Lezi ziphazamiso ze-tssu zingase zihlukumeze ngezikhathi ezithile
Ama-fibroid ayinqwaba yezicubu ezinobuthi-ezikhula emdongeni wesibeletho. Ama-Fibroid ajwayelekile; Ukulinganisela kubonisa ukuthi noma yikuphi phakathi kuka-20% no-50% wabesifazane abanomhlobo othile we-fibroid. Ngokuvamile ama-fibroid akhula ngesikhathi ekhulile futhi engekho kusukela ekuzalweni.
Izimpawu
Kubesifazane abaningi, i-fibroids ayibangeli izinkinga. Kodwa-ke, abanye besifazane bangabhekana nobuhlungu be-pelvic, izinkathi ezinzima kakhulu zokuya esikhathini, noma izinkinga zokuzala.
Kulaba besifazane abathile, i-fibroids ingabangela ukuhlukunyezwa okuphindaphindiwe.
Okwenza ama-Fibroid ahlanganiswe nemikhawulo
Ngokwenhlolo-ka-2000, i-fibroids yilabo abahlukumezayo kuphela ku-5% wabesifazane abangenayo noma abahlukumezekile. Odokotela bakholelwa ukuthi kungani i-fibroids ibangela izinkinga kwabanye besifazane hhayi abanye ngokuphathelene nohlobo nosayizi we-fibroid nendawo yayo esibelethweni.
Ngokwesibonelo, uma i-fibroid isondelene nesibindi esiswini, lapho iqanda elikhuliswe khona lingase likhule, khona-ke i-fibroid ingase ibangele ukukhulelwa kwesisu. Ama-fibroid anamathela emgodini we-uterine futhi ashintshe ukuma kwawo (fibroids enamahlumela) kanye nalawo angaphakathi kwesikhumba se-uterine (i-intracavity fibroids) cishe angabangela ukuhlukumeza okungaphezu kwalawo angaphakathi kwodonga lwe-uterine (i-fibroids yangaphakathi) noma ubukhulu obungaphandle udonga lwe-uterine (i-subserosal fibroids). I-fibroid enkulu ivame ukuba yinkinga kakhulu kunomncane.
I-fibroid ekhudlwana yiyo, imithwalo yegazi engaphezu kwayo, futhi uma ingaphezulu ingathatha ukugeleza kwegazi kude nesisu kanye nentombazane ekhulayo.
Ukuxilongwa
Odokotela bangakwazi ukuhlolisisa i-fibroids ngokuvame ukuhlolwa kwe-pelvic. Uma udokotela efuna ulwazi oluthe xaxa mayelana ne-fibroids, ikakhulukazi owesifazane onenkinga yokukhubazeka noma yokuzala, udokotela angase futhi ahlele i- hysterosalpingogram (HSG) noma i-sonohysterogram.
Ngesikhathi se-HSG, inqubo yokuphulukiswa komzuzu engama-30, idayi e-iodine isekelwe emgodini wesibeletho kanti ama-x-ray athathwe. I-sonohysterogram ihilela ukujova isisombululo saline esibelethweni nokuyihlola nge-ultrasound.
Izinketho zokwelapha
Izindlela eziningi zokwelapha zikhona ze-fibroids, kanti abesifazane abangenayo izimpawu ezingekho emzimbeni ezihambisana ne-fibroids yabo kungenzeka bangadingeki ukwelashwa.
Ukwelashwa okukhulu kakhulu kwe-fibroids yi-hysterectomy (ukususwa kwesibeletho sonke) -ukuphathwa okwakungeke kusebenze kunoma ubani onomgomo wokukhulelwa futhi.
Imithi ekwazi ukunciphisa i-fibroids nayo ikhona, njengenye nezinye izinqubo zokuhlinza ezingaphansi kakhulu kune-hysterectomy. Enye inqubo ebizwa ngokuthi i-uterine artery embolization igxilisa ukunikezwa kwegazi ku-fibroid futhi ibonise ukuphumelela okwandayo, kodwa ukuphepha kokukhulelwa emva kwenqubo engaziwa.
Ukuhlinzwa okubizwa ngokuthi i-myomectomy ngokuvamile kuvame ukukhetha owesifazane othemba ukukhulelwa futhi. Ku-myomectomy, udokotela ususa ngokucophelela i-fibroid, ngezinye izikhathi nge-hysteroscope noma i-laparoscope.
Ukuphazamiseka kwe-myomectomy njengendlela yokwelashwa kwe-fibroid kuyithuba elibalulekile lokuphindaphindiwe kwe-fibroid; Amaphesenti angu-10 kuya ku-25% wabesifazane abakhetha i-myomectomy njengendlela yokwelapha i-fibroid bayodinga i-myomectomy esikhathini esizayo ngenxa ye-fibroids entsha.
Ngaphezu kwalokho, abesifazane abaye baba ne-myomectomy bangase babe nengozi yokukhulelwa kwesisu ngesikhathi sokukhulelwa futhi kuzodingeka balandelwe eduze ngesikhathi sokunakekelwa kokubeletha.
Imithombo:
U-Bajekal, N., no-TC Li, "ama-Fibroids, ukungabi nabantwana, nokukhulelwa kokukhulelwa." Ukukhiqizwa Komuntu Ukuvuselela 2000.
Hart, Roger, Yacoub Khalaf, Cheng-Toh Yeong, uPaul Seed, Alison Taylor, noPetru Braude, "Abazobe behlolwe ukulawulwa komphumela we-intralural uterine fibroids emphumela wokukhulelwa komsizi." Ukukhiqizwa Kwabantu NgoNovemba 2001.
Stewart, Elizabeth A., "Ulwazi lokubekezela: ama-Fibroids". Ulwazi olulandelayo lweziguli . Septemba 2007.
http://www.fibroidsecondopinion.com/fibroids-and-pregnancy/