Yintoni Okufanele Uyazi Ngale Nyeyomnye kwi-Hysterectomy
Izicubu ze-Fibroid yilezo zizathu ezinikezelweyo ezingaphezu kwesithathu kwisilinganiselo esingaqikelelwa kuma-600,000 angama-hysterectomiya ayenziwa ngonyaka e-United States. Kodwa kukho enye inketho.
Xa ukhetha i-myomectomy endaweni yoko, izicubu ze-fibroid zingasuswa ngokugqithiseleyo ngeli gama lilondoloza isisu . Xa zenziwa ngugqirha onamava, i-myomectomy yindlela ekhuselekileyo neyosebenzayo kwi-hysterectomy.
Ukulungiselela
Ulwaphulo lwe-preoperative luhlala luquka injoyi yenyanga yenyanga yeLupron ngeenyanga ezimbini ukuya kwezine eziphambili kwenkqubo. I-Lupron ishicilela ukuveliswa kwe- estrogen , eyenza i-fibroids ihlehlise ngobukhulu. Ngeli xesha, ukuya esikhathini kunzima.
Kukho ukungquzulana phakathi kwamagqirha malunga nokusetyenziswa kweLupron, zombini kuba kubiza kwaye kuba kubangela iimpawu ze-menopausal ezifana nokutshisa okutshisa kunye nobusuku bobusuku . Abanye banenkxalabo yokuba kunokunciphisa i-fibroids encinci ukuya kwindawo apho bengayi kubonwa ngugqirha ngexesha lotyando kwaye ukuba ezi zibonwayo ziza kukhula kwakhona kwaye zifuna ukuhlinzwa okongeziweyo.
I-myomectomy inokwenziwa ngokukhuselekileyo ngokuphindaphindiweyo kodwa, ngexesha ngalinye utyando lwenziwa, umngcipheko wokubambisana kwe-pelvic ukwandisa.
I-myomectomy ephumelelayo kufuneka inikeze ukukhulula ngokupheleleyo kuzo zonke iimpawu ezihambelana nezicubu ze-fibroid. Nangona kunjalo, i-fibroids ikhula ngokuphindaphindiweyo, ifuna isidingo sokuhlaziya i-hysterectomy kamva.
Mngcipheko
Amagqirha amaninzi angaqeqeshelwanga ekwenzeni i-myomectomy aya kukhetha i-hysterectomy ngenxa yokuba ukungabikho kwamava kunyusela ingozi yeengxaki.
Nangona iingxaki zingabonakali xa i-myomectomy isenziwa ngokufanelekileyo, abafazi baqwalasela le nkqubo kufuneka baqaphele ingozi.
Iingxaki ezinokuthi zibandakanya ukulahleka kwegazi, i-ileus (isithintelo semfuyo), i-anemia, intlungu, ukuvinjelwa kwamathumbu emva, ukungabi nantlungu, ukuguqulwa kwamanzi kwi-hysterectomy ngexesha lo-myomectomy, kunye nokuhlinzwa okuqhubekayo.
Nangona ukukhulelwa kusenokwenzeka emva kokuba i-myomectomy, abafazi abakhulelweyo belandela i-myomectomy babhekane neyona nto ibalulekileyo yecandelo le-laarean ngenxa yezinto ezinokubangela ubuthakathaka eludongeni lwe-uterine.
Nangona ngaphezulu kweepesenti ezingama-99 ze-fibroids zinobungozi, ugqirha wakho kufuneka axoxe ngeyona nto inqabileyo yomhlaza phambi kwe-myomectomy yakho.
Iintlobo kunye neNkqubo yoLuntu jikelele
Zininzi iindlela zokwenza i-myomectomy. Inokwenziwa kwisisu okanye ngesisu, usebenzisa iindlela ezahlukeneyo. Uhlobo lwe-myomectomy olukhethiweyo luxhomekeke kubukhulu kunye nendawo ye-tumors ye-fibroid.
Emva kokuba ibhinqa liphantsi kwe-anesthesia, i- catheter ifakwe kwisitya sokugcina ukuba ingenanto ngexesha le nkqubo. Enye ikathitter ifakwe kwi-uterus kwaye idayi eluhlaza ijojowe ukuze ibonakalise isigxina se-uterine; le nkunkuma ye-uterine iyimfuneko ukunceda ugqirha ukuba acacise indawo ye-fibroids, esoloko ikhulu kakhulu ayifani naso kwiisisu ze-uterus.
Idayi eluhlaza okwesibhakabhaka iphinda igijimise kwiibhulo zomzimba kwaye ivumela ugqirha ukuba aqinisekise ukuba avaliwe okanye avulwe. Ukulungiswa kwimiba ye-fallopian iyakwenziwa ngexesha le nkqubo.
Okulandelayo, isicatshulwa sifakwe kwi-fibroid yokuqala ekufuneka isuswe, kubangela ukuba igazi linikezele imizuzu engama-20 kwaye uvumele ugqirha ukuba asuse i-fibroid ngenomngcipheko omncinci wokuphuma kwegazi kunye nokumpontshelwa igazi.
Ukunyamekela okuthethekileyo kufuneka kuthathwe xa kuvalwa isiphene (isikhala) esishiya apho i-fibroid isuswe khona. Uluhlu ngalunye lweetyhubhu kufuneka lugqitywe ngabanye ukukhusela ama-clots kunye nezinye iingxaki. Njengoko i-fibroid nganye isuswe, le nkqubo iphindaphindiwe.
Bonke abesifazana abasebenzisa isicatshulwa se-myomectomy esincinci kufuneka baqaphele imfuneko yokuguqulela kwinkqubo yesisu esiswini xa i-myomectomy iqhubeka.
Njengoko kukhankanywe ngaphambili, kukho iindlela ezininzi zokwenza i-myomectomy.
I-Myomectomy yomlomo wesibeleko
Oku kwenziwa ngexesha le-hysteroscopy ngoncedo lwe-resectoscope ukuphatha i-submucosal fibroids. Ezinye iintlobo ze-myomectomy zingenziwa ngexesha le nkqubo ukuba i-intramural or subserosal fibroids ikhona.
I-Laparoscopic Myomectomy
Le yinkqubo eshenxisa i-fibroids kwaye ilungise ilahleko ekhohlo apho i-fibroid ikhona khona. Ukulungiswa ngokufanelekileyo kwesiphene kukubaluleke kakhulu ekuthintekeni kweengxaki. Ukukhangela okuncinci kwenziwa, ngokuqhelekileyo kwintonga, kunye neparoscope efakwe apho i-myomectomy eyenziwa khona. Olu hlobo lwe-myomectomy lunikeza ixesha lokubuyisela ngokukhawuleza.
I-Laparoscopic Myomectomy neColpotomy
Le yinkqubo ebandakanya ukunyanzeliswa kwisisu ukuze kususwe iinqununu ezinkulu ze-fibroids. Le nkqubo ayifaki ukuvala isiphako esishiywe yi-fibroid kwaye kufuneka yenziwe ngokubambisana nenye inqubo.
I-Laparoscopic Minilap Myomectomy
Le yinkqubo ekwabandakanya inkcazo encinci yesisu esiswini sokususa i-fibroids. Olu hlobo lwenkqubo lusetyenziselwa nayiphi na ubukhulu be-fibroid. Ngenxa yokuba ukukhangela kukuphela kwe-4-5 cm kuphela, ukuphulukana kuyakhawuleza kunokusuka kwi-myomectomy yesiqhelo.
Myomectomy eqhelekileyo
Le nto isona hlobo luqhelekileyo oluqhutywayo lwe-myomectomy, njengoko i-myparectomium laparoscopic inzima kakhulu ukwenza. I-myomectomy yendabuko idinga i-incch 5% intsuku yokubeleka esiswini, iintsuku ezintathu ukuya ezintlanu zokubhedlelelwa esibhedlele, kunye neeveki ezintandathu ukuya kwezi-ezisibhozo zokubuyiselwa.
Yintoni ongayibuza ugqirha wakho
- Kutheni uncomeka i-myomectomy ngoku?
- Ziziphi iingozi xa ndigqiba malunga ne-myomectomy?
- Zenza kaninzi kangakanani i-myomectomies?
- Ngaba unokwenza i-myomectomy ngaphandle kokujonga ubungakanani okanye indawo ye-fibroids?
- Luhlobo luni lwe-myomectomy endicebisa ngalo? Ngoba?
- Ngaba ndiya kufuna igazi ?
Khumbula, ugqirha wakho kufuneka achaze zonke iindlela ezinokwenzeka ngaphambi kokuba wenze isigqibo sakho. Ukuba ugqirha wakho akakunikeli i-myomectomy kwi-fibroids kwaye unyanzelisa kwi-hysterectomy, kunokwenzeka ukuba akanako ukufumana ngokwaneleyo ukwenza i-myomectomy, kwaye kufuneka umcele ukuba ahanjiswe kudokotela onamava ekusebenzeni i-myomectomy. Ugqirha omuhle uya kukuvuyela ukuhanjiswa okunjalo kwaye uluvo lwesibini luhlala lukhetho olukhethileyo phambi kokuhlinzwa okukhulu.
> Umthombo:
> Uterine Fibroids. I-ACOG Imfundo Pamphlet AP074. http://www.acog.org/publications/patient_education/bp074.cfm