IMyoma: yini, izimbangela kanye nokwelashwa

-Delile

• Yini ebangela i-fibroids
• Izinhlobo ze-fibroids
• Izimpawu eziyinhloko
• Yelashwa kanjani
• Ingabe i-fibroid yenza ukukhulelwa kube nzima?

I-Myoma wuhlobo lwesimila esiyingozi esakha izicubu zemisipha yesibeletho futhi singabizwa nangokuthi i-fibroma noma i-uterine leiomyoma. Indawo ye-fibroid esibelethweni ingahluka, nobukhulu bayo, okungahle kube ngamehlo amancane noma kube ngamasentimitha amaningana.

Ama-Fibroid ajwayelekile futhi, ezimweni eziningi, awazibangeli izimpawu, kepha abanye besifazane bangabika i-colic, ukopha noma ubunzima bokukhulelwa. Kulezi zimo, ukuqala kokwelashwa kungakhonjiswa ngokuya ngokuqondiswa kwezimpawu zabesifazane kanye nezimpawu ze-fibroid, futhi ukusetshenziswa kwezidakamizwa ukuqeda izimpawu noma ukuhlinzwa ukususa i-fibroid noma isibeletho kunganconywa ezimweni ezinzima kakhulu.

Yini ebangela i-fibroids

I-fibroid ayinayo imbangela esungulwe kahle, kepha ivela lapho amaseli wezicubu zomzimba akha isibeletho ephindaphindeka ngendlela engahlelekile, okuholela ekubukekeni kwesimila. Kungenzeka ukuthi lokhu kwanda okungahambisani kahle nakho kuhlobene nokushintshwa kwama-hormone kowesifazane, ngoba izimpawu zivame ukuvela kubantu besifazane abadala bese zibuyela emuva ngemuva kokuya esikhathini.

Ngaphezu kwalokho, izimpawu ze-fibroid nazo zingavela kaningi kwabesifazane abelashwa i-hormone replacement therapy.

Abesifazane okungenzeka babe ne-fibroids yilabo abangenazo izingane, abadla ukudla okunothe ngenyama ebomvu futhi abanemifino ephansi, abesifazane abakhuluphele nalabo abanomlando womndeni walesi sifo.

Izinhlobo ze-fibroids

I-Myoma ingahlukaniswa ngezinhlobo ezahlukene ngokuya ngendawo lapho ikhula khona esibelethweni, okuyiyona eyinhloko:

• I-Subserous, lapho i-fibroid ikhula engxenyeni engaphandle yesibeletho;
• Kwangaphakathi, lapho livela ngaphakathi kwezindonga zesibeletho;
• Okuthobekile, lapho ikhula engxenyeni yangaphakathi, ngaphakathi komgodi wesibeletho.

Ukwazi uhlobo lwe-fibroid kubalulekile ekuhloleni ubunzima be-fibroid kanye nesidingo sokuqala ukwelashwa kungekudala. Funda kabanzi mayelana nezinhlobo ze-fibroids.

Izimpawu eziyinhloko

Ezimweni eziningi, i-uterine fibroid ayiholeli ekubonakaleni kwezimpawu noma izimpawu, kepha lapho i-fibroid inkulu noma lapho kubonakala imicu eminingi esibelethweni, kungenzeka ukuthi owesifazane aveze ezinye izimpawu ezinjengezikhukhula ezinzima, ubuhlungu ngesikhathi sokuya ocansini, izimpawu zokuqunjelwa kanye nesikhathi eside sokuya esikhathini. Bona ezinye izimpawu ze-uterine fibroids.

Ukuba khona kwe-myoma kuqinisekiswa ngudokotela wezifo zabesifazane, okungenziwa ngokuhlolwa kwe-imaging njenge-ultrasound, hysteroscopy kanye ne-hysterosalpingography, ehlola umgodi wesibeletho. Ngaphezu kwalokho, abesifazane abane-uterine fibroids abafisa ukukhulelwa, noma bengenazo izimpawu, kufanele balandelwe nodokotela wezifo zabesifazane, ngoba ukuba khona kwalesi sifo kungaletha ezinye izinkinga ekukhulelweni, njengokukhipha izisu.

Yelashwa kanjani

Ukwelashwa kukhonjiswa lapho owesifazane enezimpawu ezinamandla, njengobuhlungu obuningi noma ukuya esikhathini okunzima, noma lapho ezama ukukhulelwa ngaphandle kwempumelelo. Uhlobo lwezokwelapha luxhomeke kwizimpawu, usayizi nohlobo lwe-fibroid yowesifazane ngamunye, futhi kufanele luholwe ngudokotela wezifo zabesifazane, okunganconywa:

• Ukusetshenziswa kwama-anti-inflammatories, njenge-Ibuprofen noma iNaproxen: sithuthukisa amajaqamba abamba ukuya esikhathini futhi wehlise ukopha ngokweqile kwe-fibroids;
• Ukusetshenziswa kwamakhambi we-hormonal, njengephilisi: ukusiza ukukhulula ukuqina kokuya esikhathini nokunciphisa usayizi we-fibroid;
• Izithasiselo Zensimbi: ukuvimbela nokwelapha amacala okushoda kwegazi okubangelwa ukopha ngokweqile;
• Ukuhlinzwa, eyaziwa ngokuthi i-myomectomy: isebenza ukukhipha i-fibroid, ngaphandle kokukhipha isibeletho. Isetshenziswa ikakhulukazi lapho i-fibroid icindezela kwezinye izitho noma ibangela izimpawu ezinzima kakhulu;

Ngaphezu kwalokho, lapho i-fibroid inkulu kakhulu, kungadingeka ukunciphisa ubungako bayo ngaphambi kokuhlinzwa, futhi kusetshenziswa inqubo eyaziwa ngokuthi ukuhlanganisa. Kuyo, udokotela, ngenqubo yokuhlinza, wenza imijovo eminingana ne-ejenti ehlanganisayo ihlanjululwe ngokungafani kwe-iodine ngomthambo wesifazane, kuze kube yilapho kuncipha ukugeleza kwegazi komthambo ondla i-fibroid kuyabonakala, kubangele ukufa kwayo.

Lapho owesifazane ene-fibroid futhi engenazo izinhlelo zokukhulelwa, udokotela angancoma ukuthi kususwe isizalo ukuze kuqedwe i-fibroid futhi kuvinjelwe isimila ukuthi sibuye sakhiwe futhi.

Ingabe i-fibroid yenza ukukhulelwa kube nzima?

Abanye besifazane abane-fibroids bangaba nobunzima bokukhulelwa, ngoba ama-fibroids angadala ukukhubazeka okuthile engxenyeni engaphakathi yesibeletho, ngaphezu kwezinguquko ekujikelezeni nasekubonakaleni kokuvuvukala. Kulezi zimo, kungenzeka ukwelashwa ngemithi esekwe kuma-hormone, njenge-estrogens kanye ne-androgens, noma ukuhlinzwa, okuyi-myomectomy noma i-fibroid embolization yokwandisa amathuba okukhulelwa. Bona okuningi mayelana nokwelashwa kwe-fibroids ekukhulelweni.