Ukhathele ukopha okukhulu ngesikhathi sokuya kwakho enyangeni, ubuhlungu obuhlala izinsuku eziningi, noma ukucindezeleka okukhulu esiswini sakho esingezansi? Udokotela wakho kungenzeka ukuthi ukutshelile ukuthi imbangela yi -uterine fibroids , uhlobo lwesimila esingesona umdlavuza esikhula esibelethweni. Ngakho-ke namuhla sikhuluma ngokwelashwa okungakusiza ukuthi uphulukiswe ngokushesha ngaphandle kokuhlinzwa okukhulu. Lokhu kubizwa ngokuthi i-Uterine Artery Embolization, noma i-UAE ngamafuphi.
Kalula nje, iyini le ndlela yokwelapha e-UAE?
I-UAE iyindlela yokwelapha ekhethekile eyenziwa ngaphandle kokusikwa okukhulu, kodwa ngembobo encane kuphela. Lokhu kuhilela ukuvimba imithambo yegazi enikeza igazi esibelethweni sakho kanye nama-fibroids. Kufana nokuvimba ipayipi lamanzi. Lapho ukunikezwa kwegazi kunqanyulwa, ama-fibroids awatholi ukudla okunempilo. Bese kancane kancane ancipha futhi anciphe. Lokhu kusiza ekunciphiseni izimpawu zakho, njengokuphuma kwegazi okukhulu nobuhlungu.
Sivame ukusebenzisa amagama athi UAE kanye ne-UFE (Uterine Fibroid Embolization) ngokushintshana. Kodwa-ke, kunomehluko omncane phakathi kwalokhu okubili. I-UFE iyindlela yokwelapha ama-fibroids ngqo. Kodwa-ke, i-UAE ingasetshenziswa futhi ukulawula ukopha ngokweqile ngemva kokubeletha, ukopha okubangelwa izimila zomdlavuza, noma ukopha okubangelwa izingozi, ngaphezu kwama-fibroids.
Yiziphi izinhlobo zamacala aphathwayo e-UAE?
Akuwona wonke umuntu one-fibroids ozodinga lokhu kwelashwa. Udokotela wakho uzoncoma lokhu kwelashwa kuphela uma ubhekene nezimpawu ezithile ezibangelwa yi-fibroids. Ake sibheke ukuthi ziyini lezo.
| Izimo lapho ukwelashwa kwe-UAE kungadingeka noma kungadingeki | |
|---|---|
| Ungacabanga nge-UAE uma unalezi zimpawu: | |
| Ukopha okukhulu | Ukopha ngokweqile kanye nokuqhekeka kwegazi ngesikhathi sokuya esikhathini. |
| Ukucindezeleka/ubuhlungu besisu esingezansi | Ubunzima obungapheli kanye nobuhlungu esiswini esingezansi. |
| Isidingo sokuphuza njalo | Ukuchama njalo ngenxa yokucindezela kwesibeletho esinyeni. |
| Ukuqunjelwa | Ukuqunjelwa ngenxa yesimila esicindezela ikholoni. |
| Ubuhlungu ngesikhathi socansi | Ubuhlungu ngesikhathi socansi. |
| Ukwelashwa kwe-UAE akufaneleki ezimweni ezilandelayo: | |
| Uma ukhulelwe | Lokhu kwelashwa akwenziwa uma ukhulelwe. |
| Uma kungekho zimpawu | Ngisho noma une-fibroids, uma ingabangeli ukuphatheka kabi, akukho ukwelashwa okudingekayo. |
| Ukutheleleka Kwe-Pelvic | Uma kukhona ukutheleleka emgodini we-pelvic. |
| Udayi Wokungezwani Nomzimba | Uma une-allergy kudayi ethile oyisebenzisayo ngesikhathi sokwelashwa. |
Kwenzekani ngaphambi, ngesikhathi nangemva kokwelashwa?
Nakuba lokhu kungesiwo ukuhlinzwa okukhulu, kukhona ukulungiselela kusengaphambili. Ake sixoxe ngalezo zinyathelo.
Ukulungiselela ngaphambi kokwelashwa
Udokotela wakho uzonquma ukukwelapha e-UAE ngemuva kokubukeza umlando wakho wezokwelapha ophelele nokwenza izivivinyo eziningana ezidingekayo.
- Umlando wezokwelapha: Udokotela wakho uzokhuluma nawe ngezinkinga zakho zokungezwani komzimba , imithi oyiphuzayo, imininingwane yomjikelezo wokuya esikhathini, futhi ikakhulukazi ukuthi unethemba lokuba nezingane yini esikhathini esizayo, njengoba lokhu kwelashwa kungathinta ukuzala .
- Ukuhlolwa: Ukuze kutholakale imbangela eqondile yokopha, kwenziwa ukuhlolwa okufana ne -MRI scan, i-ultrasound scan , noma i-hysteroscopy (ukuhlola isibeletho kusetshenziswa ikhamera).
- Ukuhlolwa Kwezicubu: Ngezinye izikhathi kungathathwa ingxenye encane yezicubu olwelwesini lwesibeletho ukuze kuhlolwe amangqamuzana omdlavuza.
- Imithi Nokudla: Uzocelwa ukuthi uyeke ukuthatha i-aspirin, ama-NSAID (ama-painkiller), kanye nemithi yokunciphisa igazi ezinsukwini ezimbalwa ngaphambi kokwelashwa. Kuzodingeka futhi ugweme ukudla noma ukuphuza amahora ambalwa ngaphambi kokwelashwa. Udokotela wakho uzokunikeza imiyalelo eqondile ngalokhu.
Ngesikhathi sokwelashwa
Lokhu kwelashwa kuvame ukwenziwa ngaphandle kwesibhedlela. Yonke inqubo ithatha cishe ihora nesigamu.
1. I-Interventional Radiologist: Lokhu kwelashwa kwenziwa udokotela ochwepheshe osebenzisa izithombe ezifana nama-scan ukuqondisa ukwelashwa. (Interventional Radiologist).
2. Ukulungiselela: Uzolala etafuleni lokuhlolwa bese uxhunywa emishinini ezolinganisa izinto ezifana nokushaya kwenhliziyo yakho kanye nomfutho wegazi. Uzonikezwa umjovo wokwenza isikhumba esikhaleni sakho singabi namandla.
3. I-Sedation: Umuthi wokudambisa unikezwa ngemithambo yegazi kanye nosawoti ukuze uzizwe ukhululekile futhi ulele. Lokhu kuzokuvimbela ekuzweleni ubuhlungu noma ukwesaba.
4. Ukufakwa kwe-catheter: Kwenziwa imbobo encane esikhumbeni se-groin, bese kufakwa ipayipi elincane kakhulu (i-catheter) ngalo liye komunye wemithambo yegazi yakho.
5. Isiqondiso: Kusetshenziswa inqubo ekhethekile ye-X-ray ebizwa ngokuthi i-fluoroscopy kanye ne-contrast dye (uketshezi olukhanya kuma-X-ray), ipayipi elincane liqondiswa emithanjeni yegazi ehambisa igazi esibelethweni.
6. Ukuvaleka: Lapho ithubhu lifika endaweni efanele, izinhlayiya ezincane (ama-embolic agents) njengezinhlayiya zesihlabathi zifakwa emthanjeni wegazi. Lezi zinhlayiya ziyahamba futhi zivimbele umthambo wegazi.
7. Ukuqeda: Uma umsebenzi usuqediwe, i-catheter iyasuswa bese kufakwa i-plaster encane emgodini.
Ngemva kokwelashwa
Kuzodingeka uphumule amahora ambalwa ngemva kokwelashwa. Iningi labantu lingaya emakhaya ngalolo suku.
- Ubuhlungu: Ungase ube nobuhlungu obukhulu esiswini (ama-cramps) emahoreni okuqala angu-24. Lokhu kuvamile. Udokotela wakho uzokunikeza imithi yokwelapha izinhlungu yalokhu.
- Ukuphuma koketshezi esithweni sangasese sowesifazane:Ukuphuma kwamanzi noma okufana ne-mucus esithweni sangasese sowesifazane kungase kwenzeke amasonto amaningana. Kwabanye abantu, izingcezu zezicubu ze-fibroid ezinciphile zingase zidlule esithweni sangasese sowesifazane.
- Ukuya esikhathini: Imijikelezo yokuya esikhathini ingase ime izinyanga ezimbalwa. Uma iqala futhi, inani lokopha ekuqaleni lizoba lincane, kodwa kancane kancane lizobuyela esimweni esijwayelekile (kungcono kunangaphambi kokwelashwa).
- Ukululama: Ungabuyela emisebenzini evamile zingakapheli isonto noma amabili . Kungathatha cishe izinyanga ezintathu ukuthi izimpawu ziphele ngokuphelele. Iningi labantu lizizwa lilulame ngokuphelele ezinyangeni eziyisithupha.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinzuzo nezingozi ezincane e-UAE. Kubalulekile ukuxoxa ngalokhu ngokukhululekile nodokotela wakho.
| Izinzuzo | Izingozi |
|---|---|
| Cishe abantu abangu-90% bathola ukukhululeka okuphelele noma okucishe kube sekupheleni kwezimpawu. | Kunethuba elincane lokutheleleka endaweni yokufaka i-catheter. |
| Ukusika okukhulu, okuphola ngokushesha ngoba akukho ukuthungwa. | Kunethuba elincane kakhulu lokuthi izinhlayiya zizohamba ziye emthanjeni wegazi ongafanele futhi zilimaze izicubu ezinempilo. |
| Akukho ukuphuma kwegazi ngokweqile. | Ukusabela kokungezwani komzimba nodayi ohlukile noma imithi yokudambisa izinhlungu. |
| Akunamagciwane amaningi kunokususwa kwesibeletho noma i-myomectomy . | Abantu abaphakathi kuka-1-5% banethuba lokuma unomphela esikhathini sabo. |
| Ukukwazi ukugwema imiphumela emibi yokwelashwa ngama-hormone. | Ingozi yemiphumela ekuzaleni (ikhono lokuba nezingane). |
Okudingeka ukwazi ngqo mayelana nokuba nezingane
Nakuba kukhona abesifazane abaye baba nezingane ezinempilo ngemva kokwelashwa kwe-UAE, akukabikho idatha ephelele yokuthi lokhu kwelashwa kuthinta kanjani ukuzala. Ngakho-ke, ukwelashwa kwe-UAE akuvamile ukunconywa kwabesifazane abahlela ukuba nezingane esikhathini esizayo. Udokotela wabo uzobeluleka ngezinketho ezifana ne-myomectomy. Kubaluleke kakhulu ukukhuluma ngokucacile nodokotela wakho ngezinhlelo zakho zesikhathi esizayo.
Kufanele ngimbone nini udokotela ngemva kokwelashwa?
Kujwayelekile ukuzwa ubuhlungu, ukungakhululeki, kanye nomkhuhlane ophansi ezinsukwini ezimbalwa zokuqala ngemva kokwelashwa. Kodwa-ke, uma usabhekene nobuhlungu obukhulu noma ukungakhululeki ngemva kwamasonto amabili , tshela udokotela wakho ngokushesha. Futhi, uma uba nezimpawu zokutheleleka, njengomkhuhlane ophezulu noma uketshezi olungcolile lwesitho sangasese sowesifazane, funa iseluleko sezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-UAE iyindlela yokwelapha engangenisi kakhulu, engangenisi uketshezi lokukhipha igazi eliningi kanye nobuhlungu obubangelwa yi-uterine fibroids.
- Lokhu kwelashwa akufanele wonke umuntu. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu ngokusekelwe ezimpawini zakho, ubudala, kanye namathemba akho ngezingane zakho zesikhathi esizayo.
- Kujwayelekile ukuzwa ubuhlungu besisu esingezansi ezinsukwini ezimbalwa zokuqala ngemva kokwelashwa, futhi isikhathi sokululama sivame ukuba sifushane njengeviki eli-1-2.
- Uma unethemba lokuba nezingane, qiniseka ukuthi uxoxa ngezingozi zalokhu kwelashwa kanye nezinye izindlela zokwelapha nodokotela wakho.
- I-UAE iyindlela yokwelapha ephumelela kakhulu. Kodwa ngaphambi kokunquma nganoma yini, funda kahle, khuluma nodokotela wakho, bese wenza isinqumo esinolwazi.
Ukufakwa Kwemithambo Yesibeletho, i-UAE, Ama-Fibroids Esibeletho, Ama-Fibroids Esibeletho, Ukopha Okukhulu, Izifo Zabesifazane, Ukususwa Kwesisu, Ukususwa Kwesisu, I-Myomectomy, I-Gynecology
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