{"id":6540,"date":"2025-09-30T17:35:30","date_gmt":"2025-09-30T14:35:30","guid":{"rendered":"https:\/\/neolife.ro\/baneasa\/noutati\/ce-sunt-fibroamele-uterine\/"},"modified":"2025-09-30T17:38:39","modified_gmt":"2025-09-30T14:38:39","slug":"ce-sunt-fibroamele-uterine","status":"publish","type":"post","link":"https:\/\/neolife.ro\/baneasa\/noutati\/ce-sunt-fibroamele-uterine\/","title":{"rendered":"Ce sunt fibroamele uterine?"},"content":{"rendered":"<p>Fibroamele uterine sunt <strong>tumori benigne (necanceroase)<\/strong> care se dezvolt\u0103 din \u021besutul muscular al uterului. Sunt frecvente \u00een r\u00e2ndul femeilor aflate la v\u00e2rsta fertil\u0103, iar dimensiunile lor pot varia de la c\u00e2\u021biva milimetri p\u00e2n\u0103 la forma\u021biuni voluminoase, care modific\u0103 forma \u0219i volumul uterului.<\/p>\n<p>Pot fi unice sau multiple \u0219i localizate:<\/p>\n<ul>\n<li><strong>Submucoase<\/strong> \u2013 spre cavitatea uterin\u0103<\/li>\n<li><strong>Intramurale<\/strong> \u2013 \u00een peretele uterin<\/li>\n<li><strong>Subseroase<\/strong> \u2013 \u00een exteriorul uterului<\/li>\n<\/ul>\n<h3>C\u00e2nd ar trebui s\u0103 te \u00eengrijoreze?<\/h3>\n<p>De\u0219i multe fibroame nu provoac\u0103 simptome, exist\u0103 situa\u021bii \u00een care acestea pot afecta calitatea vie\u021bii. Ar trebui s\u0103 mergi la medic dac\u0103:<\/p>\n<ul>\n<li>Ai <strong>menstrua\u021bii abundente sau prelungite<\/strong><\/li>\n<li>Prezin\u021bi <strong>s\u00e2nger\u0103ri \u00eentre menstrua\u021bii<\/strong><\/li>\n<li>Sim\u021bi <strong>presiune pelvin\u0103<\/strong>, balonare sau o greutate \u00een partea inferioar\u0103 a abdomenului<\/li>\n<li>Ai <strong>urin\u0103ri frecvente<\/strong> sau dificult\u0103\u021bi la urinare<\/li>\n<li>Experimentezi <strong>durere \u00een timpul contactului sexual<\/strong><\/li>\n<li>\u00ce\u021bi este afectat\u0103 fertilitatea sau ai avut mai multe pierderi de sarcin\u0103<\/li>\n<\/ul>\n<h3>Factori declan\u0219atori \/ de risc:<\/h3>\n<p>Fibroamele uterine sunt influen\u021bate \u00een mare parte de <strong>factori hormonali \u0219i genetici<\/strong>:<\/p>\n<ul>\n<li><strong>Istoric familial de fibroame<\/strong><\/li>\n<li><strong>V\u00e2rsta \u00eentre 30 \u0219i 50 ani<\/strong><\/li>\n<li><strong>Dezechilibre hormonale<\/strong> (nivel crescut de estrogen)<\/li>\n<li><strong>Prima menstrua\u021bie la o v\u00e2rst\u0103 fraged\u0103<\/strong><\/li>\n<li><strong>Obezitate<\/strong><\/li>\n<li><strong>Alimenta\u021bie bogat\u0103 \u00een carne ro\u0219ie \u0219i s\u0103rac\u0103 \u00een legume \u0219i fructe<\/strong><\/li>\n<li><strong>Absenta sarcinilor<\/strong><\/li>\n<\/ul>\n<h3>Simptomele fibroamelor uterine<\/h3>\n<p>Simptomele pot varia \u00een func\u021bie de num\u0103rul, dimensiunea \u0219i localizarea fibroamelor. Unele femei pot avea fibroame \u0219i s\u0103 nu prezinte deloc simptome, \u00een timp ce altele pot experimenta manifest\u0103ri care afecteaz\u0103 semnificativ calitatea vie\u021bii.<\/p>\n<ol>\n<li><strong> Menstrua\u021bii abundente (menoragie)<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Este cel mai frecvent simptom.<\/li>\n<li>Menstrua\u021biile pot deveni foarte abundente, prelungite (peste 7 zile) sau pot necesita schimbarea absorbantului la intervale foarte scurte.<\/li>\n<li>Poate duce \u00een timp la anemie feripriv\u0103, cu simptome precum oboseal\u0103, ame\u021beli, dificult\u0103\u021bi de concentrare, palpita\u021bii.<\/li>\n<\/ul>\n<ol start=\"2\">\n<li><strong> S\u00e2nger\u0103ri \u00eentre menstrua\u021bii<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Pot ap\u0103rea spotting sau s\u00e2nger\u0103ri u\u0219oare \u00eentre cicluri.<\/li>\n<li>Uneori, s\u00e2nger\u0103rile pot fi imprevizibile \u0219i intense, necesit\u00e2nd investiga\u021bii urgente.<\/li>\n<\/ul>\n<ol start=\"3\">\n<li><strong> Durere pelvin\u0103 sau abdominal\u0103<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Poate fi constant\u0103 sau intermitent\u0103.<\/li>\n<li>Unele femei resimt o presiune sau greutate \u00een abdomenul inferior, similar\u0103 unei sarcini.<\/li>\n<li>Durerea poate cre\u0219te \u00een perioada menstrua\u021biei sau \u00een timpul actului sexual (dispareunie).<\/li>\n<\/ul>\n<ol start=\"4\">\n<li><strong> Balonare sau senza\u021bie de abdomen m\u0103rit<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Fibroamele mari pot determina distensie abdominal\u0103 vizibil\u0103, cre\u00e2nd impresia unei cre\u0219teri \u00een greutate sau a unei sarcini.<\/li>\n<\/ul>\n<ol start=\"5\">\n<li><strong> Tulbur\u0103ri urinare<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Fibroamele care apas\u0103 pe vezic\u0103 pot duce la:\n<ul>\n<li>Nevoie frecvent\u0103 de a urina<\/li>\n<li>Dificultate la golirea complet\u0103 a vezicii<\/li>\n<li>Incontinen\u021b\u0103 urinar\u0103 u\u0219oar\u0103<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ol start=\"6\">\n<li><strong> Constipa\u021bie sau disconfort digestiv<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Dac\u0103 fibromul comprim\u0103 rectul, pot ap\u0103rea:<\/li>\n<\/ul>\n<ul>\n<li>Constipa\u021bie cronic\u0103<\/li>\n<li>Senza\u021bie de golire incomplet\u0103<\/li>\n<li>Rareori, durere la defeca\u021bie<\/li>\n<\/ul>\n<ol start=\"7\">\n<li><strong> Durere lombar\u0103 sau la nivelul picioarelor<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Fibroamele mari pot comprima nervii pelvini, provoc\u00e2nd:<\/li>\n<\/ul>\n<ul>\n<li>Durere lombar\u0103<\/li>\n<li>Iradieri dureroase c\u0103tre fese sau picioare<\/li>\n<\/ul>\n<ol start=\"8\">\n<li><strong> Probleme de fertilitate<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Unele tipuri de fibroame (\u00een special cele submucoase) pot afecta implantarea ovulului sau pot determina pierderea recurent\u0103 a sarcinii.<\/li>\n<\/ul>\n<h3>Cum se pune diagnosticul?<\/h3>\n<p>Diagnosticul fibroamelor uterine este stabilit de ginecolog pe baza:<\/p>\n<ul>\n<li><strong>Consultului clinic ginecologic<\/strong><\/li>\n<li><strong>Ecografiei transvaginale<\/strong> \u2013 metoda principal\u0103 de depistare<\/li>\n<li><strong>RMN pelvin<\/strong> \u2013 pentru fibroame mari sau multiple<\/li>\n<li><strong>Histeroscopiei<\/strong> \u2013 util\u0103 pentru fibroamele submucoase<\/li>\n<li><strong>Histerosalpingografie<\/strong> \u2013 \u00een cazurile de infertilitate<\/li>\n<\/ul>\n<h3>Tratament: Ce op\u021biuni exist\u0103?<\/h3>\n<p>Tratamentul depinde de <strong>dimensiunea fibroamelor, severitatea simptomelor, v\u00e2rsta pacientei<\/strong> \u0219i <strong>dorin\u021ba de a avea copii<\/strong>.<\/p>\n<p><strong>Op\u021biuni non-chirurgicale:<\/strong><\/p>\n<ul>\n<li><strong>Monitorizare periodic\u0103<\/strong> dac\u0103 fibroamele nu cauzeaz\u0103 simptome<\/li>\n<li><strong>Tratament medicamentos hormonal<\/strong>:<\/li>\n<\/ul>\n<ul>\n<li>anticoncep\u021bionale<\/li>\n<li>agoni\u0219ti GnRH (pentru reducerea dimensiunii fibroamelor)<\/li>\n<li>sterilet hormonal (DIU cu levonorgestrel)<\/li>\n<\/ul>\n<ul>\n<li><strong>Medicamente antiinflamatoare \u0219i antianemice<\/strong> \u2013 pentru controlul s\u00e2nger\u0103rilor<\/li>\n<\/ul>\n<p><strong>Interven\u021bii minim invazive:<\/strong><\/p>\n<ul>\n<li><strong>Embolizarea arterelor uterine<\/strong> \u2013 blocheaz\u0103 alimentarea cu s\u00e2nge a fibromului<\/li>\n<li><strong>Ablarea cu radiofrecven\u021b\u0103<\/strong> \u2013 distruge fibromul prin c\u0103ldur\u0103<\/li>\n<\/ul>\n<p><strong>Tratament chirurgical:<\/strong><\/p>\n<ul>\n<li><strong>Miomectomie<\/strong> \u2013 \u00eendep\u0103rtarea fibromului, p\u0103str\u00e2nd uterul (recomandat femeilor care \u00ee\u0219i doresc o sarcin\u0103)<\/li>\n<li><strong>Histerectomie<\/strong> \u2013 \u00eendep\u0103rtarea complet\u0103 a uterului (indicat \u00een cazuri severe sau dup\u0103 instalarea menopauzei)<\/li>\n<\/ul>\n<h3>Pot fi prevenite fibroamele?<\/h3>\n<p>Fibroamele nu pot fi prevenite complet, dar riscul apari\u021biei poate fi redus prin:<\/p>\n<ul>\n<li><strong>Controlul greut\u0103\u021bii corporale<\/strong><\/li>\n<li><strong>Alimenta\u021bie echilibrat\u0103<\/strong> \u2013 bogat\u0103 \u00een legume, fructe \u0219i cereale integrale<\/li>\n<li><strong>Reducerea consumului de alcool \u0219i carne ro\u0219ie<\/strong><\/li>\n<li><strong>Exerci\u021bii fizice regulate<\/strong><\/li>\n<li><strong>Evitarea stresului cronic<\/strong><\/li>\n<li><strong>Consulta\u021bii ginecologice periodice<\/strong>, chiar \u0219i \u00een lipsa simptomelor<\/li>\n<\/ul>\n<h3>C\u00e2t de des trebuie s\u0103 mergi la control?<\/h3>\n<p>Dac\u0103 ai fost diagnosticat\u0103 cu fibroame sau ai factori de risc, este recomandat:<\/p>\n<ul>\n<li><strong>Ecografie transvaginal\u0103 anual\u0103<\/strong>, sau mai frecvent dac\u0103 medicul indic\u0103<\/li>\n<li><strong>Monitorizarea simptomelor<\/strong> \u2013 dac\u0103 apar modific\u0103ri, trebuie consultat medicul ginecolog<\/li>\n<li><strong>Evalu\u0103ri suplimentare<\/strong> \u00eenainte de planificarea unei sarcini<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Fibroamele uterine sunt tumori benigne (necanceroase) care se dezvolt\u0103 din \u021besutul muscular al uterului. Sunt frecvente \u00een r\u00e2ndul femeilor aflate la v\u00e2rsta fertil\u0103, iar dimensiunile lor pot varia de la c\u00e2\u021biva milimetri p\u00e2n\u0103 la forma\u021biuni voluminoase, care modific\u0103 forma \u0219i volumul uterului. Pot fi unice sau multiple \u0219i localizate: Submucoase \u2013 spre cavitatea uterin\u0103 Intramurale [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6541,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[29],"tags":[],"class_list":{"0":"post-6540","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articole"},"acf":[],"_links":{"self":[{"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/posts\/6540","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/comments?post=6540"}],"version-history":[{"count":1,"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/posts\/6540\/revisions"}],"predecessor-version":[{"id":6542,"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/posts\/6540\/revisions\/6542"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/media\/6541"}],"wp:attachment":[{"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/media?parent=6540"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/categories?post=6540"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neolife.ro\/baneasa\/wp-json\/wp\/v2\/tags?post=6540"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}