Ama-Fibroids Esibeletho

Ama-fibroids esibeletho yizikhulu ezivamile zesibethelo. Zivame ukuvela eminyakeni lapho ukhulelwa khona futhi ubeletha. Ama-fibroids esibeletho awukona umdlavuza, futhi cishe awenzi umdlavuza. Awuxhunyaniswanga nezingozi eziphezulu zezinye izinhlobo zomdlavuza esibelethweni. Abizwa nangokuthi ama-leiomyomas (lie-o-my-O-muhs) noma ama-myomas.

Fibroids ziyahluka ngobukhulu nenani. Ungaba ne-fibroid eyodwa noma ngaphezulu. Ezinye zalezi zikhulu zincinyane kakhulu ukubona ngamehlo. Ezinye zingakhula zibe ngobubanzi be-grapefruit noma ngaphezulu. I-fibroid ekhula kakhulu ingakwazi ukuguqula ingaphakathi nangaphandle kwesibethelo. Ezimweni ezinzima, ezinye i-fibroids zikhula zibe khulu kangangokuthi zigcwalisa i-pelvis noma indawo yesisu. Zingenza umuntu abonakale ekhulelwe.

Abantu abaningi bane-fibroids esibelethweni ngesinye isikhathi ekuphileni kwabo. Kodwa ungase ungazi ukuthi unayo, ngoba ngokuvamile ayibangeli zimpawu. Uchwepheshe wakho wezokunakekelwa kwempilo angase athole ama-fibroids ngesikhathi sokuxilongwa kwesibethelo noma i-ultrasound yokukhulelwa.

Abantu abaningi abanefayibhroyidi yombeleko abanawo noma yimiphi imizimba. Kulabo abanawo, izimpawu zingathonywa indawo, usayizi nobuningi befayibhroyidi. Izimpawu ezivame kakhulu zefayibhroyidi yombeleko zihlanganisa: Ukopha okukhulu ngesikhathi sokuya exeshini noma izikhathi ezibuhlungu. Izikhathi ezinde noma ezivame kakhulu. Ukuqina noma ubuhlungu emathunjini. Ukungquthuza njalo noma ukuhlupheka ekungquthuzweni. Indawo yesisu ekhula. I-constipation. Ubuhlungu endaweni yesisu noma emuva ophansi, noma ubuhlungu ngesikhathi socansi. Ngokungavamile, ifayibhroyidi ingabangela ubuhlungu obukhulu, obukhulu uma ikhula ngaphezu kokunikezwa kwegazi futhi iqale ukufa. Ngokuvamile, amafayibhroyidi ahlanganiswe ngendawo yawo. Amafayibhroyidi angaphakathi akhula ngaphakathi odongeni olukhulu lombeleko. Amafayibhroyidi angaphansi komhlaba ahlala egumbini lombeleko. Amafayibhroyidi angaphansi komhlaba akhiqizwa ngaphandle kombeleko. Bheka udokotela wakho uma una: Ubuhlungu emathunjini obungapheli. Izikhathi ezinkulu noma ezibuhlungu ezikhawulela lokho ongakwenza. Ukukhishwa noma ukuphuza phakathi kwezikhathi. Ukuhlupheka ekukhululeni i-bladder yakho. Ukukhathala okuqhubekayo nobuthakathaka, okungaba izimpawu ze-anemia, okusho izinga eliphansi lamaseli ebomvu egazi. Thola ukunakekelwa kwezokwelapha ngokushesha uma unawo ukuphuza okukhulu okuvela esibelethweni noma ubuhlungu obukhulu emathunjini obuza ngokushesha.

Bona udokotela wakho uma une:

• Ubuhlungu be pelvis obungapheli.
• Izikhathi ezinzima noma ezibuhlungu ezikunqabela ukwenza izinto.
• Ukukhishwa kwegazi noma ukuphuza igazi phakathi nezikhathi.
• Ubunzima bokuchitha isithathu.
• Ukukhathala okuqhubekayo nobuthakathaka, okuyizimpawu ze-anemia, okusho ukuthi amanani e-red blood cells aphansi. Thola ukunakekelwa kwezokwelapha ngokushesha uma unegazi elikhulu elivela esibelethweni noma ubuhlungu obukhulu be pelvis obuqala ngokushesha.

Imbangela eqondile yama-fibroids esibelethweni ayicaci. Kodwa-ke lezi zinto zingase zidlale indima:

• Ukushintsha kwe-jini. Ama-fibroids amaningi anezinguquko ezijini ezihlukile kulawo asemakhaleni emisipha evamile yesibeletho.
• Ama-hormone. Ama-hormone amabili abizwa ngokuthi i-estrogen ne-progesterone abangela ukuthi ithishu ehlanganisa ingaphakathi lesibeletho liqine ngesikhathi sokujikeleza kwesikhathi ngasinye ukulungiselela ukukhulelwa. La ma-hormone abonakala futhi ezazisiza ukukhula kwama-fibroids.

Ama-fibroids anezicubu eziningi i-estrogen ne-progesterone ezihlanganisa kunasemakhaleni emisipha evamile yesibeletho. Ama-fibroids athambekele ekunciphiseni ngemva kokuphela kwesikhathi sokubeletha ngenxa yokwehla kwamaleveli e-hormone.

• Ezinye izinto zokukhula. Izinto ezisiza umzimba ukugcina izicubu, njenge-insulin-like growth factor, zingathinta ukukhula kwama-fibroids.

Ama-hormone. Ama-hormone amabili abizwa ngokuthi i-estrogen ne-progesterone abangela ukuthi ithishu ehlanganisa ingaphakathi lesibeletho liqine ngesikhathi sokujikeleza kwesikhathi ngasinye ukulungiselela ukukhulelwa. La ma-hormone abonakala futhi ezazisiza ukukhula kwama-fibroids.

Ama-fibroids anezicubu eziningi i-estrogen ne-progesterone ezihlanganisa kunasemakhaleni emisipha evamile yesibeletho. Ama-fibroids athambekele ekunciphiseni ngemva kokuphela kwesikhathi sokubeletha ngenxa yokwehla kwamaleveli e-hormone.

Odokotela bakholelwa ukuthi ama-fibroids esibelethweni angase athuthukiswe yi-stem cell emathishwini emisipha ebushelelezi yesibeletho. Iselula elilodwa liyahlukaniswa ngokuphindaphindiwe. Ngesikhathi esithile liguquka libe yibala eliqinile, elithambile, elihlukile kunethishu eseduze.

Amaphethini okukhula kwama-fibroids esibelethweni ahlukahlukene. Angakhula kancane noma ngokushesha. Noma angase ahlale ayingqayizivele. Amanye ama-fibroids aya ngokukhula okukhulu, kanti amanye anciphisa ngokwawo.

Ama-fibroids aqala ngesikhathi sokukhulelwa anganciphisa noma aye ngemva kokukhulelwa, njengoba isibeletho sibuyela esayizi yaso evamile.

Kunezinto ezimbalwa ezaziwayo ezingobungozi bezinso ze-uterine, ngaphandle kokuba umuntu ophakathi kweminyaka yokuzala. Lezi zifaka:

• Uhlanga. Bonke abantu abaphakathi kweminyaka yokuzala abazalwe besesifazane bangathuthukisa i-fibroids. Kodwa abantu abamnyama banesibopho esikhulu sokuba ne-fibroids kunabantu bezinye izigaba zohlanga. Abantu abamnyama baba ne-fibroids eminyakeni ebancane kunabantu abamhlope. Baphawuleka futhi ngokuba ne-fibroids eminingi noma emikhulu, kanye nezimpawu ezimbi kakhulu, kunabantu abamhlope.
• Umlando womndeni. Uma umama wakho noma udadewenu babe ne-fibroids, unesibopho esikhulu sokuzithola.
• Ezinye izinto. Ukuqala kwesikhathi sakho ngaphambi kweminyaka eyi-10; ukukhuluphala; ukuba mncane kwi-vitamin D; ukuba nokudla okuningi enyameni ebomvu futhi okuncane emakhayeni aluhlaza, izithelo nemikhiqizo yobisi; nokuphakelwa utshwala, kufaka phakathi ubhiya, kubonakala sengathi kukhuphula ubungozi bakho bokuthola i-fibroids.

Ama-fibroids esibeletho avame ukungabi yingozi. Kodwa angabangela ubuhlungu, futhi angholela ezingxikweni. Lokhu kuhlanganisa ukwehla kwamaseli egazi abomvu okuthiwa i-anemia. Leso simo singabangela ukukhathala ngenxa yokulahlekelwa igazi eliningi. Uma ukhishwa igazi eliningi phakathi nesikhathi sakho, udokotela angase akusize ukuthi uthathe i-supplement yesinyithi ukuvimbela noma ukusiza ekulawuleni i-anemia. Ngezinye izikhathi, umuntu onayo i-anemia kudingeka athole igazi elivela kumnikelo, okuthiwa i-transfusion, ngenxa yokulahlekelwa igazi.

Ngokuvamile, ama-fibroids awaphazamisi ukukhulelwa. Kodwa amanye ama-fibroids — ikakhulukazi oluhlobo lwe-submucosal — angabangela ukungakhulelwa noma ukulahleka kokukhulelwa.

Ama-fibroids angase futhi andise ingozi yezinye izinkinga zokukhulelwa. Lokhu kuhlanganisa:

• Ukwahlukana kwe-placenta, lapho ilungu elikhipha i-oksijini nezondlo kumntwana, okuthiwa i-placenta, lihlukaniswa odongeni lwangaphakathi lwesibeletho.
• Ukunciphisa ukukhula komntwana, lapho ingane engakazalwa ingakhula kahle njengoba kulindelekile.
• Ukukhulelwa kwangaphambi kwesikhathi, lapho ingane izalwa ngaphambi kwesikhathi, ngaphambi kweviki le-37 lokukhulelwa.

Abacwaningi baqhubeka nokutadisha izimbangela zama-fibroid tumors. Kuyadingeka ucwaningo oluthe xaxa mayelana nendlela yokuvimbela, noma kunjalo. Kungase kungabi nakho ukuvimbela ama-uterine fibroids. Kodwa izingxenye ezincane kuphela zalezi tumors ezidinga ukwelashwa. Ungase ukwazi ukunciphisa ingozi yakho ye-fibroid ngokwenza izinguquko zempilo eziphilile. Zama ukuhlala ubunzima obuphilile. Thola umthambo ojwayelekile. Futhi udle ukudla okuhlanzekile okunemithombo eminingi yezithelo nemifino. Ucwaningo oluthile lubonisa ukuthi amaphilisi okuvimbela ukukhulelwa noma ama-contraceptives aphakathi kwesikhathi eside kuphela anganciphisa ingozi yama-fibroids. Kodwa ukusebenzisa amaphilisi okuvimbela ukukhulelwa ngaphambi kweminyaka eyi-16 kungahlotshaniswa nengozi ephezulu.

Ukuhlolwa kwesisu Sombulula isithombe Valela Ukuhlolwa kwesisu Ukuhlolwa kwesisu Ngesikhathi sokwenza ukuhlolwa kwesisu, udokotela ufake umunwe owodwa noma emibili ogqokwe isigqoko ngaphakathi kwesikhumba. Ngokucindezela phansi esiswini ngesikhathi esifanayo, udokotela angahlola isisu, ama-ovari namanye amalungu. Ama-fibroids esisu avame ukutholakala ngengozi ngesikhathi sokwenza ukuhlolwa kwesisu okuvamile. Udokotela wakho angase azwe izinguquko ezingavamile esimweni sesisu sakho, okusikisela ukuba kukhona ama-fibroids. Uma unezimpawu zama-fibroids esisu, ungase udinga lezi zihloko: I-Ultrasound. Lo mviwo usebenzisa amaza omsindo ukuthola isithombe sesisu sakho. Ingaqinisekisa ukuthi unama-fibroids, futhi iwame futhi iwalinganise. Udokotela noma uchwepheshe uhambisa idivayisi ye-ultrasound, ebizwa ngokuthi yi-transducer, phezu kwendawo yesisu sakho. Lokhu kubizwa ngokuthi yi-transabdominal ultrasound. Noma idivayisi ifakwe ngaphakathi kwesikhumba sakho ukuthola izithombe zesisu sakho. Lokhu kubizwa ngokuthi yi-transvaginal ultrasound. Izivivinyo zelebhu. Uma unegazi eliphuma ekuphumeni kwesikhathi esingavamile, ungase udinga ukuhlolwa kwegazi ukuze ubone izimbangela ezingaba khona zalo. Lokhu kungafaka i-complete blood count ukuze uhlole i-anemia ngenxa yokulahlekelwa igazi okuqhubekayo. Ezinye izivivinyo zegazi zingasesha izinkinga zokopha igazi noma izinkinga zesitho sesitho. Ezinye izivivinyo zokuthola izithombe I-Hysterosonography Sombulula isithombe Valela I-Hysterosonography I-Hysterosonography Ngesikhathi se-hysterosonography (his-tur-o-suh-NOG-ruh-fee), unepayipi elincane, elithambile elibizwa ngokuthi yi-catheter ebekwe esiswini. Amanzi asodium, abizwa nangokuthi yi-saline, afakeka ngaphakathi kwepayipi elithambile ngaphakathi kwengxenye engenalutho yesisu. I-probe ye-ultrasound ithumela izithombe zangaphakathi kwesisu kwimonitha eseduze. I-Hysterosalpingography Sombulula isithombe Valela I-Hysterosalpingography I-Hysterosalpingography Udokotela noma uchwepheshe ubeka i-catheter encane ngaphakathi kwesigxobo sakho. Ikhipha into ebonakalayo yombala egeleza esiswini sakho. Umphongolo ulandela isakhiwo sesikhala sakho sesisu nemiyalo yakho futhi ubenze babonakale ezithombeni ze-X-ray. I-Hysteroscopy Sombulula isithombe Valela I-Hysteroscopy I-Hysteroscopy Ngesikhathi se-hysteroscopy (his-tur-OS-kuh-pee), ithuluzi elincane, elikhanyayo linikeza umbono wangaphakathi kwesisu. Leli thuluzi libizwa nangokuthi yi-hysteroscope. Uma i-ultrasound inganiki ulwazi olunembile, ungase udinga ezinye izifundo zokuthola izithombe, ezifana nalezi: I-Magnetic resonance imaging (MRI). Lo mviwo ungabonisa ngokuningiliziwe usayizi nendawo yama-fibroids. Ingabuye ibonise izinhlobo ezahlukene zezimpukane futhi isize ekuqondeni izindlela zokwelapha. Ngokuvamile, i-MRI isebenziswa kubantu abanesisu esikhulu noma kulabo abasondela ekuqedeni ukuba nesikhathi, okuthiwa yi-perimenopause. I-Hysterosonography. I-Hysterosonography (his-tur-o-suh-NOG-ruh-fee) isebenzisa amanzi asodium ahlanzekile ebizwa ngokuthi yi-saline ukwandisa isikhala ngaphakathi kwesisu, okuthiwa yi-uterine cavity. Lokhu kwenza kube lula ukuthola izithombe zama-fibroids ase-submucosal kanye nokugqoka kwesisu uma uzama ukukhulelwa noma uma unegazi eliphuma ekuphumeni kwesikhathi esiningi. Elinye igama le-hysterosonography yi-saline infusion sonogram. I-Hysterosalpingography. I-Hysterosalpingography (his-tur-o-sal-ping-GOG-ruh-fee) isebenzisa umbala ukugqamisa isikhala sesisu nemiyalo ye-X-ray. Udokotela wakho angase akucele uma ukungakhulelwa kuyinkinga. Lo mviwo ungasiza ekutholeni ukuthi imiyale yakho ivuliwe noma ivaliwe, futhi ingabonisa ama-fibroids amaningi ase-submucosal. I-Hysteroscopy. Kulo mviwo, udokotela wakho ufake i-telescope encane, ekhanyayo ebizwa ngokuthi yi-hysteroscope ngesigxobo sakho esiswini sakho. Khona-ke i-saline ifakwe esiswini sakho. Lokhu kuwandisa isikhala sesisu futhi kuvumela udokotela wakho ukuthi ahlole izindonga zesisu sakho nokusebenza kwemiyalo yakho. Ukunakekelwa eMayo Clinic Iqembu lethu lokunakekela labaqeqeshwe beMayo Clinic lingakusiza ngezinkinga zakho zempilo ezihlobene nama-fibroids esisu Qala Lapha Ulwazi Olwengeziwe Ukukhathalelwa kwama-fibroids esisu eMayo Clinic I-Complete blood count (CBC) I-CT scan I-MRI Ukuhlolwa kwesisu I-Ultrasound Bonisa olunye ulwazi oluhlobene

Alukile ukwelashwa okuhle kunazo zonke ze-uterine fibroids. Kunezindlela eziningi zokwelapha ezikhona. Uma unezimpawu, xoxa neqembu lakho lokunakekelwa ngezindlela zokuthola impumuzo. Abantu abaningi abane-uterine fibroids abanazo izimpawu. Noma banezimpawu eziphazamisayo kancane abangaphila nazo. Uma kunjalo kuwe, ukulinda okuqaphayo kungaba yindlela engcono kakhulu. I-Fibroids ayisiye i-cancer. Azivame ukuphazamisa ukukhulelwa. Zivame ukukhula kancane - noma konke - futhi zithambekele ekunciphiseni ngemuva kwe-menopause, lapho amazinga e-hormones yokuzala ewa.

• I-Gonadotropin-releasing hormone (GnRH) agonists. Lezi zilapha i-fibroids ngokuvimba umzimba ekwenzeni ama-hormones estrogen ne-progesterone. Lokhu kukufaka esimweni esifanayo ne-menopause yesikhashana. Ngenxa yalokho, izikhathi zenyanga ziyaqeda, i-fibroids inciphisa futhi i-anemia ivame ukuthuthuka. I-GnRH agonists ihlanganisa i-leuprolide (Lupron Depot, Eligard, nabanye), i-goserelin (Zoladex) ne-triptorelin (Trelstar, Triptodur Kit). Abantu abaningi bane-hot flashes ngenkathi besebenzisa i-GnRH agonists. Ngokuvamile, le miyekezo isebenziselwa izinyanga ezingaphezu kweziyisithupha. Yingakho izimpawu zibuyela lapho umuthi uqediwe, futhi ukusetshenziswa isikhathi eside kungabangela ukulahleka kwamathambo. Ngezinye izikhathi, i-GnRH agonists ithathwa ne-estrogen encinyane noma i-progestin. Ungase uzwe lokhu kubizwa ngokuthi yi-add-back therapy. Kunganciphisa imiphumela emibi, futhi kungakuvumela ukuthi uthathe i-GnRH agonists kuze kube izinyanga eziyi-12. Udokotela wakho angase afake i-GnRH agonist ukunciphisa usayizi we-fibroids yakho ngaphambi kokuhlinzwa okuhleliwe. Noma ungase ubekelwe lo muthi ukusiza ekuthuthukeni kwakho kuya e-menopause.
• I-Gonadotropin-releasing hormone (GnRH) antagonists. Le miyekezo ingaphatha ukuphuza kwegazi okukhulu kubantu abane-uterine fibroids abangakaqedi i-menopause. Kodwa-ke ayinciphisi i-fibroids. I-GnRH antagonists ingasetshenziswa iminyaka emibili. Ukuyithatha kanye ne-add-back therapy kunganciphisa imiphumela emibi efana ne-hot flashes nokulahleka kwamathambo. Ngezinye izikhathi, i-estrogen encinyane noma i-progestin isivele ihlanganiswe kule miyekezo. I-GnRH antagonists ihlanganisa i-elagolix (Oriahnn) ne-relugolix (Myfembree).
• I-Progestin-releasing intrauterine device (IUD). I-progestin-releasing IUD inganciphisa ukuphuza kwegazi okukhulu okubangelwa yi-fibroids. Iyanciphisa izimpawu kuphela, noma kunjalo. Ayinciphisi i-fibroids noma ayenze ihambe. Ivimba nokukhulelwa.
• I-Tranexamic acid (Lysteda, Cyklokapron). Lo muthi ongenayo i-hormonal unganciphisa izikhathi zenyanga ezinzima. Uyithatha kuphela ezinsukwini zokuphuza kwegazi okukhulu.
• Eminye imithi. Udokotela wakho angase akukhuthaze eminye imithi. Ngokwesibonelo, amaphilisi okulawula ukubeletha amancane angasiza ekulawuleni ukuphuza kwegazi kwenyanga. Kodwa-ke awanciphisi usayizi we-fibroid. Imithi ebizwa ngokuthi yi-nonsteroidal anti-inflammatory drugs (NSAIDs) ingasiza ekuqedeni ubuhlungu obuhambisana ne-fibroids, kodwa ayinciphisi ukuphuza kwegazi okubangelwa yi-fibroids. I-NSAIDs ayisiye imithi ye-hormonal. Izibonelo zihlanganisa i-ibuprofen (Advil, Motrin IB, nabanye) ne-naproxen sodium (Aleve). Udokotela wakho angase futhi akuphakamise ukuthi uthathe amavithamini nensimbi uma une-menstrual bleeding enkulu ne-anemia. I-Gonadotropin-releasing hormone (GnRH) agonists. Lezi zilapha i-fibroids ngokuvimba umzimba ekwenzeni ama-hormones estrogen ne-progesterone. Lokhu kukufaka esimweni esifanayo ne-menopause yesikhashana. Ngenxa yalokho, izikhathi zenyanga ziyaqeda, i-fibroids inciphisa futhi i-anemia ivame ukuthuthuka. I-GnRH agonists ihlanganisa i-leuprolide (Lupron Depot, Eligard, nabanye), i-goserelin (Zoladex) ne-triptorelin (Trelstar, Triptodur Kit). Abantu abaningi bane-hot flashes ngenkathi besebenzisa i-GnRH agonists. Ngokuvamile, le miyekezo isebenziselwa izinyanga ezingaphezu kweziyisithupha. Yingakho izimpawu zibuyela lapho umuthi uqediwe, futhi ukusetshenziswa isikhathi eside kungabangela ukulahleka kwamathambo. Ngezinye izikhathi, i-GnRH agonists ithathwa ne-estrogen encinyane noma i-progestin. Ungase uzwe lokhu kubizwa ngokuthi yi-add-back therapy. Kunganciphisa imiphumela emibi, futhi kungakuvumela ukuthi uthathe i-GnRH agonists kuze kube izinyanga eziyi-12. Udokotela wakho angase afake i-GnRH agonist ukunciphisa usayizi we-fibroids yakho ngaphambi kokuhlinzwa okuhleliwe. Noma ungase ubekelwe lo muthi ukusiza ekuthuthukeni kwakho kuya e-menopause. I-Gonadotropin-releasing hormone (GnRH) antagonists. Le miyekezo ingaphatha ukuphuza kwegazi okukhulu kubantu abane-uterine fibroids abangakaqedi i-menopause. Kodwa-ke ayinciphisi i-fibroids. I-GnRH antagonists ingasetshenziswa iminyaka emibili. Ukuyithatha kanye ne-add-back therapy kunganciphisa imiphumela emibi efana ne-hot flashes nokulahleka kwamathambo. Ngezinye izikhathi, i-estrogen encinyane noma i-progestin isivele ihlanganiswe kule miyekezo. I-GnRH antagonists ihlanganisa i-elagolix (Oriahnn) ne-relugolix (Myfembree). Eminye imithi. Udokotela wakho angase akukhuthaze eminye imithi. Ngokwesibonelo, amaphilisi okulawula ukubeletha amancane angasiza ekulawuleni ukuphuza kwegazi kwenyanga. Kodwa-ke awanciphisi usayizi we-fibroid. Imithi ebizwa ngokuthi yi-nonsteroidal anti-inflammatory drugs (NSAIDs) ingasiza ekuqedeni ubuhlungu obuhambisana ne-fibroids, kodwa ayinciphisi ukuphuza kwegazi okubangelwa yi-fibroids. I-NSAIDs ayisiye imithi ye-hormonal. Izibonelo zihlanganisa i-ibuprofen (Advil, Motrin IB, nabanye) ne-naproxen sodium (Aleve). Udokotela wakho angase futhi akuphakamise ukuthi uthathe amavithamini nensimbi uma une-menstrual bleeding enkulu ne-anemia. Phakathi nokuhlinzwa kwe-focused ultrasound, amaza omsindo aphezulu, amandla aphezulu asebenziswa ukuqondisa nokuqeda i-uterine fibroids. Le nqubo yenziwa ngenkathi ukhona ngaphakathi kwesikena se-MRI. I-equipment ivumela udokotela wakho ukubona i-uterus yakho, uthole noma iyiphi i-fibroids futhi ubhubhise i-fibroid tissue ngaphandle kokwenza noma yikuphi ukusoka. Ukwelashwa okungenawo ubuhlungu akuhlanganisi ukusoka okuthiwa ukusoka. Akuhlanganisi nezinsimbi ezibekwe emzimbeni. Nge-uterine fibroids, inqubo ebizwa ngokuthi yi-MRI-guided focused ultrasound surgery (FUS) yi:
• Indlela yokwelapha engapheliyo egcina i-uterus. Kwenziwa ngaphandle, okusho ukuthi awudingi ukuchitha ubusuku esibhedlela ngemuva kwalokho.
• Kwenziwa ngenkathi ukhona ngaphakathi kwesikena se-MRI esixhunywe nesixhobo se-ultrasound esinamandla aphezulu sokwelapha. Izithombe zinikeza udokotela wakho indawo eqondile ye-uterine fibroids. Lapho indawo ye-fibroid iqondiswe, isixhobo se-ultrasound siqondisa amaza omsindo ku-fibroid ukuze afudumeze futhi ubhubhise izindawo ezincane ze-fibroid tissue.
• Ubuchwepheshe obusha, ngakho abacwaningi bafunda okwengeziwe ngokuphepha nokusebenza isikhathi eside. Kodwa-ke kuze kube manje idatha ebukeziwe ibonisa ukuthi i-FUS ye-uterine fibroids iphephile futhi isebenza kahle. Noma kunjalo, kungase kungathuthuki izimpawu kakhulu njengokuhlinzwa okuncane okungaphezu kokungena okuthiwa yi-uterine artery embolization. Izingcezu ezincane ebizwa ngokuthi yi-embolic agents zifakwa ku-uterine artery nge-catheter encane. I-embolic agents bese igeleza ku-fibroids futhi ihlale e-arteries ezondla zona. Lokhu kuqeda ukugeleza kwegazi ukubulala i-tumors. Phakathi nokuhlinzwa kwe-laparoscopic radiofrequency ablation, udokotela ubona ngaphakathi esiswini esebenzisa izinto ezimbili ezikhethekile. Eyodwa yi-laparoscopic camera ebekwe ngaphezulu kwe-uterus. Esinye yi-laparoscopic ultrasound wand esihlala ngqo ku-uterus. Ukusebenzisa kokubili izinto kunikeza udokotela imibono emibili ye-uterine fibroid. Lokhu kuvumela ukwelashwa okuphelele kunalokho okungenzeka ngombono owodwa kuphela. Ngemva kokuthola i-uterine fibroid, udokotela usebenzisa enye idivayisi encane ukuthumela izimpumputhe ezincane ku-fibroid. Izimpumputhe ezincane ziyafudumeka, zibhubhise i-fibroid tissue. Lezi zinqubo azisebenzisi ukusoka noma ukusoka okuncane. Zihlanganiswe nezinkathi zokubuyela emuva ezikhulu kakhulu nezinkinga ezincane uma kuqhathaniswa nokuhlinzwa okuvulekile okuvamile. Ukwelashwa okungenawo ubuhlungu obukhulu be-uterine fibroids kuhlanganisa:
• Uterine artery embolization. Izingcezu ezincane ebizwa ngokuthi yi-embolic agents zifakwa ku-arteries ezondla i-uterus ngegazi. Izingcezu ziqeda ukugeleza kwegazi ku-fibroids, zibangela ukuba ziye zibe ziincane futhi zife. Leli thuba lingasiza ekuthuthukiseni i-fibroids nokuncipha izimpawu ezibangela zona. Izinhlungu zingase zenzeke uma ukunikezwa kwegazi ku-ovaries yakho noma ezinye izitho kuncishisiwe. Kodwa-ke ucwaningo lubonisa ukuthi izinhlungu zifana nokwelashwa kwe-fibroid okuhlinzwa. Futhi ingozi yokudinga ukuthuthukiswa kwegazi iphansi.
• Radiofrequency ablation. Kule nqubo, ukushisa kwamandla e-radiofrequency kubhubhisa i-uterine fibroids futhi kunciphisa imithambo yegazi ezondla zona. Lokhu kungenziwa ngokusoka okuncane endaweni yesisu, uhlobo lokuhlinzwa okuthiwa yi-laparoscopy. Kungenziwa futhi nge-vagina, okuthiwa yi-transvaginal procedure, noma nge-cervix, okuthiwa yi-transcervical procedure. Nge-laparoscopic radiofrequency ablation, udokotela wakho wenza ukusoka okuncane okubili esiswini. Ithuluzi lokubuka elibukhulu elinekhamera eceleni, okuthiwa yi-laparoscope, libekwe ngokusoka. Usebenzisa ikhamera nethuluzi le-ultrasound, udokotela wakho uthola i-fibroids ezokwelashwa. Ngemva kokuthola i-fibroid, udokotela wakho usebenzisa idivayisi ukuthumela izimpumputhe ezincane ku-fibroid. Izimpumputhe ziyafudumeka i-fibroid tissue futhi ziyibhubhise. I-fibroid ebhuliwe ishintsha ngokushesha. Ngokwesibonelo, iya kusuka ekubeni nzima njengobhola legolfi ibe mnyama njenge-marshmallow. Phakathi nezinyanga ezingu-3 kuya kweziyi-12 ezilandelayo, i-fibroid iyaqhubeka incintisa, futhi izimpawu ziyaqina. I-Laparoscopic radiofrequency ablation ibizwa nangokuthi yi-Acessa procedure noma i-Lap-RFA. Ngoba akukho ukusoka kwe-uterine tissue, odokotela bacabanga ukuthi i-Lap-RFA iyindlela yokwelapha engapheliyo kunokuhlinzwa okunjengokuthi yi-hysterectomy ne-myomectomy. Abantu abaningi abanelile inqubo bayabuyela emisebenzini yabo evamile phakathi nezinsuku ezimbalwa. Indlela ye-transcervical - noma nge-cervix - yokwelapha i-radiofrequency ablation ibizwa ngokuthi yi-Sonata. Iphinde isebenzise isiqondiso se-ultrasound ukuthola i-fibroids.
• Laparoscopic noma robotic myomectomy. Kwi-myomectomy, udokotela wakho ukhumula i-fibroids futhi ashiye i-uterus endaweni. Uma i-fibroids ingabaningi, wena nodokotela wakho ningase nikhethe inqubo ye-laparoscopic. Lokhu kusebenzisa izinto ezincane ezibekwe ngokusoka okuncane esiswini ukuze ukhumule i-fibroids ku-uterus. Ngezinye izikhathi, uhlelo lwe-robotic lusetshenziswa enkambweni ye-laparoscopic. Udokotela wakho ubona indawo yesisu lakho kwimonitha esebenzisa ikhamera encane exhunyiwe kwenye yezinto. I-Robotic myomectomy inikeza udokotela wakho umbono omkhulu, we-3D we-uterus yakho. Lokhu kungenza inqubo ibe ngcono kunokwenzeka ngezinye izindlela. I-fibroids elikhulu lingasuswa ngokusoka okuncane ngokuliqhekeza ngezicucu ngedivayisi ehlanza i-tissue. Lokhu kubizwa ngokuthi yi-morcellation. Kungenziwa ngaphakathi esikhwameni sokuhlinzwa ukuze kuncishiswe ingozi yokusabalalisa noma iyiphi i-cancer cells abaguli abangazange balindele ukuyithola. Noma kungenziwa ngokwandisa ukusoka olulodwa ukususa i-fibroids ngaphandle kwe-morcellation.
• Hysteroscopic myomectomy. Le nqubo ingaba yindlela uma i-fibroids ikhona ngaphakathi kwe-uterus, ebizwa nangokuthi yi-submucosal fibroids. I-fibroids isuswa isebenzisa izinto ezibekwe nge-vagina ne-cervix kuya ku-uterus.
• Endometrial ablation. Le nqubo inganciphisa ukuphuza kwegazi kwenyanga. Idivayisi efakwe ku-uterus ikhipha ukushisa, amandla e-microwave, amanzi ashisayo, ubushushu obuphansi noma umjikelezo wamagetsi. Lokhu kubhubhisa i-tissue ehlanganisa ngaphakathi kwe-uterus. Awunakwenzeka ukukhulelwa ngemuva kwe-endometrial ablation. Kodwa-ke kuyinto enhle ukuthatha ukulawula ukubeletha ukuvimbela iqanda eliqandisiwe ukuba lenzeke ku-fallopian tube, okuthiwa yi-ectopic pregnancy. Ngaphandle kokwelashwa, i-tissue ekhulayo ingase ibe yingozi yokopha okubulalayo. Uterine artery embolization. Izingcezu ezincane ebizwa ngokuthi yi-embolic agents zifakwa ku-arteries ezondla i-uterus ngegazi. Izingcezu ziqeda ukugeleza kwegazi ku-fibroids, zibangela ukuba ziye zibe ziincane futhi zife. Leli thuba lingasiza ekuthuthukiseni i-fibroids nokuncipha izimpawu ezibangela zona. Izinhlungu zingase zenzeke uma ukunikezwa kwegazi ku-ovaries yakho noma ezinye izitho kuncishisiwe. Kodwa-ke ucwaningo lubonisa ukuthi izinhlungu zifana nokwelashwa kwe-fibroid okuhlinzwa. Futhi ingozi yokudinga ukuthuthukiswa kwegazi iphansi. Radiofrequency ablation. Kule nqubo, ukushisa kwamandla e-radiofrequency kubhubhisa i-uterine fibroids futhi kunciphisa imithambo yegazi ezondla zona. Lokhu kungenziwa ngokusoka okuncane endaweni yesisu, uhlobo lokuhlinzwa okuthiwa yi-laparoscopy. Kungenziwa futhi nge-vagina, okuthiwa yi-transvaginal procedure, noma nge-cervix, okuthiwa yi-transcervical procedure. Nge-laparoscopic radiofrequency ablation, udokotela wakho wenza ukusoka okuncane okubili esiswini. Ithuluzi lokubuka elibukhulu elinekhamera eceleni, okuthiwa yi-laparoscope, libekwe ngokusoka. Usebenzisa ikhamera nethuluzi le-ultrasound, udokotela wakho uthola i-fibroids ezokwelashwa. Ngemva kokuthola i-fibroid, udokotela wakho usebenzisa idivayisi ukuthumela izimpumputhe ezincane ku-fibroid. Izimpumputhe ziyafudumeka i-fibroid tissue futhi ziyibhubhise. I-fibroid ebhuliwe ishintsha ngokushesha. Ngokwesibonelo, iya kusuka ekubeni nzima njengobhola legolfi ibe mnyama njenge-marshmallow. Phakathi nezinyanga ezingu-3 kuya kweziyi-12 ezilandelayo, i-fibroid iyaqhubeka incintisa, futhi izimpawu ziyaqina. I-Laparoscopic radiofrequency ablation ibizwa nangokuthi yi-Acessa procedure noma i-Lap-RFA. Ngoba akukho ukusoka kwe-uterine tissue, odokotela bacabanga ukuthi i-Lap-RFA iyindlela yokwelapha engapheliyo kunokuhlinzwa okunjengokuthi yi-hysterectomy ne-myomectomy. Abantu abaningi abanelile inqubo bayabuyela emisebenzini yabo evamile phakathi nezinsuku ezimbalwa. Indlela ye-transcervical - noma nge-cervix - yokwelapha i-radiofrequency ablation ibizwa ngokuthi yi-Sonata. Iphinde isebenzise isiqondiso se-ultrasound ukuthola i-fibroids. Laparoscopic noma robotic myomectomy. Kwi-myomectomy, udokotela wakho ukhumula i-fibroids futhi ashiye i-uterus endaweni. Uma i-fibroids ingabaningi, wena nodokotela wakho ningase nikhethe inqubo ye-laparoscopic. Lokhu kusebenzisa izinto ezincane ezibekwe ngokusoka okuncane esiswini ukuze ukhumule i-fibroids ku-uterus. Ngezinye izikhathi, uhlelo lwe-robotic lusetshenziswa enkambweni ye-laparoscopic. Udokotela wakho ubona indawo yesisu lakho kwimonitha esebenzisa ikhamera encane exhunyiwe kwenye yezinto. I-Robotic myomectomy inikeza udokotela wakho umbono omkhulu, we-3D we-uterus yakho. Lokhu kungenza inqubo ibe ngcono kunokwenzeka ngezinye izindlela. I-fibroids elikhulu lingasuswa ngokusoka okuncane ngokuliqhekeza ngezicucu ngedivayisi ehlanza i-tissue. Lokhu kubizwa ngokuthi yi-morcellation. Kungenziwa ngaphakathi esikhwameni sokuhlinzwa ukuze kuncishiswe ingozi yokusabalalisa noma iyiphi i-cancer cells abaguli abangazange balindele ukuyithola. Noma kungenziwa ngokwandisa ukusoka olulodwa ukususa i-fibroids ngaphandle kwe-morcellation. Endometrial ablation. Le nqubo inganciphisa ukuphuza kwegazi kwenyanga. Idivayisi efakwe ku-uterus ikhipha ukushisa, amandla e-microwave, amanzi ashisayo, ubushushu obuphansi noma umjikelezo wamagetsi. Lokhu kubhubhisa i-tissue ehlanganisa ngaphakathi kwe-uterus. Awunakwenzeka ukukhulelwa ngemuva kwe-endometrial ablation. Kodwa-ke kuyinto enhle ukuthatha ukulawula ukubeletha ukuvimbela iqanda eliqandisiwe ukuba lenzeke ku-fallopian tube, okuthiwa yi-ectopic pregnancy. Ngaphandle kokwelashwa, i-tissue ekhulayo ingase ibe yingozi yokopha okubulalayo. Nanoma iyiphi inqubo engasuswa i-uterus, kunengozi yokuthi i-fibroids entsha ingakhula futhi ibe yimbangela yezimpawu. Izinketho zokuhlinzwa okuvulekile okuvamile okusebenzisa ukusoka okukhulu zihlanganisa:
• Abdominal myomectomy. Lolo hlobo lokuhlinzwa lususa i-fibroids ngokusoka okukhulu endaweni yesisu, okuthiwa futhi yi-abdomen. Udokotela wakho angase akukhuthaze uma une-fibroid engaphezu kweyodwa, i-fibroids enkulu kakhulu noma i-fibroids ejulile kakhulu. Abantu abaningi abatshelwa ukuthi i-hysterectomy iyona ndlela kuphela abangaba ne-abdominal myomectomy esikhundleni sayo. Ukusoka ngemuva kokuhlinzwa kunganciphisa amathuba okukwazi ukukhulelwa esikhathini esizayo, noma kunjalo.
• Hysterectomy. Lolu hlobo lokuhlinzwa lususa i-uterus. Lihlala liyisixazululo esiqinisekisiwe sokuphela se-uterine fibroids. I-Hysterectomy iphetha ikhono lakho lokubeletha izingane. Uma futhi unquma ukususa ama-ovaries akho, ukuhlinzwa kuletha i-menopause. Uzobe ukhetha ukuthi uthathe yini i-hormone replacement therapy, okuyimiyekezo engasiza ekuqedeni imiphumela emibi ye-menopause efana ne-hot flashes. Abantu abaningi abane-uterine fibroids bangase bakhethe ukugcina ama-ovaries abo. Abdominal myomectomy. Lolo hlobo lokuhlinzwa lususa i-fibroids ngokusoka okukhulu endaweni yesisu, okuthiwa futhi yi-abdomen. Udokotela wakho angase akukhuthaze uma une-fibroid engaphezu kweyodwa, i-fibroids enkulu kakhulu noma i-fibroids ejulile kakhulu. Abantu abaningi abatshelwa ukuthi i-hysterectomy iyona ndlela kuphela abangaba ne-abdominal myomectomy esikhundleni sayo. Ukusoka ngemuva kokuhlinzwa kunganciphisa amathuba okukwazi ukukhulelwa esikhathini esizayo, noma kunjalo. Hysterectomy. Lolu hlobo lokuhlinzwa lususa i-uterus. Lihlala liyisixazululo esiqinisekisiwe sokuphela se-uterine fibroids. I-Hysterectomy iphetha ikhono lakho lokubeletha izingane. Uma futhi unquma ukususa ama-ovaries akho, ukuhlinzwa kuletha i-menopause. Uzobe ukhetha ukuthi uthathe yini i-hormone replacement therapy, okuyimiyekezo engasiza ekuqedeni imiphumela emibi ye-menopause efana ne-hot flashes. Abantu abaningi abane-uterine fibroids bangase bakhethe ukugcina ama-ovaries abo. I-Morcellation inqubo yokuqhekeza i-fibroids ibe yizicucu ezincane. Ingase ikhulise ingozi yokusabalalisa i-cancer uma i-cancerous tumor engatholakali ngaphambili iqhekezwa nge-morcellation phakathi kwenqubo ye-myomectomy. Ingozi inganciphisa uma:
• Iqembu lokuhlinzwa libuka izici zengozi zomuntu ngaphambi kokuhlinzwa.
• I-fibroid iqhekezwa esikhwameni sokuhlinzwa phakathi kwe-morcellation.
• Ukusoka kuhlanganiswe ukususa i-fibroid enkulu ngaphandle kwe-morcellation. Zonke i-myomectomies zithwala ingozi yokusoka ku-cancer engatholakali. Kodwa-ke abantu abasebancane abangakaqedi i-menopause ngokuvamile banezingozi eziphansi ze-cancer engatholakali kunabantu abadlula eminyakeni engama-50. Kanti futhi, izinhlungu phakathi nokuhlinzwa okuvulekile zivame kakhulu kunamathuba okusabalalisa i-cancer engalindelekile ku-fibroid phakathi kwenqubo engapheliyo. Uma udokotela wakho uhlela ukusebenzisa i-morcellation, cela udokotela ukuba achaze izingozi zakho ngaphambi kokwelashwa. E-United States, i-Food and Drug Administration (FDA) iyaluleka ngokumelene nokusetshenziswa kwedivayisi ye-morcellator kubantu abaningi abane-fibroids esuswe nge-myomectomy noma i-hysterectomy. I-FDA iphakamisa ukuthi abantu abasondela e-menopause noma abafinyelele e-menopause bahlale beqaphile i-power morcellation. Abantu abadala abase-menopause noma abangena ku-menopause bangase babe nengozi enkulu ye-cancer. Futhi abantu abangasafuni ukukhulelwa banezinye izinketho zokwelapha i-fibroids. Nge-hysterectomy noma i-endometrial ablation, ngeke ukwazi ukukhulelwa esikhathini esizayo. Futhi, i-uterine artery embolization ne-radiofrequency ablation kungenzeka zingabi izinketho ezinhle uma ufuna ukugcina okuningi kokukhulelwa kwakho ngangokunokwenzeka. Xoxa nodokotela wakho ngezingozi nezinzuzo zalezi zinqubo uma ufuna ukugcina ikhono lokukhulelwa. Futhi uma uzama ngenkuthalo ukukhulelwa, thola ukulingwa okuphelele kokukhulelwa ngaphambi kokuba unqume uhlelo lokwelapha i-fibroids. Uma ukwelashwa kwe-fibroid kudingeka - futhi ufuna ukulondoloza ukukhulelwa kwakho - i-myomectomy ivame ukuba yindlela yokwelapha ekhethwayo. Kodwa-ke zonke izindlela zokwelapha zinezingozi nezinzuzo. Xoxa ngalezi nodokotela wakho. Kuzo zonke izinqubo ngaphandle kwe-hysterectomy, i-seedlings - i-tumors encane udokotela wakho angayitholi phakathi kokuhlinzwa - ingase ikhule ngolunye usuku futhi ibe yimbangela yezimpawu ezidinga ukwelashwa. Ngokuvamile, lokhu kubizwa ngokuthi yi-recurrence rate. I-fibroids entsha ingase futhi yenziwe, futhi lezi zingase zidinga ukwelashwa. Kanti futhi, ezinye izinqubo zingase ziphathe ezinye ze-fibroids ezikhona ngesikhathi sokwelashwa. Lokhu kuhlanganisa i-laparoscopic noma i-robotic myomectomy, i-radiofrequency ablation, ne-MRI-guided focused ultrasound surgery (FUS). sixhumanisi sokuyeka ukubhalisa i-imeyili. Ucwaningo oluncane lubonisa ukuthi i-acupuncture ingasiza uma isebenziswa kanye nokwelashwa kwakho okuyinhloko kwe-uterine fibroids. Naleli thuba, umsebenzi ubeka izimpumputhe ezincane ezindaweni ezithile emzimbeni.