Ingabe ngezinye izikhathi uzizwa sengathi ukuya esikhathini kwakho akujwayelekile? Noma ubona ukuphuma kwegazi okuncane ngisho nangemva kokuba ukuya esikhathini kwakho sekuphelile ngokuphelele (ngemuva kokunqamuka kokuya esikhathini)? Kuvamile kakhulu ukuzizwa wesaba futhi ukhathazekile kancane uma ubona into efana nale. Kodwa isikhathi esiningi, imbangela yalokhu uhlobo lwe-polyp encane ekhula esibelethweni. Namuhla, ake sixoxe ngama-polyp esibeletho, noma `(Ama-Polyp esibeletho)`, ngaphandle kokwesaba, futhi kalula.
Ayini ama-polyp esibeletho?
Kulungile, ake sikuqonde kalula lokhu. Ake sithi unolwelwesi ngaphakathi kwesibeletho sakho. Ngokwezokwelapha, silubiza ngokuthi i-endometrium . Lolu lwelwesi lukhishwa njalo ngenyanga ngesikhathi sokuya esikhathini. Ezinye izindawo ze-endometrium ziyakhula kakhulu futhi zikhule zibe isibeletho njengesimila esincane, njenge-polyp encane. Yilokho esikubiza ngokuthi 'ama-Uterine Polyps'.
Kungase kube khona okukodwa noma ngaphezulu kwalokhu. Kungaba nobukhulu obuhlukahlukene kusukela kokuncane njengembewu yesesame kuya kokukhulu njengebhola legalofu. Ngokuvamile zinamathela odongeni lwesibeletho ngesiqu esincane.
Into ebalulekile ukuthi iningi lalezi zimila azinawo umdlavuza (azinabungozi) . Ngakho-ke ungakhathazeki uma uzwa leli gama. Kodwa-ke, zingadala izinkinga ngokuya esikhathini futhi ngezinye izikhathi zibe nomthelela omncane ekuzaleni.
Ubani osengozini enkulu yokuthola lezi zifo?
Amathuba okukhula kwalezi zimila ayanda ngokuguga. Zivame kakhulu phakathi kweminyaka engama-40 nengama-50 , okuyisikhathi esisondela ekunqamukeni kokuya esikhathini (perimenopause). Zingavela futhi ngemva kokunqamuka kokuya esikhathini (postmenopause). Kodwa-ke, lesi simo asivamile kakhulu kubantu abangaphansi kweminyaka engama-20.
Ngaphezu kwalokho, usengozini enkulu kancane uma unalokhu okulandelayo:
- Uma unesisindo somzimba esiningi kakhulu: Lokho kusho ukuthi ukhuluphele noma ukhuluphele kakhulu.
- Uma une-high blood pressure (umfutho wegazi ophakeme).
- Uma uthatha umuthi iTamoxifen: Lona umuthi ovame ukunikezwa umdlavuza webele.
- Uma uthatha ukwelashwa ngama-hormone okuqukethe imithamo ephezulu ye-hormone i-estrogen.
Ziyini izimpawu zalokhu?
Ngokuvamile, uphawu oluyinhloko noluvame kakhulu lwalezi zimila ukopha okungavamile . Kodwa-ke, abanye abantu bangaba nazo ngaphandle kwezimpawu. Ngezinye izikhathi zitholakala ngengozi lapho kwenziwa okuthile okufana nokuskena okunye.
Ake sibone ukuthi yiziphi izimpawu eziyinhloko.
| Isibonakaliso | Kalula nje... |
|---|---|
| Ukungahambi kahle kokuya esikhathini | Inani lezinsuku zomjikelezo wokuya esikhathini liyashintshashintsha, okwenza kube nzima ukubikezela ukuthi lizofika nini ngqo. |
| Ukopha okukhulu | Ukopha kakhulu kunokujwayelekile ngesikhathi sokuya esikhathini. |
| Ukopha ngesikhathi sokuya esikhathini | Ukuchama, ngisho nangezinsuku lapho ungekho esikhathini. |
| Ukopha ngemva kokunqamuka kokuya esikhathini | Ukopha noma ukuphuma kwegazi esithweni sangasese sowesifazane ngisho nangemva kokuba isikhathi sakho sesiphelile ngokuphelele. Lokhu akuvamile futhi kufanele ubonane nodokotela ngokushesha. |
| Ubunzima bokuthola abantwana (Ukungazali) | Ukuzama ukukhulelwa kodwa kungaphumeleli noma ukuphuphuma kwesisu. |
| Ukopha ngemva kocansi | Kwezinye izimo, lokhu kungaba uphawu. |
Ingabe lokhu kubangela ubuhlungu?
Ngokuvamile, ama-fibroids esibelethweni awabangeli ubuhlungu obukhulu. Kodwa-ke, uma makhulu, ngezinye izikhathi angabangela ubuhlungu obungajabulisi esiswini noma emhlane ongezansi, okufana nobuhlungu obuba khona ngesikhathi sokuya esikhathini. Kodwa-ke, ubuhlungu abuyona uphawu oluyinhloko lwalesi simo.
Kungani la maqhubu akheka esibelethweni?
Imbangela eqondile yalokhu ayaziwa okwamanje. Kodwa-ke, abacwaningi bakholelwa ukuthi amazinga ama-hormone , ikakhulukazi i-hormone ebizwa ngokuthi i-estrogen, adlala indima. Cabanga ngakho, i-estrogen yiyona eyenza ulwelwesi lwesibeletho sakho (i-endometrium) lube lukhulu njalo ngenyanga. Ngakho-ke kukholelwa ukuthi kungenxa yomphumela waleli hormone ukuthi ezinye izindawo zodonga lwesibeletho zikhula ngokweqile futhi kwakha lezi zigaxa.
Udokotela ukuthola kanjani lokhu?
Uma ubona udokotela ngezimpawu ozishilo ngenhla, uzoqala ngokukubuza ngezimpawu zakho. Uzokubuza imibuzo eminingi mayelana nomjikelezo wakho wokuya esikhathini, inani lokopha, ukuthi usunesikhathi esingakanani unale nkinga, njll. Ngemuva kwalokho uzokwenza ukuhlolwa kwezifo zabesifazane.
Ngemuva kwalokho, ukuqinisekisa ukuthi lokhu kuyi-meat grinder, uzocelwa ukuthi wenze olunye noma ngaphezulu lwezivivinyo ezingezansi.
| Ukuhlolwa | Kalula nje, yilokhu okwenzekayo... |
|---|---|
| I-Ultrasound ye-Transvaginal | Lokhu kufana nokuskena okuvamile. Kodwa-ke, kufakwa ithuluzi elincane, elincane ngesitho sangasese sowesifazane ukuze kubonakale kahle ingaphakathi lesibeletho. Lokhu kungabona izinto ezifana nokuqina okungajwayelekile odongeni lwesibeletho kanye nama-polyp. |
| I-Sonohysterography | Lesi esinye isinyathelo ekuskeni okufanayo nalokhu okukhulunywe ngakho ngenhla. Lapha, inani elincane loketshezi olungenamagciwane, njenge-saline, lifakwa esibelethweni ngepayipi elincane ukuze lifudumeze isibeletho. Lokhu kuvumela ukuthi ukuskena kubone kahle ngisho nezigaxa ezincane zenyama ngaphakathi. |
| I-Hysteroscopy | Okwenzekayo lapha ukuthi ipayipi elincane kakhulu, elide elinomshini wokufaka ikhamera (hysteroscope) lidluliselwa esithweni sangasese sowesifazane kanye nomlomo wesibeletho liye esibelethweni. Lokhu kuvumela udokotela ukuthi ahlole okungaphakathi kwesibeletho ngamehlo akhe. Inzuzo enkulu yalokhu ukuthi,Uma kukhona ama-meatball, ungazisusa ngokushesha usebenzisa amathuluzi amancane. |
| I-Biopsy ye-Endometrial | Lapha, kuthathwa ingcezu encane yezicubu odongeni lwangaphakathi lwesibeletho bese ithunyelwa elabhorethri ukuze ihlolwe. Lokhu kungabona ukuthi kukhona yini amangqamuzana angajwayelekile, njengamaseli omdlavuza. |
Yiziphi izindlela zokwelapha lokhu?
Ukuthi uzokwelashwa noma cha kuncike ezintweni eziningana, njengezimpawu zakho, ubudala bakho, kanye nengozi yakho yokuba nomdlavuza wamaphaphu.
1. Ukulinda ngokuqapha: Uma usemncane, ungakadluli esikhathini sokunqamuka kokuya esikhathini, futhi ungenazo izimpawu, udokotela wakho angakutshela ukuthi ulinde isikhashana, njengoba amanye amaqhubu amancane angase aphele ngokwawo.
2. Imithi: Eminye imithi (isib. ama-progestin) elinganisela ama-hormone ingasiza ekulawuleni izimpawu. Kodwa-ke, izimpawu zivame ukubuya uma imithi isiyekiwe.
3. Ukususwa ngokuhlinzwa: Uma kunezimpawu, uma usuqedile ukuya esikhathini, noma uma kunengozi encane yokuba nomdlavuza, udokotela uzonquma ukususa i-polyp (i-polypectomy). Lokhu kuvame ukwenziwa kusetshenziswa indlela ye-hysteroscopy okukhulunywe ngayo ngenhla. Kuyindlela enembile kakhulu futhi ephephile. I-polyp ekhishwe ngale ndlela ngokuqinisekile ithunyelwa elabhorethri ukuze ihlolwe amaseli omdlavuza.
Akuvamile kakhulu, okungukuthi, kuphela uma kuqinisekiswa ukuthi kukhona amangqamuzana omdlavuza ezicutshini ezisusiwe, kungadingeka ukuthi usebenzise ukuhlinzwa ukuze kususwe isibeletho (i-hysterectomy). Kodwa khumbula ukuthi lokhu akuvamile kakhulu.
Ingabe kufanele ngikhathazeke ngalokhu? Ingabe kungaba umdlavuza?
Lokhu ukwesaba okukhulu abantu abaningi abanakho.
Izindaba ezinhle ukuthi cishe ama-95% ama-fibroids esibelethweni awawona umdlavuza . Lokho kusho ukuthi cishe abesifazane aba-5 kwabayi-100 basengozini yokuba nomdlavuza. Le ngozi iphakeme kancane kumuntu ophuma igazi ngendlela engavamile ngemva kokunqamuka kokuya esikhathini.
Yingakho uma udokotela ebona iqhubu, ikakhulukazi kumuntu onezimpawu, uzolisusa alihlole. Lokho kungaqinisekisa ngokuphelele ukuthi linamaseli omdlavuza noma cha. Ngakho-ke ungesabi ngokungadingekile, kodwa ungazinaki izimpawu.
Umlayezo Wokuya Nawe Ekhaya
- Uma uphuma igazi ngendlela engajwayelekile, uphuma igazi phakathi kokuya esikhathini, noma uphuma igazi elincane nje, ikakhulukazi ngemva kokunqamuka kokuya esikhathini , ungakushayi indiva lokho futhi nakanjani ubone udokotela.
- Ama-polyp esibeletho ayisifo esivamile. Ungesabi ukuwabiza ngokuthi umdlavuza uma uzwa igama lawo. Iningi lawo alinawo umdlavuza.
- Ukwelashwa kuncike ezimpawini kanye nesimo sakho. Ungase ukwazi ukulinda, uphuze imithi, noma wenze ukuhlinzwa okulula ukuze kususwe.
- Ukuhlinzwa kokususa lezi zinto sekuthuthukile kakhulu futhi kuphephile. Ngakho-ke asikho isizathu sokwesaba. Khuluma nodokotela wakho ngalokhu ngokukhululekile.
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