Umthombo Ovamile Wezinhlungu Zamafilimu Abesifazane
Sibutsetelo
I-fibroids yama-uterine ingaba yimbangela yokuhlukunyezwa kwabesifazane . I-fibroids yama-uterine yimizimba engavamile yezicubu ezikhula noma odongeni lwesibeletho. Ngenkathi ziyi-tumor yezincubu zomzimba, cishe zihlala zishaya indiza, ezingaphansi kweyodwa ku-1 000 zibe umdlavuza. Ukuba ne-fibroids akukwandisi ingozi yokuthuthukisa umdlavuza we-cancer noma ukuthola olunye uhlobo lomdlavuza wesibeletho.
Zivamile kakhulu. Abesifazane abangaba ngu-70 bazobe benomuntu oneminyaka engu-45 ubudala, kodwa iningi lincane futhi alikho izimpawu.
Izimbangela
Imbangela ye-uterine fibroids ayinakwenzeka nakuba ivela kaningi kulaba besifazane ema-30s no-40, ikakhulukazi labo abanomlando womndeni we-fibroids. Zibuye zivame kakhulu kubesifazane abamnyama. Ukudla okukhulu inyama enobomvu nokukhuluphala kungandisa ingozi yowesifazane yokuthuthukisa i-fibroids ye-uterine.
Izimpawu
Ngenkathi abanye besifazane bengazi ukuthi bane-fibroids, labo abanezibonakaliso ngokuvamile ababhekana nakho:
- ubuhlungu be-pelvic
- i-dysmenorrhea (isikhathi esibuhlungu sokuya esikhathini)
- ubuhlungu ngesikhathi socansi
- ukugeleza kokuya esikhathini okungavamile
- ukuphuthuma komchamo
- ubuhlungu obuphansi emuva
- ukungabi namandla (ngokuvamile kuphela ezimweni ezinzima)
Kwabesifazane abathile, izimpawu ze-uterine fibroids ziphathwa kahle futhi ziphathwa kalula. Kwabanye, i-fibroids ye-uterine ibangela ubuhlungu obungapheli be-pelvic obungaphazamisa izinga labo lokuphila.
Ukuxilongwa
I-fibroids yama-uterine ingatholwa yi- ultrasound , ngezinye izikhathi eyenziwa ngokugcwalisa isibeletho ngamanzi (sonohysterogram).
Ezinye iziketshezi ze-uterine fibroids zihlanganisa ama- x-ray , i- MRIs , nama-CT scans. Udokotela wakho angase futhi ahlele i-hysterosalpingogram, lapho lesi sibeletho sigcwele ngombala ngaphambi kokuthi ama-x-ray athathwe.
Ngezinye izikhathi, inqubo eningi engavamile iyadingeka ukuze uhlolisise ngokunembile ukuthi u-fibroids we-uterine. Ku- hysteroscopy , ukuma ngekhamera encane kufakwa esibelethweni.
Ku-laparoscopy, kufakwa ngokusebenzisa ukungena okuncane esiswini. Ngamunye angasetshenziselwa ukuhlola i-uterine fibroids, kanye nokuyisusa.
Ukwelapha
Uma i-fibroids yakho ye-uterine iyinkinga noma uma idala ubuhlungu obungapheli obuhlungu, ungathola noma yikuphi okulandelayo:
- Imithi yezinhlungu ezifana ne-over-the-counter noma i- NSAID ye- prescription ingakwazi ukulawula ubuhlungu obukhulu bomzimba obubangelwa yi-uterine fibroids.
- I-Gonadotropin-ekhulula ama-hormonone agonists (i-GnRHas) ngezinye izikhathi inganciphisa ama-fibroid nakuba ama-fibroid angabuya futhi.
- Ukwelashwa kwamahomoni njengamaphilisi okulawula ukubeletha noma imijovo ye-progesterone inganciphisa ukukhula kwe-fibroid.
- Ukuhlinzwa , okufana ne- myomectomy , i-hysterectomy, i-endometrial ablation noma i- uterine fibroid embolization ingenziwa uma ezinye izindlela zingasebenzi. I-myomectomy ingase ikhethwe ngaphezu kwe-hysterectomy uma ufuna ukukhulelwa, kepha i-hysterectomy ithathwa njengeyodwa yokwelashwa kweqiniso.
- Ukuphathwa okulindelekile: Uma u-perimenopausal, udokotela wakho anganquma ukubuka futhi alinde njengoba i-fibroids ivame ukwehla usayizi ngemuva kokumisa esikhathini.
Isibikezelo
Isibikezelo sobuhlungu besisu obubangelwa yi-uterine fibroids siyashintsha. Abanye besifazane bathola ukuthi ubuhlungu babo bungalawulwa kahle ngemithi efana ne-NSAID kanye / noma imithi yokwelapha.
Kwamanye abesifazane, kodwa ukuhlinza kuyindlela kuphela. Nakuba ukuhlinzeka ngokuvamile kusebenza kakhulu ekwelapheni i-uterine fibroids, ezinye izinketho (ezifana ne-hysterectomy kanye ne-endometrial ablation) zingashiya owesifazane ongenasifo. Uma ungenasifo ngenxa ye-fibroids yodwa, i-myomectomy ingabuyisela ukuzala ngokulinganiselwa kwesigamu sesikhathi.
I-fibroids ye-uterine iyancipha ngobukhulu futhi izimpawu ngokuvamile ziyancipha uma sekuqala ukuphuma esikhathini.
Imithombo:
Lippman, SA et al. Ama-Fibroid nama-Gynecologic Pain Symptoms eSifundweni Esisuselwa Kwabantu. Ukuzala nokuhlunga. 2003 Dec; 80 (6): 1488-94
I-Merck Manuals Medical Library Library. Ama-Froid e-Uterine. September, 2015.
I-National Institute of Health Child kanye Nokuthuthukiswa Kwabantu. Ama-Froid e-Uterine. 12/18/2013.
UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. Uterine Fibroids fact sheet.Januwari 15, 2015.