Submucous fibroid: yintoni, ziindidi, iimpawu kunye nonyango

Umxholo

• Iimpawu ze-submucosal fibroid
• Submucosal fibroids kunye nokukhulelwa
• Unyango lwenziwa njani

I-Submucosal fibroids luhlobo lwee-fibroids ezinokuvela kwabasetyhini ngenxa yokwanda kweeseli ze-myometrium, engumaleko ophakathi wodonga lwesibeleko, ekhokelela ekubunjweni kwamaqhuqhuva ngaphakathi kwesibeleko anokubangela iintlungu zethambo kunye nokopha.

Olu hlobo lwe-fibroid lubekwe ngaphakathi kwisibeleko kwaye lunokuhlelwa lube:

• Inqanaba 0, xa i-fibroid isesibelekweni ngokupheleleyo, ngaphandle kwengqikelelo ye-myometrium, echaphazela kuphela i-endometrium;
• Inqanaba 1, xa ngaphezulu kwe-50% ye-fibroid ifumaneka kwisibeleko;
• Inqanaba 2, xa ngaphezulu kwe-50% ye-nodule ikwi-myometrium.

Udonga lwesibeleko luqulathe izaleko ezintathu: i-endometrium, elilele elingaphandle kwaye ikwindawo yokumiliselwa kombungu, i-myometrium, engumaleko ophakathi, kunye nomjikelezo ongowona maleko ungaphandle. Xa i-fibroid ikhula eludongeni olungaphandle, umzekelo, ibizwa ngokuba yi-subserous fibroid. Qonda ukuba yintoni i-fibroid kunye nezizathu zayo.

Yazi nefibroid yangaphakathi.

Iimpawu ze-submucosal fibroid

I-Submucosal fibroids luhlobo lwee-fibroids ezibonisa iimpawu, ngakumbi ukopha, kuba kukho ukungqinelana eludongeni olugcina isibeleko. Iimpawu eziphambili ezinxulumene ne-submucosal fibroids zezi:

• Ukopha ngokungaqhelekanga, okunokuba ngaphandle kwexesha lokuya exesheni;
• Ukwanda kokuhamba kwegazi ngexesha lokuya exesheni, kwaye ukubakho kwamahlwili kunokujongwa kwakhona;
• Iintlungu zepelvic;
• Ukunqongophala kwe-iron anemia, ngenxa yokopha kakhulu;
• Ukunyanzelwa kwamalungu akufuphi, ngakumbi xa i-fibroid inkulu, enokubangela ukwanda kumaza wokuchama, umzekelo.

Ukuchongwa kwe-submucosal fibroids kwenziwa ngugqirha wezifo zabasetyhini ngokusebenzisa iimviwo zokucinga, ikakhulu i-ultrasound kunye ne-hysteroscopy yokuqonda isifo, ethathwa njengolona vavanyo luphambili lokufumanisa i-submucosal fibroids, kuba ivumela ukubonwa kwangaphakathi kwesibeleko kunye nokuhlelwa kwe-fibroid ngokunxulumene ne-endometrium. Qonda indlela olwenziwa ngayo uvavanyo lwe-hysteroscopy.

Submucosal fibroids kunye nokukhulelwa

Phambi kwe-submucosal fibroids, ukuchuma komfazi kuyancipha. Kungenxa yokuba kukho ukungqinelana kwe-endometrium, eludonga lwesibeleko apho kufakwa khona umbungu. Ke, abasetyhini abanolu hlobo lwe-fibroid banobunzima ngakumbi ekukhulelweni kwaye kunokwenzeka ukuba bahlupheke ngokukhawuleza.

Unyango lwenziwa njani

Unyango lwe-submucosal fibroids lusekwa ngugqirha wezifo zabasetyhini kwaye lwenziwa nge-hysteroscopy, engqinelana nenkqubo yotyando, eyenziwa phantsi kwe-anesthesia okanye i-sedation, kwaye ejolise ekususeni i-fibroid. Funda ngakumbi malunga ne-hysteroscopy yotyando.

Ukongeza, ugqirha wamazinyo unokucebisa ukuba kusetyenziswe amanye amayeza ukunciphisa iimpawu ngokunciphisa ubungakanani be-fibroid okanye ukuphuma kwegazi, ukongeza ekuphuculeni iimeko ngokubanzi zowasetyhini ukuze utyando lungene kancinci.