Ngaba wopha kakhulu kunesiqhelo ngexesha lokuya exesheni? Okanye ngaba uhlala uziva uxinezelekile kwaye uneentlungu esiswini sakho esisezantsi? Isizathu esiphambili sezi mpawu zinokuba zizimila ezingezizo umhlaza ezibizwa ngokuba zii-fibroids ezikhula esibelekweni. Namhlanje, siza kuthetha ngendlela esebenzayo yokunyanga le meko ingadingi utyando olukhulu.
Ngamafutshane, yintoni i-Uterine Artery Embolization (UAE)?
Ukuvaleka kwemithambo yesisu (Uterine Artery Embolization - UAE) yinkqubo engenelelayo kancinci esebenzisa umsikelo omncinci kakhulu, ngaphandle komsikelo omkhulu. Ngokuyintloko ithintela imithambo yegazi (imithambo yegazi) ehambisa igazi kwisibeleko sakho.
Olu nyango ludla ngokusetyenziselwa ukulawula ukopha okugqithisileyo okubangelwa ziimvumba ezingezizo zomhlaza esibelekweni, ezibizwa ngokuba yi- uterine fibroids . Lukwasetyenziswa kwiimeko ezingxamisekileyo ezifana nokopha emva kokuzalwa, ukopha ngenxa yengozi, okanye ukopha okubangelwa ziimvumba ezibangelwa ngumhlaza zesibeleko.
Usenokuba ukhe weva nge-Uterine Fibroid Embolization (UFE). Nangona ezi zimbini zithathwa njengezifanayo, kukho umahluko omncinci. I-UFE ligama elisetyenziswa xa i-UAE isetyenziselwa ukunyanga ii-fibroids kuphela. I-UAE ligama elibanzi. Inyanga ii-fibroids kunye nokopha ngenxa yezinye izizathu.
Kweziphi iimeko apho unyango lwenziwa khona e-UAE?
Amaxesha amaninzi, olu nyango lusetyenziswa kwabo baneempawu ezahlukeneyo ezibangelwa yi-uterine fibroids. Makhe sijonge ukuba zeziphi.
| Uphawu | Inkcazo |
|---|---|
| Ukopha kakhulu kokuya exesheni | Ukopha igazi ngaphezu kwesiqhelo ngexesha lokuya exesheni. Oku kunokwenzeka ukuba kufuneka utshintshe iphedi yakho ngaphambi kokuba kudlule iyure okanye ezimbini, okanye ukuba uphuma amahlwili egazi. |
| Uxinzelelo okanye ubunzima esiswini esisezantsi | Ukungakhululeki rhoqo, uxinzelelo, okanye ubunzima esiswini esisezantsi ngenxa yobukhulu bee-cysts. |
| Ukudinga rhoqo ukuchama | Ukufuna ukuchama rhoqo ngenxa yoxinzelelo lwesibeleko kwisinyi. |
| Ukuqhinwa | Ukuqhinwa ngenxa yoxinzelelo lwe-cyst kwikholoni. |
| Intlungu ngexesha lokwabelana ngesondo | Ngamanye amaxesha kubakho intlungu ngexesha lokwabelana ngesondo. |
Ukongeza kwezi mpawu, ugqirha wakho unokucebisa unyango lwe-UAE kwezinye iimeko, ezinje ngokopha kakhulu emva kokubeleka, ukopha ngenxa yengozi, okanye ukopha ngenxa yamathumba anomhlaza.
Kukweziphi iimeko apho unyango lwe-UAE lungafanele lwenziwe khona?
Kwezinye iimeko, olu nyango lusenokungakulungeli.
- Nokuba une-fibroids yesibeleko, awunazo iimpawu.
- Ukuba ukhulelwe .
- Ukuba unentsholongwane kwindawo yakho ye-pelvic.
- Ukuba unesifo semithambo yegazi.
- Ukuba une -allergy kwiidayi ezithile zomahluko ezisetyenzisiweyo kolu nyango.
Lusebenza njani olu nyango?
Khawuthelekelele ukuba umntwana ongekazalwa esibelekweni ufana nesityalo esondliwe ngamanzi. Bekuya kwenzeka ntoni ukuba besingayivala kancinci imibhobho enika esi sityalo amanzi? Ngaphandle kwamanzi, isityalo besiya kufa kancinci, akunjalo? Kwenzeka into efanayo kunyango lwe-UAE.
Ngamafutshane, amasuntswana amancinci, njengeentlabathi zesanti, afakwa kwimithambo yegazi ehambisa igazi kwisibeleko sakho (imithambo yesibeleko). La masuntswana akhokelwa kwindawo echanekileyo ngetyhubhu encinci kakhulu, eguquguqukayo ebizwa ngokuba yi-catheter . Le tyhubhu ifakwa kwaye indlela ebizwa ngokuba yi-fluoroscopy, efana ne-X-ray, isetyenziselwa ukuyijonga njengoko ihamba.
Xa imithambo yegazi ivalekile ngolu hlobo:
- Ukopha kakhulu kuyalawulwa.
- Iifibroids zilahlekelwa ligazi lazo, kwaye ziyancipha kancinci kancinci zize zibe ncinci.
Ndingenza ntoni ngaphambi kokuba ndifumane unyango?
Ugqirha wakho uza kucebisa unyango lwase-UAE emva kokuphonononga ngononophelo imbali yakho yonke yezonyango kunye neempawu. Kuya kufuneka wenze ezi zinto ngaphambi kokuba unyango luqale.
- Ugqirha wakho uza kukubuza ngempilo yakho, ii-allergies, amayeza owasebenzisayo, kunye nomjikelo wokuya exesheni. Uza kuxoxa nangokuba uceba ukuba nabantwana kwixesha elizayo, njengoko olu nyango lunokuchaphazela ukuzala.
- Ukuze kuchongwe unobangela wokopha, kuya kwenziwa iimvavanyo ezifana ne- MRI scan , i-ultrasound scan , okanye i-hysteroscopy .
- Ngamanye amaxesha iqhekeza elincinci lesicwili elivela kulwelo lwesibeleko linokuthathwa lihlolwe (i-biopsy) ukuze kubonwe ukuba kukho iiseli zomhlaza na.
- Uza kucelwa ukuba uyeke ukusebenzisa amayeza okudambisa iintlungu anjenge-aspirin, ii-NSAID (umz., i-Ibuprofen, i-Diclofenac), kunye ne-blood thinners kwiintsuku ezimbalwa ngaphambi konyango.
- Uza kucelwa ukuba ungatyi okanye ungaseli nto kangangeeyure ezimbalwa ngaphambi konyango. Ugqirha wakho uza kukunika imiyalelo ethile malunga noku.
Kwenzeka ntoni ngexesha lonyango?
I-UAE idla ngokuba yinkqubo yokunyanga ngaphandle kwesibhedlele, oko kuthetha ukuba ungagoduka ngaloo mini inye ngaphandle kokuhlala esibhedlele. Yonke le nkqubo idla ngokuthatha malunga neyure enesiqingatha (imizuzu engama-90).
Nantsi indlela olusebenza ngayo unyango:
1. Olu nyango lwenziwa yi- Interventional Radiologist . Oko kukuthi, ingcali eyenza unyango olungenalo utyando oluqhelekileyo isebenzisa iteknoloji yemifanekiso yezonyango.
2. Uza kunyanzelwa ukuba ulale etafileni yovavanyo kwaye uqhagamshelwe kwiimatshini ezijonga izinto ezifana nokubetha kwentliziyo yakho kunye noxinzelelo lwegazi.
3. Kuya kusetyenziswa isithomalalisi sentlungu kwindawo yakho yesinqe.
4. Uza kunikwa i-saline kunye ne-sedative ngokusebenzisa umgca we-IV ukuze uphumle kwaye ulale.
5. Kwenziwa umngxuma omncinci kakhulu eluswini lwe-groin kwaye kufakwa inaliti encinci kuyo.
6. Usebenzisa i-X-ray (fluoroscopy) kunye nedayi ekhethekileyo (idayi yokwahlula), ityhubhu encinci ebizwa ngokuba yi-catheter ikhokelwa kwimithambo yakho yesibeleko. Le dayi yenza imithambo yegazi ibonakale ngokucacileyo kwi-X-ray.
7. Nje ukuba i-catheter ibekwe endaweni yayo, amasuntswana amancinci (enziwe nge-gelatin okanye iplastiki) abizwa ngokuba zii-embolic agents afakwa kwimithambo yegazi. La masuntswana ayahamba aze avale imithambo yegazi.
8. Xa umsebenzi ugqityiwe, i-catheter iyasuswa, ukopha kwindawo yokubhoboza kulawulwa, kwaye kufakwa ibhandeji elincinci.
Yintoni onokuyilindela emva konyango?
Uninzi lwabantu luyakwazi ukuphuma esibhedlele luze lubuyele ekhaya emva kweeyure ezimbalwa emva konyango. Emva koko, ungalindela izinto ezinje.
- Usenokucelwa ukuba ulale ebhedini iiyure ezimbalwa emva konyango.
- Ugqirha uza kukunika amayeza okudambisa iintlungu kunye namayeza okubulala iintsholongwane oza kuwathatha ekhaya.
- Ukuphuma kwamanzi okanye okufana ne-mucus kunokubangela ukukhupha igazi kwisini kangangeeveki eziliqela.
- Ukuqaqamba kwesisu okuphakathi ukuya kokukhulu kunokwenzeka kwiiyure ezingama-24 zokuqala. Oku kuqhelekile.
- Uninzi lwabantu lunokuphinda luqalise imisebenzi yalo yesiqhelo kwisithuba seveki okanye ezimbini.
- Umjikelo wakho wokuya exesheni usenokuma kangangeenyanga ezimbalwa. Xa uqala kwakhona, ukopha kuya kuba lula ekuqaleni kunesiqhelo, kodwa kancinci kancinci kuya kubuyela esiqhelweni.
- Ukuba ii-fibroids ziyanyangwa, iimpawu ziya kuqala ukuncipha kwiiveki ezimbini ukuya kwezintathu. Abanye abantu basenokude babe neziqwenga zezicubu ze-fibroid ezidlula kwilungu lobufazi. Uninzi lwabantu luziva luphilile ngokupheleleyo kwiinyanga ezintandathu.
Ziziphi iingenelo zale ndlela yonyango?
Phantse ama-90% abantu abafumana unyango lwe-UAE lwe-fibroids bafumana ukukhululeka okupheleleyo okanye okukhulu kwiimpawu.
| Inzuzo | Inkcazo |
|---|---|
| Ukungabi namdla kangako | Akukho monakalo mkhulu kunotyando olukhulu olufana notyando lokususwa kwesibeleko okanye i-myomectomy, olufuna ukusikwa okuncinci kuphela. |
| Ukubuyela umva ngokukhawuleza | Ekubeni kungekho zigcawu zinkulu okanye imithungo, ixesha lokuphiliswa lifutshane kakhulu. |
| Ukopha kancinci | Ukopha emva konyango kuncinci kakhulu. |
| Iingxaki ezimbalwa | Umngcipheko weengxaki uphantsi xa uthelekiswa notyando oluvulekileyo. |
| I-anesthesia yendawo | Kunokwenzeka ukuvala kuphela indawo efanelekileyo ngaphandle kwe-anesthesia epheleleyo. |
Zithini iingozi zoku?
Njengakwezinye iindlela zonyango, kukho iingozi ezithile.
| Umngcipheko | Inkcazo |
|---|---|
| Iintsholongwane | Kukho ithuba elincinci kakhulu lokonakala kwemithambo yegazi ejikelezileyo okanye usulelo xa kufakwa i-catheter. |
| Ukonakala kwezicubu ezisempilweni | Ukuba amasuntswana e-embolic ahamba aye kwimithambo yegazi engalunganga, ukuhanjiswa kwegazi kwiithishu ezisempilweni kunokuphazamiseka (kunqabile kakhulu). |
| Ii-aleji | I-allergies inokwenzeka kwidayi ye-X-ray okanye amayeza okubulala iintlungu. |
| Ukuphela komjikelo wokuya esikhathini | Phakathi kwe-1% kunye ne-5% yabantu, umjikelo wokuya exesheni unokuyeka ngokusisigxina emva konyango. |
| Ukungaphumeleli konyango | Ngamanye amaxesha iimpawu zinokuphinda zibuye, zifune i-UAE yesibini okanye i-hysterectomy. |
| Iziphumo ekuzaleni | Kukho ithuba lokuba amandla okuba nabantwana (ukungazali) asenokulahleka okanye anciphe. |
Ingaba unyango lwe-UAE lukhuselekile? Ngaba lufanelekile kwabo bafuna ukuba nabantwana?
Ewe, kwiimeko ezininzi, i-Uterine Artery Embolization lunyango olukhuselekileyo. Ugqirha wakho uza kukuchazela iingozi ngokusekelwe kwimbali yakho yezonyango.
Nangona kunjalo, le yinto ebalulekileyo ekufuneka uyiqwalasele ukuba uceba ukuba nabantwana kwixesha elizayo. Nangona kukho iingxelo zokuzalwa okusempilweni emva konyango lwe-UAE, idatha malunga noku isancinci. Akukaziwa ngokupheleleyo ukuba olu nyango luchaphazela njani ukuzala.
Ngenxa yoko, abanye oogqirha bacebisa ukususwa kwe-fibroids (myomectomy) ngotyando kubafazi abakhulelweyo, njengoko umngcipheko wokuphuma kwesisu, utyando lotyando, kunye nokopha kakhulu emva kokubeletha kunokunyuka kancinci ngexesha lokukhulelwa emva konyango lwe-UAE.
Ukuba ukhulelwe okanye ulindele abantwana kwixesha elizayo, qiniseka ukuba uthetha ngokukhululekileyo nogqirha wakho malunga neengozi zolu nyango.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Kuqhelekile ukuba nentlungu esezantsi kwesisu, ukudinwa, isicaphucaphu esincinci, kunye nomkhuhlane ophantsi kwiiyure zokuqala ezingama-24 kunye neentsuku ezimbalwa emva konyango. Uninzi lwabantu lubuyela kubomi obuqhelekileyo kwiintsuku ezili-10.
Nangona kunjalo, ukuba usafumana iintlungu eziqatha kunye nokungonwabi kwiiveki ezimbini emva konyango, qiniseka ukuba ubona ugqirha wakho kwakhona.
Umyalezo Wokuya Ekhaya
- Ukuvalwa kwemithambo ye-Uterine Artery Embolization (UAE) yindlela ephumelelayo yokunyanga ukopha kakhulu okubangelwa zii-fibroids kunye nezinye izizathu, ngaphandle kwesidingo sotyando olukhulu.
- Oku kuquka ukuvala imithambo yegazi ehambisa isibeleko, nto leyo ebangela ukuba ithumba linciphe okanye liyeke ukopha.
- Ixesha lokuchacha lifutshane kwaye iingxaki zimbalwa, kodwa iintlungu ezisezantsi kwesisu zinokuhlala iintsuku ezimbalwa.
- Olu nyango alufanelekanga kuye wonke umntu. Kubalulekile ukuxoxa ngezinto ezilungileyo nezingalunganga nogqirha wakho ngaphambi kokuba ucinge ngolu nyango, ingakumbi ukuba uceba ukuba nabantwana kwixesha elizayo.
- Emva konyango lwe-UAE, abantu abaninzi bafumana isiqabu esikhulu kwiimpawu kwiinyanga ezimbalwa.
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