Ngaba wakha waliva igama elithi "cervix"? Usenokuba ulivile kugqirha, ngexesha le -Pap smear, okanye ngexesha lokukhulelwa. Lilungu elibaluleke kakhulu, elincinci, kodwa elinamandla emzimbeni wethu, ingakumbi kubafazi. Ngoko ke namhlanje, masithethe ngento eyiyo kanye i-cervix, kwenzeka ntoni kuyo, kunye nento esinokuyenza ukuze siyigcine isempilweni.
Kalula nje, yintoni le cervix?
Cinga ngesibeleko sakho njengendlu encinci. Ilungu lobufazi yindlela eya kuloo ndlu. Umlomo wesibeleko ngumngxuma omncinci onemisipha odibanisa indlu nendlela. Yingakho abanye abantu bewubiza ngokuba "yintamo yesibeleko."
Le yindawo encinci apho izinto zingena kwaye ziphuma khona kwisibeleko . Oku kubalulekile kubafazi nakubantu abanxibelelana nesini esinye. Ikwayindawo ephambili yezifo ezifana nomhlaza womlomo wesibeleko, ngoko ke kubalulekile ukuqaphela oku. Yiyo loo nto kufuneka sihlolwe rhoqo nge-Pap smears.
Yeyiphi inkonzo enikezelwa sisibeleko emizimbeni yethu?
Umsebenzi owenziwe yile cango incinci awunto incinci. Ufana nocango oluhle oluvula luze luvalwe ngexesha, lulungelelanisa neemfuno zomzimba. Jonga okwenzekayo ngale nto.
- Ukuya exesheni : Nyanga nganye, xa kusenzeka ukuba umntu ahambe exesheni, igazi eliphuma esibelekweni kufuneka liphume ngelungu lobufazi. Eli gazi liyasuswa, okanye lifumaneke, ngelungu lomlomo wesibeleko.
- Ukukhulelwa Nokuzala: Umlomo wesibeleko nawo udlala indima enkulu ekukhulelweni komntwana. Xa isidoda singena kwisini ngexesha lokwabelana ngesondo, umlomo wesibeleko ulungiselela indlela yokuba singene esibelekweni size sidibane neqanda. Ingakumbi ngexesha lokukhutshwa kweqanda, umhluzi okhutshwa yi-cervix uyancipha, nto leyo edala imeko-bume evumela isidoda ukuba singene ngokulula.
- Ukuzala Kwangasese: Ngexesha lokukhulelwa, umlomo wesibeleko uhlala uvaliwe kwaye uvalwe nge-mucus plug ukukhusela umntwana kunye nesibeleko. Kodwa njengoko ixesha lokuzala lisondela, le plug iyanyibilika, umlomo wesibeleko uyathamba , unciphe, kwaye uqala ukuvuleka (uvuleke). Umntwana angaphuma esibelekweni aze angene kwi-vaginal .Le yindlela umntwana alungele ngayo ukungena emhlabeni. Oogqirha baqikelela ukuba kuza kuthatha ixesha elingakanani ukuba umntwana azalwe ngokujonga ukuba umlomo wesibeleko uvulekile kangakanani.
- Ukukhusela isibeleko: Umlomo wesibeleko usebenza njengomqobo othintela izinto, ezinje ngee-tampon, ozifaka kwisini ukuba zingangeni ngokupheleleyo esibelekweni.
Iphi i-cervix? Injani imilo yayo?
Umlomo wesibeleko ungaphakathi kwi-pelvic cavity, malunga ne-intshi ezi-3 ukuya kwezi-6 ngaphakathi kwi-vaginal. Uqala kwinxalenye esezantsi yesibeleko kwaye uqhagamshelane nephezulu kwi-vaginal.
Igama lesiLatini elithi "Cervix" lithetha "intamo." Njengoko igama lisitsho, imile okwesilinda, ibanzi kancinci embindini, kwaye incinci phezulu nasezantsi. Isiphelo esiphezulu sivuleka singene esibelekweni, kwaye isiphelo esisezantsi sivuleka singene kwilungu lobufazi.
Kukho iinxalenye ezimbalwa ezibalulekileyo koku. Masibone ukuba zeziphi.
| Inxalenye yoMqala | Inkcazo nje |
|---|---|
| I-OS yangaphakathi | Umnyango wesibeleko. Usenokuba ukhe weva oogqirha bethetha ngale nto ngexesha lokukhulelwa. |
| Umjelo we-Endocervical | Inxalenye efana nomngxuma edibanisa isango eliphezulu nesango elisezantsi. |
| I-Ectocervix | Inxalenye yomlomo wesibeleko ephuma ecaleni kwelungu lobufazi kwaye ifikeleleka kuthi. |
| I-OS yangaphandle | Umnyango ongasecaleni lelungu lobufazi. |
| Indawo yoGuquko (iTZ) | Le yeyona ndawo ibalulekileyo . Yindawo apho kudibana khona uhlobo lweeseli ezingaphakathi komlomo wesibeleko kunye nohlobo lweeseli ezingaphandle. Kulapho utshintsho olungaqhelekanga lweeseli, njengomhlaza womlomo wesibeleko, luhlala lusenzeka khona. Le yindawo ejongwa kakhulu ngexesha lovavanyo lwePap. |
Ungakwazi na ukuyichukumisa i-cervix yakho?
Ewe, ungakwenza oku kuxhomekeke ekubeni ukuphi kumjikelo wakho. Ukuba ufaka umnwe wakho omde kwilungu lobufazi bakho, kuya kubakho inqanaba apho ungakwazi ukuya phambili. Ngumlomo wesibeleko sakho. Ngamanye amaxesha uvakala uqinile kwaye uqinile, ngamanye amaxesha uvakala ngathi sisiponji esithambileyo . Ngexesha lokukhutshwa kweqanda , uba thambile kakhulu kwaye uhlale nzulu kakhulu kwilungu lobufazi.
Kodwa khumbula, ukuba uyazama oku, kubalulekile ukuhlamba izandla zakho kakuhle ngesepha namanzi ashushu ngaphambi kokuba wenze njalo! Kungenjalo, iintsholongwane ezisezandleni zakho zingangena zibangele usulelo.
Ziziphi izifo ezinokubakho ezinxulumene nomlomo wesibeleko?
Ezona meko zixhaphakileyo zomlomo wesibeleko esifanele sizixhalabele zibangelwa yiHuman Papillomavirus, okanye iHPV . Olu lusulelo oludluliselwa ngesondo (STI). Usulelo lweHPV ngamanye amaxesha lunokukhokelela kumhlaza womlomo wesibeleko.
Makhe sibone ukuba zeziphi izifo eziphambili ezichaphazela umlomo wesibeleko.
| Imeko yezonyango | Kalula nje... |
|---|---|
| Umhlaza womlomo wesibeleko | Ukukhula okungalawulekiyo kweeseli ezingaqhelekanga emlonyeni wesibeleko. Oku kudla ngokubangelwa lusulelo lwe-HPV. |
| I-dysplasia ye-intraepithelial yomlomo wesibeleko (CIN) | Lo asingomhlaza, kodwa sisandulela somhlaza. Utshintsho olungaqhelekanga kwiiseli zomlomo wesibeleko. Isizathu esiphambili soku yiHPV. |
| I-Cervicitis | Ukudumba kunye nokubomvu komlomo wesibeleko kunokubangelwa zizifo ezidluliselwa ngesondo (ezifana neChlamydia, iGonorrhea) okanye iimpendulo kwezinye iindlela zokulawula ukuzala. |
| Iithumba zomlomo wesibeleko (iipolyps, iifibroids, iicysts) | Ezi zihlala zingenabungozi, zinenyama okanye zizele lulwelo. Ii-cysts zaseNabothian zihlobo oluqhelekileyo. |
| Iimeko ezikhethekileyo ezinokwenzeka ngexesha lokukhulelwa | |
| Ukungakwazi kakuhle komlomo wesibeleko | Umlomo wesibeleko uqala ukuvuleka ngaphambi kokuba kuphele ukukhulelwa. Oku kunokukhokelela ekuphunyelweni yisisu okanye ekuzalweni ngaphambi kwexesha. |
| I-Placenta previa | I-placenta, enika umntwana ukutya, ikwindawo apho umlomo wesibeleko uvalekile okanye uvalekile ngokupheleleyo. Kuloo meko yokukhulelwa, kufuneka i-cesarean section (i-c-section). |
Zithini iimpawu zengxaki yomlomo wesibeleko?
Le yeyona nto ibalulekileyo sonke ekufuneka siyiqaphele.
Amaxesha amaninzi, iingxaki zomlomo wesibeleko, ingakumbi amanqanaba okuqala omhlaza womlomo wesibeleko , azibonisi zimpawu zangaphandle. Yiyo loo nto kubalulekile ukuba uhlolwe kwangethuba, nokuba akukho ngxaki.
Nangona kunjalo, ukuba kukho naziphi na iimpawu, zinokuba zezi:
- Ukopha okungaqhelekanga kwilungu lobufazi (ukopha kakhulu phakathi kwexesha lokuya exesheni, ukopha emva kokwabelana ngesondo).
- Ukukhupha okungaqhelekanga kwilungu lobufazi (okumanzi, okunegazi, nokuba nevumba elibi okanye elingenalo).
- Ukuziva uxinezelekile ngaphandle kwesizathu esithileUkudinwa kunye nokungonwabi.
- Intlungu xa uchama.
Ziziphi iindlela zokujonga impilo yomlomo wesibeleko?
Kukho iimvavanyo ezininzi ugqirha wakho anokuzisebenzisa ukujonga ukuba umlomo wesibeleko sakho uphilile na. Elona liqhelekileyo nelibalulekileyo kwezi yiPap smear.
| Uvavanyo | Wenza ntoni ngale nto? |
|---|---|
| Uvavanyo lwe-pelvic | Ugqirha usebenzisa iminwe yakhe kunye nesixhobo (speculum) ukuhlola amalungu okuzala, kuquka nomlomo wesibeleko. |
| I-Pap smear | Ibhrashi encinci isetyenziselwa ukuthatha iiseli ezimbalwa kumphezulu wesibeleko kwaye izithumele kwilebhu ukuze kuhlolwe umhlaza okanye iimeko ezingaphambi komhlaza. |
| Uvavanyo lwe-HPV | Njengovavanyo lwePap, iiseli ziyathathwa zize zivavanyelwe ubukho bentsholongwane yeHPV, enokubangela umhlaza. |
| I-Colposcopy | Ukuba iziphumo zovavanyo lwePap aziqhelekanga, ugqirha uza kuhlola umlomo wesibeleko ngemakroskopu. Ukuba kuyimfuneko, kunokwenziwa iqhekeza elincinci lesicwili (i-biopsy). |
| I-Biopsy | Ukuba kubonwa into ekrokrisayo, kususwa iqhekeza elincinci lesicwili emlonyeni wesibeleko kwaye kuvavanywe iiseli zomhlaza. I-LEEP kunye ne-Conization ziindlela ezimbini ezisetyenziselwa oku. |
Izinto esinokuzenza ukuze umlomo wesibeleko uphile kakuhle
Ngethamsanqa, kukho izinto ezilula, kodwa ezibaluleke kakhulu esinokuzenza ukugcina umlomo wesibeleko wethu usempilweni.- Fumana ugonyo lwe-HPV: Kubaluleke kakhulu ukufumana olu gonyo ukuze lukhusele kwiintlobo eziphambili ze-HPV ezibangela umhlaza womlomo wesibeleko. Iigonyo ezifana neGardasil® ngoku ziyafumaneka eSri Lanka. Thetha nogqirha wakho ngale nto kwaye ufumane ingcebiso.
- Uvavanyo ngexesha: Ngokuqhelekileyo kucetyiswa ukuba uqalise uvavanyo lwePap emva kweminyaka engama-21. Emva kweminyaka engama-30, uvavanyo lwePap kunye novavanyo lweHPV zenziwa kunye. Nangona kunjalo, ngugqirha wakho kuphela onokukunika icebiso elifanelekileyo lokuba ungazifumana nini ezi mvavanyo ngokusekelwe kwiminyaka yakho kunye nembali yakho yempilo. Ngoko ke, musa ukulibazisa olu vavanyo njengoko ecebisa.
- Ziqhelise ngesondo elikhuselekileyo: Ukusebenzisa iindlela ezikhuselekileyo ezifana neekhondom kunokukukhusela kwizifo ezidluliselwa ngesondo ezifana ne-HPV.
- Kuphephe ukutshaya nokusebenzisa icuba: Izifundo zibonise ukuba abafazi abatshayayo basengozini enkulu yokuba nosulelo lwe-HPV oluya kuba ngumhlaza.
Umlomo wesibeleko sisitho esincinci emzimbeni wakho esidlala indima enkulu ebomini bakho bonke, ngoko ke ukuwunyamekela sisipho esixabisekileyo ozinika sona.
Umyalezo Wokuya Ekhaya
- Umlomo wesibeleko sisitho esidibanisa isibeleko sakho kunye nelungu lobufazi kwaye sibalulekile kwimpilo yokuzala.
- Izifo ezininzi zomlomo wesibeleko, ingakumbi umhlaza, azibonisi zimpawu kwasekuqaleni.
- Ukufumana isitofu se-HPV yindlela esebenzayo kakhulu yokukhusela umhlaza womlomo wesibeleko.
- Nokuba akukho ngxaki, qiniseka ukuba ufumana uvavanyo lwePap smear kunye neHPV ngokweshedyuli ecetyiswe ngugqirha wakho. Yeyona ndlela ilungileyo yokuqinisekisa impilo yomlomo wesibeleko sakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 🌸 Yintoni kanye kanye 'iCervix'?
Ngamafutshane, 'iCervix' yeyona ndawo incinci yesibeleko. NgesiSinhala, siyibiza ngokuba yi-'gabhgela'. Isebenza njengomnyango ophakathi kwelungu lobufazi kunye nelungu lesibeleko.
💬 🤔 Kutheni umlomo wesibeleko ubaluleke kangaka emzimbeni wethu?
Umlomo wesibeleko yinxalenye ebaluleke kakhulu yomzimba womfazi. Ukhusela kwaye uxhasa umntwana ngelixa esesibelekweni, kwaye uvumela ixesha lokuya exesheni. Kwakhona yindawo apho kufuneka silumke kakhulu ngezifo ezifana nomhlaza womlomo wesibeleko.
💬 👩⚕️ Yintoni esifanele siyenze ukugcina umlomo wesibeleko usempilweni?
Ukuze ugcine umlomo wesibeleko sakho usempilweni, kufuneka ube nolwazi olupheleleyo ngaso. Kubaluleke kakhulu ukuba uqaphele izinto ezifana novavanyo lwePap kunye nogonyo lweHPV. Kweli nqaku, siza kuchaza izinto ezibalulekileyo ekufuneka uzazi malunga nomlomo wesibeleko sakho.
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