Ingabe ukuya esikhathini kwakho akujwayelekile? Ingabe wopha kakhulu izinsuku eziningana zilandelana? Noma uyeka ukopha ngokuphelele, bese uqala ukopha futhi ngamaconsi amancane? Kujwayelekile ukuzizwa wesaba kancane lapho izinto ezinjengalezi zenzeka. Esikhathini esiningi, lezi zimpawu zibangelwa ukukhula okuncane esibelethweni. Ngokwezokwelapha, sibiza lezi ngokuthi "ama-Uterine Polyps". Ngakho-ke namuhla, ake sixoxe ngalokhu. Ungakhathazeki, isikhathi esiningi, lokhu akuyona umdlavuza.
Kalula nje, ayini ama-polyp esibeletho?
Ama-polyp esibeletho, noma "ama-polyp esibeletho", ukukhula okwengeziwe kwezicubu okwakheka odongeni lwangaphakathi lwesibeletho sakho, i-"Endometrium" lapho umntwana ekhula khona ngemva kokukhulelwa. Afana nezimila ezincane ezinenyama ngezinye izikhathi ezilenga esikhumbeni sethu.
Lawa ma-fibroid akhula abe yi-uterine cavity ngokuzinamathisela odongeni lwesibeletho ngesiqu esincane noma isisekelo esibanzi kancane. Angaba yindilinga noma abe yi-oval ngesimo. Angahluka ngobukhulu kusukela kusayizi wembewu yesesame encane kakhulu kuya kusayizi webhola legalofu. Abanye abantu bane-fibroid eyodwa kuphela, kanti abanye bangaba neminingana.
Into ebalulekile ukuthi iningi lala ma-fibroids esibelethweni awanawo umdlavuza (angabi yingozi). Kodwa-ke, ngezinye izikhathi angabangela ukuya esikhathini okungajwayelekile futhi athinte ukuzala kwakho.
Ubani osengozini enkulu yokuthola lezi zifo?
Ubudala buyisici esikhulu kulokhu. Abesifazane abaneminyaka ephakathi kuka-40 no-50, noma cishe ngesikhathi sokunqamuka kokuya esikhathini (perimenopause), banamathuba amaningi okukhula kwalezi ziqhubu. Zingakhula futhi ngemva kokunqamuka kokuya esikhathini (postmenopause). Kodwa-ke, azivamile kakhulu kubantu abangaphansi kweminyaka engu-20.
Ngaphezu kwalokho, usengozini enkulu kancane yokuthola i-`(Uterine Polyps)` uma unezimo ezilandelayo:
| Isici sengozi | Incazelo elula |
|---|---|
| Ukukhuluphala ngokweqile | Uma isisindo somzimba wakho siphakeme kakhulu kunalokho okufanele sibe yikho ngobude bakho (i-BMI ingaphezu kuka-30). |
| Umfutho wegazi ophezulu (i-Hypertension) | Uma unengcindezi. |
| Umuthi iTamoxifen | Lona umuthi osetshenziselwa ukwelapha umdlavuza webele. Akuwona wonke umuntu ongawuthatha lo muthi, kodwa ingozi inkulu. |
| Ukwelashwa ngama-hormone | Ikakhulukazi uma uthatha ukwelashwa kwama-hormone okuqukethe imithamo ephezulu ye-hormone i-estrogen. |
| Izimo zofuzo | Abantu abanezimo zofuzo ezingavamile njenge-Lynch syndrome noma i-Cowden syndrome nabo basengozini enkulu. |
Ingabe unazo lezi zimpawu?
Esikhathini esiningi, uphawu oluyinhloko lwe-`(Uterine Polyps)` ukopha okungavamile. Kusho ukuthini lokho? Cabanga, ukuya esikhathini kwakho kuye kwaphela iminyaka eminingana, kodwa ngokuzumayo kuqala futhi ngamaconsi. Noma ngaphezu kwezinsuku lapho uya esikhathini, futhi uphuma igazi elincane phakathi. Lezi yizimpawu eziyinhloko.
Ake sibone ukuthi ziyini lezi zimpawu.
- Ukuya esikhathini okungajwayelekile: Lokhu kusho ukuthi akukho sibonelo esithile sezinsuku zokuya esikhathini kanye nenani lokulahlekelwa igazi. Kwezinye izinyanga kungaba izinsuku ezingama-20, kanti kwezinye kungaba izinsuku ezingama-40.
- Ukopha kakhulu: Ukopha okunzima kakhulu kunokujwayelekile ngesikhathi sokuya esikhathini.
- Ukuchama: Amaconsi amancane egazi phakathi kokuya esikhathini.
- Ukungazali: Ubunzima bokukhulelwa noma ukukhulelwa kuze kube yisikhathi esiphelele.
- Ukopha ngemva kokuya esikhathini: Amabala abomvu, apinki, noma ansundu noma ukopha okuncane ngemva kokuya esikhathini sekuphele ngokuphelele.
- Ukopha ngemva kocansi.
Ngezinye izikhathi la maqhubu angaba khona ngaphandle kwezimpawu. Udokotela uwathola ngengozi kuphela lapho enza into efana ne-ultrasound scan ngesinye isizathu.
Ingabe le meatball ibangela ubuhlungu?
Ngokuvamile, abukho ubuhlungu obukhulu. Kodwa-ke, uma iqhubu likhulu kancane, ngezinye izikhathi lingaba buhlungu kancane, njengokuya esikhathini esiswini esingezansi noma emhlane.Ungase uzwe ubuhlungu, kodwa ubuhlungu abuyona uphawu oluvamile.
Kungani le nyama ikhula?
Imbangela eqondile yalokhu ayaziwa okwamanje, kodwa abacwaningi bakholelwa ukuthi amazinga ama-hormone, ikakhulukazi i-hormone i-estrogen, adlala indima.
Kalula nje, kusebenza kanje. Njalo ngenyanga ngesikhathi sokuya esikhathini, i-hormone i-estrogen ibangela ukuthi ulwelwesi lwesibeletho (i-endometrium) luqine. Lokhu kulungiselela indawo lapho umntwana ezokhulelwa khona. Ngezinye izikhathi, uma lokhu kuqina kwenzeka kakhulu, izicubu zinganqwabelana kulezo zindawo bese zenze amaqhubu anjengalawa. Uyakhumbula izici eziyingozi esikhulume ngazo ngaphambili? Eziningi zalezo zinto (ukukhuluphala ngokweqile, ukwelashwa ngama-hormone) zandisa amazinga e-estrogen emzimbeni.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela mayelana nokopha okungajwayelekile, uzokubuza imibuzo embalwa. Izinto ezifana nomjikelezo wakho wokuya esikhathini, ukuthi uhlala isikhathi esingakanani, ukuthi kwenzeka kangaki, ukuthi uthatha yiphi imithi, nokuthi uzama yini ukuba nezingane.
Ngemuva kwalokho, kuzokwenziwa ukuhlolwa kwezifo zabesifazane. Ngesikhathi esifanayo, kuzonconywa ezinye izivivinyo eziningana ukuqinisekisa ukuthi lezi zigaxa zikhona yini.
| Ukuhlolwa | Kwenzekani? |
|---|---|
| I-ultrasound ye-transvaginal | Lokhu ukuskena okuhilela ukufaka ithuluzi elincane ngesitho sangasese sowesifazane. Lokhu kuvumela umbono ocacile wengaphakathi lesibeletho. |
| I-Sonohysterography | Ngesikhathi sokuhlolwa okungenhla, kufakwa uketshezi olufana nosawoti esibelethweni ngepayipi elincane. Lokhu kubangela ukuthi isibeletho sivuleke kancane, okuvumela ukuhlolwa ukuthi kubonise ngokucacile izicubu ezingaphakathi. |
| I-Hysteroscopy | Kulokhu, ipayipi elincane kakhulu, elide elinekhamera lidluliselwa esithweni sangasese sowesifazane liye esibelethweni, okuvumela udokotela ukuthi abuke ngqo ingaphakathi lesibeletho esikrinini. |
| I-biopsy ye-endometrial / i-Curettage | Lokhu kuhilela ukuthatha ingxenye encane yezicubu odongeni lwangaphakathi lwesibeletho bese uyithumela elabhorethri ukuze ihlole amangqamuzana angajwayelekile, ikakhulukazi amangqamuzana omdlavuza. Kufana nalokho esivame ukukubiza ngokuthi "ukuhlanza isibeletho." |
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kunqunywa ngokubheka izici eziningi, njengezimpawu zakho, ubudala, ukuthi uyafuna yini ukuba nezingane, kanye nengozi yakho yokuba nomdlavuza.
1. Ukulinda Ngokuqaphela: Uma ungakafiki esikhathini sokunqamuka kokuya esikhathini, ungenazo izimpawu, futhi iqhubu lincane kakhulu, udokotela wakho angase akuncome ukuthi ulinde isikhashana ngaphandle kokwelashwa. Amanye amaqhubu amancane angase aphele ngokwawo.
2. Imithi: Imithi yokulinganisela ama-hormone njenge-`Progestins` noma i-`Gonadotropin-releasing hormone agonists` ingasiza ekulawuleni izimpawu. Kodwa-ke, lesi yisisombululo sesikhashana. Izimpawu zingase zibuye uma umuthi usuyekiwe.
3. Ukususwa ngokuhlinzwa:
- I-Hysteroscopy: Lena yindlela evame ukusetshenziswa kakhulu. Ngesikhathi senqubo ye-hysteroscopy, ithuluzi elikhethekile lidluliselwa ngepayipi ukuze lisike futhi lisuse i-polyp. Inzuzo yalokhu ukuthi udokotela angayibona kahle i-polyp futhi ayisuse ngokunembile.
- Ukuhlolwa kwezicubu ezisusiwe: Izicubu ngasinye ezisusiwe ngale ndlela zithunyelwa elabhorethri ukuze zihlolwe amangqamuzana omdlavuza. Lokhu kubaluleke kakhulu.
Akuzona zonke izigaxa ezidinga ukususwa. Ukususwa kuvame ukunconywa kuphela uma usudlulile esikhathini sokuya esikhathini, unezimpawu ezifana nokopha kakhulu, unenkinga yokukhulelwa, noma uma udokotela wakho ecabanga ukuthi usengozini yokuba nomdlavuza.
Imibuzo embalwa abantu abaningi abanayo
Ingabe kubuhlungu ukususa lawa maqabunga anenyama?
Ngaphambi kokuhlinzwa, uzonikezwa i-anesthesia ukuze uvale indawo. Ngakho ngeke uzwe ubuhlungu obukhulu. Ungase uzizwe udonswa kancane noma ucindezelwa.
Kungenzeka kangakanani ukuthi lezi zimo zibe nomdlavuza?
Lokhu kuyikwesaba okukhulu kwawo wonke umuntu. Kodwa khumbula, iphesenti elincane kakhulu, cishe u-5%, wama-polyp esibeletho akhula abe umdlavuza.Ingozi iphakeme kancane uma usuqedile ukuya esikhathini noma uphuma igazi ngendlela engajwayelekile. Yingakho noma yiziphi izicubu ezisusiwe zihlolwa.
Ingabe ikhona indlela yokuvimbela lokhu?
Ngeshwa, ayikho indlela eqinisekile yokuvimbela lokhu ukuthi kungenzeki. Kodwa unganciphisa ingozi yakho ngezinga elithile ngokulawula isisindo sakho kanye nomfutho wegazi. Into ebaluleke kakhulu ukuya kohlolwa njalo kwabesifazane . Khona-ke into efana nale ingatholakala kusenesikhathi.
Uma kufanele nakanjani ubonane nodokotela
Uma unezinye zezimpawu ezilandelayo, sicela ungazinaki futhi ubone udokotela ofanelekayo ngokushesha okukhulu.
- Uma unezibazi noma ukopha okuvela esithweni sangasese sowesifazane ngemva kokuba isikhathi sakho sokuya esikhathini sesiphelile ngokuphelele (ngemuva kokunqamuka kokuya esikhathini).
- Uma wopha ngesikhathi somjikelezo wakho wokuya esikhathini.
- Uma uphuma igazi eliningi ngesikhathi sokuya esikhathini noma uma umjikelezo wakho wokuya esikhathini ungajwayelekile.
Kuvamile ukwesaba uma uzwa ukopha okungajwayelekile kanje. Kodwa ezimweni eziningi, imbangela akuyona umdlavuza, kodwa iqhubu elifana naleli. Kodwa kubalulekile ukufuna iseluleko sezokwelapha ukuze wazi ngokuqinisekile, futhi ususwe ngokuphephile uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- Ama-polyp esibeletho avame ukukhula, ngokuvamile angewona umdlavuza, akheka odongeni lwangaphakathi lwesibeletho.
- Uphawu oluyinhloko ukopha okungajwayelekile. Qaphela lokhu, ikakhulukazi uma wopha ngemva kokunqamuka kokuya esikhathini.
- Akuzona zonke izicubu ezidinga ukususwa. Ukwelashwa kunqunywa yizimpawu zakho kanye nezici eziyingozi.
- Uma unesifo sokopha esingajwayelekile, ungesabi futhi uhlale ekhaya. Qiniseka ukuthi ubonana nodokotela ukuze uthole ukuxilongwa okufanele kanye neseluleko.
- Ukwelashwa kusebenza kahle kakhulu futhi kuphephile. Uma sekususiwe, izimpawu ziyaphela cishe ngokuphelele.
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