MIOMAI BACHADON

MIOMAI BACHADON, yak nav omosi nekfarjom, Dar mometriya – mushakpardai bachadon tashakkul meyobad. M. b. dar natijai ikhtiloli faoliyati silsilai gipotalamus – gipofiz – tukhmdon paydo meshavad. M. b. dar fazoi bayni mushakho padid omada, minbad jonibi javfi shikam yo luobpardai bachadon mesabzad. M. b. mamulan dar tana, ahyonan dar rohi nutfaguzar va gardanai bachadon inkishof meyobad. Hangomi dar zeri mikroskop tadqiq kardani omos didan mumkin ast, ki vay az dastai boftahoi mushak (ba har taraf pareshon shudaand) iborat meboshad. M. b. metavonad tagyir yobad. Mas., dar davrai menopauza imkon dorad, ki unsurhoi mushak atrofiya shavand; bazan omos varam mekunad, sakht megardad va hatto ba sarkoma tabdil meyobad.
Alomathoi M. b. ba joygirii omos va davrai inkishofi on, sinnu soli bemor, hamchunin bemorihoe, ki hamzamon bo omos paydo meshavand, vobastagi dorand. Dardi zeri shikam va miyon, khunravi az bachadon, qabziyati doimii shikam va g. nishonahoi khosi M. b. meboshand. Vaqte ki mioma nav tashakkul meyobad, hayz bo dard va khunravii farovon surat megirad. Hayz bardavom buda, boisi norohatii zanho meshavad. Va mahz bo hamin sabab onho bori avval ba dukhtur murojiat mekunand. Bo mururi afzoishi omos hayz dushvorihoi ziyod pesh meorad, zanho az uhdai ijroi korhoi ruzmarrai khud namebaroyand. Onho az bisyor raftani khun va daroz kashidani muhlati khunravi (ziyoda az 5 ruz) shikoyat mekunand. M. b. boisi tul kashidani davrai faoliyati tukhmdonho megardad, binobar in khunravi hatto dar 55-solagii zanho niz ba mushohida merasad. Goho omos tanazzul meyobad.
Aksar vaqt bo M. b. polipozi endometriya, gipertoniya, farbehi, bemorii ishemiyai dil, amrozi muzmini uzvhoi nafas hamrohi mekunand.
Hangomi M. b. dard asosan dar natijai kashish yoftani shikamparda, ki onro girehho faro megirand, paydo meshavad. Dardi hameshagi va shadid alomati khuruji omos ast. Agar dard dar davrai hayz qabzkunanda boshad, pas in daleli on ast, ki dar zerluobpardai bachadon uqdahoi nav (az onho miomaho ba vujud meoyand) tashakkul yofta istodaand. Dar surati dar sathi peshi bachadon joy giriftani uqda, dard dar qismi poyoni javfi shikam va masona padid meoyad. Agar uqda dar devorai aqibi bachadon joy doshta boshad, pas dard dar rudai rost paydo meshavad. Naboyad faromush kard, ki dard metavonad dar natijai bemorihoi digar, mas., iltihobi zoidhoi bachadon yo endometrioz niz ba vujud oyad. Mioma, odatan, sust mesabzad. Dar surati tez sabzidani on metavon az jarayoni badfarjom giriftani bemori yo paydoishi varam gumonbar shud. Sabzishi tezi omos gufta haminro menomand, ki agar on dar muddati yak sol barobari hamli 5-haftaina numu yobad. Vaqte ki andozai mioma ba hamli 13-haftaina barobar meshavad, dar bemoron ikhtiloli peshobroni, qabziyat, obiyati mahbal ba mushohida merasand. Miomai zeriluobpardai, odatan, badi 40-solagi rushd meyobad.
Baroi muolijai bosamari M. b. sari vaqt va durust tashkhis kardani on muhim ast. Dar davrahoi avvali sabzish miomaro bo doru tabobat mekunand. Dar surati ba takhir guzoshtani muolija jarrohii omos noguzir ast.

N. I. Bozorov.