Fibroids Submucosal: iimpawu eziphambili kunye nenkcazelo. Irejimeni yonyango kunye neziphumo

Miomatoz isibeleko - a ngezifo eliqhelekileyo kwaye iyingozi kwabasetyhini, luphawulwa ukuvela neoplasms ebubonisayo. Kukho iintlobo ezininzi ezahlukeneyo fibroids, enye yazo kukuthi fibroids submucosal, ukuba ungakwazi ukuphuhlisa nokukhula.

Esi sifo bemvelo nabungozi le ithumba, aphumele ngaphandle isibeleko, ukusekwa izihlunu zakhe. Mhlawumbi fibroids ezininzi, equka iindawo ezininzi ngexesha elinye, yaye zicwangciswe kwimimandla eziliqela.

Iimpawu submucous fibroids zesibeleko

myoma Submucous - neoplasm nabungozi, nto leyo senziwa submucosal inwebu isibeleko. Uphawu lwesi sifo kucingwa ukuba izakhi ezinezikhondo ukuba akhule nzulu lweHo- zesibeleko, kwaye ulwalathiso kwisisu.

Ngokwezonyango kokuba kufunyaniswe ukuba ezi nangezilonda zikhula ngokukhawuleza ngaphezu kwazo zonke ezinye iintlobo fibroids, kwakunye njengoko ndilithethile iimpawu. Kuxhomekeka apho ibekwe myoma node, inokukuzisela ezinye kabi, njengoko uxinzelelo eziliqela imizimba akhiwe.

Ukuba iindawo submucous elimlinganiselo enkulu, ukuba compress le ureters kunye emathunjini, esizibonakalisa nengxaki ukuchama kunye defecation. Ukongeza, ithumba onjalo kunokukhokelela isisu ephosiweyo okanye abangele kwezisu.

Izinto ezibangela fibroids submucosal

Ukuza kuthi ga ngoku, oogqirha ngeke ngokuqinisekileyo bathi akukho fibroids submucosal ngesizathu esithile, kodwa kukho inani lemiba engabangela ukuba ukuyilwa kwalo ngezifo, ingakumbi ezifana:

• utshintsho hormone;
• zeleka rhoqo;
• ukusebenza komzimba;
• ukutyeba;
• izivimbela;
• ukungabikho ukukhulelwa kunye nokunika ekuzalweni ukuya kwiminyaka engama-30;
• factor zamafa;
• izisu rhoqo;
• izifo ukudumba kwisigaba ngokwesini.

Ukumisela ingcambu unobangela, oluthi luqokelelane ngoMeyi ngugqirha kuphela fibroids. Kubalulekile ukujonga ukuba oko kwabangela ngezifo, njengoko oku kuya kuthintela kokuvela kuyo kwixesha elizayo.

Eyona engundoqo Iimpawu zesi sifo

fibroids Submucosal - isifo luyingozi kakhulu, kuba sikwinqanaba lokuqala lophawu akuthethi ukuzibonakalisa. Nodes ngokukhawuleza kwandisa ubukhulu, ngoko iimpawu kakhulu eziqaqambileyo. Ngokukodwa, iimpawu zibonakale ezifana:

• elide ndaba enzima;
• iintlungu esiswini;
• ubukho amahlwili egazi kokuba sexesheni;
• ukopha wesizalo kakhulu;
• ukuqumba;
• ukwanda ubushushu;
• buthathaka, kwaye umkhuhlane;
• nenzalo.

Kwezinye iimeko, fibroids submucosal ngokupheleleyo akuthethi ukuzibonakalisa, ingakumbi kwinqanaba lokuqala. Ngophuhliso iimpawu zesifo ziqala ngakumbi nangakumbi ukuze zikhule. ixesha kubaluleke kakhulu ukuba isifo ukufumanisa ubukho sifo, kuba oko kunegalelo unyango ngokukhawuleza kunye nokuvuselelwa.

lokufunyaniswa kwesifo

Fibroids ngokukhula submucosal banesifo ngexesha loviwo yamanina yi Ngokucofa. Kulo mzekelo, ugqirha uyakwazi ukubona myoma node uzinzo ashinyeneyo.

Uxilongo kuqinisekisiwe ngexesha lokuhlolwa usebenzisa nezipili, njengoko kubonakala uphawu off emhlophe umthunzi nendlela ngokukhawuleza nemithambo. Isibeleko sisenokufikelela ngomli-, umphezulu waso uba obungalinganiyo, iindawo zamahlathi, ngelixa kwegazi baba buhlungu.

Ukuze iSifo ezininzi ngqo kuthwalelwa roentgen, njengoko kubonakala kumfanekiso ukwanda okanye ukugoba komthunzi ithumba. nodes Submucous kwi kumfanekiso azimisele ngokohlobo iziphene esicacileyo yakhiwe ibonakale ngokucacileyo.

Enye yezona ndlela efundisayo uxilongo, nto leyo inceda ukufumanisa ngokuchanekileyo ukuba fibroids Embi-submucous, ultrasound uthathwa. Informativeness yale ndlela kakhulu phezulu, njengoko kukho ngaphezu izixhobo ezintsha mihla kunye nobuchule. Ultrasound kukunika ubuchule ukubhaqa fibroids, nokuba ukuba babe omncinci.

Ukucacisa uxilongo olwenziwe ultrasound Itomography, ekubeni kusenokwenzeka ukuba ufumane umfanekiso ultrasound-ntathu. Le ndlela kunokuba ulwazi, njengoko ikuvumela ukuba ukuqonda ngokupheleleyo eliqukuqela inkqubo zophendlo lwezifo kwaye ucacise ukuba ngaba kukho phambi kwenkqubo izifo ezihamba.

Ukuqhuba unyango fibroids

fibroids Submucosal ngaphambili baphathwe indlela operative kuphela. Xa lokufunyaniswa myoma node ngaphambili kuphela kususwa isibeleko, emva koko umfazi akazange abe nosana.

Noko ke, ngoku kungenzeka ukuba afeze unyango lwe indlela endala. Ngelo isanda nethumba uba ubukhulu encinane, kodwa olu hlobo yamathumba olukhulayo ngokukhawuleza kakhulu, nto leyo esisizathu sokuba ngexesha uxilongo kubaluleke kakhulu ukujonga indlela nkqi ekukhuleni kwayo.

Esi sifo kancinane kuthomalaliso, unyango amayeza, kodwa iimali gormonsoderzhaschie angamnqumamisa ezinye yophuhliso yayo engaphezulu. Ukusetyenziswa hormone ukuze unike umzimba nemazi enjalo imvelaphi kwamadlala, nto leyo eya ilingane nexesha ukuya exesheni.

Ukuba fibroids submucosal nomonde, unyango amayeza unyango kwamadlala ungabangela yifuna ukuba isigulane ngaphezu kweminyaka engama-40 kwaye likufutshane ixesha ukuya exesheni. Xa kwanonyango impumelelo, kukho amathuba eliphezulu ukuba fibroids aqala ukuba zinciphise ubungakanani ngokuhamba kwexesha kwaye shwaka zizonke.

izigulane abaninzi bakhetha ukwenza unyango kunye ubuchule ezithandwayo, kodwa ekuqaleni kufuneka ukuba ubonane nogqirha akhethwa ngokuchanekileyo unyango ubuchule kuthi kuphazamisane kakhulu imeko yomguli kwaye ivule kukuvela iingxaki.

amayeza

Ukuba ogulayo fibroids, ubungakanani node submucous mkhulu ngaphezu kweesentimitha ezi-5, ngoko utyando akwenziwanga, njengoko oku kungabangela ezahlukahlukeneyo iingxaki.

Kulo mzekelo, unyango iziyobisi kunye prescribers nomonde, ezifana "Zoladex" okanye "Dekapeptil Depot", sivumele ukudala imali eseleyo eliphezulu hormone. Kulo mzekelo, umgangatho estrogen yehliswe kakhulu, into leyo eyenza igalelo ekuhleni kwindawo fibroids ubukhulu.

Ukongeza, amayeza isigulane ethile emiselweyo ukuba isetyenziswe intramuscularly okanye yegazi. Kwezinye iimeko, xa kwiindawo mincinane, ebonisa hormone unyango ngotyando.

Namakhosikazi aselekhulile yenzala, "Esmiya" iziyobisi ezimiselwe izifo kakhulu. Noko ke, oko inazo Izimo, ezifana:

• Ukukhulelwa ne zisanyisa;
• somoya;
• izifo oncologic;
• ukopha lobufazi.

ayivumelekanga Le ichiza ukwenza isicelo ixesha elide, njengoko kunokubangela iingxaki ezinzulu.

ukungenelela operative

Ukuba ubukhulu elikhulu uye fibroids zesibeleko submucosal, utyando lwenziwa qho mandatory, ekubeni ingaba ingxaki enkulu ebomini. Fibroids asuswe ngu laparascopy okanye hysteroscopy. Laparoscopy lwenziwa eludongeni phambi esiswini, kunye hysteroscopy - lweHo- zesibeleko nge.

Ukuba ezi ndlela andithanga ndimzise yifuna, okanye mhlawumbi kukho izikhokelo, ukuba wabamba ukususa ngokupheleleyo isibeleko. Fibroids kungaba nemiphumela emibi kakhulu, ngoko ke kufuneka ngokukhawuleza kangangoko kunokwenzeka ukuba iqhube uvavanyo nomonde nonyango.

Iimpawu hysteroresectoscopy

Inkqubo hysteroresectoscopy ingqalelo enye yeendlela ezininzi ebubonisayo zotyando kwaye wenziwa ukulondoloza umsebenzi nezenzala, ekubeni kubalulekile ukuba ucwangciso ngakumbi lokuzalwa komntwana.

Ngexesha utyando ngaphakathi lweHo- zesibeleko phantsi electrocoagulator zomzimba jikelele yaziswa nge ikhamera eyodwa. Emva koko, iimviwo wesibeleko kunye nokuzimisela isixa ezalathelwe kunye nokususwa kwabo, isibeleko ayiphazamiseki.

utyando olunjalo lwenziwa ngalo lobufazi kunye lomsele wesibeleko. Kuba izixhobo zolawulo emisele wesibeleko uyakhula kancinci. Ubude uqhaqho ayikho ngaphezu kwemizuzu zaba ngamashumi omathandathu. Ukuba kunjalo ukususa fibroids submucosal, izigulane ngokutsha kuphela mihle kakhulu, nto leyo ibaluleke kakhulu izigulane abo uceba ukukhulelwa.

Ndiqhuba myomectomy mechanical

nodes Submucous kunokuba omkhulu isuswe ngendlela ngomatshini. Ekuqaleni Umhlangano ukulungisa kunye nezixhobo ezizodwa, uze bezikhulule phantsi kolawulo hysteroscope.

Rassekanie njengezingxobo lungenziwa yi resector esiludumbo ekhethekileyo nezokukhupha. Ukususwa fibroids submucosal ngu myomectomy ngomatshini kuneengenelo ezithile, ezizezi:

• Ubude elifutshane;
• akukho mfuneko yokusebenzisa izixhobo olongezelelweyo;
• akukho zingxaki.

Emva kwethuba utyando recovery ayenzi kuthatha ixesha elininzi. Ngaphezu koko, akukho amalungu umonakalo omkhulu, kwaye ingxinano nemithambo kunye ulwelo.

myomectomy ikakhulu electrosurgical

myomectomy Electrosurgical eyenziwa ukuba esiludumbo na kwi nyathelo 1 okanye 2. Ukongeza, ukususwa oluqhutywa kwiindawo esinjalo ngendlela ingabekwa iimbombo isibeleko, leyo akunakwenzeka ukuba ususe ngezinye iindlela.

ungenelelo Surgical mazenziwe ngokwezigaba enye okanye eziliqela, zonke kuxhomekeke kuhlobo kwisiza. Xa phezu aphilileyo submucosal zesibeleko fibroids ncomo inqanaba le ndlela unyango kulungile ngokwaneleyo.

Ezinye iindlela zotyando

Ngaba kubanjwa kunye nezinye iindlela zokungenelela zoqhaqho kumanqanaba ahlukeneyo fibroids. Ukuba akukho nalunye lwezi ndlela mnene yokungenelela ngotyando akukhange ubani afumane oko akufunayo, okanye kukho ezinye iimpawu, ngoko ke isibeleko ishenxiswe ngokupheleleyo entanyeni.

Xa nokususwa ngokupheleleyo kwilungu lobufazi isicelo, esiswini kunye nendlela laparoscopy.

fibroids Submucosal njengonobangela ukungachumi

fibroids wesizalo kukho ithumba elihle. Phakathi zonke ezimbi yamanina sinawo rhoqo yesibini eliphezulu ingenzeka. Kusenokubakho iintlobo ezininzi ezahlukeneyo izifo ukuba zahluke eyendawo leiomyomata. Ngokukodwa, iintlobo ezahlukeneyo ezifana:

• submucous;
• intermuscular;
• subserous.

Xa iindawo myoma submucous ingaba mhlawumbi qho ebanzi, okanye isiqu obhityileyo. Kuye nefuthe elithile kwi umfanekiso lwezonyango jikelele. Le ngezifo noko inzima kwaye iyingozi oluvelisa isoyikiso enkulu kwimpilo kwaye uphila izigulane kwaye ikhokelele ukungachumi.

Eyona eziphambili ezibangela ukungachumi

Submucous wesizalo myoma iindawo kukhokelela ubudlolo ngenxa yezizathu eziliqela. Ezi zizathu zibandakanya:

• into mechanical, njengokuba kukho iingxaki kunye umzila we iqanda;
• ukuphazamiseka hormone, ekhokelela iingxaki kunye ovulation;
• lokuvala Ekungeneni tubes, nto leyo ebangela kubenzima kakhulu inkqubo intshukumo beqanda ndawo umzila yayo;
• kukho ingozi pregnancy;
• umsebenzi ukwanda kwe endometrium;
• izifo omzimba echaphazela kakubi inkqubo umzila.

Ngaphezu koko, lo ngezifo kunokukhokelela kwezisu ngenxa yokuba kukho ucinezelo le isibeleko, izibilini eyabelwe iihomoni ezithile ezingenelela ngesiqhelo ngokuzala.

Ngenxa yoko, fibroids zesibeleko iwise uphawu esinzulu ngemisebenzi uhlelo zokuzala. Kuyimfuneko ke ngoko ngokukhawuleza kangangoko kunokwenzeka ukuqalisa unyango kwesi sifo.