Ni iki Myomectomy? Intego, Uburyo & Gukira

Myomectomy ni uburyo bwo kubaga bukuraho fibroids zo mu mura mugihe ukomeje kugumana umura wawe. Iyi operasiyo itanga icyizere ku bagore bifuza kubungabunga ububasha bwabo bwo kubyara cyangwa gusa bakagumana umura wabo mugihe babona ubufasha ku bimenyetso bya fibroids.

Bitandukanye na hysterectomy, ikuraho umura wose, myomectomy igamije gusa fibroids zifite ibibazo. Ibi bituma iba uburyo bukundwa nabagore bateganya kubyara abana mugihe kizaza cyangwa bakunda gukomeza imiterere yabo yo kubyara.

Ni iki myomectomy?

Myomectomy ni uburyo bwo kubaga bugamije gukuraho fibroids mumura wawe mugihe ubungabunga urugingo ubwarwo. Ijambo riva kuri "myo" risobanura imitsi na "ectomy" risobanura gukuraho, rivuga ku gice cyimitsi kigize fibroids.

Muri ubu buryo, umuganga wawe amenya neza kandi akuraho buri fibroid mugihe yongera kubaka urukuta rwumura. Intego ni ugukuraho ibimenyetso mugihe ukomeza imiterere yumura wawe nimikorere kubijyanye no gutwita mugihe byifuzwa.

Iyi operasiyo irashobora gukorwa hakoreshejwe uburyo butandukanye bitewe nubunini, umubare, naho fibroids yawe iherereye. Umuganga wawe azahitamo uburyo butanga ibisubizo byiza hamwe nuburyo butagira ibitero bishoboka.

Kuki myomectomy ikorwa?

Myomectomy iba ngombwa mugihe fibroids itera ibimenyetso bikomeye bibangamira ubuzima bwawe bwa buri munsi nubuziranenge bwubuzima. Impamvu isanzwe ni amaraso menshi yo mu gihe cyo kubabara atitabira izindi nshuti.

Ushobora gukenera iyi operasiyo niba ufite ububabare bukomeye bwo mumaguru, umuvuduko, cyangwa gucurana bikagira ingaruka kubushobozi bwawe bwo gukora, gukora imyitozo, cyangwa kwishimira ibikorwa. Abagore benshi kandi bahitamo myomectomy mugihe fibroids itera kunyara kenshi cyangwa kugorana gusukura uruhago rwabo rwose.

Impungenge zerekeye ububyeyi akenshi zitera gufata icyemezo cyo kubaga myomectomy. Niba fibroids zibangamiye ubushobozi bwawe bwo gusama cyangwa gutwita ukageza igihe cyo kubyara, kuzikuraho bishobora guteza amahirwe yo gusama no kubyara neza.

Abagore bamwe bahitamo kubagwa myomectomy iyo fibroids ziteza kubyimba mu nda bigaragara cyangwa iyo izindi nshuti nka imiti cyangwa uburyo butavunanye butatanze ubufasha buhagije.

Ni iki gikorerwa muri myomectomy?

Uburyo bwa myomectomy butandukanye bitewe n'uburyo bw'ubuvuzi muganga wawe asaba. Hariho ubwoko butatu bw'ingenzi, buri kimwe cyagenewe kugera kuri fibroids ahantu hatandukanye muri nyababyeyi yawe.

Laparoscopic myomectomy ikoresha ibice bito mu nda yawe n'ibikoresho byihariye kugirango bikureho fibroids. Muganga wawe ashyiramo kamera ntoya yitwa laparoscope kugirango iyobore uburyo mugihe akuraho fibroids binyuze muri aya masomo make.

Hysteroscopic myomectomy igera kuri fibroids binyuze mu gitsina cyawe no mu gitsina gishimisha nta gice cyo hanze. Ubu buryo bukora neza kuri fibroids zikura imbere mu gice cy'inda kandi zikatera amaraso menshi.

Myomectomy ifunguye ikubiyemo igice kinini cyo mu nda, gisa na cesarean section. Ubu buryo busanzwe bubikwa kuri fibroids nini, fibroids nyinshi, cyangwa iyo kubagwa kwabanje byateje inkovu zituma uburyo butavunanye bugorana.

Mugihe cyo kubagwa myomectomy, muganga wawe azakuraho buri fibroid yitonze mugihe arengera igice cyiza cyo mu nda. Ubu buryo busanzwe bufata isaha imwe kugeza kuri eshatu bitewe n'uburyo urubanza rwawe rumeze.

Ni gute witegura myomectomy yawe?

Kwitegura myomectomy bitangira ibyumweru byinshi mbere yitariki yo kubagwa kwawe. Muganga wawe ashobora gutanga imiti yo kugabanya fibroids yawe no kugabanya amaraso, bituma kubagwa birushaho kuba byiza kandi bikora neza.

Bizaba ngombwa guhagarika imiti imwe n'imwe ishobora kongera ibyago byo kuva amaraso, harimo aspirine, imiti ituma amaraso atajyenda neza, n'imiti imwe n'imwe ikomoka ku bimera. Itsinda ry'abaganga bazaguha urutonde rwuzuye rw'ibyo ugomba kwirinda n'igihe ugomba guhagarikira buri muti.

Ibizamini mbere yo kubagwa mubisanzwe bikubiyemo ibizamini by'amaraso kugirango barebe urwego rwa hemoglobin yawe n'ubuzima bwawe muri rusange. Niba ufite anemia iterwa no kuva amaraso menshi, muganga wawe ashobora kugusaba imiti y'icyuma cyangwa izindi nshingano zo kunoza imibare y'amaraso yawe mbere yo kubagwa.

Ijoro rimbere yo kubagwa, bizaba ngombwa guhagarika kurya no kunywa ku gihe runaka, akenshi nko mu gicuku. Itsinda ry'abaganga bazaguha amabwiriza arambuye yerekeye igihe ugomba gutangirira kwiyiriza ukananywa n'imiti iyo ari yo yose ugomba gufata mu gitondo cyo kubagwa.

Tegura igihe cyo koroherwa utegura ubufasha mu mirimo yo mu rugo, kwita ku bana, no gutwara. Shyiraho imyenda yoroshye, ibiryo bifitiye ubuzima, n'ibikoresho byose muganga wawe agusaba kubera ubuvuzi nyuma yo kubagwa.

Ni gute usoma ibisubizo byawe bya myomectomy?

Nyuma ya myomectomy yawe, umuganga wawe uzaguha ibisobanuro birambuye byerekeye ibyabonetse kandi byakuweho mugihe cyo kubagwa. Iri somo rigufasha gusobanukirwa urugero rw'ikibazo cyawe cya fibroid n'icyo witegura gukora kugirango ukire.

Raporo ya pathology izemeza ko igitambaro cyakuweho koko cyari fibroids atari ubundi bwoko bw'imikurire. Iyi raporo mubisanzwe ifata iminsi myinshi kugirango irangire ariko itanga icyizere cyingenzi cyerekeye imiterere y'uburwayi bwawe.

Umuganga wawe azasobanura ubunini, umubare, n'ahantu ha fibroids zakurweho. Iri somo rifasha kumenya niba ushobora kwitega ubufasha bwingana iki kandi niba ubuvuzi bwongereweho bushobora gukenerwa mu gihe kizaza.

Uko koroherwa bigenda neza bipimirwa no kunoza ibimenyetso muminsi mike ikurikira. Abagore benshi bamenya igabanuka rikomeye ryo kuva amaraso menshi muminsi mike yo mu gihe cyo kubagwa.

Ni gute wanoza imikorere yawe nyuma ya myomectomy?

Kuguma neza nyuma yo kubagwa myomectomy bisaba kwihangana no kwita ku buryo umubiri wawe ukira. Igihe bishobora gutwara kiratandukana bitewe n'uburyo bwo kubaga bwakoreshejwe n'ubushobozi bwawe bwite bwo gukira.

Ku bijyanye n'inzira ya laparoscopic, abagore benshi basubira mu bikorwa bisanzwe mu byumweru bibiri cyangwa bitatu. Myomectomy yo gufungura isanzwe isaba ibyumweru bine kugeza kuri bitandatu byo gukira, hamwe n'inzitizi zo kuzamura no gusubira buhoro buhoro mu bikorwa byose.

Gucunga ububabare mugihe cyo gukira mubisanzwe bikubiyemo imiti yandikiwe iminsi mike ya mbere, ikurikirwa n'uburyo bwo hanze ya counter mugihe kutumva neza kugabanuka. Itsinda ryawe ryabaga rizaha amabwiriza yihariye yo gucunga ububabare neza kandi neza.

Ibyemezo byo gukurikirana ni ngombwa kugirango ukurikirane iterambere ryawe ryo gukira no gukemura ibibazo byose. Muganga wawe azagenzura ahantu wakomerekeye, aganire kubyerekeye gukira kwawe, kandi amenye igihe ushobora gusubira mu bikorwa bisanzwe harimo imyitozo ngororamubiri no gukora imibonano mpuzabitsina.

Ni izihe mpamvu zishobora gutuma ukeneye myomectomy?

Impamvu nyinshi zongera amahirwe yawe yo guteza imbere fibroids zikomeye bihagije kugirango zisabe myomectomy. Imyaka igira uruhare runini, hamwe na fibroids zikunze gufata abagore bari hagati yimyaka 30 na 40.

Amateka yumuryango akomeye cyane agira uruhare mukuzamuka kwa fibroid. Niba nyoko cyangwa bashiki bawe baragize fibroids, birashoboka cyane ko nawe uzazigira. Iki gice cya genetique ntigishobora guhinduka ariko gifasha gusobanura impamvu abagore bamwe bafite ibyago byinshi.

Ubwoko n'amoko bigira ingaruka ku kaga ka fibroid, hamwe n'abagore b'abirabura bafite ibipimo byinshi bya fibroids n'ibimenyetso bikomeye. Izi fibroids kandi zikunda gutezwa imbere mu myaka mito kandi zigakura kurusha mu zindi moko.

Impamvu z'imibereho zishobora kongera ibyago bya fibroid zirimo umubyibuho ukabije, umuvuduko mwinshi w'amaraso, n'imirire mike mu mbuto n'imboga. Ariko, izi mpamvu ntizishobora kuvuga neza nka genetike na demografiya.

Imihango y'igihe (mbere y'imyaka 12) no kuba utarigeze utwita na byo bifitanye isano n'ubushobozi bwo kurwara fibroids. Impamvu zishingiye ku misemburo mu gihe cy'ubuzima bwawe bw'imyororokere zigira uruhare mu mikurire ya fibroids n'uburemere bw'ibimenyetso.

Ni izihe ngaruka zishobora guterwa na myomectomy?

Kimwe n'ubundi buryo bwo kubaga, myomectomy ifite ibyago byihariye ugomba gusobanukirwa mbere yo gufata icyemezo cyawe. Abagore benshi bakira neza, ariko kumenya ingaruka zishobora kuvuka bifasha gufata icyemezo gifitiye akamaro.

Gushiramo amaraso mu gihe cyangwa nyuma yo kubagwa ni ikibazo gikunze kugaragara kuri myomectomy. Gushiramo amaraso menshi mu gihe cyo kubagwa rimwe na rimwe bisaba ko wongererwa amaraso, nubwo ibi bibaho ku gipimo kiri munsi ya 1% by'ibihe. Gushiramo amaraso nyuma yo kubagwa mubisanzwe birashobora gucungwa neza bitewe n'uburyo bwiza bwo kwita ku murwayi.

Infesiyo irashobora kwaduka ahantu hakorerwa ibikomere cyangwa imbere mu gatuza, nubwo ibi bitajyenda bibaho bitewe n'uburyo bwiza bwo kubaga no kwita ku murwayi nyuma yo kubagwa. Ibimenyetso bya infesiyo birimo umuriro, kurushaho kuribwa, cyangwa ibintu bidasanzwe biva ahantu hakorerwa ibikomere.

Urubavu rw'inyuma rwo mu gatuza cyangwa mu mura rushobora kugira ingaruka ku mikurire y'ubuzima bw'imyororokere mu gihe kizaza, nubwo iki kigo giteye ubwoba muri rusange. Umuganga wawe afata ingamba zo kugabanya urubavu, ariko urwego runaka rwo gukira imbere ruzahora rubaho nyuma yo kubagwa.

Ingaruka zitajyenda zibaho zirimo kwangiza ibice byegereye nk'urugingo rw'inkari cyangwa amara, cyane cyane mu gihe cyo kubaga bikomeye bikubiyemo fibroids nini cyangwa nyinshi. Izi ngaruka zibaho ku gipimo kiri munsi ya 1% by'inzira za myomectomy.

Abagore bamwe bahura n'impinduka z'agateganyo mu mikorere y'imihango cyangwa ubuzima bw'imyororokere nyuma ya myomectomy, nubwo ibi bisanzwe bikemuka mu mezi make mugihe gukira bigenda.

Ni ryari nkwiriye kubona umuganga nyuma ya myomectomy?

Kumenya igihe cyo kuvugisha umuganga wawe nyuma ya myomectomy birashobora gufasha kumenya gukira neza no gufata ingaruka zose hakiri kare. Ibikomere byinshi byabaye nyuma yo kubagwa ni ibice bisanzwe byo gukira, ariko ibimenyetso bimwe bisaba kwitabwaho vuba.

Vugana na muganga wawe ako kanya niba ubona amaraso menshi avuza buri saha mu masaha menshi. Kuvira amaraso ni ibisanzwe nyuma yo kubagwa, ariko kuvira amaraso cyane bishobora kwerekana ikibazo gikeneye kuvurwa.

Urubavu rurenze 101°F (38.3°C) cyangwa imbeho bishobora kwerekana icyorezo kandi bigomba kumenyeshwa ikipe yawe yabaganga vuba na bwangu. Kuvura indwara ziterwa n'ububabare nyuma yo kubagwa kare bituma habaho ibisubizo byiza no gukira vuba.

Urubabare rukabije cyangwa ruzamba rutavurwa n'imiti yategetswe rushobora kwerekana ibibazo nk'icyorezo cyangwa kuvira amaraso imbere. Ntugatinye guhamagara niba urubabare rutabasha kwihanganirwa cyangwa rukiyongera cyane.

Ibimenyetso byo kwandura ahantu hakomeretse harimo umutuku wiyongereye, ubushyuhe, kubyimba, cyangwa gukuramo nk'amazi. Ibi bimenyetso bikwiriye isuzuma ryihuse ry'ubuvuzi n'imiti ishobora gutangwa yo kurwanya mikorobe.

Kugorana kunyara, isesemi ihoraho no kuruka, cyangwa guhumeka mu buryo butunguranye ni n'impamvu zo guhamagara umuganga wawe ako kanya nyuma ya myomectomy.

Ibikunze kubazwa kuri myomectomy

Q.1 Ese myomectomy ifasha mu kuvira amaraso menshi mu gihe cy'imihango?

Yego, myomectomy ifasha cyane mu kugabanya kuvira amaraso menshi mu gihe cy'imihango biterwa na fibroids. Abagore benshi bagira impinduka zigaragara mu buryo bavira amaraso mu gihe cy'imihango ya mbere nyuma yo kubagwa.

Ubushakashatsi bwerekana ko 80-90% by'abagore bavuga ko bagabanije cyane kuvira amaraso nyuma ya myomectomy. Impinduka nyazo ziterwa n'ubunini, umubare, n'ahantu fibroids zakuwe mu gihe cy'uburyo wakoresheje.

Q.2 Ese nshobora gutwita nyuma ya myomectomy?

Abagore benshi bashobora gutwita no gutwaza inda nziza nyuma ya myomectomy, nubwo uzagomba gutegereza amezi menshi kugira ngo ukire neza. Muganga wawe azasaba gutegereza amezi atatu kugeza kuri atandatu mbere yo kugerageza gutwita.

Uburyo bwo kubyara neza nyuma yo kubaga myomectomy muri rusange buraryoshye, aho abagore benshi bageza ku mubare w'abana bifuza. Ariko, ushobora gukenera kubyarira mu cyuma bitewe n'ubwoko bwa myomectomy yakozwe n'uburyo igituntu cyawe cyakize.

Q.3 Ese fibroids zizongera gukura nyuma ya myomectomy?

Fibroids zishobora kongera gukura nyuma ya myomectomy kuko ubu buryo ntibuhindura ibintu byateye izo fibroids mu ntangiriro. Ariko, uko zigaruka biratandukanye cyane bitewe n'uko umuntu ahagaze.

Abagore bagera kuri 15-30% bashobora kugira fibroids nshya zisaba kuvurwa mu gihe cy'imyaka 5-10 nyuma ya myomectomy. Abagore bakiri bato igihe cyo kubagwa bagira uko zigaruka kenshi kuko bafite imyaka myinshi yo guhura n'imisemburo imbere yabo.

Q.4 Bifata igihe kingana iki kugira ngo umuntu akire nyuma ya myomectomy?

Igihe cyo gukira giterwa n'ubwoko bwa myomectomy wagize n'uburyo bwawe bwite bwo gukira. Uburyo bwa Laparoscopic busaba ibyumweru 2-3 kugira ngo umuntu atangire gukira, naho uburyo bwo kubaga bufunguye bushobora gufata ibyumweru 4-6.

Ushobora kwitega gusubira ku kazi ko mu biro mu byumweru 1-2 kubera uburyo butavuna kandi butavuna, n'ibyumweru 2-4 kubera kubagwa gufunguye. Gukira neza harimo no gusubira mu myitozo ngororamubiri no kuzamura ibiremereye mubisanzwe bifata ibyumweru 6-8 hatitawe ku buryo bwakoreshejwe.

Q.5 Ni izihe nzira zindi zishobora gukoreshwa mu gihe cyo kutabaga myomectomy?

Hariho izindi nzira nyinshi zishobora gukoreshwa bitewe n'ibimenyetso byawe, imyaka yawe, n'intego zawe zo gutegura umuryango. Imiti ikoreshwa mu guhindura imisemburo nk'ibinini byo kuboneza urubyaro cyangwa IUDs bishobora gufasha mu gucunga ibimenyetso bitabaye ngombwa kubaga ku bagore bamwe.

Uburyo butavuna cyane burimo uterine artery embolization, ultrasound yibanda, cyangwa radiofrequency ablation. Ku bagore badashaka kuzabyara, hysterectomy itanga uburyo bwo kuvura burundu bwo gukuraho igituntu cyose.