Ingaba ixesha lakho lokuya exesheni aliqhelekanga? Ngaba wopha kakhulu iintsuku ezininzi zilandelelana? Okanye uyeka ukopha ngokupheleleyo, uze uphinde uqalise ukopha ngamathontsi amancinci? Kuqhelekile ukuba uzive usoyika kancinci xa izinto ezinje zisenzeka. Uninzi lwexesha, ezi mpawu zibangelwa kukukhula okuncinci kwisibeleko. Ngokwezonyango, sizibiza ngokuba yi-"Uterine Polyps". Ngoko ke namhlanje, masithethe ngale nto. Ungakhathazeki, uninzi lwexesha, lo asingomhlaza.
Ngamafutshane, zithini iipolyps zesibeleko?
Iipolyps zesibeleko, okanye "iiPolyps zesibeleko", zizinto ezikhula ngakumbi kwizicubu ezikhula eludongeni lwangaphakathi lwesibeleko sakho, i-"Endometrium" apho umntwana akhula khona emva kokukhulelwa. Zifana nezihluma ezincinci ezihlala zixhonywe eluswini lwethu ngamanye amaxesha.
Ezi fibroids zikhula ziye kwi-uterine cavity ngokuzincamathelisa eludongeni lwesibeleko ngesiqu esincinci okanye isiseko esibanzi kancinci. Zingaba zingqukuva okanye zibe yi-oval. Zinokwahluka ngobukhulu ukusuka kubukhulu bembewu yesesame encinci kakhulu ukuya kubukhulu bebhola yegalufa. Abanye abantu bane-fibroid enye kuphela, ngelixa abanye banokuba neeninzi.
Into ebalulekileyo kukuba uninzi lwezi fibroids zesibeleko azinawo umhlaza (azinabungozi). Nangona kunjalo, ngamanye amaxesha zinokubangela ukuya exesheni okungacwangciswanga kwaye zichaphazele ukuzala kwakho.
Ngubani osengozini enkulu yokuphuhlisa ezi zinto?
Ubudala buyinto ebalulekileyo kule nto. Abafazi abaphakathi kweminyaka engama-40 ukuya kwengama-50, okanye malunga nexesha lokuya exesheni (perimenopause), banamathuba amaninzi okufumana la maqhuqhuva. Banokuvela nasemva kokuya exesheni (postmenopause). Nangona kunjalo, anqabile kakhulu kubantu abangaphantsi kweminyaka engama-20.
Ukongeza, usengozini enkulu kancinci yokuba ne-`(Uterine Polyps)` ukuba unezi meko zilandelayo:
| Into enobungozi | Ingcaciso elula |
|---|---|
| Ukutyeba kakhulu | Ukuba ubunzima bomzimba wakho buphezulu kakhulu kunokuba bufanele bube njalo ngobude bakho (i-BMI ingaphezulu kwama-30). |
| Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) | Ukuba unengcinezelo. |
| Iyeza iTamoxifen | Eli liyeza elisetyenziselwa ukunyanga umhlaza webele. Asinguye wonke umntu onokulisebenzisa eli yeza, kodwa umngcipheko uphezulu. |
| Unyango lwehomoni | Ingakumbi ukuba usebenzisa unyango lweehomoni olune-estrogen eninzi. |
| Iimeko zofuzo | Abantu abaneengxaki zemfuza ezingaqhelekanga ezifana neLynch syndrome okanye iCowden syndrome nabo basengozini enkulu. |
Ngaba unazo ezi mpawu?
Ixesha elininzi, uphawu oluphambili lwe-`(Uterine Polyps)` kukopha okungaqhelekanga. Kuthetha ukuthini oko? Khawucinge nje, ixesha lakho liye layeka iminyaka eliqela, kodwa ngequbuliso liqala kwakhona ngamathontsi. Okanye ukongeza kwiintsuku oye wangena kuzo exesheni, uphinda ube nokopha kancinci phakathi kwazo. Ezi ziimpawu eziphambili.
Makhe sibone ukuba zeziphi ezi mpawu.
- Ukuya exesheni okungacwangciswanga: Oku kuthetha ukuba akukho ndlela ithile yeentsuku zokuya exesheni kunye nobungakanani bokuphulukana kwegazi. Kwezinye iinyanga kusenokuba ziintsuku ezingama-20, ngelixa ezinye zinokuba ziintsuku ezingama-40.
- Ukopha kakhulu: Ukopha kakhulu kunokwesiqhelo ngexesha lokuya exesheni.
- Ukopha phakathi kwexesha: Ukuchaphaza ligazi elincinci elivela phakathi kwexesha.
- Ukungazali: Ubunzima bokukhulelwa okanye ukugcina ukukhulelwa ixesha elide.
- Ukopha emva kokuya exesheni: Amabala abomvu, apinki, okanye amdaka okanye ukopha okuncinci emva kokuya exesheni kuyekile ngokupheleleyo.
- Ukopha emva kokwabelana ngesondo.
Ngamanye amaxesha la maqhuqhuva anokubakho ngaphandle kweempawu. Ugqirha uwafumana ngengozi kuphela xa esenza into efana ne-ultrasound scan ngesizathu esinye.
Ingaba le meatball ibangela intlungu?
Ngokwesiqhelo, akukho ntlungu ingako. Nangona kunjalo, ukuba iqhuma likhulu kancinci, ngamanye amaxesha linokuba buhlungu kancinci, njengexesha elisezantsi kwesisu okanye emqolo.Usenokuziva iintlungu, kodwa iintlungu aziyonto iqhelekileyo.
Kutheni le nyama ikhula?
Isizathu esichanekileyo soku asikaziwa okwangoku, kodwa abaphandi bakholelwa ukuba amanqanaba eehomoni, ingakumbi i-hormone ye-estrogen, adlala indima.
Ngamafutshane, isebenza ngolu hlobo. Nyanga nganye ngexesha lokuya kwakho exesheni, i-hormone i-estrogen ibangela ukuba ulwelo lwesibeleko (i-endometrium) lube lukhuni. Oku kulungiselela imeko-bume yomntwana oza kukhulelwa. Ngamanye amaxesha, ukuba oku kuqina kwenzeka kakhulu, izicubu zinokuqokelelana kwezo ndawo kwaye zenze amaqhuma anje ngala. Uyakhumbula izinto ezinobungozi esithethe ngazo ngaphambili? Uninzi lwezo zinto (ukutyeba kakhulu, unyango lwee-hormone) zonyusa amanqanaba e-estrogen emzimbeni.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha malunga nokopha okungacwangciswanga, uza kukubuza imibuzo embalwa. Izinto ezifana nomjikelo wakho wokuya exesheni, ukuba uhlala ixesha elingakanani, ukuba kwenzeka kangaphi, amayeza owasebenzisayo, kunye nokuba uzama ukuba nabantwana na.
Emva koko, kuya kwenziwa uvavanyo lwezifo zabasetyhini. Kwangaxeshanye, kuya kucetyiswa ezinye iimvavanyo ezininzi ukuqinisekisa ukuba ezi ziqhuma zikhona na.
| Uvavanyo | Kwenzekani? |
|---|---|
| I-ultrasound ye-transvaginal | Olu luvavanyo olubandakanya ukufakwa kwesixhobo esincinci ngaphakathi kwilungu lobufazi. Oku kuvumela umbono ocacileyo wangaphakathi kwesibeleko. |
| I-Sonohysterography | Ngexesha lokuhlolwa okungentla, ulwelo olufana nesaline lufakwa esibelekweni ngetyhubhu encinci. Oku kubangela ukuba isibeleko sande kancinci, nto leyo evumela ukuba ukuvavanywa kubonise ngokucacileyo izicubu ezingaphakathi. |
| I-Hysteroscopy | Kule meko, ityhubhu ende nebhityileyo enekhamera idluliselwa kwisibeleko, nto leyo evumela ugqirha ukuba ajonge ngqo ngaphakathi kwesibeleko kwiscreen. |
| I-endometrial biopsy / iCurettage | Oku kuquka ukuthatha iqhekeza elincinci lethishu eludongeni lwangaphakathi lwesibeleko uze ulithumele kwilebhu ukuze kuhlolwe iiseli ezingaqhelekanga, ingakumbi iiseli zomhlaza. Kufana noko sikubiza ngokuba "kukucoca isibeleko." |
Zithini iindlela zonyango zoku?
Unyango lumiselwa ngokuthathela ingqalelo izinto ezininzi, ezifana neempawu zakho, ubudala, nokuba ufuna ukuba nabantwana, kunye nomngcipheko wakho wokuba nomhlaza.
1. Ukulinda ngononophelo: Ukuba awukafiki kwixesha lokuya exesheni, awunazo iimpawu, kwaye iqhuma lincinci kakhulu, ugqirha wakho unokucebisa ukuba ulinde okwethutyana ngaphandle konyango. Amanye amaqhuma amancinci asenokuphela ngokwawo.
2. Amayeza: Amayeza okulinganisela iihormone afana ne-`Progestins` okanye i-`Gonadotropin-releasing hormone agonists` anokunceda ukulawula iimpawu. Nangona kunjalo, esi sisisombululo sexeshana. Iimpawu zinokubuya xa iyeza liyekisiwe.
3. Ukususwa ngotyando:
- I-Hysteroscopy: Le yeyona ndlela isetyenziswa kakhulu. Ngexesha lenkqubo ye-hysteroscopy, kudluliselwa isixhobo esikhethekileyo kwityhubhu ukuze kunqunyulwe kwaye kususwe i-polyp. Inzuzo yoku kukuba ugqirha unokuyibona ngokucacileyo i-polyp aze ayisuse ngokuchanekileyo.
- Ukuhlolwa kwezicubu ezisusiweyo: Izicubu nganye ezisusiweyo ngale ndlela zithunyelwa kwilabhoratri ukuze zivavanyelwe iiseli zomhlaza. Oku kubaluleke kakhulu.
Akufuneki ukuba kususwe onke amaqhuma. Ukususwa kudla ngokucetyiswa kuphela ukuba sele ugqithile ukuya exesheni, uneempawu ezifana nokopha kakhulu, unengxaki yokukhulelwa, okanye ukuba ugqirha wakho ucinga ukuba usemngciphekweni wokuba nomhlaza.
Imibuzo embalwa abantu abaninzi abanayo
Ngaba kubuhlungu ukususa la magqabi anenyama?
Ngaphambi kotyando, uza kunikwa i-anesthesia ukuze uvale loo ndawo. Ngoko awuyi kuva iintlungu ezininzi. Usenokuziva utsalwa kancinci okanye ucinezelwe.
Angakanani amathuba okuba ezi zinto zibe nomhlaza?
Olu lolona loyiko lukhulu lomntu wonke. Kodwa khumbula, yipesenti encinci kakhulu, malunga ne-5%, yee-polyps zesibeleko ezikhula zibe ngumhlaza.Umngcipheko uphezulu kancinci ukuba sele ugqithile ukuya exesheni okanye uphuma igazi ngendlela engaqhelekanga. Yiyo loo nto nasiphi na isicwili esisusiweyo siyavavanywa.
Ngaba ikho indlela yokuthintela oku?
Ngelishwa, akukho ndlela iqinisekileyo yokuthintela oku ukuba kungenzeki. Kodwa ungayinciphisa ingozi yakho ngandlela ithile ngokulawula ubunzima bakho kunye noxinzelelo lwegazi. Eyona nto ibalulekileyo kukuya kuvavanyo lwezifo zabasetyhini rhoqo . Emva koko into efana nale inokubonwa kwasekuqaleni.
Xa ngokuqinisekileyo kufuneka ubone ugqirha
Ukuba unezinye zezi mpawu zilandelayo, nceda ungazityesheli kwaye ubone ugqirha ofanelekileyo ngokukhawuleza.
- Ukuba unamabala okanye ukopha kwilungu lobufazi emva kokuba ixesha lakho liphelile ngokupheleleyo (emva kokuya exesheni).
- Ukuba wopha ngexesha lomjikelo wakho wokuya exesheni.
- Ukuba uphuma igazi elininzi ngexesha lokuya exesheni okanye ukuba umjikelo wakho wokuya exesheni awuqhelekanga.
Kuqhelekile ukuba woyike xa ufumana ukopha okungaqhelekanga ngolu hlobo. Kodwa kwiimeko ezininzi, unobangela awungomhlaza, kodwa liqhuma elinje. Kodwa kubalulekile ukufuna iingcebiso zonyango ukuze wazi ngokuqinisekileyo, kwaye ususwe ngokukhuselekileyo ukuba kuyimfuneko.
Umyalezo Wokuya Ekhaya
- Iipolyps zesibeleko zizinto eziqhelekileyo, ezidla ngokuba zizinto ezingezizo ezomhlaza ezikhula eludongeni lwangaphakathi lwesibeleko.
- Uphawu oluphambili kukopha okungacwangciswanga. Lumka oku, ingakumbi ukuba wopha emva kokuya exesheni.
- Akufuneki ukuba zonke izicwili zisuswe. Unyango lumiselwa ziimpawu zakho kunye nezinto ezinobungozi.
- Ukuba unesifo sokopha esingaqhelekanga, ungoyiki kwaye uhlale ekhaya. Ngokuqinisekileyo bonana nogqirha ukuze ufumane ukuxilongwa okufanelekileyo kunye neengcebiso.
- Unyango lusebenza kakhulu kwaye lukhuselekile. Nje ukuba lususwe, iimpawu ziyaphela phantse ngokupheleleyo.
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