Iimpawu kunye neempawu ze-Uterine Fibroids

Umxholo

• Yintoni i-uterine Fibroids?
• Iimpawu zesibeleko seFibroid
• Ngaba unokuzikhupha kwi-Uterine Fibroids?
• Isicwangciso sakho soMdlalo weSibeleko seFibroid
• Uphengululo lwe

UToya Wright (onokuthi umazi njengomfazi kaLil Wayne, ubuntu beTV, okanye umbhali Ngamazwi Am) uhambahamba yonke imihla eziva ngathi uneenyanga ezintlanu ekhulelwe. Ngaphandle kokuncamathisela kukutya okusempilweni kunye nokumngxala kwindawo yakhe yokuzivocavoca, eso sisu asizukuhamba-kuba sibangelwa sisibeleko se-fibroids. Abamniki nje kuphela iimvakalelo zokuba ukhulelwe, kodwa banikezela ukopha kakhulu kunye nokuxinana inyanga nenyanga xa esiya exesheni.

Kwaye akayedwa. I-50 yepesenti yabasetyhini baya kuba ne-uterine fibroids, utsho uYvonne Bohn, MD, ob-gyn eLos Angeles Obstetricians kunye neGynecologists kunye nesithethi seCystex. IOfisi Yempilo Yabasetyhini ide ithelekelele ukuba phakathi kwama-20 nama-80 ekhulwini amabhinqa aya kuba nee<em>fibroids xa eneminyaka engama-50 ubudala. (Kwaye, hayi, ayifani ne-endometriosis, iinkwenkwezi ezifana noLena Dunham noJulianne Hough bathethe ngayo.)

“Ndandingazi nto ngefibroids ngelo xesha,” utshilo uWright. "Yayingaqhelekanga kum. Kodwa ndathi ndakufunyaniswa ndinabo, ndaqala ukuthetha ngayo kubahlobo abohlukeneyo kunye namalungu osapho kwaye ndafunda ngayo, ndaye ndabona ukuba yayiqhelekile ngokwenene." (Ngokukrakra-nkqu ii-supermodels ziyazifumana.)

Yintoni i-uterine Fibroids?

I-Uterine fibroids kukukhula okuvela kwizicubu zomzimba zesibeleko, ngokutsho kwe-American Congress of Obstetricians kunye neGynecologists (ACOG). Ziyakwazi ukukhula ngaphakathi kwe-uterine cavity (apho i-fetus ikhula), ngaphakathi kwodonga lwesibeleko, kumda wangaphandle wodonga lwesibeleko, okanye nangaphandle kwesibeleko kwaye ifakwe kwisakhiwo esifana nesiqu. Ngelixa zihlala zibizwa ngokuba ngamathumba, kubaluleke kakhulu ukwazi ukuba phantse zonke zinobungozi (zingenawo umhlaza), utshilo uGqirha Bohn.

Ngezihlandlo ezinqabileyo kakhulu banokuba nomhlaza, kwaye kuthiwa yi-leiomyosarcoma, utshilo. Kwimeko apho, ihlala ikhula ngokukhawuleza okukhulu, kwaye ekuphela kwendlela yokwazi ukuba ngumhlaza okanye hayi kukususa. Kodwa, eneneni, kunqabile kakhulu; kuqikelelwa ukuba kuphela kwi-1,000 ye-fibroids enomdlavuza, ngokwe-Ofisi kwiMpilo yabaseTyhini. Kwaye ukuba ne-fibroids akuwonyusi umngcipheko wokuba nomhlaza we-fibroid okanye wokufumana ezinye iintlobo zomhlaza esibelekweni.

Okwangoku, asazi ukuba yintoni ebangela ukuba i-fibroids-nangona i-estrogen ibenza ukuba bakhule, utshilo uGqirha Bohn. Ngeso sizathu, i-fibroids inokukhula kakhulu ngexesha lokukhulelwa kwaye ihlala iyeka ukukhula okanye ukuncipha ngexesha lokuya exesheni. Ngenxa yokuba zixhaphake kakhulu, kuyothusa ukubajonga njengelifa, utshilo uGqirha Bohn. Ukuba namalungu osapho ane-fibroids kuyonyusa umngcipheko, ngokweOfisi yezeMpilo yabaseTyhini. Ngapha koko, ukuba umama wakho wayene-fibroids, umngcipheko wokuba nazo ungaphezulu ngokuphindwe kathathu kunomndilili. Abasetyhini base-Afrika nabamaMerika banakho amathuba okuphuhlisa i-fibroids, njengabafazi abatyebe kakhulu.

Iimpawu zesibeleko seFibroid

Abasetyhini banokuba nee-fibroids ezininzi ezinkulu kwaye baneempawu zero, okanye banokuba ne-fibroid enye encinci kwaye babe neempawu ezoyikekayo-konke kuxhomekeke apho i-fibroid iphi, utshilo uGqr Bohn.

Uphawu lokuqala kukungaqheleki kwaye ukopha kakhulu, uthi, nto leyo edla ngokukhatshwa kukuqaqanjelwa kakhulu kunye namahlwili egazi. UWright uthi olu yayiluphawu lokuqala lokuba kukho into engalunganga; Wayengazange abe necramp ngaphambili ebomini bakhe, kodwa ngequbuliso wayefumana iintlungu ezibukhali kunye nemijikelezo enzima kakhulu: "Bendibaleka ngeepads kunye neetampon-bekukubi kakhulu," utshilo.

Ukuba une-fibroid kwi-uterine cavity, ukopha kunokuba nzima kakhulu, kuba kulapho umgca wesibeleko ukhula kwaye uchithe ngexesha lakho lenyanga nganye, utsho uGqr Bohn. “Nokuba i<em>fibroid incinane, ukuba ikwindawo engafanelekanga, unokuphuma ukopha ukusa kwinqanaba lokuba ube ne<em>anemia uze ufune utofelo-gazi.

Iifibroids ezinkulu zinokubangela iintlungu ngexesha lokwabelana ngesondo kunye neentlungu zomqolo. Basenokubeka uxinzelelo kwisinyi okanye kwi-rectum, okubangela ukuqhina, okanye ukuchama rhoqo okanye nzima, utsho uGqr. Bohn. Abasetyhini abaninzi bayakhathazeka kukuba abanako ukunciphisa umzimba esiswini sabo-kodwa ngokwenene i-fibroids. Akuqhelekanga kwi-fibroids enkulu ukudala imvakalelo ephezulu kakhulu, njengoWright onamava.

"Ndikwazi ukuziva ngesikhumba sam, kwaye ndabona ukuba ndihamba nabo," utsho. "Ugqirha wam undixelele ukuba isibeleko sam silingana nowasetyhini okhulelweyo oneenyanga ezintlanu." Kwaye oku asikokuzibaxa; Ngelixa kunqabile, uGqirha Bohn uthi i-fibroids inokukhula iye kubungakanani bevatala. (Awuyikholelwa? Funda nje ibali lobuqu lomfazi owakhutshwa i-fibroid elingana nemelon kwisibeleko sakhe.)

Ngaba unokuzikhupha kwi-Uterine Fibroids?

Izinto zokuqala kuqala: Ukuba une-fibroids encinci, engabangeli naziphi na iimpawu eziguqula ubomi, okanye ungekho kuzo naziphi na iindawo eziyingxaki, usenokungadingi unyango, ngokutsho kwe-ACOG. Kodwa, ngelishwa, ii-fibroids azisoze zihambe zodwa, kwaye aziyi kunyamalala kungakhathaliseki ukuba zingaphi na amayeza asezidolophini ozama okanye zingaphi iikhilogram ze-kale oyidlayo, utsho uGqr Bohn.

Kumashumi eminyaka eyadlulayo, unyango lokuya kwi-fibroid yayiyi-hysterectomy-ukususwa kwesibeleko sakho, utsho uGqr Bohn. Ngethamsanqa, akusekho njalo. Abasetyhini abaninzi abangenazo iimpawu eziqatha kakhulu bahlala kunye ne-fibroids yabo, kwaye bakhulelwa ngempumelelo kwaye babe nabantwana ngaphandle kwemiba, utshilo. Kodwa konke oku kuxhomekeke ekubeni ikho i-fibroids yakho kunye nokuba zinzima kangakanani. Kwezinye iimeko, i-fibroids inokuthintela ityhubhu ye-fallopian, ukukhusela ukufakelwa, okanye ukuvimbela indlela yokuzalwa kwendalo, utsho uDkt Bohn. Konke kuxhomekeke kwimeko nganye. (Nantsi yonke into oyifunayo ukuyazi malunga nokuzala.)

Namhlanje, uninzi lwabasetyhini abane-fibroids baya kwiipilisi zedosi esezantsi okanye bafumana i-IUD yehomoni-zombini ezibhityileyo ukubethela isibeleko, ukunciphisa ukopha nokuya exesheni, utshilo uGqirha Bohn. (I-BC ikwanciphisa umngcipheko womhlaza we-ovari-yay!) Kukho iziyobisi ezinokuthi zinciphise i-fibroids okwethutyana, kodwa ngenxa yokuba zinciphisa uxinano lomongo wethambo (ngokwenza amathambo akho abe buthathaka), zihlala zisetyenziselwa ixesha elincinci kwaye ngokuqhelekileyo ukulungiselela utyando.

Zintathu iindlela zotyando zokujongana ne-fibroids, utshilo uGqirha Bohn. Eyokuqala yi-hysterectomy, okanye ukususwa kwesibeleko sonke (kwabasetyhini abangenabantwana). Okwesibini yi-myomectomy, okanye ukususwa kwamathumba e-fibroid esibelekweni, nokuba kungokuvula isisu okanye i-laparoscopically (apho badlula khona kusiko oluncinci kwaye baphule i-fibroid ibe ngamaqhekeza amancinci ukuyisusa emzimbeni). Olwesithathu ukhetho lotyando yi-hysteroscopic myomectomy, apho banokususa iifibroids ezincinci kumqolo wesibeleko ngokuya esibelekweni ngelungu lobufazi. Olunye ukhetho lonyango yinkqubo ebizwa ngokuba yi-embolization, apho oogqirha badlula kwisitya kwindawo yokugcoba kwaye balanda ukuhanjiswa kwegazi kwi-fibroid. Babulala igazi eliphuma kwithumba, balicutha malunga nesinye kwisithathu, utsho uGqr. Bohn.

Inyani yokuba abafazi banokususa iifibroids zabo ngelixa begcina isibeleko sabo (kunye nokugcina amandla abo okuba nabantwana) yinto enkulu-yiyo loo nto kubalulekile ukuba abasetyhini bazazi iindlela zabo zonyango.

“Abasetyhini abaninzi endithethe nabo benze impazamo yokukhupha iifibroids ngoqhaqho,” utshilo uWright. "Bonakalise ubomi babo, kuba ngoku abasakwazi ukuba nabantwana. Yiyo kuphela kwendlela ababecinga ukuba banokubasusa ngayo."

Kukho icala elinye elikhulu lokususa i-fibroids kodwa ushiye isibeleko endaweni, nangona: i-fibroids inokuphinda ivele. "Ukuba senza i-myomectomy, ngelishwa, de umfazi angene kwi-menopause, kukho ithuba lokuba i-fibroids ibuye," kusho uGqr Bohn.

Isicwangciso sakho soMdlalo weSibeleko seFibroid

"Ukuba unale mpawu ingaqhelekanga, into yokuqala kukuvumela ugqirha wakho wezifo zabasetyhini azi," utshilo uGqirha Bohn. "Utshintsho kumjikelezo wakho wokuya esikhathini, ama-clots kwixesha lakho, ukunyanzeliswa okukhulu, oko kubonisa ukuba kukho into engalunganga." Ukusuka apho, i-doc yakho iya kugqiba ukuba ngaba oonobangela bobume (njenge-fibroid) okanye ihomoni. Ngelixa ii-docs zinokuziva ezinye ze-fibroids ngexesha lovavanyo oluqhelekileyo lwe-pelvic, uya kufumana i-pelvic ultrasound-esona sixhobo sokucinga sokujonga isibeleko kunye namaqanda, utshilo uGqirha Bohn.

Ngelixa ungenakulawula ngokupheleleyo ukukhula kwee-fibroids, ukuphila ubomi obusempilweni kunokuncedisa ukunciphisa umngcipheko wakho; inyama ebomvu inokudityaniswa nomngcipheko ophezulu we-fibroid, ngelixa imifuno enamagqabi inokudityaniswa nomngcipheko ophantsi, ngokutsho kophononongo olupapashwe kwiphephancwadi. Ukuqwalaselwa kunye neGynecology. Ngelixa kusekho uphando olulinganiselweyo malunga nemingcipheko yendlela yokuphila kunye ne-uterine fibroids, ukutya iziqhamo kunye nemifuno, ukuzilolonga rhoqo, ukunciphisa uxinzelelo, nokuba kwisisindo esifanelekileyo konke kunxulunyaniswa neziganeko ezisezantsi ze-fibroids, ngokujonga kupapashwe kwi Ijenali yeHlabathi yokuNzala kunye nokuNzala.

Kwaye ukuba ufumene ukuba une-fibroids, sukuphazamiseka.

Undoqo kukuba baqhelekile, utshilo uGqirha Bohn. "Ngenxa yokuba unayo ayithethi ukuba iyoyikeka okanye kufuneka ubalekiselwe kuqhaqho. Yazi nje imiqondiso kunye neempawu ukuze ukwazi ukujonga ukuba unayo nayiphi na le mvakalelo ingaqhelekanga."

Uphengululo lwe