Ubukhulu be-myoma buhlukaniswa kanjani?
Kumele kuqashelwe ukuthi ubukhulu obuncane be-neoplasm ngokuvamile badinga ukunakekelwa kwezokwelapha kuphela, ukwelapha izidakamizwa kanye nokuhlolwa komthamo wemfundo ku-dynamics.
Lapho uthola isifo, okokuqala, unake ubukhulu be-fibroids. Kuyinto evamile ukubala ngamam bese uqhathanisa ubukhulu besitho ngokwalo, okwandisiwe nesifo, kanye negama lokukhulelwa. Yingakho kaningi owesifazane ohlolwa ukuhlolwa kwe-ultrasound ezwa udokotela: "amasonto ama-4", "usayizi wamasonto ama-5".
Kuye ngobukhulu be-neoplasm, kuyisiko ukuhlukanisa:
- i-myoma encane - usayizi wesisu awudluli kuma-20 mm. Kulesi simo, isibeletho sifana nesonto eli-4-5 lokukhulelwa;
- isilinganiso - kusuka ku-20 ukuya ku-60 mm. Ngalesi samba semfundo, khuluma ngesikhatsi samasonto amahlanu kuya ku-11;
- ama-fibroids amakhulu - angaphezu kuka-60 mm, noma amasonto angu-12 noma ngaphezulu.
Kufanele kuqaphele ukuthi ngisho nangokwesilinganiso esikhulu semfundo, abesifazane abahlale bebona ukuthi kukhona khona emzimbeni. Ngokuvamile itholakala ngesikhathi sokuhlolwa kokuvimbela kanye ne-ultrasound.
Kodwa-ke, ezimweni eziningi, abesifazane abanesifo esifanayo banokwanda kwesikhatsi kanye nokuningi kokuya esikhathini, okungaphezu kwalokho, okuhambisana nezinzwa ezibuhlungu. Ngezikhulu ezinkulu ze-fibroids, kukhona ukwanda komthamo wesisu, kanti isisindo somzimba esiphelele asisashintshi. Kungase kube nokuphazamiseka ekusebenzeni kwezitho eziseduze nezinhlelo. Lokhu kunikeza umuzwa wokucindezela emathunjini aphansi. Ngokuvamile kukhona ukwanda kwenani lokuchama, okufana nokuthi kwenzeka kanjani lapho ingane izalwa.
I-myoma iphathwa kanjani?
Kunezindlela ezimbili ezihluke ngokuyisisekelo zokwelapha lesi sifo: ezizimele futhi ezinamandla. Esikhathini sokuqala, lesi sifo siphathwa ngemithi, okwesibili - ukusebenza kwenziwa.
Abesifazane abaningi, ukwesaba ukwelashwa okuhlinzekwayo, banesithakazelo kulokhu: yibuphi ubukhulu obwenziwa yi-uterine fibroids. Kumele kuthiwa ngaphezu kwesayizi kunezinye izinkomba zokungenelela kokuhlinzwa:
- ingozi yokuguqulwa kwezemfundo ibe yindlela enonya;
- ukuhlela kokukhulelwa esikhathini esizayo esiseduze;
- isifo sobuhlungu obuzwakalayo;
- Ukuba khona kwe-anemia ekuguleni kwamagciwane;
- ukwephula inqubo yokuchama;
- ukutholakala kwama-nodes.
Uma sikhuluma ngokuqondile ngobukhulu be-myoma ye-uterine, khona-ke ukuze kuqhutshwe ukusebenza kufanele okungenani kube ngu-40-50 mm. Ngokuqondene nobukhulu obuvunyelwe be-uterine fibroids ehlala entanyeni, ubukhulu bayo abufanele kudlule amasonto angu-12.
Iyini ingozi ye-fibroids enkulu ye-uterine nokuthi yini okufanele uyenze ngokuphulwa okunjalo?
Ezimweni eziningi, abesifazane abanesifo esincane esitholakalayo bayashesha ukuhlinzwa. Ngesikhathi esifanayo, ithemba labo lihlobene nokuthi ukwelashwa kwe-hormonal kuzoxazulula inkinga. Nokho, lokhu kungenzeka kuphela ezinyathelweni zokuqala zesifo. Ngaphezu kwalokho, odokotela bavame ukuveza ukuthi lapho ukwelashwa kwe-hormone kwenziwa, ubukhulu be-myoma abukwenyuka, kodwa uma ukwamukelwa kumiswa, imfundo ikhula.
Ekhuluma ngemiphumela yesifo, kubalulekile ukubiza igama:
- ingozi eyengeziwe yokuvuvukala kwezinso;
- ukudluliselwa kwesisu esinomsoco kuya esibi;
- Ukukhula okuqhubekayo nokucindezela izitho;
- ukungabikho.
Nge-uterine i-myoma ukungenelela okukhulu nge-laparoscopy akunakwenzeka. Ukusebenza kwenziwa ngodonga lwesisu. Kumele futhi kuqaphele ukuthi ukwelashwa kwe-uterine fibroids ngobukhulu obukhulu ngaphandle kokusebenza cishe akunakwenzeka.
Abesifazane abasebenzise isikhathi esanele ukusizwa bavame ukuba nesithakazelo embuzweni wesayizi we-fibroid lapho isisu sisusiwe khona. Ngokuvamile, kwenziwa umsebenzi ofanayo lapho lesi sitho sithatha isikhala esiphezulu se-retroperitoneal futhi sinezingcindezi ezingxenyeni ezingomakhelwane kangangokuba ngezinye izikhathi kuba nzima ukuba owesifazane aphefumule.