Chii chinonzi Myomectomy? Chinangwa, Maitiro & Kupora

Myomectomy inzira yekuvhiya inobvisa uterine fibroids uchichengeta chibereko chako chisina kukanganiswa. Kuvhiyiwa uku kunopa tariro kuvakadzi vanoda kuchengetedza kubereka kwavo kana kungochengeta chibereko chavo vachitsvaga zororo kubva kuzviratidzo zvefibroid.

Kusiyana ne hysterectomy, iyo inobvisa chibereko chose, myomectomy inotarisa chete mafibroids ane matambudziko. Izvi zvinoita kuti ive sarudzo inokwezva kuvakadzi vanoronga kuva nevana mune ramangwana kana vachida kuchengetedza anatomy yavo yekubereka.

Chii chinonzi myomectomy?

Myomectomy inzira yekuvhiya yakatarwa iyo inobvisa fibroids kubva muchibereko chako uchichengetedza nhengo yacho pachayo. Izwi rinobva ku

Kufunganya pamusoro pekubereka vana kunowanzoita kuti vanhu vafunge nezvekuvhiwa kwemyomectomy. Kana mafibroids achikanganisa kugona kwako kubata pamuviri kana kutakura pamuviri kusvika pakuzvarwa, kuabvisa kunogona kuvandudza mikana yako yekubata pamuviri nekubereka vana zvakanaka.

Vamwe vakadzi vanosarudza myomectomy kana mafibroids achikonzera kuzvimba mudumbu kunooneka kana kana mamwe marapirwo akadai semishonga kana nzira dzisina kukuvadza dzisina kupa rubatsiro rwakakwana.

Ndeipi nzira yemyomectomy?

Nzira yemyomectomy inosiyana zvichienderana nekuti chiremba wako anokurudzira nzira ipi yekuvhiya. Kune mhando nhatu huru, imwe neimwe yakagadzirirwa kuwana mafibroids munzvimbo dzakasiyana mukati memimba yako.

Laparoscopic myomectomy inoshandisa zvidiki zvidiki mudumbu rako uye zviridzwa zvakakosha kubvisa mafibroids. Chiremba wako anopinza kamera diki inonzi laparoscope kuti itungamirire nzira iyi apo ichibvisa mafibroids kuburikidza neizvi zvidiki.

Hysteroscopic myomectomy inowana mafibroids kuburikidza nemukadzi wako nemuromo wechibereko pasina chero zvidimbu zvekunze. Iyi nzira inoshanda zvakanyanya kune mafibroids anokura mukati memukati memimba uye anokonzera kubuda ropa zvakanyanya.

Open myomectomy inosanganisira kucheka kukuru mudumbu, kufanana nechikamu checesarean. Iyi nzira inowanzo chengeterwa mafibroids makuru, mafibroids akawanda, kana kana kuvhiyiwa kwakapfuura kwakagadzira tishu yemaronda inoita kuti nzira dzisina kukuvadza dzive dzakaoma.

Panguva yeimwe nzira yemyomectomy, chiremba wako achabvisa zvakanyatso mafibroid imwe neimwe achichengetedza tishu yemimba ine hutano. Nzira iyi inowanzo tora awa imwe kusvika matatu zvichienderana nekuoma kwenyaya yako.

Maitiro ekugadzirira myomectomy yako?

Kugadzirira myomectomy kunotanga mavhiki akati wandei vasati vaita kuvhiyiwa kwako. Chiremba wako anogona kunyorera mishonga yekuderedza mafibroids ako uye kuderedza kubuda ropa, zvichiita kuti kuvhiyiwa kuve kwakachengeteka uye kunoshanda.

Unofanira kumisa kutora mishonga yakati wandei inogona kuwedzera njodzi yekubuda ropa, kusanganisira aspirin, mishonga yekutapudza ropa, uye mamwe mavitamini emishonga yemakwenzi. Chikwata chako chekuchengetwa kwehutano chichapa runyorwa rwakakwana rwezvekudzivisa uye nguva yekumisa mushonga wega wega.

Kuedzwa kwekutanga kuvhiyiwa kunowanzo sanganisira basa reropa kuti uone mazinga ako ehemoglobin uye hutano hwako hwese. Kana uine anemia kubva mukubuda ropa zvakanyanya, chiremba wako angakurudzira mavitamini esimbi kana mamwe marapirwo kuti uvandudze kuverenga kweropa rako usati wavhiyiwa.

Husiku hwekupedzisira kuvhiyiwa, unofanira kumisa kudya nekunwa panguva yakatarwa, kazhinji pakati pehusiku. Chikwata chako chekuvhiya chichakupa mirairo chaiyo yekuti utange sei kutsanya uye chero mishonga yaunofanira kutora mangwanani ekuvhiyiwa.

Ronga nguva yako yekupora nekugadzirisa rubatsiro nemabasa emumba, kuchengetwa kwevana, uye kutakura. Chengeta zvipfeko zvakagadzikana, chikafu chine hutano, uye chero zvinhu zvinokurudzirwa nachiremba wako nekuchengetwa mushure mekuvhiyiwa.

Ungaverenga sei mhedzisiro yako ye myomectomy?

Mushure me myomectomy yako, chiremba wako achapa ruzivo nezve zvakawanikwa uye zvakabviswa panguva yacho. Ruzivo urwu runokubatsira kunzwisisa huwandu hwe dambudziko rako re fibroid uye zvekutarisira kupora.

Mushumo we pathology uchasimbisa kuti nyama yakabviswa yaive fibroids zvechokwadi uye kwete mamwe marudzi ekukura. Mushumo uyu unowanzo tora mazuva akati wandei kuti upedze asi unopa chivimbo chakakosha nezve chimiro chehutano hwako.

Chiremba wako achatsanangura saizi, nhamba, uye nzvimbo ye fibroids yakabviswa. Ruzivo urwu runobatsira kufanotaura kuti ungatarisira sei zororo re chiratidzo uye kana imwe kurapwa ingadiwa mune ramangwana.

Kubudirira kwekupora kunoyerwa nekuvandudzwa kwezviratidzo mumwedzi inotevera. Vakadzi vazhinji vanocherechedza kuderedzwa kukuru mukubuda ropa zvakanyanya mukati mematatu ekutanga ekutenderera kwemwedzi mushure mekuvhiyiwa.

Ungavandudza sei kupora kwako mushure me myomectomy?

Kupora mushure me myomectomy kunoda moyo murefu uye kutarisisa kwakanyatsoita nzira yekupora kwemuviri wako. Nguva yacho inosiyana zvichienderana nekuti ndeipi nzira yekuvhiya yakashandiswa uye kugona kwako kupora.

Kune nzira dzekuvhiya dze laparoscopic, vakadzi vazhinji vanodzoka kuzviitiko zvavo zvenguva dzose mukati memavhiki maviri kusvika matatu. Myomectomy yakavhurika inowanzoita mavhiki mana kusvika matanhatu ekupora, nekudzivirirwa kwekusimudza uye kudzoka zvishoma nezvishoma kuzviitiko zvizere.

Kutarisira kurwadziwa panguva yekupora kunowanzoita mishonga yekurapa kwemazuva mashoma ekutanga, ichiteverwa nezvinhu zvisingatengwi nemishonga kana kusagadzikana kuchiderera. Chikwata chako chekuvhiya chichapa gwara rakajeka rekutarisira kurwadziwa zvakachengeteka uye zvinobudirira.

Kugadzwa kwekuongorora kunokosha pakutarisa kufambira mberi kwako kwekupora uye kugadzirisa chero zvinetso. Chiremba wako achatarisa nzvimbo dzako dzekucheka, kukurukura ruzivo rwako rwekupora, uye kuona kuti ungadzoka riini kuzviitiko zvenguva dzose zvinosanganisira kurovedza muviri uye zvepabonde.

Ndezvipi zvinhu zvine njodzi zvekuda myomectomy?

Zvimwe zvinhu zvinowedzera mukana wako wekuvandudza fibroids akakomba zvakakwana kuti vadiwe myomectomy. Zera rinoita basa rakakosha, nefibroids inowanzoita vakadzi vane makore 30s ne 40s.

Nhoroondo yemhuri inonyanya kukanganisa kukura kwefibroid. Kana amai vako kana hanzvadzi dzako vakambove nefibroids, iwe unogonawo kuzvivandudza. Iyi chikamu chemajini haigoni kuchinjwa asi inobatsira kutsanangura nei vamwe vakadzi vachinyanya kutambudzika.

Rudzi nerudzi runokanganisa njodzi ye fibroid, nevakadzi veAfrican American vachiona huwandu hwakanyanya hwefibroids uye zviratidzo zvakanyanya. Aya mafibroids anowanzoitika pazera diki uye kukura kukuru kupfuura mune dzimwe nzanga.

Zvikonzero zvehupenyu zvinogona kuwedzera njodzi ye fibroid zvinosanganisira kufutisa, high blood pressure, uye kudya kwakaderera mumichero nemiriwo. Zvisinei, izvi zvinhu hazvina kufanotaura kupfuura majini uye demographics.

Kutanga kuenda kumwedzi kare (zvisati zvaitika zera re12) uye kusambove nemimba zvakare kunoenderana nenjodzi yepamusoro yefibroid. Zvinhu zvehomoni mumakore ako ekubereka zvinokanganisa kukura kwefibroid uye kuoma kwezviratidzo.

Ndezvipi zvingaitika zvekukanganisa kwe myomectomy?

Kufanana nechero nzira yekuvhiya, myomectomy inotakura njodzi dzakati dzinofanira kunzwisiswa usati waita sarudzo yako. Vakadzi vazhinji vanowana kupora kwakanaka, asi kuziva matambudziko anogona kukubatsira kuti uite sarudzo ine ruzivo.

Kubuda ropa panguva kana mushure mekuvhiyiwa ndiyo nyaya yakajairika ne myomectomy. Kubuda ropa zvakanyanya panguva yekuita dzimwe nguva kunoda kuwedzerwa kweropa, kunyangwe izvi zvichiitika mune isingasviki 1% yezviitiko. Kubuda ropa mushure mekuvhiyiwa kazhinji kunogoneka nekuchengetwa kwakakodzera.

Utachiona hunogona kukura panzvimbo dzekucheka kana mukati mepelvis, kunyangwe izvi zvisingawanzoitiki nehunyanzvi hwekuvhiya hwakakodzera uye kuchengetwa mushure mekuvhiya. Zviratidzo zveutachiona zvinosanganisira fivha, kuwedzera kurwadziwa, kana kubuda zvisina kujairika kubva panzvimbo dzekucheka.

Kugadzirwa kwenyama yechironda mukati mepelvis kana chibereko kunogona kukanganisa kubereka mune ramangwana, kunyangwe njodzi iyi kazhinji yakaderera. Chiremba wako anovhiya anotora matanho ekuderedza chironda, asi imwe dhigirii yekupora kwemukati inogara ichiitika mushure mekuvhiyiwa.

Matambudziko asingawanzoitiki anosanganisira kukuvadzwa kwenhengo dzepedyo dzakadai sebhiza kana ura, kunyanya panguva yenzira dzakaoma dzinosanganisira fibroids hombe kana dzakawanda. Matambudziko aya anoitika mune isingasviki 1% yenzira dze myomectomy.

Vamwe vakadzi vanowana shanduko dzenguva pfupi mumaitiro ekuenda kumwedzi kana kubereka mushure me myomectomy, kunyangwe izvi kazhinji zvichigadziriswa mukati memwedzi mishoma sezvo kupora kuchifambira mberi.

Ndinofanira kuona chiremba rini mushure me myomectomy?

Kuziva kuti ungataurirana riini nemupi wako wehutano mushure me myomectomy kunogona kubatsira kuona kupora kwakakodzera uye kubata chero matambudziko kare. Zvinetso zvakawanda mushure mekuvhiyiwa zvikamu zvakajairika zvekupora, asi zvimwe zviratidzo zvinoda kutariswa nekukurumidza.

Taura nachiremba wako nekukasira kana uine kubuda ropa kwakanyanya kunopfuura pad imwe paawa kwemaawa akati wandei. Kumwe kubuda ropa kwakajairika mushure mekuvhiyiwa, asi kubuda ropa kwakanyanya kungaratidza matambudziko anoda kurapwa.

Fivha iri pamusoro pe101°F (38.3°C) kana kutonhora kunogona kuratidza hutachiona uye inofanira kuziviswa kuchikwata chako chekuvhiya nekukurumidza. Kurapwa kwekutanga kwezvirwere mushure mekuvhiyiwa kunotungamira kumigumisiro iri nani uye kupora nekukurumidza.

Kurwadziwa kwakanyanya kana kuwedzera kusina kuvandudzwa nemishonga yakarairwa kunogona kuratidza matambudziko senge hutachiona kana kubuda ropa mukati. Usazeze kufona kana kurwadziwa kukava kusingadzoreki kana kuwedzera zvakanyanya.

Zviratidzo zvehutachiona panzvimbo dzekucheka zvinosanganisira kuwedzera kutsvuka, kudziya, kuzvimba, kana kubuda senge pus. Zviratidzo izvi zvinoda kuongororwa kwekurapa nekukurumidza uye kurapwa kwemishonga inorwisa mabhakitiriya.

Kutadza kuita weti, kusvotwa kunoramba kuripo uye kurutsa, kana kufema kwemhepo kamwe kamwe zvakare zvikonzero zvekutaura nemupi wako wehutano nekukasira mushure me myomectomy.

Mibvunzo inowanzo bvunzwa nezve myomectomy

Q.1 Myomectomy inoshanda here pakubuda ropa kwakanyanya kwemwedzi?

Hongu, myomectomy inoshanda zvakanyanya pakuderedza kubuda ropa kwakanyanya kwemwedzi kunokonzerwa nemafibroids. Vakadzi vazhinji vanowana kuvandudzwa kukuru mumaitiro avo ekubuda ropa mukati memavhiki mashoma ekutanga emwedzi mushure mekuvhiyiwa.

Zvidzidzo zvinoratidza kuti 80-90% yevakadzi vanoshuma kuderedzwa kukuru mukubuda ropa kwakanyanya mushure me myomectomy. Kuvandudzwa chaiko kunoenderana nehukuru, huwandu, uye nzvimbo yefibroids yakabviswa panguva yechirongwa chako.

Q.2 Ndingava nemimba here mushure me myomectomy?

Vakadzi vazhinji vanogona kubata uye kutakura pamuviri une hutano mushure me myomectomy, kunyangwe iwe uchizofanira kumirira mwedzi yakati wandei kuti upore zvakakwana. Chiremba wako anowanzo kuraira kumirira mwedzi mitatu kusvika mitanhatu usati waedza kubata.

Maitiro ekubudirira pamuviri mushure me myomectomy anowanzoita zvakanaka, nevakadzi vazhinji vachiwana mhuri yavanoda. Zvisinei, unogona kuda kuburitswa nemwana (cesarean delivery) zvichienderana nerudzi rwe myomectomy rwakaitwa uye kuti chibereko chako chakapora sei.

Q.3 Ko mafibroids achadzoka here mushure me myomectomy?

Mafibroids anogona kukura zvakare mushure me myomectomy sezvo maitiro acho asingachinji zvinhu zvakakonzera pakutanga. Zvisinei, mwero wekudzoka unosiyana zvakanyanya zvichienderana nemamiriro emunhu.

Vanenge 15-30% yevakadzi vanogona kukudziridza mafibroids matsva anoda kurapwa mukati memakore 5-10 mushure me myomectomy. Vakadzi vadiki panguva yekuvhiwa vane mwero wekudzoka wakakwira sezvo vaine makore mazhinji ekuona mahomoni mberi kwavo.

Q.4 Kupora kubva ku myomectomy kunotora nguva yakareba sei?

Nguva yekupora inoenderana nerudzi rwe myomectomy yawakaita uye maitiro ako ekupora. Maitiro eLaparoscopic anowanzoita 2-3 mavhiki ekutanga kupora, nepo maitiro akavhurika angatora 4-6 mavhiki.

Unogona kutarisira kudzokera kubasa rekuhofisi mukati me1-2 mavhiki emaitiro mashoma anopinda uye 2-4 mavhiki ekuvhiyiwa kwakavhurika. Kupora zvizere kusanganisira kudzokera kune maekisesaizi uye kusimudza zvinhu zvinorema zvinowanzoita 6-8 mavhiki zvisinei nemaitiro anoshandiswa.

Q.5 Ndezvipi zvimwe zvingaitwa panzvimbo pe myomectomy?

Zvimwe zvinhu zviripo zvichienderana nezviratidzo zvako, zera, uye zvinangwa zvekuronga mhuri. Kurapa kwemahomoni senge mapiritsi ekudzivirira pamuviri kana IUDs zvinogona kubatsira kubata zviratidzo pasina kuvhiyiwa kune vamwe vakadzi.

Maitiro mashoma anopinda anosanganisira uterine artery embolization, focused ultrasound, kana radiofrequency ablation. Kune vakadzi vasingade pamuviri remangwana, hysterectomy inopa kurapwa kwakajeka nekubvisa chibereko chose.