Kutulutsa kwamitsempha ya chiberekero - kutulutsa
Uterine artery embolization (UAE) ndi njira yothandizira ma fibroids popanda opaleshoni. Uterine fibroids ndi zotupa zopanda bensa (zotupa) zomwe zimatuluka m'chiberekero (m'mimba). Nkhaniyi ikukuuzani zomwe muyenera kudzisamalira mukamachita izi.
Munali ndi mitsempha ya uterine embolization (UAE). UAE ndi njira yothandizira ma fibroids pogwiritsa ntchito radiology m'malo mochita opareshoni. Munthawi imeneyi, magazi a ma fibroid adatsekedwa. Izi zidawapangitsa kubwerera m'mbuyo. Njirayi idatenga pafupifupi 1 mpaka 3 maola.
Munapatsidwa mankhwala othetsa ululu komanso am'deralo. Dokotala wa radiology wopangira adadula khungu la 1/4-inch (0.64 sentimita) -litali pakhungu lanu. Catheter (chubu chopyapyala) adayikidwa mumtsempha wachikazi kumtunda kwa mwendo wanu. Kenako radiologist idalumikiza katetiyo mumitsempha yomwe imapatsa magazi m'chiberekero chanu (mtsempha wa chiberekero).
Mapulasitiki ang'onoang'ono kapena ma gelatin tinthu tinalowetsedwa m'mitsempha yamagazi yomwe imanyamula magazi kupita ku ma fibroids. Tinthu tating'onoting'ono tomwe timatseka magazi m'mafibroids. Popanda magazi awa, ma fibroid amatha kuchepa kenako nkufa.
Mutha kukhala ndi malungo ocheperako komanso zizindikilo kwa pafupifupi sabata mutatha kuchita. Kupunduka pang'ono komwe catheter adayikirako kulinso kwachilendo. Muthanso kukhala ndi ululu wopweteka pang'ono mpaka kwamasabata 1 kapena 2 mutachitika. Wothandizira zaumoyo wanu amakupatsani mankhwala a ululu.
Amayi ambiri amafunikira 1 mpaka masabata awiri kuti achire pambuyo pa UAE asanabwerere kuntchito. Zitha kutenga miyezi iwiri kapena itatu kuti ma fibroids anu achepetse mokwanira kuti zizindikilo zizicheperako komanso kusamba kwanu kubwerere mwakale. Ma fibroid amatha kupitiliza kuchepa chaka chamawa.
Khalani osavuta mukamabwerera kwanu.
- Yendani pang'onopang'ono, kokha kwa kanthawi kochepa mukafika kunyumba.
- Pewani zovuta monga ntchito zapakhomo, ntchito yakunyumba, ndikukweza ana osachepera masiku awiri. Muyenera kubwerera kuzinthu zanu zabwinobwino mu sabata limodzi.
- Funsani omwe akukuthandizani kuti mudikire nthawi yayitali musanagonane. Zitha kukhala pafupifupi mwezi.
- Osayendetsa galimoto kwa maola 24 mukafika kunyumba.
Yesani kugwiritsa ntchito ma compress ofunda kapena malo otenthetsera ululu wam'mimba. Tengani mankhwala anu opweteka monga momwe wothandizira wanu anakuwuzani. Onetsetsani kuti muli ndi mapadi aukhondo kunyumba. Funsani omwe akukuthandizani kuti mupewe kugwiritsa ntchito tampons kapena douching nthawi yayitali bwanji.
Mutha kuyambiranso kudya zakudya zabwinobwino mukafika kunyumba.
- Imwani makapu 8 mpaka 10 (2 mpaka 2.5 malita) amadzi kapena msuzi wopanda shuga patsiku.
- Yesani kudya zakudya zomwe zimakhala ndi chitsulo chochuluka mukamakhetsa magazi.
- Idyani zakudya zamtundu wa fiber kuti mupewe kudzimbidwa. Mankhwala anu opweteka komanso kusagwira ntchito zimatha kudzimbidwa.
Mutha kutenga madzi osamba mukafika kunyumba.
Osamwa malo osambira, zilowerereni mu mphika wotentha, kapena musasambe masiku asanu.
Tsatirani omwe akukuthandizani kuti mukonze ma ultrasound ndi mayeso a m'chiuno.
Itanani omwe akukuthandizani ngati muli ndi:
- Kupweteka kwambiri komwe mankhwala anu opweteka sakuwongolera
- Kutentha kwakukulu kuposa 101 ° F (38.3 ° C)
- Nseru kapena kusanza
- Kuthira magazi komwe catheter adayikidwako
- Kupweteka kulikonse komwe catheter adalowetsedwa kapena mwendo pomwe adayikapo catheter
- Zosintha mtundu kapena kutentha kwa mwendo uliwonse
Chiberekero cha chiberekero - kutulutsa; UFE - kumaliseche; UAE - kutulutsa
Dolan MS, Hill C, Valea FA. Zotupa za Benign gynecologic. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 18.
Manyonda I, Belli AM, Lumsden MA, et al. Kuphatikizika kwa mitsempha ya chiberekero kapena myomectomy ya uterine fibroids. N Engl J Med. Chizindikiro. 2020; 383 (5): 440-451. PMID: 32726530 adatulutsidwa.ncbi.nlm.nih.gov/32726530/.
Moss JG, Yadavali RP, Kasthuri RS. Njira zopangira ma vascular genitourinary. Mu: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, olemba. Grainger & Allison's Kuzindikira Mafilimu. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chaputala 84.
Azondi JB. Kuphatikizika kwa chiberekero. Mu: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, olemba. Zochita Zowongolera Zithunzi. Wachitatu ed. Philadelphia, PA: Elsevier; 2021: chaputala 43.
- Kutsekemera
- Kuphatikiza kwamitsempha ya m'mimba
- Chiberekero cha fibroids
- Chiberekero cha Fibroids