Izicubu zomzimba ze-fibroid zihlala zishaya. Lezi zicubu ezincane (okungezona umdlavuza) zitholakala ezimweni eziningi, esibelethweni sabesifazane ema-30s no-40.
Izicubu ze-Fibroid ziyizinambuzane eziqinile ezenziwe ngezicubu ezinamafutha, ngakho-ke igama elithi 'fibroid'. Ngokuvamile ama-fibroid ayenzeka njengezixuku eziningi ze-tumor ezikhula kancane futhi ngokuvamile azibangele izimpawu.
Ubukhulu be-fibroids buhluka kakhulu phakathi kwabesifazane kanti ezinye zincane kangangokuthi i-microscope iyadingeka ukuba ibone. Kodwa-ke abanye besifazane bathola isisu esisodwa esikhulu se-fibroid ubukhulu be-grapefruit noma i-fibroid ekulu kakhulu ihlanganisa indawo yonke yesisu. Ama-tumor amakhulu anjalo angaba amakhilogremu angu-50; okuyinto enkulu kunazo zonke, kubikiwe, i-fibroid eke yabhalwa ilinganiselwe ngamakhilogremu angu-140.
Akekho oqiniseka ukuthi kungani izicubu ze-fibroid zikhula, kodwa amanye amaqiniso avela ecacile:
- Izicubu ze-fibroid azihlaziyi ngaphambi kokuba umzimba uqale ukukhiqiza i-estrogen ngesikhathi kuqala ukuya esikhathini
- Amathumba e-fibroid azoqhubeka ekhula ngenkathi i-estrogen ikhona
- zizokhula ngokushesha ngesikhathi sokukhulelwa lapho umzimba ukhiqiza i-estrogen eyengeziwe
- izikhumba ngokuvamile ziyancipha futhi zinyamalale ngemva kokunqamuka kwesikhashana lapho umzimba uyeka ukukhiqiza i-estrogen
- owesifazane cishe ngeke ahlakulele izicubu ze-fibroid ngemuva kokuya esikhathini sokuya esikhathini.
Ukuxhumeka kwe-estrogen kubonakala kucacile, nakuba kusekhona abanye abangabaza ukuthi i-estrogen idlala indima ekuthuthukiseni izicubu ze-fibroid ngoba abesifazane abane-fibroids bavame ukuba namazinga egazi abonisa inani elivamile le-estrogen.
Izinhlobo ze-Fibroid Tumors
Ama-Fibroid aphansi
Lezi zingu-fibroids zenzeke ngaphansi kwesigcawu sesisu futhi zingabangela izinkinga zokuya esikhathini , kufaka phakathi ubuhlungu njengoba zikhula futhi zihambela indawo ye-pelvic.
Ama-Fibroid
A fibroid nxazonke kaningi ngaphakathi odongeni uterine ezingabangela ukwandisa kwesibeletho njengoba zikhula.
I-Fibroids enamandla
Le fibroid ikhula eludongeni lwangaphandle lwesibindi futhi ngokuvamile ayibangeli izimpawu kuze kube yilapho ikhula enkulu ngokwanele ukuphazamisa ezinye izitho.
Fibroids ezithwetshiwe
La ma-fibroids athuthuka lapho i-fibroid enamandla ikhulela i-peduncle (i-stalk), njengoba ikhula ikhudlwana ingahle iguquke futhi ibangele ubuhlungu obukhulu.
I-Interligamentous Fibroid
I-fibroid ekhula eceleni kwamagundane asekela isibeletho esifundeni sesisu. Lolu hlobo lwe-fibroid lukhuni kakhulu ukususa ngaphandle kokuphazamiseka kokunikezwa kwegazi noma ezinye izitho.
I-Pibid Fibroid
Ifomu le-fibroid le-fibroid livela lapho i-fibroid ihambisana nesinye isitho.
Ukuxilongwa
Ukuxilongwa kwe-fibroids kuvame ukwenziwa udokotela wakho phakathi nokuhlolwa kwakho kweminyaka yonke uma udokotela wakho ezwa ubukhulu, avame ukutholakala lapho udokotela wakho efuna enye into noma angeke atholakale uma ungenayo izimpawu. Kodwa-ke, ama-fibroids amakhulu angenza ukuhlolwa kwama-ovari wakho kungenzeki uma bekhula eduze kwama-ovari.
I-scanning ultrasound ivame ukulalelwa uma izixuku ezinjalo zizwa udokotela wakho ukuze anqume imbangela yobuningi, noma kunjalo, ezinye ze-fibroid zivela kwi-sonograms njengezicubu ze-ovarian kanye nokuhlinzeka yindlela kuphela yokuxilongwa okunembile okungenziwa.
Nakuba iningi lama-fibroids lingabonakali izimpawu, abesifazane abangamaphesenti angama-25 abanamabonakaliso bangaba nokuphuma okungavamile, ubuhlungu ngesikhathi sokuya esikhathini, futhi njengoba izicubu ze-fibroid zikhula, abesifazane bazovame ukuzwa isisu esiswini.
Ama-fibroid amakhulu amakhulu angabangela ukuvuthwa okuvamile noma ukungakwazi ukulawula isisu sakho, noma ikhono lokulawula isifiso noma ezimweni ezimbi, owesifazane angathola ukuthi akakwazi ukuvota nhlobo. Uma i-fibroid iqhubekela emuva emhlane wesifazane ingase iqhubekele emathunjini, ibangele ukuqothulwa kanye ne-backache.
Ukwelapha Okuhlinzekwayo
Uma izicubu zakho ze-fibroid zikhulu ngokwanele kangangokuba zibangele izimpawu ezithile, ukuhlinzeka ngokuvamile, ukwelashwa okunconywayo.
Kodwa-ke, ngaphambi kokuba uvumele i-hysterectomy, funda ngezinketho zakho zokwelapha . Izimpawu ezifanele ukuhlinzwa zihlanganisa ukuphuma kwegazi okukhulu kakhulu ngesikhathi sokuya esikhathini, okubangela ukuba i-anemia engaphenduli ekwelapheni; ubuhlungu, obungenakubekezelelwa kowesifazane noma ukungahambi kahle kubangelwa ukucindezelwa kwe-fibroids kwesinye isitho; noma lapho indawo yezidumbu kungenzeka ukuthi ibangele izinkinga ezengeziwe.
Ukuhlinzwa kwezicubu ze-fibroid kuhlanganisa i-myomectomy ne-hysterectomy. I-myomectomy iyisisindo sokukhishwa kwesisu ngasinye ngaphandle kokulimala kwesibeletho, silondoloze ikhono lomfazi lokukhulelwa. Kodwa-ke, i-fibroids izovame ukukhula futhi nakuba kungenzeka ukuba i-myomectomy iphinde iphindwe, ama- myomectomi amaningi angabangela ezinye izinkinga ezifana nezindonga zesibindi zihlangene ndawonye ngenxa yokwehla.
I-Arterial Uterine Embolization
Abesifazane kufanele bacabange ukuthi u-artery isakhiwe. I-artery embolization ye-uterine ishiya lesi sibeletho sinyene enqubo engeyona yokuhlinzwa. Izinhlayiya ze-Polyvinyl zifakwa emthonjeni we-uterine ngesikhathi esithile ngaphambi nje kokuba i-nexus yemikhumbi isakaze emzimbeni wesibindi. Izinhlayiyana zigeleza ezitsheni bese ziwagcoba. Lokhu kuvimbela i-fibroids ekutholeni ukunikezwa kwegazi okuqhubekayo kuyadingeka futhi kubangele ukuthi i-fibroids ihlehlise ngokuhamba kwesikhathi. Kodwa-ke, ngokushesha izimpawu zokugaya kakhulu kanye nobuhlungu be-pelvic ziyancipha kakhulu.
Hysterectomy
Iqiniso elidabukisayo ukuthi ngenxa yokuthi i-fibroids ikhula emuva, abesifazane abaningi ekugcineni bazobhekana nesifo se-hysterectomy. Ukususa isibeletho yindlela kuphela yokugcina iningi labesifazane besifroid.
Ngokuvamile, i-hysterectomy inqubo yokuzikhethela izicubu ze-fibroid lapho abesifazane abanezibonakaliso ezinzima, sebeqedile umndeni wakhe nesisu sakhe sakhulile saba sesibindi emasontweni ayishumi nambili okukhulelwa; owesifazane unezicubu ezinkulu ze-fibroid ezinkulu; ukuphuma kwegazi okungavamile kwenzeka; noma uma i-fibroids ibangela izinkinga nezinye izitho ezifana nesinye nesibindi.
Isayensi iqala ukuhlola ezinye izinketho zokwelapha i-fibroids, kuhlanganise nokusetshenziswa kwe-Lupron okungaba nenzuzo kulabo abafuna ukukhulelwa noma besifazane abasondela esikhathini sokuya esikhathini lapho i-fibroids ivame ukwehla ngokwemvelo. I-Lupron igxuma ama-fibroids kwabaningi besifazane ngokuqhubeka nokusetshenziselwa, kepha okukodwa okukhiphayo ukuthi i-fibroids izokhula ngokushesha uma ukwelashwa kumiswa.
Uma unezicubu ze-fibroid, phangela izinketho zakho ngaphambi kokunquma ukuthi iyiphi imithi ofuna ukuyisebenzisa. Kunezinye izindlela eziningi eziphathelene ne-hysterectomy okwamanje etholakalayo, kanti isayensi idala izinketho eziningi kubesifazane nsuku zonke.
Umthombo:
Ama-fibroid. Healthywomen.gov. http://www.healthywomen.org/healthtopics/fibroids.