Umhlaza wesifo somhlaza ngumhlobo womhlaza ochaphazela isisu , inxalenye ebalulekileyo yenkqubo yokuzala isetyhini. Lo mhlaza udla ngokubanzi kwi- endometrium yesibeleko, okubangelwa ngumdlavuza we-endometriyamu , uhlobo olusasazekayo lomdlavuza wesibeletho. Kuncinci ngokuqhelekileyo, umdlavuza ukhula kwiimisipha kunye nezinye iisisu ezixhasa isisu.
Xa oko kwenzeka, kuthiwa yi-uterine sarcoma. Ngaphantsi kwamaphesenti ama-5 ama-cancer angama-uterine anama-sarcomas.
Izizathu kunye neengozi
Ngelishwa, asinakukwazi ukuba yintoni ebangela umdlavuza wesibeleko, kodwa siyazi izinto ezinobungozi ezinokunyusa amathuba okukhula. Umdlavuza wesibeleko udla ngokuqhelekileyo kubasetyhini abasemva kwe-menopausal . Abasetyhini abaselula banako ukuhlakulela isifo, kodwa oku kwenzeka kakhulu kangako.
Kwiimeko ze-sarcomas ze-uterine, siyazi ukuba ngaphambi kokuba unyango lwamayeza olusenyakatho luya kwandisa umngcipheko kubafazi abathile. Kwakhona kubonakala ukuba ama-sarcomas angamaqanda avela rhoqo kuma-Afrika aseMerika-aseMelika kunokuba aseCaucasians, nangona isizathu asicacanga.
Ngethamsanqa, sisazi ngakumbi ngomdlavuza we-endometriya kunokuba senza malunga neengwenya ze-uterine. Abaphandi baye bafumanisa izinto ezinobungozi ezaziwayo, kuquka:
- ngazange a khulelwe
- ukuqala ukuya kwinyanga ngaphambi kokudala iminyaka eyi-12, kwaye uqhubeka uneminyaka engama-50 okanye ngaphezulu
- nesifo sikashukela
- ukunyanya
- ukusebenzisa i- estrogen yonyango yonyango (ERT)
- Imbali yomntu okanye intsapho yebele okanye isifo somhlaza
- ukusetyenziswa kweTamoxifen , isiyeza somhlaza webele
Into enye yokugcina ingqalelo ngomngcipheko wesifo somhlaza wesibeleko kukuba abanye besetyhini abasengozini enkulu abayi kuba nomdlavuza wesibeleko, kanti abanye abafazi abangabonakali nayiphi na ingozi bahlakulela umhlaza wesibeleko.
Iimpawu
Uphawu oluqhelekileyo lwesifo somhlaza wesisu ngumzimba wokuphuma kwegazi okwenzeka emva kokuphuma kwesisu . Ngaphambi koko, ukuphuma ngegazi lomfazi kubonakala kungavamile xa:
- Amaxesha anzima kwaye aninzi
- Ukuphawula okukhulu kunokwenzeka phakathi kwamaxesha
- kukho ixesha elingaphezu kweyodwa kwinyanga yokujikeleza
- ukuphuma kwegazi kwenzeka ngaphambi kunye / okanye emva kwesondo
Olunye uphawu luyinkqubo yamanzi, isisu esisongela igazi. Kwizigaba zokuqala ze-uterine sarcoma, akukho nto ingabonakali.
Ngomhlaza wesifo se-endometrial, uphawu oluqhelekileyo nolunokuqala olusenokuba nolwazi luyi-bleeding. Ezinye iimpawu ziquka ukungcola kwamanzi, iintlungu ngexesha lokwabelana ngesondo, kunye nentlungu yesisu .
Ukuxilongwa
Ukuba isifo somhlaza wesibindi sogqirha, uvavanyo olunzulu lwe- pelvic luya kuqala lwenziwe ngumfokazi wezilwanyana. Eli lixesha elihle lokuxoxa ngembali yonyango kunye nentsapho, iimpawu kunye nokubuza imibuzo. Ukuba awuzange ube nePap smear yakutshanje kwaye ngenxa yento enye, i-gynecologist inokuyenza kunye novavanyo lwe-pelvic. I-Pap smears inqabile kakhulu ukufumana umdlavuza wesibeleko, kodwa enye inokwenziwa ukulawula ezinye iimeko zomlomo wesibeleko.
Ukuqinisekisa ubukho okanye ukungabikho komhlaza, i- biopsy ye-endometrial iya kufuneka. Oku kunokwenziwa kwiofisi yezilwanyana kunye kwaye kuthatha ixesha elifutshane ukugqiba.
Uninzi lwabasetyhini luvakalelwa kukuba lusizi lwangqinileyo kwaye lugxininisa oluphela kuphela kwi-biopsy, kunye nolunye uhlangothi oluqinileyo emva koko.
Enye indlela yokufumana iisampula ze-endometrial tissue nge-dilation kunye ne-curettage (D & C). Ngexesha le-D & C, i-uterus inqatshelwe nge sixhobo esibizwa ngokuba yi-curette. Unikwa i-anesthetic ukuze ungayi kuva nantoni na ngexesha le nkqubo, kodwa unokulindela ukukhawuleza emva koko.
Ukuba iisampula ze-biopsy zibonakalisa i-stercoma ye-uterine okanye umdlavuza we-endometriya, ngoko umhlaza uphezulu. Isalathiso sibhekisela kumgama omde umhlaza usasazeka kwiisuncu okanye kwizitho ezikufutshane.
Unyango
Izinyango zokwelapha zixhomekeke kakhulu kumhlobo kunye nesigaba somhlaza wesibeleko, kodwa utyando luhlobo oluqhelekileyo kunyango kuzo zonke iintlobo.
Uphando lubandakanya:
- i-hysterectomy , ukususwa kokutyalwa kwesisu
- i-hysterectomy ne- salpingo-oophorectomy yamazwe angama-one , ukususwa kokukhishwa kwe-uterus, i-fallopian tubes kunye nama-ovari
- i-lymph node dissection, ukususwa kwee-pelvic nodes ngexesha le-hysterectomy elandelwa kamva ngomhlaza
Uphulo lwe-radiation kwakhona lunokukhetha ukwelapha umdlavuza wesibeleko. Olu hlobo lonyango lusetyenzisa umbane ophezulu wamanzi ukuhlaziya izicubu okanye ukuphelisa iiseli zomhlaza. Uphulo lwe-radiation lusebenza ngokulimaza i-DNA yesifo somhlaza, okwenza ukuba singakwazi ukuphindaphinda. Nangona unyango lwe-radiation lonakalisa amangqamuzana enempilo esondeleyo, amangqamuzana omhlaza anomdla kakhulu kwiimitha kunye nokufa xa ephathwa. Iiseli eziphilileyo ezonakaliswe ngethuba lomsakazo zixhomekeke kwaye zihlala zikwazi ukubuyisela ngokupheleleyo.
I-Chemotherapy nayo inokumiselwa ukunyanga umdlavuza wesibeleko kwabanye abafazi. Iziyobisi ze-Chemotherapy zisebenza ngokuphelisa ngokukhawuleza iiseli zomhlaza. Nangona kunjalo, kukho ezinye iiseli eziphilileyo emzimbeni ukuba zanda ngokukhawuleza, ezifana neeseli zentloko zeentloko. Ngelishwa, ezininzi iziyobisi ze-chemotherapy ezingenako ukukwazi ukubona ezimbini, eziseleyo iiseli ezinempilo kunye nemiphumo emibi , ebangela ukulahlekelwa yintlungu .
Thintelo
Ngenxa yokuba asizi kakuhle oko kubangela umdlavuza wesibeleko, ukukhusela kunokuba nzima.
Siyazi ukuba ngaphambi kokuba unyango lwe-radiation lwandise umngcipheko we-sarcoma ye-uterine, kodwa akufanele kugwenywe ngenxa yokukhusela umdlavuza.
Ekubeni siyazi ngakumbi malunga noko kwandisa ingozi yomdlavuza we-endometrial, iindlela zokunciphisa ubungozi zininzi. Ukusetyenziswa kwexesha elide lokukhulelwa komlomo kunye nokugcina ubunzima obunempilo zimbini iindlela zokunciphisa umngcipheko wokuba nomdlavuza we-endometri. Ngenxa yokuba umdlavuza we-endometrial ukhankanywa yi-estrogen, ukusebenzisa i-hormone yonyango ekutshintsheni ngexesha lokuqeda umva eliqukethe i-progestin kunye ne-estrogen inokunciphisa umngcipheko wesifazane. Olu hlobo lonyango lwe-hormone luba nemiphumo emibi, nangona kunjalo, kwaye akuwona wonke umntu.
Ngomdlavuza we-endometrial, awukwazi ukuphepha izinto ezinobungozi ezifana nokusetyenziswa kwetamoxifen yangaphambili ukunyanga umdlavuza webele. Ugqirha okanye isigulane asisoze walahla ukusebenzisa i-tamoxifen ngokusekelwe kwengozi encinci yokuvelisa umdlavuza we-endometrial esikhathini esizayo. Umngcipheko nje awupheli ngaphezu kwezibonelelo.
> Imithombo:
> I-American Cancer Society. Yintoni i-Uterine Sarcoma? Isikhokelo esiPhambili ngoJuni 2006.
> INational Cancer Institute. Uterine Sarcoma. 26 uJuni 2008.