I-Myoma yesibeletho yisifo esibuhlungu esivela ezicubu ze-muscular of the uterus. I-Myoma yisifo esivamile kakhulu sezinkinga zesifo sofuba, imvamisa yesenzakalo esifinyelela ku-45% eminyakeni engu-35. Ngenxa yesimiso esibucayi sezemvelo maduzane, izidakamizwa ze-fibroids zitholakale zisencane.
Ngokusho kwemiphumela yokuxilongwa kwe-ultrasound, isazi sezinkinga zokubeletha singakwazi ukulandela amandla okukhula kwesibeletho. I-myoma ye-uterine ekhulayo idinga isimo sengqondo esengeziwe sokuthi impilo yowesifazane iyingxenye yodokotela.
Yimuphi u-fibroid obhekwa njengenkulu?
Uma kwenzeka owesifazane ehlonishwa ukuthi une- myoma eminingi ye-uterine , kunengqondo ukumbuza ukuthi yibuphi ubukhulu be-fibroids obhekwa njengebukhulu.
I-Myoma yesibeletho ibhekwa njengekhulu, uma ifinyelela usayizi wamasonto angu-14 okukhulelwa. Isisekelo se-uterine singachazwa ezingeni leveli. Ukwanda okunjalo ngobukhulu be-fibroids kudinga ukungenelela okusheshayo kokuhlinzwa, ngoba ubukhulu obukhulu bufaka izingxenye zangaphakathi zomakhelwane futhi buphazamise ukusebenza kwazo. Ngakho-ke, izimpawu ezilandelayo zingabonakala:
- ukuvuthwa njalo futhi ukusikhuthaza;
- ukwephulwa kwesenzo sokuhlukunyezwa;
- ukuthuthukiswa kwe-hydronephrosis.
Ezimweni ezingavamile, ukujikeleza kokuya esikhathini kungase kuphazamiseke futhi ikhono le-myometrium liyokwenziwa. Abesifazane bangabona ukuphuma kwegazi okukhulu.
Njenganoma yisiphi isisu, i-uterine fibroids inendawo yokukhula. Kuyaziwa ukuthi i-uterine fibroids ingafinyelela ubukhulu obukhulu kakhulu: ububanzi obungaphezu kuka-40 cm nesisindo esinganiselwa ku-5 kg.
Ngama-indices amaningi we-fibroid kungase kube nokukhathazeka kwesibili:
- i-hydroureter (ukuqoqwa komchamo ku-ureter);
- i-hydronephrosis (ukukhuliswa komgodla we-renal);
- ukubonakala kwezibonakaliso zesisu esiswini;
- ushintshe egazini (i-leukocytosis nge-shift kuya kwesobunxele).
Uma kwenzeka owesifazane onamaqabunga amakhulu ama-myomatous, kubalulekile ukuba ahlaziye ngokugcwele izibalo zomdlavuza ngenhloso yokuqeda ingozi yokuba nomdlavuza.
Ikhula ngokushesha kanjani i-uterine fibroids?
Uma owesifazane ephethe i-fibroids ekhula ngokushesha, ngokuvamile ngokuvamile, i-menorrhagia (i-menstruation eqhubekayo) ingase ikhule. Ukukhula okusheshayo kwama-node ama-myomatous kungase kuhambisane ne-anemia, izinqubo ezingenasisindo ezenzeka e-endometrium. Kulesi simo, ukususwa okuphelele kwesibeletho kuboniswa.
Kunezici eziningana ezibangela ukukhula kwe-uterine fibroids:
- inombolo enkulu yokukhipha izisu emlandweni wesifazane;
- owesifazane oye wafinyelela eminyakeni engama-30 akabelethi nokuzala;
- izifo ezingavamile zezifo (ukuvuvukala kwama-ovari, amashubhu ama-fallopian, i-cyst ovarian);
- ukuvezwa kakhudlwana kowesifazane ngaphansi kwethonya lemisebe ye-ultraviolet;
- ukuthatha izidakamizwa ze-hormonal isikhathi eside.
Ukwelashwa kwe-myoma ye-uterine ngobukhulu obukhulu
Uma owesifazane etholakala ukuthi une "uterine fibroids yobukhulu obukhulu", khona-ke ezimweni eziningi umsebenzi ukhonjisiwe. Ukususwa kwe-fibroids enkulu kaningi kwenzeka nge-laparoscopy, laparotomy noma hysteroscopy.
I-myomectomy - ukususwa kwesinye isibeletho nge-node ngokwayo.
I-hysterectomy iyisusa esiphelele sesisu. Imiphumela engathà sina kakhulu ukuhluleka kwe-hormonal emzimbeni wesifazane.
Ukusungulwa kwe-arterial uterine (EMA) - kuvimbela ukutholakala kwegazi kuma-nodes wesibeletho, ngenxa yokuthi baqala ukwehla ngosayizi.
Njengendlela eyisizayo yokwelapha i-uterine fibroids, kungenzeka ukuba usebenzise indlela yokwelapha - ukwelapha ngezingwegwe. Bayakwazi ukunciphisa ukuqhuma kwezikebhe ezincane ze-pelvic futhi bavame ukulinganisa ibhalansi ye-hormonal yowesifazane.
Kuthiwani uma i-myoma ikhula?
Ubukhulu obukhulu be-Myoma bungashintshwa ngokuphathwa kwemithi:
Njengendlela yokwelapha i-phytotherapy, ama-douches, ama-tampons kanye ne-poultices ayadingeka kakhulu.
Kubalulekile ukuthi owesifazane alondoloze ukudla okulinganiselayo futhi agcine ukulala nokuphumula.
Naphezu kokuthi i-myoma ye-uterine iyisisu esinamandla, sinendawo yokukhula nokuguqula ibe ifomu elibi. Ngakho-ke, ukwelashwa okuqale ngesikhathi kuzovumela owesifazane ukuba alondoloze impilo yakhe.