I-Myoma i-neoplasm enobuhlungu ehlala kwindawo ye-uterus. Esi sifo asiniki iimpawu ixesha elide, ngoko kufunyanwa ekupheleni kwexesha, xa i-myoma ngokwayo inomthamo omkhulu. Ngonyango, ixabiso apho ulayini lwe-myoma uterine lubalulekile, ukulinganisa - ukusetyenziswa kwezi zinto ziyimfuneko.
Ukuxilongwa kwe-uterine fibroids
I-Myoma i-neoplasm eyenziwe kwiiseli ezihamba kakuhle. Ubukhulu bayo bungaba ngamamitha ambalwa ukuya kwi-30 cm okanye ngaphezulu. Nangona kunjalo, sele ikhona i-myoma encinci ingasetyenziswa ngokusebenzisa i-ultrasound. Ukuxilongwa kwe-ultrasound ye-uterine fibroids yiseko lazo zonke iindlela zokuxilonga. Ukusebenzisa le teknoloji kunokwenzeka ukuseka kuphela ubungakanani bobunjwa, inani labo, kodwa kunye nokwakhiwa ngqo kwezakhiwo zezilwanyana.
Kubalulekile ekuxilongweni kwe-fibroids kukuhlolwa kwe-bimanual. Ngoncedo lwaso, i-myoma enkulu ye-uterine ingafunyanwa, ubungakanani bomsebenzi bunqunywe nge-ultrasound. Ugqirha, uvakalelwa ukubunjwa ngodonga lwangaphakathi lomzimba, unokwenza uqikelelo malunga nomlo, ubungakanani kunye nendawo yendawo. Ukufumana iinkcukacha ezichanekileyo kwimiqulu yemfundo, isakhiwo sayo, inani le-foci, uphando olongezelelweyo lwenziwe:
- I-X-ray: I-X-ray yezitho zeplavic;
- endoscopic: i- hysteroscopy , i-cervicoscopy, i- colposcopy .
I-Myoma ye-uterus - size
Ubukhulu be-uterine fibroids bubaluleke kakhulu bokuxilonga. Le pharamitha ithathwa ngokukhawuleza xa ikhetha indlela yokwelapha. Ngomlinganiselo omncinci we-tumor, unyango olulondolozayo lungenziwa. Iquka ukusetyenziswa kwezidakamizwa ze-hormonal ezicotha ukwanda kwe-tumor. Ukwanda kwenyameko yama-hormone wesini kubangela ukukhula okwandisiweyo kwee-nomatous nodes. Ngenxa yoko, ubukhulu besitho somzimba buya kwanda. Ngokumalunga nale nto, umthamo we-tumor uboniswa kwiiveki zokukhulelwa (ubukhulu bentumbano bufaniswa nelobubele).
Ngokuxhomekeke kubukhulu be-neoplasm, i-nodes i-myomatous ingabelana ngo:
- ncinane;
- umyinge;
- enkulu.
Ubukhulu be-fibroids kwiimitha
Ubukhulu be-uterine fibroids ngo-mm buya kusekwa ngexesha le-ultrasound. Ugqirha uyayihlola ngenyameko isigxina se-pelvis encinci, ingakumbi isisu. Ngexesha le nkqubo, asifundanga nje ubukhulu bemfundo, kodwa kwakhona sivavanya isakhiwo salo, inani leenombolo ezikhoyo. Kubalulekile ukucacisa uhlobo lwesisu. Inani elibalulekileyo lokuxilonga libukhulu be-myoma.
Ekugqibeleni, ugqirha ubonisa ulwazi olulandelayo:
- i-fibroids encinci - i-diagnostic eyenziwa ukuba ubukhulu be-tumor abudluli kwi-20 mm;
- Umyinge- esi sigqibo senziwe ukuba ububanzi be-tumor ngu-20-60 mm;
- Umthamo omkhulu - ngaphezu kwe 60 mm.
Ubukhulu be-uterine fibroids kwiiveki
Ngeempawu eziqhelekileyo zesisu, oogqirha bahlala beqikelela ubungakanani be-fibroids kwiiveki xa behlola isisu. Umzekelo, ukuba ibhinqa ifunyanwe ne-uterine i-myoma iiveki ezili-11, oku kuthetha ukuba umthamo wesibeletho ukwanda ukuya kubukhulu besitho somzimba kwiiveki ezili-11 zokukhulelwa. Ngaloo ndlela, nge-myome yokulinganisa u-3-4 cm ububanzi, isiphelo siboniswe kwisiphelo: i-neoplasm (myoma) iiveki ezi-6-7.
Oogqirha bachaza ubukhulu be-uterine fibroids kwiiveki zilandelayo:
- i-myoma encinci - ubukhulu besitho somzimba abuyidluli kwiiveki ezi-4 ezinqabileyo;
- umyinge- ufumanisa ukuba i-uterus ihambelana neveki ezi-10-11;
- elikhulu - lilingana neveki ezili-12 ukuya ku-16.
Kubukhulu bunjani obuthakathaka be-fibroids benza umsebenzi?
Xa i-myoma ye-uterine ifumaneka, ubukhulu bomsebenzi yiparameter ukuba oogqirha bayiphatha, ngaphezu kwendlela yokwakha. Kubalulekile ukujonga i-tumor kwi-dynamics. Abasetyhini abaneesifo esifanayo bahlaziywa rhoqo kwiimviwo, i-ultrasound. Ukuba kukho i-tumor ekhula ngokukhawuleza, ukungenelela ngophakanyiso kuyimfuneko. Ukuba umsebenzi awukwenziwanga, i-tumor ithatha yonke indawo ekhululekile kwi-pelvis encinci. Kukho ukuphulwa komsebenzi ogqithisiweyo.
Xa ukuxilongwa kwe-hysteromyoma ubukhulu bokusebenza kwi-millimeters oogqirha abayifaki okanye bayifake. Isibonakaliso sokungenelela okunyanzelekileyo kukunyuka kwe-fibroids - ukubunjwa kwanda nge-20 mm kunye nangaphezulu kunyaka. Ukongeza, ezo froid ezingenawo ubukhulu obukhulu, kodwa kunomlenze omncinci. Ngokukodwa kule ndawo kukho ingozi ephezulu yokuhluthwa, okubangele ukutshintsha kwezicubu ezonakalisayo, i-necrosis. Ezinye izibonakaliso zokususwa kwe-fibroids zingaquka:
- ukungabikho komntwana ;
- ukulahleka kwamathambo rhoqo;
- isifo esibuhlungu kakhulu (intlungu eqhubekayo esiswini, kwi-rectum, bladder).
I-myoma engaphantsi kwesibeletho-ubukhulu bomsebenzi
I-myoma ixhasayo ibhekisela kwiifom zokuziphatha. Ichaphazela inxalenye yangaphandle yelungu, ikhula kwinqanaba le-pelvis encinci. Ngefom, ifana neqhina elinesiseko esikhulu okanye unyawo olunqabileyo. I-hysteromyoma ehlukumezayo ngobukhulu obukhulu ixhomekeke ekukhutshweni okufunekayo. Ngexesha elifanayo, umbuzo wokuqhuba unyango okhulayo uphuma xa ukubunjwa kobubanzi kufinyelela kuma-80 mm.
I-uterine ye-uterine engummiselo - ubukhulu bomsebenzi
Ubukhulu be-hysteromyoma ekusebenziseni lolu hlobo lwesakhiwo alufani nolu lukhankanywe ngasentla (8 mnye nangaphezulu). Ubunqwenelekayo be-myoma engummiselo yi-submucosal localization ye-node ngokwayo. Kule meko, iifiber fibrosis ze-muscular layer of the uterus zikhoyo ekubunjweni. Ukukhula kwe-tumor kuqondiswa ngaphakathi kwilungu lomzimba. Unyango oluphandwayo lolu hlobo lwe-neoplasm lungenziwa ngamagcisa alandelayo:
- i-myoectomy - ukususwa kweenombolo;
- Ukuqulunqwa kwemibhobho ye-uterine kukuphula umthetho wesondlo sesisu, ngenxa yoko ukuphuhliswa kwayo okuqhubekayo kwenzeka.
I-myoma i-uterine enkulu
Xa sisebenzisana nobungakanani apho i-uterine fibroids isuswe khona, ku funeka kuqatshelwe ukuba ngenxa yokwenziwa kobuninzi, oogqirha abayithobeli ingqalelo yeempawu zodwa. Xa ukhetha indlela yokusebenza, indawo yangasese ye-myomas kunye nobudala bendoda iyaqwalaselwa. Ukuba lona wesifazane uzimisele ukuba nezingane, misela i-myoectomy ngokulondoloza isitho somzimba. Ugqirha lwenziwe nge laparoscopy. Ukubuyiselwa komzimba emva kokuhlinzwa ngolu hlobo kukhawuleza, ngoko unyaka kamva ukungabikho kwezixazululo kuvunyelwe ukuceba ukukhulelwa.
I-uterine myoma isuswe njani?
Ukususa i-myoma ye-uterine ngendlela yeklasiki yindlela yokusebenzisa i-myoectomy. Yenziwa phantsi kwe-anesthesia jikelele okanye ngokusetyenziswa kwe-anesthesia ye-epidural. Ngaphambi kokuba i-myoma isisu isuswe, ubukhulu bomsebenzi obelwe ihlolwe phambi kokuba utyando ngokwawo. Inokwenziwa ngenye yeendlela ezilandelayo:
- Vula usebenziso lwesigxina - isicatshulwa esingagqibekanga senziwa 2-3 cm ngaphezu kwe-pubic. Emva koko uvula ukufikelela kwi-jumbo kwaye ulungise. Isetyenziselwa ubukhulu obukhulu beziko.
- I-Laparoscopy - ebusweni bomzimba, izimbobo ezininzi zenziwa ngoluphi uhlobo lwezixhobo ezikhethekileyo kunye nezixhobo zevidiyo eziziswayo.
- I-myomectomy ye-hysteroscopic- isetyenziselwa i-myomas engummangaliso. Ukufikelela kufakwe kwisini, usebenzisa i-resectoscope. Ukusebenzisa esi sixhobo, esenza kwi-tumor nge-current-frequency current, i-myoma ibhujiswe, kwaye iziqhekeza zayo ziyahlanjululwa ngaphandle kwegumbi le-uterine.
Unyango lwe-uterine fibroids ngobukhulu obukhulu ngaphandle kokuhlinzwa
Xa i-myoma i-uterine encinci itholakala, oogqirha bazama ukuyiphatha ngemithi. Unyango lwe-fibroids enkulu ngaphandle kokungenelela kokungenelelo aluvunyelwanga. I-tumor iya kuqhubeka ikhula, ngoko umsebenzi wezinye izitho kunye neenkqubo zingaphazamiseka ngokukhawuleza. Ukunyangwa kweziyobisi kunokwenzeka xa ufumene i-myoma yomlomo wesibeleko, ubungakanani obuvumelekileyo obusekwe kwi-3 cm. Kwiimeko ezininzi, iziyobisi ze-hormone zinefuthe lesigxina kuphela, kwaye ukuphela kokuphela kwe-tumor ayikho.