Uterine fibroids

Uterine fibroids mamota anokura mudumbu remukadzi (chibereko). Uku kukura hakuwanzo kuita cancer (benign).

Uterine fibroids yakajairika. Vazhinji sevashanu muvakadzi vashanu vanogona kunge vane fibroids mukati memakore avo ekubereka. Hafu yevakadzi vese vane fibroids nemakore makumi mashanu.

Fibroids isingawanzoitika muvakadzi vari pasi pemakore makumi maviri. Ivo vanozivikanwa muAfrican America kupfuura Vachena, Hispanic, kana vakadzi veAsia

Hapana anoziva chaizvo chinokonzera fibroids. Izvo zvinofungidzirwa kuti zvinokonzerwa ne:

• Mahormone mumuviri
• Majini (anogona kumhanya mumhuri)

Fibroids inogona kuve diki zvekuti iwe unoda microscope kuti uvaone. Vanogonawo kukura zvikuru kwazvo. Dzinogona kuzadza chibereko chose uye dzinogona kurema makirogiramu akati wandei kana makirogiramu. Kunyangwe zvichikwanisika kuti imwe chete fibroid ikure, kazhinji kazhinji pane inopfuura imwe.

Fibroids inogona kukura:

• Mumadziro emhasuru yechibereko (myometrial)
• Ingori pasi pechiso cheiyo uterine lining (submucosal)
• Ingori pasi pekunze kwekunze kwechibereko (subserosal)
• Pane dzinde refu kunze kwechibereko kana mukati mechibereko (pedunculated)

Zviratidzo zvakajairika zveutterine fibroids ndeaya:

• Kubuda ropa pakati penguva
• Kubuda ropa kwakanyanya panguva yako, dzimwe nguva neropa rakagwamba
• Nguva dzingagare kwenguva yakareba kupfuura zvakajairwa
• Inoda kuita weti kakawanda
• Pelvic kupwanya kana kurwadziwa nenguva
• Kunzwa kuzara kana kumanikidzwa mudumbu rako rezasi
• Marwadzo panguva yekusangana

Kazhinji, iwe unogona kunge uine fibroids uye usina kana zviratidzo. Mutapi wako wezvehutano anogona kuvawana panguva yemuedzo wepanyama kana imwe bvunzo. Fibroids inowanzodzikira uye inokonzeresa zviratidzo kune vakadzi vakapfuura nekuguma kuenda kumwedzi. Imwe ongororo ichangoburwa yakaratidzawo kuti mamwe madiki fibroids anodzikira mumadzimai epamberi kuenda kumwedzi.

Mupiki wako achaita bvunzo dzechiuno. Izvi zvinogona kuratidza kuti iwe une shanduko muchimiro chedumbu rako.

Fibroids haisi nyore nguva dzose kuongorora. Kunyanya kufutisa kunogona kuita kuti fibroids iome kuona. Iwe ungangoda bvunzo idzi kuti utarise mafibroids:

• Ultrasound inoshandisa mafungu eruzha kugadzira mufananidzo wechibereko.
• MRI inoshandisa magineti ane simba uye masaisai eredhiyo kugadzira mufananidzo.
• Saline infusion sonogram (hysterosonography) - Saline inoiswa mukati mechibereko kuti zvive nyore kuona chibereko uchishandisa ultrasound.
• Hysteroscopy inoshandisa chubhu refu, yakatetepa inoiswa kuburikidza nepanhengo uye muchibereko kuongorora mukati mechibereko.
• Endometrial biopsy inobvisa chidimbu chidiki chemukati wechibereko kuti utarise gomarara kana uine kubuda ropa kusingawanzo.

Nderupi rudzi rwekurapa kwauinako kunoenderana ne:

• Zera rako
• Hutano hwako hwese
• Zviratidzo zvako
• Mhando yefibroids
• Kana iwe uri nepamuviri
• Kana uchida vana mune ramangwana

Kurapa kwezviratidzo zve fibroids kunogona kusanganisira:

• Intrauterine zvishandiso (IUDs) zvinoburitsa mahormone kubatsira kubatsira kudzika kwekubuda ropa nekurwadziwa.
• Tranexamic acid yekudzikisa huwandu hwekuyerera kweropa.
• Iron inowedzera kudzivirira kana kurapa kupererwa neropa nekuda kwenguva inorema.
• Marwadzo anodzora, senge ibuprofen kana naproxen, yecramp kana kurwadziwa.
• Kurindira kumirira - Unogona kunge uchitevera bvunzo dzepelinha kana ma ultrasound kuti utarise kukura kwefibroid.

Kurapa kana mahormone ekurapa ayo anogona kubatsira kudzora fibroids anosanganisira:

• Kubata mapiritsi ekubatsira kudzora nguva dzinorema.
• Mhando yeIUD inoburitsa yakaderera dosi rehomoni progestin muchibereko zuva rega rega.
• Hormone inopfura kubatsira kudzora fibroids nekumisa ovulation. Kazhinji kazhinji, uyu kurapa unoshandiswa chete kwenguva pfupi kudzora fibroids usati wavhiyiwa. Inogona zvakare kushandiswa kwenguva yakareba kana zvidiki zveestrogen hormone zvakawedzerwa kumashure kudzora mhedzisiro.

Kuvhiya uye maitiro anoshandiswa kurapa fibroids anosanganisira:

• Hysteroscopy - Iyi nzira inogona kubvisa fibroids inokura mukati mechibereko.
• Endometrial ablation - Iyi nzira dzimwe nguva inoshandiswa kurapa ropa rinorema rakabatana nefibroids. Inoshanda zvakanyanya kana iyo fibroids iri diki muhukuru. Inowanzo mira kuenda kumwedzi zvachose.
• Uterine arteri embolization - Maitiro aya anomisa kuwedzerwa kweropa kune iyo fibroid, ichikonzera kudzikira uye kufa. Izvi zvinogona kunge iri sarudzo yakanaka kana iwe uchida kudzivirira kuvhiyiwa uye usiri kuronga kuve nepamuviri.
• Myomectomy - Uku kuvhiya kunobvisa iyo fibroids kubva muchibereko. Izvi zvakare zvinogona kuve sarudzo yakanaka kana iwe uchida kuve nevana. Izvo hazvidzivirire nyowani nyowani kukura.
• Hysterectomy - Kuvhiya uku kunobvisa chibereko zvachose. Inogona kunge iri sarudzo kana usiri kuda vana, mishonga haishande, uye haugone kuve neimwe nzira.

Mishonga mitsva, senge kushandiswa kweiyo yakatariswa ultrasound, iri kuongororwa muzvidzidzo zvekiriniki.

Kana uine fibroids isina zviratidzo, ungangoda kurapwa.

Kana iwe uine fibroids, ivo vanogona kukura kana iwe ukava nepamuviri. Izvi zvinokonzerwa nekuwedzera kweropa kuyerera uye yakakwira estrogen mazinga. Iyo fibroids inowanzo dzokera kuhukuru hwayo hwepakutanga mushure mekunge mwana wako azvarwa.

Zvinetso zve fibroids zvinosanganisira:

• Kurwadziwa kwakanyanya kana kubuda ropa kwakanyanya kunoda kuvhiyiwa nechimbichimbi.
• Kumonyoroka kweiyo fibroid - Izvi zvinogona kukonzera yakavharwa tsinga dzeropa dzinofudza bundu. Ungangoda kuvhiyiwa kana izvi zvikaitika.
• Anemia (isina masero matsvuku eropa) kubva pakubuda ropa kwakanyanya.
• Urinary turakiti hutachiona - Kana iyo fibroid ichimanikidza padundira, zvingave zvakaoma kuburitsa dundira rako zvakakwana.
• Kusabereka, mune zvisingawanzoitika zviitiko.

Kana iwe uri nepamuviri, pane njodzi diki yekuti fibroids inogona kukonzera matambudziko:

• Iwe unogona kununura mwana wako nekukurumidza nekuti hakuna nzvimbo yakakwana mudumbu rako.
• Kana iyo fibroid ichivhara nzira yekuberekwa kana kuisa mwana munzvimbo ine njodzi, ungangoda kuve nechikamu chekusiyiwa (C-chikamu).
• Unogona kunge uine kubuda ropa kwakanyanya uchangobereka.

Fonera mupiki wako kana iwe uine:

• Kubuda ropa kwakanyanya, kuwedzera kupwanya, kana kubuda ropa pakati penguva
• Kuzara kana kuremerwa mudumbu rako repazasi nzvimbo

Leiomyoma; Fibromyoma; Myoma; Fibroids; Uterine kubuda ropa - fibroids; Vaginal kubuda ropa - fibroids

• Hysterectomy - mudumbu - kubuda
• Hysterectomy - laparoscopic - kubuda
• Hysterectomy - kusangana nekutsi kwemukadzi - kubuda
• Uterine tsinga embolization - kubuda

• Pelvic laparoscopy
• Mukadzi wekubereka anatomy
• Matumbu eFibroid
• Uterus

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Moravek MB, Bulun SE. Uterine fibroids. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 131.

Vasori JB. Ikozvino basa reutterine arteri embolization mune manejimendi yeiyo uterine fibroids. Kliniki Obstet Gynecol. 2016; 59 (1): 93-102. PMID: 26630074 pubmed.ncbi.nlm.nih.gov/26630074/.

Stewart EA. Kiriniki tsika. Uterine fibroids. N Engl J Med. 2015; 372 (17): 1646-1655. PMID: 25901428 pubmed.ncbi.nlm.nih.gov/25901428/.

Verpalen IM, Anneveldt KJ, Nijholt IM, et al.Magnetic resonance-yakakwira yakasimba yakatarisana neultrasound (MR-HIFU) kurapwa kwechiratidzo cheutterine uterine fibroids neasina kurambidza maratidziro ekurapa: kuongorora kwakarongeka uye meta-ongororo. Eur J Radiol. 2019; 120: 108700. doi: 10.1016 / j.ejrad.2019.108700. PMID: 31634683 pubmed.ncbi.nlm.nih.gov/31634683/.