Kodi nthawi zina mumatuluka magazi osapiririka munthawi yanu ya msambo? Kapena mumangomva kudzaza kapena kulemera m'mimba mwanu? Mwina izi zimachitika chifukwa cha mtundu wa chotupa chomwe chimayamba m'chiberekero. Lero tikambirana za chinthu chomwe akazi ambiri amakula, koma anthu ambiri sadziwa. Ndicho uterine fibroids, kapena monga momwe timanenera mu Chingerezi, `(Uterine Fibroids)`.
Kodi ma fibroids a uterine ndi chiyani?
Mwachidule, uterine fibroids ndi zotupa zopangidwa ndi minofu ndi minofu zomwe zimapangidwa pakhoma la chiberekero chanu, kapena mkati kapena kunja kwa chiberekero. Zimatchedwanso "Leiomyomas". Chofunika kwambiri ndichakuti zotupa izi nthawi zambiri sizikhala za khansa (ndiko kuti, ndi "zoyipa"). Ndipotu, ndi mtundu wofala kwambiri wa chotupa chosakhala cha khansa chomwe chimapezeka mwa akazi.
Matenda a m'mimba nthawi zina angayambitse zizindikiro zosiyanasiyana, monga kupweteka, kutuluka magazi ambiri komanso kosakhazikika m'mimba, ndi zina zotero. Komabe, anthu ena amatha kukhala ndi matenda a m'mimba popanda zizindikiro zilizonse. Mwina sangadziwe kuti ali nawo. Kuchiza kapena ayi kwa matenda a m'mimba nthawi zambiri kumadalira zizindikiro zomwe muli nazo.
Kodi mtedza uwu umamera kuti?
Ma nodule a chiberekero amatha kukula ngati chotupa chimodzi (`nodule imodzi`) kapena ngati gulu. Ma nodule awa amatha kukula kuyambira ang'onoang'ono mpaka milimita imodzi mpaka 20 cm (pafupifupi mainchesi 8) kapena kuposerapo. Tangoganizirani, amatha kukula kuyambira ang'onoang'ono ngati mbewu mpaka kukula ngati chivwende! Amatha kukula mkati mwa khoma la chiberekero chanu, mkati mwa chiberekero chachikulu, kapena pamwamba pa chiberekero.
Kodi mitundu ya uterine fibroids ndi iti?
Pali mitundu yosiyanasiyana ya uterine fibroids, kutengera komwe imayambira komanso momwe imalumikizirana ndi chiberekero. Mitundu yayikulu ndi iyi:
- Ma fibroids a m'mimba: Awa ndi mtundu wofala kwambiri. Ma fibroids awa amapezeka mkati mwa khoma la minofu ya chiberekero.
- Submucosal fibroids: Izi zimamera pansi pa chiberekero. Izi nthawi zambiri zimayambitsa kutuluka magazi ambiri.
- Ma fibroids a subserosal: Mitundu iyi ya ma fibroids imakula pansi pa chiberekero. Nthawi zina imatha kukula kwambiri ndikufalikira mpaka m'chiuno.
- Ma fibroids opindika: Awa ndi mitundu yosazolowereka kwambiri. Ma fibroids amenewa amalumikizidwa ku chiberekero ndi gawo longa phesi. Amatchedwanso "onga bowa" chifukwa ali ndi phesi ndi gawo lalikulu pamwamba, lofanana ndi bowa.
Kodi matenda a uterine fibroids ndi ofala?
Inde, zotupa izi ndi zofala kwambiri.Akuti pakati pa 40% ndi 80% ya akazi omwe ali ndi chiberekero amakhala ndi ma cysts awa. Nthawi zambiri amapezeka mwa akazi azaka zapakati pa 30 ndi 50. Ma cysts awa nthawi zambiri samapezeka mwa akazi omwe sanachite msambo wawo woyamba. Komanso sapezeka kawirikawiri kwa akazi omwe adapita kusamba.
Kodi zizindikiro za uterine fibroids ndi ziti?
Ma cysts ambiri ang'onoang'ono samayambitsa zizindikiro zilizonse. Chifukwa chake, palibe chithandizo chomwe chikufunika kupatula kukayezetsa dokotala nthawi zonse. Komabe, ngati muli ndi cysts zazikulu, mutha kukumana ndi zizindikiro zosiyanasiyana. Zina mwa izi ndi izi:
- Kutuluka magazi ambiri kapena opweteka kwambiri panthawi ya msambo.
- Kutuluka magazi pakati pa nthawi ya kusamba.
- Kumva kukhuta kapena kutupa m'mimba.
- Kuyenera kukodza pafupipafupi (izi zitha kuchitika pamene chotupa chikukankhira chikhodzodzo).
- Kumva kupweteka panthawi yogonana.
- Kupweteka kwa msana.
- Kudzimbidwa kapena kumva kupanikizika mu rectum.
- Kutuluka kwa madzi m'mimba kosatha.
- Kulephera kukodza kapena kutulutsa madzi onse m'chikhodzodzo.
- Kutupa kwa m'mimba, komwe kumayamba kuoneka ngati mimba.
Zizindikiro zimenezi nthawi zambiri zimakhazikika kapena kutha mukatha kusamba. Izi zimachitika chifukwa chakuti kuchuluka kwa mahomoni m'thupi kumachepa.
Kodi ululu wochokera ku uterine fibroids umamveka bwanji?
Ngati muli ndi ma cysts, mungamve zinthu zosiyanasiyana. Ngati muli ndi ma cysts ang'onoang'ono, simungamve chilichonse kapena kudziwa kuti alipo. Koma mukakhala ndi ma cysts akuluakulu, mungamve kusasangalala komanso kupweteka. Ma cysts amenewa angayambitse kupweteka kwa msana, kupweteka m'mimba, komanso kupweteka panthawi yogonana.
Kodi mtedza uwu umawoneka bwanji?
Zipatso nthawi zambiri zimaoneka ngati zipolopolo zozungulira komanso zosalala. Nthawi zina, monga tanenera kale, zimatha kumangiriridwa ku phesi lopyapyala ndikuoneka ngati bowa.
Kodi n’chiyani chimayambitsa matenda a uterine fibroids?
Chifukwa chenicheni cha izi sichinadziwikebe . Komabe, madokotala amakhulupirira kuti mahomoni awiri otchedwa estrogen ndi progesterone amachita nawo. Zotupazi nthawi zambiri zimakula mwa akazi a msinkhu wobereka. Kafukufuku wasonyeza kuti zotupazi zimakula panthawi ya kuchuluka kwa mahomoni (monga panthawi ya mimba) ndipo zimachepa panthawi ya kuchepa kwa mahomoni (monga nthawi ya kusamba).
Kodi ndi zinthu ziti zomwe zimayambitsa matenda a uterine fibroids?
Pali zinthu zingapo zomwe zingakhudze mwayi wanu wokhala ndi zotupa. Zina mwa izo ndi izi:
- Kunenepa kwambiri komanso kukhala ndi chiwerengero chachikulu cha kulemera kwa thupi (`BMI`).
- Kukhala ndi mbiri ya banja yokhala ndi ziphuphu.
- Kusowa ana.
- Kuyamba msanga kwa msambo.
- Kufika msinkhu wochedwa kusamba.
Kodi mavuto omwe amabwera chifukwa cha uterine fibroids ndi ati?
Ma fibroids ambiri a m'chiberekero samayambitsa mavuto aakulu. Komabe, mavuto ofala kwambiri ndi awa:
- Ululu wosalamulirika.
- Kutupa m'mimba mwanu kapena m'chiuno.
- Kutuluka magazi kwambiri.
- Kuchepa kwa magazi m'thupi.
- Kuchepa kwa mphamvu yobereka ana (`Kusabereka`) (izi zimachitika kawirikawiri).
Kodi zotupa zimayambitsa kuchepa kwa magazi m'thupi?
Inde, ndithudi. Kuchepa kwa magazi ndi vuto lomwe limachitika mukapanda maselo ofiira athanzi okwanira kuti anyamule mpweya kupita ku ziwalo za thupi lanu. Anthu omwe amakhala ndi nthawi yopuma pafupipafupi kapena yolemera kwambiri amatha kukhala ndi kuchepa kwa magazi m'thupi. Ma cysts awa angayambitse kuti nthawi yanu yopuma ikhale yolemera kwambiri, kapena mutha kutuluka magazi pakati pa nthawi yopuma. Ngati muli ndi zizindikiro za kuchepa kwa magazi m'thupi (makamaka kutopa kwambiri) pamene muli ndi ma cysts, onetsetsani kuti mwalankhula ndi dokotala.
Kodi mungadziwe bwanji ngati muli ndi uterine fibroids?
Kawirikawiri, dokotala amapeza fibroids ya uterine panthawi yoyezetsa m'chiuno. Dokotala angaganizenso kuti fibroid ndi chifukwa cha kutuluka magazi ambiri ndi zizindikiro zina. Pali mayeso angapo omwe angatsimikizire ngati fibroid ilipo ndikudziwa kukula kwake ndi malo ake:
- Ultrasonography (ultrasound scan): Iyi ndi njira yoyesera yopanda ululu yomwe imagwiritsa ntchito mafunde a phokoso kuti ipange chithunzi cha ziwalo zanu zamkati.
- Kujambula kwa Magnetic Resonance (MRI): Kuyesa kumeneku kumagwiritsa ntchito maginito ndi mafunde a wailesi kuti apange zithunzi zatsatanetsatane za ziwalo zanu zamkati.
- `(Computed Tomography - CT scan)` (CT scan): CT scan imagwiritsa ntchito zithunzi za X-ray kuti ipange zithunzi zatsatanetsatane za ziwalo zanu zamkati kuchokera mbali zosiyanasiyana.
- Hysteroscopy: Pa njira imeneyi, dokotala amagwiritsa ntchito chipangizo choyezera mkati mwa chiberekero (chubu chopyapyala komanso chosinthasintha chokhala ndi kamera) kuti aone mkati mwa chiberekero. Choyezeracho chimadutsa m'chiberekero ndi m'chiberekero kupita ku chiberekero.
- Hysterosalpingography (HSG): Iyi ndi njira yowunikira X-ray mwatsatanetsatane. Dokotala amabaya jakisoni wa mankhwala enaake (zosiyana ndi zinthu zina) kenako amajambula zithunzi za X-ray za chiberekero.
- Sonohysterography: Mu mayeso awa, dokotala amaika katheta kakang'ono m'chikazi ndikuyika madzi amchere m'chiberekero. Njira yowonjezerayi imalola zithunzi zomveka bwino kuposa ultrasound wamba.
- Laparoscopy: Mu mayeso awa, dokotala amadula pang'ono m'mimba mwanu. Chitoliro chopyapyala komanso chosinthasintha chokhala ndi kamera chimayikidwa kudzera mu chodulacho kuti chione mkati mwa thupi lanu.
Kodi matenda a uterine fibroids amachiritsidwa bwanji?
Chithandizo cha fibroids ya uterine chingasiyane malinga ndi kukula, kuchuluka, malo, ndi zizindikiro za cysts. Ngati mulibe zizindikiro kuchokera ku cysts, simungafunike chithandizo. Cysts zazing'ono nthawi zambiri zimatha kusiyidwa zokha popanda chithandizo chilichonse. Anthu ena sakhala ndi zizindikiro kapena mavuto ndi cysts. Zikatero, dokotala wanu adzakuuzani kuti muyezedwe nthawi zonse m'chiuno kapena kujambulidwa ndi ultrasound kuti muwone cysts.
Koma ngati muli ndi zizindikiro za chotupa (monga kuchepa kwa magazi chifukwa cha kutuluka magazi ambiri, kupweteka pang'ono mpaka kwakukulu, mavuto a mkodzo ndi matumbo), mungafunike chithandizo kuti chikuthandizeni. Dongosolo lanu la chithandizo lidzadalira zinthu zingapo:
- Kodi muli ndi mtedza ungati?
- Kukula kwa mtedza wanu.
- Kodi nsanje zako zili kuti?
- Kodi zizindikiro zanu zokhudzana ndi zotupa ndi ziti?
- Chikhumbo chanu chosunga chiberekero chanu.
Mukasankha njira yabwino kwambiri yothandizira, muyeneranso kuganizira mapulani anu oyembekezera mimba mtsogolo. Onetsetsani kuti mwakambirana zolinga zanu zobereka ndi dokotala wanu mukakambirana njira zina zothandizira.
Njira zothandizira matenda a uterine fibroids zingaphatikizepo:
Mankhwala
- Mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala (OTC): Mankhwalawa angathandize kuchepetsa ululu ndi kusasangalala komwe kumachitika chifukwa cha zotupa. Izi zikuphatikizapo acetaminophen (monga Panadol) ndi ibuprofen.
- Zakudya zowonjezera za iron: Ngati muli ndi vuto la kuchepa kwa magazi chifukwa cha kutuluka magazi ambiri, dokotala wanu angakuuzeni kuti mutenge zakudya zowonjezera za iron.
- Kuletsa kubereka: Kuletsa kubereka kungathandizenso kuchepetsa zizindikiro za ziphuphu (makamaka kutuluka magazi ambiri panthawi ya msambo komanso pambuyo pa msambo, komanso kupweteka kwa msambo). Pali njira zosiyanasiyana zolerera zomwe mungagwiritse ntchito. Mwachitsanzo, mapiritsi oletsa kubereka, mphete, jakisoni, ndi zida zolowetsedwa m'chiberekero (IUDs).
- Mankhwala otchedwa Gonadotropin-releasing hormone (GnRH): Mankhwalawa amachepetsa zotupa. Nthawi zina amagwiritsidwa ntchito musanachite opaleshoni kuti achepetse chotupa ndikupangitsa kuti chichotsedwe mosavuta. Komabe, mankhwalawa ndi akanthawi kochepa. Chotupacho chingamerenso mukasiya kuwamwa.
- Mankhwala Omwe Amamwa: Elagolix ndi mankhwala atsopano omwa poletsa kutuluka magazi ambiri m'mimba mwa akazi omwe ali ndi zizindikiro za uterine fibroids omwe sanathenso kusamba. Akhoza kumwedwa kwa miyezi 24. Lankhulani ndi dokotala wanu za ubwino ndi kuipa kwa mankhwalawa. Mankhwala ena omwa otchedwa tranexamic acid amagwiritsidwa ntchito pochiza kutuluka magazi kwambiri m'mimba mwa akazi omwe ali ndi uterine fibroids.
Chofunika: Ndikofunikira kwambiri kulankhula ndi dokotala wanu za mankhwala aliwonse omwe mumamwa. Nthawi zonse kambiranani ndi dokotala wanu za mankhwala atsopano musanayambe kumwa, ndipo dziwani mavuto aliwonse omwe angakhalepo.
Opaleshoni ya Fibroid
Pali zinthu zingapo zofunika kuziganizira poganizira mitundu yosiyanasiyana ya opaleshoni yochotsa ma cyst. Kukula, malo, ndi kuchuluka kwa ma cyst kudzakhudza mtundu wa opaleshoni, ndipo chiyembekezo chanu cha mimba zamtsogolo chingakhalenso zinthu zofunika kwambiri popanga dongosolo la chithandizo. Njira zina zochitira opaleshoni zimasunga chiberekero chanu ndikukulolani kuti mukhale ndi pakati mtsogolo. Pomwe njira zina zingawononge chiberekero chanu kapena kufunikira kuchotsa chiberekero chanu chonse.
Kuchotsa Myomectomy: Iyi ndi opaleshoni yomwe imalola dokotala kuchotsa ma fibroids okha. Pali mitundu ingapo ya myomectomy. Njira yabwino kwambiri kwa inu idzadalira komwe ma fibroids anu ali, kukula kwawo, komanso kuchuluka kwa omwe ali nawo. Njira zochotsera ma fibroids zitha kuphatikizapo:
- Hysteroscopy: Dokotala amaika chipangizo choyezera (chipangizo chopyapyala, chosinthasintha, chonga chubu) kudzera m'chikazi ndi pachibelekero kupita m'chiberekero. Kenako chipangizocho chimagwiritsidwa ntchito kudula ndi kuchotsa ma cysts.
- Laparoscopy: Mu njira iyi, dokotala amagwiritsa ntchito sipekitiramu kuchotsa chotupacho. Mosiyana ndi hysteroscopy, njira iyi imaphatikizapo kudula pang'ono m'mimba mwanu. Sipekitiramu imayikidwa ndikuchotsedwa kudzera m'mabala awa.
- Laparotomy (kutsegula mimba): Mu njira iyi, dokotalayo amaduladula mimba yanu ndi kuchotsa chotupa kudzera mu kudulako.
Ngati simukukonzekera kukhala ndi ana mtsogolo, pali njira zina zomwe dokotala angakulangizeni. Njira izi zitha kukhala zothandiza kwambiri, koma nthawi zambiri zimaletsa kutenga mimba mtsogolo. Zingaphatikizepo:
- Kuchotsa mimba: Pa opaleshoni yochotsa mimba, dokotala wanu amachotsa chiberekero chanu. Kuchotsa mimba ndiyo njira yokhayo yochiritsira ma fibroids. Chiberekero chikachotsedwa kwathunthu, ma fibroids sangathe kubwereranso, ndipo zizindikiro zanu zidzatha. Ngati mazira anu atsala pamalo pake, simudzapita kusamba mutachotsa mimba. Opaleshoni iyi ingakulimbikitseni ngati mukutuluka magazi ambiri kuchokera ku ma fibroids kapena ngati muli ndi ma fibroids akuluakulu. Kuchotsa mimba ndi njira zochepetsera kufalikira kwa matenda zomwe zingachitike mwa njira ya kumaliseche, laparoscopically, kapena pogwiritsa ntchito ukadaulo wa robotic.
- `(Kutsekereza kwa uterine fibroid)` (kuletsa magazi kupita ku uterine fibroids):Katswiri wa radiology, mothandizidwa ndi dokotala wanu wa matenda a akazi, amachita izi. Amaika katheta kakang'ono mu mtsempha wanu wa chiberekero kapena mtsempha wa radial ndikulowetsa tinthu tating'onoting'ono mkati mwake. Izi zimaletsa kuyenda kwa magazi kuchokera mumtsempha kupita ku zotupa. Magazi akasiya kuyenda, zotupa zimachepa ndipo zizindikiro zanu zimachepa. Njira iyi si yoyenera aliyense.
- Kuchotsa ma radiofrequency ablation (RFA): Iyi ndi njira yotetezeka komanso yothandiza yochizira ma fibroids a m'chiberekero. Imagwiritsa ntchito mphamvu ya microwave (RF). Imalimbikitsa akazi omwe sanathe kusamba. Imagwiritsidwa ntchito pochiza ma fibroids ang'onoang'ono.
Kodi zoopsa za chithandizo cha uterine fibroid ndi ziti?
Pali zoopsa ndi chithandizo chilichonse. Mankhwala amatha kukhala ndi zotsatirapo zake, ndipo ena sangakhale oyenera kwa inu. Musanayambe mankhwala atsopano, lankhulani ndi dokotala wanu za mankhwala ena omwe mumamwa komanso mbiri yanu yonse yachipatala. Ngati mukukumana ndi zotsatirapo zoyipa mutayamba mankhwala atsopano, lankhulani ndi dokotala wanu za zomwe mungasankhe.
Pali zoopsa ndi opaleshoni ya myomectomy. Monga momwe zimakhalira ndi opaleshoni iliyonse, muli ndi chiopsezo chotenga matenda ndi kutuluka magazi, komanso zoopsa zokhudzana ndi mankhwala oletsa ululu. Choopsa china chowonjezera ndi opaleshoni ya myomectomy ndi momwe zimakhudzira mimba zamtsogolo. Njira zina zochitira opaleshoni zingalepheretse mimba zamtsogolo. Kuchotsa myomectomy ndi njira yomwe imachotsa ma fibroids okha, zomwe zimathandiza mimba zamtsogolo. Komabe, akazi omwe achotsedwa myomectomy angafunike kuchitidwa opaleshoni ya cesarean (C-section) ngati atakhala ndi ana mtsogolo.
Kodi ma fibroids a uterine ayenera kukhala aakulu bwanji kuti achotsedwe opaleshoni?
Palibe kukula kokhazikika kwa chotupa chomwe chiyenera kuchotsedwa. Dokotala wanu adzasankha ngati opaleshoni ndi yofunika kutengera zizindikiro zanu. Mwachitsanzo, chotupa chachikulu ngati mwala waung'ono chingayambitse kutuluka magazi ambiri kutengera komwe chili. Mutha kulankhula ndi dokotala wanu za zizindikiro zomwe zingafunike opaleshoni.
Kodi chimachitika ndi chiyani ngati ma cysts sanachiritsidwe?
Ngati mulibe zizindikiro, simungafunike kuchiza ma cysts anu. Komabe, ngati muli ndi ma cysts akuluakulu, kapena ngati zizindikiro zanu zikukupangitsani kupweteka kapena kusasangalala, chithandizo chingakhale njira yabwino kwambiri. Inu ndi dokotala wanu nokha ndi omwe mungasankhe njira yabwino kwambiri yothandizira, kapena ngati chithandizo chili chofunikira.
Kodi ndingatenge mimba ngati ndili ndi uterine fibroids?
Inde, mutha kutenga mimba ngati muli ndi fibroids ya uterine. Ngati mukudziwa kuti muli ndi fibroids mukatenga mimba, dokotala wanu adzagwira nanu ntchito kuti apange dongosolo loyang'anira fibroids yanu. Pa nthawi ya mimba, thupi lanu limatulutsa mahomoni ambiri. Ma mahomoni awa amathandiza kuti mimba ikhalebe. Komabe, angayambitsenso kuti fibroids yanu ikule. Ma fibroids akuluakulu angayambitse mavuto panthawi ya mimba, monga:
- Chiwopsezo chobereka mwana kudzera mu opaleshoni (C-section) chimawonjezeka chifukwa mwana wosabadwayo sangathe kutembenuza mutu wake pansi.
- Ntchito sikupita patsogolo.
- Kusokonekera kwa placenta.
- Kubereka nthawi isanakwane.
Kodi zipatso zingasinthe pakapita nthawi?
Ndipotu, ma cysts amatha kuchepa kapena kukula pakapita nthawi. Amatha kusintha kukula mwadzidzidzi, kapena amatha kusintha kukula pang'onopang'ono pakapita nthawi yayitali. Pakhoza kukhala zifukwa zambiri za izi, koma nthawi zambiri, kukula kwa ma cysts awa kumagwirizana ndi kuchuluka kwa mahomoni m'thupi lanu. Ma cysts amatha kukula pamene mahomoni anu ali okwera. Izi zitha kuchitika nthawi zapadera m'moyo wanu (monga panthawi ya mimba). Ma cysts amathanso kuchepa pamene mahomoni anu ali otsika. Izi zimachitika kawirikawiri mukatha kusamba. Nthawi zambiri, zizindikiro zanu zimachepa mukatha kusamba.
Kodi ziphuphu zimatha zokha?
Azimayi ena amatha kuchepa kwa ma cysts awo atatha kusamba. Izi zili choncho chifukwa kuchuluka kwa mahomoni kumachepa. Pamene ma cysts akuchepa, zizindikiro zanu zimatha. Ngati ma cysts anu ndi ang'onoang'ono ndipo sakuyambitsa zizindikiro zilizonse, simungafunike chithandizo.
Kodi mukumva kutopa chifukwa cha mtedza?
Kutopa si chizindikiro chodziwika bwino cha matenda a m'mimba otchedwa uterine fibroids. Komabe, ndi chizindikiro chodziwika bwino cha kuchepa kwa magazi m'thupi. Kuchepa kwa magazi m'thupi kungachitike mukatuluka magazi ambiri. Ngati mukumva kutopa kwambiri, lankhulani ndi dokotala kuti apeze chomwe chikuyambitsa vutoli.
Kodi zotupa zimapangitsa mimba yanu kukhala yayikulu?
Inde, ma fibroids akuluakulu a uterine angayambitse mimba yanu kutupa kapena kuoneka yayikulu.
Kodi zotupa zingapewedwe?
Kawirikawiri, simungathe kuletsa kuti ma cysts asapangidwe. Koma mutha kuchepetsa chiopsezo chanu mwa kukhala ndi thupi labwino komanso kuyezetsa chiuno nthawi zonse. Ngati muli ndi ma cysts ang'onoang'ono, gwirani ntchito ndi dokotala wanu kuti mupange dongosolo loti muziyang'anira.
Kodi ndiyenera kupita kwa dokotala liti?
Pitani kwa dokotala ngati muli ndi zizindikiro za uterine fibroids, monga:
- Kutuluka magazi ambiri komanso osakhazikika m'mimba.
- Kutuluka magazi pakati pa nthawi yogonana.
- Kupweteka m'chiuno.
- Ululu panthawi yogonana.
- Kumva kupanikizika kapena kudzaza m'mimba.
Popeza zizindikiro izi ndi zizindikiro zofala za matenda ena a amayi, ndikofunikira kwambiri kulankhula ndi dokotala za zizindikirozo.
Kodi zotupa ndi khansa?
Ndikosowa kwambiri kuti chotupa chisinthe n’kukhala chotupa.Ndipotu, munthu m'modzi yekha pa anthu 350 omwe ali ndi ziphuphu ndi amene amadwala khansa. Palibe mayeso olondola 100% opezera khansa yosowa yokhudzana ndi ziphuphu. Komabe, ndikofunikira kufunafuna chithandizo chamankhwala mwachangu kwa amayi omwe ali ndi ziphuphu zomwe zikukula mofulumira m'chiberekero, kapena kwa iwo omwe amadwala ziphuphu atatha kusamba.
Matenda a fibroids m'chiberekero ndi matenda ofala omwe anthu ambiri amakumana nawo nthawi ina m'miyoyo yawo. Nthawi zina fibroids zimakhala zazing'ono ndipo sizimayambitsa zizindikiro. Nthawi zina, fibroids zimatha kuyambitsa zizindikiro zovuta, monga kupweteka komanso kutuluka magazi ambiri m'mimba. Ngati mukukumana ndi vuto lililonse kapena ululu, lankhulani ndi dokotala wanu. Kumbukirani kuti fibroids zimatha kuchiritsidwa.
Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)
Chabwino, ndikuuzeni zinthu zingapo zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:
- Uterine fibroids ndi mtundu wa chotupa chomwe chimapezeka mwa akazi ambiri ndipo nthawi zambiri sichimayambitsa khansa.
- Si aliyense amene adzakumana ndi zizindikiro, koma dziwani ngati muli ndi zizindikiro monga kutuluka magazi ambiri, kupweteka m'mimba, kapena kukodza pafupipafupi.
- Ngakhale kuti chifukwa chenicheni sichikudziwika, akukhulupirira kuti mahomoni (`Estrogen`, `Progesterone`) amachita nawo gawo.
- Ngati muli ndi zizindikiro, musachite mantha. Pali njira zosiyanasiyana zochiritsira, kuphatikizapo mankhwala ndi opaleshoni.
- Musachite mantha ngati mutapeza kuti muli ndi chotupa, poganiza kuti ndi khansa. Sizichitika kawirikawiri. Komabe, ngati chotupacho chikula mofulumira kapena chikukulirakulira mutatha kusamba, pitani kwa dokotala nthawi yomweyo.
- Kambiranani momasuka ndi dokotala wanu za zizindikiro zanu ndi mapulani a banja lanu amtsogolo, ndipo sankhani chithandizo chomwe chikukuyenererani.
- Ndikofunikira kwambiri kukhala ndi moyo wathanzi komanso kupita kukayezetsa kuchipatala nthawi zonse.
Kotero, ndikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wanu. Khalani ndi thanzi labwino!
` Uterine Fibroids, Kutuluka Magazi, Ululu Wam'mimba Wam'munsi, Matenda a Chikazi, Thanzi la Akazi, Kuchotsa Myomectomy











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