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Uyazazi yini izimila zesibeletho? Ake sixoxe ngazo ngokuningiliziwe!

Uyazazi yini izimila zesibeletho? Ake sixoxe ngazo ngokuningiliziwe!

Ingabe ngezinye izikhathi uzwa ukopha okungabekezeleleki ngesikhathi sokuya esikhathini? Noma uzizwa nje ugcwele noma usinda esiswini sakho esingezansi? Mhlawumbe lokhu kungenxa yohlobo lwesimila esikhula esibelethweni. Namuhla sizokhuluma ngento ekhula ngabesifazane abaningi, kodwa abantu abaningi abazi ngayo. Lokho yi-uterine fibroids, noma njengoba sisho ngesiNgisi, `(Uterine Fibroids)`.

Ziyini i-uterine fibroids?

Kalula nje, ama-fibroids esibeletho yizimila ezenziwe ngemisipha nezicubu ezakheka odongeni lwesibeletho sakho, noma ngaphakathi noma ngaphandle kwesibeletho. Zibizwa nangokuthi "ama-Leiomyomas". Into ebalulekile ukuthi lezi zimila ngokuvamile azinawo umdlavuza (okungukuthi, "azinabungozi"). Eqinisweni, ziwuhlobo oluvame kakhulu lwesimila esingenawo umdlavuza olutholakala kwabesifazane.

Lezi zimpawu ze-uterine fibroids ngezinye izikhathi zingadala izimpawu ezahlukahlukene, njengobuhlungu, ukopha okukhulu nokungajwayelekile kwesitho sangasese sowesifazane, njll. Kodwa-ke, abanye abantu bangaba nalezi zimpawu ze-fibroids ngaphandle kwezimpawu. Bangase bangazi nokuthi banazo. Ukuthi ukwelapha noma cha i-fibroids kuvame ukunqunywa yizimpawu onazo.

La mantongomane akhula kuphi?

Amaqhubu esibeletho angakhula njengeqhubu elilodwa (`iqhubu elilodwa`) noma njengeqoqo. La maqhubu angahluka ngobukhulu kusukela kumancane njengemilimitha elilodwa kuya kumakhulu angamasentimitha angama-20 (cishe amasentimitha ayi-8) noma ngaphezulu. Cabanga nje, angakhula kusukela kumancane njengembewu kuya kumakhulu njengekhabe! Angakhula ngaphakathi kodonga lwesibeletho sakho, ngaphakathi kwembobo eyinhloko yesibeletho, noma ebusweni bangaphandle besibeletho.

Yiziphi izinhlobo ze-uterine fibroids?

Kunezinhlobo ezahlukene ze-uterine fibroids, kuye ngokuthi zakheka kuphi nokuthi zinamathele kanjani esibelethweni. Izinhlobo eziyinhloko yilezi:

  • Ama-fibroids angaphakathi kwesibeletho: Lawa uhlobo oluvame kakhulu. Lawa ma-fibroids atholakala ngaphakathi kodonga lwemisipha lwesibeletho.
  • I-Submucosal fibroids: Lezi zikhula ngaphansi kolwelwesi lwesibeletho. Lezi zivame ukuba yimbangela yokopha kakhulu.
  • Ama-fibroids angaphansi kwe-serosal: Lezi zinhlobo zama-fibroids zikhula ngaphansi kwengqimba engaphandle yesibeletho. Ngezinye izikhathi zingakhula zibe zinkulu kakhulu futhi zingene emgodini we-pelvic.
  • Ama-fibroids athambile: Lawa uhlobo olungavamile kakhulu. Lawa ma-fibroids anamathele esibelethweni ngengxenye efana nesiqu. Abizwa nangokuthi "afana namakhowe" ngoba anesiqu kanye nengxenye ebanzi phezulu, efana nekhowe.

Ingabe ama-fibroids esibelethweni avamile?

Yebo, lezi zimila ziyisifo esivame kakhulu.Kuthiwa phakathi kuka-40% no-80% wabesifazane abanesibeletho banalezi zinhlayiya. Zivame ukuvela kwabesifazane abaneminyaka ephakathi kuka-30 no-50. Lezi zinhlayiya ngokuvamile aziveli kwabesifazane abangazange baye esikhathini sabo sokuqala. Futhi azivamile kakhulu kwabesifazane abaye badlula esikhathini sokunqamuka kokuya esikhathini.

Ziyini izimpawu ze-uterine fibroids?

Ama-cyst amaningi amancane awabangeli zimpawu. Ngakho-ke, akukho ukwelashwa okudingekayo ngaphandle kokuhlolwa njalo nodokotela. Kodwa-ke, uma une-cyst enkulu, ungase ube nezimpawu ezahlukahlukene. Ezinye zazo zifaka:

  • Ukopha okukhulu noma okubuhlungu ngesikhathi sokuya esikhathini.
  • Ukopha phakathi kokuya esikhathini.
  • Umuzwa wokugcwala noma ukuqunjelwa esiswini esingezansi.
  • Ukuchama njalo (lokhu kungenzeka uma isimila sicindezela esinyeni).
  • Ukuzwa ubuhlungu ngesikhathi socansi.
  • Ukuhlungu obusemhlane.
  • Ukuqunjelwa noma umuzwa wokucindezeleka e-rectum.
  • Ukuphuma koketshezi esithweni sangasese sowesifazane okungapheli.
  • Ukungakwazi ukuchama noma ukukhipha ngokuphelele isinyi.
  • Ukuvuvukala kwesisu, okuqala ukubonakala njengesisu esikhulelwe.

Lezi zimpawu zivame ukuzinza noma zinyamalale ngemva kokunqamuka kokuya esikhathini. Lokhu kungenxa yokuthi amazinga ama-hormone emzimbeni ayancipha.

Ubuhlungu obubangelwa yi-uterine fibroids buzwakala kanjani?

Uma unezimila, ungase uzizwe imizwa ehlukahlukene. Uma unezimila ezincane, ungase ungezwa lutho noma wazi ukuthi zikhona. Kodwa uma unezimila ezinkulu, ungase uzizwe ungakhululekile futhi ubuhlungu. Lawa ma-cyst angabangela ubuhlungu emhlane, ubuhlungu obuhlabayo esiswini, ngisho nobuhlungu ngesikhathi socansi.

Zibukeka kanjani lezi zinambuzane?

Izithelo zivame ukubukeka njengezigaxa ezibushelelezi neziyindilinga. Ngezinye izikhathi, njengoba kushiwo ngaphambili, zinganamatheliswa esiqwini esincane futhi zibukeke njengamakhowe.

Yini ebangela ama-fibroids esibelethweni?

Imbangela eqondile yalokhu ayaziwa okwamanje . Kodwa-ke, odokotela bakholelwa ukuthi ama-hormone amabili abizwa ngokuthi i-estrogen ne-progesterone adlala indima. Lawa ma-tumors avame ukukhula kwabesifazane abaseminyakeni yokuzala. Ucwaningo luye lwabonisa ukuthi la ma-tumors akhula ngezikhathi zamazinga aphezulu ama-hormone (njengangesikhathi sokukhulelwa) futhi anciphe ngezikhathi zamazinga aphansi ama-hormone (njengangesikhathi sokunqamuka kokuya esikhathini).

Yiziphi izinto ezibangela ingozi yokuthola ama-fibroids esibelethweni?

Kunezici eziningana eziyingozi ezingathinta amathuba akho okuthola izimila. Ezinye zazo zifaka:

  • Ukukhuluphala ngokweqile kanye nokuba ne-body mass index ephezulu (`BMI`).
  • Ukuba nomlando womndeni wokuba nama-cysts.
  • Ukungabi nabantwana.
  • Ukuqala kokuya esikhathini kusenesikhathi.
  • Ubudala bokuphela kokunqamuka kokuya esikhathini.

Yiziphi izinkinga ezibangelwa yi-uterine fibroids?

Iningi lama-fibroids esibelethweni alibangeli izinkinga ezinkulu. Kodwa-ke, izinkinga ezivame kakhulu yilezi:

  • Ubuhlungu obungalawuleki.
  • Ukuvuvukala esiswini sakho noma endaweni ye-pelvic.
  • Ukopha ngokweqile.
  • I-anemia.
  • Ukwehla kwamandla okuthola abantwana (`Ukungazali`) (lokhu akuvamile kakhulu).

Ingabe izimila zingadala i-anemia?

Yebo, impela. I-anemia yisimo esenzeka uma ungenawo amangqamuzana abomvu egazi anempilo anele ukuthwala umoya-mpilo uye ezithweni zomzimba wakho. Abantu abanezikhathi ezivamile noma ezinzima bangaba ne-anemia. Lawa ma-cyst angabangela ukuthi ukuya kwakho esikhathini kube nzima kakhulu, noma ungase wophe igazi phakathi nesikhathi. Uma unezimpawu ze-anemia (ikakhulukazi ukukhathala okukhulu) ngenkathi unezigaxa, qiniseka ukuthi ukhuluma nodokotela.

Uthola kanjani ukuthi une-uterine fibroids?

Ngokuvamile, udokotela uthola ama-fibroids esibelethweni ngesikhathi sokuhlolwa kwe-pelvic. Udokotela angase asole ukuthi i-fibroid ibangelwa ukopha okukhulu nezinye izimpawu. Kunezivivinyo eziningana ezingaqinisekisa ukuthi i-fibroid ikhona yini futhi zinqume ubukhulu bayo nendawo yayo:

  • I-Ultrasonography (ukuskena kwe-ultrasound): Lokhu ukuhlolwa okungenabuhlungu okusebenzisa amaza omsindo ukudala isithombe sezitho zakho zangaphakathi.
  • I-Magnetic Resonance Imaging (MRI): Lokhu kuhlola kusebenzisa omaginethi namagagasi omsakazo ukudala izithombe ezinemininingwane yezitho zakho zangaphakathi.
  • `(I-Computed Tomography - I-CT scan)` (I-CT scan): I-CT scan isebenzisa izithombe ze-X-ray ukudala izithombe ezinemininingwane yezitho zakho zangaphakathi ezivela emakhoneni ahlukene.
  • I-Hysteroscopy: Kule nqubo, udokotela usebenzisa i-scope (ithubhu elincane, eliguquguqukayo elinekhamera enamathiselwe) ukuze abheke ingaphakathi lesibeletho. I-scope idluliselwa esithweni sangasese sowesifazane kanye ne-cervix iye esibelethweni.
  • I-Hysterosalpingography (HSG): Lolu ukuhlolwa kwe-X-ray okuningiliziwe. Udokotela ufaka umuthi okhethekile (izinto ezihlukile) bese ethatha izithombe ze-X-ray zesibeletho.
  • I-Sonohysterography: Kulolu vivinyo, udokotela ufaka i-catheter encane esithweni sangasese sowesifazane bese efaka isixazululo se-saline esibelethweni. Lesi sixazululo esengeziwe sivumela izithombe ezicacile kune-ultrasound evamile.
  • I-Laparoscopy: Kulolu vivinyo, udokotela wenza ukusika okuncane esiswini sakho esingezansi. Kufakwa ipayipi elincane neliguquguqukayo elinekhamera ngokusebenzisa ukusika ukuze kuhlolwe ingaphakathi lomzimba wakho.

Iphathwa kanjani i-uterine fibroids?

Ukwelashwa kwe-uterine fibroids kungahluka kuye ngobukhulu, inombolo, indawo, kanye nezimpawu zama-cysts. Uma ungenazo izimpawu ezivela kuma-cysts, ungase ungadingi ukwelashwa. Ama-cysts amancane angashiywa wodwa ngaphandle kokwelashwa. Abanye abantu abakaze babe nezimpawu noma izinkinga ngama-cysts. Ezimweni ezinjalo, udokotela wakho uzokutshela ukuthi uhlolwe njalo ngesinqe noma uhlolwe nge-ultrasound ukuze uqaphe ama-cysts.

Kodwa uma unezimpawu zesimila (njenge-anemia ngenxa yokopha ngokweqile, ubuhlungu obuphakathi kuya kobunzima, izinkinga zomgudu womchamo kanye namathumbu), ungadinga ukwelashwa ukuze kusize. Uhlelo lwakho lokwelashwa luzoncika ezintweni eziningana:

  • Mangaki amantongomane onawo?
  • Usayizi wamantongomane akho.
  • Ziphi izithiyo zakho?
  • Ziyini izimpawu zakho ezihlobene nezimila?
  • Isifiso sakho sokugcina isibeletho sakho.

Uma ukhetha inketho yokwelashwa engcono kakhulu kuwe, kufanele futhi ucabangele izinhlelo zakho zokukhulelwa kwesikhathi esizayo. Qiniseka ukuthi uxoxa ngemigomo yakho yokuzala nodokotela wakho lapho uxoxa ngezinketho zokwelapha.

Izindlela zokwelapha i-uterine fibroids zingafaka:

Imithi

  • Imithi yobuhlungu ethengiswa ngaphandle kwemithi kadokotela (OTC): Le mithi ingasiza ekulawuleni ubuhlungu kanye nokungakhululeki okubangelwa yizimila. Lokhu kufaka phakathi i-acetaminophen (njenge-Panadol) kanye ne-ibuprofen.
  • Izithako zensimbi: Uma une-anemia ngenxa yokopha ngokweqile, udokotela wakho angakutshela ukuthi uthathe isithako sensimbi.
  • Ukulawula ukukhulelwa: Ukulawula ukukhulelwa kungasiza futhi ekulawuleni izimpawu zama-cysts (ikakhulukazi ukopha okukhulu ngesikhathi nangemva kokuya esikhathini, kanye nobuhlungu besisu). Kunezindlela ezahlukene zokulawula ukukhulelwa ongazisebenzisa. Isibonelo, amaphilisi okuvimbela ukukhulelwa ngomlomo, izindandatho, imijovo, kanye namadivayisi angaphakathi kwesibeletho (ama-IUD).
  • Ama-agonist e-Gonadotropin-releasing hormone (GnRH): Le mithi inciphisa izimila. Ngezinye izikhathi isetshenziswa ngaphambi kokuhlinzwa ukuze inciphise isimila futhi kwenze kube lula ukusisusa. Kodwa-ke, le mithi ingeyesikhashana. Isimila singakhula futhi uma uyeka ukusithatha.
  • Ukwelashwa ngomlomo: I-Elagolix iyindlela entsha yokwelapha ngomlomo yokulawula ukopha okukhulu kokuya esikhathini kwabesifazane abanezimpawu ze-uterine fibroids abangakayi esikhathini. Ingathathwa kuze kube yizinyanga ezingu-24. Khuluma nodokotela wakho ngezinzuzo kanye nokungalungi kwalokhu kwelashwa. Okunye ukwelashwa ngomlomo okubizwa ngokuthi i-tranexamic acid kusetshenziselwa ukwelapha ukopha okukhulu kokuya esikhathini kwabesifazane abane-uterine fibroids.

Okubalulekile: Kubaluleke kakhulu ukukhuluma nodokotela wakho nganoma yimuphi umuthi owuthathayo. Njalo xoxa nganoma yimuphi umuthi omusha nodokotela wakho ngaphambi kokuwuqala, futhi uqaphele noma yiziphi izinkinga ezingaba khona.

Ukuhlinzwa kwe-Fibroid

Kunezinto eziningana okufanele uzicabangele lapho ucabangela izinhlobo ezahlukene zokuhlinzwa kokususwa kwe-cyst. Usayizi, indawo, kanye nenani lama-cyst kuzothinta uhlobo lokuhlinzwa, futhi amathemba akho okukhulelwa kwesikhathi esizayo nawo angaba yizinto ezibalulekile ekwakheni uhlelo lokwelashwa. Ezinye izinketho zokuhlinzwa zigcina isibeletho sakho futhi zikuvumele ukuthi ukhulelwe esikhathini esizayo. Ngenkathi ezinye izinketho zingalimaza isibeletho sakho noma zidinge ukususwa okuphelele kwesibeletho sakho.

I-Myomectomy: Lokhu ukuhlinzwa okuvumela udokotela ukuthi asuse ama-fibroids kuphela. Kunezinhlobo eziningana ze-myomectomy. Indlela engcono kakhulu kuwe izoncika ekutheni ama-fibroids akho akuphi, ukuthi makhulu kangakanani, nokuthi mangaki awo onawo. Izindlela ze-Myomectomy ezisusa ama-fibroids zingafaka:

  • I-Hysteroscopy: Udokotela ufaka i-scope (ithuluzi elincane, eliguquguqukayo, elifana nethubhu) ngesitho sangasese sowesifazane kanye nomlomo wesibeletho esibelethweni. I-scope isetshenziswa ukusika nokususa ama-cyst.
  • I-Laparoscopy: Kule nqubo, udokotela usebenzisa i-scope ukususa i-cyst. Ngokungafani ne-hysteroscopy, le nqubo ihilela ukwenza izimbobo eziningana ezincane esiswini sakho. I-scope ifakwa futhi isuswe ngalezi zimbobo.
  • I-Laparotomy (ukuvula isisu): Kule nqubo, udokotela wenza ukusika okukhulu esiswini sakho bese esusa isimila ngaleyo ntambo.

Uma ungahleli ukuba nezingane esikhathini esizayo, kunezinye izinketho udokotela wakho angase azincome. Lezi zinketho zingasebenza kahle kakhulu, kodwa ngokuvamile zivimbela ukukhulelwa esikhathini esizayo. Zingafaka:

  • Ukususwa kwesisu: Ekususweni kwesibeletho, udokotela wakho ususa isibeletho sakho. Ukususwa kwesisu kuyindlela kuphela yokwelapha ama-fibroids. Uma isibeletho sisusiwe ngokuphelele, ama-fibroids awakwazi ukukhula futhi, futhi izimpawu zakho zizophela. Uma ama-ovari akho eshiywa endaweni yawo, ngeke uye esikhathini sokuya esikhathini ngemva kokususwa kwesisu. Lokhu kuhlinzwa kunganconywa uma wopha kakhulu ngenxa yama-fibroids noma uma une-fibroids enkulu. I-Hysterectomy izinqubo ezingangenisi kakhulu ezingenziwa ngesitho sangasese sowesifazane, nge-laparoscopically, noma kusetshenziswa ubuchwepheshe berobhothi.
  • `(Ukufakwa kwe-fibroid yesibeletho)` (ukuvimba ukugeleza kwegazi kuma-fibroid esibeletho):Udokotela we-X-ray ohlinzayo, ngosizo lodokotela wakho wezifo zabesifazane, wenza le nqubo. Bafaka i-catheter encane emthanjeni wakho wesibeletho noma emthanjeni we-radial bese befaka izinhlayiya ezincane kuwo. Lokhu kumisa ukugeleza kwegazi kusuka emthanjeni kuya ezinhlayiyeni. Lapho ukugeleza kwegazi kuma, izinhlayiya ziyancipha futhi izimpawu zakho ziyathuthuka. Le ndlela ayifanele wonke umuntu.
  • Ukususwa kwe-Radiofrequency (RFA): Lena indlela ephephile nephumelelayo yokwelapha i-uterine fibroids. Isebenzisa amandla e-microwave (RF). Kunconywa abesifazane abangakadluli esikhathini sokuya esikhathini. Isetshenziselwa ukwelapha i-fibroids encane.

Yiziphi izingozi zokwelashwa nge-fibroid yesibeletho?

Kunezingozi nganoma yikuphi ukwelashwa. Imithi ingaba nemiphumela emibi, futhi eminye ingase ingakulungeli. Ngaphambi kokuqala umuthi omusha, khuluma nodokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nomlando wakho ophelele wezokwelapha. Uma uba nemiphumela emibi ngemva kokuqala umuthi omusha, khuluma nodokotela wakho mayelana nezinketho zakho.

Kunezingozi nge-myomectomy. Njenganoma yikuphi ukuhlinzwa, unengozi yokutheleleka nokopha, kanye nezingozi ezihambisana ne-anesthesia. Enye ingozi eyengeziwe nge-myomectomy umphumela ekukhulelweni kwesikhathi esizayo. Ezinye izinketho zokuhlinzwa zingavimbela ukukhulelwa kwesikhathi esizayo. I-myomectomy inqubo esusa ama-fibroids kuphela, evumela ukukhulelwa kwesikhathi esizayo. Kodwa-ke, abesifazane abahlinzwa i-myomectomy kungadingeka benze ukuhlinzwa ngokuhlinzwa (C-section) uma beba nabantwana esikhathini esizayo.

Kufanele zibe nkulu kangakanani izimila zesibeletho ukuze zisuswe ngokuhlinzwa?

Akukho sayizi omisiwe wesimila esidinga ukususwa. Udokotela wakho uzonquma ukuthi ukuhlinzwa kuyadingeka yini ngokusekelwe ezimpawini zakho. Isibonelo, isimila esilingana ne-marble encane singabangela ukopha ngokweqile kuye ngokuthi sitholakala kuphi. Ungakhuluma nodokotela wakho ngezimpawu ezingadinga ukuhlinzwa.

Kwenzekani uma ama-cyst eshiywa engelashwa?

Uma ungenazo izimpawu, ungase ungadingi ukwelapha ama-cyst akho. Kodwa-ke, uma une-cyst enkulu, noma uma izimpawu zakho zikubangela ubuhlungu noma ukungakhululeki, ukwelashwa kungaba yindlela engcono kakhulu. Nguwe nodokotela wakho kuphela eninganquma ukuthi iyiphi indlela engcono kakhulu yokwelapha, noma ukuthi ingabe ukwelashwa kuyadingeka.

Ngingakhulelwa yini uma ngine-uterine fibroids?

Yebo, ungakhulelwa uma une-uterine fibroids. Uma wazi ukuthi une-fibroids uma ukhulelwa, udokotela wakho uzosebenza nawe ukuthuthukisa uhlelo lokuqapha i-fibroids yakho. Ngesikhathi sokukhulelwa, umzimba wakho ukhipha ama-hormone amaningi. Lawa ma-hormone asiza ekugcineni ukukhulelwa. Kodwa-ke, angabangela nokuthi i-fibroids yakho ikhule ibe nkulu. I-fibroids enkulu ingabangela izinkinga ngesikhathi sokukhulelwa, njenge:

  • Ingozi yokubeletha umntwana ngokuhlinzwa (C-section) iyanda ngoba ingane ayikwazi ukugoba ikhanda.
  • Umsebenzi awuqhubeki.
  • Ukuphazamiseka kwe-placenta.
  • Ukulethwa ngaphambi kwesikhathi.

Ingabe izithelo zingashintsha ngokuhamba kwesikhathi?

Eqinisweni, ama-cyst angancipha noma akhule ngokuhamba kwesikhathi. Angashintsha usayizi ngokuzumayo, noma angashintsha usayizi kancane kancane esikhathini eside. Kungaba nezizathu eziningi zalokhu, kodwa isikhathi esiningi, usayizi walezi zi-cyst uhlobene nenani lama-hormone emzimbeni wakho. Ama-cyst angakhula lapho amazinga akho e-hormone ephezulu. Lokhu kungenzeka ngezikhathi ezikhethekile empilweni yakho (njengasesikhathini sokukhulelwa). Ama-cyst angancipha nalapho amazinga akho e-hormone ephansi. Lokhu kuvamile ngemva kokunqamuka kokuya esikhathini. Ezimweni eziningi, izimpawu zakho zizothuthuka ngemva kokunqamuka kokuya esikhathini.

Ingabe ama-warts ayaphela ngokwawo?

Abanye besifazane bangase babhekane nokwehla kwama-cysts abo ngemva kokunqamuka kokuya esikhathini. Lokhu kungenxa yokuthi amazinga ama-hormone ayancipha. Njengoba ama-cysts encipha, izimpawu zakho zingase ziphele. Uma ama-cysts akho emancane futhi engabangeli zimpawu, ungase ungadingi ukwelashwa.

Uzizwa ukhathele ngenxa yamantongomane?

Ukuzizwa ukhathele akuyona uphawu oluvamile lwe-uterine fibroids. Kodwa-ke, kuwuphawu oluvamile lwe-anemia. I-anemia ingenzeka uma wopha kakhulu. Uma uzizwa ukhathele kakhulu, khuluma nodokotela ukuze bathole imbangela.

Ingabe izimila zenza isisu sakho sibe sikhulu?

Yebo, ama-fibroids amakhulu esibelethweni angabangela isisu sakho ukuba sivuvuke noma sibonakale sikhulu.

Ingabe izimila zingavinjelwa?

Ngokuvamile, awukwazi ukuvimbela ukwakheka kwama-cyst. Kodwa unganciphisa ingozi yakho ngokugcina isisindo esinempilo nokuhlolwa njalo kwe-pelvic. Uma une-cyst encane, sebenzisana nodokotela wakho ukuze wakhe uhlelo lokuyiqapha.

Kufanele ngimbone nini udokotela?

Bona udokotela uma unezimpawu ze-uterine fibroids, njenge:

  • Ukopha kakhulu futhi okungajwayelekile kwesitho sangasese sowesifazane.
  • Ukopha phakathi kokuya esikhathini.
  • Ubuhlungu be-pelvic.
  • Ubuhlungu ngesikhathi socansi.
  • Ukuzwa ukucindezeleka noma ukugcwala esiswini.

Ngenxa yokuthi lezi zimpawu ziyizimpawu ezivamile kwezinye izimo zabesifazane, kubaluleke kakhulu ukukhuluma nodokotela ngazo.

Ingabe izimila zinomdlavuza?

Akuvamile kakhulu ukuthi isimila sishintshe sibe yisifo esibi.Eqinisweni, umuntu oyedwa kuphela kubantu abangu-350 abane-cysts ozoba nomdlavuza. Akukho ukuhlolwa okunembile okungu-100% kokuthola umdlavuza ongavamile ohlotshaniswa nama-cysts. Kodwa-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha kwabesifazane abane-cysts yesibeletho ekhula ngokushesha, noma kulabo abathola ama-cysts ngemva kokunqamuka kokuya esikhathini.

I-uterine fibroids iyisimo esivamile abantu abaningi ababhekana naso ngesikhathi esithile empilweni yabo. Ngezinye izikhathi i-fibroids incane futhi ayibangeli zimpawu. Ngezinye izikhathi, i-fibroids ingabangela izimpawu ezinzima, njengobuhlungu kanye nokopha okukhulu kwesitho sangasese sowesifazane. Uma uzwa ukungakhululeki noma ubuhlungu, khuluma nodokotela wakho. Khumbula, i-fibroids ingelashwa.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake ngikutshele izinto ezimbalwa okudingeka uzikhumbule kulokho esikhulume ngakho:

  • I-uterine fibroids uhlobo lwesimila esivame ukuvela kwabesifazane abaningi futhi ngokuvamile asisona umdlavuza.
  • Akuwona wonke umuntu ozobhekana nezimpawu, kodwa qaphela uma unezimpawu ezifana nokopha kakhulu, ubuhlungu besisu esingezansi, noma ukuchama njalo.
  • Nakuba imbangela eqondile ingaziwa, kukholelwa ukuthi ama-hormone (`Estrogen`, `Progesterone`) adlala indima.
  • Uma unezimpawu, ungesabi. Kunezindlela zokwelapha ezahlukahlukene ezitholakalayo, okuhlanganisa imithi kanye nokuhlinzwa.
  • Ungesabi uma uthola ukuthi uneqhubu, ucabanga ukuthi umdlavuza. Akuvamile kakhulu. Kodwa-ke, uma iqhubu likhula ngokushesha noma likhula ngemva kokunqamuka kokuya esikhathini, bheka udokotela ngokushesha.
  • Khuluma nodokotela wakho ngokukhululekile ngezimpawu zakho kanye nezinhlelo zomndeni zesikhathi esizayo, bese ukhetha ukwelashwa okukufanele kakhulu.
  • Kubaluleke kakhulu ukugcina indlela yokuphila enempilo nokuhlolwa njalo kwezokwelapha.

Ngakho-ke, ngithemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela wakho. Hlala uphilile!


Ama- Fibroid esibeletho, Ukopha, Ubuhlungu Besisu Esiphansi, I-Gynecology, Impilo Yabesifazane, I-Myomectomy

Frequently Asked Questions (FAQ)

Yiziphi izingozi zokwelashwa nge-fibroid yesibeletho?

Kunezingozi nganoma yikuphi ukwelashwa. Imithi ingaba nemiphumela emibi, futhi eminye ingase ingakulungeli. Ngaphambi kokuqala umuthi omusha, khuluma nodokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nomlando wakho ophelele wezokwelapha. Uma uba nemiphumela emibi ngemva kokuqala umuthi omusha, khuluma nodokotela wakho mayelana nezinketho zakho.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Uyazazi yini izimila zesibeletho? Ake sixoxe ngazo ngokuningiliziwe!
Impilo YokuzalaJulayi 16, 2026

Uyazazi yini izimila zesibeletho? Ake sixoxe ngazo ngokuningiliziwe!

Ingabe ngezinye izikhathi uzwa ukopha okungabekezeleleki ngesikhathi sokuya esikhathini? Noma uzizwa nje ugcwele noma usinda esiswini sakho esingezansi? Mhlawumbe lokhu kungenxa yohlobo lwesimila esikhula esibelethweni. Namuhla sizokhuluma ngento ekhula ngabesifazane abaningi, kodwa abantu abaningi abazi ngayo. Lokho yi-uterine fibroids, noma njengoba sisho ngesiNgisi, `(Uterine Fibroids)`.

Ziyini i-uterine fibroids?

Kalula nje, ama-fibroids esibeletho yizimila ezenziwe ngemisipha nezicubu ezakheka odongeni lwesibeletho sakho, noma ngaphakathi noma ngaphandle kwesibeletho. Zibizwa nangokuthi "ama-Leiomyomas". Into ebalulekile ukuthi lezi zimila ngokuvamile azinawo umdlavuza (okungukuthi, "azinabungozi"). Eqinisweni, ziwuhlobo oluvame kakhulu lwesimila esingenawo umdlavuza olutholakala kwabesifazane.

Lezi zimpawu ze-uterine fibroids ngezinye izikhathi zingadala izimpawu ezahlukahlukene, njengobuhlungu, ukopha okukhulu nokungajwayelekile kwesitho sangasese sowesifazane, njll. Kodwa-ke, abanye abantu bangaba nalezi zimpawu ze-fibroids ngaphandle kwezimpawu. Bangase bangazi nokuthi banazo. Ukuthi ukwelapha noma cha i-fibroids kuvame ukunqunywa yizimpawu onazo.

La mantongomane akhula kuphi?

Amaqhubu esibeletho angakhula njengeqhubu elilodwa (`iqhubu elilodwa`) noma njengeqoqo. La maqhubu angahluka ngobukhulu kusukela kumancane njengemilimitha elilodwa kuya kumakhulu angamasentimitha angama-20 (cishe amasentimitha ayi-8) noma ngaphezulu. Cabanga nje, angakhula kusukela kumancane njengembewu kuya kumakhulu njengekhabe! Angakhula ngaphakathi kodonga lwesibeletho sakho, ngaphakathi kwembobo eyinhloko yesibeletho, noma ebusweni bangaphandle besibeletho.

Yiziphi izinhlobo ze-uterine fibroids?

Kunezinhlobo ezahlukene ze-uterine fibroids, kuye ngokuthi zakheka kuphi nokuthi zinamathele kanjani esibelethweni. Izinhlobo eziyinhloko yilezi:

  • Ama-fibroids angaphakathi kwesibeletho: Lawa uhlobo oluvame kakhulu. Lawa ma-fibroids atholakala ngaphakathi kodonga lwemisipha lwesibeletho.
  • I-Submucosal fibroids: Lezi zikhula ngaphansi kolwelwesi lwesibeletho. Lezi zivame ukuba yimbangela yokopha kakhulu.
  • Ama-fibroids angaphansi kwe-serosal: Lezi zinhlobo zama-fibroids zikhula ngaphansi kwengqimba engaphandle yesibeletho. Ngezinye izikhathi zingakhula zibe zinkulu kakhulu futhi zingene emgodini we-pelvic.
  • Ama-fibroids athambile: Lawa uhlobo olungavamile kakhulu. Lawa ma-fibroids anamathele esibelethweni ngengxenye efana nesiqu. Abizwa nangokuthi "afana namakhowe" ngoba anesiqu kanye nengxenye ebanzi phezulu, efana nekhowe.

Ingabe ama-fibroids esibelethweni avamile?

Yebo, lezi zimila ziyisifo esivame kakhulu.Kuthiwa phakathi kuka-40% no-80% wabesifazane abanesibeletho banalezi zinhlayiya. Zivame ukuvela kwabesifazane abaneminyaka ephakathi kuka-30 no-50. Lezi zinhlayiya ngokuvamile aziveli kwabesifazane abangazange baye esikhathini sabo sokuqala. Futhi azivamile kakhulu kwabesifazane abaye badlula esikhathini sokunqamuka kokuya esikhathini.

Ziyini izimpawu ze-uterine fibroids?

Ama-cyst amaningi amancane awabangeli zimpawu. Ngakho-ke, akukho ukwelashwa okudingekayo ngaphandle kokuhlolwa njalo nodokotela. Kodwa-ke, uma une-cyst enkulu, ungase ube nezimpawu ezahlukahlukene. Ezinye zazo zifaka:

  • Ukopha okukhulu noma okubuhlungu ngesikhathi sokuya esikhathini.
  • Ukopha phakathi kokuya esikhathini.
  • Umuzwa wokugcwala noma ukuqunjelwa esiswini esingezansi.
  • Ukuchama njalo (lokhu kungenzeka uma isimila sicindezela esinyeni).
  • Ukuzwa ubuhlungu ngesikhathi socansi.
  • Ukuhlungu obusemhlane.
  • Ukuqunjelwa noma umuzwa wokucindezeleka e-rectum.
  • Ukuphuma koketshezi esithweni sangasese sowesifazane okungapheli.
  • Ukungakwazi ukuchama noma ukukhipha ngokuphelele isinyi.
  • Ukuvuvukala kwesisu, okuqala ukubonakala njengesisu esikhulelwe.

Lezi zimpawu zivame ukuzinza noma zinyamalale ngemva kokunqamuka kokuya esikhathini. Lokhu kungenxa yokuthi amazinga ama-hormone emzimbeni ayancipha.

Ubuhlungu obubangelwa yi-uterine fibroids buzwakala kanjani?

Uma unezimila, ungase uzizwe imizwa ehlukahlukene. Uma unezimila ezincane, ungase ungezwa lutho noma wazi ukuthi zikhona. Kodwa uma unezimila ezinkulu, ungase uzizwe ungakhululekile futhi ubuhlungu. Lawa ma-cyst angabangela ubuhlungu emhlane, ubuhlungu obuhlabayo esiswini, ngisho nobuhlungu ngesikhathi socansi.

Zibukeka kanjani lezi zinambuzane?

Izithelo zivame ukubukeka njengezigaxa ezibushelelezi neziyindilinga. Ngezinye izikhathi, njengoba kushiwo ngaphambili, zinganamatheliswa esiqwini esincane futhi zibukeke njengamakhowe.

Yini ebangela ama-fibroids esibelethweni?

Imbangela eqondile yalokhu ayaziwa okwamanje . Kodwa-ke, odokotela bakholelwa ukuthi ama-hormone amabili abizwa ngokuthi i-estrogen ne-progesterone adlala indima. Lawa ma-tumors avame ukukhula kwabesifazane abaseminyakeni yokuzala. Ucwaningo luye lwabonisa ukuthi la ma-tumors akhula ngezikhathi zamazinga aphezulu ama-hormone (njengangesikhathi sokukhulelwa) futhi anciphe ngezikhathi zamazinga aphansi ama-hormone (njengangesikhathi sokunqamuka kokuya esikhathini).

Yiziphi izinto ezibangela ingozi yokuthola ama-fibroids esibelethweni?

Kunezici eziningana eziyingozi ezingathinta amathuba akho okuthola izimila. Ezinye zazo zifaka:

  • Ukukhuluphala ngokweqile kanye nokuba ne-body mass index ephezulu (`BMI`).
  • Ukuba nomlando womndeni wokuba nama-cysts.
  • Ukungabi nabantwana.
  • Ukuqala kokuya esikhathini kusenesikhathi.
  • Ubudala bokuphela kokunqamuka kokuya esikhathini.

Yiziphi izinkinga ezibangelwa yi-uterine fibroids?

Iningi lama-fibroids esibelethweni alibangeli izinkinga ezinkulu. Kodwa-ke, izinkinga ezivame kakhulu yilezi:

  • Ubuhlungu obungalawuleki.
  • Ukuvuvukala esiswini sakho noma endaweni ye-pelvic.
  • Ukopha ngokweqile.
  • I-anemia.
  • Ukwehla kwamandla okuthola abantwana (`Ukungazali`) (lokhu akuvamile kakhulu).

Ingabe izimila zingadala i-anemia?

Yebo, impela. I-anemia yisimo esenzeka uma ungenawo amangqamuzana abomvu egazi anempilo anele ukuthwala umoya-mpilo uye ezithweni zomzimba wakho. Abantu abanezikhathi ezivamile noma ezinzima bangaba ne-anemia. Lawa ma-cyst angabangela ukuthi ukuya kwakho esikhathini kube nzima kakhulu, noma ungase wophe igazi phakathi nesikhathi. Uma unezimpawu ze-anemia (ikakhulukazi ukukhathala okukhulu) ngenkathi unezigaxa, qiniseka ukuthi ukhuluma nodokotela.

Uthola kanjani ukuthi une-uterine fibroids?

Ngokuvamile, udokotela uthola ama-fibroids esibelethweni ngesikhathi sokuhlolwa kwe-pelvic. Udokotela angase asole ukuthi i-fibroid ibangelwa ukopha okukhulu nezinye izimpawu. Kunezivivinyo eziningana ezingaqinisekisa ukuthi i-fibroid ikhona yini futhi zinqume ubukhulu bayo nendawo yayo:

  • I-Ultrasonography (ukuskena kwe-ultrasound): Lokhu ukuhlolwa okungenabuhlungu okusebenzisa amaza omsindo ukudala isithombe sezitho zakho zangaphakathi.
  • I-Magnetic Resonance Imaging (MRI): Lokhu kuhlola kusebenzisa omaginethi namagagasi omsakazo ukudala izithombe ezinemininingwane yezitho zakho zangaphakathi.
  • `(I-Computed Tomography - I-CT scan)` (I-CT scan): I-CT scan isebenzisa izithombe ze-X-ray ukudala izithombe ezinemininingwane yezitho zakho zangaphakathi ezivela emakhoneni ahlukene.
  • I-Hysteroscopy: Kule nqubo, udokotela usebenzisa i-scope (ithubhu elincane, eliguquguqukayo elinekhamera enamathiselwe) ukuze abheke ingaphakathi lesibeletho. I-scope idluliselwa esithweni sangasese sowesifazane kanye ne-cervix iye esibelethweni.
  • I-Hysterosalpingography (HSG): Lolu ukuhlolwa kwe-X-ray okuningiliziwe. Udokotela ufaka umuthi okhethekile (izinto ezihlukile) bese ethatha izithombe ze-X-ray zesibeletho.
  • I-Sonohysterography: Kulolu vivinyo, udokotela ufaka i-catheter encane esithweni sangasese sowesifazane bese efaka isixazululo se-saline esibelethweni. Lesi sixazululo esengeziwe sivumela izithombe ezicacile kune-ultrasound evamile.
  • I-Laparoscopy: Kulolu vivinyo, udokotela wenza ukusika okuncane esiswini sakho esingezansi. Kufakwa ipayipi elincane neliguquguqukayo elinekhamera ngokusebenzisa ukusika ukuze kuhlolwe ingaphakathi lomzimba wakho.

Iphathwa kanjani i-uterine fibroids?

Ukwelashwa kwe-uterine fibroids kungahluka kuye ngobukhulu, inombolo, indawo, kanye nezimpawu zama-cysts. Uma ungenazo izimpawu ezivela kuma-cysts, ungase ungadingi ukwelashwa. Ama-cysts amancane angashiywa wodwa ngaphandle kokwelashwa. Abanye abantu abakaze babe nezimpawu noma izinkinga ngama-cysts. Ezimweni ezinjalo, udokotela wakho uzokutshela ukuthi uhlolwe njalo ngesinqe noma uhlolwe nge-ultrasound ukuze uqaphe ama-cysts.

Kodwa uma unezimpawu zesimila (njenge-anemia ngenxa yokopha ngokweqile, ubuhlungu obuphakathi kuya kobunzima, izinkinga zomgudu womchamo kanye namathumbu), ungadinga ukwelashwa ukuze kusize. Uhlelo lwakho lokwelashwa luzoncika ezintweni eziningana:

  • Mangaki amantongomane onawo?
  • Usayizi wamantongomane akho.
  • Ziphi izithiyo zakho?
  • Ziyini izimpawu zakho ezihlobene nezimila?
  • Isifiso sakho sokugcina isibeletho sakho.

Uma ukhetha inketho yokwelashwa engcono kakhulu kuwe, kufanele futhi ucabangele izinhlelo zakho zokukhulelwa kwesikhathi esizayo. Qiniseka ukuthi uxoxa ngemigomo yakho yokuzala nodokotela wakho lapho uxoxa ngezinketho zokwelapha.

Izindlela zokwelapha i-uterine fibroids zingafaka:

Imithi

  • Imithi yobuhlungu ethengiswa ngaphandle kwemithi kadokotela (OTC): Le mithi ingasiza ekulawuleni ubuhlungu kanye nokungakhululeki okubangelwa yizimila. Lokhu kufaka phakathi i-acetaminophen (njenge-Panadol) kanye ne-ibuprofen.
  • Izithako zensimbi: Uma une-anemia ngenxa yokopha ngokweqile, udokotela wakho angakutshela ukuthi uthathe isithako sensimbi.
  • Ukulawula ukukhulelwa: Ukulawula ukukhulelwa kungasiza futhi ekulawuleni izimpawu zama-cysts (ikakhulukazi ukopha okukhulu ngesikhathi nangemva kokuya esikhathini, kanye nobuhlungu besisu). Kunezindlela ezahlukene zokulawula ukukhulelwa ongazisebenzisa. Isibonelo, amaphilisi okuvimbela ukukhulelwa ngomlomo, izindandatho, imijovo, kanye namadivayisi angaphakathi kwesibeletho (ama-IUD).
  • Ama-agonist e-Gonadotropin-releasing hormone (GnRH): Le mithi inciphisa izimila. Ngezinye izikhathi isetshenziswa ngaphambi kokuhlinzwa ukuze inciphise isimila futhi kwenze kube lula ukusisusa. Kodwa-ke, le mithi ingeyesikhashana. Isimila singakhula futhi uma uyeka ukusithatha.
  • Ukwelashwa ngomlomo: I-Elagolix iyindlela entsha yokwelapha ngomlomo yokulawula ukopha okukhulu kokuya esikhathini kwabesifazane abanezimpawu ze-uterine fibroids abangakayi esikhathini. Ingathathwa kuze kube yizinyanga ezingu-24. Khuluma nodokotela wakho ngezinzuzo kanye nokungalungi kwalokhu kwelashwa. Okunye ukwelashwa ngomlomo okubizwa ngokuthi i-tranexamic acid kusetshenziselwa ukwelapha ukopha okukhulu kokuya esikhathini kwabesifazane abane-uterine fibroids.

Okubalulekile: Kubaluleke kakhulu ukukhuluma nodokotela wakho nganoma yimuphi umuthi owuthathayo. Njalo xoxa nganoma yimuphi umuthi omusha nodokotela wakho ngaphambi kokuwuqala, futhi uqaphele noma yiziphi izinkinga ezingaba khona.

Ukuhlinzwa kwe-Fibroid

Kunezinto eziningana okufanele uzicabangele lapho ucabangela izinhlobo ezahlukene zokuhlinzwa kokususwa kwe-cyst. Usayizi, indawo, kanye nenani lama-cyst kuzothinta uhlobo lokuhlinzwa, futhi amathemba akho okukhulelwa kwesikhathi esizayo nawo angaba yizinto ezibalulekile ekwakheni uhlelo lokwelashwa. Ezinye izinketho zokuhlinzwa zigcina isibeletho sakho futhi zikuvumele ukuthi ukhulelwe esikhathini esizayo. Ngenkathi ezinye izinketho zingalimaza isibeletho sakho noma zidinge ukususwa okuphelele kwesibeletho sakho.

I-Myomectomy: Lokhu ukuhlinzwa okuvumela udokotela ukuthi asuse ama-fibroids kuphela. Kunezinhlobo eziningana ze-myomectomy. Indlela engcono kakhulu kuwe izoncika ekutheni ama-fibroids akho akuphi, ukuthi makhulu kangakanani, nokuthi mangaki awo onawo. Izindlela ze-Myomectomy ezisusa ama-fibroids zingafaka:

  • I-Hysteroscopy: Udokotela ufaka i-scope (ithuluzi elincane, eliguquguqukayo, elifana nethubhu) ngesitho sangasese sowesifazane kanye nomlomo wesibeletho esibelethweni. I-scope isetshenziswa ukusika nokususa ama-cyst.
  • I-Laparoscopy: Kule nqubo, udokotela usebenzisa i-scope ukususa i-cyst. Ngokungafani ne-hysteroscopy, le nqubo ihilela ukwenza izimbobo eziningana ezincane esiswini sakho. I-scope ifakwa futhi isuswe ngalezi zimbobo.
  • I-Laparotomy (ukuvula isisu): Kule nqubo, udokotela wenza ukusika okukhulu esiswini sakho bese esusa isimila ngaleyo ntambo.

Uma ungahleli ukuba nezingane esikhathini esizayo, kunezinye izinketho udokotela wakho angase azincome. Lezi zinketho zingasebenza kahle kakhulu, kodwa ngokuvamile zivimbela ukukhulelwa esikhathini esizayo. Zingafaka:

  • Ukususwa kwesisu: Ekususweni kwesibeletho, udokotela wakho ususa isibeletho sakho. Ukususwa kwesisu kuyindlela kuphela yokwelapha ama-fibroids. Uma isibeletho sisusiwe ngokuphelele, ama-fibroids awakwazi ukukhula futhi, futhi izimpawu zakho zizophela. Uma ama-ovari akho eshiywa endaweni yawo, ngeke uye esikhathini sokuya esikhathini ngemva kokususwa kwesisu. Lokhu kuhlinzwa kunganconywa uma wopha kakhulu ngenxa yama-fibroids noma uma une-fibroids enkulu. I-Hysterectomy izinqubo ezingangenisi kakhulu ezingenziwa ngesitho sangasese sowesifazane, nge-laparoscopically, noma kusetshenziswa ubuchwepheshe berobhothi.
  • `(Ukufakwa kwe-fibroid yesibeletho)` (ukuvimba ukugeleza kwegazi kuma-fibroid esibeletho):Udokotela we-X-ray ohlinzayo, ngosizo lodokotela wakho wezifo zabesifazane, wenza le nqubo. Bafaka i-catheter encane emthanjeni wakho wesibeletho noma emthanjeni we-radial bese befaka izinhlayiya ezincane kuwo. Lokhu kumisa ukugeleza kwegazi kusuka emthanjeni kuya ezinhlayiyeni. Lapho ukugeleza kwegazi kuma, izinhlayiya ziyancipha futhi izimpawu zakho ziyathuthuka. Le ndlela ayifanele wonke umuntu.
  • Ukususwa kwe-Radiofrequency (RFA): Lena indlela ephephile nephumelelayo yokwelapha i-uterine fibroids. Isebenzisa amandla e-microwave (RF). Kunconywa abesifazane abangakadluli esikhathini sokuya esikhathini. Isetshenziselwa ukwelapha i-fibroids encane.

Yiziphi izingozi zokwelashwa nge-fibroid yesibeletho?

Kunezingozi nganoma yikuphi ukwelashwa. Imithi ingaba nemiphumela emibi, futhi eminye ingase ingakulungeli. Ngaphambi kokuqala umuthi omusha, khuluma nodokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nomlando wakho ophelele wezokwelapha. Uma uba nemiphumela emibi ngemva kokuqala umuthi omusha, khuluma nodokotela wakho mayelana nezinketho zakho.

Kunezingozi nge-myomectomy. Njenganoma yikuphi ukuhlinzwa, unengozi yokutheleleka nokopha, kanye nezingozi ezihambisana ne-anesthesia. Enye ingozi eyengeziwe nge-myomectomy umphumela ekukhulelweni kwesikhathi esizayo. Ezinye izinketho zokuhlinzwa zingavimbela ukukhulelwa kwesikhathi esizayo. I-myomectomy inqubo esusa ama-fibroids kuphela, evumela ukukhulelwa kwesikhathi esizayo. Kodwa-ke, abesifazane abahlinzwa i-myomectomy kungadingeka benze ukuhlinzwa ngokuhlinzwa (C-section) uma beba nabantwana esikhathini esizayo.

Kufanele zibe nkulu kangakanani izimila zesibeletho ukuze zisuswe ngokuhlinzwa?

Akukho sayizi omisiwe wesimila esidinga ukususwa. Udokotela wakho uzonquma ukuthi ukuhlinzwa kuyadingeka yini ngokusekelwe ezimpawini zakho. Isibonelo, isimila esilingana ne-marble encane singabangela ukopha ngokweqile kuye ngokuthi sitholakala kuphi. Ungakhuluma nodokotela wakho ngezimpawu ezingadinga ukuhlinzwa.

Kwenzekani uma ama-cyst eshiywa engelashwa?

Uma ungenazo izimpawu, ungase ungadingi ukwelapha ama-cyst akho. Kodwa-ke, uma une-cyst enkulu, noma uma izimpawu zakho zikubangela ubuhlungu noma ukungakhululeki, ukwelashwa kungaba yindlela engcono kakhulu. Nguwe nodokotela wakho kuphela eninganquma ukuthi iyiphi indlela engcono kakhulu yokwelapha, noma ukuthi ingabe ukwelashwa kuyadingeka.

Ngingakhulelwa yini uma ngine-uterine fibroids?

Yebo, ungakhulelwa uma une-uterine fibroids. Uma wazi ukuthi une-fibroids uma ukhulelwa, udokotela wakho uzosebenza nawe ukuthuthukisa uhlelo lokuqapha i-fibroids yakho. Ngesikhathi sokukhulelwa, umzimba wakho ukhipha ama-hormone amaningi. Lawa ma-hormone asiza ekugcineni ukukhulelwa. Kodwa-ke, angabangela nokuthi i-fibroids yakho ikhule ibe nkulu. I-fibroids enkulu ingabangela izinkinga ngesikhathi sokukhulelwa, njenge:

  • Ingozi yokubeletha umntwana ngokuhlinzwa (C-section) iyanda ngoba ingane ayikwazi ukugoba ikhanda.
  • Umsebenzi awuqhubeki.
  • Ukuphazamiseka kwe-placenta.
  • Ukulethwa ngaphambi kwesikhathi.

Ingabe izithelo zingashintsha ngokuhamba kwesikhathi?

Eqinisweni, ama-cyst angancipha noma akhule ngokuhamba kwesikhathi. Angashintsha usayizi ngokuzumayo, noma angashintsha usayizi kancane kancane esikhathini eside. Kungaba nezizathu eziningi zalokhu, kodwa isikhathi esiningi, usayizi walezi zi-cyst uhlobene nenani lama-hormone emzimbeni wakho. Ama-cyst angakhula lapho amazinga akho e-hormone ephezulu. Lokhu kungenzeka ngezikhathi ezikhethekile empilweni yakho (njengasesikhathini sokukhulelwa). Ama-cyst angancipha nalapho amazinga akho e-hormone ephansi. Lokhu kuvamile ngemva kokunqamuka kokuya esikhathini. Ezimweni eziningi, izimpawu zakho zizothuthuka ngemva kokunqamuka kokuya esikhathini.

Ingabe ama-warts ayaphela ngokwawo?

Abanye besifazane bangase babhekane nokwehla kwama-cysts abo ngemva kokunqamuka kokuya esikhathini. Lokhu kungenxa yokuthi amazinga ama-hormone ayancipha. Njengoba ama-cysts encipha, izimpawu zakho zingase ziphele. Uma ama-cysts akho emancane futhi engabangeli zimpawu, ungase ungadingi ukwelashwa.

Uzizwa ukhathele ngenxa yamantongomane?

Ukuzizwa ukhathele akuyona uphawu oluvamile lwe-uterine fibroids. Kodwa-ke, kuwuphawu oluvamile lwe-anemia. I-anemia ingenzeka uma wopha kakhulu. Uma uzizwa ukhathele kakhulu, khuluma nodokotela ukuze bathole imbangela.

Ingabe izimila zenza isisu sakho sibe sikhulu?

Yebo, ama-fibroids amakhulu esibelethweni angabangela isisu sakho ukuba sivuvuke noma sibonakale sikhulu.

Ingabe izimila zingavinjelwa?

Ngokuvamile, awukwazi ukuvimbela ukwakheka kwama-cyst. Kodwa unganciphisa ingozi yakho ngokugcina isisindo esinempilo nokuhlolwa njalo kwe-pelvic. Uma une-cyst encane, sebenzisana nodokotela wakho ukuze wakhe uhlelo lokuyiqapha.

Kufanele ngimbone nini udokotela?

Bona udokotela uma unezimpawu ze-uterine fibroids, njenge:

  • Ukopha kakhulu futhi okungajwayelekile kwesitho sangasese sowesifazane.
  • Ukopha phakathi kokuya esikhathini.
  • Ubuhlungu be-pelvic.
  • Ubuhlungu ngesikhathi socansi.
  • Ukuzwa ukucindezeleka noma ukugcwala esiswini.

Ngenxa yokuthi lezi zimpawu ziyizimpawu ezivamile kwezinye izimo zabesifazane, kubaluleke kakhulu ukukhuluma nodokotela ngazo.

Ingabe izimila zinomdlavuza?

Akuvamile kakhulu ukuthi isimila sishintshe sibe yisifo esibi.Eqinisweni, umuntu oyedwa kuphela kubantu abangu-350 abane-cysts ozoba nomdlavuza. Akukho ukuhlolwa okunembile okungu-100% kokuthola umdlavuza ongavamile ohlotshaniswa nama-cysts. Kodwa-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha kwabesifazane abane-cysts yesibeletho ekhula ngokushesha, noma kulabo abathola ama-cysts ngemva kokunqamuka kokuya esikhathini.

I-uterine fibroids iyisimo esivamile abantu abaningi ababhekana naso ngesikhathi esithile empilweni yabo. Ngezinye izikhathi i-fibroids incane futhi ayibangeli zimpawu. Ngezinye izikhathi, i-fibroids ingabangela izimpawu ezinzima, njengobuhlungu kanye nokopha okukhulu kwesitho sangasese sowesifazane. Uma uzwa ukungakhululeki noma ubuhlungu, khuluma nodokotela wakho. Khumbula, i-fibroids ingelashwa.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake ngikutshele izinto ezimbalwa okudingeka uzikhumbule kulokho esikhulume ngakho:

  • I-uterine fibroids uhlobo lwesimila esivame ukuvela kwabesifazane abaningi futhi ngokuvamile asisona umdlavuza.
  • Akuwona wonke umuntu ozobhekana nezimpawu, kodwa qaphela uma unezimpawu ezifana nokopha kakhulu, ubuhlungu besisu esingezansi, noma ukuchama njalo.
  • Nakuba imbangela eqondile ingaziwa, kukholelwa ukuthi ama-hormone (`Estrogen`, `Progesterone`) adlala indima.
  • Uma unezimpawu, ungesabi. Kunezindlela zokwelapha ezahlukahlukene ezitholakalayo, okuhlanganisa imithi kanye nokuhlinzwa.
  • Ungesabi uma uthola ukuthi uneqhubu, ucabanga ukuthi umdlavuza. Akuvamile kakhulu. Kodwa-ke, uma iqhubu likhula ngokushesha noma likhula ngemva kokunqamuka kokuya esikhathini, bheka udokotela ngokushesha.
  • Khuluma nodokotela wakho ngokukhululekile ngezimpawu zakho kanye nezinhlelo zomndeni zesikhathi esizayo, bese ukhetha ukwelashwa okukufanele kakhulu.
  • Kubaluleke kakhulu ukugcina indlela yokuphila enempilo nokuhlolwa njalo kwezokwelapha.

Ngakho-ke, ngithemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela wakho. Hlala uphilile!


Ama- Fibroid esibeletho, Ukopha, Ubuhlungu Besisu Esiphansi, I-Gynecology, Impilo Yabesifazane, I-Myomectomy

Frequently Asked Questions (FAQ)

Yiziphi izingozi zokwelashwa nge-fibroid yesibeletho?

Kunezingozi nganoma yikuphi ukwelashwa. Imithi ingaba nemiphumela emibi, futhi eminye ingase ingakulungeli. Ngaphambi kokuqala umuthi omusha, khuluma nodokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nomlando wakho ophelele wezokwelapha. Uma uba nemiphumela emibi ngemva kokuqala umuthi omusha, khuluma nodokotela wakho mayelana nezinketho zakho.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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