Fibroids Dzegaro

Fibroids dzevhudzi ndekukura kwakajairika kwevhudzi. Kazhinji dzinowanikwa panguva yemakore aunokwanisa kuita pamuviri uye kubereka. Fibroids dzevhudzi haisi kenza, uye kazhinji hadzishanduki kuita kenza. Hadzina kubatana nekuwedzera njodzi yemhando dzakasiyana dzekenza muvhudzi zvakare. Dzinonziwo leiomyomas (lie-o-my-O-muhs) kana myomas.\n\nFibroids dzinosiyana nhamba neukuru. Unogona kuva ne fibroid imwe chete kana kupfuura imwe. Zvimwe zveizvi zvinokura zvidiki zvokuti hazvioneke nemaziso. Zvimwe zvinogona kukura kusvika kukuru kwegrapefruit kana kukura. Fibroid inokura zvikuru inogona kukanganisa mukati nekunze kwevhudzi. Muzviitiko zvakanyanya, mamwe fibroids anokura zvakakura zvokuzadza pelvis kana nzvimbo yemudumbu. Anogona kuita kuti munhu aoneke akatakura.\n\nVanhu vazhinji vane fibroids dzevhudzi panguva yekurarama kwavo. Asi ungasaziva kuti une, nekuti kazhinji haana zviratidzo. Munyanzvi wehutano hwako angangowana fibroids panguva yekutarisa pelvis kana ultrasound yekuzvitakura.

Vanhu vakawanda vane fibroids dzegaro havawanikwe nezviratidzo. Kune avo vane, zviratidzo zvinogona kukanganiswa nekwavanoonekwa, saizi nenhamba ye fibroids. Zviratidzo zvakajairika zve fibroids dzegaro zvinosanganisira: Kuyerera kwakanyanya kwemwedzi kana matambudziko anorwadza.Nguva refu kana nguva dzakawanda.Kumanikidzwa kana kurwadziwa kwepelvic.Kuenda kunzvimbo kazhinji kana kunetseka kuenda kunzvimbo.Kukura kwenzvimbo yemudumbu.Kutadza kuita matumbo.Kurwadziwa munzvimbo yemudumbu kana kumashure, kana kurwadziwa panguva yekubata. Zvisingawanzoitika, fibroid inogona kukonzera kurwadziwa kwenguva pfupi, kwakakomba kana ikakura kupfuura ropa rayo uye ichitanga kufa. Kazhinji, fibroids inounganidzwa nekwavanoonekwa. Fibroids dze intramural inokura mukati memadziro emuviri wegaro. Fibroids dze submucosal inopinda mukati megaro. Fibroids dze subserosal inoumbwa kunze kwegaro. Ona chiremba wako kana uine: Kurwadziwa kwe pelvic kunongopera.Nguva dzakanyanya kana dzine kurwadziwa dzinoita kuti usakwanise kuita zvimwe zvinhu.Kuyerera kana kubuda ropa pakati penguva.Kunetseka kubvisa bhara.Kuneta kwenguva refu nekushaya simba, izvo zvinogona kuva zviratidzo zveanemia, zvinoreva kuwanda kwakaderera kweropa tsvuku. Tora rubatsiro rwekurapa nekukurumidza kana uine kubuda ropa kwakanyanya kubva mugaro kana kurwadziwa kwakanyanya kwe pelvic kunouya nekukurumidza.

Ona chiremba wako kana uine:

• Kurwadziwa mudumbu risina kupera.
• Kuenda kumwedzi kwakanyanya kana kunorwadza kunokutadzisa kuita zvimwe zvinhu.
• Kuyerera ropa kana kubuda ropa pakati pemwedzi.
• Dambudziko rekuita zvekutambanudza bhuradha.
• Kuneta kwenguva refu nekukura, izvo zvinogona kuva zviratidzo zveanemia, zvinoreva kuti nhamba shoma yesero dzitsvuku dzeropa. Wana rubatsiro rwekurapa nekukurumidza kana uine ropa rakawanda kubva mumukadzi kana kurwadziwa kwakanyanya mudumbu kunouya nekukurumidza.

Chikonzero chaicho chemafibroids emuviri hachizivikanwi. Asi zvinhu izvi zvinogona kutamba basa:

• Kushanduka kwemajini. Mafibroids mazhinji ane kushanduka kwemajini anosiyana neaaya ari mumasero emuviri wemukati akajairwa.
• Mahomoni. Mahomoni maviri anonzi estrogen neprogesterone anoita kuti tishu inopfuvura mukati memuviri ikurumidze panguva yega yega yemwedzi kugadzirira pamuviri. Mahomoni aya anoitawo sekubatsira kukura kwemafibroids.

Mafibroids ane masero akawanda ayo estrogen neprogesterone inosunga kupfuura masero emuviri wemukati akajairwa. Mafibroids anowanzodzikira mushure memenopause nekuda kwekuderera kwemazinga emahomoni.

• Zvimwe zvinhu zvekukura. Zvinhu zvinobatsira muviri kuchengetedza tishu, senge insulin-like growth factor, zvinogona kukanganisa kukura kwemafibroids.

Mahomoni. Mahomoni maviri anonzi estrogen neprogesterone anoita kuti tishu inopfuvura mukati memuviri ikurumidze panguva yega yega yemwedzi kugadzirira pamuviri. Mahomoni aya anoitawo sekubatsira kukura kwemafibroids.

Mafibroids ane masero akawanda ayo estrogen neprogesterone inosunga kupfuura masero emuviri wemukati akajairwa. Mafibroids anowanzodzikira mushure memenopause nekuda kwekuderera kwemazinga emahomoni.

Vanachiremba vanotenda kuti mafibroids emuviri anogona kukura kubva kusell stem iri mutishu yakapfava yemhasuru yemukati. Sero rimwe chete rinopatsanuka zvakare zvakare. Panguva iyoyo rinochinja kuva guruva rakaoma, rakaoma, rakasiyana netishu iri pedyo.

Pateni dzekukura kwemafibroids emuviri dzinosiyana. Zvinogona kukura zvishoma nezvishoma kana nekukurumidza. Kana zvingagara saizvozvo. Mamwe mafibroids anopfuura kukura, uye mamwe anodzikira ega.

Mafibroids anoumbwa panguva yepamuviri anogona kudzikira kana kuenda mushure mepamuviri, sezvo mudumbu uchizodzoka kukukura kwaro kwakajairwa.

Kune zvishoma zvinozivikanwa zvinokonzera fibroids dzemukati, kunze kwekunge uri munhu ane makore ekubereka. Izvi zvinosanganisira:

• Rudzi. Vanhu vose vane makore ekubereka vakaberekwa vakadzi vanogona kuwana fibroids. Asi vanhu vatema vane mukana mukuru wekuva nefibroids kupfuura vanhu vemamwe mapoka erudzi. Vanhu vatema vane fibroids pazera duku kupfuura vanhu vachena. Vane mukana mukuru wekuva nefibroids dzakawanda kana dzakura, pamwe chete nezviratidzo zvakakomba, kupfuura vanhu vachena.
• Nhoroondo yemhuri. Kana amai vako kana hanzvadzi vako vaiva nefibroids, une mukana mukuru wekuwanawo.
• Zvimwe zvinhu. Kutanga kwemwedzi usati wasvika makore gumi; kuonda; kushomeka kweVitamin D; kudya nyama dzvuku yakawanda uye miriwo midiki, michero nemiriwo; uye kunwa doro, kusanganisira biera, zvinoita sekukwidziridza mukana wekuwana fibroids.

Fibroids dzechidumbu kazhinji hadzina ngozi. Asi dzinogona kukonzera kurwadziwa, uye dzinogona kutungamirira kumatambudziko. Izvi zvinosanganisira kudonha kwema cell matsvuku eropa kunonzi anemia. Iyo mamiriro acho anogona kukonzera kuneta kubva pakurasikirwa neropa rakawanda. Kana iwe ukabuda ropa zvakanyanya panguva yemwedzi wako, chiremba wako anogona kukupai zano rekuti mutora iron supplement kudzivirira kana kubatsira kudzora anemia. Dzimwe nguva, munhu ane anemia anoda kugamuchira ropa kubva kumupi, rinonzi ropa rekutsvagisa, nekuda kwekurasikirwa neropa.

Kazhinji, fibroids hadzina kukanganisa kuita nhumbu. Asi mamwe fibroids - kunyanya rudzi rwe submucosal - anogona kukonzera kushaya simba rekuita nhumbu kana kurasikirwa ne nhumbu.

Fibroids dzinogonawo kuwedzera njodzi yematambudziko ekuita nhumbu. Izvi zvinosanganisira:

• Placental abruption, apo chikamu chinopa oksijeni nezvinovaka muviri kumwana, chinonzi placenta, chinoparadzana nemadziro mukati mechidumbu.
• Fetal growth restriction, apo mwana asati aberekwa haakurire zvakanaka sezvaitarisirwa.
• Preterm delivery, apo mwana anoberekwa kare kwazvo, usati wasvika vhiki rechi 37 rekuita nhumbu.

Vatsvakurudzi vachiri kuongorora zvinokonzera fibroid tumors. Zvakawanda zvidzidzo zvinodiwa pane nzira yekudzivirira, kunyange zvakadaro. Zvingasava nyore kudzivirira uterine fibroids. Asi chikamu chidiki cheaya matumors chinoda kurapwa. Ungakwanisa kuderedza njodzi yako ye fibroid nekushandura mararamiro ane hutano. Edza kugara uremu hwakanaka. Ita zvekutambisa nguva dzose. Uye dyisa kudya kwakaringana kwakazara nemuchero nemichero. Mamwe ekutsvagisa anoratidza kuti mapiritsi ekudzora kuberekwa kana ma contraceptives ane progestin-only anogara kwenguva refu angaderedza njodzi ye fibroids. Asi kushandisa mapiritsi ekudzora kuberekwa usati wasvika makore gumi nematanhatu kunogona kusanganiswa nenjodzi yakakwira.

Kutarisa nhengo dzepabonde Kuwedzera mufananidzo Kuvhara Kutarisa nhengo dzepabonde Kutarisa nhengo dzepabonde Panguva yekutarisa nhengo dzepabonde, chiremba anopinda nechigunwe chimwe kana maviri akapfeka magorovu mukati mevhina. Achinyanya kudzvanya padumbu panguva imwe chete, chiremba anogona kutarisa chisu, maovari nemamwe matumbu. Fibroids dzechisu kazhinji dzinowanikwa netsaona panguva yekutarisa nhengo dzepabonde kazhinji. Chiremba wako anogona kunzwa shanduko dzisinganzwisisike mumhando yechisu chako, zvichiratidza kuvapo kwefibroids. Kana uine zviratidzo zvefibroids dzechisu, ungada bvunzo idzi: Ultrasound. Bvunzo iyi inoshandisa mafungu esound kuti uwane mufananidzo wechisu chako. Inogona kusimbisa kuti une fibroids, uye kumapu uye kuayera. Chiremba kana tekinoroji inofambisa chishandiso cheultrasound, chinonzi transducer, pamusoro penyika yako yemudumbu. Izvi zvinonzi transabdominal ultrasound. Kana chishandiso chacho chikapinza mukati mevhina yako kuti uwane mifananidzo yechisu chako. Izvi zvinonzi transvaginal ultrasound. Kuongororwa kweLaboratori. Kana uine ropa remuno rakashata, ungada bvunzo yeropa kuti utsvage zvinokonzera. Izvi zvinogona kusanganisira kuverenga kwakakwana kweropa kuti uone anemia nekuda kwekurasikirwa neropa kuri kuenderera mberi. Bvunzo dzakasiyana dzeropa dzinogona kutsvaga matambudziko ekubuda ropa kana matambudziko ethyroid. Mamwe bvunzo ekuona Hysterosonography Kuwedzera mufananidzo Kuvhara Hysterosonography Hysterosonography Panguva yehysterosonography (his-tur-o-suh-NOG-ruh-fee), une chubhu chakanaka, chinopindika chinonzi catheter chinopihwa muchisu. Mvura yemunyu, inonziwo saline, inopinzwa kuburikidza nechubhu chinopindika mukati mechikamu chisingaperi chechisu. Ultrasound probe inotumira mifananidzo yemukati mechisu kune monitor iri pedyo. Hysterosalpingography Kuwedzera mufananidzo Kuvhara Hysterosalpingography Hysterosalpingography Chiremba kana tekinoroji inopinda catheter yakasimba mukati me cervix yako. Inoburitsa chinhu chekuenzanisira chinoyerera mukati mechisu chako. Dye inotevera chimiro chechisu chako uye ma tubes efallopian uye inoita kuti zvionekwe pamifananidzo ye-X-ray. Hysteroscopy Kuwedzera mufananidzo Kuvhara Hysteroscopy Hysteroscopy Panguva yehysteroscopy (his-tur-OS-kuh-pee), chishandiso chakanaka, chakajeka chinopa maonero emukati mechisu. Chishandiso ichi chinonziwo hysteroscope. Kana ultrasound isina kupa ruzivo rwakakwana, ungada mamwe maonero, akadai se: Magnetic resonance imaging (MRI). Bvunzo iyi inogona kuratidza zvakadzama saizi nekwakatarisana kwefibroids. Inogona zvakare kuziva marudzi akasiyana etumors uye kubatsira kuona sarudzo dzekurapa. Kazhinji, MRI inoshandiswa kune vanhu vane chisu chikuru kana kune avo vari pedyo nemenopause, inonziwo perimenopause. Hysterosonography. Hysterosonography (his-tur-o-suh-NOG-ruh-fee) inoshandisa mvura yakachena yemunyu inonzi saline kuwedzera nzvimbo iri mukati mechisu, inonzi uterine cavity. Izvi zvinoita kuti zvive nyore kuwana mifananidzo ye submucosal fibroids uye lining yechisu kana uri kuedza kuita pamuviri kana uine ropa remuno rakawanda. Zita rimwe rehysterosonography saline infusion sonogram. Hysterosalpingography. Hysterosalpingography (his-tur-o-sal-ping-GOG-ruh-fee) inoshandisa dye kusimbisa uterine cavity uye fallopian tubes pamifananidzo ye-X-ray. Chiremba wako anogona kukurudzira kana kushaya simba kuri kunetseka. Bvunzo iyi inogona kubatsira kuwana kana ma tubes ako efallopian akavhurika kana akavharwa, uye inogona kuratidza mamwe submucosal fibroids. Hysteroscopy. Kune bvunzo iyi, chiremba wako anopinda telescope diki, yakajeka inonzi hysteroscope kuburikidza ne cervix yako mukati mechisu chako. Zvadaro saline inopinzwa mukati mechisu chako. Izvi zvinopa uterine cavity uye zvinoita kuti chiremba wako atarise masvingo echisu chako uye kuvhurwa kwema tubes efallopian. Kutarisirwa paMayo Clinic Timu yedu yekutarisira yeMayo Clinic nyanzvi inogona kukubatsira nezvinetso zvako zveutano zvine chekuita nefibroids dzechisu Tanga pano Rumwe ruzivo Kutarisirwa kwefibroids dzechisu paMayo Clinic Kuverenga kwakakwana kweropa (CBC) CT scan MRI Kutarisa nhengo dzepabonde Ultrasound Ratidza rumwe ruzivo rwakabatana

Hapana kurapwa kwakanakisa kwemafibroids emarunda. Kune sarudzo dzakawanda dzekurapa. Kana uine zviratidzo, taura nechikwata chako chekuchengetedza nezve nzira dzekuwana zororo. Vanhu vazhinji vane mafibroids emarunda havaone zviratidzo. Kana kuti vane zviratidzo zvisingakanganisi zvikuru zvavanogona kurarama nazvo. Kana izvozvo zviri kwauri, kumirira kungave sarudzo yakanakisa. Fibroids haisi cancer. Zvishoma zvinokanganisa pamuviri. Kazhinji zvinokura zvishoma nezvishoma - kana kuti hazvikure - uye zvinowanzo shanduka mushure memenopause, kana mazinga ehormone ekuberekesa adonha.

• Gonadotropin-releasing hormone (GnRH) agonists. Idzi dzinorapira fibroids nekudzivirira muviri kubva pakugadzira mahomoni estrogen neprogesterone. Izvi zvinoita kuti uve munzvimbo yenguva pfupi ye menopause-like. Somugumisiro, nguva dzemwedzi dzinopera, fibroids inodonha uye anemia kazhinji inonatsiridza. GnRH agonists inosanganisira leuprolide (Lupron Depot, Eligard, nezvimwewo), goserelin (Zoladex) uye triptorelin (Trelstar, Triptodur Kit). Vanhu vazhinji vane hot flashes pavanenge vachishandisa GnRH agonists. Kazhinji, mishonga iyi inoshandiswa kweanopfuura mwedzi mitanhatu. Izvozvo ndizvo nekuti zviratidzo zvinodzoka kana mushonga wacho wamira, uye kushandiswa kwenguva refu kunogona kukonzera kurasikirwa nemapfupa. Dzimwe nguva, GnRH agonists inotorwa ne estrogen shoma kana progestin. Unganzwa izvi zvichiitwa add-back therapy. Inogona kuunza nyore zvinokonzerwa nemigumisiro, uye inogona kukubvumira kutora GnRH agonists kusvika kumamwe mwedzi gumi nemaviri. Chiremba wako anogona kunyora GnRH agonist kudzikisa saizi yemafibroids ako usati waita kuvhiya. Kana kuti unganyorwa mushonga uyu kukubatsira kuenda ku menopause.
• Gonadotropin-releasing hormone (GnRH) antagonists. Mishonga iyi inogona kurapa ropa rakawanda remuno mumunhu ane mafibroids emarunda asati apfuura menopause. Asi haidzikisi fibroids. GnRH antagonists inogona kushandiswa kweanopfuura makore maviri. Kuitora pamwe chete ne add-back therapy kunogona kuderedza zvinokonzerwa nemigumisiro senge hot flashes nekutadza kwemapfupa. Dzimwe nguva, estrogen shoma kana progestin zvinenge zviri mumishonga iyi. GnRH antagonists inosanganisira elagolix (Oriahnn) uye relugolix (Myfembree).
• Progestin-releasing intrauterine device (IUD). IUD inoburitsa progestin inogona kubvisa ropa rakawanda rinokonzerwa nemafibroids. Inongoratidza zviratidzo chete. Haidzikisi fibroids kana kuita kuti ziyambe. Inodzivirirawo pamuviri.
• Tranexamic acid (Lysteda, Cyklokapron). Mushonga uyu usingaiti hormone unogona kuunza nyore nguva dzemwedzi dzine ropa rakawanda. Unoitora chete pazuva rine ropa rakawanda.
• Mishonga yakawanda. Chiremba wako anogona kukurudzira mishonga yakawanda. Semuenzaniso, mapiritsi ekudzora kuberekana anogona kubatsira kudzora ropa remuno. Asi haadziki saizi ye fibroid. Mishonga inonzi nonsteroidal anti-inflammatory drugs (NSAIDs) inogona kubatsira kudzikisa marwadzo ane chekuita nemafibroids, asi haadziki ropa rinokonzerwa nemafibroids. NSAIDs haisi mishonga yehomoni. Mienzaniso inosanganisira ibuprofen (Advil, Motrin IB, nezvimwewo) uye naproxen sodium (Aleve). Chiremba wako anogonawo kukurudzira kuti utora mavhitamini ne iron kana uine ropa rakawanda remuno ne anemia. Gonadotropin-releasing hormone (GnRH) agonists. Idzi dzinorapira fibroids nekudzivirira muviri kubva pakugadzira mahomoni estrogen neprogesterone. Izvi zvinoita kuti uve munzvimbo yenguva pfupi ye menopause-like. Somugumisiro, nguva dzemwedzi dzinopera, fibroids inodonha uye anemia kazhinji inonatsiridza. GnRH agonists inosanganisira leuprolide (Lupron Depot, Eligard, nezvimwewo), goserelin (Zoladex) uye triptorelin (Trelstar, Triptodur Kit). Vanhu vazhinji vane hot flashes pavanenge vachishandisa GnRH agonists. Kazhinji, mishonga iyi inoshandiswa kweanopfuura mwedzi mitanhatu. Izvozvo ndizvo nekuti zviratidzo zvinodzoka kana mushonga wacho wamira, uye kushandiswa kwenguva refu kunogona kukonzera kurasikirwa nemapfupa. Dzimwe nguva, GnRH agonists inotorwa ne estrogen shoma kana progestin. Unganzwa izvi zvichiitwa add-back therapy. Inogona kuunza nyore zvinokonzerwa nemigumisiro, uye inogona kukubvumira kutora GnRH agonists kusvika kumamwe mwedzi gumi nemaviri. Chiremba wako anogona kunyora GnRH agonist kudzikisa saizi yemafibroids ako usati waita kuvhiya. Kana kuti unganyorwa mushonga uyu kukubatsira kuenda ku menopause. Gonadotropin-releasing hormone (GnRH) antagonists. Mishonga iyi inogona kurapa ropa rakawanda remuno mumunhu ane mafibroids emarunda asati apfuura menopause. Asi haidzikisi fibroids. GnRH antagonists inogona kushandiswa kweanopfuura makore maviri. Kuitora pamwe chete ne add-back therapy kunogona kuderedza zvinokonzerwa nemigumisiro senge hot flashes nekutadza kwemapfupa. Dzimwe nguva, estrogen shoma kana progestin zvinenge zviri mumishonga iyi. GnRH antagonists inosanganisira elagolix (Oriahnn) uye relugolix (Myfembree). Mishonga yakawanda. Chiremba wako anogona kukurudzira mishonga yakawanda. Semuenzaniso, mapiritsi ekudzora kuberekana anogona kubatsira kudzora ropa remuno. Asi haadziki saizi ye fibroid. Mishonga inonzi nonsteroidal anti-inflammatory drugs (NSAIDs) inogona kubatsira kudzikisa marwadzo ane chekuita nemafibroids, asi haadziki ropa rinokonzerwa nemafibroids. NSAIDs haisi mishonga yehomoni. Mienzaniso inosanganisira ibuprofen (Advil, Motrin IB, nezvimwewo) uye naproxen sodium (Aleve). Chiremba wako anogonawo kukurudzira kuti utora mavhitamini ne iron kana uine ropa rakawanda remuno ne anemia. Panguva yekuvhiya kwe ultrasound yakatarwa, mafungu esound ane simba rakakwirira, ane simba rakakwirira anoshandiswa kunangisa uye kuparadza mafibroids emarunda. Maitiro acho anoitwa uri mukati me MRI scanner. Midziyo inobvumira chiremba wako kuona marunda ako, kuwana chero fibroids uye kuparadza tishu ye fibroid pasina kuita chero incisions. Kurapwa kusina kuvhunduka hakusi kuita ma incision. Hakusi kuisawo zvinhu mumuviri. Ne uterine fibroids, maitiro anoitwa MRI-guided focused ultrasound surgery (FUS) ndiwo:
• Sarudzo yekurapa isina kuvhunduka inodzivirira marunda. Inoitwa panze, zvinoreva kuti haufanire kupedza usiku muchipatara mushure maizvozvo.
• Inoitwa uri mukati me MRI scanner ine mudziyo we ultrasound ane simba rakakwirira wekurapa. Mifananidzo inopa chiremba wako nzvimbo chaiyo ye uterine fibroids. Kana nzvimbo ye fibroid yatarwa, mudziyo we ultrasound unotarisa mafungu esound mu fibroid kupisa uye kuparadza nzvimbo diki yetishu ye fibroid.
• Tekinoroji itsva, saka vatsvakurudzi vari kudzidza zvakawanda nezvekuchengetedzeka kwenguva refu nekushanda. Asi kusvika zvino data yakaungana inoratidza kuti FUS ye uterine fibroids yakachengeteka uye inoshanda zvakanaka. Zvisinei, zvinogona kusavandudza zviratidzo zvakanyanya sekurapa kunopinda zvishoma kunonzi uterine artery embolization. Zvidimbu zvidiki zvinonzi embolic agents zvinopinzwa mu uterine artery kuburikidza ne catheter diki. Embolic agents zvinoenda ku fibroids uye zvinogara mumitsinga inozvipa. Izvi zvinocheka ropa kuenda kunotsvaira matumors. Panguva ye laparoscopic radiofrequency ablation, chiremba anoona mukati memudumbu achishandisa zvinhu zviviri zvakakosha. Imwe ndiyo kamera ye laparoscopic iri pamusoro pemarunda. Imwe ndiyo laparoscopic ultrasound wand iri pamusoro pemarunda. Kushandisa zvinhu zviviri zvinopa chiremba maonero maviri e uterine fibroid. Izvi zvinoita kuti kurapwa kuve kwakakwana kupfuura kwaizoitika nemaonero rimwe chete. Mushure mekuwana uterine fibroid, chiremba anoshandisa chishandiso chidiki kupinza zvinyorwa zvidiki mu fibroid. Zvinyorwa zvidiki zvinopisa, zvichiparadza tishu ye fibroid. Maitiro aya haashandisi ma incision maduku. Anobatanidzwa ne nguva yekudzorera nekukurumidza uye zvishoma zvinetso zvichienzaniswa nekurapa kwakajairika kwakavhurika. Kurapa kusina kuvhunduka kwe uterine fibroids kunosanganisira:
• Uterine artery embolization. Zvidimbu zvidiki zvinonzi embolic agents zvinopinzwa mumitsinga inopa marunda neropa. Zvidimbu zvinocheka ropa kuenda ku fibroids, zvichiita kuti zvidonha uye zife. Tekinoroji iyi inogona kubatsira kudzikisa fibroids uye kubvisa zviratidzo zvinokonzerwa nazvo. Zvinetso zvinogona kuitika kana ropa rinopinda mu ovaries kana mamwe matunhu richideredzwa. Asi tsvakurudzo inoratidza kuti zvinetso zvakafanana nekurapa kwakavhurika kwe fibroid. Uye njodzi yekuda ropa transfusion yakaderera.
• Radiofrequency ablation. Muitiro uyu, kupisa kubva ku radiofrequency energy kunoparadza uterine fibroids uye kunodzikisa midziyo yeropa inozvipa. Izvi zvinogona kuitwa kuburikidza nekucheka maduku munzvimbo yemudumbu, rudzi rwekuvhiya runonzi laparoscopy. Zvinogona kuitwawo kuburikidza ne vagina, rinonzi transvaginal procedure, kana kuburikidza ne cervix, rinonzi transcervical procedure. Ne laparoscopic radiofrequency ablation, chiremba wako anoita kucheka maduku maviri mudumbu. Chishandiso chekuona chine kamera pamusoro, chinonzi laparoscope, chinopinzwa kuburikidza nekucheka. Achishandisa kamera ne ultrasound tool, chiremba wako anoona fibroids kuti arape. Mushure mekuwana fibroid, chiremba wako anoshandisa chishandiso kupinza zvinyorwa zvidiki mu fibroid. Zvinyorwa zvinopisa tishu ye fibroid uye zvinoiparadza. Fibroid yakaparadzwa inochinja nekukurumidza. Semuenzaniso, inobva kuva yakaoma senge bhora regorofu kuita yakapfava senge marshmallow. Mumazuva anotevera 3 kusvika ku 12, fibroid inoramba ichidonha, uye zviratidzo zvinonatsiridza. Laparoscopic radiofrequency ablation inozivikanwawo se Acessa procedure kana Lap-RFA. Nekuti hapana kucheka kwetishu yemarunda, vanachiremba vanofunga kuti Lap-RFA kurapa kusina kuvhunduka kupfuura kuvhiya senge hysterectomy ne myomectomy. Vanhu vazhinji vane maitiro acho vanodzoka kumabasa avo mukati memazuva mashoma. Transcervical - kana kuburikidza ne cervix - nzira yekuenda ku radiofrequency ablation inonzi Sonata. Inoshandisawo ultrasound guidance kuwana fibroids.
• Laparoscopic kana robotic myomectomy. Mu myomectomy, chiremba wako anobvisa fibroids uye anosiya marunda. Kana fibroids ishoma, iwe nechikwata chako chekuchengetedza munogona kusarudza maitiro e laparoscopic. Izvi zvinoshandisa zvinhu zviduku zvinopinzwa kuburikidza nekucheka maduku mudumbu kubvisa fibroids kubva mumunda. Dzimwe nguva, sisitimu yerobhoti inoshandiswa nemaitiro e laparoscopic. Chiremba wako anoona nzvimbo yemudumbu wako pane monitor achishandisa kamera diki yakabatana nechimwe chezvinhu. Robotic myomectomy inopa chiremba wako maonero akakura, e 3D emunda wako. Izvi zvinogona kuita kuti maitiro ave akanyatsojeka kupfuura zvinogoneka uchishandisa mamwe maitiro. Fibroids huru inogona kubviswa kuburikidza nekucheka maduku nekudzipwanya muzvidimbu ne chishandiso chinocheka tishu. Izvi zvinonzi morcellation. Zvinogona kuitwa mukati me surgical bag kuderedza njodzi yekuparadzira chero maseru ecancer ayo vanachiremba vakanga vasatarisira kuwana. Kana kuti zvinogona kuitwa nekutenderedza incision imwe kubvisa fibroids pasina morcellation.
• Hysteroscopic myomectomy. Maitiro aya anogona kuva sarudzo kana fibroids iri mukati memunda, inonziwo submucosal fibroids. Fibroids inobviswa uchishandisa zvinhu zvinopinzwa kuburikidza ne vagina ne cervix kuenda kumunda.
• Endometrial ablation. Maitiro aya anogona kuderedza ropa rakawanda remuno. Chishandiso chinopinzwa mumunda chinopa kupisa, microwave energy, mvura inopisa, tembiricha inotonhora kana magetsi. Izvi zvinoparadza tishu inotenderera mukati memunda. Hauzofanire kuva nepamuviri mushure me endometrial ablation. Asi zvakakosha kutora kudzora kuberekana kudzivirira zai rakafemedzwa kubva pakugadzira mu fallopian tube, rinonzi ectopic pregnancy. Pasina kurapwa, tishu inokura inogona kukonzera ropa rinouraya. Uterine artery embolization. Zvidimbu zvidiki zvinonzi embolic agents zvinopinzwa mumitsinga inopa marunda neropa. Zvidimbu zvinocheka ropa kuenda ku fibroids, zvichiita kuti zvidonha uye zife. Tekinoroji iyi inogona kubatsira kudzikisa fibroids uye kubvisa zviratidzo zvinokonzerwa nazvo. Zvinetso zvinogona kuitika kana ropa rinopinda mu ovaries kana mamwe matunhu richideredzwa. Asi tsvakurudzo inoratidza kuti zvinetso zvakafanana nekurapa kwakavhurika kwe fibroid. Uye njodzi yekuda ropa transfusion yakaderera. Radiofrequency ablation. Muitiro uyu, kupisa kubva ku radiofrequency energy kunoparadza uterine fibroids uye kunodzikisa midziyo yeropa inozvipa. Izvi zvinogona kuitwa kuburikidza nekucheka maduku munzvimbo yemudumbu, rudzi rwekuvhiya runonzi laparoscopy. Zvinogona kuitwawo kuburikidza ne vagina, rinonzi transvaginal procedure, kana kuburikidza ne cervix, rinonzi transcervical procedure. Ne laparoscopic radiofrequency ablation, chiremba wako anoita kucheka maduku maviri mudumbu. Chishandiso chekuona chine kamera pamusoro, chinonzi laparoscope, chinopinzwa kuburikidza nekucheka. Achishandisa kamera ne ultrasound tool, chiremba wako anoona fibroids kuti arape. Mushure mekuwana fibroid, chiremba wako anoshandisa chishandiso kupinza zvinyorwa zvidiki mu fibroid. Zvinyorwa zvinopisa tishu ye fibroid uye zvinoiparadza. Fibroid yakaparadzwa inochinja nekukurumidza. Semuenzaniso, inobva kuva yakaoma senge bhora regorofu kuita yakapfava senge marshmallow. Mumazuva anotevera 3 kusvika ku 12, fibroid inoramba ichidonha, uye zviratidzo zvinonatsiridza. Laparoscopic radiofrequency ablation inozivikanwawo se Acessa procedure kana Lap-RFA. Nekuti hapana kucheka kwetishu yemarunda, vanachiremba vanofunga kuti Lap-RFA kurapa kusina kuvhunduka kupfuura kuvhiya senge hysterectomy ne myomectomy. Vanhu vazhinji vane maitiro acho vanodzoka kumabasa avo mukati memazuva mashoma. Transcervical - kana kuburikidza ne cervix - nzira yekuenda ku radiofrequency ablation inonzi Sonata. Inoshandisawo ultrasound guidance kuwana fibroids. Laparoscopic kana robotic myomectomy. Mu myomectomy, chiremba wako anobvisa fibroids uye anosiya marunda. Kana fibroids ishoma, iwe nechikwata chako chekuchengetedza munogona kusarudza maitiro e laparoscopic. Izvi zvinoshandisa zvinhu zviduku zvinopinzwa kuburikidza nekucheka maduku mudumbu kubvisa fibroids kubva mumunda. Dzimwe nguva, sisitimu yerobhoti inoshandiswa nemaitiro e laparoscopic. Chiremba wako anoona nzvimbo yemudumbu wako pane monitor achishandisa kamera diki yakabatana nechimwe chezvinhu. Robotic myomectomy inopa chiremba wako maonero akakura, e 3D emunda wako. Izvi zvinogona kuita kuti maitiro ave akanyatsojeka kupfuura zvinogoneka uchishandisa mamwe maitiro. Fibroids huru inogona kubviswa kuburikidza nekucheka maduku nekudzipwanya muzvidimbu ne chishandiso chinocheka tishu. Izvi zvinonzi morcellation. Zvinogona kuitwa mukati me surgical bag kuderedza njodzi yekuparadzira chero maseru ecancer ayo vanachiremba vakanga vasatarisira kuwana. Kana kuti zvinogona kuitwa nekutenderedza incision imwe kubvisa fibroids pasina morcellation. Endometrial ablation. Maitiro aya anogona kuderedza ropa rakawanda remuno. Chishandiso chinopinzwa mumunda chinopa kupisa, microwave energy, mvura inopisa, tembiricha inotonhora kana magetsi. Izvi zvinoparadza tishu inotenderera mukati memunda. Hauzofanire kuva nepamuviri mushure me endometrial ablation. Asi zvakakosha kutora kudzora kuberekana kudzivirira zai rakafemedzwa kubva pakugadzira mu fallopian tube, rinonzi ectopic pregnancy. Pasina kurapwa, tishu inokura inogona kukonzera ropa rinouraya. Nekurapa chero kupi kusabvisa marunda, pane njodzi yekuti fibroids itsva inogona kukura uye kukonzera zviratidzo zvinoda kurapwa. Kazhinji, izvi zvinonzi recurrence rate. Fibroids itsva inogonawo kuumbwa, uye idzi dzinogona kuda kurapwa. Zvakare, mamwe maitiro anogona kurapa mamwe fibroids chete aripo panguva yekurapa. Izvi zvinosanganisira laparoscopic kana robotic myomectomy, radiofrequency ablation, uye MRI-guided focused ultrasound surgery (FUS). link yekubvisa kunyorera mu email. Tsvakurudzo diki inoratidza kuti acupuncture inogona kubatsira kana yakashandiswa pamwe chete nekurapa kwako kukuru kwe uterine fibroids. Nechishandiso ichi, munhu anokosha anopinda zvinyorwa zvidiki munzvimbo dzakati mudumbu.