Ama-Froid amantombazane

I-uterine fibroids ukukhula okuvamile esibelethweni sabesifazane. Ikakhulukazi i-asymptomatic. Kodwa ngezinye izikhathi, zingadala izinkinga ezimbalwa zezempilo. Ake sembule isahluko ngasinye mayelana ne-uterine fibroids ngendlela eqondakala kalula. 

Yiziphi I-Uterine Fibroids?

I-uterine fibroids yizimila ezingenawo umdlavuza. Zingahluka ngosayizi, kusukela kuma-fibroids amancane esibelethweni kuya ezixukwini ezinkulu. Anamaseli emisipha yesibeletho kanye nezicubu ezixhumeneyo ze-fibrous futhi angenzeka njengesisindo esisodwa noma ngamaqoqo. 

Izinhlobo ze-Uterine Fibroids

Kunezinhlobo eziningana ze-uterine fibroids, ngokusekelwe endaweni yazo ngaphakathi kwesibeletho, kuhlanganise: 

• I-Intramural fibroids: Ziwuhlobo oluvame kakhulu lwe-uterine fibroids engakhula ngaphakathi kodonga lwesibeletho olunemisipha. 
• I-subserosal uterine fibroids: Lawa ma-fibroids akhula endaweni engaphandle yesibeletho futhi kwesinye isikhathi angakhula ohlangeni (abe yi-pedunculated). 
• Ama-submucosal fibroids: Abizwa ngokuthi ama-submucosal fibroids njengoba akhula ngaphansi kwe-endometrium (ulwelwesi lwangaphakathi lwesibeletho). Bangakwazi ukuphumela emgodini wesibeletho. 
• Pedunculated fibroids: Lezi fibroids zikhula esakhiweni esifana nesiqu ngaphakathi noma ngaphandle kwesibeletho. 

Izimpawu ze-Uterine Fibroids

Izimpawu ze-uterine fibroids zingahluka kuye ngobukhulu be-fibroid, indawo, kanye nenani lama-fibroids akhona. Abanye besifazane bangase bangabi nazimpawu nhlobo, kuyilapho abanye bengase bahlupheke ngenxa yobunzima noma isikhathi eside ukuya esikhathini ukopha, ubuhlungu be-pelvic noma ingcindezi, ukuchama okungavamile noma ubunzima bokuthulula esinyeni, ukuqunjelwa noma ukuqunjelwa, iqolo noma ubuhlungu bomlenze, nezindaba zokuzala, njengokungazali noma ukukhulelwa kwesisu. 

Iyini imbangela yokuthuthukiswa kwe-uterine fibroids?

Isizathu esiqondile se-fibroids esibelethweni asikaziwa isikhathi esiningi, kodwa izici eziningana zingase zibe nomthelela ekukhuleni kwazo, njenge: 

• AmaHormone: Ngokocwaningo oluthile, estrogen kanye ne-progesterone, amahomoni amabili okuqala abesifazane, adlala indima ebalulekile ekukhuleni kwe-uterine fibroids. Lapho amazinga alawa ma-hormone ehla ngemva kokuya esikhathini, ama-fibroids avame ukuncipha. 
• I-Genetics: Abesifazane abanomlando womndeni we-uterine fibroids kungenzeka ukuthi bathuthuke. 
• Ubuhlanga: Abesifazane base-Afrika baseMelika bathambekele kakhulu ekuthuthukiseni i-uterine fibroids kunabesifazane bezinye izinhlanga. 
• Ubudala: I-Fibroids ivamise ukukhula phakathi neminyaka yokuzala, futhi ingozi iyanda njengoba abesifazane besondela ekunqamukeni kokuya esikhathini. 
• Ezinye izici, njengokuqala kokuya esikhathini, ukukhuluphala, i-hypothyroidism, kanye nemikhuba ethile yokudla, kungase kube nomthelela ekwakhiweni kwe-uterine fibroids. 

Sifo

Abanye besifazane abane-uterine fibroids bangase bangabi nazimpawu nhlobo, futhi udokotela angathola isimo ngesikhathi sokuhlolwa kwe-pelvic okujwayelekile noma ukuhlolwa kwesithombe. Ezinye zezivivinyo zokuxilonga yilezi: 

• Ukuhlolwa kwe-pelvic: Ngesikhathi sokuhlolwa kwe-pelvic, udokotela wakho angase azwe ukuthi kukhona ama-fibroids esibelethweni. 
• I-Ultrasound: I-Ultrasound ye-Transvaginal noma yesisu inganikeza izithombe eziphelele zesibeletho kanye nanoma iyiphi i-fibroids ekhona. 
• I-Magnetic Resonance Imaging (MRI): I-MRI inganikeza izithombe ezinemininingwane eminingi yesibeletho nama-fibroids, isiza ukunquma ubukhulu bazo, indawo, nenombolo. 
• I-Hysteroscopy: Le nqubo yezokwelapha ihilela ukufaka i-catheter encane, ekhanyayo emlonyeni wesibeletho ukuze ihlole ingaphakathi lesibeletho. 

Ukwelashwa kwe-Uterine Fibroid

Ziningi izinto ezingaba nomthelela ohlelweni lokwelashwa kwe-uterine fibroids, okuhlanganisa kodwa kungagcini ngobunzima bezimpawu, ubukhulu kanye nesimo se-fibroids, kanye neminyaka yowesifazane nesifiso sekusasa. ukukhulelwa. Izinketho zokwelapha zihlanganisa: 

• Ukulinda ukuqapha: Uma i-uterine fibroids incane futhi ingabonakali, udokotela wakho angase asikisele ukuqapha okuvamile ngaphandle kokwelashwa ngokushesha.
• Imithi: Imithi ethile, efana ne-gonadotropin-releasing hormone (GnRH) agonists noma non-steroidal anti-inflammatory drugs (NSAIDs), ingasiza ekulawuleni izimpawu ezinjengezinzima. ukuphuma noma ubuhlungu be-pelvic. 
• Izinqubo ezihlasela kancane: 
  • I-Uterine artery embolization (UAE): Le nqubo ivimbela ukuhlinzekwa kwegazi kuma-fibroids, okuholela ekushwabaneni. 
  • I-Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS): I-MRgFUS iyinqubo engavamile esebenzisa amagagasi e-ultrasound agxile kakhulu ukuze abhubhise izicubu ze-fibroid. 
  • Ukukhishwa kwe-Endometrial: Kubhubhisa ulwelwesi lwesibeletho, kunciphisa ukopha okukhulu okuhambisana nama-fibroids. 
• Ukuhlinzwa: 
  • I-Myomectomy: Le nqubo yokuhlinzwa isusa ama-fibroids ngenkathi 
  • ukulondoloza isibeletho, okwenza kube inketho kwabesifazane abafisa ukukhulelwa esikhathini esizayo. 
  • I-Hysterectomy: Odokotela abahlinzayo ngokuvamile batusa lokhu kususwa kokuhlinzwa kwesibeletho kwabesifazane abanezimpawu ezinzima noma ama-fibroids amakhulu abangafuni ukulondoloza inzalo yabo. 

Izinkinga ze-Uterine Fibroids

Nakuba i-uterine fibroids ngokuvamile iyingozi, ngezinye izikhathi ingaholela ezinkingeni, ezifana nokopha okukhulu noma okweqile kokuya esikhathini, ubuhlungu be-pelvic noma ingcindezi ngenxa yokukhuliswa kwesibeletho se-fibroid, izinkinga zokuzala, nezinkinga zomchamo noma zamathumbu. I-fibroids ingase icindezele esinyeni noma i-rectum, okuholela ekuchameni njalo, kube nzima ukukhipha esinyeni, ukuqunjelwa, noma, ezimeni ezimbi kakhulu, ukuvaleka kwamathumbu nobuhlungu obukhulu noma imfiva. 

Ngesikhathi sokubona udokotela 

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kubalulekile ukubonana nodokotela wakho: 

• Ukopha kakhulu noma isikhathi eside sokuya esikhathini 
• Ubuhlungu be-pelvic noma ingcindezi 
• Ukuchama njalo noma ubunzima bokuthulula esinyeni 
• Ukuqunjelwa noma ukuvuvukala 
• Izinkinga zokuzala, njengokuphuphuma kwesisu okuphindaphindiwe noma ukungazali 

Prevention

Nakuba ingekho indlela eqinisekisiwe yokuvimbela i-uterine fibroids, izinguquko ezithile endleleni yokuphila zingasiza ukunciphisa ubungozi bakho, okuhlanganisa: 

• Gcina isisindo esinempilo: Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile kwandisa ingozi yokuthola ama-fibroids. Ngakho-ke, zama ukugcina isisindo esinempilo ngokudla nokuzivocavoca. Ukuvivinya umzimba njalo, njengokuhamba, i-yoga yamandla, ukugibela ibhayisikili, nokubhukuda, kungagcina isisindo esinempilo futhi kungase kunciphise ingozi yama-fibroids.
• Yidla ukudla okunomsoco: Ukudla okucebile ngezithelo eziphilayo, imifino emisha, nokusanhlamvu kungasiza ukunciphisa ingozi ye-fibroids. 
• Nciphisa ukuphuza utshwala: Ukuphuza ngokweqile kuye kwaxhunyaniswa nengozi eyengeziwe yama-fibroids. 
• Lawula ukucindezeleka: Ukucindezeleka okungapheli kungase kube nomthelela ekuthuthukiseni ama-fibroids, ngakho ukuthola izindlela ezinempilo zokulawula ukucindezeleka kubalulekile. Ungafaka i-yoga, ukuzindla, ukuvivinya umzimba kokuphefumula okujulile, noma ukuhamba ngemvelo ohlelweni lwakho lwansuku zonke. 
• Ukuhlola okuvamile: Ukuhlolwa kwezifo zabesifazane okujwayelekile kungasiza ukuhlonza ama-fibroids kusenesikhathi. Ukutholwa kusenesikhathi kanye nokwelashwa kungase kuvimbele izinkinga ezihlobene nama-fibroids amakhulu noma anezimpawu. 

Isiphetho

I-uterine fibroids yisimo esivamile esithinta abesifazane ngaphambi kweminyaka yobudala engama-50. Ayinawo umdlavuza futhi, kwezinye izimo, ingabangela ukubonakaliswa njengokopha okukhulu kokuya esikhathini, ubuhlungu be-pelvic, nezinye izinkinga zokuzala. Nakuba imbangela yangempela ingaziwa, kodwa amahomoni, ufuzo, kanye neminyaka yokudlala a 
indima ebalulekile ekuthuthukisweni kwabo. 

FAQs

1. Yimuphi usayizi we-fibroid oyingozi?

Ama-fibroids awavamile ukuba yingozi. Kodwa-ke, ama-fibroids amakhulu (lawo amakhulu kunama-intshi angu-3-4 ububanzi) angabangela izimpawu ezinzima kanye nezinkinga. 

2. Iyini imbangela ehamba phambili yama-fibroids?

Isizathu esiqondile se-fibroid uterus asaziwa, kodwa izici eziningi eziholela ekukhuleni kwazo, okuhlanganisa ukushintshashintsha kwama-hormone (i-estrogen ne-progesterone), ufuzo, uhlanga, ubudala, ukukhuluphala, kanye nokuqala kokuya esikhathini. Ibuye ihlotshaniswe ne I-Hypothyroidism.

3. Kwenzekani uma i-fibroids ingelashwa?

Uma ishiywe ingalashwa, i-uterine fibroids ingaqhubeka ikhula futhi ibangele izinkinga ezihlukahlukene, ezifana nokopha okukhulu kokuya esikhathini, ubuhlungu be-pelvic noma ingcindezi, izinkinga zokuzala, umchamo noma izinkinga zamathumbu, futhi, ezimweni ezingavamile, ukuwohloka kwe-fibroids, okuholela ebuhlungu obukhulu noma imfiva. 

4. Ingabe ama-fibroids angashintsha ngokuhamba kwesikhathi?

Yebo, i-uterine fibroids ingashintsha ngokuhamba kwesikhathi. Ama-fibroids angakhula abe makhudlwana noma anciphe ngokuya ngezinto ezahlukahlukene, okubandakanya izinguquko zamahomoni, ubudala, kanye nempilo yomuntu iyonke. 

UDkt. Neha V Bhargava

MS, DNB (obgyn), MNAMS, Fellow (Gynae Oncology)
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

5