Izimpawu Nezimpawu Ze-Uterine Fibroids

-Delile

• Yini i-Uterine Fibroids?
• Izimpawu ze-Uterine Fibroid
• Ngabe Ungaqeda i-Uterine Fibroids?
• Uhlelo lwakho lwe-Uterine Fibroid Game
• Buyekeza kwe-

UToya Wright (ongamazi njengonkosikazi kaLil Wayne, ubuntu be-TV, noma umbhali Ngamazwi Ami) uhamba nsuku zonke ezizwa sengathi unezinyanga ezinhlanu ekhulelwe. Yize unamathele ekudleni okunempilo futhi uvusa isinqe sakhe ejimini, leso sisu ngeke sisuke-ngoba sibangelwa yi-uterine fibroids. Abamniki nje umuzwa wokuthi ukhulelwe kuphela, kepha baphinde bachithe ukopha kakhulu nokucinana njalo ngenyanga uma esesikhathini.

Futhi akayedwa. Amaphesenti angama-50 abesifazane azothola ama-uterine fibroids, kusho uYvonne Bohn, MD, ob-gyn eLos Angeles Obstetricians kanye neGynecologists kanye nomkhulumeli weCystex. IHhovisi Lezempilo Yabesifazane lize lilinganisele ukuthi phakathi kwamaphesenti angu-20 nangu-80 abesifazane ayoba nama-fibroids lapho beneminyaka engu-50 ubudala. Naphezu kweqiniso lokuthi le nkinga ithinta ingxenye enkulu kangaka yabantu besifazane, abesifazane abaningi abayazi into yokuqala nge-fibroids. (Futhi, cha, ayifani ne-endometriosis, izinkanyezi ezifana noLena Dunham noJulianne Hough abakhulume ngayo.)

"Bengingazi lutho nge-fibroids ngaleso sikhathi," kusho uWright. "Bekungajwayelekile kimi. Kodwa kuthe lapho sengitholwe nginabo, ngaqala ukukhuluma ngakho kubangani abahlukene namalungu omndeni ngafunda ngakho, ngabona ukuthi kwakujwayelekile impela." (Ngokujulile-ngisho nama-supermodels ayawathola.)

Yini i-Uterine Fibroids?

I-uterine fibroids ukukhula okuvela ezicutshini zemisipha yesibeletho, ngokwe-American Congress of Obstetricians and Gynecologists (ACOG). Zingakhula ngaphakathi komgogodla wesibeletho (lapho kukhula khona umbungu), ngaphakathi kodonga lwesibeletho, emaphethelweni angaphandle odongeni lwesibeletho, noma ngaphandle kwesibeletho futhi zinamathiselwe ngohlaka olufana nesiqu. Yize zivame ukubizwa ngokuthi izicubu, kubaluleke kakhulu ukwazi ukuthi cishe zonke zinobungozi (azinomdlavuza), kusho uDkt. Bohn.

"Ezimweni ezingavamile kakhulu bangaba nomdlavuza, futhi lokho kubizwa ngokuthi yi-leiomyosarcoma," esho. Uma kunjalo, imvamisa ikhula ngokushesha okukhulu, futhi okuwukuphela kwendlela yokwazi ukuthi inomdlavuza noma cha ukuyisusa. Kepha, empeleni, akuvamile kakhulu; kuphela umuntu olinganiselwa ku-1 000 fibroids onomdlavuza, ngokusho kweHhovisi Lezempilo Labesifazane. Futhi ukuba ne-fibroids akubunyusi ubungozi bokuba nomdlavuza we-fibroid noma wokuthola ezinye izinhlobo zomdlavuza esibelethweni.

Njengamanje, asazi ukuthi yini ebangela ama-fibroids-yize i-estrogen iwenza akhule, kusho uDkt. Bohn. Ngaleso sizathu, i-fibroids ingakhula kakhulu ngesikhathi sokukhulelwa futhi imise ukuyeka ukukhula noma ukuncipha ngesikhathi sokuya esikhathini. Ngenxa yokuthi zivame kakhulu, kuyaxaka ukuzibheka njengefa, kusho uDkt. Bohn. Kodwa ukuba namalungu omndeni ane-fibroids kwandisa ubungozi bakho, ngokusho kweHhovisi Lezempilo Labesifazane. Eqinisweni, uma umama wakho ene-fibroids, ingozi yakho yokuba nawo iphakeme ngokuphindwe kathathu kunesilinganiso. Abesifazane base-Afrika-baseMelika nabo banamathuba amaningi okuthuthukisa ama-fibroids, njengabesifazane abakhuluphele.

Izimpawu ze-Uterine Fibroid

Abesifazane bangaba nama-fibroids amaningi amaningi futhi babe nezimpawu zero, noma bangaba ne-fibroid eyodwa encane futhi babe nezimpawu ezesabekayo-konke kuya ngokuthi ikuphi i-fibroid, kusho uDkt. Bohn.

Uphawu lwenombolo eyodwa ukuphuma kwegazi ngokungajwayelekile futhi kusinda kakhulu, usho, okuvame ukuhambisana nokucinana okunzima nokudlulisa amahlule egazi. UWright uthi lesi bekuyisibonakaliso sokuqala sokuthi kukhona okungahambi kahle; ubengakaze abanjwe amajaqamba ngaphambili empilweni yakhe, kodwa ngokuzumayo ubezwa izinhlungu ezibukhali nemijikelezo esindayo kakhulu: "Bengigijima ngamapayipi kanye namathamponi - bekukubi impela," usho kanje.

Uma une-fibroid emgodini wesibeletho, ukuphuma kwegazi kungaba kukhulu kakhulu, ngoba kulapho ulayini wesibeletho wakhela khona futhi uchithe phakathi nesikhathi sakho inyanga ngayinye, kusho uDkt. Bohn. "Noma ngabe i-fibroid incane, uma ikuleyo ndawo engafanele, ungopha kakhulu kuze kufike ezingeni lokuba ne-anemia futhi udinge ukumpontshelwa igazi," esho.

Ama-fibroids amakhulu nawo angadala ubuhlungu ngesikhathi socansi kanye nobuhlungu beqolo. Bangabeka ingcindezi esinyeni noma kunxande, okuholele ekuqunjelweni, noma ukuchama kaningi noma okunzima, kusho uDkt. Abesifazane abaningi bayakhungatheka ukuthi abakwazi ukunciphisa isisu esiswini sabo - kepha empeleni yi-fibroids. Akuvamile ukuthi ama-fibroids amakhulu akhe umuzwa wokuqunjelwa kakhulu, njengoba u-Wright ezwa.

“Ngikwazile ukuzizwa esikhumbeni sami, ngiphinde ngikwazi ukuzibona futhi ngizinyakazise,” usho kanje. "Udokotela wami ungitshele ukuthi isibeletho sami silingana nesowesifazane onezinyanga ezinhlanu ezithwele." Futhi lokhu akulona ihaba; kanti kuyivelakancane, uDkt.Bohn uthi ama-fibroids angakhula abe ngosayizi wekhabe. (Awukukholwa? Vele ufunde indaba yomuntu siqu yowesifazane owayesuswe i-fibroid elilingana nekhabe esibelethweni sakhe.)

Ngabe Ungaqeda i-Uterine Fibroids?

Izinto zokuqala kuqala: Uma une-fibroids encane, ayibangeli zimpawu ezishintsha impilo, noma azikho kunoma yiziphi izikhundla eziyinkinga, ungahle ungadingi ukwelashwa, ngokusho kwe-ACOG. Kepha, ngeshwa, ama-fibroids awasuki awodwa, futhi ngeke anyamalale noma ngabe uzama amakhambi amangaki asezindaweni zasemadolobheni noma udla amakhilogremu amangaki we-kale, kusho uDkt. Bohn.

Emashumini eminyaka adlule, ukwelashwa kwe-fibroid kwakuyi-hysterectomy-ukukhishwa kwesibeletho sakho, kusho uDkt. Bohn. Ngenhlanhla, lokho akusenjalo. Abesifazane abaningi abangenazo izimpawu ezinzima kakhulu bahlala ne-fibroids yabo, futhi bakhulelwe ngempumelelo futhi babe nezingane ngaphandle kwezinkinga, kusho yena. Kodwa konke lokhu kuncike ekutheni i-fibroids yakho ikuphi nokuthi inzima kangakanani. Kwezinye izimo, ama-fibroids angavimba ishubhu le-fallopian, avimbele ukufakelwa, noma avimbe indlela yokuzalwa ngokwemvelo, kusho uDkt. Bohn. Konke kuncike esimweni somuntu ngamunye. (Nakhu konke odinga ukukwazi mayelana nokuzala.)

Namuhla, iningi labesifazane abane-fibroids bahamba ngamaphilisi okulawula ukubeletha anomthamo ophansi noma bathola i-IUD yamahomoni-womabili anciphisa ulwelwesi lwesibeletho, anciphisa ukuphuma esikhathini kanye nezimpawu, kusho uDkt. Bohn. (I-BC iphinde yehlisa ingozi yomdlavuza wesibeletho-yay!) Kunezinye izidakamizwa ezinganciphisa okwesikhashana ama-fibroids, kodwa ngenxa yokuthi zehlisa ukuminyana komnkantsha (ngokuyisisekelo zenza amathambo akho abe buthaka), zike zisetshenziswe isikhathi esifushane. futhi imvamisa ukulungiselela ukulungiselela ukuhlinzwa.

Kunezindlela ezintathu ezihlukene zokuhlinza zokubhekana ne-fibroids, kusho uDkt Bohn. Eyokuqala i-hysterectomy, noma ukususwa kwesibeletho sonke (kwabesifazane abangabatholi abantwana). Okwesibili i-myomectomy, noma ukususwa kwamathumba e-fibroid esibelethweni, ngokuvula isisu noma nge-laparoscopically (lapho bedabula khona i-fibroid ibe yizicucu ezincane ukuze bayisuse emzimbeni). Inketho yesithathu yokuhlinzwa i-myomectomy ye-hysteroscopic, lapho bengasusa khona i-fibroids encane emgodini wesibeletho ngokungena esibelethweni sangasese. Enye indlela yokwelapha inqubo ebizwa ngokuthi i-embolization, lapho odokotela bedlula ngomkhumbi embelekweni futhi balandelele ukutholakala kwegazi ku-fibroid. Babulala ukulethwa kwegazi kulesimila, balinciphise cishe ingxenye eyodwa kwezintathu, kusho uDkt. Bohn.

Iqiniso lokuthi abesifazane bangasuswa i-fibroids yabo ngenkathi begcina isibeletho sabo (nokugcina amandla abo okuba nezingane) kuyinto enkulu-yingakho kubalulekile ukuthi abesifazane bazi izindlela zabo zokwelashwa.

"Abesifazane abaningi engikhulume nabo benze iphutha lokuthi kususwe i-fibroids nge-hysterectomy," kusho uWright. "Lokhu konakalise izimpilo zabo, ngoba manje abasakwazi ukuba nezingane. Leyo bekuyiyona ndlela kuphela abacabanga ukuthi bangazisusa ngayo."

Kunohlangothi olulodwa olukhulu lokususa ama-fibroids kodwa ushiye isibeletho endaweni, noma kunjalo: ama-fibroids angase aphinde avele. "Uma senza i-myomectomy, ngeshwa, aze owesifazane angene esikhathini, kunethuba lokuthi i-fibroids ingabuya," kusho uDkt Bohn.

Uhlelo lwakho lwe-Uterine Fibroid Game

“Uma unalezi zimpawu eziyinqaba, into yokuqala ukwazisa udokotela wakho wezifo zabesifazane,” kusho uDkt. Bohn. "Izinguquko kumjikelezo wakho wokuya esikhathini, amahlwili esikhathini sakho, ukuminyana okukhulu, lokho kuyizimpawu zokuthi kukhona okungahambi kahle." Ukusuka lapho, udokotela wakho uzonquma ukuthi izimbangela zihlelekile yini (njenge-fibroid) noma i-hormonal. Ngenkathi amadokhumenti ezwa amanye ama-fibroids ngesikhathi sokuhlolwa okujwayelekile kwe-pelvic, cishe uzothola i-pelvic ultrasound-ithuluzi lokucabanga elingcono kakhulu lokubheka isibeletho nama-ovari, kusho uDkt Bohn.

Nakuba ungeke ukwazi ukulawula ngokuphelele ukukhula kwama-fibroids, ukuphila impilo enempilo kungasiza ukunciphisa ubungozi bakho; inyama ebomvu ingaxhunyaniswa nengozi ephezulu ye-fibroid, kuyilapho imifino enamaqabunga ingaxhunyaniswa nobungozi obuncane, ngokusho kocwaningo olushicilelwe kumagazini I-Obstetrics kanye ne-Gynecology. Nakuba kusenocwaningo olulinganiselwe mayelana nezici eziyingozi zokuphila kanye ne-uterine fibroids, ukudla izithelo nemifino eminingi, ukuvivinya umzimba njalo, ukunciphisa ukucindezeleka, nokuba nesisindo esinempilo konke kuhlotshaniswa nengozi ephansi ye-fibroids, ngokusho kokubuyekezwa okushicilelwe Ijenali Yezizwe Ngenzalo kanye Nenzalo.

Futhi uma uthola ukuthi une-fibroids, ungadangali.

“Iqiniso liwukuthi zivame kakhulu,” kusho uDkt. Bohn. "Ukuthi unayo akusho ukuthi kubi noma ukuthi kumele uphuthunyiswe ekuhlinzweni. Yazi nje izimpawu nezimpawu ukuze ukwazi ukunakwa uma uneminye yale mizwa engajwayelekile."

Buyekeza kwe-