Ukuhlanganiswa komthambo wesibeletho

I-Uterine artery embolization (UAE) inqubo yokwelapha i-fibroids ngaphandle kokuhlinzwa. I-uterine fibroids izicubu ezingenasifo somdlavuza ezikhula esibelethweni (esibelethweni).

Ngesikhathi senqubo, ukunikezwa kwegazi ku-fibroids kunqanyuliwe. Lokhu kubangela ukuthi i-fibroids inciphe.

I-UAE yenziwa ngudokotela obizwa nge-radiologist engenelayo.

Uzophaphama, kodwa ngeke ubuzwe ubuhlungu. Lokhu kubizwa ngokuthi yi-sedation conscious. Inqubo ithatha cishe ihora elilodwa kuya kwele-3.

Inqubo ivame ukwenziwa ngale ndlela:

• Uthola isidambisi. Lo muthi okwenza ukhululeke futhi ulale.
• I-painkiller yendawo (i-anesthetic) isetshenziswa esikhumbeni esiseduze nokububula kwakho. Lokhu kuyindikindiza indawo ukuze ungabuzwa ubuhlungu.
• I-radiologist yenza ukusika okuncane (ukusika) esikhumbeni sakho. Ishubhu elincane (ipayipi) lifakwa emthanjeni wakho wobufazi. Lomthambo ungaphezulu komlenze wakho.
• I-radiologist ifaka i-catheter emthanjeni wakho wesibeletho. Lo mthambo unikeza igazi esibelethweni.
• Izinhlayiya ezincane zepulasitiki noma ze-gelatin zijojwa nge-catheter emithanjeni yegazi ehambisa igazi kuma-fibroids. Lezi zinhlayiya zivimba ukuhanjiswa kwegazi emithanjeni emincane ehambisa igazi iye kuma-fibroids. Ngaphandle kwaleli gazi, i-fibroids iyancipha futhi ife.
• I-UAE yenziwa kuyo yomibili imithambo yakho yesibeletho yangakwesokunxele nangakwesokudla ngokusikwa okufanayo. Uma kudingeka, kwelashwa ngaphezu kwe-1 fibroid.

I-UAE iyindlela ephumelelayo yokwelapha izimpawu ezibangelwa ezinye izinhlobo ze-fibroids. Xoxa nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthi ngabe le nqubo kungenzeka iphumelele kuwe.

Abesifazane abane-UAE banga:

• Yiba nezimpawu ezibandakanya ukopha, ukubalwa kwegazi okuphansi, ubuhlungu be-pelvic noma ingcindezi, ukuvuka ebusuku ukuyochama, nokuqunjelwa
• Sewuyizamile vele imishanguzo noma ama-hormone ukunciphisa izimpawu
• Kwesinye isikhathi iba ne-UAE ngemuva kokubeletha ukuze yelaphe ukopha okusindayo kwesisu

I-UAE ngokuvamile iphephile.

Izingozi zanoma iyiphi inqubo ehlaselayo yilezi:

• Ukopha
• Ukusabela kabi emthanjeni noma umuthi osetshenziswayo
• Ukutheleleka
• Ukulimaza

Izingozi ze-UAE yilezi:

• Ukulimala emthanjeni noma esibelethweni.
• Ukwehluleka ukunciphisa ama-fibroids noma ukuphatha kahle izimpawu.
• Izinkinga ezingenzeka ngokukhulelwa okuzayo. Abesifazane abafuna ukukhulelwa kufanele baxoxe ngokucophelela ngale nqubo nomhlinzeki wabo, ngoba kunganciphisa amathuba okukhulelwa ngempumelelo.
• Ukungabi nesikhathi sokuya esikhathini.
• Izinkinga ngomsebenzi wama-ovari noma ukuya esikhathini ngaphambi kwesikhathi.
• Ukwehluleka ukuxilonga nokususa uhlobo lomdlavuza olungandile olungakhula ku-fibroids (leiomyosarcoma). Iningi lama-fibroids alinomdlavuza (alinangozi), kepha ama-leiomyosarcomas atholakala kwinani elincane le-fibroids. Ukuhlanganiswa ngeke kuselaphe noma kuhlolisise lesi simo futhi kungaholela ekutholakaleni ukuxilongwa, futhi mhlawumbe kube nomphumela omubi kakhulu lapho selashwa.

Njalo utshele umhlinzeki wakho:

• Uma ungakhulelwa, noma uhlela ukukhulelwa ngokuzayo
• Imiphi imishanguzo oyiphuzayo, kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela

Ngaphambi kwe-UAE:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), nanoma yimiphi eminye imithi eyenza kube nzima ngegazi lakho ukuminyana.
• Buza udokotela wakho ukuthi yimiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma ubhema, zama ukuyeka. Umhlinzeki wakho angakunika izeluleko nolwazi ukukusiza uyeke.

Ngosuku lwe-UAE:

• Ungacelwa ukuthi ungaphuzi noma ungadli noma yini amahora ayisithupha kuya kwangu-8 ngaphambi kwale nqubo.
• Thatha imithi udokotela wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Fika ngesikhathi esibhedlela njengokuyalelwa.

Ungahlala esibhedlela ubusuku bonke. Noma ungaya ekhaya ngalo lolo suku.

Uzothola umuthi wezinhlungu. Uzokwaziswa ukuba ulale phansi amahora amane kuya kwayisithupha ngemuva kwenqubo.

Landela noma imiphi eminye imiyalo mayelana nokuzinakekela ngemuva kokuya ekhaya.

Amajaqamba asesiswini naphakathi esiswini ajwayelekile emahoreni angama-24 okuqala ngemuva kwenqubo. Zingahlala izinsuku ezimbalwa kuye emavikini ama-2. Amajaqamba angaba nzima futhi angahlala ngaphezu kwamahora ayisithupha ngesikhathi.

Iningi labesifazane liyalulama ngokushesha futhi liyakwazi ukubuyela emisebenzini ejwayelekile kungakapheli izinsuku eziyi-7 kuya kwezingu-10. Kwesinye isikhathi izingxenye zezicubu ze-fibroid eziphathwayo zingadlula esithweni sakho sangasese.

I-UAE isebenza kahle ekwehliseni ubuhlungu, ingcindezi nokopha okuvela kuma-fibroids kwabesifazane abaningi abanenqubo.

I-UAE ayihlaseli kangako kunezindlela zokwelashwa ezihlinzekwa nge-uterine fibroids. Abesifazane abaningi bangabuyela ngokushesha emisebenzini kunangemva kokuhlinzwa.

Ucwaningo oluningi lukhombisa ukuthi abanye besifazane badinga izinqubo ezengeziwe zokwelapha ngokuphelele izimpawu zabo. Lezi zinqubo zifaka i-hysterectomy (ukuhlinzwa ukukhipha isibeletho), i-myomectomy (ukuhlinzwa ukususa i-fibroid) noma ukuphinda i-UAE.

Ukuhlanganiswa kwesibeletho sesibeletho; UFE; I-UAE

• Ukuhlanganiswa komthambo wesibeletho - ukukhipha

I-Dolan MS, i-Hill C, i-Valea FA. Izilonda ze-Benign gynecologic: isisu, isitho sangasese sowesifazane, umlomo wesibeletho, isibeletho, i-oviduct, i-ovary, i-ultrasound imaging yezakhiwo ze-pelvic. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 18.

IMoravek MB, iBulun SE. Izindlala zesibeletho. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 131.

Izinhloli i-JB, i-Czeyda-Pommersheim F. Uterine fibroid embolization. Ku: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, abahleli. Ukungenelela Okuqondiswa Ngezithombe. Okwesibili. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 76.