Kuphatikiza kwamitsempha ya m'mimba

Uterine artery embolization (UAE) ndi njira yothandizira ma fibroids popanda opaleshoni. Uterine fibroids ndi zotupa zopanda bensa (zotupa) zomwe zimatuluka m'chiberekero (m'mimba).

Pochita izi, magazi omwe amalowetsedwa m'mafibroids amadulidwa. Izi zimapangitsa kuti ma fibroids achepetse.

UAE imachitika ndi dokotala wotchedwa radiologist wothandizira.

Mudzakhala ogalamuka, koma simudzamva kuwawa. Izi zimatchedwa sedation sedation. Njirayi imatenga pafupifupi 1 mpaka 3 maola.

Njirayi imachitika motere:

• Mumalandira mankhwala ogonetsa. Awa ndi mankhwala omwe amakupangitsani kukhala omasuka komanso ogona.
• Mankhwala opweteka a m'deralo (anesthetic) amagwiritsidwa ntchito pakhungu mozungulira kubuula kwanu. Izi zimapangitsa dzikolo kuti lisamve kuwawa.
• Radiologist amadzicheka pakhungu lanu. Chubu chochepa (catheter) chimalowetsedwa mumitsempha yanu yachikazi. Mitsempha imeneyi ili pamwamba pa mwendo wanu.
• Radiologist amalowetsa catheter mumtsempha wa chiberekero chanu. Mitsempha imeneyi imapereka magazi m'chiberekero.
• Pulasitiki yaying'ono kapena ma gelatin tinthu timayikidwa kudzera mu catheter m'mitsempha yamagazi yomwe imapereka magazi ku ma fibroids. Tinthu ting'onoting'ono timatseka magazi m'mitsempha yaying'ono yomwe imanyamula magazi kupita ku ma fibroids. Popanda magazi awa, ma fibroids amalowerera ndikufa.
• UAE imachitika m'mitsempha ya uterine yakumanzere ndi kumanja kudzera mchimodzimodzi. Ngati pakufunika, mankhwala opitilira 1 fibroid amathandizidwa.

UAE ndi njira yothandiza yochizira matenda omwe amabwera chifukwa cha mitundu ina ya ma fibroids. Kambiranani ndi wothandizira zaumoyo wanu ngati njirayi ingakhale yopambana kwa inu.

Amayi omwe ali ndi UAE atha:

• Khalani ndi zizindikilo monga kutuluka magazi, kuchepa kwamagazi, kupweteka kwa m'chiuno kapena kupsinjika, kudzuka usiku kuti mukodze, komanso kudzimbidwa
• Mwayesapo kale mankhwala kapena mahomoni kuti muchepetse zizindikilo
• Nthawi zina mumakhala ndi UAE mukamabereka kuti muchiritse magazi akumwa kwambiri

UAE nthawi zonse imakhala yotetezeka.

Kuopsa kwa njira zilizonse zowononga ndi:

• Magazi
• Kusachita bwino ndi mankhwala oletsa ululu kapena mankhwala omwe agwiritsidwa ntchito
• Matenda
• Kulalata

Zowopsa za UAE ndi izi:

• Kuvulaza mtsempha wamagazi kapena chiberekero.
• Kulephera kuchepetsa ma fibroids kapena kuchiza matendawa.
• Mavuto omwe angakhalepo ndi mimba yamtsogolo. Amayi omwe akufuna kutenga pakati ayenera kukambirana mosamala ndi omwe amawapatsa njirayi, chifukwa zitha kuchepetsa mwayi wokhala ndi pakati.
• Kusowa kwa msambo.
• Mavuto ndi ntchito yamchiberekero kapena kusamba msanga.
• Kulephera kuzindikira ndi kuchotsa khansa yosawerengeka yomwe imatha kukula mu fibroids (leiomyosarcoma). Mitundu yambiri ya fibroid imakhala yopanda khansa (yowopsa), koma leiomyosarcomas imachitika m'mitundu ingapo. Kukulitsa sikungathetseretu matendawa ndipo kumatha kudzetsa matenda mochedwa, ndipo mwina zotsatira zoyipa zikawathandizidwa.

Nthawi zonse muuzeni omwe akukuthandizani:

• Ngati mungakhale ndi pakati, kapena mukukonzekera kutenga pakati mtsogolo
• Ndi mankhwala ati omwe mukumwa, kuphatikiza mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala

Pamaso pa UAE:

• Mutha kupemphedwa kusiya kumwa aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), ndi mankhwala ena aliwonse omwe amalepheretsa magazi anu kuphimba.
• Funsani dokotala wanu za mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati mumasuta, yesetsani kusiya. Wothandizira anu akhoza kukupatsani upangiri ndi chidziwitso kukuthandizani kusiya.

Patsiku la UAE:

• Mutha kupemphedwa kuti musamwe kapena kudya chilichonse kwa maola 6 mpaka 8 izi zisanachitike.
• Tengani mankhwala omwe dokotala wanu adakuwuzani kuti mumwe pang'ono pokha madzi.
• Fikani pa nthawi yake kuchipatala monga mwalangizidwa.

Mutha kugona mchipatala usiku wonse. Kapena mutha kupita kwanu tsiku lomwelo.

Mudzalandira mankhwala opweteka. Mudzauzidwa kuti mugone pansi kwa maola 4 mpaka 6 mutachitika.

Tsatirani malangizo aliwonse okhudza kudzisamalira mukamapita kunyumba.

Zilonda zapakati komanso zam'mimba zimakhala zochepa pakadutsa maola 24 mutatha. Amatha kukhala masiku ochepa mpaka masabata awiri. Zokokana zitha kukhala zazikulu ndipo zimatha kupitilira maola 6 nthawi imodzi.

Amayi ambiri amachira mwachangu ndipo amatha kubwerera kuzinthu zachilendo mkati mwa masiku 7 mpaka 10. Nthawi zina magawo a minofu yamtundu wa fibroid amatha kudutsa mumaliseche anu.

UAE imagwira ntchito bwino kuti ichepetse kupweteka, kupanikizika, komanso kutuluka magazi kuchokera ku fibroids mwa azimayi ambiri omwe ali ndi njirayi.

UAE ndi yovuta kwambiri kuposa mankhwala opangira ma uterine fibroids. Amayi ambiri amatha kubwerera mwachangu kuzinthu kuposa pambuyo pochitidwa opaleshoni.

Kafukufuku ambiri akuwonetsa kuti azimayi ena amafunikira njira zowonjezera kuti athetseretu matenda awo. Njirazi zimaphatikizapo hysterectomy (opaleshoni yochotsa chiberekero), myomectomy (opaleshoni yochotsa fibroid) kapena kubwereza UAE.

Chiberekero cha chiberekero; UFE; UAE

• Kutulutsa kwamitsempha ya chiberekero - kutulutsa

Dolan MS, Hill C, Valea FA. Zotupa za Benign gynecologic: maliseche, nyini, khomo pachibelekeropo, chiberekero, oviduct, ovary, imaging ya ultrasound yamapangidwe amchiuno. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 18.

Moravek MB, Bulun SE. Chiberekero cha fibroids. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 131.

Azondi JB, Czeyda-Pommersheim F. Uterine fibroid kuphatikiza. Mu: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, olemba. Zochita Zowongolera Zithunzi. Wachiwiri ed. Philadelphia, PA: Elsevier Saunders; 2014: mutu 76.