Ongakulindela ku-Myomectomy

-Delile

• Ubani umuntu ofanele ukuqokwa?
• Ukulungiselela kanjani ukuhlinzwa?
• Kwenzekani ngesikhathi senqubo?
• I-myomectomy yesisu
• I-Laparoscopic myomectomy
• I-myomectomy ye-Hysteroscopic
• Kunjani ukululama?
• Iphumelela kangakanani?
• Ziyini izinkinga nobungozi?
• Sizobanjani isibazi?
• Izithombe zezibazi ze-myomectomy
• I-myomectomy izokuthinta kanjani ukukhulelwa okuzayo?
• Yini ongayilindela
• I-Q & A: Izingozi zokukhulelwa ngemuva kwe-myomectomy
• Q:
• A:

Yini i-myomectomy?

I-Myomectomy wuhlobo lokuhlinzwa olusetshenziselwa ukukhipha i-uterine fibroids. Udokotela wakho angancoma lokhu kuhlinzwa uma i-fibroids yakho ibangela izimpawu ezifana nalezi:

• ubuhlungu be-pelvic
• izikhathi ezinzima
• ukopha okungajwayelekile
• ukuchama kaningi

I-myomectomy ingenziwa enye yezindlela ezintathu:

• I-myomectomy yesisu ivumela udokotela ohlinzayo ukuthi asuse ama-fibroids wakho ngokusika okuvulekile esiswini sakho esingezansi.
• I-laparoscopic myomectomy ivumela udokotela wakho ohlinzayo ukuthi asuse ama-fibroids akho ngezicucu eziningana ezimbalwa. Lokhu kungenziwa ngendlela ehlekisayo. Akungeneki kangako futhi ukululama kuyashesha kune-myomectomy yesisu.
• I-myomectomy ye-Hysteroscopic idinga udokotela wakho ohlinzayo ukuthi asebenzise isilinganiso esikhethekile sokususa i-fibroids yakho ngesitho sakho sangasese kanye nomlomo wesibeletho.

Ubani umuntu ofanele ukuqokwa?

I-Myomectomy inketho yabesifazane abane-fibroids abafisa ukukhulelwa ngokuzayo, noma abafuna ukugcina isibeletho sabo ngesinye isizathu.

Ngokungafani ne-hysterectomy, ekhipha sonke isibeletho sakho, i-myomectomy isusa i-fibroids yakho kepha ishiya isibeletho sakho endaweni. Lokhu kukuvumela ukuthi uzame izingane ngokuzayo.

Uhlobo lwe-myomectomy olutuswa udokotela wakho kuncike kubukhulu nendawo yama-fibroids akho:

• I-myomectomy yesisu ingaba ngcono kuwe uma unezintambo eziningi noma ezinkulu kakhulu ezikhula odongeni lwakho lwesibeletho.
• I-laparoscopic myomectomy ingaba ngcono uma unama-fibroids amancane futhi ambalwa.
• I-myomectomy ye-Hysteroscopic ingaba ngcono uma unama-fibroids amancane ngaphakathi kwesibeletho sakho.

Ukulungiselela kanjani ukuhlinzwa?

Ngaphambi kokuba uhlinzwe, udokotela wakho angakunikeza imithi yokwehlisa usayizi we-fibroids yakho futhi wenze kube lula ukuyikhipha.

Ama-agonists akhipha i-Gonadotropin, afana ne-leuprolide (Lupron), yizidakamizwa ezivimba ukukhiqizwa kwe-estrogen ne-progesterone. Bazokufaka esikhathini sokunqamuka kwesikhashana. Uma usuyekile ukuthatha le mithi, isikhathi sakho sokuya esikhathini sizobuya futhi ukukhulelwa kufanele kwenzeke.

Uma uhlangana nodokotela wakho ukwenza inqubo, qiniseka ukuthi ubuza noma imiphi imibuzo onayo mayelana nokulungiselela nokuthi yini ongayilindela ngesikhathi sokuhlinzwa kwakho.

Ungahle udinge ukuhlolwa ukuze uqiniseke ukuthi unempilo eyenele yokuhlinzwa. Udokotela wakho uzonquma ukuthi iziphi izivivinyo ozidingayo ngokuya ngezici zakho zobungozi. Lokhu kungafaka:

• ukuhlolwa kwegazi
• i-electrocardiogram
• Ukuskena kwe-MRI
• i-pelvic ultrasound

Kungadingeka uyeke ukuthatha imishanguzo ethile ngaphambi kwe-myomectomy yakho. Tshela udokotela wakho ngemithi ngayinye oyiphuzayo, kufaka phakathi amavithamini, izithasiselo kanye nemithi ongayisebenzisa. Buza udokotela wakho ukuthi iziphi izidakamizwa ozodinga ukuyeka ukuzisebenzisa ngaphambi kokuhlinzwa kwakho nokuthi kuzodingeka uhlale kude nazo isikhathi esingakanani.

Uma ubhema, yeka amasonto ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlinzwa kwakho. Ukubhema kunganciphisa inqubo yakho yokuphulukisa futhi kwandise ingozi yakho yemicimbi yenhliziyo ngesikhathi sokuhlinzwa kwakho. Cela iseluleko kudokotela wakho ngokuthi ungakuyeka kanjani.

Uzodinga ukuyeka ukudla nokuphuza phakathi kwamabili ebusuku ngaphambi kokuhlinzwa kwakho.

Kwenzekani ngesikhathi senqubo?

Inqubo izohluka ngokuya ngohlobo lwe-myomectomy onayo.

I-myomectomy yesisu

Ngesikhathi sale nqubo, uzobekwa ngaphansi kwe-anesthesia ejwayelekile.

Udokotela wakho ohlinzayo uzoqala enze imbobo esiswini sakho esingezansi esibelethweni sakho. Lokhu kungenziwa ngezindlela ezimbalwa:

• Imbobo evundlile eyi-3 kuye ku-4 inches ubude, ngaphezu kwethambo lakho le-pubic. Lolu hlobo lokusikwa lubangela ubuhlungu obuncane futhi lushiya isibazi esincane kepha kungenzeka lungabi lukhulu ngokwanele ukususa i-fibroids enkulu.
• Ukusikwa okuqondile kusuka ngezansi nje kwenkinobho yakho yesisu kuya ngaphezulu kwethambo lakho le-pubic. Lolu hlobo lwembobo aluvamile ukusetshenziswa namuhla kepha lungasebenza kangcono kuma-fibroids amakhulu futhi lunciphise ukopha.

Lapho sekwenziwe imbobo, udokotela wakho ohlinzayo uzosusa ama-fibroids wakho odongeni lwakho lwesibeletho. Bese bezolungisa izingqimba zemisipha yakho yesibeletho zihlangane.

Iningi labesifazane abanale nqubo bachitha usuku olulodwa kuya kwezintathu esibhedlela.

I-Laparoscopic myomectomy

Ngenkathi ungaphansi kwe-anesthesia ejwayelekile, udokotela wakho ohlinzayo uzokwenza ukusikeka okuncane okune. Lokhu ngakunye kuzoba cishe u-½-intshi ubude esiswini sakho esingezansi. Isisu sakho sizogcwaliswa ngegesi yesikhutha ukuze usize udokotela ohlinzayo abone ngaphakathi kwesisu sakho.

Udokotela ohlinzayo uzobe ebeka i-laparoscope kwesinye sezinto ezisikiwe. I-laparoscope iyishubhu encane, ekhanyisiwe enekhamera ngakolunye uhlangothi. Izinsimbi ezincane zizofakwa kokunye okusikiwe.

Uma ukuhlinzeka kwenziwa ngendlela ehlekisayo, udokotela wakho ohlinzayo uzolawula izinsimbi ukude esebenzisa ingalo eyirobhothi.

Udokotela wakho ohlinzayo angasika ama-fibroids akho abe yizicucu ezincane ukuwasusa. Uma zikhulu kakhulu, udokotela wakho ohlinzayo angashintsha abe yi-myomectomy yesisu futhi enze imbobo enkulu esiswini sakho.

Ngemuva kwalokho, udokotela wakho ohlinzayo uzosusa izinsimbi, akhiphe igesi, avale okusikekile. Iningi labesifazane abanale nqubo bahlala esibhedlela ubusuku obubodwa.

I-myomectomy ye-Hysteroscopic

Uzothola i-anesthetic yendawo noma ubekwe ngaphansi kwe-anesthesia ejwayelekile phakathi nale nqubo.

Udokotela ohlinzayo uzofaka indawo encane, ekhanyisiwe ngesitho sakho sangasese kanye nomlomo wesibeletho esibelethweni sakho. Bazobeka uketshezi esibelethweni sakho ukuze usivule ukuze ubavumele babone i-fibroids yakho ngokucacile.

Udokotela wakho ohlinzayo uzosebenzisa iluphu yocingo ukusika izingcezu ze-fibroid yakho. Ngemuva kwalokho, uketshezi luzogeza izingcezu ezisusiwe ze-fibroid.

Kufanele ukwazi ukuya ekhaya ngosuku olufanayo nokuhlinzwa kwakho.

Kunjani ukululama?

Uzoba nezinhlungu ezithile ngemuva kokuhlinzwa kwakho. Udokotela wakho angakunikeza imithi yokwelapha ukungakhululeki kwakho. Futhi uzoba nokubona izinsuku ezimbalwa kuya emavikini.

Kuzodingeka ulinde isikhathi esingakanani ngaphambi kokuba ubuyele emisebenzini yakho ejwayelekile kuncike ekutheni hlobo luni lwenqubo onayo. Ukuhlinzwa okuvulekile kunesikhathi eside kakhulu sokululama.

Izikhathi zokutakula zenqubo ngayinye yilezi:

• i-myomectomy yesisu: amasonto amane kuya kwayisithupha
• i-laparoscopic myomectomy: amasonto amabili kuya kwamane
• I-myomectomy ye-hysteroscopic: izinsuku ezimbili kuya kwezintathu

Ungaphakamisi noma yini esindayo noma uzivocavoca kanzima kuze kube yilapho izicucu zakho sezilulame ngokuphelele. Udokotela wakho uzokwazisa ukuthi ungabuyela nini kule misebenzi.

Buza udokotela wakho ukuthi kuphephile nini ukuya ocansini. Kungadingeka ukuthi ulinde kuze kube amasonto ayisithupha.

Uma ufuna ukukhulelwa, cela udokotela wakho ukuthi ungaqala nini ngokuphepha ukuzama. Kungase kudingeke ukuthi ulinde izinyanga ezintathu kuya kweziyisithupha ukuze isibeletho sakho silapheke ngokuphelele ngokuya ngohlobo lokuhlinzwa oke waba nalo.

Iphumelela kangakanani?

Iningi labesifazane lithola ukukhululeka ezimpawu ezifana nobuhlungu be-pelvic kanye nokopha okunzima kokuya esikhathini ngemuva kokuhlinzwa kwabo. Kodwa-ke, i-fibroids ingabuya ngemuva kwe-myomectomy, ikakhulukazi kwabesifazane abasebasha.

Ziyini izinkinga nobungozi?

Noma yikuphi ukuhlinzwa kungaba nezingozi, futhi i-myomectomy ayihlukile. Izingozi zale nqubo azivamile, kepha zingabandakanya:

• ukutheleleka
• ukopha ngokweqile
• ukulimala ezithweni eziseduze
• imbobo (ukugcotshwa) esibelethweni sakho
• izicubu ezibomvu ezingavimba ishubhu lakho noma ziholele ezinkingeni zokuzala
• ama-fibroids amasha adinga enye inqubo yokususa

Shayela udokotela wakho uma unezinye zalezi zimpawu ngemuva kwenqubo yakho:

• ukopha kakhulu
• imfiva
• ubuhlungu obukhulu
• inkinga yokuphefumula

Sizobanjani isibazi?

Uma une-myomectomy yesisu, isibazi sakho kungenzeka sibe cishe ngamasentimitha ngaphansi komugqa wakho wezinwele ze-pubic, ngaphansi kwezingubo zangaphansi. Lesi sibazi naso siyaphela ngokuhamba kwesikhathi.

Isibazi sakho singahle sithambe noma sizwakale sikindiki izinyanga ezimbalwa, kepha lokhu kufanele kwehle ngokuhamba kwesikhathi. Khuluma nodokotela wakho uma isibazi sakho siqhubeka sibuhlungu, noma uma sizwela kakhulu. Kwezinye izimo, udokotela wakho angancoma ukuvula kabusha isibazi ukuze sikwazi ukuphola futhi.

Izibazi ezivela ku-myomectomy ye-laparoscopic zingakhombisa uma ugqoke i-bikini ephansi noma i-top eqoshiwe. Lezi zibazi zincane kakhulu kunalezo ezivela ku-myomectomy yesisu futhi kufanele futhi ziphele ngokuhamba kwesikhathi.

Izithombe zezibazi ze-myomectomy

I-myomectomy izokuthinta kanjani ukukhulelwa okuzayo?

Amathuba akho okukhulelwa ancike ohlotsheni nasenombolweni ye-fibroids onayo. Abesifazane abakhishwe ama-fibroids angaphezu kwayisithupha kunabo abasuswe ama-fibroids ambalwa.

Ngoba le nqubo ingasinciphisa isibeletho sakho, kunethuba lokuthi isibeletho sakho singadabula njengoba ukukhulelwa kwakho kuqhubeka noma ngesikhathi sokubeletha. Udokotela wakho kungenzeka ancoma ukuthi uhanjiswe ngokuhlinzwa ukuze uvikele le nkinga. Bangancoma ukuhlela lokhu ngaphambi nje kosuku lwakho olubekiwe.

I-cearean yakho ingakwazi ukwenziwa ngokusebenzisa isiza sakho sokusika se-myomectomy. Lokhu kunganciphisa inani lezibazi onazo.

Yini ongayilindela

Uma une-uterine fibroids edala izimpawu, i-myomectomy ingasetshenziselwa ukuzisusa futhi ukhulule izimpawu zakho. Uhlobo lwenqubo ye-myomectomy onayo incike kubukhulu bama-fibroids akho nokuthi atholakala kuphi.

Khuluma nodokotela wakho ukuthola ukuthi ngabe lokhu kuhlinzwa kulungile kuwe. Qiniseka ukuthi uyaziqonda zonke izinzuzo nezingozi ngaphambi kokuthatha isinqumo sokuqhubeka nenqubo.

I-Q & A: Izingozi zokukhulelwa ngemuva kwe-myomectomy

Q:

Ngabe ukukhulelwa okulandela i-myomectomy kuzobhekwa njengengozi enkulu?

A:

Kunezingozi ezilandela le nqubo, kepha zingaphathwa kahle ngokuxhumana nodokotela wakho. Kufanele wazise udokotela wakho uma ngabe uke waba ne-myomectomy ngaphambi kokukhulelwa. Lokhu kuzobaluleka maqondana nokuthi uletha nini futhi kanjani, okuvame ukunconywa njengengxenye yokuhlinzwa, ukugwema ukusebenza kwesibeletho sakho. Ngoba isibeletho sakho sihlinziwe, kunobuthakathaka obuthile emisipheni yesibeletho. Kufanele wazise udokotela wakho uma unezinhlungu zesibeletho noma ukopha esithweni sangasese ngenkathi ukhulelwe, ngoba lokhu kungaba uphawu lokuqhekeka kwesibeletho.