Uterine tsinga embolization

Uterine arteri embolization (UAE) maitiro ekurapa fibroids pasina kuvhiyiwa. Uterine fibroids haina mamota (benign) mamota anokura muchibereko (chibereko).

Munguva yekuita, kupihwa kweropa kune iyo fibroids kunotemwa. Izvi zvinowanzo kukonzera kuti fibroids iderere.

UAE inoitwa nachiremba anonzi anopindira radiologist.

Uchave wakasvinura, asi hauzorwadzi. Izvi zvinonzi kuziva sedation. Maitiro acho anotora anenge 1 kusvika 3 maawa.

Maitiro acho anowanzoitwa nenzira iyi:

• Unogamuchira kunyaradza. Uyu ndiwo mushonga unoita kuti usununguke uye uve nehope.
• Painkiller yemuno (anesthetic) inoiswa paganda rakatenderedza kugomera kwako. Izvi zvinopinza nzvimbo yacho kuti usanzwe kurwadziwa.
• Iyo radiologist inogadzira yakatemwa (incision) muganda rako. Chubhu mutete (catheter) inoiswa mune yako artery yechikadzi. Tsinga iyi iri pamusoro pegumbo rako.
• Iyo radiologist inosungira iyo catheter mumuviri wako wechibereko. Tsinga iyi inopa ropa muchibereko.
• Mapurasitiki madiki kana gelatin zvidimbu zvinojowa kuburikidza necatheter mumidziyo yeropa inopa ropa kune iyo fibroids. Izvi zvidimbu zvinodzivirira kuwedzerwa kweropa kune tsinga diki dzinotakura ropa kuenda ku fibroids. Pasina iyi yeropa, iyo fibroids inodzikira uye kufa.
• UAE inoitwa mukati mako ese kuruboshwe uye kurudyi uterine arteri kuburikidza neyakafanana incision. Kana zvichidikanwa, inopfuura 1 fibroid inorapwa.

UAE inzira inoshanda yekurapa zviratidzo zvinokonzerwa nemamwe marudzi eiyo fibroids. Kurukura nemupi wako wekuchengetedza hutano kana maitiro aya angangobudirira kwauri.

Vakadzi vane UAE vanogona:

• Iva nezviratidzo zvinosanganisira kubuda ropa, kushomeka kweropa kuverenga, kurwadziwa kwepamuviri kana kumanikidzwa, kumuka husiku kuti uite weti, uye kupatira
• Wakatoyedza mishonga kana mahormone kudzikisa zviratidzo
• Dzimwe nguva kuve neUAE mushure mekusununguka kurapa zvakanyanya kunetseka kubuda mukati memadzimai

UAE inowanzo chengeteka.

Njodzi dzenzira ipi neipi inopinda ndeiyi:

• Kubuda ropa
• Kuita kwakaipa kune anesthetic kana mushonga unoshandiswa
• Utachiona
• Kutuka

Ngozi dzeUAE ndedze:

• Kukuvadza kune tsinga kana muchibereko.
• Kukundikana kudzora iyo fibroids kana kunyatso kurapa zviratidzo.
• Zvinogona kuitika matambudziko mune ramangwana nhumbu. Vakadzi vanoda kuve nepamuviri vanofanirwa kunyatsokurukura maitiro aya nemupi wavo, nekuti zvinogona kudzora mikana yekubata nhumbu zvinobudirira.
• Kushaikwa kwekuenda kumwedzi.
• Matambudziko nebasa reovarian kana kukurumidza kuenda kumwedzi.
• Kukundikana kuongorora uye kubvisa kenza isingawanzoitika inogona kukura mu fibroids (leiomyosarcoma). Mazhinji fibroids haana cancer (benign), asi leiomyosarcomas inoitika mune diki nhamba yefibroids. Embolization haizorape kana kuongorora iyi mamiriro uye inogona kutungamira kunonoka kuongororwa, uye pamwe mhedzisiro yakaipa kana ichinge yarapwa.

Nguva dzose udza mupi wako:

• Kana iwe uchigona kuve nepamuviri, kana iwe waronga kuve nepamuviri mune ramangwana
• Ndeapi mishonga yauri kutora, anosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga

Pamberi peUAE:

• Iwe unogona kukumbirwa kumira kutora aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), uye chero mimwe mishonga inoita kuti zvive zvakaoma kuti ropa rako rigadzike.
• Kumbira chiremba wako kuti ndeapi mishonga yaunofanira kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kurega. Wako mupi anogona kukupa rairo neruzivo kuti akubatsire kurega.

Pazuva reUAE:

• Iwe unogona kukumbirwa kuti usanwa kana kudya chero chinhu kwemaawa matanhatu kusvika masere nzira iyi isati yaitwa.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Svika nenguva kuchipatara sekurairwa.

Unogona kugara muchipatara husiku. Kana kuti unogona kuenda kumba musi iwoyo.

Iwe unozogamuchira mushonga wekurwadziwa. Iwe unozorairwa kuti urere zvakarara kwemaawa mana kusvika matanhatu mushure mekuita.

Tevedzera chero mimwe mirairo pamusoro pekuzvichengeta iwe kana waenda kumba.

Pakati nepakati kusvika pakakomba dumbu uye mapapiro emukoko zvakajairika kwemaawa makumi maviri nemana ekutanga mushure mekuitwa. Vanogona kugara kwemazuva mashoma kusvika kumavhiki maviri. Cramps inogona kunge yakanyanya uye inogona kutora anopfuura maawa matanhatu panguva.

Vazhinji vakadzi vanopora nekukasira uye vanokwanisa kudzokera kuzviito zvakajairwa mukati memazuva manomwe kusvika gumi. Dzimwe nguva zvikamu zveiyo inorapwa fibroid tishu inogona kupfuura nepanhengo yako.

UAE inoshanda mushe kudzikisira kurwadziwa, kumanikidza, uye kubuda ropa kubva ku fibroids mune vazhinji vakadzi vane maitiro.

UAE haina kupwanya zvakanyanya kupfuura kurapwa kwekuvhiya kweiyo uterine fibroids. Vakadzi vazhinji vanogona kudzoka nekukurumidza kune zviitiko kupfuura mushure mekuvhiyiwa.

Zvakawanda zvidzidzo zvinoratidza kuti vamwe vakadzi vanoda mamwe maitiro ekurapa zvizere zviratidzo zvavo. Maitiro aya anosanganisira hysterectomy (kuvhiya kubvisa chibereko), myomectomy (kuvhiya kubvisa iyo fibroid) kana kudzokorora iyo UAE.

Uterine fibroid embolization; UFE; UAE

• Uterine tsinga embolization - kubuda

Dolan MS, Chikomo C, Valea FA. Zviratidzo zveBenign gynecologic: vulva, vagina, chibereko chechibereko, chibereko, oviduct, ovary, imaging ye ultrasound yezvivakwa zvepelvic. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 18.

Moravek MB, Bulun SE. Uterine fibroids. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 131.

Vasori JB, Czeyda-Pommersheim F. Uterine fibroid embolization. Mune: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, eds. Mifananidzo-Inotungamirwa Kupindira. 2nd ed. Philadelphia, PA: Elsevier Saunders; 2014: chits. 76.