Yintoni ongayilindela kwi-Myomectomy

Umxholo

• Ngubani umgqatswa olungileyo?
• Ulungiselela njani uqhaqho?
• Kwenzeka ntoni ngexesha lenkqubo?
• I-myomectomy yesisu
• I-Laparoscopic myomectomy
• I-myomectomy yeHysteroscopic
• Kunjani ukuchacha?
• Isebenza kangakanani?
• Zithini iingxaki kunye neengozi?
• Buza kuba njani isiva?
• Imifanekiso yezikrakra ze-myomectomy
• Ngaba i-myomectomy iyakuchaphazela njani ukukhulelwa kwangomso?
• Yintoni onokuyilindela
• I-Q & A: Umngcipheko wokukhulelwa emva kwe-myomectomy
• Q:
• A:

Yintoni i-myomectomy?

I-Myomectomy luhlobo lotyando olusetyenziselwa ukususa i-uterine fibroids. Ugqirha wakho unokulucebisa olu tyando ukuba i-fibroids yakho ibangela iimpawu ezinje:

• iintlungu zangasese
• amaxesha anzima
• ukopha ngokungaqhelekanga
• ukuchama rhoqo

I-myomectomy inokwenziwa yenye yeendlela ezintathu:

• I-myomectomy yesisu ivumela ugqirha wakho ukuba asuse i-fibroids yakho ngokusika okuvulekileyo esiswini sakho.
• I-Laparoscopic myomectomy ivumela ugqirha wakho wotyando ukuba asuse i-fibroids yakho ngeendlela ezimbalwa ezincinci. Oku kunokwenziwa ngokurhabaxa. Ngaphantsi kokungenelela kunye nokuchacha ngokukhawuleza kunokuba kune-myomectomy yesisu.
• I-mysterctomy ye-Hysteroscopic ifuna ugqirha wakho ukuba asebenzise umda okhethekileyo wokususa i-fibroids yakho kwilungu lakho lobufazi kunye nomlomo wesibeleko.

Ngubani umgqatswa olungileyo?

I-Myomectomy lukhetho lwabasetyhini abane-fibroids abanqwenela ukukhulelwa kwixa elizayo, okanye abafuna ukugcina isibeleko sabo ngesinye isizathu.

Ngokungafaniyo ne-hysterectomy, ekhupha isibeleko sakho sonke, i-myomectomy isusa i-fibroids yakho kodwa ishiye isibeleko sakho endaweni. Oku kukuvumela ukuba uzame abantwana kwixa elizayo.

Uhlobo lwe-myomectomy ekucetyiswa ngugqirha luxhomekeke kubungakanani kunye nendawo ye-fibroids yakho:

• I-myomectomy yesisu ingangcono kuwe ukuba une-fibroids eninzi okanye enkulu kakhulu ekhula eludongeni lwakho lwesibeleko.
• I-Laparoscopic myomectomy inokuba ngcono ukuba une-fibroids encinci kunye nembalwa.
• I-myomectomy ye-Hysteroscopic inokuba ngcono ukuba une-fibroids encinci ngaphakathi kwesibeleko sakho.

Ulungiselela njani uqhaqho?

Ngaphambi kokuba wenze utyando, ugqirha wakho unokukunika amayeza ukunciphisa ubungakanani be-fibroids yakho kwaye ubenze kube lula ukuyisusa.

I-Gonadotropin-ekhulula ii-agonists, ezinje nge-leuprolide (Lupron), ziziyobisi ezivimba imveliso ye-estrogen kunye neprogesterone. Baza kukubeka exesheni lokwexeshana. Nje ukuba uyeke ukuthatha la mayeza, ixesha lakho lokuya esikhathini liya kubuya kwaye ukukhulelwa kufanelekile.

Xa udibana nogqirha wakho ukuya kule nkqubo, qiniseka ukuba ubuza nayiphi na imibuzo onayo malunga nokulungiselela kunye nokuba ungalindela ntoni na ngexesha lotyando lwakho.

Unokufuna iimvavanyo ukuze uqiniseke ukuba uphilile ngokwaneleyo ukuba ungatyandwa. Ugqirha wakho uya kuthatha isigqibo sokuba zeziphi iimvavanyo ozifunayo ngokusekwe kwimingcipheko yakho. Oku kunokubandakanya:

• iimvavanyo zegazi
• umbane wombane
• Ukuskena iMRI
• i-pelvic ultrasound

Kuya kufuneka uyeke ukuthatha amayeza athile ngaphambi kwe-myomectomy. Tshela ugqirha wakho malunga nonyango ngalunye oluthathayo, kubandakanya iivithamini, izongezo, kunye neyeza. Buza ugqirha wakho ukuba zeziphi iziyobisi oya kuthi uyeke ukuzithatha ngaphambi kotyando lwakho kwaye uza kuhlala ixesha elingakanani kuzo.

Ukuba uyatshaya, yeka iiveki ezintandathu ukuya kwezisibhozo ngaphambi kotyando lwakho. Ukutshaya kunokucothisa inkqubo yakho yokuphilisa kunye nokunyusa umngcipheko weziganeko zentliziyo ngexesha lotyando. Buza ugqirha wakho iingcebiso malunga nendlela yokuyeka.

Kuya kufuneka uyeke ukutya nokusela ezinzulwini zobusuku ngobusuku obuphambi kotyando lwakho.

Kwenzeka ntoni ngexesha lenkqubo?

Inkqubo iya kwahluka ngokuxhomekeka kuhlobo lwe-myomectomy onayo.

I-myomectomy yesisu

Ngexesha lale nkqubo, uya kubekwa phantsi kwe-anesthesia ngokubanzi.

Ugqirha wakho uza kuqala enze isisu esiswini sakho esisezantsi kwisibeleko sakho. Oku kunokwenziwa ngeendlela ngeendlela:

• Ukusikwa okuthe tyaba 3 ukuya kwii-intshi ezine ubude, ngaphezulu kwethambo lakho le-pubic. Olu hlobo lokuqunjelwa lubangela iintlungu ezincinci kwaye lishiya inqaku elincinci kodwa lisenokungabi lukhulu ngokwaneleyo ukuba lisuse i-fibroids enkulu.
• Isiciko esime nkqo esivela ngezantsi nje kwebhokisi lesisu sakho ngaphezulu kwethambo lakho le-pubic. Olu hlobo lokuqanjwa kunqabile ukuba lusetyenziswe namhlanje kodwa lunokusebenza ngcono kwii-fibroids ezinkulu kwaye lunciphise ukopha.

Nje ukuba ukwenziwa kwenziwe, ugqirha wakho uya kususa i-fibroids yakho eludongeni lwakho lwesibeleko. Emva koko baya kulungelelanisa iiseli zakho zezihlunu zesibeleko zibuyele kunye.

Uninzi lwabasetyhini abanale nkqubo bachitha usuku ukuya kwisithathu esibhedlele.

I-Laparoscopic myomectomy

Ngelixa uphantsi kwe-anesthesia ngokubanzi, ugqirha wakho wotyando uya kwenza iindlela ezine ezincinci. Ezi nganye ziya kuba malunga ne-intshi ye-intshi kwisisu sakho esezantsi. Isisu sakho siya kugcwaliswa yicarbon dioxide yegesi ukunceda ugqirha abone ngaphakathi kwesisu sakho.

Ugqirha uya kuthi emva koko abeke i-laparoscope kwenye yeendlela. I-laparoscope yityhubhu encinci, ekhanyisiweyo kunye nekhamera kwelinye icala. Izixhobo ezincinane ziya kufakwa kolunye ubuchule.

Ukuba utyando lwenziwa ngokurhabaxa, ugqirha wakho wotyando uya kulawula izixhobo ekude esebenzisa ingalo yeerobhothi.

Ugqirha wakho usika ii-fibroids zakho zibe ngamaqhekeza amancinci ukuze uzisuse. Ukuba zinkulu kakhulu, ugqirha wakho wotyando unokutshintsha aye kwi-myomectomy yesisu kwaye enze ukubonwa okukhulu kwisisu sakho.

Emva koko, ugqirha wakho wotyando uzakususa izixhobo, akhulule igesi, kwaye avale iindlela zakho. Uninzi lwabasetyhini abanale nkqubo bahlala esibhedlele ubusuku obunye.

I-myomectomy yeHysteroscopic

Uya kufumana i-anesthetic yendawo okanye ubekwe phantsi kwe-anesthesia ngokubanzi ngexesha lale nkqubo.

Ugqirha uya kufaka ubungakanani obuncinci, obukhanyisiweyo kwilungu lobufazi kunye nomlomo wesibeleko kwisibeleko sakho. Baza kubeka ulwelo kwisibeleko sakho ukuze sandise ukubavumela ukuba babone iifibroids zakho ngokucacileyo.

Ugqirha wakho uza kusebenzisa i-wire loop ukuze achebe iziqwenga zefibroid yakho. Emva koko, umbane uya kuzihlamba iziqwenga zefibroid.

Kuya kufuneka ukwazi ukuya ekhaya kwangolo suku lunye lotyando lwakho.

Kunjani ukuchacha?

Uya kuba neentlungu emva kotyando lwakho. Ugqirha wakho unokubonelela ngamayeza ukunyanga ukungonwabi kwakho. Uya kuba nokubona iintsuku ezimbalwa ukuya kwiiveki.

Kuya kufuneka ulinde ixesha elingakanani ngaphambi kokuba ubuyele kwimisebenzi yakho yesiqhelo kuxhomekeke kuhlobo luni lwenkqubo onayo. Utyando oluvulekileyo lelona xesha lide lokufumana kwakhona.

Amaxesha okubuyisela kwimeko yesiqhelo kwinkqubo nganye ngala:

• isisu se-myomectomy: iiveki ezine ukuya kwezintandathu
• I-laparoscopic myomectomy: iiveki ezimbini ukuya kwezine
• I-myomectomy ye-hysteroscopic: iintsuku ezimbini ukuya kwezintathu

Musa ukuphakamisa nantoni na enzima okanye wenze umthambo ngamandla kude kube kuphilile ngokupheleleyo. Ugqirha wakho uya kukwazisa xa ungabuyela kule mi sebenzi.

Buza ugqirha wakho xa kukhuselekile ukuba ulale ngesondo. Kuya kufuneka ulinde ukuya kuthi ga kwiiveki ezintandathu.

Ukuba ufuna ukukhulelwa, cela ugqirha wakho xa ungaqala ngokuzama ukuzama. Kuya kufuneka ulinde iinyanga ezintathu ukuya kwezintandathu ukuze isibeleko sakho siphilise ngokupheleleyo kuxhomekeke kuhlobo lotyando obukhe wanalo.

Isebenza kangakanani?

Uninzi lwabasetyhini bafumana isiqabu kwiimpawu ezinjengeentlungu zesisu kunye nokopha okunzima ukuya exesheni emva kotyando lwabo. Nangona kunjalo, i-fibroids inokubuya emva kwe-myomectomy, ngakumbi kubafazi abancinci.

Zithini iingxaki kunye neengozi?

Naluphi na utyando lunokuba semngciphekweni, kwaye i-myomectomy ayifani. Iingozi zale nkqubo zinqabile, kodwa zinokubandakanya:

• usulelo
• ukopha kakhulu
• umonakalo kwizitho ezikufuphi
• umngxuma (ukugqobhoza) kwisibeleko sakho
• izicwili ezinqabileyo ezinokuthintela ityhubhu yakho okanye zikhokelele kwiingxaki zokuzala
• iifibroids ezintsha ezifuna enye inkqubo yokususa

Biza ugqirha wakho ukuba unayo nayiphi na le mpawu emva kwenkqubo yakho:

• ukopha kakhulu
• ifiva
• intlungu ebuhlungu
• ingxaki yokuphefumla

Buza kuba njani isiva?

Ukuba unayo i-myomectomy yesisu, inxeba lakho liya kuba malunga ne-intshi ezantsi komgca weenwele zakho zangaphantsi, ngaphantsi kwempahla yakho yangaphantsi. Esi sibazi siyaphela ngokuhamba kwexesha.

Isikratshi sakho sinokuthamba okanye siziva sindindisholo iinyanga ezininzi, kodwa oku kufanele kudambe ngokuhamba kwexesha. Thetha nogqirha wakho ukuba inxeba lakho liyaqhubeka ukwenzakalisa, okanye ukuba liyabuthathaka. Ngamanye amaxesha, ugqirha wakho unokucebisa ukuba uphinde uvule isiva ukuze iphinde inyange.

Amabala avela kwi-laparoscopic myomectomy angabonisa xa unxibe i-bikini esezantsi okanye i-top top. Ezi zikrakra zincinci kakhulu kunezo zivela kwi-myomectomy yesisu kwaye kufuneka ziphele ngokuhamba kwexesha.

Imifanekiso yezikrakra ze-myomectomy

Ngaba i-myomectomy iyakuchaphazela njani ukukhulelwa kwangomso?

Amathuba akho okukhulelwa axhomekeke kuhlobo kunye nenani le-fibroids onayo. Abasetyhini abane-fibroids engaphezulu kwesithandathu abasusiweyo kunabo basuswe i-fibroids.

Ngenxa yokuba le nkqubo inokunciphisa isibeletho sakho, kukho ithuba lokuba isibeleko sakho sinokukrazula njengoko ukukhulelwa kwakho kuqhubeka okanye ngexesha lokubeletha. Ugqirha wakho uya kuncoma ukuba uhanjiswe ngokuyeka ukukhusela le ngxaki. Banokucebisa ukuba ucwangcise oku kungekudala ngaphambi komhla wokugqibela.

I-cearean yakho inokuthi ikwazi ukwenziwa kwindawo yakho ye-myomectomy incision. Oku kunganciphisa inani lamanxeba onawo.

Yintoni onokuyilindela

Ukuba unayo i-uterine fibroids ebangela iimpawu, i-myomectomy ingasetyenziselwa ukuzisusa kunye nokunciphisa iimpawu zakho. Uhlobo lwenkqubo ye-myomectomy onayo ixhomekeke kubungakanani beefibroids zakho kunye nalapho zibekwe khona.

Thetha nogqirha wakho ukuze ufumanise ukuba olu nyango lukulungele na. Qiniseka ukuba uyaziqonda zonke izibonelelo ezinokubakho kunye nomngcipheko ngaphambi kokuba uthathe isigqibo sokuqhubeka nenkqubo.

I-Q & A: Umngcipheko wokukhulelwa emva kwe-myomectomy

Q:

Ngaba ukukhulelwa kulandela i-myomectomy kuya kuthathwa njengomngcipheko ophezulu?

A:

Kukho umngcipheko wokulandela le nkqubo, kodwa unokulawulwa kakuhle ngokunxibelelana nogqirha wakho. Kuya kufuneka wazise ugqirha wakho ukuba ngaba ubunayo i-myomectomy ngaphambi kokuba ukhulelwe. Oku kuya kubaluleka ngokwexesha kunye nendlela ohambisa ngayo, ekucetyiswa ngokubanzi njengecandelo lokuyeka, ukunqanda ukubeleka kwesibeleko sakho. Ngenxa yokuba isibeleko sakho senziwe, kukho ubuthathaka kwimisipha yesibeleko. Kuya kufuneka uxelele ugqirha wakho ukuba unentlungu yesibeleko okanye ukopha kwilungu lobufazi ngelixa ukhulelwe, kuba oku kunokuba luphawu lokuqhekeka kwesibeleko.