Ingozi ye-uterine fibroids ku-trimester yokuqala yokukhulelwa.
Izingqinamba ku-trimester yokuqala yokukhulelwa zivela nokuxhumana kwe-node ye-myomatous ne-placenta. Okokuqala, lapha kukhona ingozi yokuphefumula kwe-oksijeni nezondlo eziza kumntwana. Lokhu kungathinta kakhulu ukukhula nokuthuthukiswa kwayo, kufaka phakathi ukukhulelwa kwesisu noma ukukhulelwa okuqhubekayo.
Kungakhathaliseki ukuthi i-myoma iyingozi engxenyeni yesibili neyesithathu yokukhulelwa.
Esikhathini sesibili nesithathu sesithathu, ingozi yokubeletha ngaphambi kokubeletha kanye nokukhubazeka okungazelelwe yanda nakakhulu. Njengoba lesi sifo sinciphisa isikhala samahhala esibelethweni, sidinga ukuthuthukiswa okuphelele kwengane. Uma i-fibroid inkulu, kungenzeka ukuthi izingane ezinesisindo somzimba eziphansi zizozalwa.
Noma yisiphi isigaba sokukhulelwa.
Kunoma yisiphi isigaba sokukhulelwa, kungakhathaliseki ukuthi i-trimester, kunengozi ethile yokusongela ukukhulelwa. Lokhu kungenxa yokuthi isivumelwano sokubeletha esibelethweni phambi kwe-fibroids sanda.
Abesifazane abangaba ngu-20% abane-myoma ye-uterine babhekana nalesi simo. Uma, ngesikhathi sokulinda kwengane, i-fibroid ibhujiswa, i-prostaglandin ikhishwa kuyo - ama-hormone akhethekile abangela ukwehlukaniswa kwanoma yiziphi izinhlanzi ezibushelelezi, kuhlanganise nemisipha ye-uterine. Kulokhu, abesifazane abakhulelwe bayanconywa ukuthi bathathe izinyathelo ezisekelwe ezakhiweni zemvelo (motherwort, valerian), i-vitamin B6, amalungiselelo nge-magnesium ekuvimbeleni. Ngaphezu kwalokho, ngesikhathi ukhulelwe, udinga ukukhawulela umsebenzi wokusebenza futhi unikeze owesifazane onokuphumula kwengqondo.
Ukubeletha.
Inqubo yokulethwa kwe-myoma ngokuvamile ayithinti inqubo ngokwayo. Kodwa kukholelwa ukuthi owesifazane wesibili owesifazane onomdlavuza we-uterine unomlingiswa osuka esikhathini eside. Ngokuvamile lokhu kusebenza njengesisusa sokuvuselela izidakamizwa zabasebenzi. Kukhona amacala lapho ama-node amakhulu ama-fibroids, akhiwe eduze komlomo wesibeletho, abe yisithiyo ekungeneni kwengane ngokusebenzisa umsele wokuzalwa. Lokhu kusebenza njengesibonakaliso sokuhlinzwa kwesigaba sokudla. Ngesinye isikhathi i-myoma ingahlanganiswa nesimo esiphambene nesethulo sesisu, ubuso noma ubuso, lapho ukuzalwa kwemvelo kunganconywa khona.
Ukubhujiswa kwe-uterine fibroids.
Kwenzeka ukuthi ukukhulelwa, ngokuphambene nalokho, kuholela ekunciphiseni okukhulu ngobukhulu be-fibroids, futhi ngezinye izikhathi ukunyamalala kwayo ngokuphelele. Lokhu kubangelwa ukuguqulwa kwesilinganiso nokuhlushwa kwamahomoni egazini lomfazi ngesikhathi sokukhulelwa. Kodwa le nqubo ivame kuphela izicubu ezincane (ngaphansi kuka-15-20 mm). Futhi kulokhu, emva kokuzalwa, ukuqedwa kokuncelisa nokuqalwa komjikelezo wokuya esikhathini, i-myoma ingabuye ikhuphuke. Ngokuqondene nokubhujiswa okuphelele kwe-myoma, lesi senzakalo asikwazi ukubhekwa njengento enhle. Iqiniso liwukuthi le nqubo ihlotshaniswa nokufa kwezicubu, kanti lokhu kuvame ukuholela ekutheni ukuphuma nokuphuza. Isizathu sokubhujiswa kwe-fibroids kungase kube ukwephulwa komsoco wakhe nokwanda kwezinga le-progesterone egazini. Izimpawu zalesi simo zibuhlungu esiswini esingaphansi, ukwanda kokushisa komzimba kanye nezwi lesisu. Ngokuqondile, ukuxilongwa kusizwa yi-ultrasound. Ngokuvamile kuleli cala, ukwelashwa okulindelekile kwenziwa okweyedwa kuya kwamasonto amabili. Uma izimpawu ziqhubeka, owesifazane okhulelwe uthunyelwa esibhedlela.
I-Myoma nokukhulelwa kwengane.
Uma owesifazane evame ukuvakashela umjozi wezifo zokwelapha futhi uyazi ukuthi usenayo i-fibroids, khona-ke umbuzo uvela - indlela yokulungiselela kahle ukukhulelwa nokubeletha ingane. Kulesi simo, konke kuzoxhomeka endaweni kanye nobukhulu bezinombolo ze-myomatous. Uma usayizi wabo ungadluli u-2 cm futhi zitholakala endaweni enobungozi bezingqimba zomzimba wesibeletho, khona-ke ungakwazi ukuhlela ukukhulelwa ngokusebenzisa izivivinyo zesimiso. Kodwa-ke, uma i-myoma inkulu ngokwanele noma ingafinyeleleki kahle, kungcono ukulinda ngokukhulelwa, njengoba kungadingeka ukungenelela kokuhlinzwa. Okuyingozi kunazo zonke izicubu "emlenzeni," ngoba kuwukudla okuvame ukuphazamiseka, okungaba ngumthombo wokuphendula okuvuthayo.
Futhi ukwandisa ingozi yokukhulelwa kwesisu okuyi-myomatous nodes etholakala ngaphansi kwekhanda elimangalisa lesibeletho. Izindlela zanamuhla zokwelashwa kwe-myomas zithandeka ngangokunokwenzeka. Ukusebenza kwenziwa endoscopically, okungukuthi, ngaphandle kokusika kwodonga lwesisu. Uma ububanzi bama-node bungaphezu kwamamitha angu-5, ngokuvamile ngaphambi kokusebenza, ukwelashwa kwangaphambili kwenziwa, okuvumela ukunciphisa ubukhulu besisu. Ngemva kokukhipha isisu, ama-spikes angakha futhi ukukhulelwa kungenziwa kuhlelwe ezinyangeni ezintathu kuya kweziyisithupha.