Njalo ngonyaka, amacala okuthola izicubu zesifo sofuba esiya ocansini ziba njalo. Izicubu ze-Benign zibizwa ngokuhlukile, kuye ngokuthi zithuthuka kuphi (iziphi izicubu). Kukhona fibroids, fibroids, fibroids, leukemiomas.
Uma ukholelwa kwizibalo zezokwelapha, i-uterine fibroids etholakalayo kuwo wonke owesifazane wesihlanu, oneminyaka yobudala kusukela ku-30 kuya kwamashumi amane nanhlanu. Njengomthetho, laba bangabesifazane abangenasidlangalaleni. Emashumini ayisishiyagalolunye nesishiyagalolunye avela kwekhulu, lesi sifo sikhula emzimbeni wesisu futhi kuphela emahlathini amahlanu embelethweni.
Isizathu esiyinhloko sokuthuthukiswa kwesisu esinamandla esibelethweni kungukungalingani ezingeni lama-hormone ocansi (ukwehla kwe-estrogen). Ngokuvamile kwenzeka ngesikhathi sokuya esikhathini. Kumele kuqashelwe ukuthi isifo esinomdlavuza emdlalweni cishe asisabeki.
Isithombe sezokwelapha
Isithombe somtholampilo we-myoma ye-uterine ihlukaniswe yi-polymorphism ephawulekayo futhi incike kakhulu ekutheni owesifazane wesifazane, ubuzwe bendawo, ubude besifo, ubukhulu bokwebunjwa kanye nohlobo lwaso lwe-morphogenetic. Ngaphezu kwalokho, i-tumor ingathinteka yi-comorbidities yesisu nangokwenyama. Ezingamaphesenti angamashumi amane nambili amaphesenti, i-tumor isikhathi eside ayibangeli izimpawu.
Amathuba okuguga abe yisifo esibi kakhulu kakhulu - 0,25-0,75%, ngesikhathi sokuya esikhathini, ingozi iphezulu kakhulu. Noma kunjalo, i-uterine fibroids ivame ukuhambisana nomdlavuza we-pancreatic, izilonda ze-mammary, i-endometrium.
Izimpawu ze-fibroids:
- ukuphuma kwegazi;
- ukwanda ngobukhulu besisu;
- ubuhlungu;
- ukuphazanyiswa komsebenzi wezitho ezingomakhelwane.
Ukwelapha
Ukuqokwa komchwepheshe we-myome kuncike kwisakhiwo sokwakheka, ubukhulu kanye nenani lamakhemikhali e-myomatous, izimpawu, ukutholakala kwezinkinga zokuphila, iminyaka yobudala besifazane kanye nesifiso sakhe sokuba nezingane esikhathini esizayo, izici ze-morpho-ne-pathogenesis yemfundo.
Ukwelashwa ngokwemvelo kwe-fibroids kuyizokwelapha nokuhlinzeka, njll. umphumela ohlangene. Ngakho-ke, nakuba izindlela eziningi zokwelashwa eziningi zanamuhla ziye zavela-laser, electro- and cryosurgery, ukusetshenziswa kwamasu endoscopic-ukwelashwa nama-hormonal amalungiselelo nakho konke okuphuthumayo. Inhloso yokwelashwa okulindelekile ukunciphisa ubukhulu bezimpawu kanye (noma) nobukhulu besisu.
Ukusetshenziswa kwe-intervention intervention kuboniswa lapho:
- ukwanda okusheshayo ngobukhulu besisu;
- ukwephula umsebenzi wezindikimba ezizungezile;
- inqwaba yemfundo (ngaphezu kweviki leshumi nesine lokukhulelwa);
- ukutholakala kwezinye izifo zezitho zangasese, ezidinga ukunakekelwa kokuhlinzwa;
- indawo engapheliyo ye-myoma, ehambisana nokuya esikhathini esiningi nokude isikhathi eside, i-anemia;
- i-necrosis ye-node ye-myomatous;
- i-myoma ye-subperitoneal, enesisekelo esincane ("emlenzeni"); Ama-formations anjalo ahlotshaniswa namathuba aphezulu okuhlukunyezwa kwesisekelo se-node kanye nokuthuthukiswa kwe-necrosis yayo esikhathini esizayo;
- ukungabi nalutho (kulawo maqiniso lapho kuboniswa ukuthi imbangela yokungazalwa kahle yiyona naleso sifo);
- i-myoma yomlomo wesibeletho enezindawo zangasese esiswini.
Ukungenelela kokuhlinzwa kungaba: okuqaphele, okweqile futhi okunamandla. Ngokwemvelo yokufinyelela ezithombeni ezisendaweni encane, imisebenzi ingaba yisiswini kanye nesisu. Inani lokungenelela lixhomeke ezifweni ezikhona zesifo somzimba (isimo se-tublopian tubes, endometrium, ama-ovaries kanye nomlomo wesibeletho), iminyaka yowesifazane, umsebenzi wokuzala.
Imisebenzi yokuqapha ihlanganisa:
- ukususwa kwama-node amancane;
- inucleation of nodes (ngaphandle kwalokho, i-myomectomy egcinayo).
Ngokusebenza okuyisimiso esiyinhloko kuhlanganisa:
- ukuxoshwa okuphezulu kwesibeletho;
- ukufundiswa kwesibeletho.
Ngalokhu kusebenza, ukuya esikhathini kwabesifazane kuhlala, kodwa umsebenzi wokuzala awukho.
Imisebenzi enkulu kakhulu:
- ukuxoshwa okuphezulu kwesibindi;
- ukukhulelwa kwesibeletho;
Uma owesifazane enesithakazelo ekugcineni umsebenzi wokubeletha, khona-ke unama-nucleated myomatous nodes. Uma indawo ye-tumor ingaphansi kwe-sub-serous, i-myomectomy engavumiyo yenziwa ngezindlela zesisu nesasifo se-laparoscopic. Uma i-tumor i-submucosal, i-myomectomy yenziwa nge-hysteroresectoscopy.