Izvi zvinyorwa zvemashoko zvinogona kuitika dzimwe nguva zvinoparadza
Fibroids zvipembenene zvezvinyama-zvinokonzera maronda-izvo zvinokura mumadziro emuviri. Fibroids haisi isiri; Mafungiro anoratidza kuti pakati pe20% uye 50% yevakadzi vane chimwe chimiro che fibroid. Fibroids inowanzokura pahukuru uye haisipo kubva pakuberekwa.
Zviratidzo
Muvakadzi vakawanda, fibroids inokonzera pasina matambudziko. Vamwe vakadzi, zvisinei, vanogona kunzwa kurwadziwa kwepachivi, kunyanya kunonoka kwemwedzi, kana kuti zvinetso zvekubereka.
Mune vamwe vakadzi, fibroids inogona kukonzera kudarika kwemakumbo.
Chikonzero nei Fibroids Inofananidzwa Nezvinhu Zvisiri Zvimwe
Maererano nekudzidza kwe2000, fibroids ndiyo inokonzera zvikamu zve5% zvevakadzi vasina kuberekwa kana kuora mwoyo. Vanachiremba vanotenda kuti chikonzero nei fibroids inokonzera zvinetso kune vamwe vakadzi uye kwete vamwe vane chokuita nehuwandu uye hukuru hwe fibroid uye inowanikwa mubereki.
Somuenzaniso, kana fibroid iri pedyo nepakati pemubereki, apo mazai anogadzirwa anowanzogadzirisa, ipapo inonzi fibroid inowanzokonzera kupererwa. Fibroids inonamatira kunze kweuterine cavity uye inoshandura chimiro chayo (submucous fibroids) uye iyo iyo iri mukati mehutachi uterine (intracavity fibroids) inowedzera kukonzera kusapfeka kune izvo zviri mukati meurusita (intramural fibroids) kana kuputika kunze kwe uterine rusvingo (subserosal fibroids). A great fibroid inowanzova yakaoma kupfuura imwe duku.
Iyo yakakura ye fibroid ndiyo, iyo yakawanda yemidziyo yeropa iyo inowanikwa, uye iyo inogona kutora ropa richiyerera kubva pachibereko uye mwana anenge achikura.
Kuziva
Vanachiremba vanogona kugara vachiona hutachiona nekuita mutsara wepilvic. Kana chiremba achida mamwe mashoko pamusoro pe fibroids, kunyanya kumudzimai ari kutora matambudziko kana kuti kubereka, chiremba anogonawo kuronga hysterosalpingogram (HSG) kana sonohysterogram.
Munguva yeHSG, maminitsi makumi matatu emaperembudzi, iyo iodine-based dye inoiswa mumukirini uye x-ray inotorwa. A sonohysterogram inosanganisira injecting saline solution mukati mechiberekero nekuiongorora ne ultrasound.
Treatment Options
Mishonga yakawanda inowanikwa kune fibroids, uye vakadzi vasina zviratidzo zvisina kunaka zvinowanzobatwa ne fibroids yavo vangave vasina kutoda kurapwa.
Chirwere chinotyisa che fibroids ndeche hysterectomy (kubviswa kwechibereko chose) -kurapa kwaisazoshanda kune chero munhu ane chinangwa chekuitazve pamuviri zvakare.
Mishonga inogona kuderedza fibroids inowanikwawo, sezvinoita dzimwe nzira dzokuvhiya dzisinganyanyisi kudarika hutachiona. Imwe nzira inonzi uterine arteri embolization inogadzirisa ropa kune iyo fibroid uye yakaratidza kubudirira kuwedzerwa, asi kuchengeteka kwekuita pamuviri mushure mekuitika hakuzivikanwi.
Kuvhiyiwa kunonzi myomectomy inowanzova sarudzo yakanakisisa yemudzimai ari kutarisira kubata zvakare. Mune myomectomy, chiremba anovhiya achibvisa froid, dzimwe nguva achishandisa hysteroscope kana laparoscope.
Izvo zvakaderera zve myomectomy se fibroid remushonga ndeye mukana unokosha wehutori huchidzokorora; 10% kusvika ku25% yevakadzi vanosarudza myomectomy sefiber chiproid vachada kudzokorora myomectomy mune ramangwana nekuda kweiyo michero ye fibroids.
Uyezve, vakadzi vane chirwere chemaomectomy vanogona kuva nehuwandu hwehupombwe hwehupombwe panguva yekuzvitakura uye inofanira kuteverwa zvakanyanya panguva yekuchengetwa kwepabonde.
Sources:
Bajekal, N., uye TC Li, "Fibroids, infertility, uye pamuviri kupera." Kuberekwa Kwevanhu Kuvandudza 2000.
Hart, Roger, Yacoub Khalaf, Cheng-Toh Yeong, Paul Mbeu, Alison Taylor, naPeter Braude, "Anotarisirwa kuongororwa kutaridzirwa kwechibereko chemuviri weutterin fibroids pamigumisiro yekubatsira kubata pamuviri." Kuberekwa Kwevanhu Nhasi 2001.
Stewart, Elizabeth A., "Tsanangudzo yevarwere: Fibroids." UpToDate Patient Information . Sept. 2007.
http://www.fibroidsecondopinion.com/fibroids-and-pregnancy/