Iifibroids

Umxholo

• Zithini iintlobo ezahlukeneyo zefibroids?
• I-fibroids yangaphakathi
• Inkxaso yefibroids
• Ifibroids ebunjiweyo
• Submucosal fibroids
• Yintoni ebangela i-fibroids?
• IHormone
• Imbali yosapho
• Ukukhulelwa
• Ngubani osemngciphekweni we-fibroids?
• Ziintoni iimpawu zefibroids?
• Ifunyaniswa njani i-fibroids?
• I-Ultrasound
• I-MRI yePelvic
• Zinyangwa njani i-fibroids?
• Unyango lwasekhaya kunye nonyango lwendalo
• Amayeza
• Ugqirha
• Iinkqubo ezingafunekiyo okanye ezincinci
• Yintoni enokulindelwa kwixesha elide?

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni i-fibroids?

I-Fibroids ukukhula okungaqhelekanga okukhula ngaphakathi okanye kwisibeleko sowasetyhini. Ngamanye amaxesha la mathumba aba makhulu kwaye abangele iintlungu esiswini kunye nexesha elinzima. Ngamanye amaxesha, azibangeli miqondiso okanye zimpawu kwaphela. Ukukhula kuhlala kulunge, okanye kungabinamhlaza. Isizathu se-fibroids asiyazi.

Iifibroids zikwabizwa ngala magama alandelayo:

• leyomyoma
• myomas
• iimyoma zesibeleko
• imiphunga

NgokweOfisi yezeMpilo yabaseTyhini, kwabasetyhini banayo xa beneminyaka engama-50. Nangona kunjalo, uninzi lwabasetyhini alunazo naziphi na iimpawu kwaye ngekhe bazi ukuba bane-fibroids.

Zithini iintlobo ezahlukeneyo zefibroids?

Uhlobo lwe-fibroid ephuhliswa ngumfazi luxhomekeke kwindawo yalo ngaphakathi okanye kwisibeleko.

I-fibroids yangaphakathi

I-fibroids yangaphakathi lolona hlobo luqhelekileyo lwefibroid. Ezi ntlobo zivela ngaphakathi kodonga lwezihlunu zesibeleko. I-fibroids yangaphakathi inokukhula ibe nkulu kwaye inokusolula isibeleko sakho.

Inkxaso yefibroids

Ifom ye-fibroids esezantsi kwesibeleko sakho, esibizwa ngokuba yi-serosa. Zingakhula ngokwaneleyo ukuba zenze ukuba isibeleko sakho sibonakale sikhulu kwelinye icala.

Ifibroids ebunjiweyo

Amathumba enkcitho anokukhulisa isiqu, isiseko esincinci esixhasa ithumba. Xa besenza, baziwa njenge-pedunculated fibroids.

Submucosal fibroids

Ezi ntlobo zamathumba zikhula kuluhlu oluphakathi lwemisipha, okanye i-myometrium, yesibeleko sakho. Izicubu ze-Submucosal aziqhelekanga njengezinye iintlobo.

Yintoni ebangela i-fibroids?

Akucaci ukuba kutheni i-fibroids ikhula, kodwa izinto ezininzi zinokuchaphazela ukwenziwa kwazo.

IHormone

I-Estrogen kunye neprogesterone zihomoni eziveliswa zii-ovari. Zibangela ukuba ulusu lwesibeleko luhlaziyeke kwakhona ngexesha lokuya exesheni kwaye kunokukhuthaza ukukhula kwe-fibroids.

Imbali yosapho

I-Fibroids inokubaleka kusapho. Ukuba umama wakho, udadewenu, okanye umakhulu unembali yale meko, unokuyihlakulela nayo.

Ukukhulelwa

Ukukhulelwa kwandisa imveliso ye-estrogen kunye neprogesterone emzimbeni wakho. I-Fibroids inokukhula kwaye ikhule ngokukhawuleza ngelixa ukhulelwe.

Ngubani osemngciphekweni we-fibroids?

Abasetyhini basemngciphekweni omkhulu wokuphuhlisa i-fibroids ukuba banenye okanye nangaphezulu kwezi zinto zilandelayo:

• ukukhulelwa
• Imbali yosapho ye-fibroids
• uneminyaka engama-30 okanye ngaphezulu
• Wase-Afrika-waseMelika
• ubunzima bomzimba obuphakamileyo

Ziintoni iimpawu zefibroids?

Iimpawu zakho ziya kuxhomekeka kwinani lamathumba onawo kunye nendawo kunye nobungakanani. Umzekelo, i-submucosal fibroids inokubangela ukuphuma kwegazi okunzima kunye nengxaki yokukhulelwa.

Ukuba ithumba lakho lincinci kakhulu okanye uya exesheni, awunakuba nazimpawu. I-Fibroids inokuncipha ngexesha nasemva kokuyeka ukuya exesheni. Kungenxa yokuba abasetyhini abaya exesheni bafumana ukuhla kumanqanaba e-estrogen kunye neprogesterone, iihormone ezikhuthaza ukukhula kwe-fibroid.

Iimpawu ze-fibroids zingabandakanya:

• ukopha kakhulu phakathi okanye ngexesha lakho okubandakanya amahlwili egazi
• iintlungu kwi-pelvis okanye kumqolo ongezantsi
• ukunyuka kokunyuka kwexesha
• ukwanda komchamo
• iintlungu ngexesha lokwabelana ngesondo
• ukuba sexesheni okuhlala ixesha elide kunesiqhelo
• uxinzelelo okanye ukugcwala esiswini sakho esisezantsi
• ukudumba okanye ukwandisa isisu

Ifunyaniswa njani i-fibroids?

Ukuxilongwa okufanelekileyo, kuya kufuneka ubone ugqirha wamazinyo ukuze ufumane uvavanyo lwe-pelvic. Olu vavanyo lusetyenziselwa ukujonga imeko, ubungakanani, kunye nokumila kwesibeleko sakho. Unokufuna olunye uvavanyo, olubandakanya:

I-Ultrasound

I-ultrasound isebenzisa amaza esandi ahamba ngesantya esiphezulu ukuvelisa imifanekiso yesibeleko sakho kwiscreen. Oku kuyakuvumela ugqirha wakho ukuba abone ubume bayo bangaphakathi kunye nayiphi na i-fibroids ekhoyo. I-ultrasound engaphaya, apho i-wand ye-ultrasound ifakwe kwilungu lobufazi, inokunika imifanekiso ecacileyo kuba ikufutshane nesibeleko ngexesha lale nkqubo.

I-MRI yePelvic

Olu vavanyo lokucingisisa nzulu luvelisa imifanekiso yesibeleko sakho, ii-ovari kunye namanye amalungu e-pelvic.

Zinyangwa njani i-fibroids?

Ugqirha wakho uya kuphuhlisa isicwangciso sonyango esekwe kubudala bakho, ubungakanani be-fibroids yakho, kunye nempilo yakho iyonke. Unokufumana indibaniselwano yonyango.

Unyango lwasekhaya kunye nonyango lwendalo

Unyango oluthile lwasekhaya kunye nonyango lwendalo lunokuba nefuthe elihle kwi-fibroids, kubandakanya:

• ukutshiza
• iyoga
• ukuphulula
• UGui Zhi Fu Ling Tang (GFLT), ifomula yamayeza esiNtu
• ukusebenzisa ubushushu beekram (thintela ubushushu xa usopha kakhulu)

Utshintsho ekudleni lunokunceda ngokunjalo. Gwema inyama kunye nokutya okuphezulu kweekhalori. Endaweni yoko, khetha ukutya okuphezulu kwi-flavonoids, imifuno eluhlaza, iti eluhlaza kunye neentlanzi ezinamanzi abandayo njenge-tuna okanye isalmon.

Ukulawula amanqanaba oxinzelelo kunye nokuncipha emzimbeni ukuba utyebe kakhulu kunokunceda abantu basetyhini abane-fibroids.

Amayeza

Amachiza okulawula amanqanaba akho e-hormone anokumiselwa ukunciphisa i-fibroids.

I-Gonadotropin-ekhulula i-hormone (GnRH) i-agonists, efana ne-leuprolide (Lupron), iya kwenza ukuba amanqanaba e-estrogen kunye neprogesterone ehle. Oku kuya kugcina ukuya exesheni kwaye kunciphise i-fibroids.

Abachasi be-GnRH bakwanceda ukunciphisa i-fibroids. Basebenza ngokumisa umzimba wakho ekuveliseni i-hormone evuselelayo (FSH) kunye ne-luteinizing hormone (LH). Imizekelo ibandakanya:

• Ganirelix acetate, sisiyobisi esingena ngenaliti
• I-cetrorelix acetate (Cetrotide), ichiza elinokutofa
• I-elagolix, ekhoyo kwiyeza lomlomo elagolix / estradiol / norethindrone acetate (Oriahnn)

Olunye ukhetho olunokunceda ukulawula ukopha kunye nentlungu, kodwa ayizukuncipha okanye isuse i-fibroids, ibandakanya:

• isixhobo se-intrauterine (IUD) esikhupha iprogestin yehomoni
• I-over-the-counter (OTC) yokuthomalalisa iintlungu, njenge-ibuprofen (Advil)
• iipilisi zokulawula inzala

Ugqirha

Utyando lokususa ukukhula okukhulu kakhulu okanye okuninzi kunokwenziwa. Oku kwaziwa njenge-myomectomy. I-myomectomy yesisu ibandakanya ukwenza isisu esikhulu esiswini ukufikelela kwisibeleko kunye nokususa i-fibroids. Olu tyando lunokwenziwa nge-laparoscopically, kusetyenziswa iindlela ezimbalwa ezincinci apho kufakwa izixhobo zotyando kunye nekhamera. I-Fibroids inokukhula ibuye emva kotyando.

Ukuba imeko yakho iya isiba mandundu, okanye ukuba akukho lunye unyango olusebenzayo, ugqirha wakho unokwenza i-hysterectomy. Nangona kunjalo, oku kuthetha ukuba awuyi kuba nakho ukuzala abantwana kwixesha elizayo.

Iinkqubo ezingafunekiyo okanye ezincinci

Inkqubo yoqhaqho entsha nengavumelekanga ngokupheleleyo inyanzeliswa ngotyando lwe-ultrasound (FUS). Ulele ngaphakathi kumatshini okhethekileyo we-MRI ovumela oogqirha ukuba babone ngaphakathi kwisibeleko sakho. Amandla ombane aphezulu, amaza ombane aphezulu ajolise kwii-fibroids ukuze azitshabalalise, okanye azitshabalalise.

Iinkqubo zeMyolysis (ezinje ngeAcessa) zinciphisa i-fibroids zisebenzisa imithombo yobushushu njengombane okanye i-laser, ngelixa i-cryomyolysis ikhulula ii-fibroids. Ukupheliswa kwe-Endometrial kubandakanya ukufaka isixhobo esikhethekileyo kwisibeleko sakho ukutshabalalisa ubume besibeleko usebenzisa ubushushu, amandla ombane, amanzi ashushu, okanye ukubanda kakhulu.

Olunye ukhetho olungafunekiyo kukudityaniswa komthambo wesibeleko. Kule nkqubo, amasuntswana amancinci afakwa esibelekweni ukuze kunqunyulwe ukunikezelwa kwegazi le-fibroids.

Yintoni enokulindelwa kwixesha elide?

Ukuxelwa kwangaphambili kuya kuxhomekeka kubungakanani kunye nendawo ekuyo i-fibroids yakho. I-Fibroids isenokungafuneki unyango ukuba zincinci okanye azivelisi mpawu.

Ukuba ukhulelwe kwaye une-fibroids, okanye ukhulelwe kwaye une-fibroids, ugqirha wakho uya kuyibeka esweni imeko yakho. Kwiimeko ezininzi, i-fibroids ayibangeli iingxaki ngexesha lokukhulelwa. Thetha nogqirha wakho ukuba ulindele ukukhulelwa kwaye ube ne-fibroids.