Yiziphi izimpawu zomdlavuza wesibeletho?
Yiziphi izifo zesibeletho?
Ukuze sichaze izifo zesibeletho, kufanele siqale sichaze isitho sowesifazane, esibizwa ngokuthi isibeletho ngolimi lwezokwelapha, futhi sibuze "siyini isibeletho?" noma siyini isibeletho?” Umbuzo kufanele uphendulwe. Isibeletho singachazwa njengesitho sowesifazane sokuzala, nomlomo wesibeletho ubizwa ngokuthi umlomo wesibeletho ekugcineni kanye namashubhu e-fallopian adlulela kuma-ovaries nhlangothi zombili. Ukukhulelwa, okwenzeka lapho iqanda livundiswa yisidoda, futhi ingqamuzana lombungu elivundisiwe lihlala endaweni efanele futhi likhule ngendlela enempilo, kwenzeka kulesi sitho. Ingane ikhula esibelethweni ngesikhathi sokukhulelwa, futhi lapho kufika isikhathi sokuzalwa, ukubeletha kwenzeka ngokufinyela kwemisipha yesibeletho.
Izifo ezivame kakhulu esithweni esibizwa ngokuthi isibeletho, okuyingqamuzana lokuzala lesifazane, zingafakwa ohlwini lwe-uterine prolapse (ukuwohloka kwezicubu zesibeletho), i-endometriosis kanye nezimila zesibeletho. Izimila zesibeletho zenzeka ngezindlela ezimbili, eziyingozi neziyingozi, futhi izimila ezimbi zibizwa ngokuthi umdlavuza wesibeletho noma umdlavuza wesibeletho.
Uyini umdlavuza wesibeletho?
Izimila ezimbi zesibeletho zingenzeka ngezindlela ezimbili: umdlavuza we-endometrial, owenzeka kungqimba lwe-endometrial, nomlomo wesibeletho (umdlavuza womlomo wesibeletho), owenzeka kumaseli omlomo wesibeletho.
- Ungqimba lwe-endometrium luwungqimba lwezicubu ezakha ingaphakathi lesibeletho futhi lujiye ngesikhathi sokukhulelwa. Ukuqina kwesibeletho kubalulekile ukuze iqanda elivundisiwe lizinze esibelethweni futhi ligcine ukukhulelwa. Izicubu ze-tumor zakha kule ndawo ngenxa yokuhlukaniswa okungalawuleki nokwanda kwamangqamuzana e-endometrium. Izicubu zesimila esiyingozi ziholela kumdlavuza we-endometrial, futhi la mangqamuzana omdlavuza ngokuvamile asakazekela kwezinye izitho zokuzala zabesifazane. Umdlavuza we-Endometrial ungenzeka ngenxa yokukhuluphala, isifo sikashukela, umfutho wegazi ophakeme, izifo ezihlukahlukene kanye nemiphumela ye-hormonal.
- Olunye uhlobo lomdlavuza oluvamile ezithweni zokuzala zabesifazane umdlavuza womlomo wesibeletho. I-Human Papilloma Virus (HPV), ehlangana namaseli omlomo wesibeletho, idala ukuwohloka kwesakhiwo samaseli kanye nomdlavuza. Lo mdlavuza wesibeletho, ovame ukwenzeka kwabesifazane abaneminyaka ephakathi kuka-35-39, ungelapheka ngokusheshe utholakale.
Yiziphi izimpawu zomdlavuza wesibeletho?
- Izimpawu zokuqala ezibonwayo zomdlavuza we-endometrial wukuphuma okunuka kabi, okunegazi noma okunombala omnyama nokopha okufana namabala. Ezigabeni zakamuva zalesi sifo, ubuhlungu, ukopha okukhulu kanye nesikhathi eside sokuya esikhathini, i-edema emilenzeni nasezindaweni ze-groin, ukwehla komchamo kanye nomphumela wokwanda kwezinga le-urea yegazi, ukwehla kwesisindo esiningi, i-anemia ngenxa yokulahlekelwa kwegazi kungase kubonakale.
- Izimpawu zomdlavuza womlomo wesibeletho zingabalwa njengokuphuma kwegazi okungavamile esithweni sangasese, ukuqunjelwa emilenzeni nasezinqeni, inkinga yokopha ngemva kokuya ocansini, igazi emchameni noma esitulweni, izinhlungu, ukopha okunegazi nokunuka kabi.
Utholakala kanjani umdlavuza wesibeletho?
Ukuze kutholakale ukuxilonga okuqinisekile komdlavuza wesibeletho, ucezu lwesicubu kufanele lukhishwe esibelethweni ngokwelashwa futhi lolu cezu kufanele luhlolwe endaweni yomtholampilo ngudokotela wezifo. Ngemva kokuxilongwa okuqinisekile komdlavuza, ukuziphatha kwamangqamuzana omdlavuza kulesi sicubu kuyahlolwa bese umdlavuza wesibeletho ubekwa esigabeni. Ngemva kwesigaba sesiteji, kungase kwenziwe ukuhlolwa okwengeziwe ukuze kutholwe amandla omdlavuza wokusabalala, ukuziphatha kwawo, nezinye izicubu ezisengozini.
Yiziphi izindlela zokwelapha umdlavuza wesibeletho?
Indlela ethandwa kakhulu ekwelashweni kokuhlinzwa i-hysterectomy (ukususwa kwesibeletho). Ngalokhu kuhlinzwa, zonke noma ingxenye ethile yesibeletho iyakhishwa futhi zonke izicucu zezicubu zikhishwe ngemva kokuhlinzwa zihlolwe odokotela bezifo. Njengomphumela wokuhlolwa kwe-pathological, ukusakazeka kwalesi sifo kunqunywa. Uma amangqamuzana omdlavuza engasakazeki ngaphandle kwesibeletho, i-hysterectomy inikeza isixazululo esiqondile. Kodwa-ke, uma amangqamuzana omdlavuza esabalele kwezinye izitho noma izicubu ze-lymph, ukwelashwa ngemisebe (ray) noma ukwelashwa ngamakhemikhali (izidakamizwa) kusetshenziswa ngemva kokwelashwa kokuhlinzwa.