Chiberekero cha fibroids

Uterine fibroids ndi zotupa zomwe zimakula m'mimba mwa mayi (chiberekero). Kukula kumeneku sikukhala kwa khansa (kwabwino).

Uterine fibroids ndizofala. Amayi m'modzi mwa amayi asanu aliwonse amatha kukhala ndi ma fibroids pazaka zawo zobereka. Hafu ya azimayi onse amakhala ndi fibroid ali ndi zaka 50.

Fibroids imapezeka kawirikawiri mwa amayi osakwana zaka 20. Amakonda kwambiri ku Africa America kuposa azungu, azisipanya, kapena azimayi aku Asia.

Palibe amene amadziwa bwino zomwe zimayambitsa ma fibroids. Amaganiziridwa kuti amayambitsidwa ndi:

• Mahomoni m'thupi
• Chibadwa (chimatha kuthamanga m'mabanja)

Fibroids imatha kukhala yaying'ono kwambiri kotero kuti mungafune maikulosikopu kuti muwawone. Amathanso kukula kwambiri. Amatha kudzaza chiberekero chonse ndipo amalemera mapaundi angapo kapena kilogalamu. Ngakhale ndizotheka kuti fibroid imodzi ipangidwe, nthawi zambiri pamakhala yopitilira imodzi.

Fibroids imatha kukula:

• Pakhoma la chiberekero (myometrial)
• Pansi pake pomwe pamakhala chiberekero (submucosal)
• Pansi pamkati mwa chiberekero (subserosal)
• Pa phesi lalitali kunja kwa chiberekero kapena mkati mwa chiberekero (pedunculated)

Zizindikiro zodziwika za uterine fibroids ndi:

• Magazi pakati pa nthawi
• Kutaya magazi kwambiri nthawi yanu, nthawi zina ndimagazi
• Nthawi zomwe zitha kukhala zazitali kuposa zachilendo
• Kufunika kukodza pafupipafupi
• Kupunduka kwa m'mimba kapena ululu wokhala ndi nthawi
• Kumva kukhuta kapena kupanikizika m'mimba mwanu
• Zowawa panthawi yogonana

Nthawi zambiri, mutha kukhala ndi fibroids osakhala ndi zisonyezo. Wothandizira zaumoyo wanu angawapeze panthawi yoyezetsa thupi kapena mayeso ena. Ma Fibroids nthawi zambiri amachepa ndipo samayambitsa zisonyezo kwa azimayi omwe adutsa msambo. Kafukufuku waposachedwa adawonetsanso kuti tinthu tina tating'onoting'ono tating'onoting'ono timalowa m'mayi azimayi asanakwane.

Wopereka wanu ayesa mayeso m'chiuno. Izi zitha kuwonetsa kuti mukusintha mawonekedwe amimba yanu.

Fibroids sizovuta nthawi zonse kuzindikira. Kukhala wonenepa kwambiri kumatha kupangitsa ma fibroids kukhala ovuta kuwazindikira. Mungafunike mayeserowa kuti muyang'ane ma fibroids:

• Ultrasound imagwiritsa ntchito mafunde akumveka kuti apange chithunzi cha chiberekero.
• MRI imagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kupanga chithunzi.
• Saline infusion sonogram (hysterosonography) - Saline imayikidwa mu chiberekero kuti zikhale zosavuta kuwona chiberekero chogwiritsa ntchito ultrasound.
• Hysteroscopy imagwiritsa ntchito chubu chotalika, chowonda chomwe chimalowetsedwa kudzera mu nyini komanso muchiberekero kuti chifufuze mkati mwa chiberekero.
• Endometrial biopsy imachotsa kachidutswa kakang'ono ka chiberekero kuti mufufuze khansa ngati muli ndi magazi osazolowereka.

Ndi mtundu wanji wa chithandizo chomwe muli nacho chimadalira:

• Zaka zanu
• Thanzi lanu lonse
• Zizindikiro zanu
• Mtundu wa fibroids
• Ngati muli ndi pakati
• Ngati mukufuna ana mtsogolo

Chithandizo cha zizindikiro za fibroids chingaphatikizepo:

• Zipangizo zamagetsi zomwe zimatulutsa mahomoni kuti zithandizire kuchepetsa magazi komanso kupweteka.
• Tranexamic acid kuti achepetse kuchuluka kwa magazi.
• Iron imathandizira kuteteza kapena kuchiza kuchepa kwa magazi chifukwa chazovuta zambiri.
• Kupweteka kumachepetsa, monga ibuprofen kapena naproxen, kwa kukokana kapena kupweteka.
• Kuyembekezera mwachidwi - Mutha kukhala ndi mayeso a m'chiuno kapena ma ultrasound kuti muwone kukula kwa fibroid.

Zithandizo zamankhwala kapena mahomoni zomwe zingathandize kuchepetsa ma fibroids ndi awa:

• Mapiritsi oletsa kubereka kuthandiza kuchepetsa nthawi zolemetsa.
• Mtundu wa IUD womwe umatulutsa timadzi tating'ono ta progestin m'chiberekero tsiku lililonse.
• Kuwombera kwa mahomoni kuti athandize kufinya ma fibroids poletsa ovulation. Nthawi zambiri, mankhwalawa amagwiritsidwa ntchito kwakanthawi kochepa kuti achepetse ma fibroids asanachitike opareshoni. Zitha kugwiritsidwanso ntchito kwa nthawi yayitali mahomoni a estrogen akawonjezeredwa kuti achepetse zovuta.

Opaleshoni ndi njira zomwe amagwiritsidwa ntchito pochizira ma fibroids ndi monga:

• Hysteroscopy - Njirayi imatha kuchotsa ma fibroids omwe amakula mkati mwa chiberekero.
• Kuchotsa kwa Endometrial - Ntchitoyi nthawi zina imagwiritsidwa ntchito pochiza kutaya magazi kwambiri komwe kumalumikizidwa ndi fibroids. Zimagwira bwino kwambiri ngati ma fibroid ali ochepa kukula. Nthawi zambiri imasiya kusamba kwathunthu.
• Kuphatikiza kwamitsempha ya m'mimba - Njirayi imayimitsa magazi ku fibroid, ndikupangitsa kuti ichepetse ndikufa. Izi zikhoza kukhala njira yabwino ngati mukufuna kupewa opaleshoni ndipo simukukonzekera kutenga pakati.
• Myomectomy - Opaleshoni iyi imachotsa ma fibroids m'chiberekero. Izi zitha kukhala chisankho chabwino ngati mukufuna kukhala ndi ana. Sizingalepheretse ma fibroids atsopano kukula.
• Hysterectomy - Opaleshoni iyi imachotsa chiberekero kwathunthu. Itha kukhala njira ngati simukufuna kukhala ndi ana, mankhwala sakugwira ntchito, ndipo simungakhale ndi njira zina.

Mankhwala atsopano, monga kugwiritsa ntchito ultrasound yolunjika, akuyesedwa m'maphunziro azachipatala.

Ngati muli ndi fibroids popanda zizindikilo, mwina simudzafunika chithandizo.

Ngati muli ndi fibroids, amatha kukula mukakhala ndi pakati. Izi zimachitika chifukwa cha kuchuluka kwa magazi komanso kuchuluka kwa ma estrogen. Ma fibroids nthawi zambiri amabwerera kukula kwawo koyambirira mwana wanu atabadwa.

Mavuto a fibroids ndi awa:

• Kupweteka kwambiri kapena kutaya magazi kwambiri komwe kumafuna kuchitidwa opaleshoni mwadzidzidzi.
• Kupindika kwa fibroid - Izi zimatha kuyambitsa mitsempha yotsekedwa yamagazi yomwe imadyetsa chotupacho. Mungafunike kuchitidwa opaleshoni ngati izi zichitika.
• Kuchepa kwa magazi (kusakhala ndi maselo ofiira okwanira) kuchokera kutuluka magazi kwambiri.
• Matenda a mumikodzo - Ngati fibroid ikanikizira chikhodzodzo, zingakhale zovuta kutulutsa chikhodzodzo kwathunthu.
• Kusabereka, nthawi zambiri.

Ngati muli ndi pakati, pali chiopsezo chochepa chomwe ma fibroid amatha kuyambitsa mavuto:

• Mutha kubereka mwana wanu msanga chifukwa mulibe malo okwanira m'mimba mwanu.
• Ngati fibroid itsekereza njira yoberekera kapena kuyika mwanayo pangozi, mungafunikire kukhala ndi gawo lakusiyidwa (C-gawo).
• Mutha kukhala ndi magazi ambiri mutangobereka kumene.

Itanani omwe akukuthandizani ngati muli ndi:

• Kutaya magazi kwambiri, kukwapula, kapena kutuluka magazi pakati pa nthawi
• Kukhuta kapena kulemera m'mimba mwanu

Leiomyoma; Fibromyoma; Myoma; Fibroids; Kutuluka magazi m'mimba - fibroids; Ukazi ukazi - fibroids

• Hysterectomy - m'mimba - kutulutsa
• Hysterectomy - laparoscopic - kutulutsa
• Hysterectomy - ukazi - kutulutsa
• Kutulutsa kwamitsempha ya chiberekero - kutulutsa

• Ziphuphu zam'mimba
• Matupi achikazi oberekera
• Zotupa za Fibroid
• Chiberekero

Dolan MS, Hill C, Valea FA. Zotupa za Benign gynecologic: maliseche, nyini, khomo pachibelekeropo, chiberekero, oviduct, ovary, imaging ya ultrasound yamapangidwe amchiuno. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 18.

Moravek MB, Bulun SE. Chiberekero cha fibroids. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 131.

Azondi JB. Udindo wapano wamatumba amtundu wa uterine pakuwongolera uterine fibroids. Clin Obstet Gynecol. 2016; 59 (1): 93-102. PMID: 26630074 pubed.ncbi.nlm.nih.gov/26630074/.

Stewart EA. Kuchita zachipatala. Chiberekero cha fibroids. N Engl J Med. 2015; 372 (17): 1646-1655. PMID: 25901428 adasankhidwa.ncbi.nlm.nih.gov/25901428/.

Verpalen IM, Anneveldt KJ, Nijholt IM, ndi al.Magnetic resonance-high intensity focal ultrasound (MR-HIFU) yothandizira ma symptomatic uterine fibroids okhala ndi njira zopewera zopewera: kuwunika mwatsatanetsatane ndikuwunika meta. Eur J Mawonekedwe. 2019; 120: 108700. onetsani: 10.1016 / j.ejrad.2019.108700. PMID: 31634683 pubed.ncbi.nlm.nih.gov/31634683/.