Magungunan likita

Saboda mafi igiyar ciki ta fibroids kada ku haifar da bayyanar cututtuka (an ce su "asymptomatic"), likitoci sukan ba da "lura da hankali" na ci gaban fibroids. Yawancin lokaci, fibroids wanda baya haifar da bayyanar cututtuka baya buƙatar magani.

Lokacin da ake buƙatar magani, yanke shawarar zabar juna akan wasu ya dogara da dalilai daban-daban: tsananin alamun bayyanar cututtuka, sha'awar samun yara ko a'a, shekaru, abubuwan da ake so, da dai sauransu kawai.hysterectomy, wato, cirewar mahaifa, yana ba da tabbataccen bayani.

Nasihu don sauƙaƙe bayyanar cututtuka

• Yin amfani da matsi mai dumi (ko kankara) zuwa wurare masu zafi na iya taimakawa wajen rage zafi. zafi.
• Magungunan kan-da-counter suna taimakawa wajen sauƙaƙawa ciwon ciki da ciwon baya. Waɗannan magungunan sun haɗa da acetaminophen ko paracetamol (ciki har da Tylenol®,) da ibuprofen (kamar Advil® ko Motrin®).
• Don adawa da maƙarƙashiya, Ya kamata ku cinye abinci biyar zuwa goma na 'ya'yan itatuwa da kayan marmari a kowace rana, da kuma yawan adadin fiber na abinci. Ana samun waɗannan a cikin samfuran hatsi gabaɗayan hatsi (dukakken burodin hatsi da taliya, shinkafa mai launin ruwan kasa, shinkafar daji, muffins, da sauransu).

  NB Don rakiyar abinci mai cike da fiber, yana da mahimmanci a sha da yawa don guje wa toshe hanyoyin narkewa.

• idan maƙarƙashiya ya ci gaba, za mu iya gwada yawan laxative (ko ballast), bisa ga psyllium misali, wanda ke aiki a hankali. Ƙunƙarar laxatives na motsa jiki sun fi fushi kuma ba a ba da shawarar ba. Don wasu shawarwari, duba takardar gaskiyar maƙarƙashiya. Wadannan shawarwari ba lallai ba ne su kasance masu tasiri yayin fama da babban fibroids, tun da maƙarƙashiya yana da alaƙa da matsawa na tsarin narkewa, kuma ba ga cin abinci mara kyau ko hanyar wucewa ba.
• Idan na 'yawan kwadayin yin fitsari, a rika sha da rana amma a guji sha bayan karfe 18 na dare don kada a rika yawan tashi da daddare.

magunguna

Magunguna suna aiki akan tsarin haila don rage bayyanar cututtuka (musamman yawan zubar jinin haila), amma ba sa rage girman fibroids.

Akwai mafita guda uku ga mata masu fama da fibroids:

- IUD (Mirena®). Ana iya dasa shi ne kawai a cikin mahaifa a kan yanayin cewa fibroids ba submucosal ba ne (haɗin kai na yau da kullum) kuma fibroids ba su da girma. Wannan IUD a hankali yana sakin progestin wanda ke haifar da raguwa mai yawa a cikin jini. Ya kamata a maye gurbinsa kowace shekara biyar.

- ana iya rubuta tranexamic acid (Exacyl®) na tsawon lokacin zubar jini.

- mefenamic acid (Ponstyl®), ana iya ba da maganin hana kumburi yayin zubar jini.

Idan fibroid ya yi girma ko kuma yana da zubar jini mai tsanani, ana iya rubuta wasu magungunan hormonal don rage girman fibroids kafin a yi aiki. Ana iya ba wa matan da ke fama da matsananciyar zubar jini wani ƙarin ƙarfe, domin a biya diyya ga asarar baƙin ƙarfe a jikinsu.

Maganin fibroids na mahaifa kafin tiyata.

Gn-RH analogues (gonadorelin ko gonadoliberin). Gn-RH (Lupron®, Zoladex®, Synarel®, Decapeptyl®) wani sinadari ne wanda ke rage yawan isrogen zuwa matakin daya da na mace mai haihuwa. Saboda haka, wannan magani zai iya rage girman fibroids da 30% zuwa 90%. Wannan magani yana haifar da menopause na ɗan lokaci kuma yana tare da alamun bayyanar cututtuka, irin su walƙiya mai zafi da ƙananan ƙasusuwa. Illolinsa suna da yawa, wanda ke iyakance amfani da shi na dogon lokaci. Don haka ana rubuta Gn-RH a cikin ɗan gajeren lokaci (kasa da watanni shida) yayin jiran tiyata. Wani lokaci likita yana ƙara tibolone (Livial®) zuwa Gn-RH analogues.

- Danazol (Danatrol®, Cyclomen®). Wannan maganin yana hana samar da isrogen daga ovaries, wanda yawanci yakan haifar da katse hawan haila. Yana iya taimakawa wajen rage zubar jini, amma illolinsa suna da zafi: karuwar nauyi, zafi mai zafi, yawan adadin cholesterol, kuraje, yawan girma gashi… Yana da tasiri sama da watanni 3, don rage alamun fibroids, amma babu wani binciken da bai tantance ta ba. tasiri a kan lokaci mai tsawo. Ya bayyana yana da ƙarin sakamako masu illa da ƙarancin inganci fiye da analogues na GnRH. Don haka an daina ba da shawarar

tiyata

An fi yin aikin fiɗa don zubar da jini mara ƙarfi, rashin haihuwa, ciwon ciki mai tsanani ko ciwon baya.

La myomectomy shine cire fibroids. Yana ba da damar macen da ke son haihuwa. Ya kamata ku sani cewa myomectomy ba koyaushe ba ne tabbataccen bayani. A cikin 15% na lokuta, wasu fibroids suna bayyana kuma a cikin 10% na lokuta, za mu sake shiga tsakani ta hanyar tiyata.6.

Lokacin da fibroids suna ƙanana kuma submucosal, ana iya yin myomectomy ta hanyar hysteroscopy. Hysteroscopy ana yin ta ne ta hanyar amfani da kayan aiki da ke ɗauke da ƙaramar fitila da kyamarar bidiyo wanda likitan fiɗa ya saka a cikin mahaifa ta cikin farji da mahaifa. Hotunan da aka zayyana akan allon sannan su jagoranci likitan fiɗa. Wata dabarar, laparoscopy, tana ba da damar shigar da kayan aikin tiyata ta hanyar ƙaramin yanki da aka yi a cikin ƙananan ciki. A cikin lokuta inda fibroids ba su da damar yin amfani da waɗannan fasahohin, likitan fiɗa yana yin laparotomy, budewar bangon ciki.

THEembolisationFibroids wata dabara ce ta endosurgical wacce ke bushe fibroids ba tare da cire su ba. Likita (masanin radiyo na shiga tsakani) yana sanya catheter a cikin jijiya mai ban ruwa da mahaifa don allurar microparticles na roba wanda ke da tasirin toshe jijiyoyin da ke ba da fibroids. Fibroid, wanda baya samun iskar oxygen da abubuwan gina jiki, a hankali yana rasa kusan kashi 50% na girma.

Baya ga adana mahaifa, wannan hanya ba ta da zafi fiye da myomectomy. Jin daɗin kwana bakwai zuwa goma ya wadatar. Idan aka kwatanta, tiyatar mahaifa yana buƙatar aƙalla makonni shida na samun kwanciyar hankali. A cewar wani binciken da aka buga a shekara ta 2010, zubar da jini na mahaifa (UAE) yana ba da sakamako mai kama da shekaru biyar idan aka kwatanta da na hysterectomy, yana barin mahaifa a adana shi. Duk da haka, ba za a iya amfani da wannan fasaha ga dukan fibroids ba. Misali, ba a bada shawarar yin maganin fibroids na submucosal.

Hakanan ana iya yin hanyar da ake kira ligation artery ta mahaifa ta hanyar laparoscopy. Ya ƙunshi sanya shirye-shiryen bidiyo akan arteries. Amma ga alama ƙasa da tasiri fiye da embolization akan lokaci.

– Zubewar endometrium (rufin mahaifa) na iya, a wasu lokuta, ya dace da matan da ba sa son ƙarin yara don rage yawan zubar jini. Lokacin da aka cire endometrium ta hanyar tiyata, jinin haila a mafi yawan lokuta yana tafiya, amma ba zai yiwu a yi ciki ba. Ana yin wannan tiyata musamman a lokuta na zubar jini mai yawa da ƙananan ƙananan ƙananan fibroids na submucosal.

Sauran hanyoyin kwanan nan ana samun su da yawa:

Thermachoice® (ana shigar da balloon a cikin mahaifa sannan a cika shi da ruwa mai zafi zuwa 87 ° na mintuna da yawa), Novasure® (lalacewar fibroids ta hanyar rediyo tare da na'urar lantarki da aka shigar a cikin mahaifa), Hydrothermablabor® (maganin gishiri da mai zafi zuwa 90 ° an gabatar da shi a cikin rami na mahaifa a ƙarƙashin ikon kyamara), thermablate® (balloon da aka cika da ruwa a 173 ° an shigar da shi a cikin rami na mahaifa).

Sauran dabaru na myolysis (lalacewar myoma ko fibroma har yanzu a fagen bincike): myolysis ta microwave, cryomyolysis (lalacewar fibroid ta sanyi), myolysis ta duban dan tayi.

– An tanada hysterectomy, ko cire mahaifa, don lokuta mafi nauyi inda dabarun da suka gabata ba su yiwuwa, da kuma matan da ba sa son haihuwa. Yana iya zama wani ɓangare (kiyaye cervix) ko cikakke. Za a iya yin mahaifa a cikin ciki, ta hanyar yankan da aka yi a cikin ƙananan ciki, ko a cikin farji, ba tare da an buɗe wani buɗar ciki ba, ko kuma ta hanyar laparoscopy lokacin da girman fibroid ya ba shi damar. Wannan shine maganin "m" akan fibroids, tun da ba za a iya sake dawowa ba bayan cire mahaifa.