Ubukhulu Obungakanani Befibroid Lubhekwa Njengoluyingozi?

Ama-fibroids yi-zicucu ezingahlukısiwe ezikhula emiphongolweni yesisu. Aziwa nangokuthi yi-uterine leiomyomas noma myomas. Lezi zicucu zikhona ngobuningi obuhlukene; ezinye zingaba ncinyane njengobhontshisi, kanti ezinye zingakhula zibe khulu njengomango noma ngaphezulu. Kubalulekile ukwazi izinhlobo ezahlukene zama-fibroids, njengoba zibizwa ngokusekelwe lapho zitholakala khona: ama-fibroids ase-submucosal akhula ngaphakathi komgodla wesisu, ama-fibroids ase-intramural akhula ngaphakathi odongeni lwesisu, kanti ama-fibroids ase-subserosal akhula ngaphandle kwesisu.

Ama-fibroids avame kakhulu futhi athinta abesifazane abaningi, ikakhulukazi labo abaneminyaka ephakathi kwama-30 nama-40. Ucwaningo lubonisa ukuthi cishe amaphesenti angu-70 kuya kwangu-80 wabesifazane bangaba nama-fibroids uma sebefikile eminyakeni engu-50.

Uma kukhulunywa ngobukhulu, ingozi ehlobene nama-fibroids ingahluka. Abantu abaningi bafuna ukwazi, "Yiliphi i-fibroid elikhulu elinobukhulu oyingozi?" Ngokuvamile, ama-fibroids amakhulu kuna-sentimitha ezi-5 (noma cishe ama-mm angu-50) angaba nengozi enkulu, eholela ezinkingeni ezinjengokuphuza igazi okukhulu.

Ukuhlukaniswa kwama-Fibroids Ngobukhulu

Ama-fibroids ahlukaniswa ngobukhulu, ngokuvamile alinganisiwe nge-millimeter (mm). Ukuqonda lezi zihlobo kusiza ekulinganiseni ubungozi obunokwenzeka nemiphumela yempilo ehlobene neqembu ngalinye lobukhulu.

1. Ama-Fibroids Amancane:

   • Ubukhulu: Ngaphansi kwa-2 cm ububanzi.

   • Izimpawu: Ngokuvamile azinazimpawu noma zinobuthakathaka.

   • Ukwelashwa: Kungase kungadingeki ukwelashwa ngaphandle uma kubangela izinkinga.

2. Ama-Fibroids Aphakathi:

   • Ubukhulu: Phakathi kwa-2 cm nama-5 cm ububanzi.

   • Izimpawu: Zingabangela ukopha okukhulu, ukucindezela kwesisu, noma ukuya emathisini njalo.

   • Ukwelashwa: ukubuka noma ukuphathwa kwezokwelapha kungase kudingeke ukuhlinzwa kwezinye izimo.

3. Ama-Fibroids Amakhulu:

   • Ubukhulu: Phakathi kwama-5 cm nama-10 cm ububanzi.

   • Izimpawu: Zingabangela ubuhlungu besisu obukhulu, ukopha okukhulu, nezinye izimpawu.

   • Ukwelashwa: Ngokuvamile kudinga izinketho zokwelapha ezinjengokuhlinzwa, i-embolization, noma imithi.

4. Ama-Fibroids Amakhulu Kakhulu:

   • Ubukhulu: ngaphezulu kwama-10 cm ububanzi.

   • Izimpawu: izimpawu ezinzima, kufaka phakathi ukukhuluphala, ubunzima bokuya emathisini, nokuhlupheka kwegazi.

   • Ukwelashwa: Ngokuvamile kudinga ukungenelela kobuchwepheshe bokuhlinzwa, njenge-myomectomy noma i-hysterectomy.

5. Ama-Fibroids Amakhulu Kakhulu:

   • Ubukhulu: Ngaphezulu kwama-15 cm ububanzi.

   • Izimpawu: Lokhu kungabangela izinkinga ezinkulu ezinjengokususwa kwamalungu noma ukopha okukhulu.

   • Ukwelashwa: Ngokuvamile kudinga ukungenelela kobuchwepheshe bokuhlinzwa, ngokuvamile i-hysterectomy.

Izingozi Ezihlobene Nobukhulu Obuhlukene Bama-Fibroids

1. Ama-Fibroids Amancane

• Izingozi: Ngokuvamile, ama-fibroids amancane (ngaphansi kwa-2 cm) awabangeli izinkinga ezinkulu futhi ngokuvamile awanawo ama-symptom. Noma kunjalo, angakhula ngokuhamba kwesikhathi futhi angabangela izimpawu ezinjengokuphuza igazi okungavamile noma ubuhlungu besisu uma engaqondwa.

• Ukuphathwa: Ngokuvamile kulandelelwa, ngokwelashwa kuphela uma izimpawu zikhula.

2. Ama-Fibroids Aphakathi

• Izingozi: Ama-fibroids aphakathi kwama-2 cm nama-5 cm angabangela ukopha okukhulu, ubuhlungu besisu, nokuya emathisini njalo. Angase futhi ahlanganyele ezinkingeni zokuzala, ezinjengobunzima bokuthola umbeletho noma ukulahlekelwa umbeletho.

• Ukuphathwa: Ukwelashwa kwezokwelapha noma izinqubo ezinjenge-myomectomy kungase kunconywe.

3. Ama-Fibroids Amakhulu

• Izingozi: Ama-fibroids angu-5 cm kuya kwangu-10 cm angabangela izimpawu ezinkulu, kufaka phakathi ukucindezela kwesisu, ubuhlungu bomhlane, nokuhlupheka kwegazi ngenxa yokuphuza igazi okukhulu. Aphinde abe nengozi enkulu yezinkinga ngesikhathi sokukhulelwa, ezinjengokuzalwa kwengane ngaphambi kwesikhathi.

• Ukuphathwa: Ukungenelela kobuchwepheshe bokuhlinzwa njenge-myomectomy noma i-embolization kungase kudingeke.

4. Ama-Fibroids Amakhulu Kakhulu

• Izingozi: Ama-fibroids amakhulu kuna-10 cm angabangela ukususwa kwamalungu, izinkinga zesisu noma i-bladder, nokuphuza igazi okukhulu. Angase futhi andise ingozi yokuphulukana nombeletho noma izinkinga ngesikhathi sokubeletha.

• Ukuphathwa: ngokuvamile kudinga ukungenelela kobuchwepheshe bokuhlinzwa okukhulu, kufaka phakathi i-hysterectomy.

Nini Okufanele Ufuna Ukunakekelwa Kwezokwelapha

Kufanele ufuna ukunakekelwa kwezokwelapha ngama-fibroids uma uhlangabezana nanoma yiluphi olulodwa okulandelayo:

1. Ukopha okukhulu noma okungavamile: izikhathi zokopha okukhulu kakhulu noma ukopha phakathi kwezikhathi.

2. Ubuhlungu Besisu Noma Ukucindezela: ubuhlungu obuhlala njalo noma obukhulu, ukukhuluphala, noma ukucindezela endaweni yesisu.

3. Ukuya Emathisini Nje Noma Ukuvimbela: Ubunzima bokuqeda i-bladder noma izinkinga zesisu njalo ngenxa yama-fibroids acindezela amalungu.

4. Ubuhlungu Ngesikhathi Sokuthandana: ubunzima noma ubuhlungu ngesikhathi sokuthandana.

5. Ukungaqondi noma ukulahlekelwa umbeletho: ubunzima bokuthola umbeletho noma ukulahlekelwa umbeletho okuphindaphindayo, njengoba ama-fibroids angathinta ukufakwa kombeletho noma ukuthuthukiswa kwengane.

6. Ukuhlupheka kwegazi: Izimpawu zokuhlupheka kwegazi, ezinjengokukhathala, ukukhungatheka, noma ubuthakathaka, okubangelwa ukopha okukhulu.

7. Ukukhuluphala Kwesisu: Ukwanda okubonakalayo ngobukhulu besisu noma ukukhuluphala.

Isifinyeto

Nakuba abesifazane abaningi bane-fibroids uma sebefikile eminyakeni engu-50, ubukhulu nendawo kungathinta izimpawu nengozi ehlobene nazo. Ama-fibroids ahlukaniswa ngokusekelwe ebukhulu, kusukela emancane (ngaphansi kwama-2 cm) kuya kuma-fibroids amakhulu (ngaphezulu kwama-15 cm). Ama-fibroids amancane ngokuvamile awanawo ama-symptom, kanti amakhulu angabangela izimpawu ezinkulu ezinjengokuphuza igazi okukhulu, ubuhlungu besisu, ukuya emathisini njalo, nezingozi zokuzala. Ama-fibroids amakhulu kakhulu angabangela ukususwa kwamalungu nezinye izinkinga ezinkulu, ngokuvamile kudingeka ukungenelela kobuchwepheshe bokuhlinzwa.

Izingozi ezihlobene nama-fibroids zanda ngobukhulu bawo. Ama-fibroids aphakathi nalamakhulu angabangela izinkinga ezinjengokuhlupheka kwegazi, ukungaqondi, noma izinkinga ngesikhathi sokukhulelwa. Ezimweni zezimpawu ezinkulu noma ama-fibroids amakhulu, ukwelashwa njengokuhlinzwa, i-embolization, noma i-myomectomy kungase kudingeke. Kubalulekile ukufuna ukunakekelwa kwezokwelapha uma uhlangabezana nokuphuza igazi okukhulu, ubuhlungu besisu, noma ubunzima bokuya emathisini, njengoba lokhu kungase kubonise ama-fibroids adinga ukuphathwa noma ukwelashwa.

Imibuzo Evamile

1. Ama-fibroids abukhulu kangakanani adinga ukuhlinzwa?

   Ukuhlinzwa ngokuvamile kudingeka ama-fibroids amakhulu kuna-50 mm, ikakhulukazi uma ebangela ukopha okukhulu, ubuhlungu besisu, noma izinkinga zokuzala.

2. Yiliphi ubukhulu obukhulu be-fibroid obukhulu?

   Ama-fibroids amakhulu kuna-50 mm abhekwa njengokukhathazeka ngenxa yengozi enkulu yezimpawu ezinkulu nezingozi.

3. Ingabe i-fibroid engu-5 cm ingabangela ubuhlungu?

   Yebo, ingabangela ubuhlungu besisu obukhulu nezinsuku zokopha ezinzima.