I-Myoma yesibeletho ingenye yezokwelapha ezijwayelekile kakhulu zesisu futhi kwenzeka kuma-25% wabesifazane. I-Myoma iqala ukutholwa kwabesifazane abaneminyaka engama-30-40, lapho ukuguquka kwesimo sangemuva se-hormonal kubaluleke kakhulu. Ngokuvamile, i-myoma, ekhula ngokushesha futhi idala ukuphuma kwegazi njalo, yisizathu sokungenela okusheshayo. Kodwa kungenzeka futhi kanjani ukwelapha i-fibromy ngaphandle kokuhlinzwa? Sizozama ukutshela ngalezi zindlela esihlokweni sethu.
Ukwelashwa okungahlinzekiwe kwe-fibroids ye-uterine
Ukwelashwa kwe-uterine fibroids ngaphandle kokuhlinzwa kungenzeka namhlanje, kodwa esimweni sokuthi owesifazane akanalo izinkomba zokungenelela kokusebenza. Izinkomba zokusebenza ziyi:
- uma ubukhulu be-node ye-myomatous ifinyelela emavikini angu-12-14 (isisu sikhuphuka ngamasonto angu-14 okukhulelwa);
- uma ubukhulu be-fibroids banda ngokushesha futhi isibeletho sanda ngamasonto angu-4 ngonyaka (lokhu kuyingozi yokuthuthukisa izicubu ezinonya zesisu);
- uma i-node ye-myomatous isendaweni yomlomo wesibeletho;
- uma i-myoma yesibindi iyimbangela yokuphuma kwegazi (ukuya esikhathini nokuya esikhathini), okuholela ekudleni kwegazi;
- uma i-node evulekile ye-myomatous igxuma izitho ezizungezile futhi iphazamise umsebenzi wayo (intumbo nesinye).
Lezi zibonakaliso ziyisizathu sokusebenza okuhleliwe, kodwa kusekhona izimo eziphuthumayo. Lezi zihlanganisa ukuhlushwa kwemilenze ye-node myomatous ne-necrosis.
Indlela yokuphulukisa i-fibroid ngaphandle kokuhlinzwa?
Ukwelashwa kwe-fibroids kwesibeletho ngaphandle kokuhlinzwa kungenziwa ngosizo lwemithi, futhi kungenzeka ngosizo lwezindlela zezinsimbi. Ngakho-ke, isibonelo, ama-fibroids amancane angasuswa angasuswa ngosizo lwe-hysteroresectoscopy. Imithi ye-hormonal ingenye indlela yokwelapha ngokucophelela kwe-fibters ye-uterine. Emasimini amancane wefindo le-myomatous liphazamisa ukukhula kwalo, futhi ngezinye izikhathi ngisho nokugqugquzela ukuguquka kwalo.
Uma ubukhulu be-myoma bukhulu ngokwanele, kunegazi elivame ukwelapha futhi ukwenziwa ukuhlinzwa akukwazi ukugwema, khona-ke ukwelashwa kwe-hormone kuphakanyiswa ukuba ukhethe ukunciphisa imvamisa nokuchichima kwegazi. Abesifazane abangafinyeleleki esikhathini sokuqala samadoda kunqunywe amalungiselelo we-19-norsteroid (i-Norkolut), okunciphisa imvamisa yokuphuma kwamadoda. Kumele kuthathwe kusukela ngomhla we-16 kuya ku-25 womjikelezo wesigamu sonyaka. Abesifazane abafika esikhathini sokuqala kwe-menopausal banqunywa ama-agonists gonadotropin-ekhulula i-hormone (i-Buserelin), esetshenziswa njengemijovo kathathu ngosuku. Okuyinhloko yesenzo sabo ukusheshisa ukuqala kokuya esikhathini nokuqedwa komsebenzi we-hormone wama-ovari.
Indlela yokususa i-fibroids ngaphandle kokuhlinzwa: i-uterine isitifiketi embolization
Ukwakhiwa kwe-arterium uterine ingenye yezindlela ezintsha futhi zanamuhla zokwelapha i-uterine fibroids. Naphezu kweqiniso lokuthi libhekisela ekuhlaseleni, kodwa likhulu kakhulu kunomsebenzi. Okuyinhloko yale ndlela ukuthi isiguli siphethwe ngamakhemikhali we-femoral kanye ne-catheter ihanjiswa emthini we-uterine ngaphansi kokulawulwa kwemishini ye-X-ray.
Ngakho-ke, sasihlolisise zonke izindlela ezingekho zokuhlinza zokwelapha i-uterine fibroids. Kodwa ukuze babe nomthelela, kufanele ucele usizo ngokushesha. Yiqiniso, ngokuvamile i-myoma iminyaka engabonakali, futhi okokuqala kungenza uzizwe uphuma ngegazi. Ngakho-ke, ukuhlolwa kokuvimbela kanye nokuhlolwa kwe-ultrasound kubaluleke kakhulu.