Iyini i-Endometrial Cancer?
I-endometrium yimbumbulu yesibeletho futhi iqukethe izicubu ezicebile emithanjeni yegazi. Inyanga ngayinye ewesifazane oya esikhathini , leso sakhiwo sakhiwa ekulungiseleleni ukukhulelwa okungenzeka, bese sichitha njengoba nje ukukhulelwa kungenzeki. Umdlavuza wenziwa ngokuya lapho kutholakala khona amangqamuzana omdlavuza, kusukela esigabeni I esiphelele ngaphakathi kwesibeletho kuya esigabeni IV, lapho umdlavuza usakaze khona ngaphesheya kwemingcele yesikhumba.
Nakuba umdlavuza we-endometrial ngokuvamile uphephile, izici ezifana nesiteji kanye nomphumela wamahomoni emdlalweni ungakwazi ukunquma ukubikezela komuntu ngamunye.
Izimpawu Ze-Cancer Endometrial
Uphawu oluvame kakhulu lomdlavuza we-endometrili ukuphuma kwegazi okungavamile noma ukukhipha. Uma uthola ukuphuma kwegazi okungavamile okungahambisani nesikhathi sakho, kubalulekile ukuba uhlolwe udokotela wakho.
Ukuxilongwa kwe-Cancer Endometrial
Odokotela bangasebenzisa izinqubo ezimbili zokuhlola umdlavuza we-endometrial. Zombili lezi zindlela zihilela ukutadisha amangqamuzana e-endometrium ukuze abheke ukungafani kwesimo se-cell, isakhiwo noma ukukhula. Owokuqala yi- biopsy ye-endometrial . Udokotela uzosusa amaseli ambalwa e-endometrium, ngokuvamile ehhovisi lakhe, ukuwafunda ngaphansi kwe-microscope. Owesibili kuyindlela yokuhlinzwa, eyaziwa ngokuthi i-D & C noma i-Dilation ne-Curettage. Ngaphansi kwe-anesthesia, i-cervix iyancipha, futhi amaseli e-endometriya akhishwa.
Lokhu kuvumela udokotela ukuba ahlole amangqamuzana futhi afune izimpawu zomdlavuza. Uma kutholakala ukuxilongwa, udokotela wakho angalaya enye ukuhlolwa ukuze anqume ukuthi umdlavuza usakaze yini ngaphandle kwesibeletho.
I-PCOS ne-Cancer Endometrial
Ngenkathi incane, abesifazane abane-PCOS banethuba eliphakeme lokuthuthukisa umdlavuza we-endometrial .
Izikhathi ezingavamile futhi ezimbalwa owesifazane abe nazo, ingozi enkulu iba khona. Phakathi nomjikelezo ojwayelekile oya esikhathini , i-endometrium ibonakala kuma-hormone, njenge-estrogen, okubangela ukuthi i-lining ikhule futhi ikhuphuke. Uma i-ovulation ingenzeki, okuyinto ejwayelekile ku-PCOS, i-lining ayikhiphi futhi ivuleke ngokwezinga eliphakeme kakhulu le- estrogen okwenza i-endometrium ikhule kakhulu kunayo evamile. Yilokho okwandisa amathuba emangqamuzana omdlavuza aqala ukukhula. Uma ungazitholi isikhathi esijwayelekile , gcina ikhalenda ukuloba nini futhi kaningi kangakanani ukuthola isikhathi sakho ukuze ukhulume nodokotela wakho. Kunezinketho eziningi ezingasiza ekunciphiseni ingozi yakho.
Ukwelapha I-Cancer Endometrial
Uma kuthiwa unomdlavuza we-endometrial, kubalulekile ukukhuluma nodokotela ngokushesha ngangokunokwenzeka. Kunezinhlobo eziningi zokwelashwa ezitholakalayo, kanti udokotela wakho angasiza ekunqumeni okukhethwa kukho okuhle kakhulu.
- Ukuhlinzwa: Udokotela angakhetha ukukhipha isisu sakho, eyaziwa ngokuthi i-hysterectomy. Uma umdlavuza usakazeke, kungadingeka ukuthi ususe ezinye izitho ezinjengama-tubes falsipian, ama-ovaries, ingxenye yesifazane noma i- lymph nodes , kuye ngokuthi umdlavuza ungubani. Ngisho noma kwenziwa ukuhlinzeka, udokotela angase abe nomuzwa wokuthi ukwelapha imithi noma ukwelashwa kwemisebe kuyadingeka kanye nokuvimbela umdlavuza ekusakazeni.
- I-radiation: Lolu hlobo lwezokwelapha luhilela ukuveza amangqamuzana omdlavuza emisebeni ephezulu yamandla, noma emshinini othumela imisebe emzimbeni ukuya kumangqamuzana omdlavuza noma ngaphakathi ngembewu, izinaliti noma ama-catheter afakwe ngqo oxhumana nomdlavuza.
- I-Chemotherapy: Uma lolu hlobo lwezokwelapha lusetshenziswa, amakhemikhali akhethekile angene emzimbeni, kungaba ngomlomo noma nge-intravenously, okubulala ngokuqondile amangqamuzana omdlavuza . Ngezinye izikhathi i-chemotherapy ingafakwa emzimbeni womzimba, noma ibe yingxenye yendawo yomzimba ukuze uthole kangcono umdlavuza. Nalapha, kungukuthi udokotela nomhlobo wakho womdlavuza ukunquma ukuthi yini ezokusebenzela kangcono.
- Ukwelashwa kwamahomoni: Uma umdlavuza usabela ekuvuseleleni kwe-hormonal, kunezidakamizwa ezingasiza ukuvimbela i-hormone ukuthi ingayithandi nomdlavuza. Lokhu kungasiza ekuvimbeleni ukwanda okuqhubekayo komdlavuza.
Imithombo:
U-Alvaro, uRuben noSlaff, uWilliam. I-Endocrinology Yokuzala Nokungafaki: Izidingo Ze-Obstetrics and Gynecology. Page 74. Mosby: Philadelphia 2007.
Ukwelapha I-Endometrial Cancer: I-Patient Version. 19 Juni 2006. US Institutes National Health: National Cancer Institute. 26 Disemba 2007. http://www.cancer.gov/cancertopics/pdq/treatment/endometrial/patient.htm.