Myomectomy
Ibyerekeye iki kizamini
Myomectomy (my-o-MEK-tuh-me) ni uburyo bwo kubaga bugamije gukuraho ibibyimba byo mu nyababyeyi - bizwi kandi nka leiomyomas (lie-o-my-O-muhs). Ibi bibyimba bisanzwe kandi bidafite kanseri biboneka mu nyababyeyi. Ubusanzwe, ibibyimba byo mu nyababyeyi bigaragara mu myaka yo kubyara, ariko bishobora kugaragara igihe icyo ari cyo cyose.
Impamvu bikorwa
Muganga wawe ashobora kugusaba kubagwa myomectomy kubera fibroids zikubangamiye cyangwa zikubuza gukora imirimo yawe ya buri munsi. Niba ukeneye kubagwa, impamvu wakwemerera kubagwa myomectomy aho kubagwa hysterectomy kubera fibroids zo mu kibuno zirimo: Urateganya kubyara Abaganga bakeka ko fibroids zo mu kibuno zishobora kuba zibangamiye ubushobozi bwawe bwo kubyara Ushaka kubika umukobwa wawe
Ingaruka n’ibibazo
Myomectomy ifite ibyago bike cyane. Nubwo bimeze bityo, ubu buryo bugira ibibazo byihariye. Ibyago bya myomectomy birimo: Gutakaza amaraso menshi. Abagore benshi bafite ibibyimba byo mu nda (uterine leiomyomas) basanzwe bafite umubare muke w'amaraso (anemia) bitewe no kuva amaraso menshi mu mihango, bityo bakaba bafite ibyago byinshi byo kugira ibibazo bitewe no gutakaza amaraso. Muganga wawe ashobora kugutekerezaho uburyo bwo kongera umubare w'amaraso yawe mbere y'igihe cy'ubuganga. Mu gihe cya myomectomy, abaganga bafata ingamba zidasanzwe kugira ngo birinde gutakaza amaraso menshi. Ibi bishobora kuba birimo guhagarika amaraso ava mu mitsi y'inda hakoreshejwe tourniquets na clamps no gushyira imiti hafi y'ibibyimba kugira ngo imitsi y'amaraso ihindure imiterere. Ariko rero, intambwe nyinshi ntizagabanya ibyago byo gukenera amaraso. Muri rusange, ubushakashatsi bugaragaza ko gutakaza amaraso ari bike mu kubaga kw'inda (hysterectomy) kuruta myomectomy ku nda zifite ubunini bumwe. Igicucu. Gukata mu nda kugira ngo bakureho ibibyimba bishobora gutera adhesion - ibice by'igicucu bishobora kuvuka nyuma y'ubuganga. Myomectomy ikoresheje laparoscopy ishobora gutera adhesion nke kuruta myomectomy ikoresheje igice cy'inda (laparotomy). Ibibazo byo gutwita cyangwa kubyara. Myomectomy ishobora kongera ibyago bimwe mu gihe cyo kubyara niba utwite. Niba umuganga wawe yagombaga gukata cyane mu nda yawe, umuganga uza kwita ku gutwita kwawe akurikira ashobora kugutekerezaho kubaga (C-section) kugira ngo birinde kwangirika kw'inda mu gihe cyo kubyara, ikibazo gito cyane cyo gutwita. Ibibyimba ubwayo bifitanye isano n'ibibazo byo gutwita. Amahirwe make yo gukuraho inda. Gake cyane, umuganga agomba gukuraho inda niba amaraso atahagarara cyangwa hari ibindi bintu bidasanzwe biboneka uretse ibibyimba. Amahirwe make yo gukwirakwiza kanseri. Gake cyane, kanseri ishobora kwitiranywa n'ibibyimba. Gukuraho ibibyimba, cyane cyane niba byamenetse mu bice bito (morcellation) kugira ngo bikurweho mu gice gito, bishobora gutera gukwirakwira kwa kanseri. Ibyago by'ibi byiyongera nyuma y'igihe cyo kubura imihango n'uko abagore bakuze. Mu 2014, Ikigo cy'Amerika gishinzwe ibiryo n'imiti (FDA) cyagabanije ikoreshwa rya laparoscopic power morcellator ku bagore benshi bakora myomectomy. Ishyirahamwe ry'abaganga b'abagore n'ababyeyi (ACOG) riragusaba kuvugana n'umuganga wawe ku byago n'inyungu za morcellation.
Icyo kwitega
Bishingwe ubunini, umubare n'aho utubuye twa fibroids duherereye, umuganga wawe ashobora guhitamo imwe mu nzira eshatu za chirugical zo gukuraho myomectomy.
Gusobanukirwa ibisubizo byawe
Ibyavuye muri myomectomy bishobora kuba birimo: Kugabanya ibimenyetso. Nyuma y'ubugingo bwa myomectomy, abagore benshi bagira impinduka nziza ku bimenyetso bibabangamira, nko kuva amaraso menshi mu mihango no kubabara mu kibuno. Gutera imbere mu kubyara. Abagore bakora myomectomy ikoresheje laparoscopy, haba hari ubufasha bwa roboti cyangwa ntabwo, bagira ibyavuye byiza mu gutwita mu mwaka umwe nyuma y'ubugingo. Nyuma ya myomectomy, igihe cy'amezi atatu kugeza kuri atandatu kigirwa inama mbere yo kugerageza gutwita kugira ngo umura wanyu ugire umwanya wo gukira. Umuntu wa muganga atazibona mu gihe cy'ubugingo cyangwa utatakuwe neza ashobora kuzakura akaba atuma ibimenyetso bigaragara. Ubundi bundi bugingo, bushobora gusaba ubuvuzi cyangwa budabusaba, bushobora kandi kuza. Abagore bari bafite umuntu umwe gusa bafite ibyago bike byo kugira ubundi bugingo bushya - akenshi bita umuvuduko wo kugaruka - kurusha abagore bari bafite abantu benshi. Abagore batwite nyuma y'ubugingo nabo bafite ibyago bike byo kugira ubundi bugingo bushya kurusha abagore batatwite. Abagore bafite ubundi bugingo bushya cyangwa bugaruka bashobora kugira ubundi buvuzi budakoresha ubugingo buboneka muri kazoza. Ibi birimo: Uterine artery embolization (UAE). Udukene duto twinjizwa mu mitsu y'umura, bigabanya amaraso. Radiofrequency volumetric thermal ablation (RVTA). Ingufu za Radiofrequency zikoreshwa mu kwambika (ablate) abantu bakoresheje ubushyuhe - urugero, bigenzurwa na ultrasound probe. MRI-guided focused ultrasound surgery (MRgFUS). Isoko y'ubushyuhe ikoreshwa mu kwambika abantu, bigenzurwa na magnetic resonance imaging (MRI). Bamwe mu bagore bafite ubundi bugingo bushya cyangwa bugaruka bashobora guhitamo hysterectomy niba barangije kubyara.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.