I-Myomectomy

I-Myomectomy

I-Myomectomy ukuhlinzwa okusetshenziselwa ukususa i-uterine fibroids, eyaziwa nangokuthi i-leiomyomas). Lokhu kukhula okungenamdlavuza kuvame ukwenzeka esibelethweni. I-uterine fibroids ivame kakhulu phakathi neminyaka yokubeletha, kodwa ingavela kunoma iyiphi iminyaka.

Phakathi ne-myomectomy, inhloso kadokotela ohlinzayo iwukukhipha ama-fibroids abangela izimpawu futhi akhe kabusha isibeletho. Ngokungafani ne-hysterectomy, esusa isibeletho sakho sonke, i-myomectomy isusa ama-fibroids kuphela ngenkathi ishiya isibeletho sakho siphelele.

Abesifazane abathola i-myomectomy babika ukuncipha kwezimpawu ze-fibroid, njengokugeleza okukhulu kokuya esikhathini kanye nokungakhululeki kwe-pelvic.

Ukuxilongwa ezibhedlela ze-CARE

Udokotela wakho ohlinzayo angase akhethe enye yezindlela ezintathu zokuhlinza ze-myomectomy kuye ngosayizi, inombolo, nendawo ye-fibroids yakho.

I-Myomectomy yesisu

Udokotela wakho ohlinzayo uzovula isisu esivulekile ukuze afinyelele esibelethweni sakho futhi asuse ama-fibroids ngesikhathi se-myomectomy yesisu (laparotomy). Uma kungenzeka, udokotela wakho ohlinzayo uzofuna ukwenza isikwele esiphansi, esivundlile ("umugqa we-bikini"). Izibeletho ezinkudlwana zidinga ukusikwa okuqondile.

I-Myomectomy ye-Laparoscopic

Udokotela wakho ohlinzayo ufinyelela futhi asuse ama-fibroids esebenzisa izimbotshana eziningi zesisu phakathi nokuhlinzwa kwe-myomectomy ye-laparoscopic, okuyinqubo ehlasela kancane.

Abesifazane abane-laparoscopy baye balahlekelwa igazi elincane, ukuhlala isikhathi esifushane esibhedlela nokululama, kanye nezigameko ezincishisiwe zezinkinga nokuthuthukiswa kokunamathela ngemva kokuhlinzwa uma kuqhathaniswa nabesifazane abane-laparotomy. 

I-fibroid ingase iphuke ibe yizicucu futhi isuswe ngokusikwa okuncane odongeni lwesisu. Ngezinye izikhathi, i-fibroid isuswa ngokusikwa okukhulu esiswini sakho ukuze inganqunywa zibe yizicucu. Ezimweni ezingavamile, i-fibroid ingasuswa ngokusebenzisa i-vaginal incision (colpotomy).

I-Myomectomy ngokuhlinzwa kwe-hysteroscopy

I-hysteroscopic myomectomy ingase inconywe udokotela wakho ohlinzayo ukuze aphathe ama-fibroids amancane aphumela kakhulu esibelethweni sakho (submucosal fibroids). Ama-fibroids afinyelelwa futhi asuswe udokotela ohlinzayo esebenzisa izinto ezifakwa esithweni sangasese sowesifazane nomlomo wesibeletho esibelethweni sakho.

Lokhu kuvame ukulandelwa yi-hysteroscopic myomectomy:

Ithuluzi elincane, elikhanyayo lifakwa esithweni sangasese sowesifazane kanye nomlomo wesibeletho kanye nasesibelethweni sakho udokotela ohlinzayo. Cishe uzosebenzisa i-wire loop resectoscope ukuze asike (resect) ngogesi izicubu noma i-hysteroscopic morcellator ukuze asike i-fibroid ngensingo.

Ukuze ukhulise umgodi wesibeletho sakho futhi uvumele ukuhlolwa kwezindonga zesibeletho, uketshezi olubonisa ngale, ngokuvamile isisombululo sikasawoti oyinyumba, singeniswa esibelethweni sakho.

Usebenzisa i-resectoscope noma i-hysteroscopic morcellator, udokotela wakho ohlinzayo uphuca izingxenye ze-fibroid futhi azikhiphe esibelethweni kuze kube yilapho i-fibroid isiphelile ngokuphelele. Ama-fibroids amakhulu angeke akhishwe ngokuphelele ekuhlinzweni okukodwa, okudinga umzuzwana.

Imiphumela

Imiphumela ye-myomectomy ingabandakanya:

• Ukunciphisa izimpawu: Iningi labesifazane lijabulela ukuncishiswa ezimpawini nezimpawu ezinzima ngemva kokuhlinzwa kwe-myomectomy, njengokopha okukhulu kokuya esikhathini kanye nokungakhululeki kwe-pelvic nokucindezela.

• Ukuthuthukisa inzalo: Phakathi nonyaka ngemva kokuhlinzwa, abesifazane abane-laparoscopic myomectomy, baba nomphumela omuhle wokukhulelwa. Ngemuva kwe-myomectomy, kunconywa ukuthi ulinde izinyanga ezintathu kuya kweziyisithupha ngaphambi kokuzama ukukhulelwa ukuze isibeletho sakho silulame.

• Ama-fibroids udokotela wakho angawatholi ngesikhathi sokuhlinzwa noma ama-fibroids angasusiwe ngokuphelele angase athuthuke futhi abangele izinkinga esikhathini esizayo. Ama-fibroids amasha angakheka, okungenzeka adinge ukwelashwa noma kungadingeki. Abesifazane abane-fibroid eyodwa banamathuba anciphile okuthola ama-fibroids amasha - aziwa ngokuthi izinga lokuphindaphinda - kunabesifazane abanezimila ezimbalwa. Abesifazane abakhulelwa ngemva kokuhlinzwa banamathuba anciphile okuthola ama-fibroids amasha kunabesifazane abangakhulelwa.

Abesifazane abanama-fibroids amasha noma avelayo bangase babe nokufinyelela ekwelashweni okungahlinzeki esikhathini esizayo. Lezi ezinye izibonelo:

• I-Embolism ye-uterine artery (UAE). Ama-Microparticles ajovwa emithanjeni eyodwa noma yomibili yesibeletho, avimbe ukugeleza kwegazi.

• Ukukhipha i-Volumetric thermal ablation usebenzisa i-radiofrequency (RVTA). Imisebe ye-Radiofrequency isetshenziselwa ukuguga (ablate) ama-fibroids ngokungqubuzana noma ukushisa, okuqondiswa i-ultrasound probe, isibonelo.

• Ukuhlinzwa okugxilile kwe-ultrasonic ngokuqondiswa kwe-MRI (MRgFUS). I-imaging ye-resonance magnetic isetshenziselwa ukuqondisa ukusetshenziswa komthombo wokushisa ukuze i-ablate fibroids (MRI).