Ubukhulu Obujwayelekile Befibroid Ngayimilimitha (mm)?

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

1. 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.

2. 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.

3. 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

1. 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.

2. Ubukhulu bani be-fibroids okumele bususwe?

   Ayikho ubukhulu obuqondile be-fibroids okumele bususwe; okokuqala, kufanele uyihlanze udodotela, futhi uzokunikeza ukwelashwa kwangempela.

3. Kulungile yini ukuphila nama-fibroids?

   Ukuqabuka okungavamile kwe-fibroid kuncike ebukhulu bayo. Ngakho-ke, uma ubukhulu bukhulu kunokujwayelekile, kufanele uthintane nodokotela.

4. 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.