Ubungakanani be-myoma buhlelwe njani?
Kufuneka kuphawulwe ukuba ubukhulu obuncinane be-neoplasm badinga ukulawulwa kwonyango kuphela, unyango lweziyobisi kunye nokuvavanya komthamo wemfundo kwi-dynamics.
Xa ufumanisa isifo, kuqala, qaphela ubungakanani be-fibroids. Kuqhelekileyo ukubala ngo-mm uze uqhathanise ubungakanani bendima ngokwayo, okwandisiwe ngesifo, ngelixesha lokukhulelwa. Yingakho rhoqo iqela elijongene novavanyo lwe-ultrasound liva kugqirha: "ubukhulu beveki ezine", "ubukhulu beveki ezi-5".
Kuxhomekeke kubukhulu be-neoplasm, kuyisiko ukuhlukanisa:
- ubuncinane be-myoma - tumor size ayedluli kwi-20 mm. Kule meko, isibeletho sihambelana neveki ye-4-5 yokukhulelwa;
- umyinge - ukusuka kwi-20 ukuya kuma-60 mm. Ngeli nani lemfundo, thetha malunga nexesha eli-5 ukuya kwi-11;
- ezinkulu i-fibroids - ngaphezu kwama-60 mm, okanye iiveki ezili-12 okanye ngaphezulu.
Kubalulekile ukuba uqaphele ukuba nangona ubukhulu bezemfundo, abafazi abasoloko beqaphela ukuba khona kwayo emzimbeni. Ngokuqhelekileyo kufumaneka ngexesha loviwo lokukhusela kunye ne-ultrasound.
Nangona kunjalo, kwiimeko ezininzi, abafazi abanesifo esifanayo banokunyuka kwithuba kunye nokunyuka kwexesha lokuya esikhathini, okugqithiseleyo, behamba kunye neengxaki ezibuhlungu. Ngobuninzi obukhulu be-fibroids, kukho ukwanda kwimizimba yesisu, ngelixa ubukhulu bomzimba buhlala buguqukile. Kukho ukuphazamiseka ekusebenzeni kwezitho eziseduze kunye neenkqubo. Oku kunika impembelelo kwisisu esisezantsi. Ngokuqhelekileyo kukho ukwanda kwenani lokuhamba, okufana noko kwenzeka ntoni xa umntwana ezalwa.
I-myoma iphathwa njani?
Kukho iindlela ezimbini ezahlukileyo zokusiphatha kwesi sifo: ezilondolozayo kunye neziqhamo. Kwimeko yokuqala, lesi sifo siphathwa ngamachiza, okwesibini - ukusebenza kwenziwa.
Abasetyhini abaninzi, ukwesaba unyango ophandwayo, banomdla kwi: ubukhulu buni na i-uterine fibroids eyenziwa. Kumele kuthiwe ukongezelela ubukhulu kukho ezinye iinkalo zokungenelela ngoncedo:
- umngcipheko wokutshatyalaliswa kwemfundo kwifomu elibi;
- Ukucwangcisa ukukhulelwa kungekudala;
- syndrome yesifo;
- Ubukho be-anemia kwi-pathological bleeding;
- ukuphulwa kwenkqubo yokucoca;
- ubukho beendawo.
Ukuba sithetha ngokuthe ngqo malunga nobukhulu be-myoma ye-uterine, ngoko ukuze kuqhutywe ukusebenza kufuneka kube ubuncinane kwi-40-50 kwi-mm. Ngokumalunga nobukhulu obuvumelekileyo be-uterine fibroids ehlala entanyeni, ubungakanani bayo abufanele kudlule iiveki ezi-12.
Iyintoni ingozi ye-uterine fibroids kunye nento enokuyenza ngokuphula umthetho?
Kwiimeko ezininzi, abasetyhini abanesifo esincinci bebona ukuba bancipha ukuba baqhutywe. Ngelo xesha, ithemba labo lihambelana nelokuba unyango lwe-hormonal luya kusombulula ingxaki. Nangona kunjalo, oku kunokwenzeka kuphela kwizigaba zokuqala zesifo. Ngaphezu koko, oogqirha bavame ukubonisa ukuba xa unyango lwe-hormone lwenziwa, ubukhulu be-myoma abukhulanga, kodwa xa ukumkelwa kwamiswa, imfundo ikhula.
Ukuthetha ngemiphumo yesifo, kuyimfuneko ukubizwa:
- ukwanda komngcipheko we-kidney inflammation;
- ukudluliselwa kwesisu esinobunzima kumntu oyingozi;
- Ukukhula okuqhubekayo nokucima izitho;
- ukungabikho.
Nge-uterine i-myoma ukungenelela okukhulu nge-laparoscopy akunakwenzeka. Ukusebenza kwenziwa ngodonga lwesisu. Kuyafaneleka ukuba uqaphele ukuba unyango lwe-uterine fibroids ngobukhulu obukhulu ngaphandle kokusebenza alupheli.
Abafazi abasebenzise ngokukhawuleza ukufumana uncedo baninzi banomdla kumbuzo wobukhulu be-fibroid apho isisu sisuswa khona. Ngokuqhelekileyo, kuqhutyelwa umsebenzi ofanayo xa le nxalenye isebenza ngokubanzi kwisithuba esiphezulu kunye neengcinezelo kumalungu angummelwane kangangokuthi ngezinye iimeko kuba nzima ukuba umfazi aphefumule.