Kwenzeka kowesifazane obeletha eminyakeni emihlanu. Ngokuvamile kunalokho, i-fibroma itholakala kwabesifazane abangaphezu kweminyaka engu-30 ubudala. Ezimweni ezingavamile, zenzeka ku-ovary, okukwazi ukwandisa cishe noma yiluphi uhlobo lwesicu. Ngokuvamile, i-fibroids iba yingozi. Izimpawu nokwelashwa kwe-fibroids ye-uterine yiyona isihloko sendaba.
Ukuhlonza
Ngokuvamile, ama-fibroids atholakalayo ngenkathi kuhlolwe njalo izitho zomzimba, isibonelo, ukuhlolwa komdlavuza wesibeletho. Udokotela angase asolise i-fibroids uma isiguli sibhekene nesisindo noma siya esikhathini. Esikhathini sokuhlolwa komtholampilo, ngezinye izikhathi kunzima ukuhlukanisa ama-fibroids amakhulu avela emathunjini ama-ovari, ukukhulelwa okungatholakali kanye nezicubu eziyingozi ze-uterine. Indlela engcono kakhulu yokunquma ukuma, ubukhulu, isikhundla nesakhiwo kwanoma yimaphi ama-neoplasms we-pelvis kanye nesigxobo esingaphansi kwesisu esisodwa se-ultrasound. Ukuze kuhlolwe abesifazane esikhathini sokuthunyelwa kwamadoda, i-radiography ingasetshenziswa. Ukuze uqinisekise ukuxilongwa, i-imagination resonance magnetic ngezinye izikhathi isetshenziswa. I-fibroids encane ingaba yinkimbinkimbi. Kodwa-ke, ngokukhula ngaphakathi kwesikhumba se-uterine, i-fibromyoma yandisa indawo ye-endometrium (i-membrane yamangqamuzana yesibeletho) ephazamisa phakathi nokuya esikhathini. Lokhu kuholela ekusenikeni kwegazi okwesikhashana, okungahlala isikhathi eside kunokujwayelekile. Ukulahlekelwa okukhulu kwegazi kungabangela i-anemia, ngezinye izikhathi nzima. Ukungabi nalutho cishe kuyinkimbinkimbi ejwayelekile kunazo zonke ze-fibroids, okuvame ukuvela kwabesifazane abangenabantwana. Ngezinye izikhathi ukukhula kwe-fibroids kudlula ukuthuthukiswa kwemithambo yegazi kuyo. Kulezi zimo, kuba buhlungu ngenxa yezinqubo eziphuthumayo. Kwezinye izimo, i-fibroid negazi elingenele lingabalwa. Izinguquko ezinjalo ziyamnandi, njengoba ama-calcified formations ayeke ukukhula futhi angagcini. Uma i-tumor ibeka ingcindezi engxenyeni engenhla yesisu, isiguli sifana nesifiso sokuvuthwa njalo. Uma kwenzeka ukuthi i-fibromioma ikhiphe umcibisholo, kunezinkinga ngokuhamba kwesitokisi, okwenza kube nokuthuthukiswa kokuqunywa. Ama-Fibromiomas aqala ukukhula emgqeni we-muscular wesibeletho (intramuralia). Ngendawo ejulile emgqeni we-muscle, i-fibroids ingakhula ibe yi-uterine cavity (fibroids encane), lapho ihlanganiswa ne-endometrium, i-uterine mucosa. Ngezinye izikhathi, esikhundleni sokukhula okusabalalisa, i-fibromioma itholakala esiqwini, kanti ingxenye enkulu yayo iqhubekela emgodini we-uterine.
Ubuhlobo bokukhula kwesisu
Ngokuvamile, i-fibromioma ikhula ekuqondeni komzila, etholakala engaphandle kwesibindi (i-fibroids enamandla). Kodwa-ke, ngokuvamile ukukhula kwe-tumor kulinganiselwe kumcabisho wesisipha. Njengoba ukuthuthukiswa okuzungeze i-fibroids kwakha i-capsule yama-tissue. I-fibroms engezansi neyomlomo ingaba yedwa, kodwa iziguli eziningi zinama-multiple formations. Ngokuvamile lesi sifo sibonakala sikhula kancane, sinomkhuba wokumisa ngesikhathi sokuya esikhathini (ngemuva kokuqala kwayo, kungase kuyancipha). Inkinga enkulu kunazo zonke kule nkathi isuka kakhulu. Indlela yokwelashwa incike ekuboneni kwezimpawu kanye nobudala besiguli. Uma izimpawu zingekho, futhi ukuhlolwa kwe-ultrasound kwembula i-fibroids eyodwa noma amabili, asikho isidingo sokwelapha okusebenzayo. Noma kunjalo, isiguli kufanele sihlole ukuhlolwa kwe-ultrasound ezinyangeni ezimbalwa. Ukuthola i-anemia kuyatholakala ngokusebenzisa ukuhlolwa kwegazi. Ukwelashwa kwe-anemia kuhlanganisa ekunciphiseni indawo ye-endometrium, kanye nokugcwalisa izinga lensimbi emzimbeni ngosizo lwamaphilisi noma umjovo.
Ukwelapha okuhlinzwa
Ukuqeda i-fibroids yamasayizi aphakathi nendawo akhula ngaphakathi kwe-uterine cavity, i-diathermy kanye ne-laser therapy usebenzisa i-hysteroscope. Izicubu ze-fibroids ziyingozi, ngenxa yokuthi ivolumu yomsindo emva kwezinyanga ezimbalwa iyancishiswa kakhulu. Ukuze ubone ukukhanya kwe-fibroids etholakala engaphandle kwesisu, i-laparoscopy isetshenziswa. Ngosizo lwe-laparoscope, kungenzeka futhi ukususa isisu, ikakhulukazi uma sikhula emgqeni. Indlela endala ye-myomectomy (ukususwa kwe-fibromioma) emgodini ovulekile wesisu isasetshenziswa yizinyanga eziningi zezinkinga zezinkinga ze-gynecologists ngezicubu zesayizi enkulu. I-hysterectomy - ukususwa kwesibeletho sonke - isetshenziselwa abesifazane abasafuni ukuba nezingane futhi basesimweni sokumisa.
Ukwelashwa kwamahomoni
Ubukhulu be-fibroids bunganciphisa ukwelashwa kwama-hormone. Ngenxa yalokhu, isibonelo, amalungiselelo aqukethe isithako esisebenzayo se-goserelin, esithinta i-pituitary gland futhi evimbela ukukhiqizwa kwe-hormone eshukumisayo, isetshenziswa. Lesi sidakamizwa, ngaphezu kwalokho, sincipha ubukhulu bendwangu yamangcwaba yesibeletho. Inikelwa njengomjovo odongeni lwesisu emva kwezinsuku ezingama-28 ezinyangeni ezintathu ngaphambi kokusebenza. Abesifazane ekuqedeni kokuya esikhathini, ababhekene ne-fibromyoma, bahlaselwa yi-hormone replacement therapy, ngoba i-estrogens ehilelekile kulo igalelo ekuqaliseni ukukhula kwesisu.