazi.
8. Ekupheleni kwenqubo, i-arteriogram yokulawula yenziwa.
9. Ukugqoka okuyimpoqo kusetshenziselwa indawo yokungena.

Ukwakhiwa kwemithambo ye-uterine e-uterine i-myoma iqhubeka ingekho amahora angu-1.5, ngokuvamile okwanele amaminithi angu-20, konke kuxhomeke endaweni ye-arteries kanye nolwazi lodokotela.

Ukubuyiselwa komzimba ngemva kokwenziwa komzimba

Umzimba wesifazane uchitha cishe amasonto amabili ukuze ululame ngemuva kwalendlela, kepha lokhu akusho ukuthi sonke lesi sikhathi kuzodingeka sihlale esibhedlela. Ngemuva kokuqalwa kwamathambo e-uterine (EMA) nge-myomas ye-uterine eyenziwa, owesifazane angaya ekhaya ngosuku olufanayo uma isimo sakhe sivamile. Ekhaya, kufanele ulandele izincomo ezithile:

• Kuyinto efiselekayo ukuphumula embhedeni izinsuku ezimbalwa.
• Ukuze unciphise ubuhlungu, ungathatha ama-painkillers.
• Lawula ukushisa komzimba ngesikhathi sokubona inqubo yokuqala yokuvuvukala.
• Ngemuva kwenqubo, kuyadingeka ukwandisa ukungenisa kwamanzi, ikakhulukazi ngesonto lokuqala.
• Uma kukhona i-fibroids, ukuhlanganiswa kuhlanganisa ukukhipha "i-Aspirin" nezinye izidakamizwa ezithinta igazi.
• Ezinsukwini zakuqala akuyona into engathandeki ukugeza, vakashela i-sauna noma ibhuku lokugeza.
• Kwaphela amasonto amaningana, ukuphumula ngokomzimba okuphelele kanye nokwehlukaniswa kobulili kunconywa.
• Abesifazane ezinsukwini ezibucayi akunconywa ukusebenzisa amathoni.

Kubaluleke kakhulu ukuphatha ukwelashwa ngesikhathi esifanele , i- uterine isitifiketi embolization izosiza owesifazane ukuba alondoloze ukuzala.

Izinzuzo zale ndlela

Noma iyiphi indlela yokwelapha inezinzuzo nezinkinga zayo, ukuhlanganiswa akuyona into ehlukile. Kodwa okokuqala, ake sibheke izinzuzo:

1. Ukusebenza kahle.
2. Ukwakhiwa kwamathambo ebelethini nge-uterine myomas akushiyi izibazi nokusika.
3. Le ndlela isusa cishe ukuthuthukiswa kabusha kwama-fibroids, okungeke kushiwo ngokususwa ngokushesha.
4. Njengoba i-anesthesia yendawo kuphela ingasetshenziswa, isikhathi sokutakula sisifushane futhi asithathi isikhathi esiningi sokuqeda i-anesthesia.
5. Esibhedlela, owesifazane angakwazi ukuchitha izinsuku ezimbalwa kuphela.
6. Uma kutholakala i-fibroid, ukwenziwa kwemvelo kuyasiza uma ukungenelela okuhlinzekwa kungavunyelwe.
7. Inqubo ayithinti kabi umsebenzi wokubeletha.

Ukungalungi kokumiswa

Manje kancane mayelana namaminithi. Njengamanje, imishini yokwenza inqubo enjalo iyabiza kakhulu. Futhi ochwepheshe kule ndawo eRussia namanje akwanele.

Enye ukungalungi ukusetshenziswa kwe-radiography ngenkathi kuhlanganiswa. Kodwa kufanele kuqaphele ukuthi umthamo wokushisa imisebe awudluli umthamo esiwutholayo lapho sidlula i-X-ray esifubeni.

Ukungakwazi ukuthatha izicubu ze-biopsy kungacatshangwa ukuthi kuyingozi, kodwa kubhalwa ukuhlolwa kwe-angiography ngaphambi kwenqubo. Udokotela onolwazi esithombeni se-vascular angakwazi njalo ukubona i-neoplasm engokwemvelo.

Ukungafani kokuya enkambisweni

Naphezu kokuthi ukuvuselelwa kwamathambo e-uterine ngaphansi kwe-myoma i-uterine kulungile, futhi kuyindlela ephumelelayo, akuvunyelwe ukuyiqhuba kuzo zonke izimo. Izinyathelo zokufakazela zihlanganisa:

• I-pathologies yokuvuvukala yezinhlaka zomzimba.
• Ubuningi bokuphendula okwenziwe okwenziwe umuthi, okusetshenziselwa ukuvala izitsha.
• Ukukhulelwa.

• Ukutholakala kwama-neoplasms ezimbi emzimbeni kwanoma yikuphi ukufika kwendawo.
• Uma kukhona ukwehluleka kwezinso, ukusetshenziswa kwe-medium medium kunzima, ngakho-ke inqubo ayikhuthazwa.

Ukuphikisana okuhlobene kuhlanganisa:

• Ukukhula okusheshayo kwe-neoplasm.
• Umhlangano uhlelwe ngokuhlelekile futhi unesiqu esincane.

Udokotela onolwazi, ngaphambi kokuba athumele owesifazane ukuze enze umkhiqizo, uzothola zonke izinkampani eziphikisanayo.

Izinkinga zenqubo

Le nqubo ibhekwa njengengozi kakhulu kunokuhlinzekwa, kodwa ukuvuselelwa kwamathambo ebelethini e-uterine i-myoma kungabuye ibe nemiphumela engathandeki, okumele kuphawulwe okulandelayo okulandelayo:

1. Cishe isakhiwe ngaso sonke isikhathi endaweni ye-hematoma. Ekugcineni sidlula, kodwa ungadinga amafutha akhethekile ukusheshisa inqubo.
2. Ukutheleleka. Uma lokhu kwenzeka, khona-ke inkambo yokwelashwa kwama-antibiotic inqunywe. Kubalulekile kuphela ukuthi ungadideli ukuqala kokutheleleka nge-reaction yemvelo yomzimba. Kuncike ekutheni izinga lokushisa liphakeme izinsuku ezimbalwa, kuyadingeka ukuthi utshele udokotela.
3. Ubuhlungu besisu esiswini esingaphansi. Kungaba nzima ukuziqinisekisa, ngoba lobu buhlungu buhlobene nokufa kwama-myoma cells. I-anesthetics izokusiza.
4. Kungaba khona ukudakwa, ngakho umzimba uphendukela ekusungulweni kwendawo ehlukile. Ibonakala ngesimo somkhuhlane futhi idinga ukusetshenziswa kwezidakamizwa eziphikisayo.
5. Ama-spikes angakhiwa kusuka kumcubu ohlangene, kodwa lokhu kwenzeka ngokungajwayelekile.
6. Ukungabikho kokuya esikhathini kuningi, kepha kancane kancane phakathi nezinyanga ezingu-2-3 umjikelezo ubuyiselwa.
7. Ukukhathala kwama-ovari.
8. Inkinga engavamile engavamile yinkinga ye-arteries.

Uma kwenzeka izinkinga ezinkulu, isiguli singase sidinge ukususa ngokushesha i-fibroids. Kodwa amathuba okuba nomphumela onjalo, amancane kuphela 1 ngezinqubo ezingu-1000.

Iyiphi inqubo yokwakha

Uma ufunda le ndlela yokulwa ne-myoma, iziguli eziningi, yebo, zikhetha ukwedlula ukuhlinzwa. Khona-ke umbuzo uvela ngokuthi ngabe izinqubo ezinjalo zenziwa kuphi.

Kumele ngithi le nqubo idinga imishini ebiza kakhulu, futhi akuwona wonke umtholampilo ongawuthola. Lesi yisizathu sokuqala esichaza ukuthi kungani zonke izibhedlela, hhayi zonke izidolobha, zingafakwa.

Lesi siqondiso emithini yezokwelapha sishesha-ukwenza imisebenzi emithanjeni yegazi, ngakho-ke odokotela abahlinzayo abazokwazi ukuthola ulwazi olwanele nokwenza ukwenza inqubo enjalo akwanele.

Ngaphezu kwalokho, ukuze kwenziwe ukuhlanganiswa, kuyadingeka i-X-ray ekhethekile yokudlala indawo, engatholakali kuzo zonke izikhungo zezokwelapha.

Uma owesifazane efuna ukuqeda i-myoma ngale ndlela, cishe udinga ukucela usizo emtholampilo ekhethekile noma isikhungo sokuzala esasese.

Ukwakhiwa kwamathambo we-uterine nge-myoma ye-uterine: ukubuyekezwa mayelana nokwelapha

Uma owesifazane ethatha isinqumo sokuqeda ama-fibroids ngale ndlela, kuyadingeka ukuba alungiselele ukuthi izindleko zenqubo enjalo zikhulu kakhulu. Lokhu kuchazwa ukusetshenziswa kwezixhobo ezibizayo kanye namalungiselelo okufaka ezitsheni.

Iningi leziguli liyabona ukuthi ukukhiqiza akusizi kakhulu, ngakho-ke emva kwenkambiso, isikhathi sokutakula sisifushane futhi asidingi isibhedlela eside.

Uma ukuhlanganiswa kwe-arterium uterine kwenziwa nge-myoma ye-uterine, ukubuyekezwa nakho kubi. Abanye besifazane babika ubuhlungu obunzima phakathi nenqubo, kanye namahora ambalwa emva kwalo. Ngosuku lokuqala, izinga lokushisa lingavuka futhi lihlushwa isicashu.

Akuwona wonke umuntu ogubha ukuqedwa okuphelele kwe-pathology, kwezinye izimo i-fibroid iyaphelalala kancane kancane, kodwa kuneziguli ezithintekayo.

Ngisho phakathi odokotela akekho umbono ongathandeki mayelana nokuqalwa kwamandla, kukhona iqembu elibheka njengelungelo elibukhali langempela, futhi kukhona abanye abacabangela le nqubo ukuthi ibe yindlela ehlukile yokusebenza.

Isinqumo sokuthi noma ukususa i-myoma ngendlela esebenzayo noma ukuzama ukusebenzisa ukuboshwa kufanele kuthathwe ngokubambisana nodokotela. Kubalulekile ukucabangela zonke izingozi namathuba okuthuthukisa izinkinga. Kuwesifazane ngamunye umzimba ngokwawo uphendukela ekungeneleleni okuhlukahlukene, ngakho-ke akunakwenzeka ukufakazela ukuthi nakanjani noma ubani uzosondela kule ndlela noma ngaleyo ndlela yokwelashwa.