Kubata Kwemwedzi Kunobata Sei Fibroid Zviratidzo uye Kubudirira?

Zvemukati

• Fibroids uye mahormone ako
• Njodzi zvinhu zve fibroids
• Zviratidzo
• Kurapa fibroids mushure mekuguma kuenda kumwedzi
• Hormonal Therapies
• Myomectomy
• Hysterectomy
• Mamwe marapirwo
• Outlook

Mhedziso

Uterine fibroids, inozivikanwawo se fibroids kana leiomyomas, tumamota tudiki tunokura mumadziro echibereko chemukadzi. Aya mamota ane hutachiona, zvinoreva kuti ivo havana cancer. Nekudaro, ivo vanogona kukonzera marwadzo uye zvimwe zviratidzo zvisina kugadzikana.

Fibroids ndiyo yakajairika mhando yemabundu ane huturu muvakadzi. Dzinokura kazhinji muvakadzi vane zera rekubereka. Iwe unogona kuramba uchizviwana panguva uye mushure mekuguma kwemwedzi - kana kutombozvikudziridza kekutanga panguva iyi yehupenyu.

Dzidza zvakawanda nezve fibroids uye yavo link kune kuenda kumwedzi.

Fibroids uye mahormone ako

Mahormone estrogen uye progesterone inogona kuwedzera njodzi yefibroids. Munguva yekumira kwemwedzi, muviri wako unoburitsa shoma estrogen uye progesterone. Nekudaro, njodzi yako kune nyowani nyowani inoderera.

Kudonha kwemazinga ehormone kunogona zvakare kubatsira preexisting fibroids kudzikira muhukuru.

Njodzi zvinhu zve fibroids

Zvimwe zvinhu zvine njodzi zvinogona kuwedzera mukana wako wekuvandudza fibroids. Zvinosanganisira:

• kukwirira kweropa (hypertension)
• yakaderera vhitamini D mazinga
• nhoroondo yemhuri ye fibroids
• kufutisa
• hapana nhoroondo yekuzvitakura
• kwenguva refu, kunyanya kunetseka

Vakadzi vane makore anodarika makumi mana uye vakadzi vemuAfrica vemuAmerica vari zvakare panjodzi huru ye fibroids.

Zviratidzo

Fibroids inogona kukanganisa premenopausal uye postmenopausal vakadzi munzira dzakasiyana. Kazhinji, vakadzi ve premenopausal vanowanzo kuve nezviratidzo zvakanyanya.

Dzimwe nguva panenge pasina kana zviratidzo zveiyo fibroids zvachose. Mutapi wako wezvehutano anogona kuona fibroids panguva yegore regore rebvunzo.

Vakadzi, vangave premenopausal kana postmenopausal, vanogona kuona zvinotevera fibroid zviratidzo:

• kubuda ropa kwakanyanya
• kugara uchiona
• kupererwa neropa kubva pakurasikirwa kukuru kweropa
• kumwedzi-kufanana nekupwanya
• kuzara mudumbu rezasi
• kuzvimba mudumbu
• kurwadziwa kwepashure
• kugara uchiita weti
• kusagadzikana kana weti kubuda
• kusangana kunorwadza
• kupindwa nechando
• kusvotwa
• kutemwa nemusoro

Iyo fibroid kana sumbu rei fibroids rinosundira pamadziro echibereko rinogona kukonzera zvakananga izvi zvakawanda zvezviratidzo. Semuenzaniso, kumanikidzwa kubva ku fibroids pane yako bladder kunogona kukonzera kuwanda kwakawanda.

Kurapa fibroids mushure mekuguma kuenda kumwedzi

Fibroids inogona kuve yakaoma kugadzirisa.

Mapiritsi ekudzivirira kuberekwa parizvino ndiwo marapirwo anosarudzwa nemishonga. Mubatsiri wako wehutano anogona kukurudzira kubviswa kwekuvhiya kwefibroids yako, inova nzira inozivikanwa seyomeomectomy. Iyo hysterectomy, kana kuvhiya kubviswa kwechibereko chako, kunogona zvakare kutariswa.

Hormonal Therapies

Kubata mapiritsi mapiritsi ndeimwe nzira inogoneka yekugadzirisa zviratidzo zvakaita sekurwadziwa uye kubuda ropa zvakanyanya. Nekudaro, ivo havazodzedzere iyo fibroids kana kuita kuti iende.

Pane humbowo hwekutsigira mashandisirwo emaviri mapiritsi uye progestin-yekuzvarwa mapiritsi efibroids. Progesinin inogona zvakare kudzikamisa zvimwe zviratidzo zvekuguma kuenda kumwedzi uye kuita kuti mahormone ekutsiva arape zvakanyanya.

Mimwe mishonga yekurapa inozorodza marwadzo uye kubuda ropa inosanganisira majekiseni eprogestin uye zvishandiso zvepamuviri (IUDs) zvine progestin.

Myomectomy

Dzimwe nguva myomectomy inoitwa isati yamboitwa hysterectomy. Myomectomy inotarisa kubviswa kwefibroid uye haidi kubviswa kwechibereko chako.Myomectomies inogona kuitwa nenzira dzakasiyana siyana, zvichienderana nenzvimbo yefibroids.

Kana iyo yakawanda yeiyo fibroid iri mukati mechibereko chechibereko, kuvhiyiwa kunogona kuitwa hysteroscopically (nerubatsiro rwechitete, chakavhenekerwa chubhu).

Mune zvimwe zviitiko, wako mupi wezvehutano anozoita incision mudumbu rako rezasi. Iko kukura uye nzvimbo yeiyo incision yakafanana neiyo incision inoshandiswa kune yekuregedza dhiri. Kupora zvizere kunotora mavhiki mana kusvika matanhatu. Iyi nzira haina kujairika sevamwe.

Mutapi wako wezvehutano anogona zvakare kunge achikwanisa kuvhiya laparoscopically. Munguva yekuvhiyiwa kwepaparoscopic, kuita kuduku kunoitwa. Nguva yekudzosa ye laparoscopic kuvhiya ipfupi, asi mhando iyi yekuvhiya inowanzo kungokurudzirwa kune madiki fibroids.

Kana fibroids ikadzoka ichitevera myomectomy, chiremba wako anogona kukurudzira hysterectomy.

Hysterectomy

Nezviratidzo zvakakomba zvine chekuita nehombe, inodzokororwa fibroids, hysterectomy inogona kunge iri sarudzo yakanakisa. Mune rudzi urwu rwekuvhiya, wako mupi wezvehutano anobvisa zvese kana chimwe chikamu chechibereko chako.

Hysterectomies inogona kukurudzirwa kune vakadzi avo:

• vava pedyo nekuguma
• vatove postmenopausal
• vane akawanda fibroids
• vane fibroids yakakura kwazvo
• vakaedza kurapwa kwakawanda, vanoda kurapwa kwakanyanya, uye vasina hurongwa hwekubereka vana mune ramangwana

Kune matatu marudzi eiyo hysterectomy:

• Yese. Mukuvhiya uku, mupi wako wezvehutano anobvisa chibereko chako chose pamwe nemuromo wechibereko. Mune zvimwe zviitiko, ivo vanogona kukurudzira kubvisa kwako fallopian machubhu futi. Iyi sarudzo inogona kuve yakanakisa kana uine makuru, akapararira masumbu e fibroid.
• Partial / subtotal. Nekuvhiyiwa uku, chibereko chako chepamusoro chete chinobviswa. Mubatsiri wako wezvehutano anogona kukurudzira iyi sarudzo kana fibroids iri dambudziko rinodzokorodza mudunhu rino rechibereko chako. Izvi zvinogona kusimbiswa kuburikidza neyekufungidzira bvunzo.
• Radical. Iyi ndiyo fomu inonyanya kukosha ye hysterectomy, uye haiwanzoshandiswa pakurapa mafibroids. Iyo dzimwe nguva inokurudzirwa kune mamwe gomarara echikadzi. Nekuvhiyiwa uku, chiremba anobvisa chibereko chako, kumusoro kwemukadzi, cervix, uye parametria (dzakatenderedza nyama dzechibereko nemukadzi).

Hysterectomy ndiyo chete nzira yekurapa zvizere fibroids. Gore rega rega, unoitwa oparesheni iyi yekusunungurwa kwefibroid.

Pamwe chete, iwe nemupi wako wekuchengeta hutano munogona kuona kana kuvhiya uku kungave kwakanyanya kurapwa kwefibroid iwe.

Mamwe marapirwo

Dzimwe nzira dzingangodaro dzekurapa kwevakadzi vanoguma kuenda kumwedzi kana vanonzi postmenopausal dzinosanganisira idzi nzira dzisingasviki kana dzinoparadza zvishoma:

• myolysis, uko iyo fibroids nemidziyo yavo yeropa zvinoparadzwa nekupisa kana magetsi emagetsi; mumwe muenzaniso ndiyo nzira inozivikanwa seAcessa
• kumanikidzwa kuvhiya kweultrasound (FUS), iyo inoshandisa yakakwira-simba, yakakwira-frequency ruzha mafungu ekuparadza iyo fibroids
• kubviswa kwemagumo, iyo inoshandisa nzira senge kupisa, magetsi emagetsi, mvura inopisa, kana kutonhora kwakanyanya kuparadza hutanda hwechibereko
• uterine tsinga embolization, iyo inodimbura kupa kweropa kune iyo fibroids

Outlook

Fibroids inowanzoitika kune vakadzi ve premenopausal, asi iwe unogona zvakare kugadzira fibroids panguva yekuguma kuenda kumwedzi.

Taura nemupi wako wezvehutano nezve nzira dzaunogona kubata ne fibroid zviratidzo uye kana kuvhiyiwa ndiyo sarudzo kwayo iwe. Fibroids isingakonzere chero zviratidzo inogona kusada chero kurapwa zvachose.