Izinhlobo Zama-fibroids E-uterus? Izimpawu, Izimbangela, Nokwelashwa

Ama-fibroids e-uterus ayizikhulu ezingekho umdlavuza ezikhula ngaphakathi noma eduze kwe-uterus yakho. Lezi zikhulu ezivamile zenziwe ngemisipha nendwangu, futhi zithinta abesifazane abafika ku-80% ngaphambi kokuba babe neminyaka engama-50.

Cabanga ngama-fibroids njengezicucu ezingalimi ezingaba khulu kakhulu ngosayizi nendawo. Nakuba igama elithi "ikhulu" lingase lizwakale liyesabekayo, ama-fibroids cishe awulona umdlavuza futhi abesifazane abaningi bahlala nawo ngaphandle kokwazi ukuthi akhona.

Iyini ngempela ama-fibroids e-uterus?

Ama-fibroids e-uterus ayizikhulu zemisipha ebushelelezi ezikhula odongeni lwe-uterus yakho. Abizwa nangokuthi ama-leiomyomas noma ama-myomas ngabachwepheshe bezempilo, kodwa la magama achaza into efanayo.

Lezi zikhulu zingaba ncane njengembewu noma zikhulu njengemelon. Abesifazane abathile banesikhulu esisodwa se-fibroid, kanti abanye bangaba nezinye eziningi. Izindaba ezinhle ukuthi ama-fibroids alona umdlavuza, okusho ukuthi ngeke asakazeke kwezinye izingxenye zomzimba wakho njengoba umdlavuza enza.

Ama-fibroids angakhula ezingxenyeni ezahlukene ze-uterus yakho. Angakhula ngaphakathi odongeni lwe-uterus, ebushelelezi, noma alengise e-uterus ngesakhiwo esifana nesibonda.

Ziyini izinhlobo zama-fibroids e-uterus?

Odokotela bahlukanisa ama-fibroids ngokusekelwe lapho ekhula khona e-uterus yakho. Indawo ithonya izimpawu ongazihlangabezana nazo nokuthi aphathwa kanjani.

Nawa amaqembu aphambili okufanele uwazi:

• Ama-fibroids e-intramural: La akhula ngaphakathi odongeni lwemisipha lwe-uterus yakho futhi yilona uhlobo oluvamile
• Ama-fibroids e-subserosal: La akhula odongeni lwephutha le-uterus yakho futhi angakhula amakhulu kakhulu
• Ama-fibroids e-submucosal: La akhula ngaphansi nje kokugqoka kwe-uterus yakho futhi avame ukubangela ukopha okukhulu
• Ama-fibroids e-Pedunculated: La alengise e-uterus yakho ngesibonda esincane futhi angaqhaqhazela, abangele ubuhlungu obuzumayo

Ukuthi yiluphi uhlobo lungabangela izimpawu ezahlukene, okusisiza udokotela wakho ukuthi anqume indlela yokwelapha engcono kakhulu yesimo sakho esithile.

Ziyini izimpawu zama-fibroids e-uterus?

Abesifazane abaningi abanawo ama-fibroids abanawo noma yimiphi impawu. Noma kunjalo, uma izimpawu zivele, zivame ukuxhumene nosayizi nendawo yama-fibroids.

Ake sihambe ngezimpawu ongaziqaphela, sikhumbula ukuthi okuhlangenwe nakho kwakho kungase kuhluke kokwesinye isisulu:

• Ukopha okukhulu kwesikhathi sakho: Izikhathi zakho zingase zibe nzima kakhulu noma zihlale isikhathi eside kunamasonto ayisikhombisa
• Ubuhlungu noma ukucindezela e-pelvis: Ungase uzizwe ugcwele noma ubuhlungu emathunjini akho aphansi noma e-pelvis
• Ukuya ekhaya njalo: Ama-fibroids amakhulu angacindezela ibladder yakho, okwenza udinga ukuya ekhaya njalo
• Ukukhuluphala kokukhulula ibladder yakho: Abesifazane abathile bayithola kunzima ukukhulula ngokuphelele ibladder yabo
• Ukuboshwa: Ama-fibroids acindezela i-rectum yakho angenza kube nzima ukwenza izinto zokuzula
• Ubuhlungu olusemuva noma ezinyaweni: Ama-fibroids amakhulu angacindezela imithambo, abangele ubuhlungu obukhula emuva noma ezinyaweni zakho

Izimpawu ezingavamile zingase zihlanganise ubuhlungu ngesikhathi sokuya ocansini noma isisu esikhulu esikwenza ubukeke unqabile. Uma uhlangabezana nanoma yiziphi kulezi zimpawu, kufanele ukuxoxe nodokotela wakho.

Yini ebangela ama-fibroids e-uterus?

Imbangela eqondile yama-fibroids e-uterus ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ama-hormone nezinto zofuzo zidlalela indima ebalulekile. Amazinga e-estrogen ne-progesterone omzimba wakho abonakala ehlomula ukukhula kwe-fibroid.

Izici eziningana zibonakala zinikezela ekukhuleni kwe-fibroid:

• Ukuguquguquka kwama-hormone: I-estrogen ne-progesterone zikhuthaza ukukhula kwe-fibroid, kungakho zivame ukunciphisa ngemuva kwe-menopause
• Izinto zofuzo: Uma umama wakho noma udadewenu babe nama-fibroids, kungenzeka kakhulu ukuthi nawe uzowathuthukisa
• Izici zokukhula: Izinto ezisiza umzimba wakho ukuba ugcine izicubu zingase futhi zikhuthaze ukukhula kwe-fibroid
• I-Extracellular matrix: Lena yinto eyenza amaseli anamathele ndawonye, futhi ikhuphuke ema-fibroids

Abacwaningi basafunda ukuthi kungani abesifazane abathile bathuthukisa ama-fibroids kanti abanye abawathuthukisi. Lokho esikwaziyo ukuthi ama-fibroids avame kakhulu futhi akukho lutho olukwenzile noma olungakwenzanga okubangele ukuthi akhule.

Ziyini izici ezingaholela ekuthuthukiseni ama-fibroids e-uterus?

Izici ezithile zingandisa amathuba akho okuthuthukisa ama-fibroids, yize ukuba nezici ezingaholela kulokho akusho ukuthi uzowathola. Ukuqonda lezi zici kungakusiza uhlale unolwazi mayelana nempilo yakho.

Nawa amaqembu aphambili abachwepheshe bezempilo abawabonile:

• Ubudala: Ama-fibroids avame kakhulu ngeminyaka yakho yokuzala, ikakhulukazi eminyakeni yakho yama-30 nama-40
• Uhlanga: Abesifazane base-Afrika Amerika banamathuba amaningi okuthuthukisa ama-fibroids futhi bavame ukuwathola eminyakeni ebancane
• Umlando womndeni: Ukuba nonina noma udadewenu abanawo ama-fibroids kukwandisa ingozi yakho
• Ukukhuluphala: Ukuba ngumuntu omkhulu kungandisa ingozi yakho, mhlawumbe ngenxa yamazinga aphezulu e-estrogen
• Ukudla: Ukudla inyama ebomvu eningi ne-ham kungase kukhulise ingozi, kanti imifino eluhlaza ingase ibe yisivikelo
• Ukuqala kwesikhathi sakho sokuqala: Ukuqala kwesikhathi sakho sokuqala ngaphambi kweminyaka engu-10 kungase kukhulise ingozi yakho

Ezinye izici zingase ziqede ingozi yakho, kuhlanganise ukuba nezingane, ukusebenzisa amaphilisi okuvimbela ukukhulelwa, nokudla imikhiqizo yobisi. Khumbula, lezi ziyizibopho nje zezibalo, futhi okuhlangenwe nakho kwabesifazane ngamunye kuyakhethekile.

Kufanele ubone nini udokotela ngama-fibroids e-uterus?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimpawu eziphazamisa impilo yakho yansuku zonke noma ekuthinta.

Nawa amaqembu athile lapho kufanele uhlele khona i-aphoyintimenti:

• Ukopha okukhulu: Uma ukhanyisa i-pad noma i-tampon njalo ngehora amahora amaningana
• Izikhathi ezihlala isikhathi eside: Izikhathi zesikhathi ezihlala isikhathi eside kunamasonto ayisikhombisa
• Ubuhlungu obukhulu: Ubuhlungu be-pelvis obungaphuli nge-over-the-counter pain relievers
• Izinkinga ze-bladder: Ukuya ekhaya njalo okuthinta ubuthongo bakho noma imisebenzi yakho yansuku zonke
• Ukukhathazeka ngokukhulelwa: Uma uhlangabezana nobunzima bokuqala ukukhulelwa

Funani usizo lwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu be-pelvis noma ukopha okukhulu okukwenza uzizwe ubuthakathaka noma ukhuluphala. Lokhu kungase kube izimpawu zezinkinga ezidinga ukwelashwa ngokushesha.

Ziyini izinkinga ezingase zenzeke ngama-fibroids e-uterus?

Ama-fibroids amaningi awabangeli izinkinga ezinzima, kodwa kubalulekile ukwazi ngezinkinga ezingase zenzeke. Ukuqaphela nokwelashwa kwangaphambi kwesikhathi kungavimbela izinkinga eziningi ezingaba nzima.

Nawa amaqembu angase enzeke, yize engajwayelekile:

• I-Anemia: Ukopha okukhulu kungase kube yimbangela yokushoda kwama-iron, kubangele ukukhathala nobuthakathaka
• Izinkinga zokukhulelwa: Ama-fibroids amanye angaphazamisa ukufakwa noma avikele ama-fallopian tubes
• Izinkinga zokukhulelwa: Ama-fibroids angase akhulise ingozi yokulahlekelwa umntwana noma ukukhulelwa kwangaphambi kwesikhathi
• Ukubola kwe-fibroid: Uma ama-fibroids ekhula ngaphezu kokuthi ane-blood supply, angabangela ubuhlungu obukhulu
• Ukutheleleka kwe-Urinary tract: Ukukhuluphala kokukhulula ibladder yakho ngokuphelele kungase kube yimbangela yokutheleleka

Kuyakhulu kakhulu, i-fibroid ingase ibe ne-malignant transformation, kodwa lokhu kwenzeka ngaphansi kuka-1% yezimo. Udokotela wakho uzolandelela ama-fibroids akho ngesikhathi sokuhlola okuvamile ukuze abone noma yikuphi ukuguquka kwangaphambi kwesikhathi.

Ama-fibroids e-uterus aphikiswa kanjani?

Udokotela wakho uzoqala ngokuhlola i-pelvic ukuze ahlole ukungalingani e-uterus yakho. Bangase bazizwe izindawo ezinkulu noma imiklamo engavamile ebonisa ukuthi ama-fibroids akhona.

Izivivinyo eziningi zokuthola izithombe zingakuqinisekisa ukuxilongwa futhi zinikeze imininingwane ngama-fibroids akho:

• I-Ultrasound: Le nqubo engenabuhlungu isebenzisa amaza omsindo ukwenza izithombe ze-uterus yakho
• I-MRI: I-Magnetic resonance imaging inikeza izithombe eziningilizi futhi ikusiza ukuhlela ukwelashwa
• I-Hysterosonography: Amanzi ahlanzekile afakwa e-uterus yakho ukuze uthole izithombe ezicacile ze-ultrasound
• I-Hysteroscopy: Isikhali esincane, esikhanyayo sifakwa nge-cervix yakho ukuze ubone ngaphakathi kwe-uterus yakho
• I-Laparoscopy: Ikhamera encane efakwe ngokusika okuncane ingathola ama-fibroids ngaphandle kwe-uterus yakho

Udokotela wakho angase futhi enze izivivinyo zegazi ukuze ahlole i-anemia uma uhlangabezana nokopha okukhulu. Lezi zivivinyo zisiza ukwenza isithombe esiphelele sokuthi ama-fibroids akukuthinta kanjani.

Iyini ukwelashwa kwama-fibroids e-uterus?

Ukwelashwa kwama-fibroids kuncike ezimpawini zakho, usayizi nendawo yama-fibroids akho, nezinhlelo zakho zokukhulelwa kwesikhathi esizayo. Abesifazane abaningi abanawo ama-fibroids amancane, angenazo izimpawu abadingi ukwelashwa nhlobo.

Ake sihlole izinketho zokwelapha udokotela wakho angase azincoma:

Imithi

• Ukuphathwa kwama-hormone: Amaphilisi, ama-patches, noma ama-IUD angasiza ekulawuleni ukopha okukhulu
• Ama-GnRH agonists: Le mithi inciphisa ama-fibroids ngokuvinjwa kokukhiqizwa kwama-hormone
• I-Tranexamic acid: Le mithi isisiza ekuqedeni ukopha okukhulu kwesikhathi sakho
• Ama-supplements e-iron: Le mithi isisiza ekuqedeni i-anemia ebangelwa ukopha okukhulu

Izindlela ezingelona ubuhlinzwa

• Ukuvalwa kwe-artery ye-uterus: Izingcezu ezincane zivala ukusabalala kwegazi kuma-fibroids, okubenza banciphe
• I-MRI-guided focused ultrasound: Amaza e-ultrasound aphezulu-amandla abhubhisa izicubu ze-fibroid

Izinketho zokwelashwa ngokusebenzisa ubuhlinzwa

• I-Myomectomy: Ukususa ubuhlinzwa kwama-fibroids ngenkathi ulondoloza i-uterus yakho
• I-Hysterectomy: Ukususwa okuphelele kwe-uterus, okuqeda ama-fibroids unomphela
• I-Endometrial ablation: Ukubhubhisa ukugqoka kwe-uterus ukuze kunciphise ukopha okukhulu

Udokotela wakho uzosebenza nawe ukuze akhethe ukwelashwa okuhle kakhulu ngokusekelwe esimweni sakho nesifiso sakho.

Ungaphatha kanjani ama-fibroids e-uterus ekhaya?

Nakuba izindlela zokwelapha zasekhaya zingakwazi ukwelapha ama-fibroids, ukuguqulwa kwesitayela sempilo nezinqubo zokunakekela ngokwakho zingakusiza ukuphatha izimpawu futhi uzizwe ukhululekile. Lezi zindlela zisebenza kangcono kanye nokwelashwa kwezokwelapha.

Nawa amaqembu ongasiza ngempilo yakho ekhaya:

• Ukwelashwa ngokushisa: I-heating pad noma ukugqoka okufudumele kungasiza ekuqedeni ubuhlungu be-pelvis nokukhahlela
• Ukuzivocavoca okuvamile: Ukuzivocavoca kungasiza ekuqedeni ubuhlungu nokwenza impilo yakho ibe ngcono
• Ukuphathwa kokucindezeleka: Izindlela zokupumula njenge-yoga noma ukucamngca zingasiza ekuphathweni kobuhlungu
• Ukuguqulwa kokudla: Ukudla imifino nemifino eningi ngenkathi ugcina inyama ebomvu kungase kube usizo
• Ukudla okunama-iron amaningi: Faka ukudla okunjenge-spinach, amabhinca, nenyama ehlanzekile ukuze ulwe ne-anemia

I-over-the-counter pain relievers njenge-ibuprofen ingasiza ngebuhlungu futhi ingase iyanciphise ukopha okukhulu kancane. Noma kunjalo, qiniseka ukhulume nodokotela wakho ngaphambi kokuthi uqale noma yiziphi izithasiselo ezintsha noma wenze ukuguqulwa okukhulu kokudla.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kungakusiza ukuba wenze kakhulu isikhathi sakho nodokotela wakho. Ukulungiselela okuhle kuqinisekisa ukuthi uthola yonke imibuzo yakho iphendulwe futhi uthole ukunakekelwa okuhle kakhulu.

Nawa amaqembu okuzilungiselela ukuvakasha kwakho:

• Landelela izimpawu zakho: Gcina idayari yesikhathi sakho sesikhathi, amazinga obuhlungu, nezinye izimpawu
• Bhala imithi yakho: Faka yonke imithi yokwelapha, imithi ye-over-the-counter, nezithasiselo
• Lungiselela imibuzo: Bhala phansi konke okufunayo ukubuza ngesimo sakho nezinketho zokwelapha
• Letha ukwesekwa: Cabanga ngokuba nelungu lomndeni noma umngani ohambisana nawe e-aphoyintimenti
• Butha amarekhodi ezempilo: Letha noma yiziphi iziphumo zezivivinyo zangaphambili noma izifundo zokuthola izithombe ezihlobene nama-fibroids akho

Ungangabazi ukubuza udokotela wakho ukuba achaze noma yini ongayiqondi. Udokotela wakho ufuna ukukusiza wenze izinqumo ezilwemi mayelana nokunakekelwa kwakho.

Ingabe ama-fibroids e-uterus angavikeleka?

Alukho uqinisiso oluqinisekisiwe lokuvimbela ama-fibroids e-uterus ngoba asiqondi ngokuphelele ukuthi yini ebangela wona. Noma kunjalo, ezinye izinketho zesitayela sempilo zingasiza ekuqedeni ingozi yakho noma ekuqedeni ukukhula kwabo.

Nawa amaqembu angase abe usizo:

• Gcina isisindo esinempilo: Ukukhuluphala kuhlanganiswe nengozi ephakeme ye-fibroid
• Zivocavoca njalo: Ukuzivocavoca kungasiza ekulawuleni ama-hormone nokunciphisa ingozi
• Dla ukudla okulinganiselayo: Gxila emifinini, imifino, nama-grains aphelele ngenkathi ugcina ukudla okucutshunguliwe
• Limita utshwala: Ukusebenzisa utshwala okukhulu kungase kukhulise ingozi ye-fibroid
• Phatha ukucindezeleka: Ukucindezeleka okuqhubekayo kungase kuthinte amazinga e-hormone

Khumbula, ngisho nabesifazane abahlala ngesitayela sempilo esinempilo bangathuthukisa ama-fibroids. Uma uwathola, akuyona into oyenzile okungalungile, futhi ukwelashwa okuphumelelayo kukhona ukukusiza uzizwe kangcono.

Iyini into ebalulekile ngama-fibroids e-uterus?

Ama-fibroids e-uterus avame kakhulu futhi avame ukuphatheka. Nakuba angabangela izimpawu ezingathandeki, cishe awuyona ingozi futhi izinketho eziningi zokwelapha ezisebenzayo ziyatholakala.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awudingi ukulwa wedwa. Uma ama-fibroids ethinta ikhwalithi yempilo yakho, udokotela wakho angakusiza uthole impumuzo.

Okuhlangenwe nakho kwabesifazane ngamunye ngama-fibroids kuhlukile, ngakho-ke lokho okusebenza komunye umuntu kungase kungalungele wena. Sebenzani eduze neqembu lakho lezokwelapha ukuze uthuthukise uhlelo lokwelapha oluhambisana nezimpawu zakho, isitayela sempilo, nezinhloso.

Imibuzo evamile ebuzwa ngama-fibroids e-uterus

Ingabe ama-fibroids e-uterus avame ukubangela izimpawu?

Cha, abesifazane abaningi banamfibroids ngaphandle kokwazi. Izifundo zibonisa ukuthi abesifazane abafika ku-75% abanawo ama-fibroids abanawo noma yimiphi impawu. Ama-fibroids amancane avame ukungaphawulwa kuze kutholakale ngesikhathi sokuhlola i-pelvic okuvamile noma izivivinyo zokuthola izithombe ngezizathu ezingezona lezo.

Ingabe ama-fibroids angathinta ikhono lami lokuqala ukukhulelwa?

Ama-fibroids amaningi awaphazamisi ukukhulelwa, kodwa amanye angenza kube nzima ukuqala ukukhulelwa noma ukuthwala ukukhulelwa kuze kube sekupheleni. Ama-fibroids aqeda ikhambi le-uterus noma avikele ama-fallopian tubes yilona elimane libangele izinkinga zokukhulelwa. Uma uzama ukuqala ukukhulelwa, xoxa nama-fibroids akho nodokotela wakho.

Ingabe ama-fibroids ami azohamba wedwa?

Ama-fibroids avame ukunciphisa ngokwemvelo ngemuva kwe-menopause uma amazinga e-hormone ewa. Noma kunjalo, ngeminyaka yakho yokuzala, kungenzeka kakhulu ukuthi ahlale usayizi ofanayo noma akhule amakhulu. Ama-fibroids amanye ayeka ukukhula noma anciphe kancane, kodwa lokhu akuyona into ongayithemba.

Ingabe ubuhlinzwa yilona kuphela ukwelashwa kwama-fibroids amakhulu?

Akuyona into eqinisekile. Nakuba ama-fibroids amakhulu avame ukudinga ukwelashwa okunzima, izinketho ezingelona ubuhlinzwa njengokuvimba kwe-artery ye-uterus kungase kube yindlela ephumelelayo. Udokotela wakho uzobheka usayizi, indawo, nezimpawu ezingelwa ama-fibroids akho lapho encoma izinketho zokwelapha.

Ingabe ama-fibroids angaguquka abe ngumdlavuza?

Kuyakhulu kakhulu ukuthi ama-fibroids aguquke abe ngumdlavuza. Ngaphansi kuka-1% yama-fibroids enza i-malignant transformation. Uhlobo lomdlavuza olungase ukhule, oluthiwa yi-leiomyosarcoma, ngokuvamile uvela ngokuzimela kunokuba uvela ema-fibroids akhona. Udokotela wakho uzolandelela ama-fibroids akho ngesikhathi sokuhlola okuvamile ukuze abone noma yikuphi ukuguquka okukhathazayo.