Popelo fibroids

Uterine fibroids ke lihlahala tse holang ka popelong ea mosali (popelo). Khōlo ena hangata ha e na mofetše (e kotsi).

Uterine fibroids e tloaelehile. Basali ba le mong ho ba bahlano ba ka ba le fibroids nakong ea ho ba le bana. Halofo ea basali bohle e na le fibroids ka lilemo tse 50.

Fibroids ha e fumanehe hangata ho basali ba ka tlase ho lilemo tse 20. Li atile haholo Maafrika a Amerika ho feta basali ba White, Hispanic, kapa Asia.

Ha ho motho ea tsebang hantle hore na fibroids e bakoa ke eng. Ho nahanoa hore li bakoa ke:

• Li-hormone 'meleng
• Liphatsa tsa lefutso (li ka matha ka malapeng)

Fibroids e ka ba nyane haholo hoo o hlokang microscope ho e bona. Li ka boela tsa hola tsa ba kholo haholo. Li ka 'na tsa tlatsa popelo eohle' me tsa boima ba lik'hilograma tse 'maloa kapa lik'hilograma. Le ha ho ka etsahala hore fibroid e le 'ngoe feela e hlahe, hangata ho na le e fetang e le' ngoe.

Fibroids e ka hola:

• Ka leboteng la mesifa la popelo (myometrial)
• Ka tlasa bokaholimo ba lesela la uterine (submucosal)
• Ka tlas'a lesela le ka ntle la popelo (subserosal)
• Lehlaka le lelelele ka ntle ho popelo kapa kahare ho popelo (pedunculated)

Matšoao a tloaelehileng a "uterine fibroids" ke ana:

• Ho tsoa mali lipakeng tsa linako
• Ho tsoa mali a mangata nakong ea hau ea nako, ka linako tse ling le mali a mali
• Linako tse ka tšoarellang nako e telele ho feta tse tloaelehileng
• Ho hloka ho ntša metsi khafetsa
• Ho kobeha ha 'mele kapa bohloko ka linako
• Ho ikutloa o tletse kapa o hatelloa ka mpeng
• Bohloko nakong ea thobalano

Hangata, o ka ba le fibroids mme o se na matšoao. Mofani oa hao oa tlhokomelo ea bophelo a ka ba fumana nakong ea tlhahlobo ea 'mele kapa tlhahlobo e ngoe. Hangata li-fibroid lia fokotseha 'me ha li bake matšoao ho basali ba fetileng nakong ea ho ilela khoeli. Phuputso e sa tsoa etsoa e boetse e bontšitse hore li-fibroid tse nyane li fokotseha ho basali ba pele ho nako ea ho ilela khoeli.

Mofani oa hau o tla etsa tlhahlobo ea pelvic. Sena se ka bontša hore o na le phetoho sebopehong sa popelo ea hau.

Hase kamehla ho leng bonolo ho fumana li-fibroids. Ho ba motenya ho ka etsa hore fibroids e be thata ho e fumana. U kanna ua hloka liteko tsena ho batla li-fibroids:

• Ultrasound e sebelisa maqhubu a molumo ho etsa setšoantšo sa popelo.
• MRI e sebelisa makenete a matla le maqhubu a seea-le-moea ho etsa setšoantšo.
• Saline infusion sonogram (hysterosonography) - Saline e entsoe ka popelong ho etsa hore ho be bonolo ho bona popelo e sebelisa ultrasound.
• Hysteroscopy e sebelisa tube e telele, e tšesaane e kentsoeng ka hara botshehadi le ka popelong ho lekola bokahare ba popelo.
• Endopsrial biopsy e tlosa karoloana e nyenyane ea lera la popelo ho hlahloba mofetše haeba o na le mali a sa tloaelehang.

U na le kalafo ea mofuta ofe e itšetlehileng ka:

• Lilemo tsa hau
• Bophelo ba hao ka kakaretso
• Matšoao a hau
• Mofuta oa fibroids
• Haeba u imme
• Haeba u batla bana nakong e tlang

Kalafo ea matšoao a fibroids e ka kenyelletsa:

• Lisebelisoa tsa intrauterine (IUDs) tse ntšang lihormone ho thusa ho fokotsa ho tsoa mali haholo le bohloko.
• Tranexamic acid ho fokotsa phallo ea mali.
• Iron e tlatselletsa ho thibela kapa ho alafa phokolo ea mali ka lebaka la linako tse boima.
• Ho kokobetsa bohloko, joalo ka ibuprofen kapa naproxen, bakeng sa masapo kapa bohloko.
• Ho lebella ho leta - O kanna oa latela liteko tsa pelvic kapa li-ultrasound ho lekola kholo ea fibroid.

Phekolo ea bongaka kapa ea lihormone e ka thusang ho theola fibroids e kenyelletsa:

• Lipilisi tsa thibelo ea bokhachane li thusa ho laola linako tse boima.
• Mofuta oa IUD o ntšang lethal dose e tlaase ea hormone ea progestin ka popelong letsatsi ka leng.
• Hormone shots ho thusa ho nyenyefatsa fibroids ka ho emisa ovulation. Hangata, kalafo ena e sebelisoa feela ka nakoana ho fokotsa li-fibroid pele e etsoa opereishene. Li ka sebelisoa nako e teletsana ha ho eketsoa li-hormone tse nyane tsa estrogen ho fokotsa litlamorao.

Phekolo le lits'ebetso tse sebelisetsoang ho phekola fibroids li kenyelletsa:

• Hysteroscopy - Ts'ebetso ena e ka tlosa li-fibroid tse hola kahare ho popelo.
• Phokotso ea Endometrial - Ts'ebetso ena ka linako tse ling e sebelisoa ho phekola ho tsoa mali ho matla ho amanang le fibroids. E sebetsa hantle haholo ha li-fibroid li le nyane ka boholo. Hangata e emisa ho ilela khoeli ka botlalo.
• Ho kenyelletsa mothapo oa popelo - Ts'ebetso ena e emisa phepelo ea mali ho fibroid, e e bakang hore e fokotsehe ebe ea shoa. Sena e kanna ea ba khetho e ntle haeba u lakatsa ho qoba ho buuoa 'me u sa rera ho ima.
• Myomectomy - Ts'ebetso ena e tlosa li-fibroids ka popelong. Sena hape e kanna ea ba khetho e ntle haeba u batla ho ba le bana. E ke ke ea thibela li-fibroid tse ncha ho hola.
• Hysterectomy - Ts'ebetso ena e tlosa popelo ka botlalo. E kanna ea ba khetho haeba u sa batle bana, meriana ha e sebetse, 'me u ke ke ua ba le mekhoa e meng ea ts'ebetso.

Litlhare tse ncha, joalo ka ts'ebeliso ea ultrasound e shebaneng, li ntse li hlahlojoa lithutong tsa bongaka.

Haeba u na le fibroids ntle le matšoao, u kanna oa hloka kalafo.

Haeba u na le fibroids, li ka hola ha u ka ima. Sena se bakoa ke phallo ea mali e eketsehileng le maemo a phahameng a estrogen. Hangata fibroids e khutlela boholo ba eona ba pele ka mor'a hore lesea la hao le hlahe.

Mathata a li-fibroids a kenyelletsa:

• Ho utloa bohloko haholo kapa ho tsoa mali a mangata haholo a hlokang ho buuoa ka tšohanyetso.
• Ho sotha ha fibroid - Sena se ka baka methapo ea mali e koetsoeng e fepang hlahala. U kanna ua hloka ho buuoa haeba sena se etsahala.
• Phokolo ea mali (e se nang lisele tse khubelu tsa mali tse lekaneng) ho tsoa mali a mangata.
• Ts'oaetso ea mosese - Haeba fibroid e hatella senya, ho ka ba thata ho tšolla senya ea hau ka botlalo.
• Ho hloka thari, maemong a sa tloaelehang.

Haeba u imme, ho na le kotsi e nyane ea hore fibroids e ka baka mathata:

• U ka isa ngoana oa hau kapele hobane ha ho na sebaka se lekaneng ka popelong ea hau.
• Haeba fibroid e thibela kanale ea pelehi kapa e beha lesea sebakeng se kotsi, ho ka hlokahala hore u be le karolo ea Cesarean (C-section)
• U kanna oa tsoa mali a mangata hang kamora ho beleha.

Bitsa mofani oa hau haeba u na le:

• Ho tsoa mali a mangata, ho phatloha ho eketsehileng kapa ho tsoa mali pakeng tsa linako
• Botlalo kapa boima bo ka mpeng ea hau e ka tlase

Leiomyoma; Fibromyoma; Myoma; Li-fibroid; Ho tsoa mali ka popelong - li-fibroids; Ho tsoa mali ka botšehaling - fibroids

• Hysterectomy - mpa - ho tsoa
• Hysterectomy - laparoscopic - ho tsoa
• Hysterectomy - bosaling - ho tsoa
• Ho kenyelletsa mothapo oa pōpelo - ho tsoa

• Laparoscopy ea 'mele
• Anatomy ea basali ea ho ikatisa
• Lihlahala tsa fibroid
• Sebete

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Moravek MB, Bulun SE. Popelo fibroids. Ka: Jameson JL, De Groot LJ, oa Kretser DM, et al, eds. Endocrinology: Batho ba baholo le bana. La 7th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 131.

Lihloela JB. Karolo ea hajoale ea ho kopanya methapo ea popelo taolong ea popelo ea popelo. Kliniki ea Obstet Gynecol. 2016; 59 (1): 93-102. PMID: 26630074 e fetotsoe.ncbi.nlm.nih.gov/26630074/.

Stewart EA. Tloaelo ea bongaka. Popelo fibroids. N Engl J Med. 2015; 372 (17): 1646-1655. PMID: 25901428 pubmed.ncbi.nlm.nih.gov/25901428/.

Verpalen IM, Anneveldt KJ, Nijholt IM, le al.Phekolo ea "Magnetic resonance-high intensity concentrated ultrasound" (MR-HIFU) ea matšoao a "uterine fibroid" a nang le matšoao a sa thibeleng kalafo: tlhahlobo e hlophisitsoeng le tlhahlobo ea meta. Eur J Radiol. 2019; 120: 108700. doi: 10.1016 / j.ejrad.2019.108700. PMID: 31634683 pubmed.ncbi.nlm.nih.gov/31634683/.