Myomectomy
Mayelana nalokhu kuhlolwa
I-myomectomy (my-o-MEK-tuh-me) yinqubo yokuvula ibele ukuze kususwe ama-fibroids esibele — abizwa nangokuthi ama-leiomyomas (lie-o-my-O-muhs). Lezi zikhulu ezivamile ezingenaso isikhutha zikhula esibele. Ama-fibroids esibele avame ukuvela eminyakeni yokubeletha, kodwa angavelela kunoma iyiphi iminyaka.
Kungani kwenziwa
Udokotela wakho angase akukhuthazelele ukwenza i-myomectomy uma une-fibroids ebangela izimpawu eziyinkinga noma eziphazamisa imisebenzi yakho evamile. Uma udinga ukuhlinzwa, izizathu zokukhetha i-myomectomy esikhundleni se-hysterectomy ye-uterine fibroids zifaka: Uhlela ukukhulelwa Udokotela wakho uthola ukuthi i-uterine fibroids ingase iphazamise ukukhulelwa kwakho Ufuna ukugcina isisu lakho
Izingozi nezinkinga
I-myomectomy inesilinganiso eliphansi lezingozi. Noma kunjalo, le nqubo ihlanganisa uchungechunge oluhlukile lweziqiniso. Izingozi ze-myomectomy zihlanganisa: Ukulahlekelwa igazi okukhulu. Abesifazane abaningi abane-uterine leiomyomas kakade banezinga eliphansi legazi (anemia) ngenxa yokopha okukhulu, ngakho-ke baphezu kwenkinga ngenxa yokulahlekelwa igazi. Udokotela wakho angase asikisele izindlela zokwakha inani legazi lakho ngaphambi kokuthi kwenziwe ukuhlinzwa. Phakathi ne-myomectomy, ochwepheshe bokuhlinzwa bathatha izinyathelo ezengeziwe ukuze bagweme ukuphuza igazi okukhulu. Lokhu kungase kuhlanganise ukuvimba ukugeleza okuvela emithanjeni yomgudu ngokusebenzisa ama-tourniquets nama-clamps nokufaka imithi eduze kwe-fibroids ukuze kube nomphumela wokunciphisa imithambo yegazi. Noma kunjalo, izinyathelo eziningi azunciphisi ingozi yokudinga ukuthuthukiswa kwegazi. Ngokuvamile, izifundo ziyabonisa ukuthi kunokuphuza igazi okuncane nge-hysterectomy kunaku-myomectomy yama-uteruses ayingqayizivele. I-scar tissue. Ukusika emgodini ukuze susa i-fibroids kungabangela ukubambelela - amabhande e-scar tissue angase athuthukiswe ngemuva kokuhlinzwa. I-laparoscopic myomectomy ingase iholele ekunciphiseni ukubambelela kunaku-abdominal myomectomy (laparotomy). Ukukhulelwa noma izinhlungu zokubeletha. I-myomectomy ingakhuphula ezinye izingozi ngesikhathi sokubeletha uma ukhulelwe. Uma udokotela wakho okuhlinzayo kwadingeka enze isiqeshana esijulile odongeni lomgudu wakho, udokotela ophatha ukukhulelwa kwakho okulandelayo angase asikisele ukubeletha ngo-cesarean (C-section) ukuze kuvinjelwe ukuqhekeka komgudu ngesikhathi sokubeletha, okuyinkinga engavamile kakhulu yokukhulelwa. I-fibroids ngokwayo ihambisana nezinhlungu zokukhulelwa. Ithuba elincane le-hysterectomy. Ngokuvamile, udokotela okuhlinzayo kufanele asuse umgudu uma ukuphuza igazi kungenakulawulwa noma ezinye izinto ezingavamile zitholakala ngaphezu kwe-fibroids. Ithuba elincane lokubhebhethekisa i-tumor eyingozi. Ngokuvamile, i-tumor eyingozi ingase iphazamiseke njenge-fibroid. Ukususa i-tumor, ikakhulu uma iphukile ibe yizicucu ezincane (morcellation) ukuze isuswe ngokuqeda okuncane, kungabangela ukubhebhetheka komdlavuza. Ingozi yalokhu okuzenzekayo iyanda ngemuva kwe-menopause njengoba abesifazane bekhula. Ngo-2014, i-Food and Drug Administration (FDA) ixwayise ngokumelene nokusebenzisa i-laparoscopic power morcellator kwabesifazane abaningi abenza i-myomectomy. I-American College of Obstetricians and Gynecologists (ACOG) incoma ukuthi ukhulume nodokotela wakho mayelana nezingozi nezinzuzo ze-morcellation.
Okulindelekile
Ngokuya ngobuningi, inani nendawo ye-fibroids zakho, udokotela wakho ophethe ukubhedlela angase akhethe enye yezindlela ezintathu zokusebenza eziya ekuthuthukisweni kwe-myomectomy.
Ukuqonda imiphumela yakho
Imiphumela yomyomectomy ingafaka: Ukukhululeka kwezimpawu. Ngemva kokuhlinzwa komyomectomy, abesifazane abaningi bayabona ukukhululeka kwezimpawu eziphazamisayo, njengokuphuma kwegazi okukhulu ngesikhathi sokuya exeshini nobuhlungu nokucindezela emathangeni. Ukuthuthukiswa kokukhulelwa. Abesifazane abenza i-laparoscopic myomectomy, ngokusiza kwe-robotic noma ngaphandle kwayo, banemiphumela emihle yokukhulelwa phakathi nonyaka olulodwa ngemva kokuhlinzwa. Ngemva komyomectomy, isikhathi sokulinda esiphakanyisiwe singamasonto amathathu kuya kwesishiyagalombili ngaphambi kokuzimisela ukukhulelwa ukuze uvumele isisu sakho isikhathi sokuphulukana. Ama-fibroids adokotela wakho angawabonanga ngesikhathi sokuhlinzwa noma ama-fibroids angasuswa ngokuphelele angakhula ekugcineni abangele izimpawu. Ama-fibroids amasha, angadingi ukwelashwa noma angadingi, angakhula futhi. Abesifazane ababephilile i-fibroid eyodwa banengozi encane yokuthuthukisa ama-fibroids amasha - ngokuvamile kubizwa ngokuthi izinga lokubuyela - kunabesifazane ababephilile ama-fibroids amaningi. Abesifazane abakhulelwe ngemva kokuhlinzwa nabo banengozi encane yokuthuthukisa ama-fibroids amasha kunabesifazane abangakhulelwa. Abesifazane abanefibroids entsha noma ebuyela emuva bangaba nezinye izindlela zokwelapha ezingelona ukuhlinzwa ezitholakalayo kubo esikhathini esizayo. Lezi zifaka: Ukuvalwa kwe-artery ye-uterine (UAE). Izingcezu ezincane zijikijelwa kwenye noma kuzo zombili i-uterine arteries, ukulinganisela ukunikezwa kwegazi. I-radiofrequency volumetric thermal ablation (RVTA). Amandla e-radiofrequency asebenziselwa ukugqoka (ukususa) ama-fibroids usebenzisa ukusuleka noma ukushisa - isibonelo, eqondiswa yi-probe ye-ultrasound. Ukuhlinzwa kwe-ultrasound okuqondiswa yi-MRI (MRgFUS). Umthombo wokushisa usetshenziswa ukususa ama-fibroids, eqondiswa yi-magnetic resonance imaging (MRI). Abesifazane abanye abanefibroids entsha noma ebuyela emuva bangakhetha i-hysterectomy uma sebeqede ukukhulelwa.
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