Ukudityaniswa komthambo wesibeleko

Ukubetheka komthambo wesibeleko (i-UAE) yinkqubo yokunyanga ii-fibroids ngaphandle kotyando. I-uterine fibroids ngamathumba angenabungozi (benign) akhula kwisibeleko (isibeleko).

Ngexesha lenkqubo, ukunikezelwa kwegazi kwi-fibroids kunqunyanyisiwe. Oku kubangela ukuba i-fibroids iyancipha.

I-UAE yenziwa ngugqirha obizwa ngokuba yi-radiologist engenelelayo.

Uya kuvuka, kodwa akuyi kuva zintlungu. Oku kubizwa ngokuba kukuzihlaziya. Inkqubo ithatha iiyure ezi-1 ukuya kwezi-3.

Inkqubo ihlala isenziwa ngale ndlela:

• Ufumana umthomalalisi. Eli yeza likwenza ukhululeke kwaye ulale.
• I-painkiller yendawo (i-anesthetic) isetyenziswe kwesikhumba malunga ne-groin yakho. Oku kuyandandisela indawo ukuze ungaziva zintlungu.
• I-radiologist yenza ukusika okuncinci (ukusika) kulusu lwakho. Umbhobho omncinci (i-catheter) ufakwa kumthambo wakho wobufazi. Lo mthambo uphezulu kumlenze wakho.
• I-radiologist ifaka i-catheter kumthambo wakho wesibeleko. Lo mthambo unika igazi isibeleko.
• Iiplastikhi ezincinci okanye amasuntswana e-gelatin afakwa nge-catheter kwimithambo yegazi ebonelela ngegazi kwi-fibroids. La masuntswana athintela ukunikezelwa kwegazi ukuya kwimithambo encinci ehambisa igazi kwiifibroids. Ngaphandle kolu nikezelo lwegazi, ii-fibroids ziyancipha zize zife.
• I-UAE yenziwa kwimithambo yesibeleko sakho sasekhohlo nasekunene ngohlobo olufanayo. Ukuba iyafuneka, ngaphezulu kwe-1 fibroid iyanyangwa.

I-UAE yindlela esebenzayo yokunyanga iimpawu ezibangelwa ziindidi ezithile zefibroids. Xoxa nomboneleli wakho wezempilo ukuba ingaba le nkqubo inokuphumelela kuwe.

Abasetyhini abane-UAE banokuthi:

• Unempawu ezibandakanya ukopha, ukubala kwegazi okuphantsi, iintlungu zangasese okanye uxinzelelo, ukuvuka ebusuku ukuze uchame, kunye nokuqunjelwa
• Sele ndizamile amayeza okanye iihomoni ukunciphisa iimpawu
• Ngamanye amaxesha une-UAE emva kokubeleka ukunyanga ukopha okunzima kakhulu kwilungu lobufazi

I-UAE ikhuselekile ngokubanzi.

Umngcipheko wayo nayiphi na inkqubo engenayo yile:

• Ukopha
• Impendulo embi kwi-anesthetic okanye kwiyeza elisetyenziswayo
• Usulelo
• Ukuthuthuzela

Umngcipheko we-UAE zezi:

• Ukonzakala kwimithambo okanye kwisibeleko.
• Ukusilela ukunciphisa i-fibroids okanye ukunyanga ngokufanelekileyo iimpawu.
• Iingxaki ezinokwenzeka ngokukhulelwa okuzayo. Abasetyhini abafuna ukukhulelwa kufuneka baxoxe ngononophelo ngale nkqubo kunye nomnikezeli wabo, kuba oko kunganciphisa amathuba okukhulelwa ngempumelelo.
• Ukungabikho kwexesha lokuya esikhathini.
• Iingxaki ngokusebenza kwe-ovari okanye ukuya exesheni ngaphambi kwexesha.
• Ukusilela ukuxilonga kunye nokususa uhlobo olunqabileyo lomhlaza olunokuthi lukhule kwi-fibroids (leiomyosarcoma). Uninzi lwe-fibroids alunomdlavuza (ubungozi), kodwa i-leiomyosarcomas ivela kwinani elincinci le-fibroids. Ukudityaniswa akuyi kuyinyanga okanye ukuyixilonga le meko kwaye kunokukhokelela kulibaziseko lokuchongwa, kwaye kunokuba sisiphumo esibi xa sinyangiweyo.

Soloko uxelela umboneleli wakho:

• Ukuba unokukhulelwa, okanye uceba ukukhulelwa kwixa elizayo
• Ngawaphi amayeza owathathayo, kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo

Phambi kwe-UAE:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nawaphi na amanye amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye.
• Buza ugqirha wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngemini yotyando lwakho.
• Ukuba uyatshaya, zama ukuyeka. Umboneleli wakho unokukunika ingcebiso kunye nolwazi ukukunceda uyeke.

Ngomhla we-UAE:

• Unokucelwa ukuba ungaseli okanye ungatyi nantoni na kwiiyure ezi-6 ukuya kwezi-8 ngaphambi kwale nkqubo.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Fika ngexesha esibhedlele ngokomyalelo.

Ungahlala esibhedlele ubusuku bonke. Okanye ungagoduka kwangolo suku.

Uya kufumana iyeza lentlungu. Uya kuyalelwa ukuba ulale phantsi iiyure ezi-4 ukuya kwezi-6 emva kwenkqubo.

Landela nayiphi na enye imiyalelo malunga nokuzikhathalela emva kokuba ugodukile.

Ukumodareyitha ukuya kubukrakra kwesisu kunye neentsika zesisu ziqhelekile kwiiyure zokuqala ezingama-24 emva kwenkqubo. Banokuhlala iintsuku ezimbalwa ukuya kwiiveki ezi-2. Iicramps zinokuba nzima kwaye zingadlula ngaphezulu kweeyure ezingama-6 ngexesha.

Uninzi lwabasetyhini luyachacha ngokukhawuleza kwaye bayakwazi ukubuyela kwimisebenzi yesiqhelo kwiintsuku ezisi-7 ukuya kwezi-10. Ngamanye amaxesha iinxalenye zethishu ephathwayo ye-fibroid zinokudlula kwilungu lobufazi.

I-UAE isebenza kakuhle ukunciphisa iintlungu, uxinzelelo kunye nokopha kwiifibroids kuninzi lwabasetyhini abanenkqubo.

I-UAE ayingenisi kangako kunonyango lonyango lwe-uterine fibroids. Abasetyhini abaninzi banokubuyela ngokukhawuleza kwimisebenzi kunasemva kotyando.

Uninzi lwezifundo lubonisa ukuba abanye abantu basetyhini bafuna iinkqubo ezongezelelweyo zokunyanga ngokupheleleyo iimpawu zabo. Ezi nkqubo zibandakanya i-hysterectomy (utyando lokususa isibeleko), i-myomectomy (utyando lokususa i-fibroid) okanye ukuphinda i-UAE.

Ukuqunjelwa kwesibeleko; UFE; I-UAE

• Ukucola umthambo wesibeleko-ukukhupha

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 i-JB, iCzeyda-Pommersheim F.Uterine fibroid embolization. Ku: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, ii-eds. Ungenelelo olukhokelwa ngumfanekiso. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 76.