Zeziphi iimpawu zomhlaza wesibeleko?
Ziziphi izifo zesibeleko?
Ukuze sichaze izifo zesibeleko, kufuneka siqale sichaze ilungu le-uterine, elibizwa ngokuba yi-uterus ngolwimi lwezonyango, kwaye ubuze "yintoni isibeleko?" okanye yintoni isibeleko?” Umbuzo mawuphendulwe. Isibeleko sinokuchazwa njengelungu lowesifazane lokuzala, kunye nomlomo wesibeleko obizwa ngokuba ngumlomo wesibeleko ekupheleni kunye neetyhubhu zefallopian zinabela kwii-ovari kumacala omabini. Ukukhulelwa, okwenzekayo xa iqanda likhuliswa yi-sperm, kwaye i-embryo cell cell cell ihlala kwindawo efanelekileyo kwaye ikhula ngendlela ephilileyo, iyenzeka kweli lungu. Umntwana ukhula kwisibeleko ngexesha lokukhulelwa, kwaye xa kufika umzuzu wokuzalwa, ukuzala kwenzeka ngokunyuka kwemisipha ye-uterine.
Ezona zifo zixhaphakileyo kwilungu elibizwa ngokuba sisibeleko, eyiseli yokuzala yabasetyhini, inokufakwa kuluhlu njenge-uterine prolapse (ukuncipha kwezicubu zesibeleko), i-endometriosis kunye namathumba esibeleko. Amathumba e-uterine avela kwiifom ezimbini, ezinobungozi kunye nezibi, kunye nezicubu ezinobungozi zibizwa ngokuba ngumhlaza wesibeleko okanye umhlaza wesibeleko.
Yintoni umhlaza wesibeleko?
Izicubu ezinobungozi zesibeleko zingenzeka ngeendlela ezimbini: umhlaza we-endometrial, owenzeka kwi-endometrial layer, kunye nomlomo wesibeleko (umhlaza womlomo wesibeleko), owenzeka kwiiseli zomlomo wesibeleko.
- Umaleko we-endometrium ngumaleko wethishu eyenza umphezulu wangaphakathi wesibeleko kwaye ujiye ngexesha lokukhulelwa. Ukuqiniswa kwesibeleko kubalulekile ukuze iseli yeqanda eliqhanyiwe lizinze esibelekweni kwaye ligcine ukukhulelwa. Izicubu ze-tumor zenza kule ndawo ngenxa yokwahlukana okungalawulwayo kunye nokwanda kweeseli ze-endometrium. Izicubu zethumba ezinobungozi zikhokelela kumhlaza we-endometrial, kwaye ezi seli zomhlaza zihlala zisasazeka kwamanye amalungu okuzala abasetyhini. Umhlaza we-Endometrial unokuvela ngenxa yokutyeba, isifo sikashukela, uxinzelelo lwegazi, izifo ezahlukeneyo kunye nemiphumo yehomoni.
- Olunye uhlobo lomhlaza oluxhaphakileyo kumalungu okuzala amabhinqa ngumhlaza womlomo wesibeleko. I-Human Papilloma Virus (HPV), ethi idibane neeseli zomlomo wesibeleko, ibangela ukuwohloka kokwakheka kweeseli kunye nomhlaza. Lo mhlaza wesibeleko, odla ngokwenzeka kwabasetyhini abaphakathi kweminyaka engama-35-39 ubudala, unokunyangwa ngokuxilongwa kwangoko.
Ziziphi iimpawu zomhlaza wesibeleko?
- Iimpawu zokuqala eziqatshelweyo zomhlaza we-endometrial ziyanuka, zinegazi okanye zinombala omnyama ophuma kwilungu lobufazi kunye nokopha okufana nokopha. Kwinqanaba lokugqibela lesi sifo, intlungu, ukopha okukhulu kunye nexesha elide lokuya exesheni, i-edema emilenzeni kunye nommandla we-groin, ukuncipha komchamo kunye nokwanda okubangelwa kwinqanaba le-urea yegazi, ukwehla kobunzima obugqithisileyo, i-anemia ngenxa yokulahlekelwa kwegazi kunokubonwa.
- Iimpawu zomhlaza womlomo wesibeleko zinokudweliswa njengokopha okungaqhelekanga kwilungu lobufazi, ukudumba emilenzeni nakwindawo yethanga, ingxaki yokopha emva kokwabelana ngesondo, igazi emchameni okanye elindle, iintlungu, ukuvuza okunegazi nokunuka kakubi.
Ufunyaniswa njani umhlaza wesibeleko?
Ukuze kwenziwe uxilongo oluqinisekileyo lomhlaza wesibeleko, isiqwenga sethishu kufuneka sisuswe kwisibeleko nge-curettage kwaye esi siqwenga kufuneka sivavanywe kwimeko yeklinikhi yi-pathologist. Emva kokuxilongwa okuqinisekileyo komhlaza, indlela yokuziphatha kweeseli zomhlaza kule thishu iyahlolwa kwaye umhlaza wesibeleko ubekwe kwinqanaba. Emva kwesigaba seqonga, uviwo olongezelelweyo lunokwenziwa ukuze kubonwe ukuba kunokwenzeka ukuba umhlaza usasazeke, ukuziphatha kwawo, kunye nezinye izihlunu ezisemngciphekweni.
Zeziphi iindlela zonyango lomhlaza wesibeleko?
Eyona ndlela ithandwa kakhulu kunyango lotyando yi-hysterectomy (ukususwa kwesibeleko). Ngalo msebenzi, yonke okanye inxalenye ethile yesibeleko iyasuswa kwaye zonke iziqwenga zezicubu zisuswe emva kokuhlinzwa zihlolwe ngabagqirha bezifo. Ngenxa yovavanyo lwe-pathological, ukusasazeka kwesi sifo kunqunywe. Ukuba iiseli zomhlaza azisasazekanga ngaphandle kwesibeleko, i-hysterectomy ibonelela ngesisombululo esiqinisekileyo. Nangona kunjalo, ukuba iiseli zomhlaza zisasazeke kwamanye amalungu okanye izicubu ze-lymph, unyango lwe-radiation (ray) okanye i-chemotherapy (iyeza) unyango lusetyenziswa emva konyango lotyando.