Ziyini izimpawu zesifo somdlavuza wesibeletho?
Izimpawu zomdlavuza we-uterine zingashintsha ngoba kunezinhlobo ezihlukahlukene ze- cancer yomdlavuza ongathinta abesifazane, njengomdlavuza we- endometrial kanye nama-sarcomas e-uterine.
- Umdlavuza we-Endometrial uhlanganisa izicubu ezithinta isisu, i-endometrium. Lena i-carcinoma, umdlavuza wamaseli e-epithelial. Yilona uhlobo oluvame kakhulu lomdlavuza wesibeletho.
- Ama-sarcomas angama-uterine yizicubu ngaphakathi kwezicubu ze-muscle nezakhiwo ezisekelayo. Zingavamile kakhulu, zakha 4% noma ngaphansi kwazo zonke izifo zomdlavuza we-uterine.
Izimpawu Zomdlavuza Wesibindi
Ngokuvamile, uphawu oluvame kakhulu lomdlavuza wesibeletho kwanoma yiluphi uhlobo lokuphuma kwegazi. Uma owesifazane engakafiki esikhathini sokuphumula, ukuphuma kwegazi phakathi kwezinkathi noma ushintsho ekugezeni kwakhe kungaba uphawu. Lokhu kufanele kuholele ukuhlolwa kwezokwelapha futhi kubikwe kudokotela wakho.
Ukuthunyelwa Kwemva-Ukuphela Kwesisindo Sokwemvelo: Kuwesifazane oye wafika esikhathini sokuya esikhathini, noma yikuphi ukuphaphaza kwamagciwane noma ukuphazamiseka kwamagciwane kubhekwa okungavamile futhi kudinga ukuhlolwa ngudokotela. Umdlavuza wesibeletho akuyona imbangela yokwelapha kwamanzi okwesilisa emva kokuqeda umama. Ama-fibroid, izifo ze-thyroid, i-polyps, kanye ne-hormone therapy esikhundleni sokuthi ingasetshenziswa futhi ingabangela ukuphuma kwegciwane lesiswini kumama ase-post-menopausal. Abesifazane ababhekene nokuphuma kwegciwane elisindayo (ukuhamba nge-pad yangasese ehoreni), kufanele bahambe ekamelweni eliphuthumayo.
Ukukhipha Kwegazi Lokungavamile Okungakajwayelekile-Ukunqamuka Kwesimeni : Kwabesifazane abangazange baye esikhathini sokuya esikhathini, isifo esibaluleke kakhulu somdlavuza wesifo sofuba siyisisu esingavamile esingokwemvelo.
Ukuphuma kwegazi okungavamile kuhlanganisa:
- izikhathi ezinzima futhi zinde
- ukuphazamiseka okukhulu okwenzeka phakathi kwezinkathi
- isikhathi esingaphezu kwesinye ngenyanga yenyanga
- ukuphuma kwamanzi okwesisu okwenzeka ngaphambi nangemva kokuya ocansini
- ukuphaphaza kwamagciwane kwabesifazane abathumela umama-menopausal
Izimpawu ze-Uterine Sarcoma
Izimpawu ezicacile ze-sarcoma ye-uterine zingabandakanya ukuphuma kwegciwane ngemuva kokuya esikhathini sokuphumula, ukubhekwa phakathi kwezinkathi, kanye nokwaziswa kwamanzi, ukuphuma kwamanzi okwesifazane okungenzeka kube negazi.
Ubuhlungu be-pelvic buyinye isibonakaliso. Wena noma udokotela wakho angase akwazi ngisho nokuzwa inqwaba enombolweni encane yamacala. Esikhathini sokuqala se-uterine sarcoma, angeke kube khona izimpawu ezibonakalayo.
Izimpawu Ze-Cancer Endometrial
Ngomdlavuza we-endometrial, uphawu oluvame kakhulu nolwazi lokuqala olunezibonela ukuphuma kwegazi elingavamile. Ezinye izimpawu zihlanganisa ukungcola kwamanzi omzimba kanye nobuhlungu ngesikhathi sokulala ngokocansi. Izimpawu ezingase zenzeke ngezigaba kamuva zifaka ubuhlungu be-pelvic futhi ngezinye izikhathi ungase uzizwe ubukhulu noma isisu. Isibonakaliso esingeyona esithile silahlekelwa isisindo ngaphandle kokuzama ukwenza kanjalo.
Yini Ongayilindela Odokotela Uma Unayo Izimpawu Zengculaza
Uma ngabe umdlavuza we-endometrial usolwa, ukuhlolwa okuphelele kwe-pelvic kuzokwenziwa kuqala ngumjozi wezifo. Udokotela uzozizwa ngesibindi, isisu, ama-ovari kanye ne-rectum kunoma yiziphi izixuku noma ezinye iziqephu ezingavamile. Ukuhlola ukuhlola kungenziwa. Lezi zingabandakanya i-ultrasound yangaphambilini ukuze ifune i-endometrium engavamile. I-biopsy ye-endometrial yenziwe ukuthatha inani elincane lamathambo ngaphandle komlomo wesibeletho. Kuthunyelwa ebhodini okumele lihlolwe ngumuntu we-pathologist ukuqinisekisa noma ukulawula umdlavuza wesibeletho. Izicubu zingabuye zithathwe nge-dilation nokukhishwa (D & C), okudinga i-anesthesia.
Imithombo:
Umdlavuza wesifo sofuba: Ukuxilongwa. I-American Society of Clinical Oncology
Izimpawu Nezibonakaliso Ze-Cancer Endometrial, American Cancer Society
Izimpawu Nezibonakaliso Ze-Sarteras Yesizalo, i-American Cancer Society