Kodi nthawi zina mumamva ngati kuti msambo wanu ndi wosakhazikika? Kapena mumaona kutuluka magazi pang'ono ngakhale msambo wanu utasiya kwathunthu (mutatha kusamba)? Ndizachilendo kumva mantha pang'ono komanso nkhawa mukaona chinthu chonga ichi. Koma nthawi zambiri, chomwe chimayambitsa izi ndi mtundu wa polyp yaying'ono yomwe imakula m'chiberekero. Lero, tiyeni tikambirane za polyps za m'chiberekero, kapena `(Uterine Polyps)`, popanda mantha, komanso mophweka.
Kodi ma polyps a m'mimba ndi chiyani?
Chabwino, tiyeni timvetse izi mosavuta. Tangoganizani kuti muli ndi thumba mkati mwa chiberekero chanu. Mu mawu azachipatala, timatcha endometrium . Mkati mwa chiberekero ichi mumatuluka mwezi uliwonse panthawi ya msambo. Madera ena a endometrium amakula kwambiri ndipo amakula mu chiberekero ngati chotupa chaching'ono, ngati thumba laling'ono. Ndicho chomwe timatcha `Uterine Polyps`.
Pakhoza kukhala chimodzi kapena zingapo mwa izi. Zitha kukhala zazikulu kuyambira zazing'ono ngati mbewu ya sesame mpaka zazikulu ngati mpira wa gofu. Nthawi zambiri zimamangiriridwa kukhoma la chiberekero ndi phesi laling'ono.
Chofunika kwambiri ndichakuti zambiri mwa zotupazi sizikhala ndi khansa (zoipa) . Choncho musachite mantha mukamva dzinali. Komabe, zimatha kuyambitsa mavuto a msambo ndipo nthawi zina zimakhudza pang'ono kubereka.
Ndani ali pachiwopsezo chachikulu chotenga izi?
Mwayi woti matendawa ayambe kukula umawonjezeka ndi ukalamba. Amapezeka kwambiri pakati pa zaka 40 ndi 50 , zomwe ndi nthawi yomwe ikuyandikira kusamba (perimenopause). Zitha kuchitikanso pambuyo pa kusamba (postmenopause). Komabe, vutoli ndi losowa kwambiri kwa anthu osakwana zaka 20.
Kuphatikiza apo, muli pachiwopsezo chachikulu ngati muli ndi zotsatirazi:
- Ngati muli ndi thupi lolemera kwambiri: Izi zikutanthauza kuti ndinu wonenepa kwambiri kapena wonenepa kwambiri.
- Ngati muli ndi kuthamanga kwa magazi (BP).
- Ngati mukumwa mankhwala a Tamoxifen: Awa ndi mankhwala omwe nthawi zambiri amaperekedwa kwa khansa ya m'mawere.
- Ngati mukumwa mankhwala a mahomoni omwe ali ndi estrogen yambiri.
Kodi zizindikiro za izi ndi ziti?
Kawirikawiri, chizindikiro chachikulu komanso chodziwika bwino cha zotupazi ndi kutuluka magazi kosazolowereka . Komabe, anthu ena amatha kukhala nazo popanda zizindikiro zilizonse. Nthawi zina zimapezeka mwangozi chinthu monga scan chikachitika kuti chipeze china chake.
Tiyeni tiwone zizindikiro zazikulu.
| Chizindikiro | Mwachidule... |
|---|---|
| Kusakhazikika kwa msambo | Chiwerengero cha masiku a msambo chimasinthasintha, zomwe zimapangitsa kuti zikhale zovuta kuneneratu nthawi yeniyeni yomwe idzafike. |
| Kutuluka magazi ambiri | Kutuluka magazi kwambiri kuposa masiku onse panthawi ya msambo. |
| Kutuluka magazi panthawi ya msambo | Kutuluka kwa madontho, ngakhale masiku omwe simuli kusamba. |
| Kutuluka magazi pambuyo pa kusamba | Kutuluka magazi kapena kutuluka madontho kuchokera kumaliseche ngakhale mutasiya kusamba kwathunthu. Izi sizachilendo ndipo muyenera kupita kwa dokotala nthawi yomweyo. |
| Kuvuta kukhala ndi ana (Kusabereka) | Kuyesa kutenga mimba koma osapambana kapena kutaya mimba. |
| Kutuluka magazi pambuyo pa kugonana | Nthawi zina, izi zingakhalenso chizindikiro. |
Kodi izi zimayambitsa ululu?
Kawirikawiri, ma fibroids a m'chiberekero samayambitsa ululu wambiri. Komabe, ngati ndi aakulu, nthawi zina angayambitse kupweteka kosasangalatsa m'mimba kapena msana, mofanana ndi komwe kumachitika panthawi ya msambo. Komabe, ululu si chizindikiro chachikulu cha vutoli.
N’chifukwa chiyani ziphuphu zimenezi zikupangika m’chiberekero?
Chifukwa chenicheni cha izi sichinadziwikebe. Komabe, ofufuza amakhulupirira kuti kuchuluka kwa mahomoni , makamaka mahomoni otchedwa estrogen, kumachita nawo gawo. Taganizirani izi, estrogen ndi yomwe imapangitsa kuti chiberekero chanu (endometrium) chikhale cholimba mwezi uliwonse. Chifukwa chake amakhulupirira kuti chifukwa cha mphamvu ya mahomoni awa, madera ena a khoma la chiberekero amakula kwambiri ndipo ziphuphuzi zimapangidwa.
Kodi dokotala amapeza bwanji izi?
Mukapita kwa dokotala chifukwa cha zizindikiro zomwe mwatchula pamwambapa, choyamba adzakufunsani za zizindikiro zanu. Adzakufunsani mafunso ambiri okhudza nthawi yanu ya msambo, kuchuluka kwa magazi omwe mumatuluka, nthawi yomwe mwakhala ndi vutoli, ndi zina zotero. Kenako adzakupimirani mayeso a amayi.
Kenako, kuti mutsimikizire ngati iyi ndi chopukusira nyama, mudzapemphedwa kuchita mayeso amodzi kapena angapo omwe ali pansipa.
| Mayeso | Mwachidule, izi ndi zomwe zimachitika... |
|---|---|
| Ultrasound ya Transvaginal | Izi zili ngati kujambulidwa nthawi zonse. Komabe, chida chaching'ono, chopyapyala chimayikidwa kudzera mu nyini kuti chiwone bwino mkati mwa chiberekero. Izi zimatha kuzindikira zinthu monga kukhuthala kosazolowereka pakhoma la chiberekero ndi ma polyps. |
| Sonohysterography | Iyi ndi sitepe ina mu scan yomweyi monga yomwe yatchulidwa pamwambapa. Apa, madzi ochepa osabala, monga saline, amalowetsedwa mu chiberekero kudzera mu chubu chopyapyala kuti apititse chiberekero. Izi zimathandiza kuti scan ione bwino ngakhale tinthu tating'onoting'ono ta mnofu mkati. |
| Hysteroscopy | Chomwe chimachitika apa ndichakuti chubu chopyapyala kwambiri, chachitali chokhala ndi kamera (hysteroscope) chimadutsa m'chikazi ndi pachibelekero kupita ku chiberekero. Izi zimathandiza dokotala kufufuza zomwe zili mkati mwa chiberekero ndi maso ake. Ubwino waukulu wa izi ndi wakuti,Ngati pali mipira ya nyama, mutha kuichotsa nthawi yomweyo pogwiritsa ntchito zida zazing'ono. |
| Kufufuza kwa Endometrial | Apa, chidutswa chaching'ono cha minofu chimatengedwa kuchokera mkati mwa chiberekero ndikutumizidwa ku labu kuti akayesedwe. Izi zimatha kuzindikira ngati pali maselo olakwika, monga maselo a khansa. |
Kodi mankhwala ochizira izi ndi otani?
Kulandira chithandizo kapena ayi kumadalira zinthu zingapo, monga zizindikiro zanu, zaka zanu, komanso chiopsezo chanu chotenga khansa ya m'mapapo.
1. Kudikira Mosamala: Ngati muli aang'ono, simunayambe kusamba, ndipo mulibe zizindikiro zilizonse, dokotala wanu angakuuzeni kuti mudikire kwakanthawi, chifukwa zotupa zina zazing'ono zimatha zokha.
2. Mankhwala: Mankhwala ena (monga ma progestin) omwe amalimbitsa mahomoni angathandize kuchepetsa zizindikiro. Komabe, zizindikiro nthawi zambiri zimabwereranso mankhwala akasiya.
3. Kuchotsa opaleshoni: Ngati pali zizindikiro, ngati mwafika nthawi yopuma, kapena ngati pali chiopsezo chochepa cha khansa, dokotala adzasankha kuchotsa polyp (polypectomy). Izi nthawi zambiri zimachitika pogwiritsa ntchito njira ya hysteroscopy yomwe yatchulidwa pamwambapa. Ndi njira yolondola kwambiri komanso yotetezeka. Polyp yochotsedwa mwanjira imeneyi imatumizidwa ku labu kuti ikayesedwe ngati pali maselo a khansa.
Kawirikawiri, ndiye kuti, pokhapokha ngati zatsimikizika kuti pali maselo a khansa m'minofu yochotsedwa, mungafunike kuchita opaleshoni kuti muchotse chiberekero (hysterectomy). Koma kumbukirani kuti izi zimachitika kawirikawiri.
Kodi ndiyenera kuda nkhawa ndi izi? Kodi ndi khansa?
Ichi ndi mantha aakulu omwe anthu ambiri ali nawo.
Nkhani yabwino ndi yakuti pafupifupi 95% ya matenda a uterine fibroids si khansa . Izi zikutanthauza kuti pafupifupi akazi 5 pa 100 ali ndi chiopsezo chotenga khansa. Chiwopsezochi n'chokwera pang'ono kwa munthu amene amatuluka magazi mosayenera atatha kusamba.
Ndicho chifukwa chake ngati dokotala awona chotupa, makamaka mwa munthu amene ali ndi zizindikiro, amachichotsa ndikuchiyang'ana. Zimenezi zingatsimikizire 100% ngati chili ndi maselo a khansa kapena ayi. Choncho musamachite mantha mosayenera, komanso musanyalanyaze zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Ngati mukutuluka magazi mosagwirizana, kutuluka magazi pakati pa nthawi ya msambo, kapena kutuluka magazi pang'ono, makamaka mutatha kusamba , musanyalanyaze ndipo pitani kwa dokotala.
- Matenda a m'chiberekero ndi ofala kwambiri. Musaope kuwatcha khansa mukamva dzinalo. Ambiri mwa iwo si khansa.
- Chithandizo chimadalira zizindikiro ndi momwe mulili. Mutha kudikira, kumwa mankhwala, kapena kuchitidwa opaleshoni yosavuta kuti muchotse.
- Opaleshoni zochotsera izi tsopano zapita patsogolo kwambiri komanso zotetezeka. Choncho palibe chifukwa choopera. Lankhulani ndi dokotala wanu za izi momasuka.
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