Myoma ne mai ɓoye neoplasm a cikin mahaifa. Kwayar ba ta ba da alamun alamun na dogon lokaci ba, saboda haka an samo shi a ƙarshen lokacin, yayin da myoma kanta yana da babban girma. Don magani, darajar da Layer yake da shi yana da mahimmanci, ƙananan - don aiki waɗannan su ne muhimman sigogi.
Binciken asalin fibroids
Myoma ne mai kafa neoplasm daga ƙwayoyin tsoka mai tsoka. Tsarinsa zai iya zama daga 'yan millimeters zuwa 30 cm ko fiye. Duk da haka, an riga an gano ƙwaƙwalwar ƙarami ta amfani da duban dan tayi. Duban dan tayi ganewar asali na igiyar ciki fibroids shine tushen dukkan matakan bincike. Yin amfani da wannan fasaha yana yiwuwa a kafa ba kawai girman tsarin ba, lambar su, amma kuma ainihin ainihin tsarin tsarin pathological.
Muhimmanci a cikin ganewar asali na fibroids shine binciken bimanual. Tare da taimakonsa, ana iya gano mummuna mai amfani da ƙwayar mahaifa, girman girman aikin yana ƙaddara tare da duban dan tayi. Dikita, jin kwarewa ta hanyar bango na ciki, zai iya yin zato game da siffar, girman da kuma wurin da ciwon sukari. Don ƙarin cikakkun bayanai game da ƙarar ilimi, tsarinsa, ƙididdigar ƙwarewar, ƙarin karatun an gudanar:
- X-ray: X-ray na kwayoyin pelvic;
- endoscopic: hysteroscopy , cervicoscopy, colposcopy .
Myoma na mahaifa - girma
Girman fibroids mai amfani da ilmin hanyoyin uterine suna da muhimmancin tasiri. Wannan lamarin yana dauke da kai tsaye lokacin zabar hanyar hanyar farfadowa. Tare da ƙaramin ƙwayar ƙwayar cuta, ana iya yin magani mai mahimmanci. Ya haɗa da amfani da kwayoyin hormonal da ke rage jinkirin ƙwayar cutar. Karuwa a cikin haɗuwa da hormones na jima'i yana haifar da karuwa da ƙananan ƙwayoyin cuta. A sakamakon haka, girman tsarin kwayoyin halitta yana karuwa. Dangane da wannan, ana nuna ƙarar tumo a cikin makonni na ciki (girman girman mahaifa ya kwatanta da na gestation).
Dangane da girman ƙwayar neoplasm, za a iya rarraba ƙananan ƙananan saɓo a cikin:
- ƙananan;
- matsakaita;
- babban.
Girma na fibroids a millimeters
Za a iya ƙaddamar da ƙwayoyin fibroids a cikin mm a lokacin duban dan tayi. Dikita yayi nazari a hankali da ƙananan ƙananan ƙananan basira, musamman ma mahaifa. A lokacin aikin, muna binciken ba kawai girman ilimi ba, amma kuma ya kimanta tsarinsa, adadin nodes samuwa. Dole ne a ƙayyade yanayin ƙwayar. Babban darajar mahimmanci ita ce girman ƙwaƙwalwar.
A ƙarshe, likita ya nuna bayanan nan:
- ƙananan fibroids - an gane asali idan ɓangaren ƙananan zafin jiki bai wuce 20 mm ba;
- matsakaici - wannan mahimmanci ne aka yi idan diamita daga cikin ƙwayar jikin shine 20-60 mm;
- Large - a girma ya wuce 60 mm.
Girman igiyar ciki fibroids a cikin makonni
Don cikakkiyar sifofin ƙwayar cutar, likitoci sukan kiyasta girman fibroids a cikin makonni lokacin yin nazarin ƙwayar cuta. Alal misali, idan an gano mace tare da mako mai makon mako 11, wannan yana nufin cewa ƙarar cikin mahaifa ya karu zuwa girman jikin kwayar a makonni 11 na ciki. Saboda haka, tare da ma'auni mai zurfin mita 3-4 cm, ƙarshen ƙarshe ya nuna a ƙarshe: wani neoplasm (myoma) yana da makonni 6-7.
Doctors bayyana girman da igiyar ciki fibroids a cikin makonni kamar haka:
- ƙananan ƙwaƙwalwa - girman tsarin kwayoyin halitta ba ya wuce tsawon makonni obstetric;
- matsakaici - an gano shi lokacin da mahaifa ya dace da makonni 10-11;
- babban - daidai ne da makonni 12-16 na gestation.
A wane girman ne fibroids ke aiki a cikin aiki?
Lokacin da aka gano magungunan mahaifa, yawancin aiki shine matakan da likitoci ke bi, ban da tsarin tsarin. Yana da mahimmanci don saka idanu da ciwon sukari a cikin hanzari. Mata da irin wannan cuta suna shan gwajin lokaci-lokaci, duban dan tayi. Idan akwai ciwo mai sauri, tsoma baki yana da wuyar gaske. Idan ba a yi aiki ba, ƙwayar yana ɗauke da dukkan sararin samaniya a ƙananan ƙananan ƙwayar. Akwai wani cin zarafi na aikin jinƙai.
A ganewar asali na hysteromyoma masu girma don yin aiki a cikin likitocin millimeters basu kafa ko shigarwa ba. Bayyana ga magungunan aiki mai tsanani shine ci gaban fibroids - haɓaka ya karu da 20 mm da karin yayin shekara. Bugu da ƙari, waɗannan fibroids wadanda ba su da babban girma suna aiki, amma akwai kafafu na bakin ciki. A fili a cikin wannan wuri akwai mummunan haɗari na tayi, wanda zai haifar da canji mai lalata, necrosis. Sauran alamun nuna cire fibroids sun hada da:
- sakandare na biyu ;
- misalai da yawa;
- ciwo mai tsanani (ciwo mai ci gaba a cikin ciki, a cikin dubura, mafitsara).
Ƙaƙashin ƙwaƙwalwar ƙwayar cuta ta mahaifa - girman don aiki
Ƙaƙwalwar ƙwaƙwalwar ƙaƙƙarfan motsa jiki tana nufin ƙaddarar hanyoyi. Yana shafar ɓangaren ɓangaren gabar jiki, yana tsiro a cikin ɓangaren ƙananan ƙananan ƙananan ƙwayar. A cikin nau'i, yana kama da nau'i tare da tushe mai tushe ko ƙafar ƙafa. Tsarin hysteromyoma mai girma shine girman kai. A lokaci guda, tambaya na gudanar da ƙwayar magani yana tashi lokacin da samuwa a diamita ya kai 80 mm.
Gwajiyar ƙarancin ƙwayar ƙafa - da girma ga aiki
Hanyoyin hysteromyoma don yin amfani da irin wannan tsari ba su bambanta daga mai suna sama (8 sm da karin). Mahimmancin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ce ita ce ƙaddamar da ƙirar ƙirar kanta. A wannan yanayin, fibrosis fibers na laser muscular na mahaifa suna kasancewa a cikin samuwar. Ci gaba da ciwon sukari yana kai tsaye a cikin kwayar halitta. Ana iya ɗaukar magani na wannan nau'in neoplasm ta yin amfani da wadannan fasahohi:
- sabiliya - cirewa na nodes;
- Yin amfani da suturar hanzari shine cin zarafi na ciwon daji, wanda sakamakonsa ya sake ci gaba.
Yawan daji masu yawa da yawa
Bayan da aka yi la'akari da girman da ake cire fibroids a cikin mahaifa, to ya kamata a lura cewa saboda samfurori masu yawa, likitoci ba su kula da kundin jimlalin mutum ba. Lokacin zabar hanya na aiki, ana ƙididdige ƙirar na myomas da shekarun mai haƙuri. Idan har yanzu mace ta yi niyya ta haifi 'ya'ya, ta rubuta wani abu tare da adana tsarin kwayar halitta. An yi tiyata ta laparoscopy. Maidowa jiki bayan yin aiki tare da wannan hanya yafi sauri, don haka a shekara ɗaya ba tare da rikitarwa ba, an yarda ya shirya daukar ciki.
Ta yaya aka cire motsi mai yunkuri?
Cire ƙwayar fibroid ta uterine ta hanya mai mahimmanci ita ce tasiri. An yi shi ne a karkashin ƙwayar rigakafi ko kuma tare da yin amfani da ciwon maganin epidural. Kafin a kawar da myoma na uterine, ana duba ƙididdigar aikin da aka sanya a gaban tiyata ta kanta. Za a iya yi a cikin ɗayan hanyoyin da ke biyowa:
- Gudanar da aiki na ɓoye - an yi incision a kwance 2-3 cm a sama da haɗin kai. Sa'an nan kuma sannu-sannu bude hanya zuwa jumbo da excise shi. An yi amfani dashi don manyan nau'o'i.
- Laparoscopy - a gefen ciki, ana yin ramuka da yawa ta hanyar amfani da kida na musamman da kayan aikin bidiyo.
- Hysteroscopic myomectomy - amfani da myomas submucous. Samun shiga ta hanyar farji, ta hanyar amfani da layi. Amfani da wannan kayan aiki, wanda ke aiki a kan ƙwayar wuta tare da babban lokaci na yanzu, an lalatar da myoma, sa'annan an cire gutsutsun daga cikin ɗakin kifin.
Jiyya na igiyar ciki fibroids na babban size ba tare da tiyata
Lokacin da aka samo ƙananan ƙwayar ƙafa, likitoci sunyi kokarin magance shi da lafiya. Hanya manyan fibroids ba tare da yin amfani da tsoma baki ba wanda ya karɓa. Ciwon zai ci gaba da girma, saboda haka aikin da sauran kwayoyin halitta da tsarin zai iya rushewa da sauri. Yin magani na iya yiwuwa a lokacin da aka bincikar shi tare da ƙwaƙwalwar ƙwayar magungunan ƙwayar cuta, da girman halattaccen adadin da aka saita a 3 cm. A mafi yawan lokuta, kwayoyin hormonal kawai suna da wucin gadi, kuma cikakkiyar ɓatawar ƙwayar baya ba ta faruwa ba.