Yintoni eyandisa ingozi yomhlaza we-endometrial?
Umdlavuza we-Endometrial ngumhlaza wesibindi sesisu, i- endometrium . Yona ndlela eqhelekileyo yomhlaza wesibeleko kubasetyhini. Izizathu ezihambelana nomdlavuza we-endometrial aziwa, kodwa oogqirha baye bafumanisa izinto ezinobungozi.
Nangona iimeko ezinobungozi zingakhuphula amathuba akho ekuphuhliseni umdlavuza we-endometrial, asitsho ukuba uya kufumana okanye ukuba wabangela umdlavuza.
I-American Cancer Society ithi amaninzi amabhinqa aneengxaki okanye enye ingozi engaphelelanga nomdlavuza we-endometrial, ngelixa abanye abafazi abanomdlavuza abanalo ingozi eyaziwayo.
I-Estrogen Ingaba Yandisa Ingozi Yakho Yomdlavuza We-Endometrial
Ngoxa singenako ukuqonda ngokucacileyo oko kubangela umdlavuza we-endometrial, uphando lubonisa ukuba amanqanaba aphezulu ye- estrogen kunye ne-exposure ye-estrogen emininzi kwiminyaka emininzi inokudityaniswa nophuhliso lomhlaza we-endometrial.
I-Estrogen yi-hormone eyenziwa ngokwemvelo eyenziwa kuma-ovari, kunye ne-hormone progesterone. Ezi nqanaba ze-hormone ziyashintsha ngexesha lomjikelezo wenyanga. Ngexesha nangemva kokumiswa komzimba, umzimba uyayeka ukuvelisa ama hormone. Yilokho ebangela imiphumo yokusuka kwindoda, njengokutshisa okutshisayo, ukutshulwa ebusuku, kunye nokomama wesisu .
Izizathu onokuziphakamisa amazinga e-estrojeni okanye ubume obude:
- I-Estrogen-I-Hormone kuphela Ionyango: Ukunciphisa imiphumo ebangela ukukhathazeka kokuphuma kwesisu, abanye besetyhini banqunywe i-hormone yonyango yokuguqula. Oku kungaba yi-estrogen okanye i-estrogen kunye neprogesin (inguqu ye-progesterone), kuxhomekeke ekubeni ngaba bengenaso isisu. I-Estrogen inokubangela ukuba iimbumba zebele zikhule (i-endometrial hyperplasia) ukuba ibhinqa lisenayo isisu sayo, ngoko kuya kufuneka ukuba athathe i-progestin ukuyilwa. Kukho umngcipheko wokwakha umdlavuza wesibeleko ukuba oko kwenzeka. Ngaloo ndlela, ukuthatha i-estrogen ngaphandle kokuncediswa kweprogestin ukuba usenayo isisu kunokunyusa umngcipheko we-cancer ye-endometrial.
- Ukunyanyisa: Nangona ama-ovari ayengabonakali i-estrogen emva kokunyuka komzimba njengoko bekade bekhona, i-estrogen isenokufumaneka kwi-body in adipose tissue (fat). Okuqhelekileyo kubo bonke abafazi. Abaphengululi bakholelwa ukuba kuba besetyhini abanamafutha amaninzi adipose, basengozini ekwandiseni umdlavuza we-endometrial kuba banamazinga aphezulu e-estrogen. Ngelishwa, abafazi abagqithiseleyo kwaye banomdlavuza we-endometrial bafumana ingozi yokufa kwesi sifo. Hlalani nikhumbule ukuba abafazi besisindo esinempilo nabo basengozini yomdlavuza we-endometriya - ayikho kuphela kubafazi abasweleyo.
- Iminyaka emininzi yokuya esikhathini : Ukuqala ukuya kwinyanga okanye ukuqala kokuphuma kwimihla kwandula kwandisa umngcipheko we-cancer ye-endometrial. Kwakhona, i-estrogen yinto ebangela ukuba oku kunokwandisa umngcipheko wakho. Kwimifazi ehamba ngesantya, i-endometrium ibonakala kwi-estrogen yonke imijikelezo. Eyona mijikelezo eninzi, ukunyanzeliswa kwe-estrogen ngakumbi kwiimvavanyo zakho ze-endometrium.
- I-PCOS okanye i-Ovulation engavumelekanga: Abasetyhini abanamava okungaqhelekanga, njengabo bahlupheke kwi- polycystic ovary syndrome (i-PCOS), bajongene nomngcipheko wokwanda komdlavuza we-endometrial. Kula mabhinqa, i- estrogen ikhiqizwa kwaye ikhuthaza ukukhula (ukuqina) kwimbali ye-endometrial. Nangona kunjalo, ukuba i-ovulation ayikho, i-endometrial lining does not shed (njengokweqhelekileyo, abasetyhini abasetyhini) kunye ne-esrogen. Isiphumo singaba yi-endometrial hyperplasia, engakhokelela kumdlavuza we-endometrial.
- Ungalokothi Ukhulelwe: Abasetyhini abangakaze bakhulelwe basengozini yokunyuka, ingakumbi abo banesifo sokungakhulelwa. Ukucinga okule mngcipheko kukuba abafazi abangakhange bakhulelwe banokufumana ukungavunyelwanga ngokungaqhelekanga, oku kuchazwe ngasentla.
- I-Tamoxifen Sebenzisa: I- Tamoxifen yinyango ye- adjuvant i- adjuvant echazwe rhoqo kubafazi abanomdlavuza wesibele. Ibophelela kwi-estrogen receptors kwezinye iiscuksi, ukuvimbela i-estrogen ekukhuliseni nasekukhuliseni ukukhula kwezicubu. Oku kuvimbela i-estrogen ekukhuliseni ukukhula kwezinye iindidi zomhlaza webele. Ngelishwa, iTamoxifen inokukhuthaza nokukhula kwe-endometrium.
Ezinye izinto ezibangelwa ingozi yeCometerrial
I-Estrogen ayiyona yodwa ingozi yomdlavuza we-endometri. Abaphandi baye bafumanisa ezinye iingozi zeso sifo:
- Isifo sikashukela: Uphando lubonisa ukuba abasetyhini abanesifo sikashukela basengozini yokwanda komdlavuza we-endometri. Oku kubangelwa kukuba ukukhuluphala kunye nesifo sikashukela sinxulumene.
- Imbali Yempilo Yomntu Wentsholongwane okanye I-Ovarian Cancer: Abasetyhini abanomdlavuza webele okanye ovariya banokunyuka okuncinci kwingozi yokuvelisa umdlavuza we-endometrial. Ezi zintathu izifo zonke zikwabelana ngemingcipheko efanayo.
- I-Lynch Syndrome: Eyaziwa nangokuthi yi-HNPCC (i-non-polyposis yomdlavuza), i- Lynch syndrome yimeko yesimo somzimba esandisa umngcipheko womdlavuza, ngakumbi umdlavuza wekoloni. I-Lynch syndrome ichaphazela kakhulu indlela yokutya, kodwa iyakwandisa umngcipheko womhlaza we-ovari kunye nomdlavuza we-endometrial kubasetyhini.
> Umthombo:
> "I-Endometrial (Uterine) umdlavuza," i-American Cancer Society, 3/17/2015.