I-Myoma, okanye i-fibromyoma, ibizwa ngokuba yi-tumor e-benign evela kwiisishu ezixhumelayo ezibangelwa ukuhlukana kweeseli ngokukhawuleza. Isizathu esiqhelekileyo se-uterine fibroids sisifo se-hormonal. Abafazi abaye bafunda malunga nokuxilongwa kwabo bahlala bexhalabele ukuba ngaba kunokwenzeka ukuqonda umsebenzi wokuzala kunye nendlela i-fibroid echaphazela ngayo ukukhulelwa.
Ngaba ukukhulelwa kunokwenzeka nge-myoma?
Ubunokwenzeka bokukhulelwa kunye ne-myome kuxhomekeke kwizinto eziliqela. Okokuqala, indawo ye-myoma ithathwa ingqalelo. I-myoma ye-interstiti kunye nokukhulelwa kaninzi akuhambisani. Ukuxhaphazeleka kwolu hlobo kukhula kwikhokhongo yangaphakathi yesisu kwaye ukhusela ukukhulelwa. I-Spermatozoa ihleli kwi-myoma, kwaye ingahlanganisani neqanda kwiimbatho ze-fallopian. Iimpawu ze-Myomatous zitshintshisa i-uterine cavity, zifake ama-tubespian tubes, ii-ovari kwaye ziphazamise ukuhamba. Ngamanye amaxesha i-tumor ikhona kwiigobolondo zangaphandle okanye kwisalathisi se-muscle kwaye ikhula ukuya kwisisu esiswini. Le yintsholongwane ye-uoma i-myoma, kwaye ukukhulelwa kwayo kunokwenzeka, kuba ukukhubazeka kunye nemithintelo yokuhamba kwe-spermatozoa ayilwanga.
Okwesibini, ithuba lokukhulelwa lixhomekeke kubukhulu be-myoma. Inyaniso kukuba i-tumor enkulu nakweyiphi na imeko iguqula isigxina se-uterine, kungakhathaliseki uhlobo lwayo. Naliphi na ukwanda kwimbumba kudlalwa ngamava ahambayo ngobunzima. Nge-myome, ubukhulu bayo bungaphantsi kwamaviki angama-12, ukukhulelwa kunokwenzeka.
Ngamanye amaxesha kwenzeka ukuba kwi-ofisi ye-ultrasound ididekile ngokukhulelwa kunye ne-fibroid. Oku kunokwenzeka, kuba i-tumor encinci kunye neqanda lomntwana lifana kakhulu. Ukuxilonga okunjalo, njengomthetho, kukhishwa emva kwexesha ngenye ingcali.
Myoma ngexesha lokukhulelwa nokubeletha
Njengomthetho, kunye neendlwana ezincinci ze-myomatous, akukho ziingxaki ezikhethekileyo kwiimvavanyo zokuqala zokukhulelwa. Ngokuqhelekileyo iinyanga zokuqala umama ozayo uza kuba neengxaki, kuba isifo asibonakali. Iingxaki zinokuvela kwimeko apho i-placenta ifomene ngokusondelelana ne-myoma. Kodwa ukukhulelwa kunye ne-fibroids kudla ngokuphela kokuphuma kwesisu. I-tumor ikhupha izinto ezikhokelela ekunciphiseni iintambo ze-muscular ze-uterus, kwaye ukukhulelwa kuphazamiseka.
Nge-uterine ye-myoma ngexesha lokukhulelwa kwi-trimesters yesibini neyesithathu kukho umngcipheko wokuzalwa ngaphambi kokuzalwa. Ukongeza, ukukhutshwa kwesisu akunciphisi. Oku kubangelwa ukuba kwintsana ekhulayo, kukho igumbi elincinci nangaphantsi kwisibeleko ngenxa yee-noma nodes. Kukho impembelelo ekukhuleni nasekuphuhlisweni komntwana. Ngenxa yokucima i-tumor enkulu, ngokuphindaphindiweyo umntwana udala i-torticollis kunye ne-deformation yamathambo e-cranial. Impembelelo ye-fibroids ekukhulelweni ibonakala kwi-circulation of circulation, ngenxa yokuba umntwana lowo ubhekene nokungabikho kwe-oxygen kunye nezondlo.
Ngokudibanisa ngokuphumelelayo kwe-fibroids ye-uterine nokukhulelwa kweenyanga ezilisithoba, ukuzalwa kunokuba nzima ngenxa yokuboniswa okungafanelekanga komntwana. Ngako oko, icandelo le-caesarean liboniswa, ngenxa yeso siphene esinokukhutshwa ngaso.
Unyango lwe-fibroids ekukhutheni
Ukuze i-myoma encinci, akukho nonyango efunekayo. Kufuneka kuphela ukugcina i-tumor, ukwenzela ukuthatha amanyathelo afike ngexesha, ukuba i-myoma iqala ukukhula. Xa ukhulelwe, ukwanda kwendlela yokuvelisa i-uterine kubangela ukuba i-anemia, okanye ukungabikho kwesinyithi.
Ukuba ibhinqa ine-fibroids enkulu okanye ukukhula kwayo kuhamba phambili, ucwangciso lomntwana lungcono ukuhlehliswa. Kukho ithuba eliphezulu lokukhupha isisu nokuzalwa kwangaphambi kokuzalwa. Kufuneka utyando. Nangona kunjalo, ukukhulelwa emva kokususwa kwe-fibroids kunokwenzeka ngeesisu ezincinane. Ngelishwa, emva kokususwa kwee-nodes ezinkulu ze-myomatous, umsebenzi wesisu awuyi kuhlala ugcinwa.