Ukuqulunqwa kwemikhumbi ye-uterine yindlela yokunyanga i-uterine fibroids, enye indlela yokususwa kwesisu somfazi wesisu. Injongo yale ndlela kukumisa ukuhamba kwegazi zamathambo e-myoma ngokufaka injecting emboli (i-agents ezikhethekileyo), ezenzelwe ukuvimba i-lumen kwimida. Ngenxa yoko, i-myomatous nodes ifa kwaye ukubonakaliswa kweempawu kuyehla.
Ubunjineli obumbini (EMA): izibonakaliso
Inkqubo eyenziwa ngokwezibonakaliso:
- ubungakanani besisu buyakunxulumana neiveki ezi-9 zokukhulelwa kunye nokunye;
- Iimpawu ze-myomatous ukuya kwi-8 cm ububanzi;
- ubukho beendawo ezinkulu kwiimeko ezininzi ze-fibroids ;
- menometrorrhagia;
- isigulane sala ezinye iindlela zokonyango.
Ukuqulunqwa kwemithambo ye-uterine: ukuchasene
Njengawo nawuphi na uhlobo lokungenelela ngoncedo, i-EMA ineenkalo ezingqinelanayo:
- ubungakanani obukhulu bombele (ngaphezulu kweeveki ezingama-25 zokukhulelwa);
- ininzi yamachoko ehlukeneyo;
- Izifo ze-ecological of the genital organ of a woman;
- iinkqubo ezivuthayo kwisini;
- ukuhamba kwegazi olubi kwiimpawu ze-myomatous;
- ukuhluleka kwezintso;
- khulelwa.
Kule meko, ukugqithiswa kwamatriri e-uterine kunokutshintshwa ngokufelwa kwamatriri e-uterine, eyenziwa yi-laparoscopy. Ukuqulunqwa kwemithambo yexesha elifutshane kubandakanya ukusetyenziswa kweemfuno ezizodwa, ukubonelela ngethuba lesigxina (amaqhekeza egazini lakhe, iziyobisi eziveliswa ngesiseko se-gelatin - zitshatyalalise emva kwexesha). Indlela yokwethutyana ayifumanekanga.
Ukulungiselela utyalo lwe-uterine
Ngaphambi kwenkqubo, ibhinqa kufuneka ilungiselele: ugqirha umisela i-antianaerobic (i-ornidazole 1 tablet twice kabini ngosuku) kunye neziyobisi ezichasene ne-antibacterial ezifanele zichithe iintsuku ezintlanu phambi kwe-EMA. Ukuba kukho i-pathology ye-thyroid gland, unyango olulungiswayo lwenziwe. Ukuqulunqwa kwemithambo ye-uterine eyenziwa esibhedlele.
Kwiiyure ezimbini, i-500 mg ye-ceftriaxone ilawulwa nge-intravenously ukunciphisa ingozi yezifo ezithathelwanayo. Ngomhla wobusuku be-enema ehlambulukileyo, kwaye ngomhla wokuhlinzwa, i-vestile ichithwa ngokusebenzisa i-catheter.
Nangona kunjalo, inkqubo yokuphucula ihamba ngokukhawuleza kwaye loo ntokazi ingathunyelwa ekhaya ngosuku olufanayo.
Iimpembelelo zetyterine embolization
Inzuzo yile ndlela kukungabikho kokulahleka kwegazi kwintombi ngenxa yongenelelo lotyando. Ukuqulunqwa kwemibhobho ye-uterine kunokubangela iingxaki ezilandelayo:
- intlungu kwisisu esezantsi;
- i-hematoma kwisiza sokuqhawula;
- isicupunu, ukuhlanza;
- umkhuhlane.
Kwiimeko ezinqabileyo, kukho izinto ezifana nalezi:
- ukungena kumbindi wezilwanyana ezinobungozi;
- ukungabikho kwegazi ekunikezeni isisu;
- peritonitis;
- i-thromboembolism ye-pulmonary artery;
- i-necrosis yeendonga zamalungu asondeleyo phambi kwenkqubo yokubambelela.
Ukugqitywa ngokupheleleyo kwelungu lomzimba kubakho ngaphantsi kwepesenti enye yamatyala.
Iingxaki emva kokuqulunqwa kwezinto zingabonakali, ngoko ke le ndlela iyaziwayo kakhulu phakathi kwabafazi.
Uninzi lwabasetyhini lubonisa ukwehla kokuhamba kwexesha. Abanye abaphandi baye babonisa ukuba ukuqhuba
Kuze kube ngoku, impembelelo ye-EMA kwimisebenzi yokuzala yabasetyhini ayiyazi. Nangona kunjalo, ukukhulelwa emva kokuqulunqwa kwemithambo ye-uterine kunokuqhubeka ngaphandle kweengxaki xa kusebenza ngokuphumelelayo ukucinywa kwemida. Nangona kunjalo, ngokwemiqathango yezifundo eziqhutyelwe, akukho zininzi ziimeko zokukhulelwa ngokukhuselekileyo emva kokusebenza. Ukuqulunqwa kwemithambo ye-uterine yindlela efanelekileyo, ekhuselekileyo yokonyango lwe-myomas ye-uterine. Kule meko, emva kwenkqubo, ayikho enye impawu.