Uterine mtsempha wamagazi embolization kwa uterine myoma chithandizo ndi zotsatirapo

Mmodzi wa nthambi ya mankhwala ndi ubereki. Iye ndi mmodzi wa wosakhwima kwambiri, monga zokhudza cholinga chachikulu cha mkazi aliyense - kukhala mayi.

njira zimene ankachita mu makampani amenenso umalimbana kukonzekera thupi chochitika chachikulu mu moyo wa mkazi. Tikumbukenso kuti masiku ano ambiri a akazi amadwala zosiyanasiyana matenda yotupa ndi matenda a ziwalo zoberekera kuti zimayambitsa osabereka kapena kulephera kupanga mwana.

Nthawi zambiri amapezeka pakati pa pathologies onse fibroids uterine. Zingayambitse osabereka, ndi mankhwala chaka chilichonse chokwawa kutali ndi, pali lonse mankhwala atsopano amene amatha kubweretsa akazi kuti cholinga awo okondedwa.

Imodzi mwa njira zimenezi patsogolo mtsempha wamagazi uterine embolization kwa fibroids uterine. Ndi njira ndiyotani pakuchotsa fibroids tinakumana nkhani.

Kodi fibroid chiberekero?

matenda monga chosaopsa chotupa mu mnofu wosanjikiza chiberekero. Pa chiyambi cha chitukuko, izo zikuwoneka ngati litaka la mawonekedwe osasamba.

Ndithu chabe izo anazindikira matenda pa ultrasound, komanso kukaona dokotala mkazi angaone ululu pamimba, kuphwanya ndondomeko pokodza. Pakuti ambiri uterine magazi kuti anthu ena amayesetsa pochitika ngati kuzungulira kusamba.

Nthawi zambiri amadwala kudwala ichi akazi a zaka ubereki, ngati mankhwala yaitali, si kutali kwa osabereka ndi mavuto ena.

njira

Uterine mtsempha wamagazi embolization kwa fibroids uterine - njira yatsopano ya chithandizo cha matenda, zomwe zimathandiza kuchotsa zotupa popanda kufunika alowererepo pa opaleshoni. Zovuta wapatsidwa kusokonezedwa ngati ali osowa, kotero njira imatengedwa kwambiri wofatsa ndiponso mwachilungamo kumabungwewa.

Ngati akusankhidwa ndi uterine mtsempha wamagazi embolization kwa fibroids uterine, akamanena za mankhwala yafupika oyamba a mipira ndi plasticizer mu mitsempha imene kudyetsa chotupa. Iwo ndigwire magazi, maselo fibroid pang'onopang'ono.

Pamene kutumikiridwa embolization

Mu akazi ambiri, funso n'lakuti: "Ngati pali chotupa, womwe ndi mtsinje uterine embolization kwa fibroids uterine pamene yoikidwiratu?" Kodi pali contraindications kulikonse kwa njirayi? Choyamba, ganizirani umboni, ndipo amene ali:

• Fibroids kukula kwambiri.
• Palibe kuthekera kuchita chithandizo opaleshoni.
• Mkazi ali ndi magazi lolemera.
• ululu.

• Nkofunika kusunga chiberekero kwa wotsatira gestation mwana.

Waukulu akadali chimene nsonga madokotala ntchito, njira ndiyotani pakuchotsa fibroids - chilakolako mkazi ndi ana m'tsogolo. Pali zinthu komwe embolization imagwiridwa pamaso kuchotsa opaleshoni ya fibroids kuti kuchepetsa kufala kwa magazi ochuluka.

Tikumbukenso kuti dziko lathu, njira imeneyi akuti mwachilungamo watsopano, si mzinda uliwonse mungapeze akatswiri amene amachita ntchito zimenezi.

Ngati mukufuna uterine mtsempha wamagazi embolization kwa myoma uterine, Kazan limapereka misonkhano ya anthu ake ndi alendo kumutumikira. The City chipatala Hospital №7 aona madokotala ndi zipangizo zonse zofunikira zochizira njira yotero.

Kukonzekera embolization ndi

Musanayambe kutumiza mkazi njirayi, dokotala mankhwala kafukufuku zofunika:

1. Ultrasound, zikhoza kugwiritsidwa ntchito kudziwa malo, kukula kwa fibroids.
2. Standard magazi ndi mkodzo mayesero.
3. Tengani chopaka pa tanthauzo la microflora ukazi.
4. Impso oncocitology kuthetsa maselo zilonda.
5. Kafukufuku pa matenda.
6. magazi kuti HIV, matenda a chiwindi C ndi B.
7. Kupenda khomo lachiberekero pansi simungathe kutiona.
8. Cardiogram mwachita.
9. Chiweruzo chofunika kwa akatswiri ena ngati pali matenda aakulu, komanso madokotala.

Atafufuza zonse zapatsidwa malangizo embolization. Pa tsiku wochita bwino osati kudya ndi kumwa, kuonetsetsa sterility pazipita mu groin ndi kuchotsa tsitsi. Ngati mkazi amadwala mitsempha varicose, dokotala sabata pamaso ndondomeko, amalangiza atavala psinjika masitonkeni.

njira imene

Si onse bwino zimenezi mtsempha wamagazi uterine embolization kwa fibroids uterine, monga kuchita ndondomeko zimenezi. Tiyeni tione nkhani imeneyi. The njira lonse la mankhwala tichipeza magawo zotsatirazi:

1. Kuyambirira ultrasound Kupenda ziwalo m'chiuno.
2. Mpanda ndi ntchofu khomo lachiberekero kuteteza matenda oncological, matenda yotupa. Pamene muli njira yotero si ntchito.
3. Kenako, puncture ndi catheter anaikapo mu mtsempha wamagazi femoral mu groin crease. Ndondomeko si kuwawa kwambiri, choncho mankhwala oletsa ululu pamalopo chikukwanira.
4. Doctor lolamulidwa X-ray nayo catheter m'malo mwa uterine mtsempha wamagazi, kumene akuyamba nthambi, kupereka fibroids lapansi.
5. Kutsimikiza zotuluka pa matenda ndi catheter malo umachitika arteriogram - kumayambiriro wothandizila mosiyana.
6. Pamene kanthu olondola anatsimikizira, katswiri wolowera catheter kukonzekera mwapadera, zomwe, kugwa mu zotengera yopapatiza magazi, clogging iwo, ndipo magazi si ikuyenda mu chotupa minofu.
7. Kwathunthu kuthetsa kotunga magazi fibroids, blockage zachitika pa mitsempha onse femoral.
8. Kumapeto kwa ndondomeko ndi ulamuliro arteriogram.
9. Chipindacho bandeji wosabala pa puncture malo.

Akupitiriza mtsempha wamagazi uterine embolization wa myoma uterine osapitirira 1.5 maola, kawirikawiri Mphindi 20 ndi zokwanira, izo zidalira pa malo mitsempha ndi zinachitikira dokotala.

Ayambe thupi pambuyo embolization

Thupi mkazi akachita ndondomeko anatha pafupifupi milungu iwiri, koma zimenezo sizitanthauza kuti nthawi zonse, kukhala mu chipatala. Pambuyo mtsempha wamagazi uterine embolization (UAE) kwa fibroids uterine, mkazi ndi pafupifupi tsiku lomwelo apite kwawo, ngati yachibadwa. Kunyumba, muyenera kutsatira malangizo:

• Desirably bedi zina kwa masiku angapo.
• Mpumulo ululu, inu mukhoza kutenga mankhwala othetsa ululu.
• Kupsa kutentha thupi, kuti panthawi yake kudziwa njira yotupa kuyamba.
• Pambuyo ndondomeko, ndi zofunika kuwonjezera kadyedwe madzimadzi, makamaka mu sabata loyamba.
• Ngati pali fibroids, embolization kumafuna osati "ndi aspirin" ndi thinners ena magazi.
• Mu masiku oyambirira si wolakalakika amasamba, ndi anthunzi otulutsirako thukuta kapena nthunzi kusamba.
• Kwa masabata angapo Mpofunika wathunthu mtendere thupi ndi kuwonongedwa kwa moyo kugonana.
• Akazi mu masiku ovuta ali osavomerezeka ntchito tampons.

Nkofunika kuti yake chithandizo cha fibroids uterine, uterine mtsempha wamagazi embolization akhoza kupulumutsa luso la mayi kubereka ana.

Ubwino wa njira

njira iliyonse mankhwala ali ndi ubwino ndi kuipa, embolization yotero. Koma choyamba yoyima pa ubwino:

1. Mkulu Mwachangu.
2. Uterine mtsempha wamagazi embolization kwa myoma uterine masamba palibe mabala ndi mabala.
3. Njira pafupifupi kumatha kukonzanso chitukuko cha fibroids sitinganene za kuchotsa opaleshoni.
4. Choncho posachedwapa kugwiritsa ntchito mankhwala oletsa ululu pamalopo, nthawi pochira lalifupi ndi sikutanthauza kwambiri za nthawi kumaliseche kuchokera ochititsa dzanzi pa.
5. Ku chipatala, mkazi akhoza amathera masiku angapo.
6. Ngati anapezeka ndi fibroids, embolization m'pamene, ngati nkotheka opaleshoni alowererepo.
7. Ndondomeko alibe mavuto pa ntchito ubereki.

kuipa embolization

Tsopano pang'ono za kuipa kwa. Panopa, zida zodula kwambiri chifukwa mwambo umenewo. Ndipo akatswiri ichi sikokwanira Russia.

sangathe wina wa ntchito angatchedwe pa kuphedwa embolic radiography. Koma tisaiwale kuti cheza mlingo Kodi musapyole amene timalandira kudutsa pachifuwa x-ray.

downside akhoza ankaona ngati sungathe kutenga minofu kwa biopsy, koma kulipidwa ndi kuchita matenda angiography patsogolo ndondomeko. An dokotala wodziwa za chitsanzo mtima nthawi zonse kuzindikira Cancer chotupa.

Contraindications kwa ndondomeko

Ngakhale kuti mtsempha wamagazi uterine embolization ndi myoma uterine ali ndemanga zabwino ndipo imathandiza ndondomeko anaulola kugwira milandu onse. Contraindications monga:

• matenda yotupa ziwalo m'chiuno.
• Kupezeka kwa thupi lawo siligwirizana mankhwala, amene ntchito kumata mitsempha.
• Mimba.

• Kupezeka kwa zotupa zilonda mu thupi la malo alionse.
• Ngati pali kulephera aimpso, izo zimakhala zovuta kugwiritsa ntchito kusiyana wothandizira, kotero ndondomeko ali osavomerezeka.

Pakuti contraindications wachibale monga:

• Fast kukula kwa zotupa.
• Mfundo ili chabe ndipo ali miyendo woonda.

An dokotala wodziwa zonse pamaso panu kutumiza mkazi embolization, tikupeza contraindications onse.

zosokonezeka wochita

Ndondomeko chochepa oopsa kuposa opaleshoni, koma mtsempha wamagazi uterine embolization zotsatira uterine myoma akhozanso osafunika, Pakati zotsatirazi tisaiwale:

1. Pafupifupi nthawi zonse anapanga pa puncture malo hematoma. M'kupita chitadutsa, koma mungafunike mafuta wapadera kuti imathandizira ndondomekoyi.
2. Infection. Ngati izi zitachitika, akapatsidwa njira mankhwala opha tizilombo. Only n'kofunika kuti tisasokoneze isanayambike matenda ndi kuyankha chilengedwe cha thupi. Malinga kutentha kusungidwa kwa masiku angapo, m'pofunika kudziŵitsa dokotala.
3. Ululu pamimba m'munsi. Pafupifupi zosatheka kutsimikiza, ngati ululu kugwirizana ndi fibroids lifotabe maselo. Bwerani kwa othetsa ululu thandizo.
4. Mwina kuledzera, kotero thupi sagwirizana utsogoleli wa Mosiyana sing'anga. Izo kumaonekera mwa mawonekedwe a malungo ndipo amafuna kulandira mankhwala odana ndi yotupa.
5. Kodi kupanga adhesions a minofu connective, koma zimachitika kawirikawiri.
6. Popeza kusamba zambiri, koma m'kupita kwa mkombero abwezeretsedwa m'miyezi 2-3.
7. Yamchiberekero kulephera.
8. A Vuto ochepa perforation a mtsempha wamagazi ndi.

Ngati mavuto zovuta, ndiye wodwala mwina opaleshoni kuchotsa fibroids. Koma Mwina zoterezi zotsatira zake zimakhala zazing'ono, kokha 1 mlandu pa njira 1000.

Ndondomeko kumene embolization imagwiridwa

Ngati mukuphunzira njira yochitira ndi fibroids, ambiri odwala, ndithudi, angakonde kuposa opaleshoni. Ndiye funso ndi lakuti, kodi njira izi.

Ine ndiyenera kunena kuti njira imeneyi imafunika zipangizo zodula kapena zapamwamba, ndi kukwanitsa kugula sizingausunge zipatala zonse. Ichi ndi chifukwa choyamba chimene anafotokoza bwanji chipatala chirichonse, ndipo aliyense mzinda zikhoza kuchitika embolization.

m'dera limeneli la mankhwala ali watsopano - chifukwa ntchito pa Mitsempha, kotero madokotala amene amadziwa zokwanira ndi mchitidwe kukhazikitsa ndondomeko zimenezi, ngakhale pang'ono.

Kuwonjezera embolization amafuna wapadera X-ray opaleshoni chipinda, amene si m'zipatala zonse.

Ngati, koma mkazi akufuna kuchotsa fibroids mu njira iyi, ndiye zambiri, m'pofunika amafuna thandizo ku chipatala katswiri kapena pakati ubereki payekha.

Uterine mtsempha wamagazi embolization kwa myoma uterine: ndemanga za mankhwala

Ngati mkazi waganiza kuti tichotse fibroids m'njira imeneyi, m'pofunika kukhala okonzekera chakuti mtengo wa ndondomeko ndiyo aakulu. Ichi ndi chifukwa ntchito zipangizo zodula ndi mankhwala oyamba mu danga mtima.

odwala ambiri kuti embolization si zoopsa, kotero kuchira nthawi pambuyo ndondomeko ndi yochepa sikutanthauza yaitali m'chipatala.

Ngati anachita uterine mtsempha wamagazi embolization kwa fibroids uterine, palinso ndemanga negative. Amayi ena amadwala ululu ndondomeko ndi kwa maola angapo pambuyo pake. Pa tsiku loyamba kutentha akhoza adzauka kuzunza nseru.

Si onse kuti ndi ufulu wonse kwa matenda, ena kwenikweni fibroids pang'onopang'ono Mwamsanga, ndipo pali odwala amene opaleshoni.

Ngakhale madokotala palibe lingaliro limodzi za embolization, pali gulu kuti amaona limathetseratu vuto lina lililonse wake woona, koma pali anthu amene amakhulupirira njira iyi yokha njira ina opaleshoni.

chisankho ngati kuchotsa fibroids njira expeditious kapena kugwiritsa ntchito embolization ayenera kumwedwa molumikizana ndi dokotala. M'pofunika kuganizira mavuto onse ndi mavuto zotheka. thupi lililonse mkazi amachitira aliyense payekha zikunena osiyana, kotero sindingakhoze kunena kuti mwamtheradi uliwonse zigwirizane ndi njira winawake wa mankhwala.