Chii uterine fibroids, chii ayo zviratidzo uye nemigumisiro

Chero mukadzi, nezvemhosva utano hwake. Ndinofanira kuziva fibroids chii, chii zviratidzo chirwere ichi uye chii hunoguma kunonoka kurapwa nachiremba.

Rutapudzo pakati tsandanyama zviri dumbu (myometrium) chokuita kuenda kumwedzi, hunokonzera nokuumbwa atinosangana vari zvikamu. zvikamu zvakadai kutsamwisa paumbwe fibroids uye pakuzadzisa namamota yacho dumbu. Myoma chinhu benign nebundu rinoumbwa iri myometrium. Chinhu randomly dzakarukwa tangle wakatsetseka tsandanyama fibers, uye anotarisa akafanana kumativi chimiro raiva pedyo nebundu. zvidzidzo izvi vanokwanisa kusvika yese makuru chaizvo uye kunyange vachikura makirogiramu akawanda. In okurapa, anozivikanwa nyaya 63-paundi bundu yacho dumbu. Vazhinji nodules siyana kukura kubva shoma millimeters kuti masendimita mashomanana.

Mumwe nomumwe raiva pedyo nebundu fibroids mugumisiro kukodzera kumeso tsandanyama sero nokupesana. Nokuda kwechikonzero ichi, zvose masero ari bundu akafanana. Masayendisiti vari kudzidza chii uterine fibroids, vakasvika pakugumisa kuti hunhu bundu inotungamirwa kunobva zvinonakisa hormone siyana. Uchapupu aya vanachiremba kumbotipa zvinhu zvinotevera:

- nezvezviratidzo bundu zvepabonde kemikari receptors;

- nokuumbwa fibroids munguva dzakakwirira kwevari inonzi estrogen;

- fibroids kubva atanga panguva kubereka;

- paumbwe namamota vakadzi postmenopausal, mushure mekugamuchira hormone gadziriro ane inonzi estrogen.

Vakadzi vari padanho pamusoro dzokubereka zera, uterine fibroids anonzi vakawanda bundu. Pazera makore 30 kubereka fibroids asati aona mukadzi ose rechitatu.

Zvinhu okukura

Katsika munhukadzi muviri pakugadzirwa fibroids kunogona kuva nhaka. Kungakonzera hosha anogumbura pezvakaitwa ari dumbu uye zvinoshandiswa, uye ovarian dysfunction, zvichiita kuti kunyanyisa inotungamirwa estrogens uye progestins kukanganisika. Fibroids kunowanzoguma nokuvhiringidzirwa ari kwemakemikari anobudiswa maitiro uye mutoro wake pituitary shwanu, hypothalamus, thyroid, adrenal mumasero. chitarisiko Its chingava migumisiro chiropa chirwere, bapu, bronchus, rwatata, midziyo ropa uye mwoyo. Zvose izvi zvinogona kutungamirira nokuvhiringidzirwa metabolic pezvakaitwa uye zvinyama afemeruke ari mumasero uterine tsandanyama.

zviratidzo

The kupfuura unoshamisa uchapupu pamberi fibroids vari kumwedzi ropa (menorrhagia) uye kurwadza cramping anowiriranawo rezasi mudumbu.

Ndezvipi fibroids, vanonyatsoziva revakadzi inorema ropa, dzimwe nguva zvichitungamirira kupererwa neropa. Marwadzo angava inopinza, kungoerekana zvisikwa. Izvi nokuda monyorora ari makumbo bundu.

Ishoma zviratidzo uterine fibroids zvinosanganisira kushaya mbereko uye dysfunction kuti pedyo nhengo: mugaranhoko uye dundira.

mhando fibroid

Ndezvipi fibroids sezvo inokura - zvakaoma kupindura zvinonyatsoteerera, nokuti unogona kutora dzakawanda. By kukura fibroid bundu specificity kunogona kuva:

- interstitial (intramuscular), inokura iri ukobvu pamusoro myometrium;

- sumbukoznoy (submucosal), muchiitiko ichi, kuti nodes richikura mukati dumbu;

- subserous (subperitoneal) - zviumbu vari muchikura peritoneal mhango.

mabatiro

Unofanira kuziva kuti munhu fibroid, chinhu chirwere chakakomba kuti vachipinda akaipa bundu. Ndokusaka chokudzivirira kushanya kamwe pagore, chiremba kunokosha. Zvose anozivikanwa zviitiko uterine anomera ndiyo 20 chete% ndivo symptomatic uye inoda fanira kurapwa. Muzviitiko asymptomatic fibroids vane usimbe kukura pamuviri nzira inoshandiswa pasi kuramba pokudzora chiremba. In pakurapa fibroids kushandisa zvinodhaka kurapa, kuvhiyiwa, FUS ablation pamusoro fibroids, embolization kuti uterine arteries uye zvavo mishonga.