Uyazazi yini umdlavuza wesibeletho? Ake sixoxe ngakho kalula!

Izikhathi eziningi, abesifazane bethu bayakhathazeka kancane uma bebona ukuphuma kwegazi okungajwayelekile esithweni sabo sangasese sowesifazane, akunjalo? Ikakhulukazi ngemva kokunqamuka kokuya esikhathini, okungukuthi, ngemva kokuba ukuya esikhathini kwanyanga zonke sekuphele ngokuphelele. Ngezinye izikhathi lokhu kungaba uphawu lomdlavuza wesibeletho. Kodwa ungesabi ngokushesha. Akusikho konke ukuphuma kwegazi okusho umdlavuza. Kodwa-ke, kubaluleke kakhulu kithi sonke ukuqaphela izinto ezinjalo. Ngoba uma kutholakala kusenesikhathi, kulula ukukwelapha.

Uyini umdlavuza wesibeletho? Kalula nje...

"Umdlavuza wesibeletho" yigama elijwayelekile. Libhekisela kumdlavuza okhula esibelethweni sakho. Kunezinhlobo ezimbili eziyinhloko:

1. Umdlavuza we-Endometrial: Lolu uhlobo oluvame kakhulu. Lo mdlavuza ukhula olwelwesini lwangaphakathi lwesibeletho, olubizwa ngokuthi i-endometrium . Lolu uhlobo lomdlavuza oluvame kakhulu ohlelweni lwethu lokuzala lwabesifazane.

2. I-Uterine Sarcoma: Lokhu akuvamile. Kuvela odongeni lwemisipha lwesibeletho, olubizwa ngokuthi i-myometrium .

Kalula nje, cishe ama-95% omdlavuza wesibeletho angowohlobo lomdlavuza we-endometrial okukhulunywe ngawo ngaphambili. Ngakho-ke, isikhathi esiningi, lapho abantu bethi "umdlavuza wesibeletho," bakhuluma ngomdlavuza we-endometrial.

Ziyini izibeletho kanye ne-endometrium? Zenzani?

Njengoba wazi, isibeletho siyisitho esibaluleke kakhulu ohlelweni lokuzala lwabesifazane. Lapho umntwana ekhulelwa, umbungu ukhula ngaphakathi kwalesi sibeletho izinyanga eziningana. Ingxenye engenhla yesibeletho ibizwa ngokuthi "umzimba" noma "i-corpus". Ngaphansi kwesibeletho kukhona umlomo wesibeletho . Lo mlomo wesibeletho yilokho okuxhumanisa isibeletho nesitho sangasese sowesifazane. Umdlavuza wesibeletho esikhuluma ngawo lapha umdlavuza okhula emzimbeni wesibeletho. Umdlavuza wesibeletho uhlobo oluhlukile lomdlavuza.

Manje, i-endometrium iwungqimba olungaphakathi kakhulu lwesibeletho. Lokhu kukhethekile kakhulu. Ngoba, le-endometrium iyashintsha ngomjikelezo wakho wokuya esikhathini wanyanga zonke. Lokhu kwenzeka ngaphansi kwethonya lama-hormone amabili abizwa ngokuthi i-estrogen ne -progesterone . Lawa ma-hormone aqinisa i-endometrium ukuze umntwana akwazi ukukhulelwa. Kodwa uma ukukhulelwa kungenzeki, umzimba unciphisa ukukhiqizwa kwe-progesterone. Khona-ke lelo membrane le-endometrial eliqinile liyaphuma. Yilokho esikubiza ngokuthi ukuya esikhathini, noma ukuya esikhathini.

Uvame kangakanani umdlavuza wesibeletho?

Emazweni afana ne-United States, umdlavuza we-endometrial uwumdlavuza ovame kakhulu ohlelweni lokuzala lwabesifazane. Uvame kakhulu ngemva kokunqamuka kokuya esikhathini . Kuthiwa cishe abesifazane abathathu kwabayi-100 bazoba nalo mdlavuza empilweni yabo.

Ziyini izimpawu zomdlavuza wesibeletho? Uzibona kanjani?

Lena yingxenye ebaluleke kakhulu. Izimpawu zomdlavuza wesibeletho ngezinye izikhathi zingafana nezimpawu zezinye izimo ezivamile. Zingadidaniswa nezinye izifo zesimiso sokuzala. Ngakho-ke uma unesifo sokuphuma kwegazi esingavamile, noma uma unobuhlungu obungavamile noma ukuqaqamba esiswini sakho esingezansi, qiniseka ukuthi ubona udokotela futhi ukhulume ngakho. Ukuthola ukuxilongwa okunembile kuyinto ebaluleke kakhulu. Kulapho-ke kuphela lapho ungelashwa khona ngendlela efanele.

Nazi ezinye zezimpawu ezingabonakala kumdlavuza we-endometrial noma i-uterine sarcoma:

• Ngaphambi kokunqamuka kokuya esikhathini, okungukuthi, uma usaya esikhathini sakho sanyanga zonke, ukuphuma kwegazi esithweni sangasese kwenzeka phakathi kwemijikelezo emibili yokuya esikhathini. Cabanga nje, ukuya esikhathini kwakho kuyaphela bese uphinda wopha ngemva kwezinsuku ezimbalwa.
• Ngemva kokunqamuka kokuya esikhathini, okungukuthi, ngemva kokuba ukuya esikhathini kwanyanga zonke sekuphelile, ukuphuma kwegazi noma ukuvela kwamabala esithweni sangasese sowesifazane kungase kwenzeke. Lokhu akufanele kunganakwa nhlobo.
• Ubuhlungu besisu esingezansi, okungukuthi, ubuhlungu noma ukuqaqamba endaweni ye-pelvic, ngaphansi kwesisu .
• Uma usuqedile ukuya esikhathini, ungase uthole uketshezi olumhlophe noma olucacile lwesitho sangasese sowesifazane .
• Uma uneminyaka engaphezu kwengu-40 ubudala, unesifo sokuphuma kwegazi esithweni sangasese sowesifazane isikhathi eside, esinzima, noma esivame kakhulu.

Uma unezinye zalezi zimpawu, sicela ufune iseluleko sezokwelapha.

Kungani lo mdlavuza wesibeletho uvela? Iyini imbangela?

Eqinisweni, abacwaningi abakakazi kahle ukuthi yini ebangela umdlavuza wesibeletho. Kodwa-ke, ezinye izinguquko (ukuguqulwa kwezakhi zofuzo) zenzeka emaseli esibeletho. Lawa maseli ashintshiwe aqala ukukhula futhi ahlukane ngokushesha ngaphandle kokulawulwa. Yilapho-ke akha khona isimila .

Kodwa-ke, kunezici ezithile eziyingozi ezandisa ingozi yakho yokuba nomdlavuza wesibeletho. Uma unezinye zalezi zinto eziyingozi, kuwumqondo omuhle ukukhuluma nodokotela wakho ngezindlela zokuvikela impilo yakho.

Yiziphi izinto ezibangela umdlavuza wesibeletho?

Kunezici eziningana eziyingozi zokuthuthukisa umdlavuza we-endometrial. Eziningi zazo zihlobene nama -hormone i-estrogen ne -progesterone esixoxe ngawo ngaphambili.I-Progesterone ) ihlotshaniswa nokungalingani kwama-hormone amabili. Isibonelo, ukukhuluphala ngokweqile , isimo esibizwa ngokuthi i-Polycystic Ovarian Syndrome (PCOS) , noma ukuthatha i-estrogen yodwa ngaphandle kwe-progesterone (i-estrogen engaphikiswanga) kungathinta lokhu. Futhi, izimo zofuzo ezingahlobene nama-hormone, njenge -Lynch syndrome, zingandisa ingozi.

Ake sibheke lezi zinto eziyingozi ngemininingwane ethile:

Ubudala, indlela yokuphila, kanye nomlando womndeni

• Ubudala: Ingozi yokuba nomdlavuza wesibeletho iyanda njengoba ukhula. Amacala amaningi alo mdlavuza abonakala ngemva kweminyaka engu-50.
• Ukudla okunamafutha amaningi ezilwaneni: Ukudla okunamafutha amaningi kungandisa ingozi yokuthola izinhlobo eziningana zomdlavuza . Umdlavuza wesibeletho uphakathi kwawo. Ukudla okunamafutha amaningi nakho kunamafutha amaningi. Lokhu kungaholela ekukhuluphaleni ngokweqile.
• Umlando womndeni: Abanye abantu bathola izimo zofuzo ezandisa ingozi yabo yokuba nomdlavuza. Isibonelo yi -Lynch syndrome , noma umdlavuza we-colorectal ongenayo i-polyposis (i-HNPCC) odluliselwa ngefa . Laba bantu basengozini enkulu yokuthola umdlavuza we-endometrial kanye nezinye izinhlobo zomdlavuza.

Ezinye izimo zezokwelapha

• Isifo Sikashukela: Lesi sifo sivame ukuhlotshaniswa nokukhuluphala. Ukukhuluphala ngokweqile kuyisici esiyingozi somdlavuza. Kodwa-ke, ezinye izifundo ziphakamisa ukuthi kukhona ukuxhumana okuqondile nakakhulu phakathi kwesifo sikashukela nomdlavuza wesibeletho.
• Ukukhuluphala ngokweqile: Amanye ama-hormone aguqulwa abe yi-estrogen yizicubu zamafutha. Lokhu kwandisa ingozi yomdlavuza wesibeletho. Uma kunezicubu zamafutha eziningi, kulapho umphumela uba mkhulu khona emazingeni e-estrogen.
• Izifo zama-ovari: Abanye besifazane abanezimila zama-ovari banamazinga aphezulu e-estrogen kanye namazinga aphansi e-progesterone. Lezi zinguquko zama-hormone zingandisa ingozi yomdlavuza wesibeletho.

Umjikelezo wokuya esikhathini kanye nomlando wokuzala

• Ukuya esikhathini kusenesikhathi: Uma uqale ukuya esikhathini ungakafiki eminyakeni eyi-12, ingozi yakho yokuba nomdlavuza wesibeletho ingase ikhuphuke kancane. Lokhu kungenxa yokuthi isibeletho sakho sithola i-hormone i-estrogen isikhathi eside.
• Ukunqamuka kokuya esikhathini sekwephuzile: Futhi, uma ukunqamuka kokuya esikhathini kwenzeka ngemva kweminyaka engu-50, ingozi iyanda nalapho. Isizathu siyafana nangaphambili, isibeletho sithola i-estrogen isikhathi eside.
• Isikhathi eside sokuya esikhathini: Inani eliphelele leminyaka yokuya esikhathini lingabaluleka kakhulu kunobudala lapho ukuya esikhathini kwaqala futhi kwaphela khona.
• Ukungakhulelwa: Abesifazane abangazange babe nezingane basengozini enkulu kancane yokuba nalo mdlavuza.

Ukwelashwa kwangaphambilini kwezinye izifo

• Ukwelashwa ngemisebe ngaphambilini endaweni ye-pelvic: Uma uke welashwa ngemisebe endaweni ye-pelvic njengokwelashwa komunye umdlavuza, kungalimaza i-DNA yamaseli. Lo monakalo ungandisa ingozi yokuthola uhlobo lwesibili lomdlavuza.
• Ukwelashwa Kokufaka I-estrogen (ERT): Abanye abantu basebenzisa ukwelashwa kwe-estrogen ukunciphisa izimpawu zokunqamuka kokuya esikhathini. Ukuthatha i-estrogen yodwa (ERT) ngaphandle kwe-progesterone kwandisa ingozi yomdlavuza wesibeletho.
• Ukusetshenziswa kwe-Tamoxifen: Abanye abantu bathatha lo muthi njengokwelapha umdlavuza webele. Usebenza njenge-estrogen esibelethweni futhi ungandisa ingozi yomdlavuza wesibeletho.

Okubalulekile: Ukuba nesinye noma ngaphezulu salezi zici eziyingozi akusho ukuthi nakanjani uzoba nomdlavuza wesibeletho. Ngokufanayo, ngisho nomuntu ongenazo lezi zici eziyingozi angahlakulela lo mdlavuza. Kubalulekile ukuqaphela lezi zinto ukuze sikwazi ukunakekela impilo yethu kangcono.

Yiziphi izinkinga zomdlavuza we-endometrial?

Inkinga embi kakhulu yomdlavuza we-endometrial ukufa . Kodwa-ke, uma udokotela wakho ethola lo mdlavuza kusenesikhathi, amathuba okululama mahle kakhulu.

Ezinye izinkinga ezingabonakala zifaka:

• I-anemia - Lokhu kusho ukwehla komthamo wegazi emzimbeni.
• Umdlavuza usakazekela kwezinye izingxenye zomzimba (ukusabalala kwezicubu) .
• Umzimba awusabeli kahle ekwelashweni.

Ungayithola kanjani ukuthi unomdlavuza wesibeletho? (Ukuxilongwa)

Uma ucabanga ukuthi unezimpawu ezingaba umdlavuza wesibeletho, khuluma nodokotela ngokushesha. Udokotela wakho uzokwenza okulandelayo:

• Buza ngezimpawu zakho, izici eziyingozi, kanye nomlando wezokwelapha womndeni .
• Kuhlolwa umzimba .
• Kuhlolwa i-pelvic .

Yiziphi izivivinyo ezisetshenziswa ukuxilonga umdlavuza wesibeletho?

Udokotela wakho angenza okukodwa noma ngaphezulu kwalokhu kuhlolwa ukuqinisekisa ukuthi unomdlavuza wesibeletho:

• Ukuhlolwa kwegazi:
• Ukuhlolwa kwe-CA-125: Lokhu kulinganisa iphrotheni ebizwa ngokuthi i-CA-125. Amazinga aphezulu e-CA-125 angabonisa ukuba khona komdlavuza emzimbeni.
• Ukuhlolwa kwezithombe:
• I-CT scan: Lokhu kuthatha uchungechunge lwezithombe ezinemininingwane yengaphakathi lomzimba.
• Ama-MRI scan: Lawa asebenzisa amaza omsakazo kanye nemagnet enamandla ukudala izithombe.
• I-ultrasound ye-Transvaginal: Kulokhu, kufakwa i-probe ekhethekile (ithuluzi elibushelelezi neliyindilinga) ngesitho sangasese sowesifazane bese kuthathwa izithombe zesibeletho.
• Ezinye izivivinyo:
• I-biopsy ye-endometrial: Lokhu kuhilela ukufaka ithubhu elincane neliguquguqukayo elidlula emlonyeni wesibeletho liye esibelethweni bese kuthathwa isampula encane yezicubu ezivela ku-endometrium. Lokhu kungenziwa ngokuvamile endaweni yokulaliswa esibhedlela.
• I-Hysteroscopy: Lokhu kuhilela ukudlulisa ithubhu elide nelincane elibizwa ngokuthi i-hysteroscope ngesitho sangasese sowesifazane kanye ne-cervix liye esibelethweni. Le thuluzi elincane linokukhanya nekhamera kulo, okuvumela ingaphakathi lesibeletho ukuthi libonakale kahle.
• Ukwanda Nokuchelela (D&C): Lena inqubo eyinkimbinkimbi kancane yokususa izicubu zesibeletho. Yenziwa ekamelweni lokuhlinza.

Uma une-D&C noma i-biopsy bese kuthathwa isampula yezicubu, udokotela uzothumela isampula elabhorethri, lapho udokotela wezifo ezohlola khona izicubu ukuze abone ukuthi kukhona yini umdlavuza.

Okubalulekile: Ukuhlolwa kwe-Pap akukwazi ukuthola umdlavuza wesibeletho. Ukuhlolwa kwe-Pap kusetshenziselwa ukuthola umdlavuza wesibeletho.

Yini enye engafundwa ekuxilongweni komdlavuza we-endometrial?

Uma udokotela wakho ekuxilonga ukuthi unomdlavuza we-endometrial, kuzodingeka futhi athole ukuthi uluhlobo luni. Ukwazi uhlobo lomdlavuza kuzokusiza ukuthi unqume ukwelashwa okungcono kakhulu.

• Umdlavuza we-endometrial wohlobo 1: Lokhu akunamandla kangako, okusho ukuthi akusabalali ngokushesha kwezinye izicubu.
• Umdlavuza we-endometrial wohlobo lwesibili: Lezi zinolaka kakhulu. Zivame ukusabalala ngaphandle kwesibeletho. Ngakho-ke, zingadinga ukwelashwa okunolaka kakhulu.

Udokotela uzophinde anqume isigaba somdlavuza. Umdlavuza wesibeletho uhlukaniswa njengesigaba sokuqala kuya kwesesine.

• Isigaba I: Umdlavuza awukasabalali ngaphandle kwesibeletho.
• Isigaba II: Umdlavuza ususakazekele emlonyeni wesibeletho.
• Isigaba III: Umdlavuza ususakazekele esithweni sangasese sowesifazane, kuma-ovari, kanye/noma kuma-lymph node.
• Isigaba IV: Umdlavuza ususakazekele kwezinye izitho ngale kwesinye noma kwesibeletho.

Ngezinye izikhathi, isigaba esiqondile somdlavuza singase singaziwa kuze kube ngemva kokuhlinzwa ukuze kususwe umdlavuza.

Yiziphi izindlela zokwelapha umdlavuza wesibeletho?

Abesifazane abaningi abanomdlavuza we-endometrial badinga ukuhlinzwa. Uhlelo lokwelashwa olutholayo luzoncika ohlotsheni lomdlavuza kanye nempilo yakho iyonke. Ezinye izinhlobo zokwelashwa ongazithola zifaka:

• Ukwelashwa ngamakhemikhali: Kusebenzisa imithi enamandla ukubhubhisa amangqamuzana omdlavuza.
• Ukwelashwa ngemisebe:Imisebe yemisebe eqondiwe iqondiswe ekubhubhiseni amangqamuzana omdlavuza.
• Ukwelashwa ngama-hormone: Ama-hormone anikezwa noma avinjelwa ukwelapha umdlavuza.
• Ukwelashwa nge-immunotherapy: Kusiza amasosha omzimba wakho ukulwa nomdlavuza.
• Ukwelashwa okuqondiwe: Imithi isetshenziselwa ukuhlasela amangqamuzana athile omdlavuza nokuwavimba ukuthi angaphindaphindi.

Abacwaningi bayaqhubeka nokutadisha ezinye izindlela zokwelapha umdlavuza we-endometrial.

Kunjani ukuhlinzwa komdlavuza wesibeletho?

Ezimweni eziningi, ukwelashwa okuyinhloko komdlavuza we-endometrial ukuhlinzwa. Cishe uzoba nokuhlinzwa kokukhipha isisu , okuwukuhlinzwa kokususa isibeletho kanye nomlomo wesibeletho. Kunezinhlobo ezine ze-hysterectomy:

• Ukususwa kwesisu okuphelele: Udokotela ohlinzayo wenza i-incision esiswini sakho bese esusa isibeletho sakho.
• Ukususwa kwesibeletho: Udokotela ohlinzayo ukhipha isibeletho ngesitho sangasese sowesifazane.
• Ukususwa kwesibeletho okunamandla: Uma umdlavuza ususakazekele emlonyeni wesibeletho, ungase udinge ukususwa kwesibeletho okunamandla. Udokotela ohlinzayo ususa isibeletho kanye nezicubu ezizungeze isibeletho. Uphinde asuse ingxenye engenhla yesitho sangasese sowesifazane eduze komlomo wesibeletho.
• Ukususwa kwesibeletho okungenasidingo: Udokotela ohlinzayo ususa isibeletho ngokusika okuncane. Lokhu kungenziwa nge-laparoscopically noma nge-robotically.

Lapho benza i-hysterectomy, odokotela abahlinzayo bavame ukwenza ezinye izinqubo ezimbili:

• Ukususwa kwama-ovari nama-tubes e-fallopian ku-Bilateral Salpingo-oophorectomy (BSO): Ama-ovari akho nama-tubes e-fallopian ayasuswa. Abantu abaningi badinga lesi sinyathelo esengeziwe ukuqinisekisa ukuthi umdlavuza ususiwe ngokuphelele.
• Ukususwa kwama-lymph node/i-lymphadenectomy: Ama-lymph node ayasuswa ukuze kubonakale ukuthi umdlavuza ususakazeke yini.

Ingabe ngidinga ukususwa kwama-ovari ami?

Abesifazane abaningi abanomdlavuza wesibeletho bakhishwa ama-ovari abo. Kodwa uma ama-ovari ekhishwa, udlula esikhathini sokunqamuka kokuya esikhathini uma ungakadluli esikhathini sokunqamuka kokuya esikhathini. Uma ungaphansi kweminyaka engu-45 futhi ungakafiki esikhathini sokunqamuka kokuya esikhathini, khuluma nethimba lakho lezokwelapha mayelana nokuthi ungawagcina yini ama-ovari akho.

Yini ongayilindela ngemva kokususwa kwesibeletho?

Okulandelayo yimiphumela emibi engaba khona yokuhlinzwa komdlavuza wesibeletho:

• Ukungazali: Lokhu kusho ukungakwazi ukuba nabantwana.
• Ukunqamuka kokuya esikhathini (uma ungaphambi kokunqamuka kokuya esikhathini futhi usususiwe ama-ovari akho) kanye nezimpawu zako, isibonelo, ukoma kwesitho sangasese sowesifazane kanye nokujuluka ebusuku.

Iphathwa kanjani i-uterine sarcoma?

Ezimweni eziningi, odokotela abahlinzayo baxilonga, bahlukanise, futhi baphathe i-uterine sarcoma ngenqubo efanayo. Izindlela zokwelapha zifana nalezo zomdlavuza we-endometrial. Ungase uhlinzwe i-hysterectomy, kanye ne-BSO, esusa ama-ovari nama-fallopian tubes.

Ingabe umdlavuza wesibeletho ungavinjelwa?

Ezimweni eziningi, umdlavuza wesibeletho awukwazi ukuvinjelwa. Kodwa ungenza izinto ukuze unciphise ingozi yakho:

• Ukulawula isifo sikashukela.
• Ugcina isisindo somzimba esinempilo .
• Ukukhuluma nodokotela wakho mayelana nokusebenzisa izindlela zokuvimbela inzalo zama-hormone ezisekelwe ku-progesterone noma eziqukethe kokubili i-estrogen ne-progesterone . Le mithi ingase inikeze isivikelo esithile kumdlavuza wesibeletho.

Ingabe ukwelashwa kokushintsha i-estrogen (ERT) kungenza ngibe namathuba amaningi okuthola umdlavuza wesibeletho?

Uma ucabanga ukuthatha i-ERT, khuluma nodokotela wakho. Ndawonye, ​​ningaxoxa ngengozi yakho yomdlavuza futhi nenze isinqumo esingcono kakhulu kuwe.

Ingabe kukhona ukuhlolwa komdlavuza wesibeletho?

Cha, akukho ukuhlolwa okuvamile okunjalo. Odokotela abavamile ukuncoma ukuhlolwa njalo kwabantu abangenazo izimpawu. Kodwa uma usengozini enkulu, ungase ufune ukwenza kanjalo. Uma usengozini enkulu, khuluma nodokotela wakho mayelana nokuhlolwa njalo umdlavuza wesibeletho.

Lingakanani izinga lokusinda kwabantu abanomdlavuza wesibeletho?

Izinga lokusinda kweminyaka emihlanu ngenxa yomdlavuza we-endometrial lingu-81%. Lokhu kusho ukuthi abesifazane abangu-81 kwabayi-100 abatholakale benalesi sifo basaphila ngemva kweminyaka emihlanu. Leli zinga liphakeme nakakhulu uma umdlavuza ungasakazekanga ngaphandle kwesibeletho. Khona-ke izinga lokusinda likhuphuka lifike ku-95%. Njengoba ukwelashwa kuthuthuka, izinga lokusinda nalo liyakhula. Umdlavuza wesibeletho uyabulala kuphela uma usakazeka ungatholakali. Uma umdlavuza usakazeka ngaphandle kwesibeletho kwezinye izingxenye zomzimba, izinga lokusinda lehla lifike ku-17%. Ukutholwa kusenesikhathi kanye nokwelashwa kusenesikhathi kuyisihluthulelo sokululama okuhle.

Ingabe umdlavuza wesibeletho ungalapheka ngokuphelele?

Ngenhlanhla, umdlavuza we-endometrial uvame ukutholakala kusenesikhathi. Lokhu kungenxa yokuthi abantu abaningi babika kuphela ukuphuma kwegazi okungavamile kodokotela babo. Uma umdlavuza utholakala kusenesikhathi, ngaphambi kokuba usakazekele kwezinye izitho zomzimba, ungelapheka ngokususa isibeletho.

Kufanele ubonane nini nodokotela?

Khuluma nodokotela wakho nganoma yikuphi ukuphuma kwegazi okungavamile noma ukubona amabala. Uma unomlando womndeni womdlavuza we-endometrial (i-genetics), khuluma nodokotela wakho mayelana nokuhlolwa minyaka yonke. Kungase kudingeke futhi ukuthi wenze i-endometrial biopsy njalo ngonyaka kusukela eminyakeni engu-35.

Yini okufanele ngiyibuze udokotela wami?

Uma kutholakale ukuthi unomdlavuza wesibeletho, buza udokotela wakho ngalokhu okulandelayo:

• Iyini isigaba somdlavuza wami?
• Yiziphi izindlela zokwelapha ezingcono kakhulu kimi?
• Ingabe ngizodinga ukwelashwa okungaphezu kokukodwa?
• Ingabe kukhona izivivinyo zemitholampilo engingahlanganyela kuzo?
• Iyini inhloso yokwelashwa?
• Yini okufanele ngiyilindele ngemva kokwelashwa?
• Ingabe umdlavuza uzobuya?
• Ingabe ngisengozini enkulu yokuthola eminye imidlavuza?

Kufanele ngizinakekele kanjani ngemva kokwelashwa ngomdlavuza wesibeletho?

Ngemva kokuqeda ukwelashwa, ithimba lakho lezokwelapha lizokutshela ngokuvakashela kwakho okulandelayo . Kubaluleke kakhulu ukuya kulezi zikhathi zokuhlolwa. Ngesikhathi sokuhlolwa kokuhlolwa, udokotela wakho uzokwenza ukuhlolwa kwe-pelvic. Uzobuza nangezimpawu zakho. Umgomo ukuqinisekisa ukuthi umdlavuza awuphinde ubuye nokuthi wenza kahle ngemva kokwelashwa.

Ungakhuluma nodokotela wakho ngezindlela zokuphila impilo enempilo ngemva komdlavuza. Izinto ezifana nokudla kahle, ukulala ngokwanele, nokuzivocavoca umzimba kungakusiza ukuthi uhlale uphilile.

Yiziphi izimpawu eziyisixwayiso zomdlavuza wesibeletho?

Tshela udokotela wakho nganoma yikuphi ukopha okungajwayelekile. Ukopha okungajwayelekile kusho ukopha phakathi kokuya esikhathini uma usesesikhathini, noma ukopha noma ukopha uma usuqedile ukuya esikhathini. Ukopha okungajwayelekile kuwuphawu lwezimo eziningana, okuhlanganisa nomdlavuza we-endometrial.

Ingabe umdlavuza wesibeletho usakazeka ngokushesha?

Umdlavuza wohlobo 1, uhlobo oluvame kakhulu, awusabalali ngokushesha. Umdlavuza wohlobo 2 ungasabalala ngokushesha, ngakho-ke kungadingeka ukwelashwa okunamandla kakhulu.

Umdlavuza we-endometrial uvame kakhulu kuneminyaka emingaki?

Umdlavuza we-endometrial uvame kakhulu kwabesifazane asebedlule esikhathini sokunqamuka kokuya esikhathini. Isilinganiso seminyaka yokunqamuka kokuya esikhathini sicishe sibe yiminyaka engu-51.

Ngamafuphi, izinto okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngokwalokho esikhulume ngakho, ngithemba ukuthi uyaqonda kahle umdlavuza wesibeletho, ikakhulukazi umdlavuza we-endometrial. Khumbula, umdlavuza wesibeletho uhlobo lomdlavuza oluvame kakhulu ohlelweni lokuzala lwabesifazane. Uvame ukubizwa ngokuthi umdlavuza we-endometrial.

Into eyinhloko ukuqaphela izimpawu. Ikakhulukazi uma uphuma igazi phakathi kwemijikelezo yokuya esikhathini noma uphuma igazi ngemva kokuya esikhathini, ungakushayi indiva. Funa iseluleko sikadokotela ngokushesha.

Uma kutholakala kusenesikhathi, umdlavuza wesibeletho ungelapheka kakhulu. Ukususwa kwesibeletho ngokuhlinzwa kungalawula lesi simo. Ngakho-ke ungesabi, futhi uma unokungabaza, bona udokotela bese ukhuluma ngakho. Impilo yakho ibaluleke kakhulu kuwe.

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