Izindlela zokwelapha i-myoma yezibeletho

Izindlela zokwelapha i-uterine fibroids abesifazane ngokuvamile baqala ukuhlinzwa, ikakhulukazi uma isisu sikhula ngokukhulayo futhi sibangela ukuhlupheka. Izindlela zanamuhla zingasindisa owesifazane kusuka fibroids, ngaphandle kokukhipha isisu.

Ngenxa yokwesaba ukuzwa udokotela izindaba ezingathandeki ngempilo yakhe, abesifazane abaningi abazange bavakashele umama wezifo iminyaka eminingi. Kungcono ukuba bahlale bengalazi, ngisho noma bezwa ubuhlungu, ukuphuma kwegazi nezinye izimpawu ezingathandeki. Okwesabeka kakhulu kungukungenelela kokuhlinzeka, okungabangela ukulimala okukhulu kubesifazane babo. Ukwenza lokhu, sebenzisa izindlela ezahlukene zokwelashwa kwe-myomas ye-uterine - kusuka ekwelapheni kwe-hormone kuya emisebenzini ye-classic cavitary: i-myomectomy ne-hysterectomy (ukususwa okuyingxenye noma okuphelele kwesibeletho). Imisebenzi enjalo ihilela i-anesthesia ejwayelekile, ihlala isikhathi eside, i-autopsy, kanye nokuvuselelwa isikhathi eside. Izindlela zanamuhla ezingenasidingo zokwelapha i-myomas ye-uterine - i-laparoscopy kanye ne-embolization ye-arteries - ngaphandle kwezingozi eziningi nokunciphisa ukulahlekelwa.


Nciphisa ukuxilongwa

I-Fibromioma (i-myoma, i-leiomyoma) iyisisu esibuhlungu esiqala emathanjeni amisipha esibelethweni. Kukholelwa ukuthi le mfundo ingatholakala cishe wonke owesifazane wesibili. Umbuzo uwukuthi, ama-fibroids angakanani asebenzayo. Ngesinye isikhathi akazibonakali nhlobo (i-nodule ye-myomatous iyingcosana futhi ayiphazamisi ukusebenza kwemvelo kwesibeletho). Uma i-tumor ivimbela isibeletho ekungeneni (ngokwesibonelo, ngesikhathi sokuya esikhathini), kubangele ukuphuma kwegazi noma ukuzwa okubuhlungu ngesikhathi socansi, ngaphezu kwalokho, kwandisa ubungako, bese kuphakama umbuzo. Thola i-fibroids ngesikhathi se-ultrasound, ukuhlola noma i-hysteroscopy (ukuhlolwa ngedivaysi ebonakalayo efakwe emzimbeni). Uma, lapho ekuhlolisisa esihlalweni sezingubo, udokotela usolwa nge-myoma futhi wanikeza uhlolo olwengeziwe - vumelana. Indlela yokwelapha i-fibroids ye-uterine futhi ngosizo lwe-palpation ingabonakala ngokucacile ukuthi i-nodes enkulu kuphela.


Ngidinga ukuyisusa?

Ukuvela nokukhula kwe-fibroids kunesandla ezintweni ezihlukahlukene: ukusetshenziswa okungalawulwa kwemithi yokuvimbela i-hormonal, impilo yokuziphatha ngokocansi noma ukungahlali ngokuphelele, ukucindezeleka nokuthwala ngokweqile, izici zangaphandle ezingathandeki.

I-Myoma ingakhula ngokukhuphuka kwezinga lama-hormone wesifazane wesifo se-estrogen (ngesikhathi sokukhulelwa, ukuqala kokuya esikhathini sokuya esikhathini). I-tumor ayikwazi nje ukudala ukuphuma kwegazi (okuholela ekuthuthukiseni i-anemia), kodwa futhi kuvuse ubuhlungu, ukuvuthwa okuvamile, izinkinga ngamathumbu. Uma owesifazane engavamile ukuboniswa kudokotela, i-myoma ingafinyelela usayizi omkhulu - kunezimo lapho odokotela abahlinzayo bekhishwa isisu esinesikhilogram ezinhlanu noma ngaphezulu.


Imisebenzi encane engavamile

Indlela elula futhi engenabungozi yokwelapha i-uterine fibroids kubonakala sengathi i-hormonotherapy. Okokuqala, ukwehla ezingeni lika-estrogen kuvimbela ngempela ukukhula kwe-node noma kuyinciphisa, kodwa ngemuva kokukhansela kwe-hormone konke kungaqhubeka. Ngaphezu kwalokho, ama-hormone anemiphumela emibi eminingi. Ngakho-ke, ukususwa kokuhlinzwa kwe-neoplasm kubhekwa ngokuphumelelayo. Namuhla, izindlela ezincane ezingavamile zokuphatha i-myomas ye-uterine zisetshenziswa kabanzi, isibonelo, i-laparoscopy, lapho i-node ivunwa khona ngaphandle kokuvula isisu somzimba. I-laparoscope efakwe kuyo kwi-tube encane, lapho ikhamera yevidiyo nomthombo wokukhanya kuxhunyiwe khona. Isithombe sezitho zangaphakathi sidluliselwa kumlindo wevidiyo futhi udokotela ohlinzayo ubona ngokucacile insimu yokusebenza. Ama-punctures amancane akhiqizwa ukungenelela okunjalo amancane alimaza izicubu zomzimba. Isiguli cishe asizwa ubuhlungu ngemva kokusebenza futhi sibuyela ekhaya ezinsukwini ezimbalwa. Emva kwamasonto amabili owesifazane angabuyela endleleni evamile yokuphila.

I-hysteroscopy isebenza nasemisebenzini ye-endoscopic. Udokotela usebenzisa i-ultrathin instrument ehlome ama-optics, ejoyiwe ngokuvuleka kwemvelo yomzimba. Ukususwa kwe-myomas encane kwenzeka ngomsele womlomo wesibeletho.


Ukuqokwa "oksijini"

Eminyakeni engaphezu kwengu-10 emazweni athuthukile (eminyakeni yamuva nase-Ukraine) ngezindlela zokwelapha i-uterine fibroids, odokotela abahlinzayo basebenzisa ngokugcwele umthambo wesibindi (EMA). Ngokwezibalo, cishe amaphesenti angu-98 alawo misebenzi aphumelele futhi i-myoma ayibuyanga.

Ngesikhathi sokuhlinzwa, umthambo wesifazane uhlotshiswe ngenaliti ekhethekile futhi i-catheter encane iqhutshwa emithanjeni ehlinzeka igazi kwi-myomas. Zigcwele ama-particle amancane epulasitiki - emboli. Igazi le-myoma liyeka, futhi liyeke ukukhula. Okokuqala, i-tumor iyanciphisa izikhathi ezingu-2-3, bese kuthi kungakapheli isigamu sonyaka sinquma. Inqubo iqala kusuka kumaminithi angu-40 kuya kumahora angu-1.5. Ngemuva kokuhlinzwa, bhala imishanguzo yobuhlungu kanye nesimiso sokulondoloza isikhathi sokuvuselela (cishe inyanga).


Ngokusho kobufakazi

Udinga futhi ukwazi ukuthi kunezingqinamba kokubili i-laparoscopy ne-EMA. Ukuthi udokotela wenze isinqumo ngalolu hlobo noma kulolo hlobo lokungenelela, kudingekile ukuhlolwa. Uma ungabaza, futhi ucabanga ukuthi ukugwema ukusebenza kungagwenywa, hamba kwesinye isazi noma kwenye emtholampilo lapho kunezidingo ezifanele nabahlinzayo abaqeqeshiwe abanezindlela zanamuhla. Noma kunjalo, ukhetha futhi useshe, futhi isinqumo sokugcina senziwa udokotela, uqhubeke nesimo sokukhonkolo. Mhlawumbe, kuwe-ke, ukusetshenziswa kwezindlela ezincane ezingenasidingo ngeke kube ngokwanele, ikakhulukazi uma udokotela kufanele abhekane nesifo se-neoplasm esinganaki. Yingakho kubaluleke kangaka ukuvakashela umjozi wezifo njalo ukuhlola lesi sifo esiteji sokuqala.