Chii chinonzi Endometrial Ablation? Chinangwa, Matanho/Maitiro & Mhedzisiro

Endometrial ablation inzira yekurapa inobvisa kana kuparadza tishu yakatetepa inofukidza chibereko chako, inonzi endometrium. Kurapa uku kusingapindi zvakanyanya kunobatsira kuderedza kubuda ropa kwakanyanya kwemwedzi kana mamwe marapirwo asina kushanda zvakanaka.

Funga nezvazvo senzira yakatarwa yekugadzirisa matambudziko echibereko chako ari kukukonzera kutambudzika mwedzi wega wega. Chiremba wako anoshandisa maturusi akakosha kubvisa tishu iyi zvakanyatsonaka, izvo zvinogona kuderedza zvakanyanya mwedzi wako kana dzimwe nguva kuamisa zvachose.

Chii chinonzi endometrial ablation?

Endometrial ablation inobvisa endometrium, iyo iri tishu inovaka mwedzi wega wega uye inodururwa panguva yekutenderera kwako kwemwedzi. Maitiro acho anotarisana nekuvharika uku chete pasina kukanganisa akadzika echemberero yako.

Panguva yekurapa, chiremba wako anoshandisa kupisa, kutonhora, simba remagetsi, kana dzimwe nzira dzekuparadza tishu yeendometrial. Izvi zvinodzivirira kuvharika kuti kusakura zvakajairika, izvo zvinoderedza huwandu hweropa remwedzi raunowana.

Maitiro acho anoonekwa seasingapindi zvakanyanya nekuti anoitwa kuburikidza nemukadzi wako nemutsipa wechibereko. Chiremba wako haafaniri kuita chero kucheka mudumbu rako, izvo zvinoreva kupora nekukurumidza uye kusagadzikana kushoma kana tichienzanisa nekuvhiyiwa kukuru.

Nei endometrial ablation ichiitwa?

Endometrial ablation inorapa kubuda ropa kwakanyanya kwemwedzi kunokanganisa zvikuru hupenyu hwako hwezuva nezuva. Kana mwedzi wako wakanyanya kurema zvekuti uri kuchinja mapads kana matamponi awa rega rega, kubuda ropa kwemazuva anopfuura manomwe, kana kuona mafashama nemagwamba, maitiro aya angabatsira.

Chiremba wako anowanzo kuraira ablation kana mamwe marapirwo asina kupa zororo rakakwana. Izvi zvinogona kusanganisira mishonga yehomoni, mapiritsi ekudzivirira pamuviri, kana IUD inoburitsa mahomoni kuti aderedze mwedzi.

Maitiro aya anonyanya kushanda kuvakadzi vakapedza mhuri dzavo uye vasingadi vana vakawanda. Kubata pamuviri mushure me endometrial ablation kunogona kuva kwengozi kuvakadzi nemwana, saka iyi inyaya yakakosha yekufunga.

Vamwe vakadzi vanosarudza ablation kuti vavandudze hupenyu hwavo. Kubuda ropa kwakanyanya kunogona kukonzera anemia, kuneta, uye kukanganisa basa, kurovedza muviri, uye mabasa evanhu. Vakawanda vanowana zororo rakakura mushure mekuvhiyiwa.

Ndeapi maitiro e endometrial ablation?

Endometrial ablation inowanzoitwa semaitiro ekunze, zvinoreva kuti unogona kuenda kumba zuva rimwe chetero. Chiremba wako achakurukura nzira yakanakisa yezvinhu zvako zvakakosha uye nhoroondo yako yekurapa.

Maitiro asati atanga, uchagamuchira mushonga wekukubatsira kuzorora uye kubata chero kusagadzikana. Chiremba wako anozonyatsoisa chishandiso chakatetepa, chinochinjika kuburikidza nemukadzi wako nemuromo wechibereko kuti usvike muchibereko chako.

Nzira chaiyo ye ablation inoenderana nehunyanzvi hunosarudzwa nachiremba wako. Heano nzira huru dzinoshandiswa:

• Radiofrequency ablation inoshandisa simba remagetsi kupisa uye kuparadza tishu
• Cryoablation inotonhodza mutsara we endometrial nemhando dzinotonhora
• Heated balloon therapy inozadza chibereko chako nebhuruu rakazadzwa nemvura inopisa
• Microwave ablation inoshandisa simba re microwave kupisa tishu
• Hot fluid ablation inotenderera mhinduro yemunyu inopisa kuburikidza nechibereko chako

Nzira imwe neimwe inonyatso paradza tishu ye endometrial, kunyangwe hunyanzvi hwakakosha hunogona kusiyana zvichienderana nechibereko chako uye hunyanzvi hwechiremba wako. Maitiro ese anowanzo tora maminitsi gumi nemashanu kusvika makumi mana nemashanu.

Uchazorora munzvimbo yekupora mushure meizvozvo apo sedation inopera. Vakadzi vazhinji vanonzwa cramping yakafanana nekramu yekuenda kumwedzi, iyo inowanzoita nani mukati memaawa mashoma.

Maitiro ekugadzirira endometrial ablation yako?

Kugadzirira kwako kunotanga masvondo akati wandei pamberi pechirongwa chacho nekukurukurirana kwakakosha nechikwata chako chehutano. Uchaongorora nhoroondo yako yezvokurapa, mishonga yauri kutora, uye chero zvinokunetsa pamusoro pekurapa.

Chiremba wako anogona kukupa mushonga wekutetepa mutsetse wako weendometrial pamberi pechirongwa chacho. Izvi zvinoita kuti ablation ive inoshanda zvakanyanya uye inowanzo torwa kwemwedzi mumwe chete pamberi.

Uchada kuronga kuti mumwe munhu akutyairire kumba mushure mechirongwa chacho sezvo uchagamuchira sedation. Ronga kutora zororo rezuva iroro kubva kubasa kana mabasa akaoma.

Pazuva rechirongwa chako, ungangokumbirwa kuti usadya kana kunwa kwemaawa akati wandei pamberi. Chikwata chako chekurapa chichakupa mirairo chaiyo yekuti ungamira rini kudya nekunwa.

Vamwe vanachiremba vanokurudzira kutora mushonga wekurwadziwa usina mvumo yevarapi awa rimwe chete pamberi pekusangana kwako. Izvi zvinogona kubatsira kudzora kurwadziwa panguva uye mushure mechirongwa chacho.

Ungaverenga sei mhedzisiro yako yeendometrial ablation?

Kubudirira mushure meendometrial ablation kunoyerwa nekuti kubuda ropa kwako kwemwedzi kunoderera zvakadii. Vakadzi vazhinji vanocherechedza kuvandudzwa kukuru mukati memwedzi mishoma, kunyangwe zvingatora kusvika gore kuti uone mhedzisiro yakazara.

Vanenge 40 kusvika ku50 muzana yevakadzi vanomira kuenda kumwedzi zvachose mushure meablation. Vamwe 35 kusvika ku40 muzana vanowana nguva dzakareruka zvikuru dzinodzoreka kupfuura kare.

Chiremba wako achakutevera panguva dzose kuti aongorore kufambira mberi kwako. Vachabvunza nezve maitiro ako ekubuda ropa, mazinga ekurwadziwa, uye kugutsikana kwese nemhedzisiro.

Vamwe vakadzi vanoramba vachiita light spotting kana nguva pfupi, yakareruka. Izvi zvakajairika uye zvichiri kumiririra mhedzisiro inobudirira kana dambudziko rako rekubuda ropa rakakura ragadziriswa.

Kana usingaone kuvandudzwa mushure memwedzi mitanhatu, kana kubuda ropa kwakanyanya kukadzoka, zivisa chiremba wako. Dzimwe nguva chirongwa chechipiri kana nzira yekurapa yakasiyana inogona kudiwa.

Chii chinonyanya kubatsira mushure mekubviswa kweendometrial?

Mhedzisiro yakanaka ndeyekuti kubuda ropa kwako kwakanyanya kwemwedzi kunoderera zvakanyanya kana kubviswa zvachose, zvichikubvumira kudzokera kumabasa ako enguva dzose usina hanya. Vakadzi vazhinji vanoshuma kunzwa vaine simba rakawanda uye vakazvivimba mushure mekubviswa kwakabudirira.

Kubudirira kwakanyanya kuvanhu uye kunoenderana nezvinhu zvakaita sezera rako, saizi uye chimiro chechibereko chako, uye chikonzero chikuru chekubuda ropa kwako kwakanyanya. Vakadzi vadiki vanogona kunge vachikwanisa kuona kubuda ropa kuchidzoka nekufamba kwenguva.

Vakadzi vazhinji vanowana kuvandudzwa kukuru mumhando yehupenyu hwavo. Unogona kuzviwana usisina hanya nekuzara, kutakura zvinhu zvakawanda, kana kuronga zviitiko zvakapoteredza kutenderera kwako kwemwedzi.

Maitiro acho anowanzo deredza marwadzo emwedzi uye zvimwe zviratidzo zvine chekuita nenguva. Vakadzi vazhinji vanoshuma kurara zviri nani uye kuva nesimba rakawanda mwedzi wese.

Ndezvipi zvinhu zvine njodzi yekukanganiswa kwekubviswa kweendometrial?

Zvimwe zvinhu zvinogona kuwedzera njodzi yako yekukanganiswa panguva kana mushure mekubviswa kweendometrial. Kunzwisisa izvi kunobatsira iwe nachiremba wako kuita sarudzo yakanakisa yemamiriro ako ezvinhu.

Kuva nechibereko chikuru kwazvo kana uterine fibroids yakakosha kunogona kuita kuti maitiro acho ave nematambudziko. Chiremba wako anogona kukurudzira kurapa izvi zvirwere kutanga kana kuratidza dzimwe nzira dzekurapa.

Zvikamu zvekare zvecesarean kana mamwe maoparesheni echibereko anogona kugadzira tishu yemaronda inokanganisa kubviswa. Chiremba wako achatarisa nhoroondo yako yekuvhiya zvakanyatso panguva yekubvunzana kwako.

Zvirwere zvepelvic zvinoita kuti zvirwere zvipere zvachose kubviswa kusati kwaitwa zvakachengeteka. Chero zviratidzo zvechirwere zvinononotsa maitiro ako kusvikira wadzoka zvizere.

Zvimwe zvirwere zvinokanganisa kukodzera kwako maitiro acho. Izvi zvinosanganisira:

• Kuti une pamuviri kana wava nemimba munguva pfupi yapfuura
• Kuda kuva nemimba mune ramangwana
• Mhando dzeIUD dzinoda kubviswa kutanga
• Mhedzisiro isina kujairika yePap smear inoda kumwe kuongororwa
• Kenza yeEndometrial kana shanduko dzisati dzava kenza

Chiremba wako achanyatsoongorora zvinhu izvi panguva yekubvunzana kwako. Kukurukurirana pachena nezve nhoroondo yako yekurapa uye zvirongwa zveramangwana kunobatsira kuona mhedzisiro yakachengeteka.

Zvirinani kuva neendometrial ablation kana mamwe marapirwo here?

Kurapa kwakanakisa kunoenderana nemamiriro ako chaiwo, zera, uye zvinangwa zvekuronga mhuri. Endometrial ablation inoshanda zvakanaka kune vakadzi vazhinji, asi haisi sarudzo yakakodzera kune vese.

Kana iwe uchida kuva nevana mune ramangwana, ablation haina kukurudzirwa nekuti pamuviri mushure mekuvhiyiwa kunogona kuva nenjodzi. Kurapa kwehomoni kana dzimwe sarudzo dzinodzorereka dzaizova sarudzo dziri nani.

Kune vakadzi vakapedza mhuri dzavo uye vachida mhinduro yechigarire, ablation inopa mhedzisiro yakanaka ine nguva shoma yekupora kupfuura hysterectomy. Zvisinei, hysterectomy inovimbisa kuti mwedzi ichamira zvachose.

Vamwe vakadzi vanosarudza kuyedza kurapwa kushoma kunopinda, senge hormonal IUDs kana mishonga. Izvi zvinogona kushanda zvakanyanya uye zvinodzorereka zvachose kana ukachinja pfungwa dzako.

Chiremba wako achakubatsira kuyera mabhenefiti nenjodzi dzesarudzo imwe neimwe zvichienderana nezvido zvako zvega nezvaunofarira.

Ndezvipi zvingaitika zveendometrial ablation?

Vakadzi vazhinji vanowana matambudziko madiki anopera mukati memazuva mashoma kusvika kumavhiki. Kunzwisisa zvekutarisira kunokubatsira kugadzirira uye kuziva nguva yekubata chiremba wako.

Zvakajairika zvinokonzeresa zvekanguva zvinosanganisira cramping, kubuda ropa zvishoma kana spotting, uye kubuda kwemvura kunogona kugara mavhiki akati wandei. Izvi zvikamu zvakajairika zvekurapa.

Matambudziko akakomba haawanzoitika asi anogona kuitika. Zvakakosha kuziva zviratidzo zvinoda kutariswa kwechimbichimbi kwechiremba:

• Kubuda ropa kwakawanda kunonyorovesa pad yese awa
• Kurwadziwa kwakanyanya mudumbu kusingavandudzwi nemishonga
• Zviratidzo zveutachiona zvakaita sefivha, kutonhora, kana kubuda kwemvura kunonhuwa
• Kutadza kuita weti kana ropa muweti
• Kusvotwa nekutsvomoka kunodzivisa kuchengeta mvura pasi

Kazhinji, maitiro acho anogona kukonzera kukuvara kwematumbu kana bladder, kana kugadzira gomba mumadziro echibereko. Matambudziko aya anowanzoita kuti kuvhiyiwa kumwe kuwedzerwe asi hakusi kwakajairika.

Vamwe vakadzi vanowana mamiriro anonzi post-ablation syndrome, uko ropa remwedzi rinobatwa kumashure kwenyama ine mavanga. Izvi zvinogona kukonzera kurwadziwa kwakanyanya kwemwedzi uye zvinogona kuda kumwe kurapwa.

Ndingafonera chiremba rini mushure mekuita endometrial ablation?

Unofanira kufonera chiremba wako nekukasira kana ukaona kubuda ropa kwakawanda, kurwadziwa kwakanyanya, kana zviratidzo zveutachiona mushure mekuita kwako. Zviratidzo izvi zvinogona kuratidza matambudziko anoda kurapwa nekukurumidza.

Ronga musangano wekutevera kana maitiro ako ekubuda ropa asingavandudzwi mushure memwedzi yakati wandei. Kunyangwe zvichigona kutora nguva kuti uone mhedzisiro yakazara, chiremba wako anogona kuongorora kana kumwe kurapwa kungabatsira.

Kutarisirwa kwenguva dzose kwe gynecologic kunoramba kuri kwakakosha kunyangwe mushure mekubudirira kwe ablation. Iwe uchiri kuda routine Pap smears uye pelvic exams sezvinokurudzirwa nachiremba wako.

Kana iwe ukaona zviratidzo zvitsva zvakaita sekurwadziwa kusingaite, shanduko mukubuda, kana zvimwe zviratidzo zvinonetsa, usazeze kusvika kune wako mupi wehutano. Kutaurirana kare kazhinji kunobatsira kudzivirira nyaya diki kubva pakukura kuva matambudziko makuru.

Mibvunzo inowanzo bvunzwa nezve endometrial ablation

Ko endometrial ablation yakanaka here kumwedzi inorema?

Hongu, endometrial ablation yakagadzirirwa kurapa kubuda ropa kwakanyanya kwemwedzi uye inoshanda zvakanyanya nechinangwa ichi. Zvidzidzo zvinoratidza kuti vanenge 85 kusvika ku90 muzana yevakadzi vanowana nguva dzakareruka zvakanyanya kana kumira zvachose kubuda ropa mushure mekuvhiyiwa.

Kurapa kunoshanda zvakanyanya kuvakadzi vane kubuda ropa kwakanyanya kunokonzerwa ne endometrial lining pachayo, pane mamiriro ezvinhu akaita sefibroids hombe kana polyps. Chiremba wako achaongorora chikonzero chekubuda ropa kwako kwakanyanya kuti aone kana ablation iri sarudzo chaiyo.

Ko endometrial ablation inokonzera kumisa mwedzi nekukurumidza here?

Kwete, endometrial ablation haikonzeri kumisa mwedzi kana kukanganisa mahomoni ako. Maitiro acho anongobvisa uterine lining uye haakanganisi mazai ako, ayo anoramba achigadzira mahomoni zvakajairika.

Unogona kuramba uchiona zviratidzo zvenguva dzose zvekuenda kumwedzi zvakaita sekuchinja kwemafungiro, kupfava kwemazamu, kana kuzvimba, kunyangwe nguva dzako dzikava dzakareruka zvakanyanya kana kumira zvachose. Muviri wako unoramba uchiita rhythm yayo yechisikigo yehomoni.

Ndingava nemimba mushure me endometrial ablation here?

Kuzvitakura mushure me endometrial ablation zvinogoneka asi zvinokurudzirwa zvakanyanya nekuti zvinogona kuva nenjodzi kumamai nemwana. Maitiro acho anoderera zvakanyanya mikana yekuzvitakura, asi haionekwe seimwe nzira yakavimbika yekudzivirira kubata pamuviri.

Kana kuzvitakura kukaitika, pane njodzi yakakwirira yekurasikirwa nemimba, kusungirirwa kwakashata kwepacenta, uye mamwe matambudziko akakomba. Mazhinji madhokotera anokurudzira sterilization yechigarire kana nzira dzakavimbika zvikuru dzekudzivirira kubata pamuviri mushure me ablation.

Kupora kunotora nguva yakareba sei mushure me endometrial ablation?

Vakadzi vazhinji vanopora nekukurumidza kubva ku endometrial ablation uye vanogona kudzokera kuzviitwa zvakajairika mukati memazuva mashoma. Unogona kuona cramping uye kubuda ropa zvishoma kwemazuva akati wandei kusvika kumavhiki sezvo muviri wako uchipora.

Dzivisa kusimudza zvinhu zvinorema, kurovedza muviri zvakanyanya, uye kuita zvepabonde kwevhiki rimwe kana zvichidikanwa nachiremba wako. Vakadzi vazhinji vanodzoka kubasa mukati mezuva rimwe kana maviri, zvichienderana nerudzi rwebasa ravanoshanda.

Ndichiri kuda kuongororwa kwePap smears mushure mekuvhiyiwa kweendometrial ablation?

Hongu, uchiri kuda kuongororwa kwePap smears nguva dzose uye kuongororwa kwegynecologic mushure mekuvhiyiwa kweendometrial ablation. Maitiro acho haakanganisi chibereko chako kana njodzi yako yekenza yechibereko, saka kuongororwa kwenguva dzose kunoramba kuri kwakakosha.

Chiremba wako acharamba achitarisa hutano hwako hwese hwegynecologic uye anogona kukurudzira chirongwa chimwe chete chekuongorora chawaive nacho usati waita maitiro acho. Kuongororwa nguva dzose kunobatsirawo kuona kuti ablation inoramba ichishanda zvakanaka kwauri.