Ciwon mahaifa

Mahaifa mahaifa sune ciwan da ke girma a cikin mahaifar mace (mahaifa). Wadannan ci gaban yawanci ba su da cutar kansa (mara kyau).

Fibroid din mahaifa na kowa ne. Kimanin daya daga cikin mata biyar na iya yin fibroid yayin shekarun haihuwarsu. Rabin duk mata suna da fibroid a shekaru 50.

Fibroid ba safai ake samun sa ba a cikin mata yan kasa da shekaru 20. Sunfi yawa a cikin Amurkawan Amurka fiye da Fari, Hispanic, ko matan Asiya.

Babu wanda ya san takamaiman abin da ke haifar da fibroid. Ana tsammanin suna haifar da:

• Hormones a cikin jiki
• Kwayar halitta (na iya gudana cikin dangi)

Fibroids na iya zama kanana sosai kana buƙatar microscope don ganin su. Hakanan zasu iya girma sosai. Suna iya cika mahaifa duka kuma suna iya auna nauyin fam ko kilogram da yawa. Kodayake yana iya yiwuwa fibroid guda daya ya bunkasa, galibi akan samu fiye da daya.

Fibroids na iya girma:

• A cikin bangon tsoka na mahaifa (myometrial)
• Kawai a karkashin saman murfin mahaifa (submucosal)
• Kawai a karkashin rufin waje na mahaifa (subserosal)
• A kan doguwar tsini a bayan mahaifa ko cikin cikin mahaifa (an yi wa pedunculated)

Alamun gama gari na cututtukan mahaifa sune:

• Zubar jini tsakanin lokaci
• Zubar da jini mai yawa yayin kwanakinka, wani lokacin tare da daskararren jini
• Lokutan da zasu iya wucewa fiye da yadda aka saba
• Ana buƙatar yin fitsari sau da yawa
• Ciwon mara na ciki ko jin zafi tare da lokaci
• Jin cikar ciki ko matsi a cikin cikin ciki
• Jin zafi yayin saduwa

Sau da yawa, zaku iya samun fibroid kuma ba ku da wata alama. Mai kula da lafiyar ku na iya nemo su yayin gwajin jiki ko wata gwaji. Fibroid yakan zama yana raguwa kuma baya haifar da wata alama ga matan da suka gama al'ada. Wani binciken da aka yi kwanan nan kuma ya nuna cewa wasu ƙananan fibroid suna raguwa a cikin matan da ba su yi aure ba.

Mai ba da sabis ɗinku zai yi gwajin ƙashin ƙugu. Wannan na iya nuna cewa kana da canji a jikin mahaifarka.

Fibroid ba koyaushe mai sauƙi bane. Yin kiba yana iya sa fibroid ya zama da wuya a iya ganewa. Kuna iya buƙatar waɗannan gwaje-gwajen don bincika fibroids:

• Duban dan tayi yana amfani da raƙuman ruwa don ƙirƙirar hoton mahaifa.
• MRI yana amfani da maganadisu masu ƙarfi da raƙuman rediyo don ƙirƙirar hoto.
• Sonogram na Saline infusion sonogram (hysterosonography) - An yi wa Saline allura a cikin mahaifa don sauƙaƙa ganin mahaifa ta amfani da duban dan tayi.
• Hysteroscopy yana amfani da wani dogon sirara siriri wanda aka saka ta cikin farji da cikin mahaifa don bincika cikin mahaifa.
• Endometrial biopsy yana cire wani yanki daga cikin rufin mahaifa don bincika kansar idan kuna da jini mai ban mamaki.

Wani irin magani kuke da shi ya dogara da:

• Shekarunka
• Lafiyar ku baki daya
• Alamunka
• Nau'in fibroids
• Idan kana da juna biyu
• Idan kanaso yara nan gaba

Jiyya don alamun alamun fibroids na iya haɗawa da:

• Na'urorin ciki (IUDs) waɗanda ke sakin homonomi don taimakawa rage zubar jini da zafi mai yawa.
• Tranexamic acid don rage yawan gudanawar jini.
• Arin ƙarfe don hana ko magance cutar rashin jini saboda lokacin nauyi.
• Masu rage radadin ciwo, kamar su ibuprofen ko naproxen, don ciwo ko ciwo.
• Jiran kallo - Wataƙila kuna da bin gwaje-gwajen pelvic ko ultrasounds don bincika haɓakar fibroid.

Magungunan likita ko na hormonal waɗanda zasu iya taimakawa ƙyamar fibroids sun haɗa da:

• Magungunan hana haihuwa don taimakawa wajen kiyaye lokutan nauyi.
• Wani nau'in IUD ne wanda ke sakin ƙaramin ƙwayar progestin a cikin mahaifa a kowace rana.
• Hutun Hormone don taimakawa ƙyamar fibroids ta hanyar dakatar da yin ƙwai. Mafi sau da yawa, ana amfani da wannan maganin ne kawai don ɗan gajeren lokaci don ƙyamar fibroids kafin aikin tiyata. Hakanan za'a iya amfani dasu mafi tsayi lokacin da aka ƙara ƙananan hormone na estrogen a baya don rage tasirin.

Yin aikin tiyata da hanyoyin da ake amfani da su don magance fibroids sun haɗa da:

• Hysteroscopy - Wannan aikin zai iya cire fibroids da ke girma a cikin mahaifa.
• Rushewar endometrium - Ana amfani da wannan hanya a wasu lokuta don magance zub da jini mai haɗari da fibroids. Yana aiki mafi kyau lokacin da fibroids suka yi ƙanƙani. Yana yawan dakatar da jinin al'ada.
• Fitar da jijiyar mahaifa - Wannan aikin yana dakatar da samar da jini ga fibroid, yana haifar da raguwa da mutuwa. Wannan na iya zama kyakkyawan zaɓi idan kuna son kauce wa tiyata kuma ba ku shirin yin ciki.
• Myomectomy - Wannan aikin yana cire fibroid daga mahaifa. Wannan shima yana iya zama kyakkyawan zabi idan kuna son samun yara. Ba zai hana sabbin fibroid ci gaba ba.
• Tsarin mahaifa - Wannan tiyatar na cire mahaifar gaba daya. Zai iya zama zaɓi idan ba ka son yara, magunguna ba sa aiki, kuma ba za ka iya samun wasu hanyoyin ba.

Sabbin jiyya, kamar amfani da duban dan tayi, ana kimanta su a karatun asibiti.

Idan kana da fibroids ba tare da bayyanar cututtuka ba, mai yiwuwa baka buƙatar magani.

Idan kana da fibroids, zasu iya girma idan ka sami ciki. Wannan shi ne saboda karuwar jini da matakan estrogen mafi girma. Fibroid din yakan dawo asalinsu bayan an haifi jaririnku.

Rarraba na fibroids sun hada da:

• Jin zafi mai tsanani ko zubar jini mai tsananin gaske wanda ke buƙatar tiyata ta gaggawa.
• Karkatar da fibroid - Wannan na iya haifar da toshewar jijiyoyin jini wadanda ke ciyar da ciwan. Kuna iya buƙatar tiyata idan wannan ya faru.
• Anemia (ba tare da wadataccen jan jini ba) daga yawan zubar jini.
• Cututtukan fitsari - Idan fibroid ya matsa a kan mafitsara, yana da wuya a wofintar da mafitsara gaba ɗaya.
• Rashin haihuwa, a cikin al'amuran da ba safai ba.

Idan kun kasance masu ciki, akwai ƙaramin haɗari cewa fibroids na iya haifar da rikitarwa:

• Kuna iya haihuwar jaririn da wuri saboda babu isasshen wuri a cikin mahaifar ku.
• Idan fibroid ya toshe mashigar haihuwa ko sanya jariri a cikin haɗari, ƙila kuna buƙatar samun ɓangaren tiyata (C-section).
• Kuna iya samun jini mai nauyi sosai bayan haihuwa.

Kira mai ba ku sabis idan kuna da:

• Zubar da jini mai yawa, ƙaruwar ciki, ko zubar jini tsakanin lokaci
• Cikakke ko nauyi a cikin yankinku na ciki

Leiomyoma; Fibromyoma; Myoma; Fibroid; Zuban jini na mahaifa - fibroids; Zubar jini ta farji - fibroids

• Hysterectomy - ciki - fitarwa
• Hysterectomy - laparoscopic - fitarwa
• Hysterectomy - farji - fitarwa
• Maganin jijiyar mahaifa - fitarwa

• Pelvic laparoscopy
• Tsarin haihuwa na mata
• Ciwon ciwan Fibroid
• Mahaifa

Dolan MS, Hill C, Valea FA. Ignananan cututtukan gynecologic: ƙwayar cuta, farji, ƙuƙwalwar mahaifa, mahaifa, oviduct, ovary, duban dan tayi na tsarin pelvic. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 18.

Moravek MB, Bulun SE. Ciwon mahaifa. A cikin: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Manya da Yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 131.

'Yan leƙen asirin JB. Matsayi na yanzu game da haɓakar jijiyar mahaifa a cikin kula da ɓarkewar mahaifa. Clin Obstet Gynecol. 2016; 59 (1): 93-102. PMID: 26630074 pubmed.ncbi.nlm.nih.gov/26630074/.

Stewart EA. Yin aikin asibiti. Ciwon mahaifa. N Engl J Med. 2015; 372 (17): 1646-1655. PMID: 25901428 pubmed.ncbi.nlm.nih.gov/25901428/.

Verpalen IM, Anneveldt KJ, Nijholt IM, da sauransu. Magnetic resonance-high tsanani mayar da hankali duban dan tayi (MR-HIFU) far na bayyanar cututtuka na mahaifa fibroids tare da unrestrictive magani ladabi: wani tsari review da meta-bincike. Eur J Radiol. 2019; 120: 108700. Doi: 10.1016 / j.ejrad.2019.108700. PMID: 31634683 pubmed.ncbi.nlm.nih.gov/31634683/.