Ukugcina I-Eye Out for This Issue Isingeniso Issue
Cishe ingxenye eyodwa kwabesifazane bonke abathola ama-polyps we-uterine, isisindo esikhulu sezinyosi ku-endometrium. Ngenkathi abesifazane abaningi bezwa ukuphuma kwamagciwane okungavamile , iqiniso liwukuthi ama-polyps we-uterine avame ukungabonakali.
Ama-polyps e-uterine, okuthiwa i-endometrial polyps, ngokuvamile amancane amancane, ama-bulb enemizimba yezicubu ze-endometrile ezihlanganiswe nesisu esiswini .
Zithambile, ngokungafani ne- uterine fibroids , ezingakhula kakhulu futhi zenziwe ngezihluthu ezinzima.
Izimpawu ze-Uterine Polyps
Uma izimpawu ze-polyps ezibelethweni zibonakala, zifana nezimo ezingathí sina, ezifana nomdlavuza we-endometrial. Uma unayo lezi zimpawu kubalulekile ukuthi ubone udokotela. Izimpawu zingase zihlanganise izinhlobo eziningana zokuphuma kwamagciwane okungavamile njenge:
- isisindo esinzima sokuphuma kwegazi
- ukubona phakathi kwezinkathi
- ukuphuma ngemuva kocansi
- ukuphuma kwegazi emva kokunqamuka kwesisu
Ubani Osesengozini?
Isizathu esiqondile se-polyps ye-uterine asikwaziwa, kepha sizwela i-hormone estrogen. Ungase ube namathuba amaningi okuthuthukisa ama-polyps uma:
- uneminyaka engu-40 kuya ku-50
- pre-noma ngezi- menopausal
- obese
- okwamanje noma ngaphambili ethatha imithi elwa-estrogen
Ngaphansi kwamaphesenti ayisishiyagalolunye kuwo wonke ama-polyps we-uterine ahlotshaniswa nomdlavuza.
Uterine Polyps kanye nokungenzi lutho
Ukungabi nalutho kuchazwa ngokuthi ukungakwazi ukukhulelwa emva konyaka owodwa wokuzama.
Uma owesifazane engenasifo futhi engenazo izimpawu ze-polyps ye-uterine, ithuba lokuthi unama-polyps angenasifo liphakathi kwamaphesenti amathathu namaphesenti amahlanu, ngokusho kwe-Jones Institute of Reproductive Medicine. Uma ezwa ukuphuma kwegazi okungavamile, kungenzeka ukuthi ama-polyps akhona.
Ama-polyps e-uterine angenza njenge- intrauterine device (IUD), evimbela iqanda elikhulile ukuba lingene emdongeni lwe-uterine.
Bangakwazi futhi ukuvimbela indawo lapho ithebhu ye-fallopian ixhuma khona emgodini wesibindi, ukuvimbela isidoda ukuba singena ebhukwini ukuze ihlangabezane neqanda. Ngokufanayo, bangavimbela umsele wesibeletho, ozovimbela isidoda ukungena esibelethweni nhlobo. Ama-polyps angase abe nomthelela ekukhulelweni kwesisu kwabanye besifazane.
Esicwaningweni esanyatheliswa ngo-2005 ku- Journal of Human Reproduction , abesifazane abahlukunyezwa ngokweqile ngemuva kokukhishwa kwe-polyps zabo bakhulelwa cishe kabili isilinganiso sebesifazane ababengenayo i-polyps yabo. Eqinisweni, abesifazane abathintekayo bavame ukukhulelwa ngaphandle kokuqothulwa.
Ukuxilongwa Nokunakekelwa
Udokotela wakho angase ancoma enye yezindlela ezimbalwa zokuthola ukuthi unama-polyps we-uterine:
- I-Hysterosalpingogram (i-HSG). Ukuhlolwa usebenzisa i-x-ray, lapho i-radiologist ikhipha udayisi ohlukile phakathi kwesibeletho namathambo ukuze kube lula ukubona ama-polyps nezinye izicubu.
- I-Ultrasound. Ukufakwa kwedivaysi enjenge-wand enqenqemeni ehambisa amaza aphezulu aphikisayo ukudala izithombe.
- I-Sonohysterogram. Uhlobo oluthile lwe-ultrasound lapho i-radiologist igcwalisa khona udoti ngesinebe usebenzisa i-catheter encane. I-saline igxila emgodini (njengombhaluni) futhi idala isikhala phakathi kwezindonga. Lokhu kusiza ekuboneni ama-polyps angase aphuthelwe nge-ultrasound yendabuko.
- I-Hysteroscopy . Inqubo esebenzisa ububanzi obufakwe ngaphakathi kwesisu ngaphakathi kwesibeletho ukubuka ama-polyps bese unquma ubukhulu bawo nobukhulu bawo. Ingxenye noma yonke i-polyp ingasuswa futhi ngokuhlolwa okuncane kakhulu ngokufakela izinsimbi ngokusebenzisa i-hysteroscopic tube.
- Ukucabangela ngokusebenzisa izindlela zendabuko. Isampula se-polyp ingatholakala ngokusebenzisa ukukhwabanisa ( ukukhipha noma ukukhipha ) noma i-biopsy (ukususa izicubu ngethuluzi elifana netshani yokuphuza), noma emva kwe- hysterectomy (ukususwa kwesibeletho).
Ukuhlolwa kwezicubu ngaphansi kwe-microscope yindlela ewukuphela kokunquma ukuthi i-polyp iyingozi yini (engenangqondo) noma eyingozi (umdlavuza).
Amanye ama-polyps ayanyamalala eyedwa. Uma ukususwa kuyadingeka ukulawula ukuphuma kwegazi, ukwandisa ukukhulelwa, noma ukuhlola umdlavuza, ukukhulelwa okuqondiswa i-hysteroscope kuvame ukuphakanyiswa. Indlela ejwayelekile, ukuhlenga nokukhishwa (i-D & C), noma ukukhipha uhlaka lwe-uterine, nalo lisasebenza.
Ngokuvamile ama-hysteroscopy ayenziwa ngendawo noma engekho i- anesthesia , kodwa ngezinye izikhathi i-anesthesia ejwayelekile isetshenziswa futhi. Ngemuva kwe-hysteroscopy, ungase uthole ama-cramps amancane aphuza futhi omnene, kodwa kufanele ukwazi ukuqhuba imisebenzi evamile ngokushesha, ngokungafani nokulala, okungase kudingeke ukugwema isonto noma ezimbili uma udokotela wakho eluleka.
Uma ama-polyps amaningi kakhulu ekususwa kwe-hysteroscopic, i-hysterectomy inganconywa.
Ayikho indlela ekhethekile yokuvimbela i-polyps ye-uterine, nakuba uzigcina ngesisindo esinempilo futhi ubheka ukucindezeleka kwegazi yizona ndlela ezingcono kakhulu zokunciphisa izingozi zakho.
Imithombo:
"Ukuchaza ngokweqile nokukhuluphala ngokweqile." cdc.gov. 20 Juni 2008. Izikhungo zokuLawula izifo.
UDreisler, Eva, uSoren S. Sorenson, no-Gunnar Lose. "I-Endometrial Polyps kanye Nezici Ezihlanganisiwe Kwabesifazane BaseDenmark Badinyaka Engama-36-74." I-American Journal ye-Obstetrics & Gynecology 200: 2 (2008): 147.
"Izimo ze-Endometrial." frankfordhospitals.org. 2008. Izibhedlela zaseFrankford.
"Ama-Polyps Endometrial." umich.edu. 2006. University of Michigan.
Giordano, Giovanna, Letizia Gnettia, uCarla Merisio, noMauro Melpignano. Isimo se-Postmenopausal, I-Hypertension and Obesity njengeziNengozi Zezinguquko Ezimbi Ngezinguquko Zama-Polyps Endometrial. " Maturitas 56: 2 (2007): 190-197.
"Hysteroscopy." stjohnsmercy.org. 2009. USt John's Mercy Health Care.
"Ukungenzi lutho - Isici se-Uterine." jonesinstitute.org. 2006. I-Jones Institute for Medicine Reproductive.
McGurgan, P., LJ Taylor, SR Duffy, noPJ O'Donovan. "Ukuqhathaniswa Kwama-Immunohistochemical Amapolitiki E-Endometrial avela kuma-Postmenopausal Women Exposed and Not Exposed to HRT." Maturitas 53: 4 (2006): 454-461.
"Umbiko wezeMpilo: I-Endometrial Polyps." cap.org. 1 Apreli 2005. College of American Pathologists.
Perez-Medina, Tirso, Jose Bajo Arenas, Francisco Salazar, uTeresa Redondo, uLisen Sanfrutos, uPilar Alvarez noVirginia Engels. "I-Polyps Endometrial Nezimpendulo Zabo Ekukhulelweni Amanani Eziguli Ezibhekana Ne-Intrauterine Insemination: Isifundo Esihle, Esihlelekile." Ukukhiqizwa kwabantu 20 (2005): 1632-1635.
"Sonohysterogram." dhmc.org. 2009. Isikhungo sezokwelapha seDartmouth-Hitchcock.