Ukukhulelwa yisikhathi lapho amabele omfazi akhula ngokugcwele futhi uthola izinguquko ze-hormone. Ucwaningo lubonisa ukuthi ingozi yomfazi wesifo somdlavuza webele ihlobene nokuvezwa kwama-hormone, akhiqizwa ama-ovarie akhe. Izinto ezikhulisa isikhathi kanye namazinga okuvezwa kwamahomoni akhe ama-ovarian, anesibopho sokugqugquzela ukukhula kwamangqamuzana, ahlobene nokwanda kwengozi yakhe yomdlavuza webele.
Lezi zici zihlanganisa ukuqala kokuya esikhathini sokuqala nokuqala kokuya esikhathini esikhathini esizayo. Ezinye izinto ezibangelwa ingozi zibandakanya ukukhula kwesikhathi ekukhulelweni kokuqala futhi zingakaze zizalwe.
Kokubili ubudala lapho ubeletha ingane yakho yokuqala kanye nenani lezingane ozibelethayo zithinta ingozi yakho. Ucwaningo oluningi luye lwaqaphela ukuthi owesifazane ongakhulelwe engakapheli iminyaka engu-30 ubudala futhi ethwala ingane isikhathi esigcwele unengozi enkulu yomdlavuza webele kunomfazi obeletha ngaphambi kokuba eneminyaka engu-30 ubudala.
Amaseli asebele asethuthukile eminyakeni eyishumi nambili asekhulile futhi ekhuthele kuze kube yilapho owesifazane eqala ukukhulelwa okuholela ekuzalweni kwesikhathi esigcwele. Lokhu kokuqala kokukhulelwa kwesikhathi esigcwele kubangelwa amangqamuzana amabele asekhulile ngokugcwele futhi ekhula njalo njalo. Lokhu kuthathwa njengesizathu esiyinhloko sokuthi kungani ukukhulelwa kunciphisa ingozi yomdlavuza webele. Ukungabikho kokuya esikhathini lapho ekhulelwe kunciphisa inani lemijikelezo yokuya esikhathini ngesikhathi sokuphila komfazi, okungaba esinye isizathu sokuthi ukukhulelwa kokuqala kubonakala kunciphisa ingozi yomdlavuza webele.
Uma owesifazane enengane yakhe yokuqala esikhathini esizayo, unengozi enkulu yomdlavuza webele uma kuqhathaniswa nowesifazane onomntwana wakhe osemncane. Ukuba nokukhulelwa kokuqala eminyakeni engu-35 + ubudala, kwenza owesifazane wesifazane okungenani ngamaphesenti angama-40 ukuba athole umdlavuza webele kunowesifazane owayenomntwana wakhe wokuqala ngaphambi kokuba eneminyaka engu-20 ubudala.
Ukucwaninga kubonisa nokuthi ukubeletha okungaphezulu kwesikhathi esigcwele owesifazane unayo, ingozi yomdlavuza webele wehla. Kuwesifazane ongakaze abelethe, ingozi yakhe yomdlavuza webele isuke ephakeme kakhulu uma kuqhathaniswa nabesifazane abaye banamntwana angaphezu kweyodwa. Kodwa, owesifazane oneminyaka engaphezulu kwengu-35 futhi ozalayo unengozi encane kakhulu uma kuqhathaniswa nowesifazane ongakaze abe nomntwana.
Izingosi ezengeziwe zokukhulelwa ezihambisana neengozi yokukhula komdlavuza webele
- Ukubeletha kwamuva nje: Abesifazane abesanda kubeletha bakholelwa ukuthi banomthelela wesikhathi esifushane engozini yomdlavuza webele. Isizathu sokwanda okwesikhashana asikwazi ngempela. Enye inkolelo ukuthi kungase kube umphumela wamazinga aphezulu amahomoni kumagciwane amancane, noma ngisho nokukhula okusheshayo kwamaseli asebele ngesikhathi ekhulelwe.
- Ukuthatha i-diethylstilbestrol (DES) ngenkathi ukhulelwe: Sekuyiminyaka engaba ngu-50 kusukela i-DES inqunyelwe abesifazane besifazane abakhulelwe e-US Studies bathola ukuthi le-estrogen eyakhiwe yabangela ukuthi abesifazane, abayithatha ngesikhathi bekhulelwe, babe engozini enkulu kakhulu yebele umdlavuza kunabesifazane abangazange bathathe i-DES ngesikhathi sokukhulelwa. Lo mngcipheko omkhulu owenziwe emadodakazini abo manje angase abe nomngcipheko okhudlwana wokuthuthukisa umdlavuza webele, emva kweminyaka engama-40, kunabesifazane abangazange bavezwe ku-DES ngenkathi besifazane.
Ingabe Ukukhipha Isisu Ingozi Yomdlavuza Webele?
Kwakukhona izifundo ezimbalwa phakathi nawo-1990 ezaphakamisa ukuthi ukukhipha isisu kuhlotshaniswa nenengozi yokwanda komdlavuza webele. Lezi zifundo zazinamaphutha. Lezi zifundo zithembele kubahlanganyeli ukuzibika ngokwabo imlando yabo yezokwelapha engenza ukungalungi.
Kodwa-ke, izifundo ezizayo, eziyinkimbinkimbi kakhulu ekwakheni, azibonisanga ukuhlangana phakathi kokukhipha isisu kanye nengozi yomdlavuza webele. Ngo-2009, iKomidi Yokuzivocavoca KwamaGynecologic ye-American College of Obstetricians kanye neGynecologists yavuma ukuthi "Ucwaningo oluningi olusanda kubonisa ukuthi alukho ubudlelwane obukhulu phakathi kokukhipha isisu nokukhushulwa kwengozi yomdlavuza webele." Ukuthola okuvela kulezi zinsuku zakamuva kusho ukuthi :
- Abesifazane abaye bakhulelwa isisu banomthelela ofanayo wesifo somdlavuza wesifuba njengabanye besifazane.
- Abesifazane abaye nokukhipha isisu ngokuzenzakalelayo, okunye okungaziwa ngokuthi ukukhulelwa kwesisu, banengozi efanayo yomdlavuza webele njengabanye besifazane.
- Amakhansela ngaphandle komdlavuza webele abonakala sengathi ahlobene nomlando wokukhipha isisu noma ukukhipha isisu.
Imithombo:
I-National Cancer Institute