Ama-Fibroids

-Delile

• Yiziphi izinhlobo ezahlukahlukene ze-fibroids?
• I-fibroids yangaphakathi
• Ama-Subsosal fibroids
• I-fibroids ebunjiwe
• Ama-fibroids angaphansi
• Yini ebangela i-fibroids?
• AmaHormone
• Umlando womndeni
• Ukukhulelwa
• Ngubani osengozini ye-fibroids?
• Ziyini izimpawu ze-fibroids?
• I-fibroids itholakala kanjani?
• I-Ultrasound
• I-MRI yethambo
• Zelashwa kanjani i-fibroids?
• Amakhambi asekhaya kanye nokwelashwa kwemvelo
• Imithi
• Ukuhlinzwa
• Izinqubo ezingahlaseli noma ezingezinhle neze
• Yini engalindelwa esikhathini eside esizayo?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini ama-fibroids?

Ama-Fibroids ukukhula okungajwayelekile okukhula ngaphakathi noma esibelethweni sowesifazane. Kwesinye isikhathi lezi zicubu ziba zikhulu impela futhi zidale ubuhlungu obukhulu besisu nezikhathi ezinzima. Kwezinye izimo, azibangeli zimpawu noma zimpawu nhlobo. Ukukhula kuvame ukuba nobungozi, noma kungabi nomdlavuza. Imbangela ye-fibroids ayaziwa.

I-Fibroids yaziwa nangamagama alandelayo:

• leiomyoma
• i-myomas
• ama-myoma wesibeletho
• i-fibromas

Ngokwe-Office on Women’s Health, abesifazane banabo beneminyaka engama-50. Kodwa-ke, iningi labesifazane alinazo izimpawu futhi kungenzeka lingazi ukuthi linama-fibroids.

Yiziphi izinhlobo ezahlukahlukene ze-fibroids?

Uhlobo lwe-fibroid olwenziwa ngowesifazane kuncike endaweni yalo ngaphakathi noma esibelethweni.

I-fibroids yangaphakathi

I-fibroids yangaphakathi yohlobo oluvame kakhulu lwe-fibroids. Lezi zinhlobo zivela ngaphakathi kodonga lwemisipha lwesibeletho. Ama-fibroids angaphakathi angakhula abe manzi futhi angakwazi ukwelula isibeletho sakho.

Ama-Subsosal fibroids

Ifomu le-Subserosal fibroids ngaphandle kwesibeletho sakho, elibizwa nge-serosa. Zingakhula ngokwanele ukwenza isibeletho sakho sibonakale sikhulu ngakolunye uhlangothi.

I-fibroids ebunjiwe

Izicubu ezisezingeni eliphansi zingakha isiqu, isisekelo esincane esisekela isimila. Uma bekwenza, baziwa njenge-pedunculated fibroids.

Ama-fibroids angaphansi

Lezi zinhlobo zamathumba zikhula kungqimba oluphakathi kwemisipha, noma i-myometrium, yesibeletho sakho. Izicubu ze-Submucosal azivamile njengezinye izinhlobo.

Yini ebangela i-fibroids?

Akucaci ukuthi kungani i-fibroids ikhula, kepha kunezici eziningana ezingathinta ukwakheka kwazo.

AmaHormone

I-Estrogen ne-progesterone ngama-hormone akhiqizwa ama-ovari. Zibangela ukuthi ulwelwesi lwesibeletho luvuselele kabusha phakathi nomjikelezo ngamunye wokuya esikhathini futhi kungakhuthaza ukukhula kwe-fibroids.

Umlando womndeni

Ama-Fibroids angahle asebenze emndenini. Uma umama wakho, udadewenu, noma ugogo wakho enomlando walesi simo, nawe ungasithuthukisa.

Ukukhulelwa

Ukukhulelwa kwandisa ukukhiqizwa kwe-estrogen ne-progesterone emzimbeni wakho. I-Fibroids ingahle ikhule futhi ikhule ngokushesha ngenkathi ukhulelwe.

Ngubani osengozini ye-fibroids?

Abesifazane basengozini enkulu yokuthuthukisa i-fibroids uma benesici esisodwa noma eziningi ezilandelayo:

• ukukhulelwa
• umlando womndeni we-fibroids
• uneminyaka engama-30 noma ngaphezulu
• I-African-American
• isisindo somzimba esiphakeme

Ziyini izimpawu ze-fibroids?

Izimpawu zakho zizoya ngenani lezimila onazo kanye nendawo ezikuyo nosayizi wazo. Isibonelo, i-submucosal fibroids ingadala ukopha okukhulu kokuya esikhathini kanye nenkinga yokukhulelwa.

Uma isimila sakho sincane kakhulu noma udlula esikhathini sokuya esikhathini, ungahle ungabi nazimpawu. Ama-Fibroids angancipha ngesikhathi nangemva kokunqamuka kokuya esikhathini. Lokhu kungenxa yokuthi abesifazane abaya esikhathini bayabhekana nokwehla kwamazinga abo e-estrogen ne-progesterone, amahomoni akhuthaza ukukhula kwe-fibroid.

Izimpawu ze-fibroids zingafaka:

• ukopha kakhulu phakathi noma ngezikhathi zakho okubandakanya amahlule egazi
• ubuhlungu okhalweni noma emhlane ongezansi
• ukunyuka kokuya esikhathini
• ukwanda kokuchama
• ubuhlungu ngesikhathi sokuya ocansini
• ukuya esikhathini okuhlala isikhathi eside kunokujwayelekile
• ingcindezi noma ukugcwala esiswini sakho esingezansi
• ukuvuvukala noma ukukhulisa isisu

I-fibroids itholakala kanjani?

Ukuze uthole ukuxilongwa okufanele, uzodinga ukubona udokotela wezifo zabesifazane ukuthola ukuhlolwa kwe-pelvic. Lokhu kuhlolwa kusetshenziselwa ukuhlola isimo, ubukhulu, nokuma kwesibeletho sakho. Ungadinga ezinye izivivinyo, ezibandakanya:

I-Ultrasound

I-ultrasound isebenzisa amaza omsindo wemvamisa ephezulu ukukhiqiza izithombe zesibeletho sakho esibukweni. Lokhu kuzovumela udokotela wakho ukuthi abone ukwakheka kwayo kwangaphakathi nanoma imiphi imicu ekhona. I-ultrasound engaphandle, lapho kufakwa khona induku ye-ultrasound esithweni sangasese, ingahlinzeka ngezithombe ezicacile ngoba isondele esibelethweni ngesikhathi sale nqubo.

I-MRI yethambo

Lokhu kuhlolwa kwe-imaging okujulile kuveza izithombe zesibeletho sakho, ama-ovari, nezinye izitho ze-pelvic.

Zelashwa kanjani i-fibroids?

Udokotela wakho uzokwakha uhlelo lokwelashwa ngokuya ngeminyaka yakho, ubukhulu bama-fibroids akho, nempilo yakho yonke. Ungathola inhlanganisela yokwelashwa.

Amakhambi asekhaya kanye nokwelashwa kwemvelo

Amakhambi athile asekhaya kanye nokwelashwa kwemvelo kungaba nomthelela omuhle kuma-fibroids, kufaka phakathi:

• ukutshopa
• i-yoga
• ukubhucungwa umzimba
• I-Gui Zhi Fu Ling Tang (GFLT), ifomula yendabuko yamaShayina
• ukufaka ukushisa kwamajaqamba (gwema ukushisa uma uvuza igazi kakhulu)

Izinguquko zokudla zingasiza futhi. Gwema inyama nokudla okunama-kilojoule amaningi. Esikhundleni salokho, khetha ukudla okunama-flavonoid amaningi, imifino eluhlaza, itiye eliluhlaza, nezinhlanzi ezinamanzi abandayo njenge-tuna noma i-salmon.

Ukuphatha amazinga akho okuxineka nokulahlekelwa isisindo uma ukhuluphele kungasiza nabesifazane abane-fibroids.

Imithi

Imithi yokulawula amazinga akho e-hormone ingahle inqunyelwe ukunciphisa i-fibroids.

Ama-agonists akhipha i-Gonadotropin (GnRH), afana ne-leuprolide (Lupron), azobangela ukuthi amazinga akho e-estrogen ne-progesterone ehle. Lokhu ekugcineni kuzomisa ukuya esikhathini futhi kunciphise ama-fibroids.

Abamelene ne-GnRH nabo bayasiza ukunciphisa imicu ye-fibroids. Basebenza ngokumisa umzimba wakho ekukhiqizeni i-follicle-stimulating hormone (FSH) ne-luteinizing hormone (LH). Izibonelo zifaka:

• i-ganirelix acetate, umuthi ojojoweyo
• i-cetrorelix acetate (Cetrotide), isidakamizwa esingajova
• i-elagolix, ekhona emuthini wezidakamizwa ngomlomo elagolix / estradiol / norethindrone acetate (Oriahnn)

Ezinye izinketho ezingasiza ukulawula ukopha nobuhlungu, kepha ngeke zinciphise noma zisuse i-fibroids, zifaka:

• i-intrauterine device (IUD) ekhipha i-hormone progestin
• i-over-the-counter (OTC) eqeda ukuqaqanjelwa kobuhlungu, njenge-ibuprofen (Advil)
• amaphilisi okuvimbela inzalo

Ukuhlinzwa

Ukuhlinzwa ukususa ukukhula okukhulu kakhulu noma okuningi kungenziwa. Lokhu kwaziwa njenge-myomectomy. I-myomectomy yesisu ifaka phakathi ukwenza isisu esikhulu esiswini ukufinyelela esibelethweni nokususa i-fibroids. Ukuhlinzwa kungenziwa futhi nge-laparoscopically, kusetshenziswa izindlela ezimbalwa ezincane lapho kufakwa khona amathuluzi okuhlinza nekhamera. Ama-Fibroids angakhula emuva ngemuva kokuhlinzwa.

Uma isimo sakho siba sibi, noma uma kungekho okunye ukwelashwa okusebenzayo, udokotela wakho angenza i-hysterectomy. Kodwa-ke, lokhu kusho ukuthi ngeke ukwazi ukuzala izingane ngokuzayo.

Izinqubo ezingahlaseli noma ezingezinhle neze

Inqubo yokuhlinza entsha futhi engahlaseli ngokuphelele iphoqelelwa ukuhlinzwa kwe-ultrasound (FUS). Ulele phansi ngaphakathi komshini okhethekile we-MRI ovumela odokotela ukuba babone ingaphakathi lesibeletho sakho ngeso lengqondo. Amagagasi omsindo anamandla amakhulu, amaza aphakeme kakhulu aqondiswa kuma-fibroids ukuze awaqede, noma awabhubhise.

Izinqubo ze-Myolysis (njenge-Acessa) zinciphisa ama-fibroids zisebenzisa imithombo yokushisa njengamandla kagesi noma i-laser, kuyilapho i-cryomyolysis iqina ama-fibroids. Ukukhishwa kwe-Endometrial kufaka ukufaka insimbi ekhethekile esibelethweni sakho ukubhubhisa ulwelwesi lwesibeletho usebenzisa ukushisa, amandla kagesi, amanzi ashisayo, noma amakhaza amakhulu.

Enye indlela engeyona eyokuhlinza ukuhlanganiswa komthambo wesibeletho. Kule nqubo, izinhlayiya ezincane zifakwa esibelethweni ukuze kunqunywe ukunikezwa kwegazi kwe-fibroids.

Yini engalindelwa esikhathini eside esizayo?

Ukubikezelwa kwakho kuzoya ngosayizi nendawo yama-fibroids akho. Ama-Fibroids kungenzeka angadingi ukwelashwa uma emancane noma engazivezi izimpawu.

Uma ukhulelwe futhi une-fibroids, noma ukhulelwa futhi une-fibroids, udokotela wakho uzoqapha ngokucophelela isimo sakho. Ezimweni eziningi, i-fibroids ayibangeli izinkinga ngesikhathi sokukhulelwa. Khuluma nodokotela wakho uma ulindele ukukhulelwa futhi ube ne-fibroids.