Wake wezwa igama elithi "cervix"? Kungenzeka ukuthi uke walizwa kudokotela, ngesikhathi sokuhlolwa kwe-Pap smear, noma ngesikhathi sokukhulelwa. Liyisitho esibaluleke kakhulu, esincane, kodwa esinamandla emzimbeni wethu, ikakhulukazi kwabesifazane. Ngakho-ke namuhla, ake sixoxe ngokuthi siyini ngempela isibeletho, kwenzekani kuso, nokuthi yini esingayenza ukuze sisigcine siphilile.
Kalula nje, iyini le ntambo yomlomo wesibeletho?
Cabanga ngesibeletho sakho njengendlu encane. Isitho sangasese sowesifazane siyindlela eya kuleyo ndlu. Isibeletho siyindawo encane, enemisipha exhumanisa indlu nomgwaqo. Yingakho abanye abantu besibiza ngokuthi "intamo yesibeletho."
Lena yimbobo encane lapho izinto zingena futhi ziphume khona esibelethweni . Lokhu kubalulekile kwabesifazane nakubantu abathile abangongqingili. Futhi kuyindawo enkulu yezifo ezifana nomdlavuza wesibeletho, ngakho-ke kubalulekile ukuqaphela lokhu. Yingakho sidinga ukuhlolwa njalo kwe-Pap smears.
Iyiphi inkonzo enikezwa yi-cervix emizimbeni yethu?
Umsebenzi owenziwe yilo mnyango omncane awuyona into encane. Ufana nomnyango omuhle ovuleka futhi uvale ngesikhathi, ovumelana nezidingo zomzimba. Bheka ukuthi kwenzekani ngalokhu.
- Ukuya esikhathini : Njalo ngenyanga, lapho uya esikhathini, igazi eliphuma esibelethweni kumele liphume ngesitho sangasese sowesifazane. Leli gazi liyahlanzwa, noma lenziwe litholakale, ngesibeletho.
- Ukukhulelwa Nokuzala: Umlomo wesibeletho nawo udlala indima enkulu ekukhulelweni komntwana. Lapho isidoda singena esithweni sangasese sowesifazane ngesikhathi socansi, umlomo wesibeletho ulungiselela indlela yokuthi singene esibelethweni futhi sihlangane neqanda. Ikakhulukazi ngesikhathi sokukhishwa kweqanda, ulwelwesi olukhishwa umlomo wesibeletho luyancipha, okudala indawo evumela isidoda ukuthi singene kalula.
- Ukubeletha Ngesitho Sangasese Sowesifazane: Phakathi nokukhulelwa, umlomo wesibeletho uhlala uvaliwe kahle futhi uvalwe nge-mucus plug ukuvikela umntwana kanye nesibeletho. Kodwa njengoba isikhathi sokubeletha sisondela, le plug iyancibilika, umlomo wesibeletho uyathamba , unciphe, bese uqala ukuvuleka (uvuleke). Ingane ingaphuma esibelethweni ingene esithweni sangasese sowesifazane .Yile ndlela umntwana alungele ngayo ukungena emhlabeni. Odokotela balinganisela ukuthi kuzothatha isikhathi esingakanani ukuthi umntwana azalwe ngokubheka ukuthi umlomo wesibeletho uvulekile kangakanani.
- Ukuvikela isibeletho: Umlomo wesibeletho usebenza njengesivikelo esivimbela izinto, njenge-tampon, ozifaka esithweni sangasese sowesifazane ukuthi zingangeni esibelethweni.
Ukuphi umlomo wesibeletho? Unjani umumo wawo?
Umlomo wesibeletho utholakala ngaphakathi komgodi we-pelvic, cishe amasentimitha angu-3 kuya kwangu-6 ngaphakathi kwesitho sangasese sowesifazane. Uqala engxenyeni ephansi yesibeletho bese uxhuma engxenyeni ephezulu yesitho sangasese sowesifazane.
Igama lesiLatini elithi "Cervix" lisho "intamo." Njengoba igama lisho, limise okwesilinda, libanzi kancane phakathi, futhi lincane phezulu nangaphansi. Ingxenye engenhla ivulekela esibelethweni, kanti ingxenye engezansi ivulekela esithweni sangasese sowesifazane.
Kunezingxenye ezimbalwa ezibalulekile kulokhu. Ake sibone ukuthi ziyini.
| Ingxenye Yesibeletho | Incazelo nje |
|---|---|
| I-OS yangaphakathi | Ukuvulwa kwesibeletho. Kungenzeka ukuthi uke wezwa odokotela bekhuluma ngalokhu ngesikhathi sokukhulelwa. |
| Umsele we-Endocervical | Ingxenye efana nomhubhe exhumanisa isango eliphezulu nesango elingezansi. |
| I-Ectocervix | Ingxenye yomlomo wesibeletho ephuma eceleni kwesitho sangasese sowesifazane futhi esifinyeleleka kalula kithi. |
| I-OS yangaphandle | Imbobo ohlangothini lwesitho sangasese sowesifazane. |
| Indawo Yokuguqulwa (TZ) | Lena indawo ebaluleke kakhulu . Yindawo lapho kuhlangana khona uhlobo lwamaseli ngaphakathi komlomo wesibeletho kanye nohlobo lwamaseli angaphandle. Yilapho izinguquko ezingavamile zamaseli, njengomdlavuza womlomo wesibeletho, zivame ukwenzeka khona. Lena yindawo eqashelwa kakhulu ngesikhathi sokuhlolwa kwe-Pap. |
Ungakwazi yini ukuthinta umlomo wesibeletho sakho?
Yebo, ungakwenza lokhu kuye ngokuthi ukuphi emjikelezweni wakho. Uma ufaka umunwe wakho omude kakhulu esithweni sakho sangasese, kuzoba khona isikhathi lapho ungakwazi ukuqhubeka khona. Leso yi-cervix yakho. Ngezinye izikhathi izwakala iqinile futhi iqinile, ngezinye izikhathi izwakala njengesiponji esithambile . Ngesikhathi sokuvuthwa kweqanda , iba mnene kakhulu futhi ihlale ijule kakhulu esithweni sangasese sangasese.
Kodwa khumbula, uma uzama lokhu, kubalulekile ukugeza izandla zakho kahle ngensipho namanzi ashisayo ngaphambi kokwenza kanjalo! Ngaphandle kwalokho, amagciwane asezandleni zakho angangena ngaphakathi abangele ukutheleleka.
Yiziphi izifo ezingase zihlotshaniswe nomlomo wesibeletho?
Izimo ezivame kakhulu zomlomo wesibeletho okufanele sikhathazeke ngazo zibangelwa yi- Human Papillomavirus, noma i-HPV . Lokhu kuyisifo esithathelwana ngocansi (STI). Ukutheleleka kwe-HPV ngezinye izikhathi kungaholela kumdlavuza womlomo wesibeletho.
Ake sibone ukuthi yiziphi izimo zezokwelapha eziyinhloko ezithinta umlomo wesibeletho.
| Isimo sezokwelapha | Kalula nje... |
|---|---|
| Umdlavuza wesibeletho | Ukukhula okungalawuleki kwamaseli angajwayelekile emlonyeni wesibeletho. Lokhu kuvame ukubangelwa ukutheleleka kwe-HPV. |
| I-Cervical intraepithelial dysplasia (CIN) | Lokhu akuwona umdlavuza, kodwa kuyimbangela yomdlavuza. Ushintsho olungavamile emaseli esibelethweni. Imbangela eyinhloko yalokhu yi-HPV. |
| I-Cervicitis | Ukuvuvukala nokubomvu komlomo wesibeletho kungabangelwa izifo ezithathelwana ngocansi (njenge-Chlamydia, i-Gonorrhea) noma ukusabela kwezinye izindlela zokuvimbela inzalo. |
| Izimila zomlomo wesibeletho (ama-polyps, ama-fibroids, ama-cysts) | Lezi ngokuvamile ziyizinhlayiya ezingenangozi, ezinamanzi noma ezigcwele uketshezi. Ama-cyst aseNabothian ayindlela evamile. |
| Izimo ezikhethekile ezingase zenzeke ngesikhathi sokukhulelwa | |
| Ukungasebenzi kahle komlomo wesibeletho | Umlomo wesibeletho uqala ukuvuleka ngaphambi kokuphela kokukhulelwa. Lokhu kungaholela ekuphuphumeni kwesisu noma ekuzalweni ngaphambi kwesikhathi. |
| I-Placenta previa | I-placenta, enikeza umntwana ukudla, isendaweni lapho umlomo wesibeletho uvalekile khona ngokwengxenye noma ngokuphelele. Ekukhulelweni okunjalo, kuvame ukudingeka ukuhlinzwa (ukuhlinzwa kwesisu). |
Yiziphi izimpawu zenkinga yomlomo wesibeletho?
Lena yinto ebaluleke kakhulu sonke okudingeka siyiqaphele.
Izikhathi eziningi, ukukhubazeka komlomo wesibeletho, ikakhulukazi izigaba zokuqala zomdlavuza womlomo wesibeletho , akubonisi zimpawu zangaphandle. Yingakho kubalulekile ukuhlolwa ngesikhathi, noma ngabe akukho nkinga.
Kodwa-ke, uma kuvela izimpawu, zingaba:
- Ukopha okungajwayelekile kwesitho sangasese sowesifazane (ukopha okukhulu kokuya esikhathini, ukopha phakathi kokuya esikhathini, ukopha ngemva kocansi).
- Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane (okumanzi, okunegazi, okunephunga elibi noma okungenalo).
- Ukuzizwa ukhungathekile ngaphandle kwesizathu esithileUkukhathala nokungakhululeki.
- Ubuhlungu lapho uchama.
Yiziphi izindlela zokuhlola impilo yomlomo wesibeletho?
Kunezivivinyo eziningana udokotela wakho angazihlola ukuze ahlole ukuthi umlomo wakho wesibeletho uphilile yini. Okuvame kakhulu futhi okubaluleke kakhulu kulezi yi-Pap smear.
| Ukuhlolwa | Wenzani ngalokhu? |
|---|---|
| Ukuhlolwa kwe-pelvic | Udokotela usebenzisa iminwe yakhe kanye nethuluzi (speculum) ukuhlola izitho zokuzala, okuhlanganisa nomlomo wesibeletho. |
| I-Pap smear | Ibhulashi elincane lisetshenziselwa ukuthatha amangqamuzana ambalwa ebusweni bomlomo wesibeletho bese liwathumela elabhorethri ukuze kuhlolwe umdlavuza noma izimo ezingaphambi komdlavuza. |
| Ukuhlolwa kwe-HPV | Njengokuhlolwa kwe-Pap, amaseli ayathathwa futhi ahlolwe ukuthi akhona yini igciwane le-HPV, elingabangela umdlavuza. |
| I-Colposcopy | Uma imiphumela yokuhlolwa kwe-Pap ingajwayelekile, udokotela uzohlola umlomo wesibeletho nge-microscope. Uma kudingeka, kungathathwa ingcezu encane yezicubu (i-biopsy). |
| Ukuhlolwa kwebhayoloji | Uma kubonakala okuthile okusolisayo, kususwa ingcezu encane yezicubu emlonyeni wesibeletho bese kuhlolwa amangqamuzana omdlavuza. I-LEEP kanye ne-Conization yizindlela ezimbili ezisetshenziswa kulokhu. |
Izinto esingazenzela umlomo wesibeletho onempilo
Ngenhlanhla, kunezinto ezilula, kodwa ezibaluleke kakhulu esingazenza ukuze sigcine umlomo wesibeletho sethu uphilile.- Thola umuthi wokugomela i-HPV: Kubaluleke kakhulu ukuthola lo muthi wokugomela ukuze uvikele ezinhlotsheni eziyinhloko ze-HPV ezibangela umdlavuza wesibeletho. Imijovo efana ne-Gardasil® isiyatholakala eSri Lanka. Khuluma nodokotela wakho ngalokhu bese uthola iseluleko.
- Hlola ngesikhathi: Ngokuvamile kunconywa ukuthi uqale ukuhlolwa kwe-Pap ngemva kweminyaka engu-21. Ngemva kweminyaka engu-30, kokubili ukuhlolwa kwe-Pap kanye nokuhlolwa kwe-HPV kwenziwa ndawonye. Kodwa-ke, udokotela wakho kuphela ongakunikeza iseluleko esingcono kakhulu sokuthi ungazithola nini lezi zivivinyo ngokusekelwe eminyakeni yakho kanye nomlando wempilo yakho. Ngakho-ke, ungaweqi lezi zivivinyo njengoba encoma.
- Zijwayeze ucansi oluphephile: Ukusebenzisa izindlela eziphephile njengamakhondomu kungakuvikela ezifweni ezithathelwana ngocansi njenge-HPV.
- Gwema ukubhema nokusebenzisa ugwayi: Ucwaningo lubonise ukuthi abesifazane ababhemayo basengozini enkulu yokuthola ukutheleleka nge-HPV okubangela umdlavuza.
Umlomo wesibeletho uyisitho esincane emzimbeni wakho esidlala indima enkulu empilweni yakho yonke, ngakho ukusinakekela kuyisipho esibalulekile ozipha sona.
Umlayezo Wokuya Nawe Ekhaya
- Umlomo wesibeletho uyisitho esixhumanisa isibeletho sakho nesitho sangasese sowesifazane futhi sibalulekile empilweni yokuzala.
- Izifo eziningi zomlomo wesibeletho, ikakhulukazi umdlavuza, azibonisi zimpawu ezigabeni zokuqala.
- Ukuthola umuthi wokugomela i-HPV kuyindlela ephumelela kakhulu yokuvikela umdlavuza wesibeletho.
- Ngisho noma kungekho nkinga, qiniseka ukuthi uthola i-Pap smear kanye nokuhlolwa kwe-HPV ngesikhathi esinconywe udokotela wakho. Kuyindlela engcono kakhulu yokuqinisekisa impilo yomlomo wesibeletho sakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 🌸 Iyini ngempela 'i-Cervix'?
Kalula nje, 'i-Cervix' yingxenye encane kakhulu yesibeletho. NgesiSinhala, siyibiza ngokuthi 'i-gabhgela'. Isebenza njengomnyango ophakathi kwesitho sangasese sowesifazane nesibeletho.
💬 🤔 Kungani umlomo wesibeletho ubaluleke kangaka emzimbeni wethu?
Umlomo wesibeletho uyingxenye ebaluleke kakhulu yomzimba wowesifazane. Uvikela futhi usekele umntwana ngesikhathi esesibelethweni, futhi uvumela ukuya esikhathini. Futhi yindawo lapho kudingeka siqaphele khona izifo ezifana nomdlavuza womlomo wesibeletho.
💬 👩⚕️ Yini okufanele siyenze ukuze sigcine umlomo wesibeletho uphilile?
Ukuze ugcine umlomo wakho wesibeletho uphilile, udinga ukwazi kahle ngawo. Kubaluleke kakhulu ukuqaphela izinto ezifana nokuhlolwa kwe-Pap kanye nomjovo we-HPV. Kulesi sihloko, sizochaza izinto ezibalulekile okudingeka uzazi ngomlomo wakho wesibeletho.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment