Ama-fibroids, abaziwa nangokuthi yi-uterine leiomyomas, yi-zinhlobo zezisu ezikhula esibelekweni. Ahlukile ngobukhulu, inani, nendawo futhi avamile kakhulu, athinta inani elikhulu labesifazane phakathi neminyaka yabo yokuzala. Ucwaningo lubonisa ukuthi abesifazane abafika ku-70% bangaba nalezi zikhulu ngaphambi kokuba babe neminyaka engama-50.
Ukuqonda ubukhulu be-fibroids kubalulekile ngezizathu ezimbalwa. Okokuqala, ubukhulu bungahlobana nezimpawu owesifazane angazizwa, njenge-bleeding enkulu, ubuhlungu be-pelvic, noma umuzwa wokucindezela. Ukubona ukuthi ubukhulu be-fibroid obujwayelekile bungakanani nge-millimeters kusiza ekuqondeni ukuthi i-fibroid ingabangela yini izinkinga. Ngokuvamile, ama-fibroids angaphansi kwama-5 mm abhekwa njengamancane, lawo aphakathi kwama-5 mm nama-10 mm aphakathi, nalawa amakhulu kunama-10 mm abhekwa njengakhulu.
Futhi, ukulinganisa ama-fibroids ngokuqondile kungasiza ekunqumeni ukwelashwa. Ama-fibroids amakhulu angadinga ukwelashwa okukhulu, kuyilapho amancane angalindeleka isikhathi eside. Ngakho-ke, ukuqonda ama-fibroids nobukhulu bawo kusiza abesifazane ukuba babe nezingxoxo ezinhle nodokotela babo mayelana nempilo yabo kanye nezinketho zokwelashwa.
Umbono Jikelele We-Uterine Fibroids
Ama-uterine fibroids yi-tumors odongeni oluyisikhafu lesibelekile, avamile kubesifazane abaseminyaka yokuzala.
Ahlukile ngobukhulu, kusuka ezinhlotsheni ezincane, ezingabonakali kuya ezinkulu ezingakwazi ukuguqula isibelekile.
Abesifazane abafika ku-70-80% bangaba nama-fibroids ngaphambi kokuba babe neminyaka engama-50, nakuba abaningi abanawo ama-symptoms.
Izimpawu zingafaka:
Ukuphuma kwegazi okukhulu noma okuphakathi nendawo.
Ubuhlungu be-pelvic noma ukucindezela.
Ukuya esikhumulweni njalo noma ukuhluleka ukukhulula isikhwama somchamo.
Ukuboshwa, ukukhuluphala, noma ubuhlungu emhlane.
Izinselele zokuzala noma izinkinga ekukhulelweni.
Izici ezingozi zokuthuthukisa ama-fibroids zifaka:
Iminyaka (30-50 iminyaka yiyona ndawo ephakeme).
Umlando womndeni wama-fibroids.
Ukungahambelani kwamahomoni okuhilela i-estrogen ne-progesterone.
Ukukhuluphala nokucindezeleka kwegazi eliphakeme.
Izinketho zokwelapha ziyahlukahluka ngobukhulu, indawo, kanye nezimpawu futhi zifaka:
Imithi yokulawula ama-hormoni nokunciphisa izimpawu.
Izindlela ezincane zokwelapha njenge-uterine artery embolization noma i-radiofrequency ablation.
Ukuhlinzwa njenge-myomectomy (ukususa ama-fibroids) noma i-hysterectomy ezimweni ezinzima.
Ukuqonda Ubukhulu Be-Fibroids
a) Ukwahlukahluka Kwe-Fibroid Size: Ama-fibroids angaba ngobukhulu kusuka ancane njengembewu (amamilimitha ambalwa) kuya ekukhulu njenge-watermelon (ngaphezulu kwama-10 cm +). Ngokuvamile ahlukaniswa njengamancane (ngaphansi kwama-2 cm), aphakathi (2-6 cm), noma akhulu (ngaphezulu kwama-6 cm). Ama-fibroids amakhulu angabangela ukukhuluphala okubonakalayo kwesisu kanye nezimpawu ezinkulu, kuyilapho amancane angase angabonakali ngaphandle kokuhlolwa kwezithombe.
b) Uthonyo Lobukhulu Ezimpawu: Ubukhulu be-fibroid buhlala bunquma ubukhulu bezimpawu. Ama-fibroids amakhulu anethuba elikhulu lokubangela ubuhlungu be-pelvic, ukuphuma kwegazi okukhulu, nokucindezela ezihlokweni eziseduze njengesibelekile noma amabele, okuholela ekuyeni esikhumulweni njalo noma ekuvaleni kwamabele. Ama-fibroids amancane angase angabi nazimpawu kodwa angase ahluphe ukukhulelwa kuye ngendawo yawo.
c) Izincazelo Zokwelapha Ngobukhulu: Ubukhulu buqala indima ebalulekile ezinqumweni zokwelapha. Ama-fibroids amancane angadinga ukulandelelwa kuphela, kuyilapho ama-fibroids aphakathi kuya ekukhulu avame ukudinga ukungenelela, njengomuthi, izindlela ezincane zokwelapha, noma ukuhlinzwa. Ubukhulu be-fibroid buthonya imiphumela yokukhulelwa, njengoba ama-fibroids amakhulu angaguqula isibelekile futhi aholele ezinkingeni.
Imiphumela Yama-Fibroids Amakhulu
Ukucindezela Ezihlokweni Ezizungezile: Ama-fibroids amakhulu angacindezela isikhwama somchamo, okuholela ekuyeni esikhumulweni njalo, noma emathunjini, okuholela ekuvaleni kwamabele noma ekuqabukeni.
Izimpawu Ezinkulu: Anethuba elikhulu lokubangela ukuphuma kwegazi okukhulu, ubuhlungu be-pelvic, nokukhuluphala kwesisu.
Izinselele Zokuzala: Ama-fibroids amakhulu angaguqula isibelekile, okungenzeka ukuholela ekungakhulelweni, ekulahlekelweni kokukhulelwa, noma ezinkingeni ngesikhathi sokukhulelwa.
Izimpawu Nemiphumela Yempilo Ngokuya Ngobukhulu Be-Fibroid
Ama-Fibroids Amancane (Ngaphansi kwama-2 cm)
Ngokuvamile awanawo ama-symptoms futhi atholakala ngengozi ngesikhathi sokuhlolwa kwezithombe.
Angabangela izimpawu ezilula njengokungahambi kahle okukhanyayo kwesikhathi noma ubuhlungu obuncane be-pelvic.
Ayavame ukuphazamisa ukukhulelwa noma ukukhulelwa kodwa angakhula ngokuhamba kwesikhathi futhi adinge ukulandelelwa.
Ama-Fibroids Aphakathi (2-6 cm)
Angabangela izimpawu ezibonakalayo njengobuningi be-pelvic, ukucindezela, noma ukuphuma kwegazi okukhulu.
Kungathinta ukukhulelwa, ikakhulu uma kutholakala ngaphakathi noma eduze komugqa wesibelesi.
Ubungozi obukhulu bezinkinga njenge-anemia ngenxa yokuphuma kwegazi okuphakathi nendawo.
Ama-Fibroids Amakhulu (Ngaphezulu kwama-6 cm)
Abangela izimpawu ezinkulu, kufaka phakathi ubuhlungu obukhulu be-pelvic, ukukhuluphala okukhulu kwesisu, nokuphuma kwegazi okukhulu noma okuphakathi nendawo.
Kungacindezela ezihlokweni eziseduze, okuholela ekuyeni esikhumulweni njalo, ekuvaleni kwamabele, noma ebuhlungwini emhlane.
Amathuba aphezulu ezinselele zokuzala, kufaka phakathi ukungakhulelwa, ukulahlekelwa kokukhulelwa, noma izinkinga zokukhulelwa njengokuzalwa kwangaphambi kwesikhathi.
Adinga ukunakekelwa kwezokwelapha, njengoba ama-fibroids amakhulu angaphathwe angabangela i-anemia ehlala njalo noma ezinye izinkinga zempilo.
Ukuqonda Okubalulekile Mayelana Nobukhulu Be-Fibroid
Ama-fibroids amancane (ngaphansi kwama-2 cm) avame ukungabi nazimpawu kodwa angakhula ngokuhamba kwesikhathi.
Ama-fibroids aphakathi (2-6 cm) angabangela ubuhlungu be-pelvic, ukuphuma kwegazi okukhulu, nezinselele zokuzala.
Ama-fibroids amakhulu (ngaphezulu kwama-6 cm) aholela ezimpawu ezinkulu, kufaka phakathi ukucindezela kwezihlokweni, ukuphuma kwegazi okukhulu, nezinselele zokuzala.
Ubukhulu bezimpawu bukhula ngobukhulu be-fibroid, okugcizelela ukubaluleka kokutholakala kwangaphambi kwesikhathi nokuphathwa.
Imibuzo Evamile
Ubukhulu bani be-fibroid obujwayelekile?
Ama-fibroids ayizikhulu ezingavamile, ngakho-ke ayikho "ubukhulu obujwayelekile" obukhona. Kodwa-ke, ama-fibroids amancane (ngaphansi kwama-2 cm, cishe ubukhulu be-pea) avame ukungabi namathuba okubangela izimpawu noma ukwelashwa. Ukulandelelwa okujwayelekile kunconywa ukuze kulandelelwe ubukhulu bawo nokuthinta kwabo impilo.
Ubukhulu bani be-fibroids okumele bususwe?
Ayikho ubukhulu obuqondile be-fibroids okumele bususwe; okokuqala, kufanele uyihlanze udodotela, futhi uzokunikeza ukwelashwa kwangempela.
Kulungile yini ukuphila nama-fibroids?
Ukuqabuka okungavamile kwe-fibroid kuncike ebukhulu bayo. Ngakho-ke, uma ubukhulu bukhulu kunokujwayelekile, kufanele uthintane nodokotela.
Ingakhula yini i-fibroid ezinyangeni ezintathu?
I-fibroid, uma ingaphathwe, ingakhula phakathi nezinyanga eziyisithupha. Amanye ama-fibroids angase angabonisi izimpawu ezinjalo, kodwa amanye angabonisa futhi.
