Matenda a chiberekero amachititsa manyazi nthawi zonse. Matenda owopsa (osakhala ndi khansa) amapezeka nthawi zambiri, mu chiberekero cha amayi a zaka za m'ma 30 ndi 40.
Ziphuphu zotuluka m'mimba ndizo ziwalo zolimba zomwe zimapangidwa ndi minofu yotchedwa fibrous tishu, motero dzina lakuti 'fibroid' chotupa. Nthawi zambiri zimakhala ngati zovuta zambiri zowonongeka zomwe zikukula pang'onopang'ono ndipo nthawi zambiri zimayambitsa zizindikiro.
Kukula kwa fibroids kumasiyanasiyana kwambiri pakati pa akazi ndi ena ndi ochepa kuti microscope ikufunika kuti iwawone. Komabe amayi ena amatha kukhala ndi chotupa chachikulu chotchedwa fibroid chotupa kukula kwa mtengo wamphesa kapena fibroid yomwe ndi yaikulu kwambiri imaphatikizapo mimba yonse ya m'mimba. Matenda akuluakuluwo akhoza kulemera makilogalamu 50; yaikulu kwambiri, yomwe inanenedwa, yotchedwa fibroid yomwe inalembedwa inkalemera makilogalamu 140.
Palibe amene akudziwa chifukwa chake zotupa za fibroid zimakula, koma zina zimawonekera momveka bwino:
- Matenda otsekemera sakhala ndi thupi lisanayambe kubala estrogen pa nthawi yomwe amayamba kusamba
- Matenda opatsirana amapitirizabe kukula pamene estrogen ilipo
- Adzakula mofulumira pamene ali ndi mimba pamene thupi limapanga mavitro
- Ziphuphu nthawi zambiri zimazemba ndikutha msinkhu pamene thupi limasiya kubala estrojeni
- Mzimayi samangokhalira kupanga zotupa zowonjezera pambuyo pa kutha kwa thupi.
Kugwirizana kwa estrogen kumawoneka kuti ndi kosavuta, ngakhale pali ena omwe amakayikira kuti maseĊµero a estrogen akuwongolera zojambula za fibroid chifukwa amayi omwe ali ndi fibroids nthawi zambiri amakhala ndi magazi omwe amasonyeza kuchuluka kwa maselo a estrogen.
Mitundu ya Mitsempha ya Froroid
Fibroids yowonjezera
Mitunduyi imakhala pansi pa chiberekero cha chiberekero ndipo imayambitsa mavuto a kumwezi , kuphatikizapo kupweteka pamene akukula ndikuyendayenda pamtunda.
Zida zamakono
Nthawi zambiri mkati mwa khoma la uterine mumatha kupanga chiberekero pamene akukula.
Fibroids yovuta
Izi zimamera pakhoma kunja kwa chiberekero ndipo kawirikawiri zimayambitsa zizindikiro mpaka zimakula zazikulu zowonongeka ndi ziwalo zina.
Anayambitsanso Fibroids
Mitengoyi imayamba pamene chimbudzi chimakula kwambiri ndipo zimakula kwambiri ndipo zimapweteka kwambiri.
Interligamentous Fibroid
Nkhungu yomwe imakula pambali pakati pa mitsempha yomwe imathandizira chiberekero m'mimba. Mtundu uwu wa fibroid ndi wovuta kwambiri kuchotsa popanda kusokoneza magazi kapena ziwalo zina.
Parasitic Fibroid
Mtundu woterewu umatulutsa timadzi timene timakhala tizilombo toyambitsa matenda.
Kudziwa
Kuzindikira kwa fibroids nthawi zambiri kumapangidwa ndi dokotala wanu panthawi yomwe mumagwiritsa ntchito mthupi mwakuya pamene dokotala akukumana ndi misala, nthawi zambiri amapezeka pamene dokotala akufunafuna chinthu china kapena sichidzapezeka ngati mulibe zizindikiro. Komabe, zikuluzikulu za fibroids zingapangitse kufufuza mazira anu osatheka ngati akukula pafupi ndi mazira anu.
Kafukufuku wa ultrasound nthawi zambiri amalamulidwa ndi dokotala wanu kuti azindikire chomwe chimayambitsa misa. Komabe, mafinysi ena amawonekera pazithunzithunzi ngati zotupa za mimba ndi opaleshoni ndiyo njira yokhayo yothetsera vutoli.
Ngakhale kuti ma fibroids ambiri sapanga zizindikiro, amayi oposa 25 pa 100 aliwonse omwe ali ndi zizindikiro angakhale ndi magazi osasamala, kupweteka pa nthawi ya kusamba, ndipo ngati zotupa za ulusi zimakula, amayi nthawi zambiri amakhala ndi mimba yotupa.
Nsonga zazikuluzikulu zingayambitse kukodza kapena kusakhoza kuteteza chikhodzodzo chanu, kaya kukhoza kuthetsa vutoli kapena pa milandu yoopsa, mkazi akhoza kupeza kuti sangathe kukodza konse. Ngati froid ikamayang'ana kumbuyo kwa mkaziyo ikhoza kumangirira pamatumbo, kuchititsa kudzimbidwa ndi kubereka.
Kuchiza Opaleshoni
Ngati matumbo anu a fibroid ali aakulu kwambiri moti amachititsa zizindikiro zina, opaleshoni nthawi zambiri, mankhwala ovomerezeka.
Komabe, musanavomereze ku hysterectomy, phunzirani za momwe mungasankhire mankhwala . Zizindikiro zomwe zimachititsa kuti opaleshoni iwonongeke kwambiri pamene mukupita kumsambo, zomwe zimayambitsa matenda a m'thupi omwe samachiza; ululu, womwe sungatheke kwa mkazi kapena kusokonezeka chifukwa cha kukakamizidwa kwa fibroids pa chiwalo china; kapena pamene malo a zotupazo angayambitse mavuto ena.
Opaleshoni ya zotupa za fibroid zimaphatikizapo myomectomy ndi hysterectomy. Myomectomy ndi kuchotsa opaleshoni ya chilakolako cha munthu aliyense popanda kuwonongeka kwa chiberekero, kuteteza mphamvu ya mkazi kutenga pakati. Komabe, fibroids nthawi zambiri imabwerera ndipo ngakhale kuti n'zotheka kukhala ndi myomectomy mobwerezabwereza, zovuta zambiri zimayambitsa mavuto ena monga chiberekero cha chiberekero chophatikizana palimodzi chifukwa chosowa.
Uterine Artery Embolization
Akazi ayenera kuganiziranso za uterine. Chiberekero cha umphaka chimachotsa chiberekerocho mwa njira yopanda opaleshoni. Mitundu ya polyvinyl imayikidwa mu mitsempha ya uterine panthawi yomwe mitsuko isanayambe kufalikira mu minofu ya uterine. Mitunduyi imatuluka mumitsuko ndikuyikamo. Izi zimateteza fibroids kuti zisamalandire magazi nthawi zonse zomwe zimafunikira ndipo zimachititsa kuti fibroids iwonongeke pakapita nthawi. Komabe, nthawi yomweyo zizindikiro za kutaya magazi kwambiri ndi ululu wa m'mimba zimachepa kwambiri.
Hysterectomy
Chokhumudwitsa n'chakuti chifukwa tizilombo toyambitsa matenda timabwerera m'mbuyo, amayi ambiri amafunika kuyang'anizana ndi hysterectomy. Kuchotsa chiberekero ndi njira yokhayo yothetsera amai ambiri a fibroids.
Kafukufuku wamadzimadzi ambiri amachititsa kuti amayi omwe ali ndi zizindikiro zoopsa, amalize banja lake komanso chiberekero chake chakula msanga pamasabata khumi ndi awiri a mimba; Mzimayi ali ndi zotupa zochuluka kwambiri za fibroid; Kuchepa kwachilendo kwakukulu kumachitika; kapena pamene fibroids ikuyambitsa mavuto ndi ziwalo zina monga chikhodzodzo ndi matumbo.
Sayansi ikuyamba kufufuza njira zina zothandizira ma fibroids, kuphatikizapo kugwiritsa ntchito Lupron zomwe zingakhale zopindulitsa kwa iwo amene akufuna kukhala ndi pakati kapena kwa amayi omwe akuyandikira kusamba nthawi pamene fibroids nthawi zambiri imasintha mwachibadwa. Mankhwalawa amachititsa kuti amayi ambiri asagwiritse ntchito, koma vuto limodzi ndiloti fibroids imakula msanga kamodzi kokha mankhwala atayimitsidwa.
Ngati muli ndi zotupa za fibroid, fufuzani zomwe mungasankhe musanasankhe chithandizo chomwe mukuyesera. Pali njira zambiri zomwe zimagwiritsidwa ntchito poyambitsa hysterectomy pakalipano, ndipo sayansi ikuwongolera zosankha zambiri kwa amayi tsiku ndi tsiku.
Chitsime:
Fibroids. Healthywomen.gov. http://www.healthywomen.org/healthtopics/fibroids.