Zesibeleko fibroids

I-uterine fibroids ngamathumba akhula kwisibeleko sowasetyhini (isibeleko). Oku kukhula kuhlala kungenawo umhlaza (benign).

Isizalo i-fibroids ziqhelekile. Uninzi lwabafazi abahlanu banokuba ne-fibroids ngexesha lokuzala. Isiqingatha sabo bonke abasetyhini sine-fibroids nge-50 yobudala.

I-Fibroids inqabile kubafazi abangaphantsi kweminyaka engama-20. Baqhelekile kubantu base-Afrika baseMelika kunoMhlophe, iSpanish, okanye abafazi baseAsia.

Akukho mntu waziyo kanye ukuba yintoni ebangela i-fibroids. Bacingelwa ukuba babangelwa:

• IiHormone emzimbeni
• Imfuza (inokubaleka kwiintsapho)

I-Fibroids inokuba ncinane kakhulu kangangokuba ufuna imicroscope ukuze uzibone. Zingakhula zibe nkulu kakhulu. Banokugcwalisa isibeleko sonke kwaye banokuba nobunzima beepawundi okanye iikhilogram. Nangona kunokwenzeka ukuba i-fibroid enye ikhule, amaxesha amaninzi kukho engaphezulu kwesinye.

I-Fibroids inokukhula:

• Kwindonga yemisipha yesibeleko (i-myometrial)
• Ngaphantsi kobuso bendawo yesibeleko (i-submucosal)
• Ngaphantsi komgca wangaphandle wesibeleko (i-subserosal)
• Kwisiqu eside ngaphandle kwesibeleko okanye ngaphakathi kwesibeleko (pedunculated)

Iimpawu eziqhelekileyo zesibeleko se-fibroids zezi:

• Ukopha phakathi kwamaxesha
• Ukopha kakhulu ngexesha lakho, ngamanye amaxesha ngamagazi
• Amaxesha anokuhlala ixesha elide kunesiqhelo
• Ufuna ukuvuthwa rhoqo
• Ukunyanzelwa kweepelvic okanye iintlungu ezinamaxesha
• Ukuziva ugcwele okanye uxinzelelo kwisisu sakho esezantsi
• Intlungu ngexesha lokwabelana ngesondo

Rhoqo, unokuba ne-fibroids kwaye ungabinazimpawu. Umboneleli wakho wezempilo unokuzifumana ngexesha lovavanyo lomzimba okanye olunye uvavanyo. I-Fibroids zihlala zincipha kwaye zibangele ukuba kungabikho zimpawu kubafazi abaye bayeka ukuya exesheni. Uphononongo lwamva nje lubonakalisile ukuba ezinye i-fibroids ezincinci ziyancipha kubafazi be-premenopausal.

Umboneleli wakho uya kwenza uvavanyo lwe-pelvic. Oku kunokubonisa ukuba utshintsho kwimo yesibeleko sakho.

I-Fibroids akusoloko kulula ukuyichonga. Ukutyeba kakhulu kunokwenza i-fibroids ibenzima ukuyifumana. Unokulufuna olu vavanyo ukukhangela i-fibroids:

• I-Ultrasound isebenzisa amaza esandi ukwenza umfanekiso wesibeleko.
• I-MRI isebenzisa iimagnethi ezinamandla kunye namaza kanomathotholo ukwenza umfanekiso.
• I-saline infusion sonogram (i-hysterosonography) -I-saline itofelwe kwisibeleko ukwenza kube lula ukubona isibeleko usebenzisa i-ultrasound.
• IHysteroscopy isebenzisa ityhubhu ende, ebhityileyo efakwe kwilungu lobufazi nakwisibeleko ukuvavanya ngaphakathi kwesibeleko.
• I-endometrial biopsy isusa iqhekeza elincinci lesambatho sesibeleko ukujonga umhlaza ukuba wopha ngokungaqhelekanga.

Loluphi uhlobo lonyango onalo ngokuxhomekeke:

• Iminyaka yakho
• Impilo yakho ngokubanzi
• Iimpawu zakho
• Uhlobo lwe-fibroids
• Ukuba ukhulelwe
• Ukuba ufuna abantwana kwixa elizayo

Unyango lweempawu ze-fibroids inokubandakanya:

• Izixhobo zangaphakathi (IUDs) ezikhupha iihormoni ukunceda ukunciphisa ukopha kakhulu kunye neentlungu.
• I-Tranexamic acid yokunciphisa ukuhamba kwegazi.
• Ukuncedisa nge-Iron ukukhusela okanye ukunyanga i-anemia ngenxa yexesha elinzima.
• Ukuthomalalisa iintlungu, ezinje nge-ibuprofen okanye i-naproxen, yeekram okanye iintlungu.
• Ukulinda okubukeleyo-Unokulandela iimviwo zepelvic okanye ii-ultrasound ukujonga ukukhula kwe-fibroid.

Unyango okanye unyango lwehomoni olunokunceda ukunciphisa i-fibroids kubandakanya:

• Iipilisi zolawulo lokuzalwa zokunceda ukulawula amaxesha anzima.
• Uhlobo lwe-IUD olukhupha idosi esezantsi yeprogestin esibelekweni suku ngalunye.
• Ukudubula kwehormone ukunceda ukunciphisa i-fibroids ngokumisa i-ovulation. Rhoqo, olu nyango lusetyenziselwa ixesha elifutshane ukunciphisa i-fibroids ngaphambi kotyando. Zingasetyenziswa ixesha elide xa inani elincinci le-estrogen longezwa emva ukunciphisa iziphumo ebezingalindelekanga.

Ugqirha kunye neenkqubo ezisetyenziselwa ukunyanga i-fibroids zibandakanya:

• IHysteroscopy -Le nkqubo inokususa ii-fibroids ezikhulayo ngaphakathi kwesibeleko.
• Ukupheliswa kwe-Endometrial - Le nkqubo ngamanye amaxesha isetyenziselwa ukunyanga ukopha okunzima okunxulunyaniswa ne-fibroids. Isebenza kakuhle xa ifibroids incinci ngobukhulu. Ihlala iyeka ukuba sexesheni ngokupheleleyo.
• Ukufakelwa komthambo wesibeleko- Le nkqubo iyeka ukunikezelwa kwegazi kwi-fibroid, ebangela ukuba inciphe kwaye ife. Oku kunokuba yinto efanelekileyo ukuba unqwenela ukunqanda utyando kwaye awucwangcisi ukukhulelwa.
• I-Myomectomy-Olu tyando lususa i-fibroids kwisibeleko. Oku kunokuba yinto elungileyo ukuba ufuna ukuba nabantwana. Ayizukuthintela i-fibroids entsha ekukhuleni.
• IHysterectomy-Olu tyando lususa isibeleko ngokupheleleyo. Inokukhetha ukuba awubafuni abantwana, amayeza awasebenzi, kwaye awunakho ukwenza ezinye iinkqubo.

Unyango olutsha, njengokusetyenziswa kwe-ultrasound egxile ekujongeni, ziyavavanywa kwizifundo zeklinikhi.

Ukuba unayo i-fibroids ngaphandle kweempawu, awunakufuna unyango.

Ukuba unayo i-fibroids, inokukhula ukuba ukhulelwe. Oku kungenxa yokonyuka kokuhamba kwegazi kunye namanqanaba aphezulu e-estrogen. I-fibroids ihlala ibuyela kubungakanani bayo bokuqala emva kokuba umntwana wakho ezelwe.

Iingxaki ze-fibroids zibandakanya:

• Intlungu ebuhlungu okanye ukopha kakhulu kufuna utyando olungxamisekileyo.
• Ukujija kwe-fibroid- Oku kunokubangela ukuvalwa kwemithambo yegazi eyondla ithumba. Unokufuna utyando ukuba oku kuyenzeka.
• I-Anemia (ayinazo iiseli ezibomvu zegazi ezaneleyo) ukusuka ekopheni kakhulu.
• Usulelo lwe-Urinary tract - Ukuba i-fibroid icinezela kwisinyi, kunokuba nzima ukukhupha isinyi ngokupheleleyo.
• Ukungachumi, kwiimeko ezinqabileyo.

Ukuba ukhulelwe, kukho umngcipheko omncinci wokuba i-fibroids inokubangela iingxaki:

• Unokuhambisa umntwana wakho kwangethuba kuba akukho ndawo yaneleyo kwisibeleko sakho.
• Ukuba i-fibroid ibhloka umjelo wokuzalwa okanye ibeka umntwana endaweni eyingozi, unokufuna ukuba necandelo le-cesarean (icandelo le-C).
• Unokuba nokopha kakhulu emva nje kokubeleka.

Fowunela umnikezeli wakho ukuba unayo:

• Ukopha kakhulu, ukonyuka kwe-cramping, okanye ukopha phakathi kwexesha
• Ukugcwala okanye ubunzima kwindawo esezantsi esiswini

Ilayomyoma; Fibromyoma; IMyoma; Iifibroids; Ukuphuma kwesibeleko - i-fibroids; Ukopha kwilungu lobufazi - i-fibroids

• I-Hysterectomy - isisu - ukukhutshwa
• I-Hysterectomy-laparoscopic-ukukhutshwa
• I-Hysterectomy - ubufazi-ukukhutshwa
• Ukucola umthambo wesibeleko-ukukhupha

• Iiparvic laparoscopy
• I-anatomy yokuzala yabasetyhini
• Amathumba e-Fibroid
• Isibeleko

I-Dolan MS, iNduli C, iValea FA. Izilonda zeBenign gynecologic: ubufazi, ubufazi, umlomo wesibeleko, isibeleko, i-oviduct, i-ovary, imaging ye-ultrasound yezakhiwo ze-pelvic. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 18.

IMoravek MB, iBulun SE. Zesibeleko fibroids. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 131.

Iintlola JB. Indima yangoku yokubethelelwa kwemithambo yesibeleko kulawulo lweefibroids zesibeleko. Iiklinikhi ze-Obstet Gynecol. Ngo-2016; 59 (1): 93-102. IINKCUKACHA: 26630074 pubmed.ncbi.nlm.nih.gov/26630074/.

Stewart EA. Ukuziqhelanisa neklinikhi. Zesibeleko fibroids. N Engl J Med. Ngo-2015; 372 (17): 1646-1655. IINKCUKACHA: 25901428 pubmed.ncbi.nlm.nih.gov/25901428/.

I-Verpalen IM, i-Anneveldt KJ, iNijholt IM, et al.Unyango lwe-Magnetic resonance-high intensity egxile kwi-ultrasound (MR-HIFU) yonyango lweempawu zesibeleko se-fibroids kunye neenkqubo zonyango ezingathintelekiyo: uphononongo olucwangcisiweyo kunye nohlalutyo lweemeta. I-R J yeRadiol. Ngo-2019; 120: 108700. ikhonkco: 10.1016 / j.ejrad.2019.108700. IINKCUKACHA: 31634683 pubmed.ncbi.nlm.nih.gov/31634683/.