Kodi Kusamba Kumakhudza Bwanji Zizindikiro za Fibroid ndi Kukula Kwake?
Zamkati
- Fibroids ndi mahomoni anu
- Zowopsa za fibroids
- Zizindikiro
- Kuchiza ma fibroids mukatha kusamba
- Mankhwala ochiritsira mahomoni
- Myomectomy
- Kutsekemera
- Mankhwala ena
- Chiwonetsero
Chidule
Uterine fibroids, yomwe imadziwikanso kuti fibroids kapena leiomyomas, ndi zotupa zazing'ono zomwe zimamera pakhoma la chiberekero cha mayi. Zotupa izi ndizabwino, zomwe zikutanthauza kuti alibe khansa. Komabe, amatha kuyambitsa ululu komanso zizindikilo zina zosasangalatsa.
Fibroids ndi mitundu yofala kwambiri ya zotupa zosaopsa mwa amayi. Amayamba nthawi zambiri mwa azimayi azaka zobereka. Mutha kupitilirabe kuziona munthawi yoleka msambo kapena mutatha - kapena ngakhale kukulitsa koyamba munthawi imeneyi.
Dziwani zambiri za ma fibroids ndi ulalo wawo pakusamba.
Fibroids ndi mahomoni anu
Mahomoni a estrogen ndi progesterone amatha kuonjezera chiopsezo cha fibroids. Mukamasiya kusamba, thupi lanu limatulutsa ma estrogen ochepa komanso progesterone. Zotsatira zake, chiopsezo chanu cha ma fibroids atsopano chimachepa.
Kutsika kwa ma hormone kumathandizanso kuti ma fibroids omwe alipo kale achepetse kukula.
Zowopsa za fibroids
Zina mwaziwopsezo zingakulitse mwayi wanu wopanga ma fibroids. Zikuphatikizapo:
- kuthamanga kwa magazi (matenda oopsa)
- mavitamini D otsika
- mbiri ya banja ya fibroids
- kunenepa kwambiri
- palibe mbiri ya mimba
- Kutha kwanthawi yayitali, kupsinjika kwakukulu
Amayi omwe ali ndi zaka zopitilira 40 komanso azimayi aku Africa aku America nawonso ali pachiwopsezo chachikulu cha ma fibroids.
Zizindikiro
Fibroids imatha kukhudza amayi omwe ali ndi vuto la premenopausal komanso postmenopausal m'njira zosiyanasiyana. Kawirikawiri, amayi omwe amatha kusamba msinkhu amakhala ndi zizindikiro zoopsa kwambiri.
Nthawi zina sipakhala zizindikiro zilizonse za ma fibroids konse. Wopereka chithandizo chamankhwala amatha kuwona ma fibroids pakuyesa kwapakhosi kwapachaka.
Azimayi, kaya premenopausal kapena postmenopausal, atha kukhala ndi izi:
- kutaya magazi kwambiri
- kuwona pafupipafupi
- kuchepa magazi m'thupi kutaya magazi
- kusamba ngati kusamba
- chidzalo m'mimba chapansi
- kutupa m'mimba
- kupweteka kwa msana
- kukodza pafupipafupi
- kusadziletsa kapena kutuluka kwa mkodzo
- kugonana kowawa
- malungo
- nseru
- kupweteka mutu
Fibroid kapena tsango la ma fibroids lomwe limakankhira kukhoma lachiberekero limatha kuyambitsa zizindikilo zambiri. Mwachitsanzo, kukakamizidwa ndi fibroids pa chikhodzodzo kungayambitse kukodza pafupipafupi.
Kuchiza ma fibroids mukatha kusamba
Fibroids imatha kukhala yovuta kuthana nayo.
Mapiritsi oletsa kubereka ndiye mankhwala omwe amakonda. Wopereka chithandizo chamankhwala angakulimbikitseni kuchotsedwa kwa ma fibroids anu, yomwe ndi njira yotchedwa myomectomy. Kuchotsa chiberekero, kapena kuchotsa chiberekero chanu, kungathenso kuganiziridwa.
Mankhwala ochiritsira mahomoni
Mapiritsi oletsa kubereka ndi njira imodzi yothanirana ndi zowawa monga kupweteka komanso kutuluka magazi kwambiri. Komabe, sangasunthe ma fibroids kapena kuwapangitsa kuti achoke.
Pali umboni wotsimikizira kugwiritsa ntchito mapiritsi oletsa kuphatikiza ma progestin okha a fibroids. Progestins amathanso kuthana ndi zizindikilo zina zakusamba ndikupangitsa njira zochotsera mahomoni kukhala zothandiza kwambiri.
Mankhwala ena a mahomoni omwe amachepetsa kupweteka ndi kutuluka magazi amaphatikizapo jakisoni wa progestin ndi zida za intrauterine (IUDs) zomwe zimakhala ndi ma progestin.
Myomectomy
Nthawi zina myomectomy imachitidwa musanaganizidwe za hysterectomy. Myomectomy imayang'ana kuchotsa kwa fibroid ndipo sikutanthauza kuchotsa chiberekero chanu.Myomectomies itha kuchitidwa m'njira zosiyanasiyana, kutengera komwe kuli ma fibroids.
Ngati chochuluka cha fibroid chili mkati mwa chiberekero, opareshoniyo imatha kuchitidwa mosiyanasiyana (mothandizidwa ndi chubu chowonda).
Nthawi zina, wothandizira zaumoyo wanu amatha kudzimbidwa m'mimba mwanu. Kukula ndi malo omwe akudulidwako ali ofanana ndi incision yomwe imagwiritsidwa ntchito popereka njira zobayira. Kuchira kwathunthu kumatenga masabata 4 mpaka 6. Njirayi siyofala ngati ena.
Wothandizira zaumoyo wanu amathanso kuchita opareshoni laparoscopically. Pa opaleshoni ya laparoscopic, tinthu tating'onoting'ono timapangidwa. Nthawi yobwezeretsa opaleshoni ya laparoscopic ndi yaifupi, koma opaleshoni yamtunduwu imangopangidwira ma fibroids ang'onoang'ono.
Ngati fibroids ibwerera motsatira myomectomy, dokotala wanu akhoza kulimbikitsa hysterectomy.
Kutsekemera
Pazizindikiro zazikulu zokhudzana ndi ma fibroids obwerezabwereza, hysterectomy ikhoza kukhala njira yabwino kwambiri. Pochita opaleshoni yotereyi, wothandizira zaumoyo wanu amachotsa chiberekero chanu chonse kapena gawo lina.
Ma Hysterectomies atha kulimbikitsidwa azimayi omwe:
- atsala pang'ono kusintha
- ali ndi postmenopausal kale
- ali ndi ma fibroid angapo
- ali ndi ma fibroids akulu kwambiri
- ayesa njira zochiritsira zambiri, akufuna chithandizo chotsimikizika kwambiri, ndipo alibe cholinga chobereka ana mtsogolo
Pali mitundu itatu ya hysterectomy:
- Chiwerengero. Pochita opaleshoniyi, wothandizira zaumoyo wanu amachotsa chiberekero chanu chonse komanso khomo pachibelekeropo. Nthawi zina, angalimbikitsenso kuchotsa machubu anu oyenda. Njirayi ikhoza kukhala yabwino ngati muli ndi masango akuluakulu, omwe amapezeka kwambiri.
- Zochepa / zochepa. Ndi opaleshoniyi, chiberekero chanu chapamwamba chokha chimachotsedwa. Wothandizira zaumoyo wanu angakulimbikitseni njirayi ngati ma fibroids ndi vuto lomwe limabwereza m'chiberekero chanu. Izi zitha kutsimikiziridwa kudzera pamayeso ojambula.
- Wopambana. Uwu ndiye mawonekedwe ofunikira kwambiri a hysterectomy, ndipo sagwiritsidwa ntchito kangapo pochizira ma fibroids. Nthawi zina amalimbikitsidwa ndi mitundu ina ya khansa ya amayi. Ndi opaleshoniyi, dokotala amachotsa chiberekero chanu, kumaliseche, chiberekero, ndi parametria (ziwalo zoyandikira za chiberekero ndi nyini).
Hysterectomy ndiyo njira yokhayo yochiritsira ma fibroids. Chaka chilichonse, amachitidwa opaleshoni iyi kuti athetse vuto la fibroid.
Pamodzi, inu ndi wothandizira zaumoyo wanu mutha kudziwa ngati opaleshoniyi ingakhale mankhwala abwino kwambiri a fibroid kwa inu.
Mankhwala ena
Njira zina zochiritsira azimayi omwe atha msinkhu kapena omwe atha msinkhu azikhala ndi njira zosavutikira kapena zochepa izi:
- kufooka, kumene ma fibroids ndi mitsempha yake yamagazi zimawonongeka ndi kutentha kapena mphamvu yamagetsi; chitsanzo chimodzi ndi njira yotchedwa Acessa
- kukakamizidwa kuchitidwa opaleshoni ya ultrasound (FUS), yomwe imagwiritsa ntchito mafunde amphamvu kwambiri, othamanga kwambiri kuwononga ma fibroids
- kuchotsa kwamapeto, yomwe imagwiritsa ntchito njira monga kutentha, mphamvu yamagetsi, madzi otentha, kapena kuzizira koopsa kuti ziwononge chiberekero cha chiberekero
- mitsempha ya chiberekero, yomwe imadula magazi kupita ku ma fibroids
Chiwonetsero
Fibroids imakonda kupezeka pakati pa azimayi omwe ali ndi vuto la premenopausal, koma mutha kupangika ma fibroids panthawi yakutha.
Lankhulani ndi wothandizira zaumoyo wanu za njira zomwe mungathetsere matenda a fibroid komanso ngati opaleshoni ndiyo njira yoyenera kwa inu. Fibroids zomwe sizimayambitsa zizindikiro sizingafune chithandizo chilichonse.