Ingxaki abanayo abafazi abaninzi kukukhula kwezi thumba esibelekweni. Abanye abantu babiza ezi fibroids. Ngenxa yoku, usenokuba neengxaki ezifana nokopha kakhulu ngexesha lokuya exesheni kunye nentlungu yesisu enganyamezelekiyo. Oku kunokuba luxinzelelo olukhulu kumntu onethemba lokuba nomntwana. Ngoko ke, isisombululo esilungileyo sokususa ezi thumba, kodwa ngaphandle kokonakalisa isibeleko nokugcina amandla okuba nomntwana kwixesha elizayo, lutyando 'lwe-myomectomy'. Makhe sithethe ngale nto ngokweenkcukacha, ngokulula, namhlanje.
Ngamafutshane, yintoni le Myomectomy?
I-Myomectomy yinkqubo yotyando yokususa ii-fibroids zesibeleko, okanye ii-leiomyomas njengoko abanye bezibiza njalo, kwisibeleko sakho. Ezi thumba zenziwe zizicubu ezidityanisiweyo kunye neeseli zemisipha. Zinokukhula ngaphakathi okanye ngaphandle kwesibeleko. Iindaba ezimnandi zezokuba ezi thumba azinamhlaza (zingenobungozi) . Zinokwenzeka njenge-fibroids enye okanye ezingaphezulu ezinobukhulu obahlukeneyo.
Kwi-myomectomy, ugqirha ususa kuphela ii-fibroids aze agcine izicubu zesibeleko sakho ngaphandle kokuzonakalisa. Oku kuthetha ukuba usenako ukukhulelwa umntwana kwixesha elizayo. Le yeyona nzuzo inkulu yolu tyando.
Abantu abaninzi bayayibhidanisa le nto nokususwa kwesibeleko ngokupheleleyo, oku kuthetha ukususwa ngokupheleleyo kwesibeleko. Nangona kunjalo, ezi ziinkqubo ezimbini ezahlukeneyo ngokupheleleyo. I-myomectomy isusa kuphela ii-fibroids, ngelixa i-hysterectomy isusa sonke isibeleko.
Kukweziphi iimeko apho kufuneka i-myomectomy?
Ukuba i-fibroids yakho ibangela ezi mpawu zilandelayo, ugqirha wakho unokucebisa olu tyando:
- Intlungu engapheliyo yesinqe.
- Ukopha igazi ngendlela engaqhelekanga, okanye phakathi kwexesha lokuya exesheni.
- Ukopha kakhulu exesheni.
- Ukuziva ngathi awukwazi ukukhupha yonke into kwisinyi.
Ingakumbi, ukuba unethemba lokuba nomntwana kwixesha elizayo kwaye ufuna ukugcina ukuzala kwakho, utyando lwe-myomectomy lukhetho oluhle kakhulu kuwe.
Masibone umahluko ochanekileyo phakathi kotyando lweMyomectomy kunye notyando lweHysterectomy.
Abantu abaninzi abanalo ulwazi olucacileyo ngezi ntlobo zimbini zotyando. Makhe sijonge umahluko ophambili phakathi kwezi ntlobo zimbini zotyando kwitheyibhile efana nale. Oku kuya kukunceda ufumane umbono ongcono.
| Uphawu | I-Myomectomy | Utyando lwe-Hysterectomy |
|---|---|---|
| Yintoni esuswayo? | Iifibroids kuphela. | Isibeleko sonke siyasuswa kunye nee-fibroids. |
| Kwenzeka ntoni kwisibeleko? | Isibeleko asiyi kwenzakala, siya kuhlala sinjalo. | Ngenxa yokuba isibeleko sisusiwe, siyanyamalala. |
| Ukuya exesheni | Emva kotyando, ukuya exesheni kuya kubuyela esiqhelweni. | Ukuya exesheni kuyeka ngokupheleleyo. |
| Ubuchule bokuba nabantwana | Amathuba okuba nabantwana kwixesha elizayo ahlala enjalo. | Amandla okuba nabantwana alahlekile ngokupheleleyo. |
Yintoni onokuyilindela ngaphambi kotyando?
Ugqirha wakho uza kukunika imiyalelo eneenkcukacha malunga noko kufuneka ukwenze ngaphambi kotyando. Umzekelo, ukuba kufuneka uyeke ukutya nokusela ixesha elingakanani ngaphambi kotyando, okanye ukuba kufuneka uyeke na ukusebenzisa amayeza athile.
Xoxa ngayo yonke into kwangaphambili, kuquka ixesha oza kuhlala ngalo esibhedlele emva kotyando, kunye nezinto ekufuneka uzilumkele emva kokuba ubuyele ekhaya. Buza ugqirha wakho nayiphi na imibuzo onokuba nayo ngaphambi kotyando.
Ngomhla wotyando, oku kulandelayo kunokwenzeka:
- Umgca we-IV uza kufakwa emthanjeni ongalweni yakho. Kulapho uza kunikwa khona ulwelo kunye namayeza ngexesha lotyando. Oku kuya kukunika ne-anesthesia yokuthomalalisa iintlungu zakho.
- Ngexesha lotyando, uza kuqhagamshelwa kwiimonitha ukuze ulinganise izinga lokubetha kwentliziyo yakho kunye nezinye iimpawu ezibalulekileyo.
- I-catheter inokufakwa ukuze kukhutshwe umchamo ngexesha lotyando.
Ngaba kukho iintlobo zotyando lwe-myomectomy?
Ewe, kukho iintlobo ezintathu eziphambili zotyando lwe-myomectomy. Uhlobo lotyando olulungele wena luya kuxhomekeka kwizinto ezininzi, kuquka ubungakanani bee-fibroids zakho, ukuba zingaphi onazo, kunye nokuba zifumaneka phi esibelekweni sakho.
1. I-Open Myomectomy
Oku kukwabizwa ngokuba yi-Abdominal Myomectomy. Oku kuquka ukwenza utyando esiswini sakho. Olu tyando lunokuba ngokuthe nkqo okanye ngokuthe tye. Le ndlela ilungele abantu abane -fibroids ezinkulu kakhulu . Oku kungenxa yokuba ugqirha angabona zonke izitho zakho ze-pelvic ngokucacileyo. Ekubeni olu lutyando olukhulu, ixesha lokuchacha lide kancinci.
- Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa.
- Kungathatha malunga neeveki ezintandathu ukuze umntu aphile ngokupheleleyo aze aphinde aqalise imisebenzi yakhe yesiqhelo.
2. I-Laparoscopic okanye i-Robotic Myomectomy eNcinci kakhulu
Le yeyona ndlela ixhaphakileyo esetyenziswayo namhlanje. Olu tyando aludingi xesha lininzi lokuphola kwaye alubangeli ntlungu.
- I-Laparoscopic okanye i-Robotic Myomectomy: Oku kuquka ukufaka ikhamera encinci kwilungu lobufazi bakho, ukwenza imingxunya embalwa esiswini sakho, kunye nokufaka izixhobo zotyando kuzo ukuze kususwe imingxunya. Emva koko imingxunya isuswa kwilungu lobufazi okanye ngaloo mingxunya mincinci. Abanye oogqirha basebenzisa irobhothi (i-Robotic Myomectomy) ukwenza olu tyando.
- Ukususwa kwe-single port myomectomy: Kule nkqubo, zonke izixhobo zifakwa nge-incision enye kufutshane ne-anus, engashiyi zikrwelo esiswini.
3. I-Hysteroscopic Myomectomy (utyando olungenamigqomo)
Le ndlela ayifuni naluphi na ukusika . Ukuba ii-fibroids zingaphakathi ngaphakathi kwesibeleko, ugqirha unokufaka ikhamera ekhethekileyo nge-vagina ukuya kwisibeleko aze asuse ii-fibroids. Xa kuthelekiswa nezinye iindlela, le yinkqubo ekhawulezayo kakhulu.
Ziziphi iingozi ezinokubakho emva kotyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo. Nangona kunjalo, ezi azixhaphakanga kakhulu. Iqela lakho lezonyango liya kwenza konke okusemandleni alo ukuthintela ezi ngxaki.
- Ukopha kakhulu
- Usulelo
- Amahlwili egazi
- Ukonakala kwamalungu omzimba angqongileyo
- Ukunganyamezelani ne-anesthesia
- Umngcipheko ophezulu wokuba kufuneka uye kwenziwa i-cesarean section xa uza kuba nomntwana kwixesha elizayo.
Linjani ixesha lokuchacha emva kotyando?
Ixesha lokuchacha lixhomekeke ngqo kuhlobo lotyando olwenzileyo. Kusenokubakho iintlungu ezithile kwiintsuku ezimbalwa zokuqala. Ugqirha uza kukunika amayeza okudambisa iintlungu ngaloo nto. Kwakhona, uya kucetyiswa ukuba ujikeleze kancinci emva kotyando ukuze uthintele ukuqhekeka kwegazi.
- I-Open Myomectomy (utyando olubandakanya ukunqunyulwa kwesisu): Kungathatha malunga neeveki ezintandathu ukuphiliswa ngokupheleleyo nokuqalisa imisebenzi eqhelekileyo.
- I-Laparoscopic Myomectomy (utyando olwenziwa ngomsikelo omncinci): Usenokukwazi ukuya ekhaya ngaloo mini. Kuthatha malunga neeveki ezimbini ukuya kwezine ukuze uphile ekhaya.
- I-Hysteroscopic Myomectomy (utyando olwenziwa ngaphandle kokusika): Ungaphila ngokupheleleyo kwiintsuku ezimbalwa.
Lindela ezi zinto emva kotyando
- Kunokubakho igazi elincinci okanye ukukhupha amanzi kwilungu lobufazi kangangeeveki eziliqela.
- Musa ukuphakamisa ngaphezu kweekhilogram ezi-2-4 ngeveki yokuqala. Eli xesha linokuba lide ukuba ukhe watyandwa isisu.
- Kuphephe ukulala ngesondo iiveki ezintandathu. Akucetyiswa ukufaka nantoni na kwisini ngexesha lokuphiliswa.
- Qala imisebenzi yakho yemihla ngemihla kancinci kancinci. Musa ukuqala ngequbuliso ukwenza yonke into ngendlela obuyenza ngayo ngaphambili.
Ziziphi iimpawu ezifuna unyango olukhawulezileyo?
Ukuba ufumana naziphi na iimpawu ezingezantsi emva kokuba ubuyele ekhaya emva kotyando, bona ugqirha wakho ngokukhawuleza ngaphandle kokulibazisa. Okanye yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ukopha kakhulu.
- Iimpawu zomkhuhlane ezifana nomkhuhlane, ukubanda, kunye nokungcangcazela.
- Intlungu ebuhlungu engenakulawuleka nokuba ngamayeza.
- Intlungu esifubeni okanye ubunzima bokuphefumla.
- Imilenze iba bomvu, idumbe, kwaye ibe buhlungu (oku kungaba luphawu lokuqhekeka kwegazi).
Umyalezo Wokuya Ekhaya
- Utyando lwe-myomectomy yeyona ndlela ilungileyo yokugcina isibeleko ngelixa kususwa ii-fibroids. Oku kubaluleke kakhulu kumntu olindele umntwana kwixesha elizayo.
- Kukho iintlobo ezahlukeneyo zotyando (i-laparotomy, i-percutaneous, i-non-incision), kwaye ugqirha wakho uya kugqiba eyona ndlela ifanelekileyo kuwe.
- Ixesha lokuchacha liyahluka kakhulu kuxhomekeke kuhlobo lotyando olwenzileyo.
- Ngaphambi kotyando, xoxa ngayo yonke imibuzo yakho kunye noloyiko lwakho nogqirha uze ufumane ukuqonda okucacileyo ngayo yonke into.
- Ukulandela imiyalelo kagqirha kanye emva kotyando kubalulekile ukuze uphile ngokukhawuleza.
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