Ingaba ixesha lakho aliqhelekanga? Masifunde nge-Endometrial Hyperplasia!

Ngaba umjikelo wakho wokuya exesheni uye watshintshatshintsha kakhulu? Ngezinye iintsuku unzima kakhulu, ngamanye amaxesha uyalibaziseka kangangeentsuku ezininzi, okanye ngaba ubona amathontsi egazi kwakhona emva kokuba ixesha lakho liphelile? Nangona ezi zinto zibonakala ziqhelekile kubafazi abaninzi, ngamanye amaxesha oku kunokuba luphawu lwemeko efuna ingqalelo. Leyo yimeko esithetha ngayo namhlanje, 'i-Endometrial Hyperplasia'.

Ngamafutshane, yintoni i-Endometrial Hyperplasia?

Kulula kakhulu. Ulwelo lwesibeleko sakho, ngokwezonyango silubiza ngokuba yi-endometrium , luba lukhuni ngaphezu kokuba kufanele lube njalo, olubizwa ngokuba yi-Endometrial Hyperplasia.

Cinga ngale nto, inyanga nenyanga ngexesha lokuya exesheni, yila ngqayi ye-endometrial ephuma emzimbeni wakho. Kwakhona, xa umntwana ekhulelwe, loo mntwana ukhula ngokukhuselekileyo ngaphakathi kwale ngqayi. Ngoko ke okwenzekayo kule meko kukuba iba nkulu kunokuba kufanele. Kwabanye abafazi, ukuba le meko ayilawulwa, inokuba ngumhlaza we-endometrial . Ke ngoko, kubaluleke kakhulu ukuqaphela oku.

Ngaba kukho iintlobo zezi? Ngaba umngcipheko womhlaza uyafana kuye wonke umntu?

Ewe, zimbini iintlobo eziphambili zale nto. Oogqirha bayihlela ngokweentlobo zeeseli ezikwi-uterine layer etyebileyo. Ezinye iintlobo zinokubangela umhlaza, ngelixa ezinye zinqabile.

Zithini iimpawu zale meko?

Uphawu oluphambili noluqhelekileyo loku kukuphuma kwegazi okungaqhelekanga.

• Ukuya exesheni okungacwangciswanga: Ukuphuma amabala okanye ukopha phakathi kwemijikelo yokuya exesheni.
• Imijikelo emifutshane yokuya exesheni: Ukuya exesheni okwenzeka ngaphantsi kweentsuku ezingama-21 emva komnye.
• Ukopha kakhulu: Ukopha okugqithisileyo ngexesha lokuya exesheni.
• Ukopha emva kokuya exesheni: Ukopha kwamalungu esini okwenzeka emva kokuya exesheni kuye kwaphela ngokupheleleyo. Oku akufanele kuthathwe lula.
• Ukungabikho kokuya exesheni: Abanye abantu basenokungabi sexesheni kwaphela.

Abantu abaninzi abazinanzi ezi mpawu xa besondela exesheni. Nangona kunjalo, kungcono ukuthetha nogqirha wakho ukuze ufumane unobangela ochanekileyo.

Kutheni oku kusenzeka? Yintoni esona sizathu siphambili?

Ngamafutshane, unobangela oyintloko kukungalingani phakathi kweehomoni ezimbini ze-estrogen kunye ne -progesterone emzimbeni wethu. Oko kukuthi, inqanaba le-estrogen emzimbeni liyanda ngaphezu kokuba kuyimfuneko, kwaye inani elihambelanayo le-progesterone liyalahleka.

Cinga nje, i-hormone i-estrogen yenza i-uterine layer ibe nkulu. I-hormone i-progesterone ilungiselela loo taperine inzima yokukhulelwa. Ukuba ukukhulelwa akwenzeki, amanqanaba e-progesterone ayehla, kwaye kulapho i-uterine layer iphela khona ize iphume njengesexesheni.

Ngoko ke, xa i-progesterone ingekho ngokwaneleyo, ulwelo lwesibeleko alufumani mqondiso wokuba luphele. Endaweni yoko, luyaqhubeka luqina phantsi kwempembelelo ye-estrogen. Yiloo nto eyenzekayo apha.

Ngubani onokuba sengozini enkulu yoku?

Nangona le meko inokwenzeka kubasetyhini banoma yiphi na iminyaka, abanye abantu basengozini enkulu kancinci.

• Ubudala: Kunqabile kakhulu kubantu abangaphantsi kweminyaka engama-35 ubudala. Abafazi abasondela ekupheliseni ukuya exesheni (perimenopause) kwaye abaye badlula ekupheliseni ukuya exesheni (menopause) basengozini enkulu.
• Andikaze ndikhulelwe.
• Ukutyeba kakhulu: Njengoko amafutha omzimba esanda, imveliso ye-estrogen nayo iyanda.
• Imeko ye-PCOS: Abantu abane-Polycystic Ovary Syndrome (PCOS) bafumana ukungalingani kwamahomoni.
• Isifo seswekile.
• Ezinye iindlela zonyango lomhlaza:Amayeza afana neTamoxifen, esetyenziselwa umhlaza webele.
• Unyango lweeHormone: Abafazi abangasuswanga isibeleko sabo baze basebenzise iHormone ye-estrogen bodwa njengonyango.
• Imbali yosapho: Ukuba kukho umntu kusapho lwakho okhe waba nomhlaza wesibeleko, wesibeleko, okanye wamathumbu amakhulu.
• Ukutshaya.

Ugqirha uyifumana njani le nto?

Ukuba uphuma igazi ngendlela engaqhelekanga, ugqirha wakho unokwenza uvavanyo oluninzi ukuze afumane unobangela.

1. I-Ultrasound edluliselwa kwisini: Oku kuquka ukufaka isixhobo esincinci kwisini ukuze kuthathwe imifanekiso ecacileyo yesibeleko. Oku kunokulinganisa ngokuchanekileyo ubukhulu bodonga lwesibeleko.

2. I-Endometrial Biopsy: Olu lolona vavanyo lubalulekileyo. Iqhekeza elincinci kakhulu lesicwili lithathwa eludongeni lwesibeleko lize lihlolwe nge-microscope. Akukho nto yokoyika, le yinto ejonga ngqo uhlobo lweeseli kwaye iqinisekisa ukuba kukho i-atypia okanye iiseli zomhlaza.

3. I-Hysteroscopy: Ityhubhu encinci, ekhanyisiweyo enekhamera ifakwa ngaphakathi kwesibeleko ukuze ijonge ngqo ngaphakathi kwesibeleko. I-biopsy nayo ingathathwa ngeli xesha.

Wenza ntoni njengonyango?

Unyango loku luxhomekeke kuhlobo lwe-hypoplasia onalo, iminyaka yakho, kunye nokuba ufuna na ukuba nabantwana abaninzi.

• Unyango lwehomoni yeProgestin: Olu lolona nyango luphambili kubantu abaninzi. IProgestin luhlobo lokwenziwa lwehomoni yeprogesterone esithethe ngayo. Isebenza ngokunciphisa imiphumo ye-estrogen nokuvumela ukuba ulwelo olujiyileyo lwesibeleko luphume.
• Iipilisi eziginyiweyo
• Isixhobo sangaphakathi kwesibeleko (i-IUD)
• Inaliti (umz. iDepo-Provera®)
• Iintlobo zekrimu zesini

• Ukususwa kwesibeleko: Oku kudla ngokucetyiswa kubafazi abane-hyperplasia abane-atypia , abasengozini enkulu yomhlaza, kwaye abangasafuni ukuba nabantwana. Olu tyando lususa isibeleko, nto leyo enokuphelisa ngokupheleleyo iimpawu kwaye inciphise umngcipheko womhlaza.

Ziziphi iimeko apho kufuneka ubone ugqirha?

Ukuba unezinye zeempawu ezilandelayo, qiniseka ukuba ubonana nogqirha.