I-fibroid engaphansi: kuyini, izinhlobo, izimpawu nokwelashwa

-Delile

• Izimpawu ze-submucosal fibroid
• Submucosal fibroids nokukhulelwa
• Yelashwa kanjani

Ama-Submucosal fibroids awuhlobo lwe-fibroids olungavela kwabesifazane ngenxa yokwanda okwandayo kwamaseli we-myometrial, okuyingqimba emaphakathi yodonga lwesibeletho, okuholela ekwakhekeni kwamaqhuqhuva ngaphakathi kwesibeletho angadala ubuhlungu be-pelvic nokopha.

Lolu hlobo lwe-fibroid lutholakala ngaphakathi kwesibeletho futhi lungahlukaniswa lube:

• Izinga 0, lapho i-fibroid isembotsheni yesibeletho ngokuphelele, ngaphandle kokubonakala kwe-myometrium, ethinta kuphela i-endometrium;
• Izinga 1, lapho kutholakala ngaphezu kwe-50% ye-fibroid emgodini wesibeletho;
• Izinga 2, lapho ngaphezu kwe-50% ye-nodule iku-myometrium.

Udonga lwesibeletho luqukethe izingqimba ezintathu: i-endometrium, okuyisendlalelo esingaphandle futhi okuyindawo yokufakwa kombungu, i-myometrium, okuyisendlalelo esiphakathi, ne-perimeter okuyingqimba engaphandle kakhulu. Lapho i-fibroid ikhula odongeni olungaphandle, ngokwesibonelo, ibizwa nge-subserous fibroid. Qonda ukuthi yini i-fibroid nezimbangela zayo.

Futhi yazi i-fibroid yangaphakathi.

Izimpawu ze-submucosal fibroid

Ama-Submucosal fibroids awuhlobo lwe-fibroids ekhombisa kakhulu izimpawu, ikakhulukazi ukuphuma kwegazi, ngoba kukhona ukuyekethisa odongeni okugcwala isibeletho. Izimpawu eziyinhloko ezihlobene ne-submucosal fibroids yilezi:

• Ukopha okungavamile, okungaba ngaphandle kwesikhathi sokuya esikhathini;
• Ukwanda kwegazi esikhathini sokuya esikhathini, nokuba khona kwamahlule nakho kungabonakala;
• Ubuhlungu be-pelvic;
• Ukushoda kwe-iron anemia, ngenxa yokopha ngokweqile;
• Ukuminyaniswa kwezitho eziseduze, ikakhulukazi lapho i-fibroid inkulu, engadala ukwanda kwemvamisa ye-urinary, ngokwesibonelo.

Ukuxilongwa kwe-submucosal fibroids kwenziwa ngudokotela wezifo zabesifazane ngokuhlolwa kwe-imaging, ikakhulukazi i-ultrasound ne-diagnostic hysteroscopy, okubhekwa njengesivivinyo esikhulu sokuthola i-submucosal fibroids, ngoba ivumela ukubonwa kwangaphakathi kwesibeletho nokuhlukaniswa kwe-fibroid maqondana ne-endometrium. Qonda ukuthi i-hysteroscopy yokuxilonga yenziwa kanjani.

Submucosal fibroids nokukhulelwa

Lapho kukhona ama-submucosal fibroids, ukuzala kowesifazane kuyancipha. Lokhu kungenxa yokuthi kukhona ukuyekethisa kwe-endometrium, okuwudonga lwesibeletho lapho kufakwa khona umbungu. Ngakho-ke, abesifazane abanalolu hlobo lwe-fibroid banenkinga enkulu yokukhulelwa futhi kungenzeka ukuthi bahlupheke ngokukhipha izisu okuzenzekelayo.

Yelashwa kanjani

Ukwelashwa kwe-submucosal fibroids kusungulwa ngudokotela wezifo zabesifazane futhi kwenziwa nge-hysteroscopy, ehambelana nenqubo yokuhlinzwa, eyenziwa ngaphansi kwe-anesthesia noma i-sedation, futhi ehlose ukususa i-fibroids. Funda kabanzi nge-hysteroscopy yokuhlinzwa.

Ngaphezu kwalokho, udokotela wezifo zabesifazane angancoma ukusetshenziswa kwemithi ethile ukuqeda izimpawu ngokunciphisa usayizi we-fibroid noma ukopha, ngaphezu kokuthuthukisa izimo ezijwayelekile zowesifazane ukuze ukuhlinza kungangenisi kakhulu.