Yintoni i-Endometrial Cancer?
I-endometrium yimbombo yesibindi kwaye ihlanganiswe nezicubu ezityebile emithanjeni yegazi. Ngenyanga nganye kwindoda yokuya esikhathini , olo liningana lwakhiwe ekulungiseleleni ukukhulelwa kwangaphambili, ke uchithe njengamaxesha xa ukukhulelwa kungenzi. Umhlaza uqhutywe ngokubhekiselele apho iifowuni zomhlaza zifunyenwe khona, ukusuka kwiSigaba I ngokupheleleyo ngaphakathi kwesibeletho ukuya kwiSigaba IV, apho umhlaza usasazeke ngaphaya kwemida yeeplavis.
Nangona umdlavuza we-endometrial ngokuqhelekileyo uphephile, izinto ezifana nesigaba kunye nomphumo wamahomoni emdlalweni unokumisela ukuba ngamnye umntu ahlasele.
Iimpawu zeCometerrial Cancer
Uphawu oluqhelekileyo lwesifo somhlaza we-endometrial sisisu esingaqhelekanga sokuphuma kwamanzi okanye ukuphuma. Ukuba ufumana igazi lokungaqhelekanga elingalulanga nexesha lakho, kubalulekile ukuba uhlolwe ngugqirha wakho.
Ukufumanisa i-Endometrial Cancer
Oogqirha bangasebenzisa iinkqubo ezimbini zokuxilonga umdlavuza we-endometrial. Zombini iindlela ziquka ukufunda iiseli ze-endometrium ukuba zikhangele ukungaqhelekanga kwesimo seseli, isakhiwo okanye ukukhula. Iyokuqala i- biopsy ye-endometri . Ugqirha uya kususa iiseli ezimbalwa ze-endometrium, ngokuqhelekileyo eofisini yakhe, ukuba afunde phantsi kwe-microscope. Okwesibini yindlela yokuhlinzwa, eyaziwa ngokuba yi-D & C okanye i-Dilation ne-Curettage. Ngaphantsi kwe-anesthesia, i-cervix ixubile, kunye neeseli ze-endometrial zikhishwe.
Oku kuvumela ugqirha ukuba ahlole iiseli aze abuke iimpawu zomhlaza. Ukuba ugqirha lwenziwe, ugqirha wakho unokuyalela omnye uvavanyo ukuze aqinisekise ukuba umhlaza usasazeke ngaphandle kwesibeleko.
I-PCOS kunye neCometerrial Cancer
Ngelixa lincinci, abafazi abane-PCOS banethuba eliphezulu lokuphucula umdlavuza we-endometrial .
Xa kuninzi ixesha elingavumelekanga kunye nexesha elimbalwa ngumfazi, umngcipheko omkhulu uba. Ngexesha eliqhelekileyo lomjikelezo wokuya esikhathini , i-endometrium ibonakaliswe kuma-hormone, njengesi-estrogen, nto leyo eyenza ukuba i-lining ikhule kwaye ikhuphe. Xa i-ovulation ingenzeki, ebonakalayo kwi-PCOS, i-lining ayiyi kutyhalaza kwaye ibonakaliswe kwixabiso eliphezulu le- estrogen ebangela ukuba i-endometrium ikhule kakhulu kuneyona eqhelekileyo. Yilokho okwandisa ithuba lomhlaza wamaseli eqala ukukhula. Ukuba awufumani ixesha eliqhelekileyo , gcina ikhalenda ekubhaliseni ixesha kwaye kaninzi kangakanani ufumana ithuba lakho ukuze uthethe nodokotela wakho. Kukho iindlela ezininzi ezinokukunceda ukunciphisa umngcipheko wakho.
Unyango lwe-Endometrial Cancer
Ukuba ufumene ukuba unomdlavuza we-endometrial, kuyimfuneko ukuthetha kunye nengcali ngokukhawuleza. Uninzi lwezonyango lukhoyo, kwaye ugqirha wakho unokukunceda ukukhetha okulungileyo.
- Ugqirha: Ugqirha unako ukhetha ukususa isibeleko sakho, esibizwa ngokuba yi-hysterectomy. Ukuba umhlaza usasazeke, kunokudinga ukususa ezinye izitho ezifana nezigulane ze-fallopian, ii-ovaries, inxalenye yesini okanye i- lymph nodes , kuxhomekeke apho umhlaza. Nangona utyando lwenziwa, ugqirha unokuvakalelwa kukuba ukhemotherapy okanye unyango lwe-radiation luyimfuneko kunye nokuthintela umdlavuza ukusasazeka.
- I-radiation: Olu hlobo lonyango lubandakanya ukubonakalisa iiseli zomhlaza kumbane ophezulu wamandla, mhlawumbi kumatshini othumela i-radiation emzimbeni ukuya kumaseli omhlaza okanye ngaphakathi ngeembewu, iinaliti okanye i-catheters ezibekwe ngqo kunye nomhlaza.
- I-Chemotherapy: Xa lolu hlobo lonyango lisetyenzisiwe, iikhemikhali ezikhethekileyo zenziwa emzimbeni, mhlawumbi ngomlomo okanye nge-intravenously, ezibulala ngqo iiseli zomhlaza . Ngamanye amaxesha i-chemotherapy inokufakwa kwisigqeba somzimba, okanye kwindawo ethile yendawo yomzimba ukujolisa kangcono umdlavuza. Kwakhona, kukugqirha kunye nohlobo lwakho lomhlaza ukuchonga okuza kusebenza kakuhle kuwe.
- Ukwelashwa kweHormone: Ukuba umhlaza uphendule kwi-hormonal stimulation, kukho imithi enokukunceda ukuvimba i-hormone ukuba ingabandakanyi nomhlaza. Oku kunokukunceda ukunqanda ukukhula komhlaza.
Imithombo:
UAlvaro, uRuben noSlaff, uWilliam. I-Endocrinotic yokuzalisa nokungafihli: Iimfuneko kwi-Obstetrics ne-Gynecology. Page 74. UMosby: Philadelphia 2007.
Ukwelashwa kweCometerrial Cancer: I-Patient Version. 19 uJuni 2006. Amaziko e-US kaZwelonke wezeMpilo: iNational Cancer Institute. 26 Disemba 2007. http://www.cancer.gov/cancertopics/pdq/treatment/endometrial/patient.htm.