I-Fibromioma yesibeleko isifo esinomsoco kunye nesigxina sezinto eziphathekayo zeethambo. Kwenzeka ngokuqhelekileyo kubantwana besifazane abaneminyaka engama-20-45 ubudala. Ingakwazi ukukhula, ukunciphisa okanye ukuphela ngokupheleleyo kwixesha elimnyama lomfazi. I-Fibromioma yesibeleko ingaba nemilinganiselo emincinci (efana nexesha lokukhulelwa kweveki-10), kwaye ingakhula ibe ngamathumitha angama-30-cm.
Ii-fibroids ezininzi ze-uterus: izizathu
Ii-fibroids ezininzi ze-uterine zibangelwa zezi zizathu zilandelayo:
- ibhinqa elifikelele kwiminyaka engama-30 ayinayo imbali yokunikezelwa nokuncelisa;
- ubukho bokukhupha isisu;
- iindlela ezikhethiweyo zokukhulelwa;
- ukuvutha okungapheliyo kwezixhobo kunye nesisu;
- imeko ezixinzelelekileyo;
- ubukho bama-cysts kuma-ovari;
- zibiza ukukhuluphala;
- isifo sesibindi.
I-nodal fibromyoma yesisu: iimpawu kunye neempawu
Ngokuxhomekeke kubukhulu besakhiwo se-tumor, indawo yaso kunye ne-pathology ehambelanayo yokuziphatha kwesini, kuya kwenzeka
- zilandelayo zibonakaliso;
- ukuphulwa komjikelezo wesini;
- utshintshe ubungakanani kunye nomgangatho wokukhutshwa: ukususela kumncinci ukuya kuninzi;
- ukongeza ixesha lokuphuma kwamanzi;
- intlungu kwisisu esezantsi kunye nomzantsi osezantsi, kaninzi kuncinci kwizitho ezingaphantsi.
Ukususwa kwe-fibroids yamanzi
Ngokomyinge, xa uneminyaka engama-45, inani elikhulu lokungenelela kokususwa kwe-fibroids ngokwabo kunye nesisu ngokubanzi liyabonakala, njengoko i-fibromioma ibonakala ngokukhula okusebenzayo kwaye inokubangela ukuba i-endometrial pathology. Ukususwa kwe-fibromioma kwenzeka ngokuya kubonakaliso phambi kweempawu ezihambelanayo ezilandelayo:
- kukho ukukhula ngokukhawuleza kwe-spasmodic ye-tumor;
- ubukho be-endometrial hyperplasia, izicubu ze-ovari;
- ukucima izitho eziseduze (i-rectum, bladder).
Ukukhutshwa kwe-fibroids kubangelwa kakhulu yindlela yokwenza i-laparoscopy, ukuba ibhinqa lingekho iminyaka engama-40. Kamva, njengomthetho, isisu sisuswe ngokupheleleyo, kuba ingozi yokuphucula umdlavuza iphezulu (sarcoma, adenocarcinoma).
Kukho ezinye iindlela zokutshabalalisa izicubu ze-ptagic ze-fibroids:
- laser;
- ngokupholisa.
Nangona kunjalo, ukusetyenziswa kweenkqubo ezinjalo akunconywa kubafazi besetyhini abaceba ukukhulelwa kwangaphambili. Kwakhona kunokwenzeka ukusebenzisa indlela engeyiyo yokusebenza yokususa i-uterine fibroids: ukugqithisa kwe-uterine umthamo (EMA), xa ukuphuma kwegazi kwi-myoma ngokwayo kuphelile. Ngenxa yoko, i-fibroids inokuphela ngokupheleleyo. Isibeleko ngale nkqubo sigcinwa, kodwa kwiimeko ezininzi emva kokubamba kwalo mfazi akayi kuba nako ukukhulelwa. Ngoko ke, i-EMA imiselwe kuphela kubafazi ababelethayo kwaye bengacwangcisi ukukhulelwa kwangaphambili.
Ngomlinganiselo omncinci we-fibroids, unyango olulondolozayo lunokwenzeka: ugqirha ubeka imithi ye-hormonal okanye engekho-hormonal, isenzo sakhe sijolise ekunciphiseni ubungakanani besisu kunye nokungahambi kokukhula.
I-Fibromyoma yesibeleko: ukuchasiswa kokususwa kunye ne-EMA
Ukususwa kwe-fibroids ngendlela ye-EMA inezinto ezingqinelanayo:
- izifo zesimo senhliziyo;
- izifo zendlela yokuphefumula;
- izifo ezinxulumene nomzimba emzimbeni;
- inkqubo yokusuleleka kwintsimi yezitho zeplavic.
I-Fibromyoma yesisu: ukuxela
Phantse isiqingatha seemeko emva kokusebenza ukususa i-fibroid, ibhinqa inokukhulelwa, okuya kuqhubeka ngaphandle kweengxaki. Kodwa ngokuphindaphindiweyo ibhinqa ngexesha lokukhulelwa nokubeleka linokuba neemeko ezilandelayo:
- i toxicosis;
- isongelo sokukhipha isisu kwi-30% yamatyala;
- ukukhutshwa kwangaphambili kwe-amniotic fluid;
- i-hypoxia yobushushu be-intrauterine;
- ukuphulwa komsebenzi wezabasebenzi (umzekelo, ukuchasana okubuthathaka).
Kwimeko yesithathu yamatyala, ukubuyela kuphinda kwenzeka emva kweminyaka elishumi emva kokusebenza.
Kufuneka kukhunjulwe ukuba ukuxilongwa kwangethuba kwaye unyango olufike ngexesha luvumele ukuba lo mfazi agcine umsebenzi wokuzala.