Fibroids

Zamkati

• Kodi mitundu yosiyanasiyana ya fibroids ndi iti?
• Ziphuphu zamkati
• Kugwiritsa ntchito ma fibroids
• Mafinya a pedunculated
• Kugonjera ma fibroids
• Kodi chimayambitsa fibroids ndi chiyani?
• Mahomoni
• Mbiri ya banja
• Mimba
• Ndani ali pachiwopsezo cha matenda am'mimba?
• Zizindikiro za fibroids ndi ziti?
• Kodi fibroids imapezeka bwanji?
• Ultrasound
• Pelvic MRI
• Kodi fibroids imathandizidwa bwanji?
• Zithandizo zapakhomo ndi chithandizo chachilengedwe
• Mankhwala
• Opaleshoni
• Njira zosasokoneza kapena zochepa
• Kodi tingayembekezere chiyani pakapita nthawi?

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi fibroids ndi chiyani?

Fibroids ndi kukula kosazolowereka komwe kumabadwa kapena m'chiberekero cha mkazi. Nthawi zina zotupazi zimakula kwambiri ndipo zimapweteka kwambiri m'mimba komanso zimalemera kwambiri. Nthawi zina, samayambitsa zizindikilo kapena zizindikilo. Zotupazo nthawi zambiri zimakhala zoyipa, kapena zopanda khansa. Chifukwa cha fibroids sichidziwika.

Fibroids imadziwikanso ndi mayina otsatirawa:

• leomatsu
• myomas
• uterine myoma
• fibromas

Malinga ndi Office on Women’s Health, azimayi amakhala nawo ali ndi zaka 50. Komabe, azimayi ambiri alibe zisonyezo ndipo mwina sangadziwe kuti ali ndi fibroids.

Kodi mitundu yosiyanasiyana ya fibroids ndi iti?

Mtundu wa fibroid yomwe mayi amakula umadalira komwe amapezeka kapena pachiberekero.

Ziphuphu zamkati

Intramural fibroids ndi mtundu wodziwika kwambiri wa fibroid. Mitundu iyi imawoneka mkati mwa khoma lachiberekero. Ziphuphu zamkati zamkati zimatha kukula ndipo zimatha kutambasula chiberekero chanu.

Kugwiritsa ntchito ma fibroids

Subserosal fibroids imapanga kunja kwa chiberekero chanu, chotchedwa serosa. Amatha kukula mokwanira kuti mimba yanu iwoneke yayikulu mbali imodzi.

Mafinya a pedunculated

Zotupa zotsekemera zimatha kukhala ndi tsinde, malo ocheperako omwe amathandizira chotupacho. Akatero, amadziwika kuti pedunculated fibroids.

Kugonjera ma fibroids

Mitundu yamtunduwu imayamba pakatikati pa minofu, kapena myometrium, ya chiberekero chanu. Zotupa zamagalimoto sizofala monga mitundu ina.

Kodi chimayambitsa fibroids ndi chiyani?

Sizikudziwika chifukwa chomwe ma fibroid amakula, koma zinthu zingapo zimatha kukhudza mapangidwe awo.

Mahomoni

Estrogen ndi progesterone ndi mahomoni omwe amapangidwa ndi thumba losunga mazira. Zimapangitsa kuti chiberekero cha chiberekero chisinthe nthawi iliyonse yakusamba ndipo zitha kulimbikitsa kukula kwa ma fibroids.

Mbiri ya banja

Ma Fibroid amatha kuthamanga m'banja. Ngati amayi anu, mlongo, kapena agogo anu ali ndi mbiri yokhudzana ndi vutoli, inunso mutha kukhala nayo.

Mimba

Mimba imapangitsa kupanga estrogen ndi progesterone mthupi lanu. Fibroids imatha kukula ndikukula msanga mukakhala ndi pakati.

Ndani ali pachiwopsezo cha matenda am'mimba?

Azimayi ali pachiwopsezo chachikulu chotenga ma fibroids ngati ali ndi chimodzi mwazinthu zowopsa izi:

• mimba
• mbiri ya banja ya fibroids
• azaka 30 kapena kupitilira apo
• African-American
• thupi lolemera

Zizindikiro za fibroids ndi ziti?

Zizindikiro zanu zimadalira kuchuluka kwa zotupa zomwe muli nazo komanso malo ndi kukula kwake. Mwachitsanzo, submucosal fibroids imatha kubweretsa kusamba kwambiri ndikumavutika kutenga pakati.

Ngati chotupa chanu ndi chaching'ono kwambiri kapena mukudutsa nyengo yolephera kusamba, mwina simungakhale ndi zizindikiro zilizonse. Fibroids imatha kuchepa nthawi komanso pambuyo pake. Izi ndichifukwa choti amayi omwe akusamba akusamba akukumana ndi kutsika kwama estrogen ndi progesterone, mahomoni omwe amalimbikitsa kukula kwa fibroid.

Zizindikiro za fibroids zimatha kuphatikiza:

• Kutaya magazi kwambiri pakati kapena munthawi yanu yomwe imaphatikizapo kuundana kwamagazi
• kupweteka m'chiuno kapena kumbuyo
• kuchulukitsa msambo
• kuchuluka kukodza
• kupweteka panthawi yogonana
• kusamba komwe kumatenga nthawi yayitali kuposa masiku onse
• kupanikizika kapena chidzalo m'mimba mwanu
• kutupa kapena kukulitsa pamimba

Kodi fibroids imapezeka bwanji?

Kuti mupeze matenda oyenera, muyenera kuwona dokotala wazachipatala kuti akayezetse m'chiuno. Kuyeza kumeneku kumagwiritsidwa ntchito kuwunika momwe chiberekero chanu chilili, kukula kwake, ndi mawonekedwe ake. Mungafunenso mayesero ena, omwe ndi awa:

Ultrasound

Ultrasound imagwiritsa ntchito mafunde akumveka pafupipafupi kuti apange zithunzi za chiberekero chanu pazenera. Izi zidzalola dokotala wanu kuwona mawonekedwe ake amkati ndi ma fibroids aliwonse omwe alipo. Ultra transvaginal ultrasound, momwe ma ultrasound wand amalowetsedwera mu nyini, atha kupereka zithunzi zowoneka bwino popeza ili pafupi ndi chiberekero panthawiyi.

Pelvic MRI

Kuyesa mozama kotereku kumatulutsa zithunzi za chiberekero, mazira, ndi ziwalo zina zam'mimba.

Kodi fibroids imathandizidwa bwanji?

Dokotala wanu adzapanga dongosolo la chithandizo kutengera msinkhu wanu, kukula kwa ma fibroids anu, ndi thanzi lanu lonse. Mutha kulandira mankhwala osiyanasiyana.

Zithandizo zapakhomo ndi chithandizo chachilengedwe

Zithandizo zina zapakhomo ndi mankhwala achilengedwe zimatha kukhala ndi vuto pa ma fibroids, kuphatikiza:

• kutema mphini
• yoga
• kutikita
• Gui Zhi Fu Ling Tang (GFLT), njira yachikhalidwe yaku China
• kugwiritsa ntchito kutentha kwa kukokana (pewani kutentha ngati mukudwala magazi kwambiri)

Kusintha kwa zakudya kumathandizanso. Pewani nyama ndi zakudya zopatsa mphamvu kwambiri. M'malo mwake, sankhani zakudya zokhala ndi ma flavonoid, masamba obiriwira, tiyi wobiriwira, ndi nsomba zamadzi ozizira monga tuna kapena nsomba.

Kuthetsa mavuto anu ndi kuchepa thupi ngati mukulemera kwambiri kungathandizenso amayi omwe ali ndi fibroids.

Mankhwala

Mankhwala othandizira kuchuluka kwama mahomoni atha kulembedwa kuti achepetse ma fibroids.

Gonadotropin-release hormone (GnRH) agonists, monga leuprolide (Lupron), amachititsa kuti mayendedwe anu a estrogen ndi progesterone atsike. Izi pamapeto pake zimasiya kusamba ndikuchepetsa ma fibroids.

Otsutsa a GnRH amathandizanso kuchepa kwa ma fibroids. Amagwira ntchito poletsa thupi lanu kuti lisatulutse mahomoni osangalatsa (FSH) ndi luteinizing hormone (LH). Zitsanzo ndi izi:

• Ganirelix acetate, mankhwala ojambulidwa
• cetrorelix acetate (Cetrotide), mankhwala ojambulidwa
• elagolix, yomwe imapezeka m'kamwa mankhwala elagolix / estradiol / norethindrone acetate (Oriahnn)

Zosankha zina zomwe zingathandize kuchepetsa magazi ndi kupweteka, koma sizingachepe kapena kuthetsa ma fibroids, monga:

• chipangizo cha intrauterine (IUD) chomwe chimatulutsa hormone progestin
• owonjezera-a-kauntala (OTC) ochepetsa kupweteka, monga ibuprofen (Advil)
• mapiritsi olera

Opaleshoni

Opaleshoni yochotsa zophuka zazikulu kwambiri kapena zingapo zitha kuchitidwa. Izi zimadziwika kuti myomectomy. Myomectomy yam'mimba imaphatikizapo kupanga kakang'ono m'mimba kuti mufikire chiberekero ndikuchotsa ma fibroids. Kuchita opaleshoniyo kumatha kuchitidwanso laparoscopically, pogwiritsa ntchito zochepa zochepa zomwe zida zochitira opaleshoni ndi kamera zimayikidwa. Fibroids imatha kubwereranso pambuyo pochitidwa opaleshoni.

Ngati matenda anu akukula, kapena ngati palibe mankhwala ena ogwira ntchito, dokotala wanu akhoza kupanga hysterectomy. Komabe, izi zikutanthauza kuti simudzatha kubereka ana mtsogolo.

Njira zosasokoneza kapena zochepa

Njira yatsopano yopangira opaleshoni imakakamizidwa kuchitidwa opaleshoni ya ultrasound (FUS). Mumagona mkati mwa makina apadera a MRI omwe amalola madotolo kuwona mkati mwa chiberekero chanu. Mafunde amphamvu kwambiri, komanso othamanga kwambiri amalunjika kuma fibroids kuti awononge, kapena kuwononga.

Njira za Myolysis (monga Acessa) zimachepetsa ma fibroids pogwiritsa ntchito magetsi ngati magetsi kapena laser, pomwe cryomyolysis imazizira ma fibroids. Kuchotsa kwa Endometrial kumaphatikizapo kuyika chida chapadera mu chiberekero chanu kuti muwononge chiberekero pogwiritsa ntchito kutentha, magetsi, madzi otentha, kapena kuzizira kwambiri.

Njira ina yopanda chithandizo ndikumangirira kwamitsempha ya uterine. Pochita izi, tinthu tating'onoting'ono timabayidwa m'chiberekero kuti mudule magazi a fibroids.

Kodi tingayembekezere chiyani pakapita nthawi?

Kulosera kwanu kumadalira kukula ndi malo am'mimba anu. Ma Fibroids sangasowe chithandizo ngati ali ochepa kapena samatulutsa zizindikiro.

Ngati muli ndi pakati ndipo muli ndi ma fibroids, kapena mutakhala ndi pakati ndikukhala ndi ma fibroids, dokotala wanu amayang'anira matenda anu mosamala. Nthawi zambiri, ma fibroid samayambitsa mavuto nthawi yapakati. Lankhulani ndi dokotala ngati mukuyembekeza kutenga pakati ndikukhala ndi fibroids.