Chii Chaunotarisira Kubva kuMyomectomy

Zvemukati

• Ndiani mumiriri akanaka?
• Unogadzirira sei kuvhiya?
• Chii chinoitika panguva yekuita?
• Abdominal myomectomy
• Laparoscopic myomectomy
• Hysteroscopic myomectomy
• Kudzoreka kwakaita sei?
• Inoshanda zvakadii?
• Ndeapi matambudziko uye njodzi?
• Ko vanga racho rinenge rakaita sei?
• Mifananidzo ye myomectomy mavanga
• Ko myomectomy inokanganisa sei nhumbu munguva yemberi?
• Zvaunotarisira
• Q & A: Pamuviri nenjodzi mushure meyomectomy
• Mubvunzo:
• A:

Chii chinonzi myomectomy?

Myomectomy rudzi rwekuvhiya unoshandiswa kubvisa uterine fibroids. Chiremba wako anogona kukurudzira kuvhiyiwa uku kana yako fibroids iri kukonzera zviratidzo zvakadai se:

• kurwadziwa kwepamuviri
• nguva dzinorema
• kubuda zvisina kufanira kubuda ropa
• kugara uchiita weti

Myomectomy inogona kuitwa imwe yenzira nhatu:

• Abdominal myomectomy inoita kuti chiremba wako abvise yako fibroids kuburikidza neakavhurika ekuvhiya akacheka mudumbu rako rezasi.
• Laparoscopic myomectomy inobvumira chiremba wako kuti abvise yako fibroids kuburikidza akati wandei madiki maitiro. Izvi zvinogona kuitwa robhoti. Izvo zvishoma zvinokanganisa uye kupora kunokurumidza kupfuura nemimba yedumbu meomectomy.
• Hysteroscopic myomectomy inoda chiremba wako kuti ashandise chiyero chakakosha kuti ubvise yako fibroids kuburikidza nemukadzi wako uye chibereko.

Ndiani mumiriri akanaka?

Myomectomy isarudzo yevakadzi vane fibroids vanoshuvira kubata pamuviri mune ramangwana, kana avo vanoda kuchengeta chibereko chavo kune chimwe chikonzero.

Kusiyana neiyo hysterectomy, iyo inoburitsa chibereko chako chose, myomectomy inobvisa yako fibroids asi inosiya chibereko chako munzvimbo. Izvi zvinokutendera iwe kuyedza vana mune ramangwana.

Mhando ye myomectomy inokurudzirwa nachiremba wako zvinoenderana nesaizi nenzvimbo yefibroids yako:

• Abdominal myomectomy inogona kuve yakanakira iwe kana iwe uine akawanda kana akakura kwazvo fibroids ari kukura mudumbu rako reutere.
• Laparoscopic myomectomy inogona kuve iri nani kana uine madiki uye mashoma fibroids.
• Hysteroscopic myomectomy inogona kuve iri nani kana uine madiki fibroids mukati mechibereko chako.

Unogadzirira sei kuvhiya?

Usati wavhiyiwa, chiremba wako anogona kukunyorera mishonga kuti uderedze saizi yefibroids uye zviite kuti zvive nyore kubvisa.

Gonadotropin-inosunungura mahormone agonists, akadai seleuprolide (Lupron), mishonga inovhara kugadzirwa kweestrogen uye progesterone. Ivo vanokuisa iwe mune yenguva pfupi kuenda kumwedzi. Ukangomira kutora mishonga iyi, kuenda kwako kumwedzi kunozodzoka uye nhumbu inofanirwa kuitika.

Paunosangana nachiremba wako kuti aongorore maitiro, ita shuwa kuti iwe unobvunza chero mibvunzo yauinayo nezvekugadzirira uye zvaunotarisira panguva yekuvhiyiwa kwako.

Iwe ungangoda bvunzo kuti uve nechokwadi chekuti une hutano zvakakwana pakuvhiyiwa. Chiremba wako achasarudza kuti ndeapi miedzo iwe yaunoda zvichibva pane ako njodzi zvinhu. Izvi zvinogona kusanganisira:

• kuongororwa ropa
• electrocardiogram
• MRI scan
• pelvic Ultrasound

Iwe unogona kumbomira kutora mimwe mishonga pamberi pe myomectomy. Udza chiremba wako nezvemushonga wega wega waunotora, kusanganisira mavhitaminzi, zvinowedzerwa, uye nemishonga inopfuura-iyo. Kumbira chiremba wako kuti ndeapi madhiragi aunoda kuti urege kutora usati wavhiyiwa uye kuti uchagara kwenguva yakareba sei.

Kana ukasvuta, mira vhiki nhanhatu kusvika masere usati wavhiyiwa. Kusvuta kunogona kunonoka kupora kwako pamwe nekuwedzera njodzi yako yezviitiko zvemoyo panguva yekuvhiyiwa kwako. Kumbira chiremba wako kuti akupe mazano ekusiya kwako.

Iwe unozofanirwa kumira kudya uye kunwa pakati pehusiku husiku usati wavhiyiwa.

Chii chinoitika panguva yekuita?

Maitiro acho achasiyana zvichienderana nerudzi rwei myomectomy yauinayo.

Abdominal myomectomy

Munguva iyi maitiro, iwe uchaiswa pasi peiyo anesthesia.

Chiremba wako anotanga kugadzira incision kuburikidza nedumbu rako rezasi muchibereko chako. Izvi zvinogona kuitwa nenzira dzinoverengeka:

• Yakatwasuka incision 3 kusvika 4 inches pakureba, ingori pamusoro peiyo pubic bone. Mhando iyi yekukanganisa inokonzera marwadzo mashoma uye inosiya vanga diki asi inogona kunge isingave yakakura zvakakwana kuti ibvise fibroids hombe.
• Kutsemuka kutwasuka kubva pazasi peguvhu rako bhatani kusvika pamusoro pebhopu rako chete. Iyi incision mhando haiwanzoshandiswa nhasi asi inogona kushanda zvirinani kune yakakura fibroids uye inodonha pakubuda ropa.

Kamwe iyo incision yaitwa, chiremba wako anovhiya achabvisa yako fibroids kubva kune yako uterine rusvingo. Ipapo vanozo sanganisa yako uterine mhasuru matete kumashure pamwe chete.

Vazhinji vakadzi vane maitiro aya vanopedza zuva rimwe chete kana matatu muchipatara.

Laparoscopic myomectomy

Paunenge uri pasi peanesthesia, chiremba wako achaita zvishoma zvishoma. Izvi zvichaita imwe neimwe kunge ½-inch kureba mudumbu rako rezasi. Dumbu rako richazadzwa ne carbon dioxide gasi kubatsira chiremba anovhiya kuona mukati medumbu rako.

Chiremba anovhiya anozoisa laparoscope mune chimwe chezviitiko. Laparoskopu itetetete, yakavhenekerwa chubhu ine kamera kune rimwe divi. Zvishandiso zvidiki zvichaiswa mune zvimwe zvinoitwa.

Kana kuvhiya kuri kuitwa robhoti, chiremba wako anovhiya anozodzora zviridzwa ari kure achishandisa ruoko rwe robhoti.

Chiremba wako anovhiya anogona kucheka yako fibroids kuita zvidimbu zvidiki kuti ubvise. Kana iwo akakurisa zvakanyanya, chiremba wako anovhiya anogona kuchinja achienda mudumbu myomectomy uye oita kukura kukuru mudumbu rako.

Mushure meizvozvo, chiremba wako anovhiya achabvisa zviridzwa, oburitsa gasi, uye vhara zvaunoita. Vazhinji vakadzi vane maitiro aya vanogara muchipatara kwehusiku humwe.

Hysteroscopic myomectomy

Iwe unowana anesthetic yemuno kana kuiswa pasi peiyo anesthesia panguva iyi maitiro.

Chiremba anovhiya anoisa huremu hutete, hwakavhenekerwa kuburikidza nemukadzi wako uye chibereko muchibereko chako. Vachaisa mvura muchibereko chako kuti iwedzere kuti ivabvumire kuona fibroids yako zvakajeka.

Chiremba wako anoshandisa tambo tambo kuveura zvidimbu zvefibroid yako. Ipapo, mvura yacho inosuka zvidimbu zvakabviswa zvefibroid.

Iwe unofanirwa kukwanisa kuenda kumba zuva rimwe chetero sekuvhiya kwako.

Kudzoreka kwakaita sei?

Uchava nekumwe kurwadziwa mushure mekuvhiyiwa kwako. Chiremba wako anogona kukupa mishonga yekurapa kusagadzikana kwako. Iwe unenge uine zvakare kuona kwemazuva mashoma kusvika mavhiki.

Inguva yakadii iwe yaunofanirwa kumirira usati wadzokera kune ako akajairwa zviitiko zvinoenderana nerudzii rwemaitiro aunazvo. Kuvhiya kwakavhurika kune iyo yakarebesa nguva yekupora.

Nguva dzekudzosera imwe neimwe maitiro ndeiyi:

• mudumbu myomectomy: mana kusvika matanhatu mavhiki
• laparoscopic myomectomy: mavhiki maviri kusvika mana
• hysteroscopic myomectomy: mazuva maviri kusvika matatu

Usasimudze chero chinhu chinorema kana kurovedza muviri zvakanyanya kusvikira zvawacheka zvanyatsopora. Chiremba wako achakuzivisa iwe kana iwe uchikwanisa kudzokera kune izvi zviitiko.

Kumbira chiremba wako kana zvakachengeteka kuti iwe uite zvepabonde. Unogona kumirira kusvika kumavhiki matanhatu.

Kana iwe uchida kutora pamuviri, bvunza chiremba wako paunogona kutanga zvakanaka kuedza. Iwe ungangoda kumirira mwedzi mitatu kusvika kumitanhatu kuti chibereko chako chipore zvizere zvichienderana nerudzii rwekuvhiya kwawakave nako.

Inoshanda zvakadii?

Vazhinji vakadzi vanowana zororo kubva kuzviratidzo sekurwadziwa kwepamuviri uye kubuda kweropa kunorema mushure mekuvhiyiwa. Nekudaro, fibroids inogona kudzoka mushure meyomectomy, kunyanya mune vakadzi vadiki.

Ndeapi matambudziko uye njodzi?

Chero kuvhiyiwa kunogona kuve nenjodzi, uye myomectomy haina kusiyana. Ngozi dzeiyi maitiro hazviwanzo, asi dzinogona kusanganisira:

• hutachiona
• kubuda ropa zvakanyanya
• kukuvara kunhengo dziri pedyo
• gomba (kupera) muchibereko chako
• zvinyama zvitsvuku izvo zvinogona kuvharira yako fallopian chubhu kana kutungamira kumatambudziko ekubereka
• itsva fibroids inoda imwe nzira yekubvisa

Fonera chiremba wako kana uine chimwe chezviratidzo izvi mushure mekuita kwako:

• kubuda ropa kwakanyanya
• kupindwa nechando
• kurwadziwa kwakanyanya
• kunetseka kufema

Ko vanga racho rinenge rakaita sei?

Kana iwe uine meomectomy yemudumbu, vanga rako rinogona kunge riine inchi pazasi peyako pubic bvudzi mutsetse, pazasi pechipfeko chako chemukati. Iri vanga zvakare rinopera nekufamba kwenguva.

Vanga rako rinogona kunge riri nyoro kana kunzwa kupera kwemwedzi yakati wandei, asi izvi zvinofanirwa kudzikira nekufamba kwenguva. Taura nachiremba wako kana vanga rako richienderera mberi richikuvadza, kana kana rikanyanya kuoma. Mune zvimwe zviitiko, chiremba wako anogona kukurudzira kuvhura zvakare vanga kuti ripore zvakare.

Mavanga kubva kune laparoscopic myomectomy inogona kuratidza paunenge uchipfeka yakaderera-yakatemwa bikini kana yepamusoro yakatsemurwa. Aya mavanga madiki kwazvo pane aya anobva mudumbu meomectomy uye anofanirwawo kupera nekufamba kwenguva.

Mifananidzo ye myomectomy mavanga

Ko myomectomy inokanganisa sei nhumbu munguva yemberi?

Mikana yako yekuzvitakura inoenderana nerudzi uye huwandu hwefibroids yauinayo. Vakadzi vane anopfuura matanhatu fibroids akabviswa vari kupfuura avo vane mashoma fibroids akabviswa.

Nekuti maitiro aya anogona kutapudza chibereko chako, pane mukana wekuti chibereko chako chinogona kubvaruka sezvo nhumbu yako ichifambira mberi kana panguva yekusununguka. Chiremba wako angangodaro achikurudzira kuti iwe uendeswe cesarean kudzivirira ichi chinetso. Ivo vanogona kukurudzira kuronga izvi nguva pfupi zuva rako chairo risati rasvika.

Cesarean yako inogona kukwanisa kuitwa kuburikidza neyako myomectomy incision saiti. Izvi zvinogona kudzikisa huwandu hwemavanga aunazvo.

Zvaunotarisira

Kana iwe uine uterine fibroids iyo iri kukonzera zviratidzo, myomectomy inogona kushandiswa kuvabvisa uye kubvisa zviratidzo zvako. Iko mhando yemyomectomy maitiro auinayo anoenderana nesaizi yefibroids yako uye kwavanowanikwa.

Taura nachiremba wako kuti uone kana kuvhiya uku kuri kwauri. Ita shuwa kuti iwe unonzwisisa zvese zvingabatsire uye njodzi usati wafunga kuenda kumberi nemaitiro.

Q & A: Pamuviri nenjodzi mushure meyomectomy

Mubvunzo:

Ko nhumbu inotevera myomectomy inozotariswa kunge ine njodzi huru?

A:

Pane njodzi dzinotevera maitiro aya, asi anogona kutarisirwa zvakanaka nekutaurirana nachiremba wako. Iwe unofanirwa kuzivisa chiremba wako kana iwe wanga uine myomectomy usati waita nhumbu. Izvi zvichave zvakakosha maererano nezvekuti iwe uye sei iwe kuendesa, izvo zvinowanzo kukurudzirwa sechikamu chekusiya, kudzivirira kuva nechibereko chako chechibereko. Nekuti chibereko chako chakavhiyiwa, pane hutera mumusungo wechibereko. Iwe unofanirwa kurega chiremba wako azive kana iwe uine kurwadziwa kwechibereko kana kubuda kweropa panguva yemimba, sezvo ichi chingave chiratidzo chekuputika kwechibereko.