Iimpawu zokuqala kunye nexesha elide lomhlaza wesibeleko
Imiqondiso yesifo somhlaza wesibeleko kunye nempawu zivela kumfazi ukuya kumfazi, nangona kukho izihlandlo ezimbalwa kwizigaba zokuqala zesifo. Ngenxa yoko, kubaluleke kakhulu kubasetyhini ukuba bafumane ii-Pap smears eziqhelekileyo, njengoko amanyathelo angaphambili kunye nonyango aphethwe yintsholongwane angabonwa kuphela phantsi kwe-microscope. Ziziphi iimpawu kufuneka zonke iintombi ziyazi, kwaye yintoni na iimpawu ezilandelayo zingabonisa ukuqhubela phambili okanye ukuphindaphinda?
Kubaluleka kokwazisa iimpawu zeCcercer Cancer
Kubalulekile ukuphawula ngokukhawuleza ukuba zonke iimpawu zesifo somhlaza wesibeleko zingabonakalisa iimpawu zezinye iimeko kunye nokuba ezinye iimeko ziyona nto ibangelwa yile mpawu. Nangona kunjalo, ekubeni izinga lokusinda lomhlaza wesibeleko lungcono ngaphambili, lube luhle ukuba lube lucalucalulo kwaye uthethe ugqirha ukuba unayo nayiphi na le miqondiso. Ngakolunye uhlangothi, kubalulekile ukuba uqaphele ukuba ukuhlolwa komhlaza wesibeleko kunye nePap smears akukho ipesenti ezi-100 eziphumelelayo ekufumaneni umdlavuza wesibeleko. Ukuba unayo nayiphi na le mpawu, xela ugqirha wakho nokuba iziphumo zePap smear ziqhelekile.
Sifumane indlela ende ekukhuselweni nasekutholeni kwangaphambili umdlavuza womlomo wesibeleko, kunye nesantya sokufa esi sifo siphantsi kwama-50 ekhulwini ukususela ngo-1980. Ngamanye amaxesha kulula ukulibala ukuba umdlavuza wesibeleko ube ngowona nto ibangela phambili ukufa kwabantu abanomdlavuza. eUnited States.
Asikho apha, nangona kunjalo, kwaye ngo-2018 kuqikelelwa ukuba abafazi abayi-13,240 baya kufumaneka, kwaye ngaphezu kwe-4,170 baya kufa kwesi sifo.
I-Anatomy yeCercer Cancer kunye noHlangano kwiMpawu
Ekuqwalaseleni iimpawu zesifo somhlaza wesibeleko kunceda ukuphonononga ngqo apho umlomo wesibeleko ukhona khona. Umlomo wesibeleko-obizwa ngokuba ngumlomo wesibeleko-ungumlinganiselo ophantsi kakhulu wesibindi apho udibanisa khona kwisini.
Lo mmandla we-pelvis uhlala kwikhaya kunye nesahlulo sekholoni, kwaye iimpawu zesifo nakweyiphi na lezi zitho zingabelana nabanye.
Iintsholongwane zeCercer's Early signs and Symptoms
Ubuninzi bexesha, utshintsho olungaqhelekanga kumlomo wesibeleko lukhula kwiminyaka emininzi, nangona i-khancer iphuhlise ngaphezu kwexesha elifutshane, ngaphantsi komnyaka omnye. Ekubeni iiseli zesibindi zihamba ngoluhlu lweenguqu zokuba ziintsholongwane zengqambela, kunokwenzeka ukuba zikhumbule utshintsho olusakhulayo olubonisa ukuba umdlavuza unokukhula. Ngethuba le nqanaba leqanda lomhlaza kwaye lisoloko lincinci ukuba kukho naziphi iimpawu.
Iisetyana zeCancincerous and Carcinoma In Situation
Isigama esichaza iiseli ezinqabileyo zidideka kakhulu. Gcina ukhumbule ukuba ininzi yale "iiseli ezinqamlekileyo" ukuze ingabi ngamaseli omhlaza . Iiseli ezingaqhelekanga ezifumaneka kwi-Pap smear zibizwa ngokuba yi- dysplasia yomlomo wesibeleko . Ezi zinguqu zinikwa "ibanga" le-I ukuya ku-III kuxhomekeka kwindlela engavumelekanga ngayo iiseli. Ekubeni i-Pap smears ibonisa ukusasazeka kweeseli ezidibeneyo ekutshweni komlomo wesibeleko, ezi iiseli ziyanzima ukuvavanya kuneeseli ezibonwe ndawonye njenge-biopsy. (Ukuba udidekile malunga nemigomo efana ne-ASCUS, i-LGSIL, i-HGSIL, kunye ne-AGC, funda ngokubanzi malunga nesigama se-Pap smear ).
Iiseli ezingaqhelekanga ezifunyenweyo ngexesha le-colposcopy kunye ne-biopsy zibizwa ngokuba yi -neoplasia ye-intraepithelial (CIN) . (Funda kabanzi malunga nokwahlukana phakathi kweeseli eziqhelekileyo kunye namaseli omhlaza .)
Isigaba sokuqala somhlaza wesibeleko sisigaba se-0 okanye i- carcinoma ekhoyo . Kulezi zicubu, iiseli azange zisasaze ngaphaya kommandla obizwa ngokuba yi-membrane yesigxina kwaye zibhekwa njengezingenasvasive. Xa umhlaza usasazeke ngaphaya kwelo lumgca-phantsi-xa kusemgangathweni ukuya kwinqanaba le-IV-kuthathwa njengesifo somhlaza.
Iimpawu ezininzi eziqhelekileyo kunye neempawu zeCercer Cancer
Umhlaza wesibeleko awuyi kubangela iimpawu kude kube yinto evumayo.
Ixesha elimangalisayo alithethi ukuba umhlaza usasazeke okanye nokuba uye wahlasela izicubu eziseduze, oko kuthetha ukuba umhlaza unqamle kwi-membrane yangaphantsi. Nangona isigaba somhlaza wesibeleko sithathwa njengongenangqiqo ngolu ngcaciso. Izimpawu eziqhelekileyo ziquka ukuphuma kwegazi, intlungu, nokukhutshwa (jonga ngezantsi.)
Ukuhluthwa kweVaginal okungavumelekanga (Ukunyuka kwe-uterine engasebenzi)
Ukuphuma kwintsholongwane engavumelekanga yimbonakalo yokuqala yesifo somhlaza wesibeleko. Ukuphuma kwegazi kunokuthatha iifom ezininzi kuquka:
- Ukuphuma kwamanzi okungaqhelekanga . Ukuhlambuluka phakathi kwexesha lokuya esikhathini kuyisifo esiqhelekileyo sesifo somhlaza wesibeleko, kwaye sinokuvela naphi na kumjikelezo. Ukuhlaselwa emva kokumisa umva kukuxhalabisa, becinga ukuba isiqingatha sabasetyhini bahlakulela umdlavuza wesibeleko phakathi kweminyaka yobudala, kwaye iipesenti ezili-15 zala ma-khansa ziyafunyanwa emva kweminyaka yobudala engama-65. Ukuphuma kwe-postmenopausal kufuneka kuhlaziywe rhoqo.
- Ukuhlamba emva kokulala (emva kokuphuma kwegazi). Ukuqhawula emva kokulala-nangona ukuba ixabiso elincinane-kufuneka lihlolwe. Ukuphuma kwamanzi okuhamba emva komzimba kunokwenzeka ukuba kunxulumene nesinye imeko, njengosuleleko, kodwa kufuneka uhlale uhambela ugqirha wakho, nangona ukuphuma kwegazi kukhanya.
- Ukuphuma kwexesha lokuphuma kwexesha . Iimviwo ezinzima kunexesha eliqhelekileyo okanye elide kunexesha eliqhelekileyo ukuba ufanele uchazwe ngugqirha wakho. Gcina ukhumbule ukuba ngamnye umfazi uhlukile. Umzekelo, amaxesha aphelileyo iintsuku ezingama-5 anokukhathazeka ngomntu onokuhlala ehlala kwiintsuku ezimbini okanye umntu onokuhlala ixesha eli-9 iintsuku.
Ngamanye amaxesha ukuphuma kwintsholongwane ngamanzi ngamanye amaxesha kuyakhanya kwaye kwaye, ngamanye amaxesha, ngokukhawuleza kukhishwa. Qinisekisa ukuba uthethe ugqirha wakho ukuba uyaphawula nendawo encinane yegazi ngelixa ungekho ixesha lakho.
Ubuhlungu bePelvic
Ubuhlungu be-pelvic buba ngumqondiso wesifo somhlaza wesibeleko kodwa kukho nezinye izizathu ezinokwenzeka. Kubalulekile ukuba uqaphele ukuba ubuhlungu be-pelvic buya kuba uphawu lokuqala lomhlaza we-ovari ; umhlaza obulula kakhulu ukuphatha kwiinqanaba zokuqala zesifo kwaye uye waqulunqa "umbulali ongenangqondo" ngenxa yokungabikho kwempawu kwiindawo zokuqala. Unobangela obuninzi bobuhlungu be-pelvic, nangona kunjalo, ziimeko ezinobungozi, ezinjengeenkampu ezinxulumene nokuya esikhathini. Ubuhlungu be-pelvic buya kuhlala buhlala okanye buphakathi, bubukhali okanye bubuqili kwaye bunqabileyo, kwaye buya kufakelwa okanye buyasasazeka esiswini sakho nasemva.
Ubuhlungu ngexesha lokulala , obizwa nangokuthi i-dyspareunia ingaba ngumqondiso wesifo somhlaza wesibeleko. Ukuxhatshazwa ngexesha lokuziphatha okuqhubekayo kufuneka kuhlaziywe rhoqo, zombini kwiimeko eziphathekayo ezinokuthi zithwale uxanduva, kunye neempembelelo zemoya ezinokuba nazo.
Ukukhutshwa kweVaginal
Ukutshatyalaliswa kwesisu esingaqhelekanga ngenye into ebonakalayo yomhlaza womlomo wesibeleko, nangona le mpawu inamanye amaninzi (kunye nokuqhelekileyo) kubangela kunye. Kukho okanye kungabi yinto ephosakeleyo enxulumene nokukhutshwa, kwaye ukukhutshwa kungabakho nawuphi na umbala, ukukhanya okanye okunzima, okuphakathi okanye okuqhubekayo. Ngokubanzi, ukukhulelwa kwesisu ngenxa yomhlaza kunombala obomvu obomvu, kodwa oku kuyahluka kakhulu.
Uninzi lwabafazi banomkhuhlane wesisu ngexesha elithile, kwaye ixesha elininzi eli lihambelana nezinguqu eziqhelekileyo ze-hormone. Ukuba ukhathazekile unokuzijonga ezi ngcebiso xa ufumana ugqirha wakho ngokukhulelwa komzimba.
Kamva iimpawu zeCcercer Cancer
Kukho amazinga amane ahlukeneyo omhlaza wesibeleko somlomo wesibeleko . Iimpawu zamanqanaba aphezulu okanye ukunyuka komhlaza wesibeleko kunokuchaphazela imimandla eminingi yomzimba.
Ezinye zezi zimpawu zinxulumene nokutshintsha kwe-metabolism ehambelana nomhlaza, njengokulahleka kwezinto ezingenzi ngokuzithandela (ukulahleka kweepesenti ezingama-5 zobunzima bomzimba ngaphezu kweenyanga ezili-6 ukuya kwezi-12), ukukhathala kunye nesiphithiphithi.
Iimpawu ezinxulumene nokukhula kobunzima kwi-pelvis zingabandakanya ubuhlungu bentlungu (enokufikelela kwimilenze). Uxinzelelo oluvela kwi-tumor kwi-pelvis lungabangela ukuvuvukala komnye okanye kwimilenze yomibini. Iimpawu zesisu kunye nesibhambiso esivela kwiintlungu ngokuvuthwa okanye ukuhamba kwintlungu ukuze kuqhutywe ukungena.
Xa umhlaza womlomo wesibeleko usasazeka (i- metastasizes ) kwezinye iindawo zomzimba, iimpawu ezinokuthi zihambelane nommandla apho usasazeka khona. Ngokomzekelo, intlungu kunye nentlungu yangemva iyakwenzeka xa umdlavuza wesibeleko usasazeka emathanjeni kunye nokukhwehlela kungenzeka xa usasazeka kwimiphunga .
Yintoni enokuyenza Ukuba Unempawu zeCercer's Symptoms
Ukuba ufumana iimpawu zomhlaza wesibeleko, yenza isiganeko kunye nomboneleli wakho wezempilo. Ngokuqhelekileyo le miqondiso iya kuqhagamshelana nomnye, imeko engaphantsi, kodwa umdlavuza wesibeleko uyaphathwa kakhulu xa ubanjwe kwiinqanaba zokuqala.
Xa wenza i-aphoyintimenti yakho, ummkeleli uya kubuza isizathu sokutyelela kwakho. Qinisekisa ukumxelela ngempawu zakho. Oku kunokumisela ukuba kungekudala kufuneka ubone ugqirha wakho. Ukuba uziva ungakhululekile ukuthetha nommkeli wokufumana iimpawu zakho, cela ukuthetha nomongikazi.
Ngaphambi kokuqeshwa kwakho, bhala phantsi iimpawu zakho. Faka iinkcukacha ezinjengexesha kwaye kwaye zihlala zifumana njani iimpawu, yiyiphi imithi (ukuba kukho) ukunciphisa iimpawu, kwaye ubude ube neempawu ezide kangakanani. Yonke le ngcaciso iza kunceda ugqirha wakho enze i-diagnosis.
Izinto zobungozi beCcercer Cancer
Ukuba nemingcipheko ethile inokunyusa umngcipheko wokuvelisa umdlavuza wesibeleko, kodwa abantu abaninzi abanomdlavuza wesibeleko abanalo nengozi. Ukuba unayo nayiphi na ingozi, kunokunyusa ithuba lokuba iimpawu zakho zixhalabele, kodwa uthetha ugqirha wakho nokuba awukho na le. Izinto ezibangela ingozi yomhlaza wesibeleko ziquka:
- Imbali ye- HIVV
- Ukutshaya
- Ukuba nenani elikhulu labantwana (ubulungu obuphezulu)
- I-immune systems egxothwayo (umzekelo, ukusuka kwi-HIV okanye i-chemotherapy yomhlaza)
- Ukulala ngesantya
- Ukuba nenani eliphezulu lamalingani ezesondo
- Ukubonakaliswa kwe-diethylstilbestrol (DES) kwi-utero (i-DES exposure ingozi yomsana wesigqabi somhlaza wesibeletho obizwa ngokuba ngumhlaza wesifo somhlaza wesibeleko kodwa awusetyenziswanga e-US ukususela ngo-1971)
Ukuhlolwa kweCarcer Cancer
Njengoko kuphawuliwe kwangaphambili, ukufika kwe-Pap smear ukukhangela umdlavuza wesibeleko kuye kwanciphisa izinga lokufa kwisifo ukususela ngo-1980. Qinisekisa ukuba ulandele izikhokelo zokujonga, kodwa khumbula ukuba ezi zikhokelo eziqhelekileyo zenzelwe uluntu ngokupheleleyo. Kukho izizathu zokujonga (okanye ukuba ungakhangeli) njengomntu ongekho phantsi kwezi ngcebiso. Kwakhona kubalulekile ukuba uqaphele ukuba iimvavanyo zokuphonononga zenzelwe abantu abangabonakaliyo-abangenazo iimpawu zesifo. Ukuba unayo nayiphi na impawu ebhalwe ngaphambili, iimvavanyo ezingaphezulu zifunekayo ngaphaya kwe-Pap smear. Ukuba awuqinisekanga ukuba uyayifuna le mvavanyo, khangela ezi zikhokelo zomhlaza wesibeleko somlomo wesibeleko .
Ukuxilonga iCervical Cancer
Kukho iindlela ezininzi apho umhlaza wesibeleko ufumaneka khona. Hlola ezi mvavanyo ezisetyenziselwa ukuxilonga umdlavuza wesibeleko .
ILizwi
Njengoko kuphawuliwe ngasentla, iimpawu eziqhelekileyo zomhlaza wesibeleko zininzi nezinye izizathu ezinokwenzeka. Ngokuqhelekileyo, i-workup izakufumana ukuba iimpawu zakho zihambelana nemeko eyahlukileyo, kwaye ingaphantsi kakhulu. Isiqubulo esithi "ukhuseleke kangcono kunesiziso" sinokuba yiyona mantra engcono xa ufumana iimpawu ezinokuba yimpawu zokuqala zomdlavuza .
Xa uthetha ugqirha ngeempawu zakho, khumbula ukuba iyeza akuyena inzululwazi omnyama kunye nomhlophe. Ukuba unesiqhelo sePap smear kodwa akukho ncazelo malunga neempawu zakho, xela ugqirha wakho. Ukuba uqhubeka unempawu ezingachazwanga okanye mhlawumbi uzive ukhathazekile, cela iimvavanyo ezingaphezulu okanye ucele uluvo lwesibini. Yiba ngummeli wakho ngokhathalelo lwempilo yakho.
> Imithombo:
> I-American Cancer Society. Izibalo ezibalulekileyo zeCercer Cancer. Ukuhlaziywa 01/04/18. https://www.cancer.org/cancer/cervical-cancer/about/key-statistics.html
> I-American Society of Oncology. Umhlaza wesibeletho: Iimpawu kunye neMpawu. Updated 07/2017. https://www.cancer.net/cancer-types/cervical-cancer/symptoms-and-signs
> INational Cancer Institute. Ukwelashwa kweCerical Cancer (PDQ) - I-Health Professional Version. Ukuhlaziywa 01/31/17. https://www.cancer.gov/types/cervical/hp/cervical-treatment-pdq