Okufanele Ukwazi Ngalolu Lunye Lokungena kwi-Hysterectomy
Izicubu ze-Fibroid ziyisizathu esinikezwe ukulungiswa kwezingxenye ezingaphezu kwesithathu kwezinguquko ezingu-600,000 ezilinganiselwa minyaka yonke e-United States. Kodwa kukhona enye inketho.
Ngokukhetha i-myomectomy kunalokho, izicubu ze-fibroid zingasuswa ngokuhlinzwa ngenkathi zisalondoloza isisu . Uma kwenziwa udokotela onolwazi, i-myomectomy iyindlela ephephile futhi ephumelelayo e-hysterectomy.
Ukulungiselela
I-preoperative therapy ngokuvamile ihlanganisa injection yenyanga yenyanga kaLupron phakathi nezinyanga ezimbili kuya kwine ezandulela inqubo. I-Lupron ikhiqiza ukukhiqizwa kwe- estrogen , okwenza ukuthi i-fibroids ihlehlise ngosayizi. Phakathi nalesi sikhathi, ukuya esikhathini ngokuvamile kuvimbela.
Kukhona ukungqubuzana phakathi kwabadokotela mayelana nokusetshenziswa kweLupron, kokubili ngoba kuyabiza futhi ngoba kubangela izimpawu ze-menopausal ezifana nokushisa okushisayo nokukhukhumeza ebusuku . Abanye futhi bakhathazeka ngokuthi kunganciphisa ama-fibroids amancane kakhulu lapho bengeke babonakale kudokotela ngesikhathi sokuhlinzwa nokuthi lezi fibroids ezingabonakali ziyokhula futhi mhlawumbe zidinga ukuhlinzwa okungeziwe.
I-myomectomy ingenziwa ngokuphepha ngokuphindaphindiwe izikhathi eziningi, kodwa, isikhathi ngasinye ukuhlinzwa kwenziwa, ingozi yokunamathela kwe-pelvic iyanda.
I-myomectomy ephumelelayo kufanele inikeze ukukhululeka okuphelele kuzo zonke izimpawu ezihlobene nezicubu ze-fibroid. Kodwa-ke, i-fibroids ivame ukukhula emuva, idinga isidingo se-hysterectomy kamuva.
Izingozi ezihlangene
Odokotela abaningi abangaqeqeshwanga ekwenzeni i-myomectomy bayokhetha i-hysterectomy ngoba ukungabi nakho kwabo kwandisa ingozi yezinkinga.
Nakuba izinkinga zingavamile uma i-myomectomy iqhutshwa kahle, abesifazane abacabangela le nqubo kufanele baqaphele izingozi ezingenzeka.
Izinkinga ezingase zibe khona zibandakanya ukulahleka kwegazi, i-ileus (ukuvinjelwa kwesisu), i-anemia, ubuhlungu, ukuvinjelwa kwamathumbu emathunjini, ukungabi namandla, ukuguqulwa okungenzeka ku-hysterectomy ngesikhathi se-myomectomy, nokuhlinzwa okulandelayo.
Nakuba ukukhulelwa kusengenzeka ngemuva kwe-myomectomy, abesifazane abakhulelwe abalandela i-myomectomy babhekene nesidingo esingahle sengozi yokulahla ngenxa yezinto ezingase zibe buthakathaka odongeni lwe-uterine.
Nakuba amaphesenti angaphezu kwamaphesenti angama-99 e-fibroids ahlanzekile, udokotela wakho kufanele axoxe nangendlela engavamile yomdlavuza ngaphambi kwe-myomectomy yakho.
Izinhlobo kanye Nqubo Ejwayelekile
Kunezindlela eziningana zokwenza i-myomectomy. Kungenziwa ngamanzi noma ngesisu, usebenzisa izindlela ezihlukahlukene. Uhlobo lwe-myomectomy olukhethiwe luncike ebukhulu nasendaweni yezicubu ze-fibroid.
Ngemuva kokuba owesifazane engaphansi kwe-anesthesia, i- catheter ifakwa kwisigaxa ukuze igcine ingenalutho ngesikhathi senqubo. Omunye umcengezi usuke ufakwa esibelethweni bese kudayiswa idayi eluhlaza okwesibhakabhaka ukuze kukhishwe umkhuhlane we-uterine; lokhu kubonakala kudingeke ukuba udokotela aqaphele ukuthi indawo ye-fibroids, evame kakhulu kakhulu ayihlukaniswanga nezicubu zesisu.
Idayi eluhlaza okwesibhakabhaka iphinde igijimele emathangeni okulala futhi ivumela udokotela ukuba anqume ukuthi avinjelwe noma avuliwe. Ukulungiswa kwamatayipi angama-fallopian nakho kungenziwa phakathi nale nqubo.
Okulandelayo, isidakamizwa sijojowe ku-fibroid yokuqala ehlelwe ukususwa, okwenza igazi lime imizuzu engu-20 futhi kuvumela udokotela ukuba asuse i-fibroid ngengozi encane yokugaya ngokweqile nokumpontshelwa igazi.
Ukunakekelwa okukhethekile kufanele kuthathwe uma uvala isiphambeko (isikhala) esishiywe lapho i-fibroid isusiwe khona. Ingqimba ngayinye yezicubu kufanele ixutshwe ngokuqondile ukuze ivimbele ama-clots nezinye izinkinga. Njengoba i-fibroid ngayinye isusiwe, le nqubo iphindaphindiwe.
Bonke abesifazane abasebenzisa inqubo ye-myomectomy encane encane kufanele baqaphele isidingo esingahle sokuguqula inqubo yendabuko yesisu ngenkathi i-myomectomy iyaqhubeka.
Njengoba kushiwo ngaphambili, kunezindlela eziningana zokwenza i-myomectomy.
I-Myomectomy yomlomo wesibeletho
Lokhu kwenziwa ngesikhathi se-hysteroscopy ngokusiza i-resectoscope ukuphatha i-submucosal fibroids. Ezinye izinhlobo ze-myomectomy zingenziwa phakathi nale nqubo uma kukhona ama-fibroids angaphakathi kwamandla noma aphansi.
I-myomectomy ye-Laparoscopic
Lena inqubo esusa ama-fibroids futhi ilungisa isici esingakwesobunxele lapho kutholakala i-fibroid. Ukulungiswa okulungile kwalesi siphambeko kubaluleke kakhulu ekuvimbeleni izinkinga. Ukunciphisa okuncane kwenziwa, ngokuvamile kuleveli, kanye ne- laparoscope efakwe lapho i-myomectomy yenziwa khona. Lolu hlobo lwe-myomectomy lunikeza isikhathi sokuphumula esheshayo.
I-Myomectomy ye-Laparoscopic ne-Colpotomy
Lena yinkambiso ehilela ukuhlambulula ngaphakathi kwesiswini ukuze ususe izingcezu ezinkulu ze-fibroids. Le nqubo ayigcini iphutha lesokunxele nge-fibroid futhi kumele lenziwe ngokuhambisana nenye inqubo.
I-Lapoposcopic Minilap Myomectomy
Lena yinkambiso ehlanganisa nokunciphisa okuncane kwesisu sokususa isisu ukususa i-fibroids. Lolu hlobo lwenqubo lungasetshenziswa nanoma yisiphi isayizi se-fibroid. Ngenxa yokuthi ukugcoba kungu-4-5 cm kuphela, ukutakula kuyashesha kunokuba kuvela i-myomectomy evamile.
I-Myomectomy evamile
Lokhu kuseyindlela ejwayelekile kakhulu eyenziwa ye-myomectomy, njengoba i-myomectomies laparoscopic inzima kakhulu ukwenza. I-myomectomy yendabuko idinga ukuchotshozwa kwesisu ngamasentimitha angu-5-7, izinsuku ezintathu kuya kwezinhlanu zokubhedlela, kanye namaviki ayisithupha ukuya kweziyisishiyagalolunye ukuze alulame.
Okufanele Ubuze Udokotela Wakho
- Kungani ukhuthaza i-myomectomy manje?
- Ziyini izingozi uma ngikhetha ngokumelene ne-myomectomy?
- Uyenza kaningi kangakanani i-myomectomies?
- Ungenza i-myomectomy ngaphandle kokubheka ubukhulu noma indawo ye-fibroids?
- Uluphi uhlobo lwe-myomectomy ongileka ngalo? Kungani?
- Ngingayidinga ukumpontshelwa igazi ?
Khumbula, udokotela wakho kumele achaze konke ongakwenza ngaphambi kokwenza isinqumo sakho. Uma udokotela wakho enganikeli i-myomectomy ye-fibroids futhi ephikisana ne-hysterectomy, cishe kungenzeka ukuthi akakwazi ukuthola i-myomectomy ngokuphepha, futhi kufanele umcele ukuba adlulisele kudokotela onolwazi ekusebenzeni i-myomectomy. Udokotela omuhle uzokukujabulela ukukudlulisa kanjalo futhi umbono wesibili uhlale ukhetha ngokuhlakanipha ngaphambi kokuhlinzwa okukhulu.
> Umthombo:
> Uterine Fibroids. I-APOG Pamphlet Yemfundo AP074. http://www.acog.org/publications/patient_education/bp074.cfm