Zizindikiro ndi Zizindikiro Za Chiberekero Cha Mafupa

Zamkati

• Kodi Uterine Fibroids Ndi Chiyani?
• Zizindikiro za Uterine Fibroid
• Kodi Mungathe Kuchotsa Uterine Fibroids?
• Mapulani Anu Amtundu Wachiberekero
• Onaninso za

Toya Wright (yemwe mungamudziwe ngati mkazi wakale wa Lil Wayne, TV, kapena wolemba M'mawu Anga Omwe) amayenda tsiku lililonse akumva ngati ali ndi pakati miyezi isanu. Ngakhale kumamatira ku zakudya zopatsa thanzi komanso kuvulaza matako ake kumalo ochitira masewera olimbitsa thupi, mimbayo siichoka - chifukwa imayambitsidwa ndi uterine fibroids. Sikuti zimangomupangitsa kumva kuti ali ndi pakati, zimathandizanso kutuluka magazi kwambiri komanso kupsinjika mwezi uliwonse akamasamba.

Ndipo sakhala yekha. Pafupifupi 50 peresenti ya azimayi adzakhala ndi uterine fibroids, akutero Yvonne Bohn, MD, ob-gyn ku Los Angeles Obstetricians and Gynecologists ndi mneneri wa Cystex. Ofesi ya Women Health imanenanso kuti pakati pa 20 ndi 80% azimayi amakhala ndi fibroid azaka 50. Ngakhale kuti nkhaniyi imakhudza gawo lalikulu la akazi, azimayi ambiri sadziwa chilichonse chokhudza fibroids. (Ndipo, ayi, sizofanana ndi endometriosis, yomwe nyenyezi ngati Lena Dunham ndi Julianne Hough adanenapo.)

"Sindimadziwa chilichonse chokhudza fibroids panthawiyo," akutero Wright. "Zinali zachilendo kwa ine. Koma nditapezeka ndi iwo, ndinayamba kulankhula za izo kwa anzanga osiyanasiyana ndi achibale ndikuwerenga za izo, ndipo ndinazindikira kuti zinalidi zofala kwambiri." (Makamaka ma supermodels amawapeza.)

Kodi Uterine Fibroids Ndi Chiyani?

Uterine fibroids ndi zophuka zomwe zimachokera ku minofu ya chiberekero, malinga ndi American Congress of Obstetricians and Gynecologists (ACOG). Amatha kukula mkati mwa chiberekero (pomwe mwana amakula), mkati mwa chiberekero cha khoma, kunja kwa khoma lachiberekero, kapena kunja kwa chiberekero ndikumangirizidwa ndi tsinde lofanana ndi tsinde. Ngakhale amatchedwa zotupa, ndikofunikira kudziwa kuti pafupifupi onse ali ndi vuto (osakhala khansa), atero Dr. Bohn.

"Kawirikawiri amatha kukhala ndi khansa, ndipo amatchedwa leiomyosarcoma," akutero. Zikatero, nthawi zambiri imakula mwachangu, ndipo njira yokhayo yodziwira ngati ili ndi khansa kapena ayi ndikuchotsa. Koma, kwenikweni, ndizosowa kwambiri; Malinga ndi Office on Women's Health, ndi imodzi yokha mwa 1,000 ya fibroids yomwe ili ndi khansa. Ndipo kukhala ndi ma fibroids sikumawonjezera ngozi ya kudwala kansa kapena kudwala khansa ya m’chiberekero.

Pakadali pano, sitikudziwa chomwe chimayambitsa fibroids-ngakhale estrogen imawapangitsa kukula, atero Dr. Bohn. Pachifukwachi, ma fibroid amatha kukula kwambiri panthawi yapakati ndipo nthawi zambiri amasiya kukula kapena kuchepa panthawi yakutha. Chifukwa ndiofala kwambiri, ndizodabwitsa kuwaona ngati cholowa, akutero Dr. Bohn. Kukhala ndi abale ndi fibroids kumawonjezera chiopsezo chanu, malinga ndi Office on Women Health. M'malo mwake, ngati amayi anu anali ndi ma fibroids, chiopsezo chanu chokhala nawo ndichokwera katatu katatu kuposa avareji. Amayi aku Africa-America nawonso atha kukhala ndi ma fibroids, monganso azimayi onenepa kwambiri.

Zizindikiro za Uterine Fibroid

Azimayi amatha kukhala ndi ma fibroids ambiri ndikukhala ndi ziro, kapena akhoza kukhala ndi minyewa yaying'ono ndikukhala ndi zizindikiro zowopsa - zonsezi zimatengera komwe kuli fibroid, akutero Dr. Bohn.

Chizindikiro nambala wani ndikutuluka magazi mosazolowereka komanso mwamphamvu, akuti, zomwe nthawi zambiri zimaphatikizana ndikupundana kwambiri ndikudumphira magazi. Wright akuti ichi chinali chizindikiro choyamba kuti chinachake chalakwika; anali asanakhalepo ndi zipsinjo m'moyo wake, koma mwadzidzidzi anali kumva kupweteka kwambiri komanso kuzungulira kwambiri: "Ndinali kuthamanga kupyola matumba ndi tampons - zinali zoyipa kwenikweni," akutero.

Ngati muli ndi fibroid m’kati mwa chiberekero, magazi amatha kuchulukirachulukira, chifukwa ndipamene mkanda wa chiberekero umachulukana ndi kukhetsa m’kati mwa mwezi uliwonse, akutero Dr. Bohn. "Ngakhale fibroid ili yaying'ono, ngati ili pamalo olakwika, mutha kukha magazi mpaka kufika pokhala ndi kuchepa kwa magazi ndikufunika kuthiridwa magazi," akutero.

Ma fibroids akuluakulu amathanso kupweteketsa nthawi yogonana komanso kupweteka kwa msana. Amatha kupanikiza chikhodzodzo kapena zotuluka, zomwe zimapangitsa kudzimbidwa, kapena kukodza pafupipafupi kapena kovuta, atero Dr. Bohn. Amayi ambiri amakhumudwa chifukwa cholephera kunenepa m'mimba - koma ndi fibroids. Si zachilendo kuti ma fibroids akulu apange kumverera kotupa kwambiri, monga momwe Wright adachitira.

"Ndinatha kuwamva kudzera pakhungu langa, ndipo ndinakhala ngati ndikuwawona ndikuwasuntha," akutero. "Dokotala wanga adandiuza kuti chiberekero changa ndi kukula kwa mayi wapakati wa miyezi isanu." Ndipo uku sikokokomeza; pomwe ndizosowa, Dr. Bohn akuti ma fibroid amatha kukula mpaka kukula kwa chivwende. (Simukukhulupirira? Ingowerengani nkhani ya mayi yemwe adachotsedwa khansa yolimba ya vwende m'mimba mwake.)

Kodi Mungathe Kuchotsa Uterine Fibroids?

Zinthu zoyamba choyamba: Ngati muli ndi ma fibroids omwe ali ang'onoang'ono, osayambitsa zizindikiro zosintha moyo, kapena mulibe vuto lililonse, mwina simungafune chithandizo, malinga ndi ACOG. Koma, mwatsoka, ma fibroids samatha okha, ndipo sadzatha ngakhale mutayesa mankhwala angati a nthano zamatawuni kapena mapaundi angati a kale omwe mumadya, akutero Dr. Bohn.

Zaka makumi angapo zapitazo, mankhwala opita ku fibroid anali operewera-kuchotsa chiberekero chako, atero Dr. Bohn. Mwamwayi, sizili choncho. Amayi ambiri omwe alibe zizindikiro zowopsa kwambiri amakhala ndi ma fibroids awo, ndipo amatenga bwino kukhala ndi ana popanda zovuta zilizonse, akutero. Koma zonsezi zimatengera komwe ma fibroids anu ali komanso momwe alili owopsa. Nthawi zina, ma fibroids amatha kutsekereza chubu cha fallopian, kuletsa kuikidwa m'mimba, kapena kutsekereza njira yoberekera mwachilengedwe, akutero Dr. Bohn. Izi zimatengera momwe zinthu zilili payekha. (Nazi zonse zomwe muyenera kudziwa za chonde.)

Masiku ano, azimayi ambiri omwe ali ndi ma fibroids amapatsidwa mapiritsi oletsa kubereka kapena amatenga mahomoni a IUD-onse omwe amachepetsera chiberekero, amachepetsa kutaya magazi ndi zisonyezo, akutero Dr. Bohn. (BC imachepetsanso chiopsezo chanu cha khansa ya ovari-yay!) Pali mankhwala ena omwe amatha kufooketsa ma fibroids, koma chifukwa amachepetsa kuchuluka kwa mafuta m'mafupa (makamaka kupangitsa mafupa anu kufooka), amangogwiritsidwa ntchito kwakanthawi kochepa ndipo kawirikawiri kukonzekera opaleshoni.

Pali njira zitatu zopangira opaleshoni zothana ndi ma fibroids, akutero Dr. Bohn. Yoyamba ndi hysterectomy, kapena kuchotsa chiberekero chonse (mwa amayi omwe alibe ana). Chachiwiri ndi myomectomy, kapena kuchotsa zotupa za fibroid kuchokera m'chiberekero, mwina potsegula pamimba kapena laparoscopically (komwe amapyola pang'ono ndikuphwanya ulusiwo mzidutswa tating'ono kuti achotse m'thupi). Njira yachitatu yopangira opaleshoni ndi mysterctomy ya hysteroscopic, komwe amatha kuchotsa zingwe zazing'ono m'mimba mwa chiberekero polowa m'chiberekero. Njira ina yothandizira ndi njira yotchedwa embolization, pomwe madokotala amadutsa m'chotengera mu groin ndikuyang'anira momwe magazi amachokera ku fibroid. Amapha magazi pachotupa, ndikuchepera ndi gawo limodzi mwa magawo atatu, atero Dr. Bohn.

Zowona kuti azimayi amatha kuchotsa ma fibroids ndikusunga chiberekero chawo (ndikusunga kuthekera kwawo kokhala ndi ana) ndichinthu chachikulu-ndichifukwa chake ndikofunikira kuti azimayi adziwe njira zawo zamankhwala.

Amayi ambiri omwe ndidalankhula nawo adalakwitsa kuchotsa fibroids ndi hysterectomy, akutero Wright. "Zidakhala ngati zawononga miyoyo yawo, chifukwa tsopano sangathenso kukhala ndi ana. Ndiyo njira yokhayo yomwe amaganiza kuti angawachotse."

Pali vuto limodzi lalikulu pakuchotsa ma fibroids koma kusiya chiberekero m'malo mwake: ma fibroids amatha kuwonekeranso. "Ngati tichita myomectomy, mwatsoka, mpaka mkazi atayamba kusamba, pali mwayi kuti ma fibroids amatha kubwerera," akutero Dr. Bohn.

Mapulani Anu Amtundu Wachiberekero

"Ngati muli ndi zizindikiro zodabwitsazi, chinthu choyamba ndikudziwitsa dokotala wanu wachikazi," akutero Dr. Bohn. "Zosintha pakusamba kwanu, kuundana m'nyengo yanu, kupsinjika kwakukulu, ndicho chizindikiro kuti china chake sichili bwino." Kuchokera kumeneko, doc yanu idzawona ngati zomwe zimayambitsa ndizamakhalidwe (monga fibroid) kapena mahomoni. Ngakhale madotolo amatha kumva ma fibroids panthawi yoyezetsa m'chiuno, mutha kupeza ultrasound ya pelvic-chida chabwino kwambiri chowonera chiberekero ndi mazira, akutero Dr. Bohn.

Ngakhale kuti simungathe kuletsa kukula kwa fibroids, kukhala ndi moyo wathanzi kungathandize kuchepetsa chiopsezo chanu; nyama yofiira ikhoza kulumikizidwa ndi chiopsezo chachikulu cha fibroid, pomwe masamba obiriwira amatha kulumikizidwa ndi chiopsezo chochepa, malinga ndi kafukufuku wofalitsidwa mu magaziniyo Zojambula ndi Gynecology. Ngakhale pakadali kafukufuku wocheperako pazomwe zimaika pachiwopsezo cha moyo ndi chiberekero cha chiberekero, kudya zipatso ndi ndiwo zamasamba zochulukirapo, kuchita masewera olimbitsa thupi pafupipafupi, kuchepetsa kupsinjika, komanso kukhala wonenepa bwino zonse zimalumikizidwa ndi kuchepa kwa ma fibroids, malinga ndi ndemanga yomwe idasindikizidwa mu International Journal of chonde ndi kubereka.

Ndipo ngati mutapezeka ndi fibroids, musamangodandaula.

"Chachikulu ndichoti ndizofala," akutero Dr. Bohn. "Chifukwa chakuti muli ndi chimodzi sizikutanthauza kuti ndizoopsa kapena muyenera kuthamangitsidwa ku opaleshoni. Ingodziwani zizindikiro ndi zizindikiro kuti muthe kufunafuna chisamaliro ngati muli ndi malingaliro olakwikawa."

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