Myoma: yintoni, unobangela kunye nonyango

Umxholo

• Yintoni ebangela ifibroids
• Iindidi ze-fibroids
• Iimpawu eziphambili
• Unyango lwenziwa njani
• Ngaba i-fibroid yenza ukukhulelwa kube nzima?

I-Myoma luhlobo lwesisu esibi esenzeka kwisicubu semisipha yesibeleko kwaye sinokubizwa ngokuba yi-fibroma okanye i-uterine leiomyoma. Indawo ye-fibroid esibelekweni inokwahluka, njengobungakanani bayo, obunokuba yi-microscopic okanye ube ziisentimitha ezininzi.

Ii-Fibroids zixhaphakile kwaye, kwiimeko ezininzi, azibangeli zimpawu, nangona kunjalo abanye abantu basetyhini banokuxela i-colic, ukopha okanye ubunzima bokukhulelwa. Kwezi meko, ukuqala konyango kungabonakaliswa ngokwesikhokelo se-gynecologist kunye neempawu ze-fibroid, kwaye ukusetyenziswa kweziyobisi ukunciphisa iimpawu okanye utyando lokususa i-fibroid okanye isibeleko kunokucetyiswa kwezona meko zinzima.

Yintoni ebangela ifibroids

Ifibroid ayinaso isizathu esizinzileyo, nangona kunjalo iyavela xa iiseli zethambo lezihlunu ezakha isibeleko zanda ngendlela engalunganga, zikhokelela ekuveleni kwethumba. Kungenzeka ukuba oku kwanda kungalunganga kukwanxulumene notshintsho lwehomoni yomfazi, kuba iimpawu zihlala zibonakala kubantu basetyhini abadala kwaye ziphinde zibuyele emva kokuyeka ukuya exesheni.

Ukongeza, iimpawu ze-fibroid zinokubonakala rhoqo kubantu basetyhini abaphantsi konyango lwehomoni.

Abasetyhini ekusenokwenzeka ukuba babe ne-fibroids ngabo bengenabo abantwana, abatya ukutya okunotye inyama ebomvu kunye nemifuno ephantsi, abafazi abatyebe kakhulu kunye nabo banembali yosapho yesi sifo.

Iindidi ze-fibroids

I-Myoma inokuhlelwa kwiindidi ezahlukeneyo ngokweendawo apho ikhula khona esibelekweni, eyona iphambili yile:

• Inkxaso, apho i-fibroid ikhula kwinxalenye engaphandle yesibeleko;
• Ngaphakathi, xa ibonakala ngaphakathi kweendonga zesibeleko;
• Ngobunono, xa ikhula kwinxalenye yangaphakathi, ngaphakathi kwisisu sesibeleko.

Ukwazi uhlobo lwefibroid kubalulekile ekuvavanyeni ubungqongqo be-fibroid kunye nesidingo sokuqala unyango kungekudala. Funda ngakumbi malunga neentlobo zefibroids.

Iimpawu eziphambili

Kwiimeko ezininzi, i-uterine fibroid ayikhokeleli ekubonakaleni kweempawu okanye iimpawu, nangona kunjalo xa i-fibroid inkulu okanye xa i-fibroids ibonwa esibelekweni, kunokwenzeka ukuba owesifazana abonakalise iimpawu ezithile ezinjengezikratshi ezinzima, iintlungu Ngexesha lokwabelana ngesondo, iimpawu zokuqhinwa kunye nexesha elide lokuya exesheni. Jonga ezinye iimpawu ze-uterine fibroids.

Ubukho be-myoma buqinisekiswa ngugqirha wezifo zabasetyhini, onokuthi wenziwe ngovavanyo lwe-imaging njenge-ultrasound, hysteroscopy kunye ne-hysterosalpingography, evavanya isibeleko. Ukongeza, abasetyhini abane-uterine fibroids abanqwenela ukukhulelwa, nokuba abanazimpawu, kufuneka balandelwe ngugqirha wezifo zabasetyhini, kuba ubukho beli thumba bunokuzisa iingxaki ekukhulelweni, njengokukhupha isisu.

Unyango lwenziwa njani

Unyango lubonakaliswa xa umfazi eneempawu ezinzulu, ezinjengeentlungu ezininzi okanye ukuya exesheni okunzima, okanye xa ezama ukukhulelwa ngaphandle kwempumelelo. Uhlobo lonyango luxhomekeke kwiimpawu, ubungakanani kunye nohlobo lwe-fibroid yomfazi ngamnye, kwaye kufuneka ukhokelwe ngugqirha wezifo zabasetyhini, onokucetyiswa:

• Ukusetyenziswa kwezidambisi-zintsholongwane, njengeIbuprofen okanye iNaproxen: phucula amaxhala kakhulu exesheni kunye nokunciphisa ukopha kakhulu kwi-fibroids;
• Ukusetyenziswa kwamayeza e-hormonalNjengepilisi: kunceda ukunciphisa uxinzelelo lokuya esikhathini kunye nokunciphisa ubungakanani be-fibroid;
• Izixhobo zentsimbiukuthintela nokunyanga iimeko ze-anemia ezibangelwa kukopha kakhulu;
• Ugqirha, eyaziwa ngokuba yi-myomectomy: isebenza ukususa i-fibroid, ngaphandle kokuba isuse isibeleko. Isetyenziswa ngakumbi xa i-fibroid icinezela kwamanye amalungu okanye ibangela iimpawu ezibi kakhulu;

Ukongeza, xa i-fibroid inkulu kakhulu, kunokuba yimfuneko ukunciphisa ubungakanani bayo ngaphambi kokwenziwa kotyando, kwaye ke kusetyenziswa le ndlela ibizwa ngokuba kukuqinisa. Kuyo, ugqirha, ngokusebenzisa inkqubo yotyando, wenza inaliti ezininzi kunye ne-arhente yokudibanisa exutywe kwi-iodine umahluko phakathi komthambo wobufazi, kude kube kuncitshiswe ukuhamba kwegazi lomthambo okondla i-fibroid, kubonakale kusweleka.

Xa owasetyhini ene-fibroid kwaye engenazicwangciso zokukhulelwa, ugqirha unokucebisa ukuba kususwe isibeleko ukuze kupheliswe i-fibroid kwaye kuthintele ithumba ekubeni liphinde lenze kwakhona.

Ngaba i-fibroid yenza ukukhulelwa kube nzima?

Abanye abantu basetyhini abane-fibroids banokuba nobunzima ekukhulelweni, kuba i-fibroids inokubangela ukukhubazeka okuthile ngaphakathi kwisibeleko, ukongeza kutshintsho ekujikelezeni nasekubonakaleni kokudumba. Kwezi meko, kunokwenzeka ukwenza unyango ngamachiza asekwe kwihomoni, njengee-estrogens kunye ne-androgens, okanye utyando, oluyi-myomectomy okanye i-fibroid embolization yokunyusa amathuba okuba ukhulelwe. Bona ngakumbi malunga nonyango lwe-fibroids xa ukhulelwe.