Umthombo Oqhelekileyo Wobunzima bePelvic Kwabesetyhini
Sibanzi
I-fibroids ye-Uterine inokubangela ukuba buhlungu buhlungu besifazane . I-fibroids ye-Uterine yimizimba engapheliyo yimizimba ekhula okanye eludongeni lwesisu. Nangona ziimvumba zeethambo zomzimba, ziphantse zithinteka, zingaphantsi kweyodwa kwi-1 zibe ngumhlaza. Ukuba ne-fibroids ayinyuli umngcipheko wokuba nomdlavuza womhlaza okanye ufumane olunye uhlobo lomhlaza wesibeleko.
Ziqhelekile. Phantse i-70% yabasetyhini iya kuba neminyaka engama-45 ubudala, kodwa abaninzi bancinci kwaye abanakho iimpawu.
Izizathu
Isizathu se-uterine fibroids esingaziwa kakhulu nangona senzeke ngokuphindaphindiweyo kubasetyhini kwi-30s kunye no-40, ngakumbi abo baneenkcukacha zentsapho ye-fibroids. Ziye zixhaphake nakwabesetyhini abamnyama. Ukutya okuphezulu kwinyama ebomvu kunye nokukhuluphala kunokwandisa umngcipheko wesifazane wokuphuhlisa i-uterine fibroids.
Iimpawu
Nangona abanye abasetyhini bengazi ukuba bane-fibroids, abo baneziganeko eziqhelekileyo abanamava:
- intlungu
- i-dysmenorrhea (ixesha elibuhlungu lokuya esikhathini)
- intlungu ngexesha lesini
- ukuhamba kokunyuka komzimba
- ukunyanzeliswa kwamanzi
- intlungu ephantsi
- ukungabi nabantwana (ngokuqhelekileyo kuphela kwiimeko ezinzima)
Kwababhinqa abathile, iimpawu ze-uterine fibroids zilula kwaye ziphathwa ngokulula. Kwabanye, i-uterine fibroids ibangela ubuhlungu obungapheliyo be-pelvic obungaphazamisa umgangatho wobomi.
Ukuxilongwa
I-uterine fibroids ingafunyanwa yi- ultrasound , ngamanye amaxesha kwenziwa ngokuzalisa isibeleko ngamanzi (sonohysterogram).
Ezinye izicwangciso ze-uterine fibroids ziquka i -ray-ray , i- MRIs kunye ne-CT. Ugqirha wakho unokuhlaziya i-hysterosalpingogram, apho ubele luzele ngombala phambi kokuba i-ray-ray ithathwe.
Ngamanye amaxesha, inqubo engakumbi yokunyanzelisa iyadingeka ukuchonga ngokuchanekileyo i-uterine fibroids. Kwi- hysteroscopy , ububanzi bekhamera encinci ifakwe kwisibeletho.
Kwi-laparoscopy, ifakwe kwi-incision encinci kwisisu. Ngamnye ungasetyenziselwa ukuxilonga i-uterine fibroids, kunye nokuzisusa.
Unyango
Ukuba i-uterine fibroids iyingxaki okanye ukuba ibangela ubuhlungu obungapheliyo beplavic, ungayifumana nenye yezi zinto zilandelayo:
- Iipilisi ezinjengezinhlungu ezifana ne-counter-counter-counter okanye i- NSAID ye- prescription ingakwazi ukulawula ubuhlungu obuphambanisayo obuphambili obubangelwa yi-uterine fibroids.
- I-Gonadotropin-ukukhulula i-hormone agonists (GnRHas) ngamanye amaxesha inganciphisa i-fibroids nangona i-fibroids ingabuya kwakhona.
- Iirmone zokwelapha ezifana neepilisi zolawulo lokuzalwa okanye ii-progesterone injections zinganciphisa ukukhula kwe-fibroid.
- Ukuhlinzwa , okufana ne- myomectomy , i-hysterectomy, i-endometrial ablation okanye i- uterine fibroid embolization ingenziwa xa ezinye iindlela zingasebenzi. I-Myomectomy inokukhethwa ngaphezu kwe-hysterectomy ukuba ufuna ukukwazi ukukhulelwa, kodwa i-hysterectomy ithathwa njengonyango kuphela.
- Ulawulo olulindelekileyo: Ukuba ungumgqirha wakho, ugqirha wakho unokugqiba ukujonga kwaye ulinde njengoko i-fibroids isoloko iyancipha ngobungakanani emva kokumisa umva.
Prognosis
Ukugxekwa kweentlungu zeplavic ezibangelwa yi-uterine fibroids ziyahluka. Abanye abafazi bafumana ukuba intlungu yabo ilawulwa ngempumelelo ngemichiza efana ne-NSAID kunye / okanye unyango lwe-hormonal.
Kwamanye amabhinqa, nangona kunjalo, utyando luyedwa kuphela. Nangona utyando ludla ngokuphumelelayo ekuphatheni i-uterine fibroids, ezinye iindlela (ezifana ne-hysterectomy kunye ne-endometrial ablation) zingashiya ibhinqa elingenalo. Ukuba ungenayo intsholongwane ngenxa ye-fibroids yedwa, i-myomectomy inokubuyisela inzala malunga nesiqingatha sexesha.
I-uterine fibroids iyancipha ngobunzima kunye neempawu zivame ukuncipha emva kokuqalisa ukuphuma komzimba.
Imithombo:
Lippman, SA et al. I-Uterine Fibroids ne-Gynecologic Pain Symptoms kwi-Study Based Based Study. Ukhuseleko kunye nobuthathaka. NgoDisemba ka-2003; 80 (6): 1488-94
I-Merck Manuals iTree Library yeLayibrari. I-Uterine Fibroids. Septemba, 2015.
ISikole kaZwelonke seMpilo yabantwana kunye nophuhliso lwabantu. I-Uterine Fibroids. 12/18/2013.
ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Iphepha lomxholo we-Uterine Fibroids.Januwari 15, 2015.