Submucosal fibroids: isi mgbaàmà na nkọwa. The ọgwụgwọ Usoro na ya pụta

Miomatoz akpanwa - a pụtara nkịtị na ize ndụ daa ọrịa na ndị inyom, ji ntoputa nke benign neoplasms. E nwere ọtụtụ dị iche iche nke fibroids, otu onye nke bụ submucosal fibroids, ọ nwere ike ifịk ifịk ịzụlite na-eto eto.

Nke a na ọrịa bụ a benign ọdịdị nke akpụ, protruding n'èzí akpanwa, kpụrụ nke ya uru. Ikekwe multiple fibroids, nke ndị mejupụtara ọtụtụ ọnụ ozugbo, ha mere ndokwa na ọtụtụ zones.

Atụmatụ submucous eriri akpa nwa fibroids

Submucous myoma - benign neoplasm, nke na-guzobere submucosal oyi akwa nke akpanwa. Njirimara nke ọrịa a na-atụle na fibrous mmiri bụghị na-eto eto miri n'ime eriri akpa nwa uji eze, na ntụziaka nke abdominal uji eze.

Clinically ọ pụtara, na ihe ndị a etuto ahụ na-eto eto ndị ọzọ ngwa ngwa karịa ihe niile ndị ọzọ na ụdị fibroids, nakwa ka ha na-akpọ ihe mgbaàmà. Dabere na ebe ọ na-emi odude myoma ọnụ, ọ pụrụ isi mee ka ụfọdụ erughị ala, dị ka nsogbu na a ọnụ ọgụgụ nke ozu odude.

Ọ bụrụ na submucous ọnụ nke a nnukwu size, ha mpikota onu ureters na eriri afọ, nke na-egosipụta onwe ya na nsogbu na urination na defecation. Ke adianade do, ndị dị otú ahụ a akpụ pụrụ iduga Agbaghara ite ime ma ọ bụ na-akpata ime ọpụpụ.

Akpata submucosal fibroids

Iji ụbọchị, ndị dọkịta nwere ike maa-ekwu na e submucosal fibroids n'ihi ihe ụfọdụ, ma e nwere ọtụtụ ihe na-akpalite guzobe a daa ọrịa, akpan akpan dị ka:

• mgbanwe mmiri ọgwụ;
• Ugboro nchegbu;
• emega ahụ;
• ibu oké ibu;
• onu gbochie afọ;
• enweghị ime na-amụ 30 afọ;
• butere n'aka ihe na-akpata;
• Ugboro ime;
• mkpali oria mmekọahụ okirikiri.

Kpebisie ike na-akpata, nke a kpụrụ site fibroids nwere ike naanị dọkịta. Ọ dị mkpa iji chọpụta ihe kpatara na daa ọrịa, dị ka nke a ga-egbochi omume nke ya na-eme n'ọdịnihu.

Isi mgbaàmà nke ọrịa

Submucosal fibroids - a dị nnọọ ize ndụ ọrịa, n'ihi na mbụ nkebi nke ika adịghị egosipụta onwe. Ọnụ ngwa ngwa ntọt ke size, ka ihe mgbaàmà bụ nnọọ na-egbuke egbuke. Karịsịa, pụta ìhè mgbaàmà ndị dị otú ahụ dị ka:

• ruo ogologo oge na oké ahụ nsọ;
• mgbu n'afọ;
• n'iru egbochi mkpụkọ nke ọbara na-ahụ nsọ;
• oké eriri akpa nwa ọbara ọgbụgba;
• bloating;
• ntọt ke okpomọkụ;
• adịghị ike, na malaise;
• infertility.

Mgbe ụfọdụ, submucosal fibroids kpamkpam anaghị egosipụta onwe, karịsịa na mbụ nkebi. Na mmepe nke ọrịa mgbaàmà-amalite ọzọ na ndị ọzọ na-eto eto. Dị nnọọ mkpa oge iji mee ka a nchoputa ikpebi ọnụnọ nke ọrịa, ebe ọ bụ na-eme ka otutu oge ọgwụ.

nchoputa nke ọrịa

Fibroids na submucosal uto a chọpụtara n'oge a gynecological nnyocha site palpation. Na nke a, ndị dọkịta nwere ike ịchọpụta myoma ọnụ oké anọgidesi.

The nchoputa na-egosi na n'oge nnyocha iji enyo, dị ka a pụrụ hụrụ oru anya ọcha ndo na akpọ vaskụla ụkpụrụ. Akpanwa pụrụ iru a bukwanu size, ya elu na-aghọ mkpumkpu, na ok ọnụ, mgbe ogbenye mgbasa ibu na-egbu mgbu.

N'ihi na ihe kpọmkwem diagnoses rụrụ roentgen, dị ka hụrụ na image mgbasa ma ọ bụ ekwe nke akpụ onyinyo. Submucous ọnụ na image na-ekpebisi ike na ụdị doro anya ntụpọ na doro anya na anya contours.

Otu n'ime ndị kasị ihe ọmụma ụzọ nke nchọpụta nsogbu, nke na-enyere aka n'ụzọ ziri ezi ekpebi ma interstitial-submucous fibroids, ultrasound a na-ewere. Informativeness nke usoro a bụ nnọọ elu, dị ka e nwere ihe ọhụrụ na oge a na ngwá ọrụ na usoro. Ultrasound ịgụ isiokwu na-enye gị ikike iji chọpụta fibroids, ọbụna ma ọ bụrụ na ha nwere a obere n'obosara.

Iji dokwuo anya nchoputa rụrụ ultrasound tomography, ebe ọ bụ omume na-enweta a atọ akụkụ ultrasound image. Nke a bụ a kama ọmụma usoro, dị ka ọ na-enye gị ohere aghọtacha na-eru na-enweghị nchịkwa na usoro na dokwuo anya ma na e nwere bụ a nke ọnụnọ concomitant ọrịa usoro.

Iduziri ọgwụgwọ nke fibroids

Submucosal fibroids mbụ emeso naanị ịkpa usoro. Na nchoputa nke myoma ọnụ na mbụ naanị mwepụ nke akpanwa, mgbe nke nwaanyị nwere ike na-enweghị a nwa.

Otú ọ dị, ugbu a ọ bụ omume na-ebu ọgwụgwọ nke a mgbanwe usoro. Mgbe mbụ ogbo ngwọta nwere a obere size, ma nke a ụdị etuto ahụ na-eto eto dị nnọọ ngwa ngwa, nke mere na n'oge nchoputa dị oké mkpa iji chọpụta otú ngwa ngwa uto nke ya.

The ọrịa bụ nnọọ agụghị oké ọgwụ, ọgwụ ọrịa, ma gormonsoderzhaschie ego nwere ike kwụsịtụ ụfọdụ n'ime ya n'ihu mmepe. The ojiji nke homonụ nwere ike inye nke nne ahụ dị otú ahụ mmiri ọgwụ ndabere, nke ga-ederịta akwụkwọ ozi oge nke menopause.

Ọ bụrụ na onye ọrịa submucosal fibroids, ọgwụgwọ nke mmiri ọgwụ ọgwụ ọgwụ nwere ike mee ka ndị chọrọ mmetụta ma ọ bụrụ na ọrịa ihe karịrị afọ 40 ma ọ bụ na nso oge nke menopause. Mgbe a nke ọma ọgwụ, e nwere a elu puru na fibroids amalite ịda mbà na size karịrị oge na-akwụsị kpam kpam.

Ọtụtụ ndị ọrịa na-ahọrọ na-ebu ọgwụgwọ na-ewu ewu na usoro, ma na mbụ mkpa gakwuru na a dọkịta e ziri ezi họọrọ ọgwụ Usoro nwere ike budata imebi ọrịa na-arịa na-akpalite omume nke nsogbu.

ọgwụ

Ọ bụrụ na onye ọrịa nwere fibroids, submucous ọnụ size ukwuu karịa 5 sentimita, mgbe ahụ, ịwa ahụ na-adịghị rụrụ, dị ka nke a nwere ike ime ka a dịgasị iche iche nke nsogbu.

Na nke a, a ọgwụ ọgwụgwọ na ndidi prescribers, dị ka "Zoladex" ma ọ bụ "Dekapeptil ebusa", ikwe ka ike na ezigbo mmiri ọgwụ itule. Na nke a, na ọkwa nke estrogens na-budata belata, nke na-eme ka Mbelata ke size fibroids.

Ke adianade do, ọrịa kpọmkwem ọgwụ nwere ike ọgwụ na-ndinọ intramuscularly ma ọ bụ intravenously. Mgbe ụfọdụ, mgbe ọnụ bụ obere, na-egosi mmiri ọgwụ na-awa ahụ na ọgwụgwọ.

Women nke omumu afọ, "Esmiya" ọgwụ kenyere oké ọrịa. Otú ọ dị, ọ nwere ụfọdụ contraindications, dị ka:

• Pregnancy na lactation;
• ụkwara ume ọkụ;
• oncologic ọrịa;
• mmamiri ọbara ọgbụgba.

A ọgwụ na-adịghị ekwe ime n'ihi na a ogologo oge, dị ka ọ pụrụ ime ka oké njọ nsogbu.

ịkpa aka

Ọ bụrụ na dịtụ nnukwu size nwere a eriri akpa nwa submucosal fibroids, ịwa a rụrụ na a amanyere bụ iwu nke ndabere, ebe ọ bụ na o nwere ike abụrụ oké egwu egwu ka ndụ. Fibroids nwere ike wepụrụ site laparascopy ma ọ bụ hysteroscopy. Laparoscopy a rụrụ site na n'ihu mgbidi nke afo, na hysteroscopy - na eriri akpa nwa oghere site.

Ọ bụrụ na ndị a ụzọ na-adịghị eweta ezi mmetụta, ma ọ bụ na e nwere na-egosi, na ẹkenịmde kpamkpam akpanwa. Fibroids nwere ike dị oké njọ, ya mere, ị chọrọ ozugbo o kwere omume na-eduzi ndidi ntule na ọgwụgwọ.

Akụkụ nke hysteroresectoscopy

Usoro maka hysteroresectoscopy-atụle otu n'ime ihe ndị kasị benign ụzọ nke ịwa ahụ na a rụrụ iji chebe omumu ọrụ, ebe ọ bụ ihe dị mkpa maka n'ihu atụmatụ nke nwa nwa.

N'oge awa ahụ n'ime eriri akpa nwa oghere n'okpuru general ná Nkụnwụ electrocoagulator ẹkenam na a pụrụ iche igwefoto. Mgbe ahụ, a akpanwa ule na mkpebi siri ike nke ego nke ọnụ na ha mwepụ, akpanwa na-adịghị emetụta.

Dị otú ahụ ịwa ahụ a rụrụ site na ikpu na cervical kanaal. Maka ochichi ngwaọrụ cervical kanaal kọwakwuru ubé. Na oge nke ịwa ahụ abụghị ihe karịrị iri isii nkeji. Ọ bụrụ otú wepu submucosal fibroids, ọrịa reviews naanị ndị kasị mma, nke dị ezigbo mkpa ka ndị ọrịa na-na-eme atụmatụ a ime.

Iduziri n'ibu myomectomy

Submucous ọnụ kama ibu wepụrụ n'ibu n'aka. Ná mmalite ẹkenịmde nzukọ gwara na pụrụ iche ngwaọrụ, na mgbe ahụ echikwapụ n'okpuru akara nke hysteroscope.

Rassekanie capsules nwere ike mụụrụ a pụrụ iche na ọnụ resector na mmịpụta. Mwepụ nke submucosal fibroids site n'ibu myomectomy bara uru, ya bụ:

• obere oge;
• ọ dịghị mkpa na-eji ọzọ akụrụngwa;
• na e nweghị nsogbu.

Mgbe ịwa mgbake oge ọ dịghị ewe oge dị ukwuu. Ọzọkwa, ọ dịghị emebi isi akụkụ, na vaskụla mkpọchi na mmiri mmiri.

Karịsịa electrosurgical myomectomy

Electrosurgical myomectomy rụrụ ma ọ bụrụ na ọnụ bụ na 1st ma ọ bụ 2nd nzọụkwụ. Ke adianade do, mwepụ a rụrụ n'ụzọ dị otú ahụ ọnụ dị na nkuku nke akpanwa, nke bụ omume na-ewepụ ndị ọzọ n'aka.

Ịwa ahụ aka ike rụrụ na otu ma ọ bụ ọtụtụ nkebi, ihe niile na-adabere na ọdịdị nke saịtị. Mgbe bụ na-agba ọsọ submucosal eriri akpa nwa fibroids ogbo reviews a ọgwụgwọ usoro dị mma.

Ụzọ ndị ọzọ nke ịwa ahụ

Nwere ike ẹkenịmde na ụzọ ndị ọzọ nke ịwa ahụ aka na dị iche iche nkebi nke fibroids. Ọ bụrụ na onye ọ bụla nke nwayọọ ụzọ nke ịwa ahụ aka emebeghị chọrọ N'ihi ya, ma ọ bụ na e nwere ụfọdụ ndị na-egosi, mgbe ahụ, akpanwa na-wepụrụ kpamkpam na olu.

Mgbe zuru mwepụ nke etinyere mmamiri, abdominal na laparoscopic obibia.

Submucosal fibroids dị ka a na-akpata infertility

Eriri akpa nwa fibroids bụ benign akpụ. N'etiti ndị niile dị gynecological pathologies ya nwere nke abụọ kasị elu ugboro ole nke na omume. E nwere ike ọtụtụ dị iche iche nke ọrịa na iche na orunótu leiomyomata. Karịsịa, dị iche iche ụdị dị ka:

• submucous;
• intermuscular;
• subserous.

Mgbe submucous myoma ọnụ pụrụ ịbụ ma na a sara mbara ihe ndabere, ma ọ bụ na a mkpa azuokokoosisi. Ọ nwere ụfọdụ mmetụta na mkpokọta adakarị picture. Nke a bụ a pụtara mgbagwoju anya na ize ndụ daa ọrịa nke virus a dị oké njọ n'ihe ize ndụ ahụ ike na ndụ nke ọrịa na-eduga infertility.

The isi na-akpatara ndị infertility

Submucous eriri akpa nwa myoma ọnụ iduga infertility n'ihi ọtụtụ ihe. Ihe ndị a na-agụnye:

• n'ibu-akpata, dị ka e nwere nsogbu na nkunye nke a ịmụpụta egg;
• mmiri ọgwụ ọrịa, na-eduga na nsogbu na-ovulation;
• emechi oghere nke fallopian akpa, nke ukwuu sikwuoro usoro nke ije nke egg ebe ya nkunye;
• e nwere ihe ize ndụ nke ectopic ime;
• ụba ọrụ nke endometrium;
• ọrịa na-ewute ndị na-nkunye usoro.

Ọzọkwa, daa ọrịa pụrụ iduga miscarriages n'ihi na eziokwu na e nwere mkpakọ nke akpanwa, akụkụ na ekenyela ụfọdụ homonụ na egbochi ndị nkịtị nwa-amị.

N'ihi ya, eriri akpa nwa fibroids wetara a oké njọ akara na eme nke omumu usoro. Ọ bụ ya mere na ọ dị mkpa ka anya dị ka o kwere omume na-amalite usoro ọgwụgwọ nke ọrịa.