I-Myoma yesibeleko yenye yezona zinto zixhaphake kakhulu kwaye zifumaneka kwi-25% yabasetyhini. I-Myoma iqala ukufunyanwa kubasetyhini abaneminyaka engama-30 ukuya kuma-40 ubudala, xa ukuguqulwa kwemvelaphi ye-hormonal kubaluleke kakhulu. Ngokuqhelekileyo, i-myoma, ekhula ngokukhawuleza kwaye ibangela ukuphuma kwegazi rhoqo, isizathu sokungenelela ngokukhawuleza. Kodwa ngaba kunokwenzeka na indlela yokuphilisa i-fibromy ngaphandle kokuhlinzwa? Siza kuzama ukuxelela ngale ndlela kule nqaku.
Unyango olungaphelelanga lwe-fibroids ye-uterine
Unyango lwe-uterine fibroids ngaphandle kokuhlinzwa lunokwenzeka namhlanje, kodwa kwimeko yokuba ibhinqa ayinayo imiqondiso yokungenelela kokusebenza. Iimpawu zokusebenza zi:
- ukuba ubukhulu be-node ye-myomatous ifinyelela kwiiveki ezi-12 ukuya kwe-14 (isisu sinyuka ngeiveki ezi-14 zokukhulelwa);
- ukuba ubungakanani be-fibroids bunyuke ngokukhawuleza kwaye ubele lukhula ngeeveki ezi-4 ngonyaka (le mngcipheko wokuhlambalaza izicubu ezinzima zesisu);
- ukuba i-node ye-myomatous isendaweni yomlomo wesibeleko;
- ukuba i-myoma ye-uterine yimbangela yokuphuma kwintsholongwane yamanzi (ukuhamba kwindoda kunye nokuhamba ngaphakathi), okukhokelela ekudiseni i-anemia;
- ukuba i-node ye-myomatous enwetshiwe igxininisa izitho ezikufutshane kwaye iphazamise umsebenzi wayo (intumbo kunye nesisu).
Ezi zibonakaliso zezizathu zokusebenza okucetywayo, kodwa kukho izimo eziphuculweyo. Ezi ziquka ukuhluthwa kwemilenze ye-node ye-myomatous ne-necrosis.
Indlela yokuphilisa i-fibroid ngaphandle kokuhlinzwa?
Ukwelashwa kwe-fibroids yesisu ngaphandle kokuhlinzwa kungenziwa ngosizo lwamachiza, kwaye kunokwenzeka ngoncedo lweendlela zokusebenza. Ngoko, umzekelo, ii-fibroids ezincinci zingasuswa ngoncedo lwe-hysteroresectoscopy. Ezinye iziyobisi zeHormon enye indlela yokwenza unyango olulondolozo lwe-uterine fibroids. Ubuncinci bobuncinci bobunzima be-myomatous baphazamisa ukukhula kwawo, ngamanye amaxesha bayakhuthaza ukuveliswa kwayo.
Ukuba ubukhulu be-myoma bubanzi ngokwaneleyo, kukho ukuphuma kwegazi lomzimba kunye nokuhlinzwa okungeke kuphetshwe, ngoko ke unyango lwe-hormone luyacetyiswa ukuba lubekwe ukunciphisa ubukhulu kunye nobuninzi begazi. Abasetyhini abangafikeleli kwixesha elidlulileyo le-menopausal banqunywe amalungiselelo e-19-norsteroid (Norkolut), eyanciphisa ubude begazi lokuphuma kwamadoda. Kufuneka kuthatyathwe ukususela ngomhla we-16 ukuya kwe-25 womjikelezo wesiqingatha sonyaka. Abasetyhini abafika ekuqaleni kwexesha le-menopausal banqunywe i-agonists gonadotropin-ukukhulula i-hormone (iBuserelin), esetyenziswe njengezilwanyana kathathu ngosuku. Ingundoqo yesenzo sabo kukukhawulezisa ukuqala kokuphuma kwindoda nokupheliswa komsebenzi we-hormone wama-ovari.
Indlela yokususa i-fibroids ngaphandle kokuhlinzwa: i-uterine yerterial embolization
Ukuqulunqwa kwemithambo ye-uterine yinye yeendlela ezintsha kunye nezona ndlela zanamuhla zokunyanga i-uterine fibroids. Nangona kubonakala ukuba kubhekiselele kumngcipheko, kodwa ukunyamekela ngaphezu kokusebenza. Ingundoqo yile ndlela kukuba isigulane sinocatsteri kunye nomthambo wesifazane kunye ne-cathterta ifakwe kwi-arterial uterine phantsi kokulawulwa kwezixhobo ze-X-ray.
Ngaloo ndlela, saqwalasela zonke iindlela ezingekho zocwangco zokuphatha i-uterine fibroids. Kodwa ukuze babe nefuthe, kufuneka ucele uncedo ngokukhawuleza. Kakade ke, i-myoma idla ngokuyiminyaka ayibonakali, kwaye ngokokuqala ngangoko inokuzivezela ngokuphuma kwegazi. Ngoko ke, iimviwo zokukhusela kunye nokuhlolwa kwe-ultrasound kubaluleke kakhulu.