Ungase ube nokuphuma kwegazi okungajwayelekile kwesitho sangasese sowesifazane noma ukuya esikhathini okunzima kakhulu. Ngezinye izikhathi, lawa ma-polyp omlomo wesibeletho akhona ngaphandle kokubangela izimpawu ezibonakalayo nhlobo. Namuhla, ake sixoxe ngokuthi ayini ama-polyp omlomo wesibeletho, ukuthi kungani ekhula, kanye nezinketho zokwelapha ezitholakalayo lapha eNirogi Lanka.
Iyini ngempela i-cervical polyp? Ake siyichaze!
Kalula nje, i-cervical polyp iwukukhula okuncane, okungajwayelekile okwakheka ebusweni bomlomo wesibeletho sakho noma ngaphakathi komsele womlomo wesibeletho. Njengoba kungenzeka wazi, umlomo wesibeletho yingxenye exhumanisa isibeletho sakho ( isibeletho ) nesitho sakho sangasese sowesifazane.
Cabanga ngazo njengethegi encane yesikhumba engase ivele emzimbeni wakho; lokho kufana kakhulu nendlela i-polyp ebukeka ngayo. Kodwa-ke, lezi zitholakala emlonyeni wesibeletho. Amathuba okuba i-polyp yomlomo wesibeletho ibe nomdlavuza aphansi kakhulu. Esikhathini esiningi, azinabungozi. Kodwa-ke, ezimweni ezingavamile kakhulu, amanye ama-polyp angaba ngaphambi komdlavuza. Yingakho, uma ubhekene nezimpawu, udokotela wakho ezokuncoma ukuthi i-polyp isuswe.
Ingabe kunezinhlobo ezahlukene zama-polyp entanyeni yomlomo wesibeletho?
Yebo, kunezinhlobo ezimbili ngokuyinhloko:
- Ama-polyp e-Ectocervical: Lawa avela engxenyeni engaphandle yamaseli esibelethweni sakho somlomo wesibeletho.
- Ama-polyp e-Endocervical: Lawa akhula ngaphakathi komsele womlomo wesibeletho futhi uhlobo oluvame kakhulu esihlangana nalo.
Zivame kangakanani i-cervical polyps, futhi obani abasengozini?
Cishe u-2% kuya ku-5% wabesifazane bangase babe nama-polyp esibelethweni. Avame ukubonakala kwabesifazane abaseminyakeni yokuzala—ikakhulukazi labo abaneminyaka engaphezu kuka-40—kanye nalabo abaye baba nezingane ezingaphezu kweyodwa.
Into ebaluleke kakhulu okufanele uyikhumbule ukuthi iningi lama-polyp esibeletho alinangozi. Ama-polyp ayingozi (anomdlavuza) awavamile kakhulu, avela ngaphansi kwe-1% yamacala, ngokuvamile kwabesifazane asebedlulile esikhathini sokuya esikhathini. Ngokuvamile asikho isidingo sokukhathazeka okukhulu.
Ziyini izimpawu ze-cervical polyp? Bheka ukuthi uyazibona yini lezi zimpawu
Abantu abaningi banama-polyp ngaphandle kokubona izimpawu nhlobo. Kodwa-ke, abanye bangase baqaphele okulandelayo:
- Izikhathi zokuya esikhathini ezinde kakhulu (i-menorrhagia): Lokhu kuhlanganisa ukuphuma kwegazi okuhlala isikhathi eside kunokujwayelekile noma okunzima kakhulu.
- Ukopha ngemva kocansi.
- Ukopha okungajwayelekile kwesitho sangasese sowesifazane: Isibonelo, ukubona phakathi kokuya esikhathini noma noma yikuphi ukopha ngemva kokufika kokunqamuka kokuya esikhathini .
- Uketshezi oluphuma esithweni sangasese sowesifazane olunuka kabi, olumhlophe noma oluphuzi, olungabonisa ukutheleleka.
Uma ubhekene nanoma yiziphi zalezi zinkinga, kungcono ukuvakashela udokotela ukuze uthole iseluleko sochwepheshe.
Ibukeka kanjani i-polyp yomlomo wesibeletho?
Ezimweni eziningi, la ma-polyp made futhi anomumo wezinyembezi. Avame ukubonakala ephuma emlonyeni wesibeletho. Uma ethintwa, angase azizwe ebushelelezi noma ethambile kancane. Umbala wawo ungaba bomvu okhanyayo, opinki-onsomi, noma ompunga-omhlophe. Amanye ama-polyp anesiqu eside, esincane (i-pedicle). Nakuba ngokuvamile engaphansi kwengxenye yesentimitha ngobukhulu, ngezinye izikhathi angakhula abe makhulu futhi angase ophe uma ecasukile.
Kungani kuvela ama-polyp esibeletho?
Nakuba imbangela eqondile ingacaci ngaso sonke isikhathi, kucatshangwa ukuthi kunezici eziningana ezifaka isandla:
- Ukuvuvukala okungapheli komlomo wesibeletho: Lokhu kwenzeka lapho umlomo wesibeletho uhlala uvuvukile noma ucasukile ngenxa yokuvuvukala okuqhubekayo.
- Izifo Ezithathelwana Ngocansi ( STIs ): Izifo ezifana ne-Chlamydia noma i-Gonorrhea.
- Ukutheleleka kwemvubelo noma amagciwane: Lokhu kungabangela nokuvuvukala komlomo wesibeletho.
- Amazinga aphezulu e-estrogen: Le hormone idlala indima enkulu ekusebenzeni kohlelo lokuzala lwabesifazane.
Udokotela uhlonza kanjani lokhu?
Ngokuvamile, i-polyp yomlomo wesibeletho itholakala ngesikhathi sokuhlolwa kwe-pelvic noma ukuhlolwa kwe-Pap . Ngemva kokuba udokotela wakho efake i-speculum ukuze abone umlomo wesibeletho ngokucacile, angabona kalula noma yimaphi ama-polyp akhona. I-speculum iyithuluzi elijwayelekile elisetshenziselwa ukubamba ngobumnene izindonga zesitho sangasese sowesifazane ukuze abone umlomo wesibeletho.
Ingabe kudingeka ezinye izivivinyo?
Ngokuvamile, ukuhlolwa ngamehlo nge-speculum kwanele ukuhlonza i-polyp. Ngeke udinge ukuhlolwa okubanzi. Kodwa-ke, udokotela wakho cishe uzoyisusa i-polyp ayithumele elebhu ukuqinisekisa ukuthi awekho amangqamuzana angajwayelekile.
Kwezinye izimo, udokotela wakho angenza i -ultrasound ukuze abuke indawo ezungeze umlomo wesibeletho. I -biopsy —ukuthatha isampula encane yezicubu—iyindlela eqinisekile yokuthola ukuthi i-polyp inomdlavuza yini. Njengoba kushiwo, amathuba alokhu aphansi kakhulu.
Ingabe i-polyp kufanele isuswe?
Yebo, ukususwa kuyindlela ephephile ezimweni eziningi. Uma unezimpawu ezifana nokopha, udokotela wakho angase akwazi ukususa i-polyp ngesikhathi sokuhlolwa kwakho okuvamile kwe-pelvic. Uma i-polyp inkulu noma kunengozi yezinkinga, udokotela wakho angase ahlele ukususwa kwayo egumbini lokuhlinza, mhlawumbe ngaphansi kwe-anesthesia yendawo.
Izicubu ezisusiwe zihlala zithunyelwa elabhorethri ukuqinisekisa ukuxilongwa nokuqinisekisa ukuthi izicubu ziphilile.
Ukususwa kwenziwa kanjani (i-Polypectomy)?
Le nqubo ibizwa ngokuthi i -polypectomy . Ngokuvamile yenziwa ehhovisi likadokotela ngesikhathi sokuhlolwa kwe-pelvic. Uma i-polyp inkulu, i-anesthesia ingasetshenziswa endaweni yokuhlinzwa.
Ama-polyp amancane avame ukususwa ngokubamba isisekelo ngethuluzi elikhethekile (i-forceps) bese usijika kancane. Lokhu ngokuvamile akudingi i-anesthesia futhi kuyashesha futhi akunabuhlungu obukhulu.
Uma i-polyp inkulu noma ingenaso isiqu esicacile, udokotela wakho angasebenzisa i -LEEP (Loop Electrosurgical Excision Procedure) . Lokhu kuhilela ukusebenzisa iluphu encane, eshisayo kagesi ukuze kususwe ukukhula ebusweni bomlomo wesibeletho. Udokotela wakho uzoyiqeda umlomo wesibeletho ngaphambi kwesikhathi ukuqinisekisa ukuthi ukhululekile.
Ingabe kungaba nezinkinga ngemva kokususwa?
Izinkinga azivamile kakhulu, kodwa ngezinye izikhathi, okulandelayo kungenzeka:
- Ukutheleleka.
- Ukopha ngokweqile.
- Ukubhoboka kwesibeletho (okungavamile kakhulu).
Kuthatha isikhathi esingakanani ukululama ngemva kokususwa kwe-polyp?
Ngemva kokususwa kwe-polyp, ungase ube nokuqaqamba okuncane . Kuvamile futhi ukuba nokubona okuncane ngemva kwalokho. Ungaphatha lokhu kungakhululeki ngokuqeda ubuhlungu ngaphandle kwemithi kadokotela, njenge-paracetamol noma i-ibuprofen. Okungenani amasonto amabili, noma kuze kube yilapho noma yikuphi ukuphuma kwegazi sekuphelile ngokuphelele, kufanele ugweme ukuya ocansini kanye nokusebenzisa ama-tampon. Sicela uxhumane nodokotela wakho ukuze uthole isiqondiso esithile esiklanyelwe ukululama kwakho.
Yimiphi imiphumela emibi evamile yokususwa kwe-polyp?
Imiphumela emibi evame kakhulu ukuba namabala amancane kanye nokuqaqamba okuncane kwesisu , kokubili okuvame ukuxazululeka phakathi nezinsuku ezimbalwa. Ukususwa kwe-polyp kuyinqubo esheshayo nephephile, futhi izinkinga ezinkulu azivamile kakhulu. Kufanele ukwazi ukubuyela emisebenzini yakho evamile yansuku zonke phakathi nosuku noma ezimbili emva kwenqubo.
Ngingakwazi yini ukuvimbela ama-polyp esibelethweni?
Nakuba kunzima ukuvimbela ngokuphelele ama-polyp esibelethweni ngoba ezinye izinto zingaphezu kwamandla akho, ungathatha izinyathelo zokunciphisa ingozi yokutheleleka. Isibonelo, ukwenza ucansi oluphephile (njengokusebenzisa amakhondomu) kuyindlela yokuphepha ewusizo.
Kodwa-ke, isu eliphumelela kakhulu ukuhlela ukuhlolwa kwe-pelvic njalo kwezifo zabesifazane kanye ne-Pap smears. Lokhu kuhlolwa kuvumela udokotela wakho ukuthi athole futhi elaphe ama-polyps ngaphambi kokuba abangele noma yiziphi izimpawu.
Ingabe kufanele ngikhathazeke uma ngitholakala ngine-cervical polyp?
Eqinisweni, ama-polyp amaningi esibeletho awayona ingozi (awanawo umdlavuza) futhi asuswa kalula. Udokotela wakho uzoncoma kuphela ukususwa uma ebona kudingekile. Ukuba ne-polyp yesibeletho akuholeli ezinkingeni zempilo zesikhathi eside, ngakho-ke asikho isidingo sokukhathazeka okungadingekile, ngokusho kochwepheshe bezempilo baseNirogi Lanka.
Ingabe la ma-polyp angase aphinde akhule?
Nakuba kungavamile ukuthi ziphinde zivele, akuyona into engenakwenzeka. Uma uke waba nama-polyp esibelethweni esikhathini esidlule, kunethuba elincane lokuthi zingaphinde zivele.
Kuthiwani uma nginayo eyodwa ngesikhathi ngikhulelwe?
Ama-polyp esibeletho awavamile kakhulu ngesikhathi sokukhulelwa. Uma ekhona, ngokuvamile mancane futhi awabonakali. Abanye odokotela bangase batuse ukuwasusa, kanti abanye bangase bakhethe ukuwayeka ukuze bagweme ukucasuka okungadingekile kwesibeletho. Uma ukhulelwe futhi utholakale une-polyp, udokotela wakho uzonquma inkambo engcono kakhulu yesenzo ngokusekelwe empilweni yakho, ubukhulu be-polyp, kanye nendawo ekuyo.
Kufanele ngimbone nini udokotela?
Kufanele nakanjani uhlele i-aphoyintimenti nomhlinzeki wakho wezempilo uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:
- Ukopha okungajwayelekile noma okungavamile kwesitho sangasese sowesifazane.
- Ukuya esikhathini okunzima kunokuvamile noma ukuphuma kwegazi phakathi kokuya esikhathini.
- Ukopha kwesitho sangasese sowesifazane ngemva kokunqamuka kokuya esikhathini.
- Ukuphuma koketshezi noma ukukhishwa koketshezi lwesitho sangasese sowesifazane okunephunga elibi.
Khumbula, ukuhlolwa okuvamile kwe-pelvic kuyindlela engcono kakhulu yokubamba izimo ezifana nama-polyp e-cervical kusenesikhathi. Uma ubona ukuphuma kwegazi okungajwayelekile kwesitho sangasese sowesifazane, qiniseka ukuthi wazisa udokotela wakho. Ngisho noma kutholakale ukuthi une-polyp ye-cervical, akuvamile ukuba khona kwesizathu sokwethuka, njengoba ngokuvamile kungezona izinto ezimbi kakhulu noma ezibangela umdlavuza.
Isifinyezo sokugcina: Amaphuzu abalulekile okufanele uwakhumbule
Ukuze sifinyeze, nansi imibono ebaluleke kakhulu engxoxweni yethu:
- Ama-polyp esibeletho ayizicubu ezincane, ezifana nokukhula ezikhula emlonyeni wesibeletho.
- Iningi lazo alinawo umdlavuza futhi libhekwa njengelingenabungozi.
- Ezinye iziguli zingase zibe nezimpawu ezifana nokopha okukhulu noma okungajwayelekile, kanti ezinye zingase zihlale zingenazo izimpawu.
- Odokotela bangakubona kalula lokhu ngesikhathi sokuhlolwa okuvamile kwe-pelvic.
- Uma kudingeka, zingasuswa kalula kakhulu.
- Ukuhlolwa njalo kwezifo zabesifazane kubalulekile empilweni yakho yokuzala.
- Uma ubona noma yiziphi izimpawu ezingavamile, funa iseluleko sochwepheshe bezokwelapha ngaso sonke isikhathi.
Sithemba ukuthi lolu lwazi lube usizo. Impilo yakho iyinto eza kuqala, ngakho-ke ungangabazi ukukhuluma nodokotela wakho uma unemibuzo noma ukukhathazeka.
