Ukuyeka ukuya exesheni kuchaphazela njani uphawu lwefibroid kunye nophuhliso?

Umxholo

• I-Fibroids kunye neehomoni zakho
• Imiba yomngcipheko kwiifibroids
• Iimpawu
• Ukunyanga i-fibroids emva kokuyeka ukuya exesheni
• Unyango lwehormonal
• Myomectomy
• Uhlobo lweHysterectomy
• Olunye unyango
• Imbonakalo

Ushwankathelo

I-uterine fibroids, ekwabizwa ngokuba yi-fibroids okanye i-leiomyomas, ngamathumba amancinci akhula eludongeni lwesibeleko sowasetyhini. Ezi tumors zinobungozi, oko kuthetha ukuba abanawo umhlaza. Nangona kunjalo, banokubangela iintlungu kunye nezinye iimpawu ezingathandekiyo.

I-Fibroids zezona ntlobo zixhaphakileyo zamathumba anobungozi kwabasetyhini. Zikhula rhoqo kubasetyhini abakwiminyaka yokuzala. Ungaqhubeka nokuzifumana ngexesha nasemva kokuyeka ukuya exesheni- okanye nokuba uziphuhlise okokuqala ngeli nqanaba lobomi.

Funda ngakumbi malunga ne-fibroids kunye nekhonkco labo ukuya exesheni.

I-Fibroids kunye neehomoni zakho

Iihomoni ze-estrogen kunye neprogesterone zinokunyusa umngcipheko we-fibroids. Ngexesha lokuyeka ukuya exesheni, umzimba wakho uvelisa i-estrogen encinci kunye neprogesterone. Ngenxa yoko, umngcipheko we-fibroids entsha uyancipha.

Ukwehla kwamanqanaba ehomoni kunokunceda ukubakho kwe-fibroids esele ikho kunciphise ubungakanani.

Imiba yomngcipheko kwiifibroids

Eminye imingcipheko inokunyusa ithuba lakho lokuphuhlisa i-fibroids. Ziquka:

• uxinzelelo lwegazi (uxinzelelo lwegazi)
• amanqanaba aphantsi e-vitamin D
• Imbali yosapho ye-fibroids
• ukutyeba kakhulu
• akukho mbali yokukhulelwa
• ixesha elide, uxinzelelo olugqithisileyo

Abasetyhini abangaphezu kweminyaka engama-40 kunye nabasetyhini base-Afrika baseMelika nabo basemngciphekweni omkhulu we-fibroids.

Iimpawu

I-Fibroids inokuchaphazela ama-premenopausal kunye ne-postmenopausal yabasetyhini ngeendlela ezahlukeneyo. Ngokuqhelekileyo, abafazi be-premenopausal bavame ukuba neempawu ezinzima.

Ngamanye amaxesha akukho zimpawu zefibroids kwaphela. Umboneleli wakho wezempilo unokufumana i-fibroids ngexesha lovavanyo lwepelvic lonyaka.

Abasetyhini, nokuba ngaba yi-premenopausal okanye i-postmenopausal, banokufumana ezi mpawu zilandelayo ze-fibroid:

• ukopha kakhulu
• ukubonwa rhoqo
• i-anemia yokulahleka okukhulu kwegazi
• ukuxinana nokuya exesheni
• ukugcwala esiswini esisezantsi
• ukudumba kwesisu
• iintlungu ezisezantsi
• ukuchama rhoqo
• ukungakwazi ukuzibamba okanye ukuvuza komchamo
• iintlobano zesini ezibuhlungu
• ifiva
• isicaphucaphu
• intloko ebuhlungu

I-fibroid okanye iqoqo le-fibroids elityhalela eludongeni lwesibeleko kunokubangela ngokuthe ngqo uninzi lwezi mpawu. Umzekelo, uxinzelelo oluvela kwi-fibroids kwisinyi sakho kunokubangela ukuchama rhoqo.

Ukunyanga i-fibroids emva kokuyeka ukuya exesheni

I-Fibroids kunokuba nzima ukuyilungisa.

Iipilisi zolawulo lokuzalwa njengangoku lonyango olukhethiweyo lweziyobisi. Umboneleli wakho wezempilo unokucebisa ukususwa kotyando lwefibroids yakho, eyinkqubo eyaziwa ngokuba yi-myomectomy. I-hysterectomy, okanye ukususwa ngotyando kwesibeleko sakho, kunokuqwalaselwa.

Unyango lwehormonal

Iipilisi zolawulo lokuzalwa yenye yeendlela ezinokwenzeka zokulawula iimpawu ezinjengeentlungu kunye nokopha okungaphezulu. Nangona kunjalo, abayi kunciphisa i-fibroids okanye babangele ukuba bahambe.

Kukho ubungqina bokuxhasa ukusetyenziswa kwendibaniselwano kunye neeprogesin kuphela iipilisi zokulawula ukuzalwa kwe-fibroids. Iprogesins zinokunciphisa ezinye iimpawu zokuyeka ukuya exesheni kwaye zenze ukuba unyango lwehomoni lubambe ngakumbi.

Olunye unyango lwehomoni oluya kuphelisa iintlungu nokopha lubandakanya inaliti yeprogestin kunye nezixhobo ze-intrauterine (IUDs) ezinee-progestins.

Myomectomy

Ngamanye amaxesha i-myomectomy yenziwa ngaphambi kokuba kuqwalaselwe i-hysterectomy. Iithagethi ze-Myomectomy zisusa ukususwa kwe-fibroid kwaye ayifuni ukususwa kwesibeleko sakho.I-Myomectomies inokwenziwa ngeendlela ezahlukeneyo, kuxhomekeke kwindawo ekuyo i-fibroids.

Ukuba ubuninzi be-fibroid bungaphakathi kwisisu se-uterine, olu tyando lunokwenziwa nge-hysteroscopically (ngoncedo lwetyhubhu encinci, ekhanyisiweyo).

Ngamanye amaxesha, umboneleli wakho wezempilo uza kwenza isisu kwisisu sakho esezantsi. Ubungakanani kunye nendawo yokutsalwa kufana nokusikwa okusetyenziselwa ukuhanjiswa kwe-cearean. Ukuchacha ngokupheleleyo kuya kuthatha iiveki ezi-4 ukuya kwezi-6. Le ndlela ayiqhelekanga njengezinye.

Umboneleli wakho wezempilo unokukwazi ukwenza utyando nge-laparoscopically. Ngexesha lotyando lwe-laparoscopic, kusenziwa into encinci. Ixesha lokufumana kwakhona utyando lwe-laparoscopic lifutshane, kodwa olu hlobo lotyando luhlala lucetyiswa kuphela kwiifibroids ezincinci.

Ukuba i-fibroids ibuya ilandela i-myomectomy, ugqirha wakho unokucebisa nge-hysterectomy.

Uhlobo lweHysterectomy

Kwiimpawu ezinzima ezinxulumene ne-fibroids enkulu, ephindaphindiweyo, i-hysterectomy ingaba yindlela efanelekileyo. Kule hlobo lokuhlinzwa, umboneleli wakho wezempilo ususa yonke into okanye inxalenye yesibeleko sakho.

Ii-Hysterectomies zinokucetyiswa kwabasetyhini aba:

• zikufutshane nokuyeka ukuya exesheni
• Sele benesifo sokuyeka ukuya exesheni
• ine-fibroids ezininzi
• ine-fibroids enkulu kakhulu
• bazamile unyango oluninzi, bafuna olona nyango luqinisekileyo, kwaye abanazicwangciso zokuba nabantwana kwixa elizayo

Zintathu iintlobo ze-hysterectomy:

• Itotali Kolu tyando, umboneleli wakho wezempilo ususa sonke isibeleko sakho kunye nomlomo wesibeleko. Ngamanye amaxesha, banokucebisa ukuba ususe iityhubhu zakho zokuba lilungu lomzimba. Olu khetho lunokuba lolona lulungileyo ukuba unamaqela amakhulu, asasazekileyo e-fibroid.
• Inxalenye / ubuncinci. Ngolu tyando, kuphela isibeleko sakho esingasentla esisusiweyo. Umboneleli wakho wezempilo unokucebisa olu khetho ukuba ngaba i-fibroids yingxaki ephindaphindayo kulo mmandla wesibeleko sakho. Oku kunokuqinisekiswa ngovavanyo lwe-imaging.
• Ngokugqibeleleyo. Le yeyona fomu ibaluleke kakhulu ye-hysterectomy, kwaye kunqabile ukuba isetyenziswe kunyango lwe-fibroids. Ngamanye amaxesha kunconyelwa imihlaza ethile yamanina. Ngolu tyando, ugqirha ususa isibeleko sakho, ubufazi obungaphezulu, umlomo wesibeleko, kunye neparametria (izicubu ezijikeleze isibeleko kunye nelungu lobufazi).

I-hysterectomy kuphela kwendlela yokunyanga ngokupheleleyo i-fibroids. Kunyaka ngamnye, yiya kolunye utyando ukuze ufumane isiqabu se-fibroid.

Ngokubambisana, wena kunye nomboneleli wakho wezempilo unokugqiba ukuba ngaba olu tyando luya kuba lolona nyango lulungileyo lwe-fibroid kuwe.

Olunye unyango

Olunye unyango olunokubakho lwabasetyhini okanye i-postmenopausal yabasetyhini lubandakanya ezi nkqubo zingangenisiyo okanye zincinci:

• Unyango, apho i-fibroids kunye nemithambo yegazi yazo itshatyalaliswa ngobushushu okanye ngombane; Umzekelo omnye yinkqubo eyaziwa ngokuba yiAcessa
• Utyando olunyanzelekileyo lwe-ultrasound (FUS), esebenzisa amandla aphakamileyo, isandi samaza aphakamileyo ukuze atshabalalise i-fibroids
• ukupheliswa kokuphela, esebenzisa iindlela ezinjengobushushu, umbane, amanzi ashushu, okanye ukubanda kakhulu ukutshabalalisa ungqameko lwesibeleko
• Ukudityaniswa komthambo wesibeleko, ecutha ukunikezelwa kwegazi kwii-fibroids

Imbonakalo

I-Fibroids ixhaphake kakhulu kubafazi be-premenopausal, kodwa unokukhulisa i-fibroids ngexesha lokuya exesheni.

Thetha nomboneleli wakho wezempilo malunga neendlela onokuthi ulawule iimpawu ze-fibroid kunye nokuba ngaba utyando lukhetho olufanelekileyo kuwe. I-Fibroids engabangeli naziphi na iimpawu isenokungafuni naluphi na unyango kwaphela.