Yini eyandisa ingozi yakho yomdlavuza we-endometrial?
Umdlavuza we-Endometrial ngumdlavuza wesibindi sesisu, i- endometrium . Yindlela ejwayelekile kakhulu yomdlavuza wesibeletho wabesifazane. Izimbangela eziqondile zomdlavuza we-endometriya aziwa, kodwa odokotela baye baqaphela izinkinga eziningana zokuzibulala.
Nakuba izici ezingozini zingase ziphakamise amathuba okuthuthukisa umdlavuza we-endometrial, azisho ukuthi uzothola noma ukuthi ubangele umdlavuza.
I-American Cancer Society ithi abesifazane abaningi abanesisindo esisodwa noma ezingaphezu kengozi abangakaze bahlakulele umdlavuza we-endometrial, kuyilapho abanye besifazane abanomdlavuza bengenazizathu eziyingozi.
I-Estrogen May Yandisa Ingozi Yakho Ye-Cancer Endometrial
Ngenkathi singakwazi ukubona ukuthi yini ebangela umdlavuza we-endometrium, ucwaningo lubonisa ukuthi amazinga aphezulu e- estrogen nokutholakala isikhathi eside ku-estrogen eminyakeni eminingi ingase ihlotshaniswe nentuthuko yomdlavuza we-endometrial.
I-Estrogen iyi-hormone eyenzeka ngokwemvelo eyenziwa ngama-ovari, kanye ne-hormone progesterone. La mazinga e-hormone aguquguquka phakathi nomjikelezo wenyanga. Ngesikhathi nangemva kokuya esikhathini, umzimba uyayeka ukukhiqiza la mahomoni. Yilokho okubangela imiphumela yokunqamuka kwesikhashana, njengokushisa okushisayo, ukujula ebusuku, nokumelela kwesisu .
Izizathu ungase uphakamise amazinga e-estrogen noma ukuvezwa okude:
- I-Estrogen-I-Hormone kuphela Ukwelapha : Ukuze unciphise imiphumela emibi yokucindezeleka kokuya esikhathini, abanye besifazane bahlelwe ukuthi baphathe ukwelapha okunye okunye. Lokhu kungaba i-estrogen noma i-estrogen kanye ne-progestin (inguqulo yokwenziwa kwe-progesterone), kuye ngokuthi noma kunjalo basenayo isisu sabo. I-Estrogen ingabangela ukuba ukwelulwa kwesibeletho sikhule (i-endometrial hyperplasia) uma owesifazane esenaso isisu sakhe, ngakho-ke uzodinga ukuthatha i-progestin ukulwa nayo. Kukhona ingozi yokuthuthukisa umdlavuza wesibeletho uma kwenzeka lokhu. Ngakho-ke, ukuthatha i-estrogen ngaphandle kwe-progestin uma usenayo isisu kungandisa ingozi yomdlavuza we-endometrial.
- Ukukhuluphala: Ngisho noma ama-ovari akasavelisi i-estrogen ngemuva kokuya esikhathini sokuya esikhathini, i-estrogen isengatholakala emzimbeni ngamathambo ayi-adipose (fat). Lokhu kuvamile kubo bonke abesifazane. Abacwaningi bakholelwa ukuthi ngenxa yokuthi abesifazane abakhuluphele banamathole amaningi adipose, basengozini enkulu yokwenza umdlavuza we-endometrial ngoba banamazinga aphezulu e-estrogen. Ngeshwa, abesifazane abakhuluphele futhi banomdlavuza we-endometrial bahlushwa ingozi yokufa kwesifo. Khumbula ukuthi abesifazane besisindo esinempilo nabo basengozini yomdlavuza we-endometrium - akuyona nje kuphela abesifazane abakhuluphele.
- Iminyaka eminingi yokuya esikhathini: Ukuqala kokuya esikhathini noma ukuqala kokuya esikhathini sekwephuzile kwandisa ingozi yomdlavuza we-endometrial. Futhi, i-estrogen iyisici sokuthi kungani lokhu kungandisa ingozi yakho. Lapho besifazane beya esikhathini, i-endometrium ibonakala ku-estrogen yonke imjikelezo. Njengoba imijikelezo eningi unayo, ukutholakala kwe-estrogen ngokwengeziwe nakho kwakho kwe-endometrium.
- I-PCOS noma i-Ovulation engavamile: Abesifazane abathola ukuvinjelwa okungavamile, njengalabo abahlukunyezwa yi- polycystic ovary syndrome (i-PCOS), babhekana nengozi enkulu yomdlavuza we-endometrial. Kulaba besifazane, i- estrogen ikhiqizwa futhi igqugquzela ukukhula (ukuqina) kwe-endometrial lining. Kodwa-ke, uma i-ovulation ingenzeki, i-endometrial lining does not shed (njengoba kuvamile, abesifazane abashaya ama-ovulating) futhi kutholakala kune-estrogen engaphezulu. Umphumela ungaba i-endometrial hyperplasia, engabangela umdlavuza we-endometrial.
- Ungalokothi Ukhulelwe: Abesifazane abangakaze bakhulelwe bangengozi enkulu, ikakhulukazi labo abahlukunyezwa ukungabi nabantwana. Ukucabanga ngemuva kwalokhu kubungozi ukuthi abesifazane abangakaze bakhulelwe bangathola ukuvota okungavamile, okuchazwe ngenhla.
- I-Tamoxifen Sebenzisa: I- Tamoxifen imithi yokwelapha i- adjuvant ngokuvamile ehlelelwe abesifazane abanomdlavuza webele. Ibophezela kumatholampilo e-estrogen kwezinye izicubu, kuvimbela i-estrogen ekukhuleni nasekukhuliseni izicubu zomzimba. Lokhu kuvimbela i-estrogen ekukhuliseni ukukhula kwezinhlobo ezithile zomdlavuza webele. Ngeshwa, i-Tamoxifen nayo ingavuselela ukukhula kwe-endometrium.
Ezinye Izinto Zingozi Ze-Cancer Endometrial
I-Estrogen akuyona kuphela into ebangela ingozi yomdlavuza we-endometrial. Abacwaningi baye baqaphela ezinye izici ezingozini zokugula:
- Isifo sikashukela: Ucwaningo lubonisa ukuthi abesifazane abanesifo sikashukela basengozini enkulu yokwelashwa kwe-endometrial. Lokhu kungenxa yokuthi ukukhuluphala nesifo sikashukela kuhlobene.
- Umlando Wezempilo Webhantshi Noma I-Ovarian Cancer: Abesifazane abaye banomdlavuza webele noma ovariya banomthelela omncane engozini yokuthuthukisa umdlavuza we-endometrial. Izifo ezintathu zihlanganyela ngezici ezifanayo zengozi.
- I-Lynch Syndrome: Eyaziwa nangokuthi i-HNPCC (umdlavuza we-nonpolyposis we-hereditary), i- Lynch syndrome yisimo sezakhi zofuzo okwandisa ingozi yomdlavuza, ikakhulukazi umdlavuza wekoloni. I-Lynch syndrome iyathinta kakhulu umzila wokugaya, kodwa futhi yandisa ingozi ye-ovarian kanye nomdlavuza we-endometrial kubesifazane.
> Umthombo:
> "I-Endometrial (Uterine) Cancer," i-American Cancer Society, ngo-3/17/2015.