Ingabe wopha kakhulu kunokujwayelekile ngesikhathi sakho sokuya esikhathini? Noma ingabe uhlala uzizwa ukuqina nobuhlungu esiswini sakho esingezansi? Imbangela eyinhloko yalezi zimpawu kungaba izimila ezingezona umdlavuza ezibizwa ngokuthi ama-fibroids akha esibelethweni. Namuhla, sizokhuluma ngendlela ephumelelayo yokwelapha lesi simo esingadingi ukuhlinzwa okukhulu.
Kalula nje, kuyini ukufakelwa kwemithambo ye-uterine (UAE)?
Ukufakwa kwemithambo ye-uterine (UAE) inqubo engangenisi kakhulu esebenzisa ukusikwa okuncane kakhulu, ngaphandle kokusikwa okukhulu. Empeleni ivimba imithambo yegazi (imithambo yegazi) enikeza igazi esibelethweni sakho.
Lokhu kwelashwa kuvame ukusetshenziselwa ukulawula ukopha ngokweqile okubangelwa izimila ezingezona umdlavuza esibelethweni, ezibizwa ngokuthi i-uterine fibroids . Kusetshenziswa nasezimweni eziphuthumayo njengokuphuma kwegazi ngemva kokubeletha, ukopha kwegazi okubangelwa ingozi, noma ukopha kwegazi okubangelwa izimila zabesifazane ezinomdlavuza.
Kungenzeka ukuthi uke wezwa nangokufakwa kwe-Uterine Fibroid Embolization (UFE). Nakuba lokhu okubili kubhekwa njengokufana, kunomehluko omncane. Igama elithi UFE lisetshenziswa lapho i-UAE isetshenziselwa ukwelapha ama-fibroids kuphela. Igama elithi UAE liyigama elibanzi. Lelapha ama-fibroids kanye nokopha ngenxa yezinye izimbangela.
Kukuziphi izimo lapho ukwelashwa kwe-UAE kwenziwa khona?
Ngokuvamile, lokhu kwelashwa kusetshenziselwa labo abahlushwa izimpawu ezahlukahlukene ezibangelwa yi-uterine fibroids. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Incazelo |
|---|---|
| Ukopha okukhulu kokuya esikhathini | Ukopha kakhulu kunokujwayelekile ngesikhathi sokuya esikhathini. Lokhu kungaba njalo uma kudingeka ushintshe iphedi yakho ngaphambi kokuba kudlule ihora noma amabili, noma uma uphuma amahlule egazi. |
| Ukucindezeleka noma isisindo esiswini esingezansi | Ukungakhululeki njalo, ingcindezi, noma ukusinda esiswini esingezansi ngenxa yobukhulu bama-cyst. |
| Isidingo sokuphuza njalo | Ukudinga njalo ukuchama ngenxa yokucindezela kwesibeletho esinyeni. |
| Ukuqunjelwa | Ukuqunjelwa ngenxa yokucindezela kwe-cyst ku-colon. |
| Ubuhlungu ngesikhathi socansi | Ngezinye izikhathi kuba nobuhlungu ngesikhathi socansi. |
Ngaphezu kwalezi zimpawu, udokotela wakho angase futhi ancome ukwelashwa kwe-UAE kwezinye izimo, njengokuphuma kwegazi okukhulu ngemva kokubeletha, ukuphuma kwegazi ngenxa yengozi, noma ukuphuma kwegazi ngenxa yezimila zomdlavuza.
Kukuziphi izimo lapho ukwelashwa kwe-UAE kungafanele kwenziwe khona?
Kwezinye izimo, lokhu kwelashwa kungase kungakufanelekeli.
- Ngisho noma une-uterine fibroids, awunazo izimpawu.
- Uma ukhulelwe .
- Uma unegciwane endaweni yakho ye-pelvic.
- Uma unesifo semithambo yegazi.
- Uma une -allergy kumadayi athile okungafani asetshenziswa kulokhu kwelashwa.
Lokhu kwelashwa kusebenza kanjani?
Cabanga ukuthi ingane esibelethweni ifana nesitshalo esondliwe ngamanzi. Bekungenzekani uma sivala kancane kancane amapayipi anikeza lesi sitshalo amanzi? Ngaphandle kwamanzi, lesi sitshalo besizofa kancane kancane, akunjalo? Kwenzeka okufanayo ekwelashweni kwe-UAE.
Kalula nje, izinhlayiya ezincane, njengezinhlayiya zesihlabathi, zifakwa emithanjeni yegazi enikeza igazi esibelethweni sakho (imithambo yesibeletho). Lezi zinhlayiya ziqondiswa endaweni eqondile ngepayipi elincane kakhulu neliguquguqukayo elibizwa ngokuthi i-catheter . Leli payipi liyafakwa futhi inqubo ebizwa ngokuthi i-fluoroscopy, efana ne-X-ray, isetshenziswa ukuyibuka njengoba ihamba.
Uma imithambo yegazi ivalekile kanje:
- Ukopha ngokweqile kuyalawulwa.
- Ama-fibroid alahlekelwa igazi lawo, futhi kancane kancane ancipha abe mancane.
Yini okufanele ngiyenze ngaphambi kokwelashwa?
Udokotela wakho uzoncoma ukwelashwa kwe-UAE ngemuva kokuhlola ngokucophelela umlando wakho wezokwelapha ophelele kanye nezimpawu. Kuzodingeka wenze lezi zinto ngaphambi kokwelashwa.
- Udokotela wakho uzobuza ngempilo yakho, ukungezwani komzimba, imithi oyiphuzayo, kanye nomjikelezo wokuya esikhathini. Uzoxoxa nangokuthi uhlela yini ukuba nezingane esikhathini esizayo, njengoba lokhu kwelashwa kungathinta ukuzala.
- Ukuze kutholakale imbangela eqondile yokopha, kuzokwenziwa izivivinyo ezifana ne- MRI scan , i-ultrasound scan , noma i-hysteroscopy .
- Ngezinye izikhathi kungathathwa ingcezu encane yezicubu ezivela olwelwesini lwesibeletho bese ihlolwa (i-biopsy) ukuze kubonakale ukuthi akhona yini amangqamuzana omdlavuza.
- Uzocelwa ukuthi uyeke ukuthatha imithi yokunciphisa ubuhlungu njenge-aspirin, ama-NSAID (isib., i-Ibuprofen, i-Diclofenac), kanye nemithi yokunciphisa igazi ezinsukwini ezimbalwa ngaphambi kokwelashwa.
- Uzocelwa ukuthi ungadli noma uphuze lutho amahora ambalwa ngaphambi kokwelashwa. Udokotela wakho uzokunikeza imiyalelo eqondile ngalokhu.
Kwenzekani ngesikhathi sokwelashwa?
I-UAE imvamisa inqubo yokulaliswa esibhedlela, okusho ukuthi ungaya ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela. Inqubo yonke ivame ukuthatha cishe ihora nesigamu (imizuzu engama-90).
Nansi indlela yokwelapha esebenza ngayo:
1. Lokhu kwelashwa kwenziwa yi- Interventional Radiologist . Okusho ukuthi, uchwepheshe owenza ukwelashwa okungangenisi kakhulu umzimba esebenzisa ubuchwepheshe bezithombe zezokwelapha.
2. Uzobekwa etafuleni lokuhlolwa futhi uxhunywe emishinini eqapha izinto ezifana nokushaya kwenhliziyo yakho kanye nomfutho wegazi.
3. Kuzofakwa umuthi wokubulala izinzwa endaweni yakho yezimbotshana.
4. Uzonikezwa usawoti kanye nomuthi wokudambisa ngokusebenzisa umugqa we-IV ukuze uphumule futhi ulale.
5. Kwenziwa imbobo encane kakhulu esikhumbeni se-groin bese kufakwa inaliti encane ngayo.
6. Kusetshenziswa i-X-ray (fluoroscopy) kanye nedayi ekhethekile (idayi yokuhlukanisa), ipayipi elincane elibizwa ngokuthi i-catheter liqondiswa emithanjeni yesibeletho sakho. Le dayi yenza imithambo yegazi ibonakale ngokucacile ku-X-ray.
7. Uma i-catheter isikhona, izinhlayiya ezincane (ezenziwe nge-gelatin noma ipulasitiki) ezibizwa ngokuthi ama-embolic agents zifakwa emthanjeni wegazi. Lezi zinhlayiya ziyahamba futhi zivimbele umthambo wegazi.
8. Uma umsebenzi usuqediwe, i-catheter iyasuswa, ukuphuma kwegazi endaweni yokubhoboza kuyalawulwa, bese kufakwa ibhandishi elincane.
Yini ongayilindela ngemva kokwelashwa?
Iningi labantu liyakwazi ukuphuma esibhedlela bese libuyela ekhaya emahoreni ambalwa ngemva kokwelashwa. Ngemva kwalokho, ungalindela izinto ezinjengalezi.
- Ungase ucelwe ukuba ulale embhedeni amahora ambalwa ngemva kokwelashwa.
- Udokotela uzokunika imithi yokubulala izinhlungu kanye nama-antibiotic ukuze uwayise ekhaya.
- Ukuphuma kwamanzi noma okufana ne-mucus esithweni sangasese sowesifazane kungase kwenzeke amasonto amaningana.
- Ukuqaqamba kwesisu okumaphakathi kuya kokubi kakhulu kungenzeka emahoreni okuqala angu-24. Lokhu kuvamile.
- Iningi labantu lingaqhubeka nemisebenzi yalo evamile phakathi nesonto noma amabili.
- Umjikelezo wakho wokuya esikhathini ungase ume izinyanga ezimbalwa. Uma uqala futhi, ukuphuma kwegazi kuzoba lula ekuqaleni kunokujwayelekile, kodwa kancane kancane kuzobuyela esimweni esijwayelekile.
- Uma i-fibroids yelashwa, izimpawu zizoqala ukuncipha zingakapheli amasonto amabili kuya kwamathathu. Abanye abantu bangase babe nezingcezu zezicubu ze-fibroid ezidlula esithweni sangasese sowesifazane. Iningi labantu lizizwa liphulukiswe ngokuphelele zingakapheli izinyanga eziyisithupha.
Yiziphi izinzuzo zale ndlela yokwelapha?
Cishe abantu abangu-90% abathola ukwelashwa kwe-UAE kwe-fibroids bathola impumuzo ephelele noma ebalulekile yezimpawu.
| Inzuzo | Incazelo |
|---|---|
| Ukuhlasela okuncane | Akudingi ukuhlinzwa okukhulu njengokuhlinzwa kwe-hysterectomy noma i-myomectomy, okudinga ukusikwa okuncane kuphela. |
| ukululama okusheshayo | Njengoba kungekho ukusikwa okukhulu noma ukuthungwa, isikhathi sokuphulukiswa sifushane kakhulu. |
| Ukopha okuncane | Ukopha ngemva kokwelashwa kuncane kakhulu. |
| Izinkinga ezimbalwa | Ingozi yezinkinga iphansi uma iqhathaniswa nokuhlinzwa okuvulekile. |
| Ukubulala izinzwa kwendawo | Kungenzeka ukuthi indawo efanele ingasebenzi kahle ngaphandle kokubulala izinzwa okugcwele. |
Ziyini izingozi zalokhu?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezithile.
| Ingozi | Incazelo |
|---|---|
| Izifo | Kunethuba elincane kakhulu lokulimala emithanjeni yegazi ezungezile noma ekuthelelekeni lapho kufakwa i-catheter. |
| Ukulimala kwezicubu ezinempilo | Uma izinhlayiya ze-embolic ziya emthanjeni wegazi ongafanele, ukuhlinzekwa kwegazi ezicutshini ezinempilo kungase kuphazamiseke (akuvamile kakhulu). |
| Ukungezwani komzimba | Ukungezwani komzimba kungenzeka kudayi we-X-ray noma imithi yokubulala izinzwa. |
| Ukuphela komjikelezo wokuya esikhathini | Kubantu abaphakathi kuka-1% no-5%, umjikelezo wokuya esikhathini ungase ume unomphela ngemva kokwelashwa. |
| Ukwehluleka kokwelashwa | Ngezinye izikhathi izimpawu zingase zibuye, kudingeke i-UAE yesibili noma i-hysterectomy. |
| Imiphumela ekuzaleni | Kukhona ithuba lokuthi ikhono lokuba nezingane (ukungazali) lingalahleka noma linciphe. |
Ingabe ukwelashwa e-UAE kuphephile? Ingabe kufanelekile kulabo abafuna ukuba nezingane?
Yebo, ezimweni eziningi, i-Uterine Artery Embolization iyindlela yokwelapha ephephile. Udokotela wakho uzokuchazela izingozi ngokusekelwe emlandweni wakho wezokwelapha.
Kodwa-ke, lokhu kuyinto ebalulekile okufanele uyicabangele uma uhlela ukuba nezingane esikhathini esizayo. Nakuba kube nemibiko yokuzalwa okunempilo ngemva kokwelashwa kwe-UAE, idatha ngalokhu isalinganiselwe. Akukaziwa ngokugcwele ukuthi lokhu kwelashwa kuthinta kanjani ukuzala.
Ngakho-ke, abanye odokotela batusa ukususwa kwe-fibroids (myomectomy) ngokuhlinzwa kwabesifazane abakhulelwe, njengoba ingozi yokuphuphuma kwesisu, ukuhlinzwa, kanye nokopha okukhulu ngemva kokubeletha kungase kwande kancane ngesikhathi sokukhulelwa ngemva kokwelashwa kwe-UAE.
Uma ukhulelwe noma ulindele izingane esikhathini esizayo, qiniseka ukuthi ukhuluma ngokukhululekile nodokotela wakho ngezingozi zalokhu kwelashwa.
Kufanele ngiphinde ngimbone nini udokotela?
Kuvamile ukuzwa ubuhlungu besisu esingezansi, ukukhathala, isicanucanu esincane, kanye nomkhuhlane ophansi emahoreni okuqala angu-24 kanye nezinsuku ezimbalwa ngemva kokwelashwa. Iningi labantu libuyela empilweni evamile zingakapheli izinsuku eziyi-10.
Kodwa-ke, uma usabhekene nobuhlungu obukhulu kanye nokungakhululeki emavikini amabili ngemuva kokwelashwa, qiniseka ukuthi ubona udokotela wakho futhi.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakwa kwemithambo ye-uterine (UAE) kuyindlela ephumelelayo yokwelapha ukopha okukhulu okubangelwa yi-fibroids nezinye izimbangela, ngaphandle kwesidingo sokuhlinzwa okukhulu.
- Lokhu kuhilela ukuvimba imithambo yegazi ehlinzeka ngesibeletho, okubangela ukuba isimila sinciphe noma siyeke ukopha.
- Isikhathi sokululama sifushane futhi izinkinga zimbalwa, kodwa ubuhlungu esiswini esingezansi bungase buhlale izinsuku ezimbalwa.
- Lokhu kwelashwa akufanele wonke umuntu. Kubalulekile ukuxoxa ngobuhle nokubi nodokotela wakho ngaphambi kokucabangela lokhu kwelashwa, ikakhulukazi uma uhlela ukuba nezingane esikhathini esizayo.
- Ngemva kokwelashwa e-UAE, abantu abaningi bathola impumuzo enkulu ezimpawini zingakapheli izinyanga ezimbalwa.
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