Ingabe ukuya kwakho esikhathini akujwayelekile? Ake sifunde nge-Endometrial Hyperplasia!

Ingabe umjikelezo wakho wokuya esikhathini usuvele ungajwayelekile? Ngezinye izinsuku unzima kakhulu, ngezinye izikhathi ubambezeleka izinsuku eziningana, noma ubona amaconsi egazi futhi ngemva kokuyeka ukuya esikhathini? Nakuba lezi zinto zibonakala zivamile kwabesifazane abaningi, ngezinye izikhathi lokhu kungaba uphawu lwesimo esidinga ukunakwa. Leso yisimo esikhuluma ngaso namuhla, 'i-Endometrial Hyperplasia'.

Kalula nje, iyini i-Endometrial Hyperplasia?

Kulula kakhulu. Ulwelwesi lwesibeletho sakho, ngokwezokwelapha esilubiza ngokuthi i-endometrium , luba lukhulu kunalokho okufanele lube yikho, okubizwa ngokuthi i-Endometrial Hyperplasia.

Cabanga ngakho, njalo ngenyanga ngesikhathi sokuya esikhathini, yilolu lwelwesi lwe-endometrial oluphuma emzimbeni wakho. Futhi, lapho umntwana ekhulelwa, lowo mntwana ukhula ngokuphephile ngaphakathi kwalolu lwelwesi. Ngakho-ke okwenzekayo kulesi simo ukuthi luba lukhulu kunalokho okufanele lube yikho. Kwabanye besifazane, uma lesi simo singalawulwa, singakhula sibe umdlavuza we-endometrial . Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Ingabe zikhona izinhlobo zalokhu? Ingabe ingozi yomdlavuza iyafana kuwo wonke umuntu?

Yebo, kunezinhlobo ezimbili eziyinhloko zalokhu. Odokotela bakuhlela ngokwezinhlobo zamaseli asolwelwesini lwesibeletho olujiyile. Ezinye izinhlobo zinamathuba amaningi okubangela umdlavuza, kanti ezinye zinamathuba amancane.

Ziyini izimpawu zalesi simo?

Uphawu oluyinhloko noluvame kakhulu lwalokhu ukopha okungavamile.

• Ukuya esikhathini okungajwayelekile: Ukuqhekeka noma ukuphuma kwegazi phakathi kwemijikelezo yokuya esikhathini.
• Imijikelezo emifushane yokuya esikhathini: Ukuya esikhathini okwenzeka ngaphansi kwezinsuku ezingu-21 ngokwehlukana.
• Ukopha kakhulu: Ukopha okungaphezu kokuvamile ngesikhathi sokuya esikhathini.
• Ukopha ngemva kokunqamuka kokuya esikhathini: Ukopha kwesitho sangasese sowesifazane okwenzeka ngemva kokunqamuka kokuya esikhathini sekuphele ngokuphelele. Lokhu akufanele kuthathwe kalula.
• Ukungabikho kokuya esikhathini: Abanye abantu bangase bangabi nesikhathi sabo nhlobo.

Abantu abaningi abazinaki lezi zimpawu njengoba besondela ekunqamukeni kokuya esikhathini. Kodwa-ke, kungcono ukukhuluma nodokotela wakho ukuze uthole imbangela eqondile.

Kungani lokhu kwenzeka? Iyini imbangela eyinhloko?

Kalula nje, imbangela eyinhloko ukungalingani phakathi kwamahomoni amabili i-estrogen ne -progesterone emzimbeni wethu. Okusho ukuthi, izinga le-estrogen emzimbeni liyanda ngaphezu kokudingekile, futhi inani elihambisanayo le-progesterone liyalahleka.

Cabanga ngakho, i-hormone i-estrogen yenza ulwelwesi lwesibeletho lube lukhudlwana. I-hormone i-progesterone ilungiselela lolo lwelwesi oluqinile lokukhulelwa. Uma ukukhulelwa kungenzeki, amazinga e-progesterone ayehla, futhi yilapho ulwelwesi lwesibeletho luphela khona bese luphuma njengesikhathi sokuya esikhathini.

Ngakho-ke, uma i-progesterone ingekho eyanele, ulwelwesi lwesibeletho alukwazi ukukhipha isibonakaliso. Kunalokho, luyaqhubeka luqina ngaphansi kwethonya le-estrogen. Yilokho okwenzekayo lapha.

Ubani ongase abe sengozini enkulu yalokhu?

Nakuba lesi simo singaba khona kwabesifazane banoma yibuphi ubudala, abanye abantu basengozini enkulu kancane.

• Ubudala: Akuvamile kakhulu kubantu abangaphansi kweminyaka engama-35 ubudala. Abesifazane abasondela ekunqamukeni kokuya esikhathini (perimenopause) futhi asebedlule ekunqamukeni kokuya esikhathini (menopause) basengozini enkulu.
• Angikaze ngikhulelwe.
• Ukukhuluphala: Njengoba amafutha omzimba enyuka, ukukhiqizwa kwe-estrogen nakho kuyanda.
• Isimo se-PCOS: Abantu abane-Polycystic Ovary Syndrome (PCOS) bahlangabezana nokungalingani kwama-hormone.
• Isifo sikashukela.
• Ezinye izindlela zokwelapha umdlavuza:Imithi efana ne-Tamoxifen, esetshenziselwa umdlavuza webele.
• Ukwelashwa ngama-hormone: Abesifazane abangasuswanga isibeletho sabo futhi abaphuza i-hormone ye-estrogen kuphela njengokwelashwa.
• Umlando womndeni: Uma kukhona emndenini wakho oke waba nomdlavuza wesibeletho, wesibeletho, noma wamathumbu amakhulu.
• Ukubhema.

Udokotela ukuthola kanjani lokhu?

Uma unesifo sokopha esingajwayelekile, udokotela wakho angase enze izivivinyo eziningana ukuze athole imbangela.

1. I-Transvaginal Ultrasound: Lokhu kuhilela ukufaka ithuluzi elincane ngesitho sangasese sowesifazane ukuze kuthathwe izithombe ezicacile zesibeletho. Lokhu kungalinganisa ngokunembile ubukhulu bodonga lwesibeletho.

2. I-Endometrial Biopsy: Lolu vivinyo olubaluleke kakhulu. Kuthathwa ingxenye encane kakhulu yezicubu odongeni lwesibeletho bese ihlolwa ngaphansi kwe-microscope. Akukho okufanele ukwesabe, yilokhu okubheka kahle uhlobo lwamaseli futhi kuqinisekise ukuthi kukhona yini i-atypia noma amaseli omdlavuza.

3. I-Hysteroscopy: Kufakwa ipayipi elincane, elikhanyayo elinekhamera ngaphakathi kwesibeletho ukuze libheke ngqo ngaphakathi kwesibeletho. I-biopsy nayo ingathathwa ngalesi sikhathi.

Wenzani njengokwelashwa?

Ukwelashwa kwalokhu kuncike ekutheni unesifo sofuba esingakanani, iminyaka yakho, nokuthi uyafuna yini ukuba nezingane ezengeziwe.

• Ukwelashwa ngama-hormone e-Progestin: Lokhu kuyindlela yokwelapha eyinhloko kubantu abaningi. I-Progestin iwuhlobo lokwenziwa lwe-hormone i-progesterone esikhulume ngalo. Isebenza ngokunciphisa imiphumela ye-estrogen nokuvumela ulwelwesi lwesibeletho olujiyile ukuthi luphume.
• Amaphilisi agwinyiwe
• Idivayisi yangaphakathi kwesibeletho (i-IUD)
• Umjovo (isib. iDepo-Provera®)
• Izinhlobo zokhilimu zesitho sangasese sowesifazane

• Ukususwa kwesibeletho: Lokhu kuvame ukunconywa kwabesifazane abane-hyperplasia abane-atypia , abasengozini enkulu yokuba nomdlavuza, futhi abangasafisi ukuba nabantwana. Lokhu kuhlinzwa kususa isibeletho, okungaqeda ngokuphelele izimpawu futhi kunciphise ingozi yomdlavuza.

Yiziphi izimo lapho kufanele ubonane nodokotela?

Uma unezinye zezimpawu ezilandelayo, qiniseka ukuthi ubona udokotela.