Ukwakhiwa kwemikhumbi ye-uterine kuyindlela yokwelapha i-uterine fibroids, okuyinto ehlukile ekususweni kwesisu sombeletho wesifazane. Inhloso yalo mkhuba ukuvimbela ukugeleza kwegazi kwamantombazane e-myoma ngokufaka injecting emboli (ama-agent akhethekile), aklanyelwe ukuvimbela ukukhanya kwe-lumen emithanjeni. Ngenxa yalokho, ama-node ama-myomatous ayafa futhi ukubonakaliswa kwezimpawu kuyancipha.
I-emterial artery embolization (EMA): izinkomba
Inqubo yenziwa ngokusho kwezinkomba:
- ubukhulu besibeletho bungalinganiswa namaviki angu-9 okukhulelwa nokuningi;
- ama-nodes ama-myomatous kuze kube ngu-8 cm ububanzi;
- ukutholakala kwama-nodes amakhulu esimweni sama- fibroids amaningi ;
- i-menometrorrhagia;
- isiguli senqaba ezinye izindlela zokwelapha.
Ukusungulwa kwamathambo e-uterine: ukuphikisana
Njenganoma yiluphi uhlobo lokungenelela okuhlinzekwa, i-EMA inezinamba eziningi zokuphikisana:
- ubukhulu obukhulu besisu (amaviki angaphezu kwama-25 okukhulelwa);
- inqwaba yamachashaza ahlukeneyo;
- izifo ezingokwemvelo zesitho zobulili zowesifazane;
- izinqubo zokuvuvukala emzimbeni;
- ukugeleza kwegazi okubi emabhokisini ama-myomatous;
- ukuhluleka kwezinso;
- ukukhulelwa.
Kulesi simo, ukuhlanganiswa kwamathambo e-uterine kungashintshwa ngokufakwa kwamathambo e-uterine, okwenziwa yi-laparoscopy. Ukwakhiwa okwesikhashana kwe-arterium uterine kuhilela ukusetshenziswa kwezinto ezikhethekile, okuhlinzeka umphumela wesikhashana (izindwangu zegazi lakhe, izidakamizwa ezakhiwe ngesisekelo se-gelatin - ziqhekeze emva kwesikhathi). Indlela yesikhashana ingavamile ukusetshenziswa.
Ukulungiselela uketshezi lwe-uterine embolization
Ngaphambi kwenqubo, owesifazane kufanele alungiselele: udokotela ubeka i-antianaerobic (i-ornidazole 1 ithebhulethi kabili ngosuku) kanye nezidakamizwa zokulwa nomzimba okufanele zidle izinsuku ezinhlanu ngaphambi kwe-EMA. Uma kune-pathology ye-gland yegciwane, ukwelashwa okulungiswayo kwenziwa. Ukwakhiwa kwamathambo e-uterine kwenziwa esibhedlela.
Emahoreni amabili, i-500 mg ye-ceftriaxone ilawulwa nge-intravenously ukunciphisa ingozi yezifo ezithathelwanayo. Kusihlwa kwe-enema ehlambulukileyo, futhi ngosuku lokuhlinzeka, isirabhu sidedelwa besebenzisa i-catheter.
Kodwa-ke, inqubo yokutakula iyashesha futhi owesifazane angathunyelwa ekhaya ngosuku olufanayo.
Imiphumela ye-artery embolization
Inzuzo yale ndlela yukungabikho kokulahleka kwegazi kowesifazane ngenxa yokungenelela kokuhlinzwa. Ukwakhiwa kwemithambo ye-uterine kungabangela izinkinga ezilandelayo:
- ubuhlungu esiswini esingaphansi;
- i-hematoma esakhiweni se-puncture;
- isicanucanu, ukuhlanza;
- umkhuhlane.
Ezimweni ezingavamile, kunezici ezifana nalezi:
- ukungena esibelethweni sezincane ezincane eziyingozi;
- ukuntuleka kwegazi ekuhlinzekeni kwesibeletho;
- i-peritonitis;
- i-thromboembolism yomshini we-pulmonary;
- i-necrosis yamadonga ezitho eziseduze phambi kwenqubo yokunamathisela.
Ukususwa ngokuphelele kwesitho socansi kwenzeka ezingaphansi kwephesenti elilodwa lamacala.
Izinkinga emva kokuqalwa kwezinto ziningi kakhulu, ngakho-ke le ndlela iyathandwa kakhulu phakathi kwabesifazane.
Iningi labesifazane libika ukwehla kokugeleza kokuya esikhathini. Abanye abacwaningi baye babonisa ukuthi ukuqhuba
Kuze kube manje, umthelela we-EMA emisebenzini yokuzala yabesifazane aziwa. Kodwa-ke, ukukhulelwa emva kokuvuselelwa kwe-arterium uterine kungaqhubeka ngaphandle kwezinkinga uma kusebenza ngokuphumelelayo ukuvinjelwa kwemithanguzo. Kodwa-ke, ngokwemiphumela yezifundo ezenziwe, azikho amacala amaningi okuphepha ngokukhulelwa ngemva kokusebenza. Ukwakhiwa kwe-arterium uterine kuyindlela ephumelelayo, ephephile yokwelashwa kwama-myomas wesibeletho. Kulokhu, emva kwenqubo, akukho ukuqhubeka kabusha kwezimpawu.