Kodi inunso mukuvutika ndi kutuluka magazi ambiri chifukwa cha matenda a m'mimba? Tiyeni tiphunzire za (Kutupa kwa Mitsempha ya M'mimba ya Uterine)!

Kodi mumatuluka magazi ambiri kuposa nthawi zonse mukakhala msambo? Kapena nthawi zonse mumamva kupweteka m'mimba mwanu? Chifukwa chachikulu cha zizindikirozi chingakhale zotupa zomwe sizili khansa zotchedwa fibroids zomwe zimapangika m'chiberekero. Lero, tikambirana za njira yothandiza yochizira vutoli lomwe silimafuna opaleshoni yayikulu.

Mwachidule, kodi Uterine Artery Embolization (UAE) ndi chiyani?

Kuchotsa Mitsempha ya Uterine (UAE) ndi njira yochepetsera kufalikira kwa magazi yomwe imagwiritsa ntchito kudula pang'ono kwambiri, popanda kudula kwakukulu. Kwenikweni imatseka mitsempha yamagazi (mitsempha) yomwe imapereka magazi ku chiberekero chanu.

Mankhwalawa nthawi zambiri amagwiritsidwa ntchito poletsa kutuluka magazi ambiri chifukwa cha zotupa zomwe sizili za khansa m'chiberekero, zotchedwa uterine fibroids . Amagwiritsidwanso ntchito pazochitika zadzidzidzi monga kutuluka magazi pambuyo pobereka, kutuluka magazi chifukwa cha ngozi, kapena kutuluka magazi chifukwa cha zotupa za khansa m'mayi.

Ndi nthawi ziti zomwe chithandizo cha UAE chimachitidwa?

Kawirikawiri, mankhwalawa amagwiritsidwa ntchito kwa anthu omwe ali ndi zizindikiro zosiyanasiyana chifukwa cha matenda a m'mimba. Tiyeni tiwone zomwe zili.

Kuwonjezera pa zizindikiro izi, dokotala wanu angakulimbikitseninso chithandizo cha UAE pa matenda ena, monga kutuluka magazi ambiri mutabereka, kutuluka magazi chifukwa cha ngozi, kapena kutuluka magazi chifukwa cha zotupa za khansa.

Ndi milandu iti yomwe chithandizo cha UAE sichiyenera kuchitidwa?

Nthawi zina, chithandizochi sichingakhale choyenera kwa inu.

• Ngakhale mutakhala ndi fibroids ya m'mimba, mulibe zizindikiro zilizonse.
• Ngati muli ndi pakati .
• Ngati muli ndi matenda m'chiuno mwanu.
• Ngati muli ndi matenda a mitsempha yamagazi.
• Ngati muli ndi vuto la ziwengo ndi utoto wosiyana womwe umagwiritsidwa ntchito pochiza izi.

Kodi chithandizochi chimagwira ntchito bwanji?

Tangoganizani kuti mwana wosabadwayo m'mimba ali ngati chomera chomwe chimadyetsedwa ndi madzi. Kodi chingachitike n'chiyani ngati titatseka pang'onopang'ono mapaipi omwe amapereka madzi ku chomera ichi? Popanda madzi, chomeracho chingafe pang'onopang'ono, sichoncho? Chinthu chofanana ndi ichi chimachitikanso ku UAE.

Mwachidule, tinthu tating'onoting'ono, monga mchenga, timalowetsedwa m'mitsempha yamagazi yomwe imapereka magazi ku chiberekero chanu (mitsempha ya uterine). Tinthu tating'onoting'onoti timatsogozedwa kumalo enieni kudzera mu chubu chopyapyala komanso chosinthasintha chotchedwa catheter . Chubuchi chimalowetsedwa ndipo njira yotchedwa fluoroscopy, yomwe ili ngati X-ray, imagwiritsidwa ntchito kuiwona ikuyenda.

Mitsempha ya magazi ikatsekeka motere:

• Kutuluka magazi ambiri kumalamulidwa.
• Ma fibroid amataya magazi awo, ndipo pang'onopang'ono amachepa n'kuchepa.

Kodi ndiyenera kuchita chiyani ndisanalandire chithandizo?

Dokotala wanu adzakulangizani chithandizo cha UAE mutafufuza mosamala mbiri yanu yonse yachipatala ndi zizindikiro zake. Muyenera kuchita izi musanalandire chithandizo.

• Dokotala wanu adzakufunsani za thanzi lanu, ziwengo, mankhwala omwe mumamwa, komanso nthawi ya msambo. Iye adzakukambirananinso ngati mukukonzekera kukhala ndi ana mtsogolo, chifukwa chithandizochi chingakhudze kubereka.
• Kuti adziwe chifukwa chenicheni cha kutuluka magazi, mayeso monga MRI scan , ultrasound scan , kapena hysteroscopy adzachitidwa.
• Nthawi zina kachidutswa kakang'ono ka minofu yochokera mu chiberekero kangatengedwe ndi kufufuzidwa (biopsy) kuti aone ngati pali maselo a khansa.
• Mudzapemphedwa kuti musiye kumwa mankhwala ochepetsa ululu monga aspirin, NSAIDs (monga Ibuprofen, Diclofenac), ndi mankhwala ochepetsa magazi masiku angapo chithandizo chisanachitike.
• Mudzapemphedwa kuti musadye kapena kumwa chilichonse kwa maola angapo musanalandire chithandizo. Dokotala wanu adzakupatsani malangizo enieni okhudza izi.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

UAE nthawi zambiri ndi njira yochizira odwala osapita kuchipatala, zomwe zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo popanda kukhala m'chipatala. Njira yonseyi nthawi zambiri imatenga pafupifupi ola limodzi ndi theka (mphindi 90).

Umu ndi momwe chithandizochi chimagwirira ntchito:

1. Chithandizochi chimachitidwa ndi Interventional Radiologist . Ndiko kuti, katswiri amene amachita chithandizo chosavuta kugwiritsa ntchito ukadaulo wa kujambula zithunzi zachipatala.

2. Mudzalamulidwa kugona patebulo loyezera ndipo mudzalumikizidwa ku makina omwe amawunika zinthu monga kugunda kwa mtima wanu ndi kuthamanga kwa magazi.

3. Mankhwala oletsa ululu adzagwiritsidwa ntchito m'malo mwa bere lanu.

4. Mudzapatsidwa mankhwala amchere ndi otonthoza kudzera mu IV line kuti mupumule ndikupangitsani kugona.

5. Pakhungu la m'mimba pamakhala dzenje laling'ono kwambiri ndipo singano yaying'ono imalowetsedwamo.

6. Pogwiritsa ntchito X-ray (fluoroscopy) ndi utoto wapadera (utoto wosiyana), chubu chopyapyala chotchedwa catheter chimatsogozedwa ku mitsempha yanu ya chiberekero. Utoto uwu umapangitsa mitsempha yamagazi kuwoneka bwino pa X-ray.

7. Katemera akangoyikidwa, tinthu tating'onoting'ono (topangidwa ndi gelatin kapena pulasitiki) totchedwa embolic agents timalowetsedwa mu mtsempha wamagazi. Tinthuti timayenda ndikutseka mtsempha wamagazi.

8. Ntchito ikatha, catheter imachotsedwa, kutuluka magazi kuchokera pamalo obowoledwa kumayendetsedwa, ndipo bandeji yaying'ono imayikidwa.

Kodi mungayembekezere chiyani mutalandira chithandizo?

Anthu ambiri amatha kutuluka m'chipatala ndikupita kunyumba maola angapo atalandira chithandizo. Pambuyo pake, mutha kuyembekezera zinthu ngati izi.

• Mungapemphedwe kuti mugone pabedi kwa maola angapo mutalandira chithandizo.
• Dokotala adzakupatsani mankhwala ochepetsa ululu ndi maantibayotiki kuti mutenge kunyumba.
• Kutuluka madzi m'mimba kapena ngati ntchofu kungachitike kwa milungu ingapo.
• Kupweteka pang'ono mpaka kwakukulu kwa m'chiuno kungachitike mkati mwa maola 24 oyambirira. Izi ndi zachilendo.
• Anthu ambiri amatha kuyambiranso ntchito zawo za tsiku ndi tsiku mkati mwa sabata imodzi kapena ziwiri.
• Msambo wanu ukhoza kutha kwa miyezi ingapo. Mukayambiranso, kutuluka magazi kudzakhala kocheperapo kuposa kwachibadwa, koma pang'onopang'ono kudzabwerera mwakale.
• Ngati fibroids zachiritsidwa, zizindikiro zake zimayamba kuchepa mkati mwa milungu iwiri kapena itatu. Anthu ena amatha kukhala ndi zidutswa za fibroid zomwe zimadutsa m'mimba mwawo. Anthu ambiri amamva kuti achira kwathunthu mkati mwa miyezi isanu ndi umodzi.

Kodi ubwino wa njira imeneyi yochiritsira ndi wotani?

Pafupifupi 90% ya anthu omwe amalandira chithandizo cha UAE cha fibroids amamva bwino kwambiri ngati zizindikiro zawo zatha.

Kodi zoopsa zake ndi ziti?

Monga momwe zilili ndi chithandizo chilichonse chamankhwala, pali zoopsa zina.

Kodi chithandizo cha ku UAE n'chotetezeka? Kodi n'choyenera kwa iwo omwe akufuna kukhala ndi ana?

Inde, nthawi zambiri, Embolization ya Mitsempha ya Uterine ndi njira yotetezeka yochiritsira. Dokotala wanu adzakufotokozerani zoopsa zake kutengera mbiri yanu yachipatala.

Komabe, ichi ndi chinthu chofunika kuganizira ngati mukukonzekera kukhala ndi ana mtsogolo. Ngakhale kuti pakhala malipoti okhudza kubadwa kwa ana athanzi pambuyo pa chithandizo cha UAE, deta pa izi ikadali yochepa. Sizikudziwika bwino momwe chithandizochi chimakhudzira kubereka.

Ngati muli ndi pakati kapena mukuyembekezera ana mtsogolo, onetsetsani kuti mwalankhula momasuka ndi dokotala wanu za zoopsa za chithandizochi.

Ndiyenera kukaonananso ndi dokotala liti?

Nthawi zambiri munthu amamva kupweteka m'mimba, kutopa, nseru pang'ono, komanso kutentha thupi pang'ono kwa maola 24 oyambirira komanso masiku angapo atatha kulandira chithandizo. Anthu ambiri amabwerera ku moyo wawo watsiku ndi tsiku mkati mwa masiku 10.

Komabe, ngati mukukumanabe ndi ululu waukulu komanso kusasangalala milungu iwiri mutalandira chithandizo, onetsetsani kuti mwaonananso ndi dokotala wanu.