Myomectomy
Nezve bvunzo iyi
Myomectomy (my-o-MEK-tuh-me) chirurgical procedure iri kubvisa fibroids dzemukati — dzinozivikanwawo se leiomyomas (lie-o-my-O-muhs). Kukura uku kunoitika kazhinji, kwete kenza, kunoonekwa mudumbu. Uterine fibroids kazhinji dzinoonekwa panguva yekubereka, asi dzinogona kuitika pazera ripi neripi.
Nei ichiitwa
Chiremba wenyu angakurudzira kuvhiyiwa kwe myomectomy ye fibroids inokonzera zviratidzo zvinonetsa kana kuti zvinokanganisa mabasa enyu enguva dzose. Kana muchida kuvhiyiwa, zvikonzero zvekusarudza myomectomy panzvimbo pe hysterectomy ye uterine fibroids zvinosanganisira: Munoronga kubereka vana Chiremba wenyu anofungidzira kuti uterine fibroids ingangove iri kukanganisa kubereka kwako Munoda kuchengeta chisu chenyu
Ngozi nematambudziko
Myomectomy ine chiyero chiduku chekuoma. Zvisinei, nzira iyi ine matambudziko ayo chaiwo. Ngozi dze myomectomy dzinosanganisira: Kurasikirwa neropa kwakanyanya. Vakadzi vazhinji vane uterine leiomyomas vane nhamba shoma yeropa (anemia) nekuda kwekuyerera kwemwedzi kwakanyanya, saka vari pangozi yakakwira yematambudziko nekuda kwekupera kweropa. Chiremba wako angakurudzira nzira dzekuwedzera nhamba yeropa rako usati waopareta. Panguva yemyomectomy, vanachiremba vanoita matanho ekudzivirira kurasikirwa neropa kwakanyanya. Izvi zvinogona kusanganisira kudzivirira kuyerera kubva kumatunhu eropa e uterine nekushandisa tourniquets ne clamps uye kuisa mishonga yakapoteredza fibroids kuti zvibereko zve ropa zvidzime. Zvisinei, matanho mazhinji haadzore ngozi yekuda kuiswa ropa. Kazhinji, zvidzidzo zvinoratidza kuti pane kurasikirwa neropa kwakaderera nehysterectomy kupfuura myomectomy kune uteruses yakafanana saizi. Tishu yekakuvadza. Kucheka mu uterus kubvisa fibroids kunogona kutungamira kune adhesions - mabhandi etishu yekakuvadza inogona kukura mushure mekuvhiya. Laparoscopic myomectomy inogona kuita kuti pave ne adhesions shoma kupfuura abdominal myomectomy (laparotomy). Zvinetso zvekuhwana kana kubereka. Myomectomy inogona kuwedzera njodzi dzakati panguva yekuzvara kana iwe ukaita nhumbu. Kana chiremba wako akafanira kuita kucheka kwakadzika mudenga re uterus rako, chiremba anotarisira nhumbu yako inotevera angakurudzira cesarean delivery (C-section) kudzivirira kupwanya kwe uterus panguva yekuzvara, kuoma kwakanyanya kwenguva refu kwenhumbu. Fibroids pachavo zvakabatanawo nezvinetso zvekuhwana. mukana mudiki we hysterectomy. Zvishoma, chiremba anofanira kubvisa uterus kana ropa risina kudzorwa kana zvimwe zvinhu zvisina kujairika zvikawanikwa pamwe chete ne fibroids. mukana mudiki wekuparadzira tumor ye kenza. Zvishoma, tumor ye kenza inogona kukanganiswa ne fibroid. Kubvisa tumor, kunyanya kana yakapwanyika kuita zvidimbu zviduku (morcellation) kubvisa kuburikidza nekucheka kwakakura, kunogona kutungamira pakupararira kwekenza. Ngozi yekuti izvi zviitike inowedzera mushure memenopause uye sezvo vakadzi vakwegura. Muna 2014, Food and Drug Administration (FDA) yakanyevera pamusoro pekushandisa laparoscopic power morcellator kune vakadzi vazhinji vanoita myomectomy. American College of Obstetricians and Gynecologists (ACOG) inokurudzira kuti utaure nachiremba wako nezvengozi uye mabhenefiti e morcellation.
Zvekutarisira
Zvichienderana nehukuru, nhamba, nenzvimbo ye fibroids dzako, chiremba anoshanda anogona kusarudza imwe yenzira nhatu dzekuvhiya dze myomectomy.
Kunzwisisa mhedzisiro yako
Mhedzisiro yekubviswa kwemamyoma inogona kusanganisira: Kugadziriswa kwezviratidzo. Mushure mekuvhiyiwa kwekuvhiyiwa kwemamyoma, vakadzi vazhinji vanowana zororo rezviratidzo zvinonetsa, senge kuyerera kwemwedzi kwakanyanya uye kurwadziwa mudumbu nekuoma. Kuvandudzwa kwekuzvara. Vakadzi vanoita kuvhiyiwa kwemamyoma ne laparoscopy, vane kana vasina rubatsiro rwe robotic, vane mhedzisiro yakanaka yekuzvitakura mukati megore rimwe chete rekubvhiyiwa. Mushure mekubviswa kwemamyoma, nguva yekumirira inokurudzirwa mwedzi mitatu kusvika mitanhatu usati watanga kuita zvekuzvara kuti upe hutachiona hwako nguva yekurapa. Ma fibroids achangobva kuonekwa nachiremba wako panguva yekuvhiyiwa kana ma fibroids asingabviswe zvachose anogona kukura nekukurumidza uye kukonzera zviratidzo. Ma fibroids matsva, anogona kana kusada kurapwa, anogonawo kukura. Vakadzi vakanga vane fibroid imwe chete vane njodzi yakaderera yekukura ma fibroids matsva - kazhinji inonzi recurrence rate - kupfuura vakadzi vakanga vane ma fibroids akawanda. Vakadzi vanova nepamuviri mushure mekuvhiyiwa vane njodzi yakaderera yekukura ma fibroids matsva kupfuura vakadzi vasingazvitakura. Vakadzi vane ma fibroids matsva kana anodzokazve vanogona kuve nekurapa kwakawedzerwa, kusina kuvhiyiwa kwavanogona kuwana mune ramangwana. Izvi zvinosanganisira: Uterine artery embolization (UAE). Zvidimbu zvidiki zvinopfurwa mumoyo mumwe kana miviri ye uterine, zvichiita kuti ropa risasvike. Radiofrequency volumetric thermal ablation (RVTA). Simba re radiofrequency rinoshandiswa kubvisa (ablate) ma fibroids uchishandisa kushambadzira kana kupisa - semuenzaniso, rinotungamirwa ne ultrasound probe. MRI-guided focused ultrasound surgery (MRgFUS). Chinhu chinopisa chinoshandiswa kubvisa ma fibroids, chinotungamirwa ne magnetic resonance imaging (MRI). Vakadzi vamwe vane ma fibroids matsva kana anodzokazve vanogona kusarudza hysterectomy kana vapedza kuzvara.