Inkinga abesifazane abaningi abanayo ukukhula kwalezi zimila esibelethweni. Abanye abantu babiza lezi zimila ngokuthi ama-fibroids. Ngenxa yalokhu, ungase uhlupheke nezinto ezifana nokopha okukhulu ngesikhathi sokuya esikhathini kanye nobuhlungu besisu obungabekezeleleki. Lokhu kungaba ukucindezeleka okukhulu kumuntu onethemba lokuba nomntwana. Ngakho-ke, ikhambi elingcono kakhulu lokususa lezi zimila, kodwa ngaphandle kokulimaza isibeletho nokulondoloza ikhono lokuba nomntwana esikhathini esizayo, ukuhlinzwa 'kwe-myomectomy'. Ake sixoxe ngalokhu ngokuningiliziwe, kalula, namuhla.
Kalula nje, kuyini lokhu kuhlinzwa kwe-Myomectomy?
I-Myomectomy inqubo yokuhlinzwa yokususa ama-fibroids esibelethweni, noma ama-leiomyomas njengoba abanye bewabiza kanjalo, esibelethweni sakho. Lawa ma-tumors akhiwe yizicubu ezixhumeneyo kanye namaseli emisipha. Angakhula ngaphakathi noma ngaphandle kwesibeletho. Izindaba ezinhle ukuthi la ma-tumors awawona umdlavuza (angabi yingozi) . Angenzeka njenge-fibroids eyodwa noma ngaphezulu ezinobukhulu obuhlukahlukene.
Uma kwenziwa i-myomectomy, udokotela ususa ama-fibroids kuphela futhi agcine izicubu zesibeletho sakho ngaphandle kokuzilimaza. Lokhu kusho ukuthi usenalo ikhono lokukhulelwa umntwana esikhathini esizayo. Lena inzuzo enkulu yalokhu kuhlinzwa.
Abantu abaningi badidanisa lokhu nokususwa kwesibeletho, okuwukususwa kwesibeletho ngokuphelele. Kodwa-ke, lezi yizinqubo ezimbili ezihluke ngokuphelele. Ukususwa kwesibeletho nge-myomectomy kususa ama-fibroids kuphela, kuyilapho ukususwa kwesibeletho nge-hysterectomy kususa sonke isibeletho.
Kukuziphi izimo lapho kudingeka khona i-myomectomy?
Uma i-fibroids yakho ibangela lezi zimpawu ezilandelayo, udokotela wakho angase akuncome lokhu kuhlinzwa:
- Ubuhlungu obuqhubekayo be-pelvic.
- Ukopha okungajwayelekile, noma phakathi kokuya esikhathini.
- Ukopha okukhulu kokuya esikhathini.
- Umuzwa wokungakwazi ukukhipha ngokuphelele isinyi.
Ikakhulukazi, uma unethemba lokuba nomntwana esikhathini esizayo futhi ufuna ukulondoloza ukuzala kwakho, ukuhlinzwa kwe-myomectomy kuyindlela enhle kakhulu kuwe.
Ake sazi umehluko oqondile phakathi kokuhlinzwa kwe-Myomectomy kanye ne-Hysterectomy.
Abantu abaningi abanalo ukuqonda okucacile kwalokhu kuhlinzwa okubili. Ake sibheke umehluko omkhulu phakathi kwalokhu kuhlinzwa okubili etafuleni elifana naleli. Lokhu kuzokusiza uthole umbono ongcono.
| Isici | I-Myomectomy | Ukususwa kwesisu |
|---|---|---|
| Yini esuswayo? | Ama-fibroids kuphela. | Isibeletho sonke siyasuswa kanye nama-fibroids. |
| Kwenzekani esibelethweni? | Isibeletho ngeke silimale, sizohlala sinjalo. | Ngenxa yokuthi isibeletho sisusiwe, siyanyamalala. |
| Ukuya esikhathini | Ngemva kokuhlinzwa, ukuya esikhathini kuzobuyela esimweni esijwayelekile. | Ukuya esikhathini kuyaphela ngokuphelele. |
| Amandla okuba nezingane | Amathuba okuba nezingane esikhathini esizayo ahlala efana. | Ikhono lokuba nezingane selilahlekile ngokuphelele. |
Yini ongayilindela ngaphambi kokuhlinzwa?
Udokotela wakho uzokunikeza imiyalelo eningiliziwe ngalokho okudingeka ukwenze ngaphambi kokuhlinzwa. Isibonelo, ukuthi kufanele uyeke ukudla nokuphuza isikhathi esingakanani ngaphambi kokuhlinzwa, noma ukuthi kufanele uyeke yini ukuthatha imithi ethile.
Xoxa ngakho konke kusenesikhathi, okuhlanganisa ukuthi uzohlala isikhathi esingakanani esibhedlela ngemva kokuhlinzwa, ukuthi yini okufanele uyiqaphele ngemva kokubuyela ekhaya, kanye nanoma yimiphi imibuzo ongase ube nayo. Buza udokotela wakho noma yimiphi imibuzo ongase ube nayo ngaphambi kokuhlinzwa.
Ngosuku lokuhlinzwa, okulandelayo kungenzeka:
- Umugqa we-IV uzofakwa emthanjeni ongalweni yakho. Yilapho uzonikezwa khona uketshezi kanye nemithi ngesikhathi sokuhlinzwa. Kuzophinde kukunike isidambisi-zinhlungu ukuze unciphise ubuhlungu bakho.
- Ngesikhathi sokuhlinzwa, uzoxhunywa kuma-monitor ukuze ulinganise izinga lokushaya kwenhliziyo yakho kanye nezinye izimpawu ezibalulekile.
- I-catheter ingafakwa ukuze kukhishwe umchamo ngesikhathi sokuhlinzwa.
Ingabe zikhona izinhlobo zokuhlinzwa kwe-myomectomy?
Yebo, kunezinhlobo ezintathu eziyinhloko zokuhlinzwa kwe-myomectomy. Uhlobo lokuhlinzwa olukulungele luzoncika ezintweni eziningana, okuhlanganisa ubukhulu be-fibroids yakho, ukuthi zingaki onayo, nokuthi zitholakala kuphi esibelethweni sakho.
1. I-Open Myomectomy
Lokhu kubizwa nangokuthi i-Abdominal Myomectomy. Lokhu kuhilela ukwenza i-incision esiswini sakho. Lokhu kusikwa kungaba okuqondile noma okuvundlile. Le ndlela ilungele abantu abane -fibroids enkulu kakhulu . Lokhu kungenxa yokuthi udokotela ohlinzayo angabona zonke izitho zakho ze-pelvic ngokucacile. Njengoba lokhu kuwukuhlinzwa okukhulu, isikhathi sokululama sithatha isikhathi eside.
- Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa.
- Kungathatha cishe amasonto ayisithupha ukululama ngokugcwele nokuqhubeka nemisebenzi evamile.
2. I-Laparoscopic noma i-Robotic Myomectomy Engangeni Kakhulu Ethinta Isisu
Lena yindlela evame kakhulu esetshenziswa namuhla. Lokhu kuhlinzwa kudinga isikhathi esincane sokululama futhi akukuphathi kahle.
- I-Laparoscopic noma i-Robotic Myomectomy: Lokhu kuhilela ukufaka ikhamera encane ngesitho sakho sangasese sowesifazane, ukwenza izimbobo ezimbalwa ezincane esiswini sakho, bese ufaka amathuluzi okuhlinza ngawo ukuze kususwe ama-fibroids. Ama-fibroids abe esesuswa ngesitho sangasese sowesifazane noma ngaleyo mibobo emincane. Abanye odokotela basebenzisa irobhothi (i-Robotic Myomectomy) ukwenza lokhu kuhlinzwa.
- Ukususwa kwe-single port myomectomy: Kule nqubo, zonke izinto zifakwa nge-incision eyodwa eduze kwe-anus, engashiyi zibazi esiswini.
3. I-Hysteroscopic Myomectomy (ukuhlinzwa ngaphandle kokusikwa)
Le ndlela ayidingi noma yikuphi ukusikwa . Uma ama-fibroids etholakala ngaphakathi esibelethweni, udokotela angafaka ikhamera ekhethekile ngesitho sangasese sowesifazane angene esibelethweni bese esusa ama-fibroids. Uma kuqhathaniswa nezinye izindlela, le inqubo eshesha kakhulu.
Yiziphi izingozi ezingaba khona ngemva kokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Kodwa-ke, lezi azivamile. Ithimba lakho lezokwelapha lizokwenza konke okusemandleni alo ukuzivimbela.
- Ukopha ngokweqile
- Ukutheleleka
- Amahlule egazi
- Ukulimala kwezitho ezizungezile
- Ukungezwani komzimba ne-anesthesia
- Ingozi eyengeziwe yokudinga ukuhlinza ngokuhlinzwa uma uthola umntwana esikhathini esizayo.
Sinjani isikhathi sokululama ngemva kokuhlinzwa?
Isikhathi sokululama sincike ngqo ohlotsheni lokuhlinzwa owake wakwenza. Kungase kube nobuhlungu ezinsukwini ezimbalwa zokuqala. Udokotela uzokunikeza imithi yobuhlungu ngalokho. Futhi, uzokwaziswa ukuthi uzulazule kancane ngemva kokuhlinzwa ukuze uvimbele ukuqhekeka kwegazi.
- I-Open Myomectomy (ukuhlinzwa okuhilela ukusika isisu): Kungathatha cishe amasonto ayisithupha ukuphulukiswa ngokugcwele nokuqala imisebenzi evamile.
- I-Laparoscopic Myomectomy (ukuhlinzwa okwenziwa ngokusikwa okuncane): Ungase ukwazi ukuya ekhaya ngalolo suku. Kuthatha cishe amasonto amabili kuya kwamane ukululama ekhaya.
- I-Hysteroscopic Myomectomy (ukuhlinzwa okwenziwa ngaphandle kokusikwa): Ungalulama ngokuphelele ezinsukwini ezimbalwa.
Lindela lezi zinto ngemva kokuhlinzwa
- Kungase kube khona igazi elincane noma ukuphuma kwegazi esithweni sangasese sowesifazane amasonto amaningana.
- Ungaphakamisi ngaphezu kwamakhilogremu angu-2-4 ngesonto lokuqala. Lesi sikhathi singase sibe side uma uke wahlinzwa isisu.
- Gwema ukuya ocansini amasonto ayisithupha. Akukhuthazwa ukufaka noma yini esithweni sangasese sowesifazane ngesikhathi sokuphulukiswa.
- Qala inqubo yakho yansuku zonke kancane kancane. Ungaqali ngokuzumayo ukwenza konke ngendlela obuyenza ngayo ngaphambili.
Yiziphi izimpawu ezidinga usizo lwezokwelapha ngokushesha?
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokubuyela ekhaya uvela ekuhlinzweni, bona udokotela wakho ngokushesha ngaphandle kokulibala. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ukopha ngokweqile.
- Izimpawu zomkhuhlane njengomkhuhlane, ukubanda, kanye nokuthuthumela.
- Ubuhlungu obukhulu obungenakulawuleka ngisho nangemithi.
- Ubuhlungu esifubeni noma ubunzima bokuphefumula.
- Imilenze iba bomvu, ivuvuke, futhi ibe buhlungu (lokhu kungaba uphawu lokuqhekeka kwegazi).
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-myomectomy kuyindlela engcono kakhulu yokugcina isibeletho ngenkathi kususwa ama-fibroids. Lokhu kubaluleke kakhulu kumuntu olindele umntwana esikhathini esizayo.
- Kunezinhlobo eziningana zokuhlinzwa (i-laparotomy, i-percutaneous, i-non-incision), futhi udokotela wakho uzonquma indlela engcono kakhulu kuwe.
- Isikhathi sokululama siyahlukahluka kakhulu kuye ngohlobo lokuhlinzwa olwenzile.
- Ngaphambi kokuhlinzwa, xoxa ngayo yonke imibuzo yakho kanye nokwesaba kwakho nodokotela bese uthola ukuqonda okucacile kwakho konke.
- Ukulandela imiyalelo kadokotela ngemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha.
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