Gwero Lomwe Amagwiritsira Ntchito Mafupa Amadzimadzi
Mwachidule
Uterine fibroids ukhoza kukhala chifukwa cha ululu wa amayi . Uterine fibroids ndi mitundu yambiri ya minofu yomwe imamera kapena pamakoma a chiberekero. Ngakhale kuti ndi zotupa za minofu ya minofu, nthawi zambiri amakhala osabisa, ndipo osachepera 1,000 amakhala odwala khansa. Kukhala ndi fibroids sikukuwonjezera chiopsezo chanu chokhala ndi khansa ya fibroid kapena kupeza mtundu wina wa khansa ya chiberekero.
Ndizofala kwambiri. Azimayi oposa makumi asanu ndi awiri (70%) adzakhala ndi zaka 45, koma ambiri ndi ochepa ndipo alibe zizindikiro.
Zimayambitsa
Chifukwa cha uterine fibroids sichidziwikiratu ngakhale kuti chimachitika kawirikawiri mwa amayi omwe ali ndi zaka za m'ma 30 ndi 40, makamaka omwe ali ndi mbiri ya banja la fibroids. Amakhalanso osowa kwambiri kwa amai akuda. Kudya kwambiri kwa nyama yofiira ndi kunenepa kwambiri kungapangitse amayi kutenga chiopsezo chotenga uterine fibroids.
Zizindikiro
Ngakhale amayi ena sakudziwa kuti ali ndi fibroids, omwe ali ndi zizindikiro zomwe zimachitika nthawi zambiri:
- ululu wamkati
- dysmorrhea (nthawi yowawa ya msambo)
- ululu pa nthawi yogonana
- Kutaya msambo mopitirira malire
- kufulumira kwamakono
- ululu wopweteka kwambiri
- Kusabereka (nthawi zambiri kumakhala kovuta kwambiri)
Kwa amayi ena, zizindikiro za uterine fibroids ndizosavuta komanso mosavuta. Kwa ena, uterine fibroids imachititsa ululu wopweteka kwambiri umene ungasokoneze umoyo wawo.
Kudziwa
Uterine fibroids imatha kudziwika ndi ultrasound , nthawi zina imachitidwa podzaza chiberekero ndi madzi (sonohysterogram).
Zithunzi zina za uterine fibroids zikuphatikizapo x-ray , MRIs , ndi CT sc scans. Dokotala wanu angathenso kulangiza hysterosalpingogram, momwe chiberekero chidzadzala ndi dye isanafike ma x-ray.
Nthawi zina, njira yowonjezera yowonjezera imafunika kuti muzindikire molondola uterine fibroids. Mu hysteroscopy , kukula kwa kamera kakang'ono kumaikidwa m'chiberekero.
Mu laparoscopy, imayikidwa kupyolera mu kapangidwe kakang'ono m'mimba. Aliyense angagwiritsidwe ntchito kuti azindikire uterine fibroids, komanso kuchotsa iwo.
Kuchiza
Ngati uterine fibroids ili ndi vuto kapena ngati imayambitsa kupweteka kwapakhosi, mukhoza kulandira zotsatirazi:
- Mankhwala opweteka monga over-the-counter kapena mankhwala NSAID zingathetsere kupweteka kwapakati pamodzi chifukwa cha uterine fibroids.
- Gonadotropin-kutulutsa hormonone agonists (GnRHas) nthawi zina imatha kutaya fibroids ngakhale fibroids akhoza kubwerera kachiwiri.
- Mankhwala opangira mahomoni monga mapiritsi oletsa kubereka kapena majeremusi a progesterone angachepetse kukula kwa fibroid.
- Kuchita opaleshoni , monga myomectomy , hysterectomy, kuperekera kwa endometrial kapena uterine fibroid embolization zingatheke ngati njira zina sizigwira ntchito. Myomectomy ingasangalatse pa hysterectomy ngati mukufuna kukhala ndi pakati, koma hysterectomy imatengedwa ngati mankhwala okhawo.
- Malangizo oyembekezereka: Ngati muli odwala, dokotala wanu angasankhe kudikira ndi kuyembekezera ngati fibroids nthawi zambiri amachepetsa kukula kwake pambuyo pa kutha kwa thupi.
Kuthamangitsani
Chizindikiro cha ululu wa m'mimba chifukwa cha uterine fibroids ndizosiyana. Azimayi ena amapeza kuti ululu wawo ukhoza kuyang'aniridwa bwino ndi mankhwala monga NSAIDs ndi / kapena mankhwala a mahomoni.
Komabe, kwa amayi ena, opaleshoni ndiyo njira yokhayo. Ngakhale kuti opaleshoni nthawi zambiri imathandiza kwambiri pochiza uterine fibroids, zosankha zina (monga hysterectomy ndi endometrial ablation) zingasiye mayi wosabereka. Ngati mulibe ana chifukwa cha fibroids okha, myomectomy ikhoza kubwezeretsa chonde pa theka la nthawi.
Uterine fibroids imachepa kukula ndi zizindikiro nthawi zambiri zimachepa pakangoyamba kutuluka.
Zotsatira:
Lippman, SA ndi al. Matenda a Chiberekero ndi Zizindikiro za Mavuto a Mkazi M'maphunziro Ophunzirira Anthu. Utsi ndi Wofooka. 2003 Dec; 80 (6): 1488-94
Makampani Opanga Mankhwala Othandiza pa Intaneti pa Merck. Uterine Fibroids. September, 2015.
National Institute of Child Health and Human Development. Uterine Fibroids. 12/18/2013.
Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Chizindikiro cha Uterine Fibroids pa January 15, 2015.