Iyo Inowanzobva Pachigunun'una kurwadziwa kwevakadzi
Overview
Uterine fibroids inogona kuva chikonzero chekutambudzika kwepachiviri kwevakadzi . Uterine fibroids imhando dzisina kusimba dzemaviri dzinokura mukati kana kuti pamadziro emuviri. Kunyange zvazvo iine maronda emishupa yemisumbu, inenge yava nguva dzose ichirwara, ine zvishoma pane imwechete mu1000 ine kenza. Kuva ne-fibroids hakuwedzeri njodzi yako yekudzivirira kenza yekenza kana kuwana imwe mhando yekenza yemukamu.
Izvo zvakajairika. Vanenge makumi manomwe kubva muzana yevakadzi vachabva vaine imwe yezera remakore makumi mashanu, asi vazhinji vari vaduku uye havana zviratidzo.
Zvinokonzera
Chinokonzera uterine fibroids hachizivikanwe kunyange zvazvo ichiitika kakawanda mumadzimai ari mumakore ekuma30 ne40, kunyanya avo vane mhuri yemhuri ye fibroids. Izvo zvinowanzoonekwawo kune vakadzi vatema. Kudya kwakanyanya mumhuka yakatsvuka uye kuneta kunogona kuwedzera mukana wevakadzi wekuwedzera uterine fibroids.
Zviratidzo
Nepo vamwe vakadzi vasingazivi kuti vane fibroids, avo vane zviratidzo zvinowanzoitika:
- kurwadziwa kwepamuviri
- dysmenorrhea (nguva inorwadza yokuenda kumwedzi)
- kurwadziwa panguva yepabonde
- kuneta zvakanyanya kunonoka kumwedzi
- urinary urgency
- kunetseka kwakapfa shure
- kusabereka (kazhinji mumatambudziko akaoma)
Kune vamwe vakadzi, zviratidzo zveUterine fibroids zvine unyoro uye zviri nyore kubata. Kune vamwe, uterine fibroids inokonzera kurwadziwa kusingaperi kwepilvic kunogona kupindira nehupenyu hwavo.
Kuziva
Uterine fibroids inogona kuonekwa ne ultrasound , dzimwe nguva inoitwa nekuzadza chibereko nemvura (sonohysterogram).
Zvimwe zviyero zveUterine fibroids zvinosanganisira x-rays , MRIs , uye CT scans. Chiremba wako anogonawo kuronga hysterosalpingogram, iyo iyo chiberekedzo izere neaya kabla x-ray dzinotorwa.
Dzimwe nguva, imwe nzira inopesana yakadikanwa inofanirwa kunyatsotsanangura uterine fibroids. Mune hosteroscopy , kuwirirana nekamu kamera kunowanikwa muchibereko.
Mune laparoscopy, inowanikwa kuburikidza nekambani kadiki mudumbu. Chimwe nechimwe chinogona kushandiswa kufungidzira uterine fibroids, pamwe nekuvabvisa.
Mishonga
Kana uterine fibroids inonetsa kana kuti inokonzera marwadzo asingagumi, iwe unogona kugamuchira chero chipi zvacho chinotevera:
- Mishonga yemarwadzo yakadai se-over-the-counter kana mishonga inoshandiswa NSAID inogona kudzora kurwadza kwemaviri kunokonzera uterine fibroids.
- Gonadotropin-releasing hormone agonists (GnRHas) dzimwe nguva inoderedza fibroids kunyange zvazvo fibroids inogona kudzoka zvakare.
- Hormone mishonga yakadai sokuberekwa kwepiritsi mapiritsi kana kuti injini yeprogesterone inogona kuderedza fibroid kukura.
- Kuvhiya , kwakadai se myomectomy , hysterectomy, endometrial ablation kana uterine fibroid embolization inogona kuitwa kana dzimwe nzira dzisingabatsiri. Myomectomy inogona kuve yakasarudzwa pamusoro pehutachiona kana iwe uchida kukwanisa kutora pamuviri, asi hysterectomy inotarirwa seyo chete yechirwere chechokwadi.
- Zvinotarisirwa kutarisirwa: Kana iwe uri parimenopausal, chiremba wako angasarudza kutarisa uye kumirira sezvo fibroids inowanzosvibira muhukuru mushure mekuguma kwemwedzi.
Prognosis
Kufananidzira kwehupuka hwepachivichwa hunokonzerwa neuterine fibroids kunosiyana. Vamwe vakadzi vanoona kuti kurwadziwa kwavo kunogona kutarisirwa zvinobudirira nemishonga yakadai seNSAIDs uye / kana mishonga yehomoni.
Mune vamwe vakadzi, zvisinei, kuvhiyiwa ndiyo chete inosarudzwa. Kunyange zvazvo kuvhiyiwa kunowanzobudirira pakurapa uterine fibroids, zvimwe zvingasarudzwa (zvakadai se hysterectomy uye endometrial ablation) zvinogona kusiya mukadzi asingabatsiri. Kana iwe uri mucheche nekuda kwe fibroids chete, myomectomy inogona kudzorera kubereka kwehafu yenguva.
Uterine fibroids inoderera muhukuru uye zviratidzo zvinowanzoderedzwa kana kambomira ikatanga.
Sources:
Lippman, SA et al. Uterine Fibroids uye Gynecologic Pain Symptoms in Study-Based Based Study. Kubereka uye Kusimba. 2003 Dec; 80 (6): 1488-94
The Merck Manuals Online Medical Library. Uterine Fibroids. Svondo, 2015.
National Institute of Child Health and Human Development. Uterine Fibroids. 12/18/2013.
Dhipatimendi reUnited Health Health and Human Services. Uterine Fibroids fact sheet.January 15, 2015.