Ukunqamuka kokuya esikhathini kuthinta kanjani izimpawu nentuthuko ye-Fibroid?

-Delile

• Ama-Fibroids namahomoni akho
• Izici zobungozi ze-fibroids
• Izimpawu
• Ukwelapha i-fibroids ngemuva kokunqamuka kokuya esikhathini
• Izindlela zokwelapha zeHormonal
• I-Myomectomy
• I-Hysterectomy
• Ezinye izindlela zokwelapha
• Umbono

Ukubuka konke

I-uterine fibroids, eyaziwa nangokuthi i-fibroids noma i-leiomyomas, izicubu ezincane ezikhula odongeni lwesibeletho sowesifazane. Lezi zicubu zinobungozi, okusho ukuthi azinomdlavuza. Kodwa-ke, zingadala ubuhlungu nezinye izimpawu ezingakhululekile.

I-Fibroids yizinhlobo ezivame kakhulu zezicubu ezinobungozi kwabesifazane. Zikhula kakhulu kwabesifazane abaneminyaka yobudala yokuzala. Ungaqhubeka nokuhlangabezana nakho ngesikhathi nangemva kokunqamuka kokuya esikhathini - noma ngisho nokukuhlakulela okokuqala phakathi nalesi sigaba sempilo.

Funda kabanzi mayelana ne-fibroids kanye nesixhumanisi sayo sokunqamuka kokuya esikhathini.

Ama-Fibroids namahomoni akho

Ama-hormone estrogen ne-progesterone angakhuphula ubungozi be-fibroids. Ngesikhathi sokunqamuka kokuya esikhathini, umzimba wakho ukhiqiza i-estrogen ne-progesterone encane. Ngenxa yalokho, ingozi yakho ye-fibroids entsha iyancipha.

Ukwehla kwamazinga ama-hormone kungasiza futhi ukuthi ama-fibroids asivele ekhona anciphe ngosayizi.

Izici zobungozi ze-fibroids

Ezinye izinto ezinobungozi zingakhuphula amathuba akho okuthuthukisa i-fibroids. Kubandakanya:

• umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• amazinga aphansi kavithamini D
• umlando womndeni we-fibroids
• ukukhuluphala ngokweqile
• awukho umlando wokukhulelwa
• isikhathi eside, ukucindezeleka okukhulu

Abesifazane abaneminyaka engaphezu kwengu-40 nabesifazane base-Afrika baseMelika nabo basengozini enkulu ye-fibroids.

Izimpawu

I-Fibroids ingathinta abesifazane be-premenopausal kanye ne-postmenopausal ngezindlela ezahlukene. Ngokuvamile, abesifazane be-premenopausal bavame ukuba nezimpawu ezinzima kakhulu.

Kwesinye isikhathi azikho izimpawu ze-fibroids nhlobo. Umhlinzeki wakho wezokunakekelwa kwempilo angathola i-fibroids ngesikhathi sokuhlolwa kwamathambo wonyaka.

Abesifazane, noma ngabe i-premenopausal noma i-postmenopausal, bangathola lezi zimpawu ezilandelayo ze-fibroid:

• ukopha kakhulu
• ukubonwa njalo
• i-anemia ekulahlekelweni okukhulu kwegazi
• ukuqumba okufana nokuya esikhathini
• ukugcwala esiswini esingezansi
• ukuvuvukala kwesisu
• ubuhlungu beqolo
• ukuchama kaningi
• ukungavumelani noma ukuvuza komchamo
• ucansi olubuhlungu
• imfiva
• isicanucanu
• ikhanda

I-fibroid noma iqoqo lama-fibroids acindezela odongeni lwesibeletho angadala ngqo lezi zimpawu. Isibonelo, ingcindezi evela ku-fibroids esinyeni sakho ingadala ukuchama kaningi.

Ukwelapha i-fibroids ngemuva kokunqamuka kokuya esikhathini

Ama-Fibroids kungaba nzima ukubhekana nawo.

Amaphilisi okulawula ukubeletha njengamanje ayindlela yokwelashwa ekhethwayo. Umhlinzeki wakho wezokunakekelwa kwempilo angancoma ukususwa kokuhlinzwa kwe-fibroids yakho, okuyinqubo eyaziwa njenge-myomectomy. Ukususwa kwesibeletho, noma ukukhishwa kwesibeletho sakho, nakho kungacatshangelwa.

Izindlela zokwelapha zeHormonal

Amaphilisi okulawula ukubeletha angenye yezindlela zokuphatha izimpawu ezifana nobuhlungu nokopha ngokweqile. Kodwa-ke, ngeke zinciphise ama-fibroids noma zibangele ukuthi zihambe.

Kunobufakazi obusekela ukusetshenziswa kwamaphilisi wokulawula inzalo womabili ahlangene nawama-progestin kuphela we-fibroids. Ama-progestin nawo anganciphisa ezinye izimpawu zokunqamuka kokuya esikhathini futhi enze izindlela zokwelapha ezibuyisela ama-hormone zisebenze kakhulu.

Ezinye izindlela zokwelapha zamahomoni ezizonciphisa ubuhlungu nokopha zihlanganisa imijovo ye-progestin namadivayisi we-intrauterine (IUDs) aqukethe ama-progestin.

I-Myomectomy

Kwesinye isikhathi i-myomectomy yenziwa ngaphambi kokubhekwa kwe-hysterectomy. I-Myomectomy ihlose ukususwa kwe-fibroid futhi ayidingi ukususwa kwesibeletho sakho.Ama-Myomectomies angenziwa ngezindlela ezahlukahlukene, ngokuya ngendawo ye-fibroids.

Uma inqwaba ye-fibroid ingaphakathi kwesibeletho sesibeletho, ukuhlinzwa kungenziwa nge-hysteroscopically (ngosizo lweshubhu elincane, elikhanyisiwe).

Kwezinye izimo, umhlinzeki wakho wezokunakekelwa kwempilo uzokwenza imbobo esiswini sakho esingezansi. Usayizi nendawo ye-incision iyafana nokusikwa okusetshenziselwa ukulethwa kwe-cearean. Ukululama ngokugcwele kuzothatha amasonto amane kuye kwayisithupha. Le ndlela ayijwayelekile njengezinye.

Umhlinzeki wakho wezokunakekelwa kwempilo futhi angakwazi ukwenza i-laparoscopically yokuhlinzwa. Ngesikhathi sokuhlinzwa kwe-laparoscopic, kwenziwa imbobo encane. Isikhathi sokubuyiselwa sokuhlinzwa kwe-laparoscopic sifushane, kepha lolu hlobo lokuhlinzwa luvame ukunconywa kuphela kuma-fibroids amancane.

Uma i-fibroids ibuya ngemuva kwe-myomectomy, udokotela wakho angancoma i-hysterectomy.

I-Hysterectomy

Ngezimpawu ezinzima ezihlobene nama-fibroids amakhulu, aphindaphindiwe, i-hysterectomy ingaba yindlela engcono kakhulu. Kulolu hlobo lokuhlinzwa, umhlinzeki wakho wezokunakekelwa kwezempilo ususa konke noma ingxenye ethile yesibeletho sakho.

Ama-Hysterectomies anganconywa kwabesifazane:

• sekusondele esikhathini sokuya esikhathini
• sezivele ziyi-postmenopausal
• unama-fibroid amaningi
• unama-fibroids amakhulu kakhulu
• bazamile izindlela zokwelashwa eziningi, bafuna ukwelashwa okucacile kunakho konke, futhi abanazo izinhlelo zokuba nezingane esikhathini esizayo

Kunezinhlobo ezintathu ze-hysterectomy:

• Ingqikithi. Kulokhu kuhlinzwa, umhlinzeki wakho wezokunakekelwa kwezempilo ususa sonke isibeletho sakho kanye nomlomo wesibeletho sakho. Kwezinye izimo, bangancoma ukuthi ususe amashubhu wakho we-fallopian nawo. Le nketho ingaba ngcono kakhulu uma unamaqoqo amakhulu, asakazekile e-fibroid.
• Ingxenye / isamba esincane. Ngalokhu kuhlinzwa, kususwa kuphela isibeletho sakho esingaphezulu. Umhlinzeki wakho wezokunakekelwa kwempilo angancoma le nketho uma i-fibroids iyinkinga ephindaphindayo kulesi sifunda sesibeletho sakho. Lokhu kungaqinisekiswa ngokuhlolwa kwe-imaging.
• Kakhulu. Le yindlela ebaluleke kunazo zonke ye-hysterectomy, futhi ayisetshenziswa kakhulu ekwelapheni i-fibroids. Kwesinye isikhathi kunconywa umdlavuza othile wezifo zabesifazane. Ngalokhu kuhlinzwa, udokotela ususa isibeletho sakho, isitho sangasese sangaphezulu, umlomo wesibeletho, ne-parametria (izicubu ezizungezile zesibeletho nesitho sangasese sowesifazane).

I-hysterectomy ukuphela kwendlela yokwelapha ngokuphelele i-fibroids. Unyaka ngamunye, yenza lokhu kuhlinzekelwa ukukhululeka kwe-fibroid.

Ngokubambisana, wena nomhlinzeki wakho wezokunakekelwa kwezempilo ninganquma ukuthi ngabe lokhu kuhlinzwa kuzoba yindlela yokwelashwa engcono kakhulu ye-fibroid kuwe.

Ezinye izindlela zokwelapha

Ezinye izindlela zokwelashwa zabesifazane abaya esikhathini noma abangemva kokuya esikhathini zihlanganisa lezi zinqubo ezingezona ezokuhlasela noma ezihlasela kancane:

• i-myolysis, lapho i-fibroids nemithambo yegazi ibhujiswa khona ngokushisa noma ngamandla kagesi; isibonelo esisodwa inqubo eyaziwa ngokuthi i-Acessa
• ukuhlinzwa okuphoqelelwe kwe-ultrasound (FUS), esebenzisa amandla amakhulu, amaza omsindo wensimbi ephezulu ukubhubhisa ama-fibroids
• ukukhishwa kwe-endometrial, esebenzisa izindlela ezifana nokushisa, amandla kagesi, amanzi ashisayo, noma amakhaza amakhulu ukubhubhisa ulwelwesi lwesibeletho
• ukuhlanganiswa komthambo wesibeletho, okusika ukunikezwa kwegazi kuma-fibroids

Umbono

Ama-Fibroid ajwayelekile kakhulu kwabesifazane be-premenopausal, kepha futhi ungathuthukisa i-fibroids ngesikhathi sokuya esikhathini.

Khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo ngezindlela ongaphatha ngazo izimpawu ze-fibroid nokuthi ukuhlinzwa kuyindlela efanelekile kuwe. Ama-Fibroids angabangeli zimpawu angahle angadingi ukwelashwa nhlobo.