Ukukhulelwa yisihlandlo xa amabele amabhinqa ahlakulela ngokugcwele kwaye uyabonakala kwiinguqu ze-hormone. Izifundo zibonisa umngcipheko wesifazana somhlaza wesisu unxulumene nokutyhila kuma-hormone, aveliswa ngamaqanda akhe. Izinto ezikhulisa ixesha kunye namanqanaba okubonakaliswa kwihomoni ze-ovarian, ezijongene nokukhuthaza ukukhula kweseli, zidibene nokunyuka kwingozi yengqondo yomhlaza webele.
Ezi zinto ziquka ukuqala kokuya esikhathini esasemncinci kunye nokuqala kokuyeka umva kwithuba elizayo. Ezinye izinto ezinobungozi zibandakanya umva emva kokukhulelwa kokuqala kwaye akakaze azalwe.
Zomibini ubudala xa ubeletha umntwana wakho wokuqala kunye nenani labantwana ozalayo ukuba lichaphazele umngcipheko wakho. Izifundo ezininzi ziye zazimisela ukuba ibhinqa elingakhange likhulelwe ngaphambi kweminyaka engama-30 kwaye lithwele umntwana ixesha elipheleleyo linomngcipheko ophezulu wesifo somhlaza wesifuba kunowesifazane ozalayo ngaphambi kokuba eneminyaka engama-30 ubudala.
Iiseli zesisu zisakhulayo kwiminyaka yeshumi elivisayo zikhulile kwaye zisebenza ngamandla kude kube ngumfazi ekhulelwe ukukhulelwa okuza kubangela ukuzalwa kwexesha elipheleleyo. Ukuqala kokukhulelwa kwexesha elipheleleyo kwiziphumo zesifuba kukhula kwaye kukhula rhoqo. Oku kuthathwa njengesizathu esona sizathu sokuba ukukhulelwa kunciphise umngcipheko wesifo somhlaza. Ukungabikho kokuya esikhathini xa ukhulelwe kunciphisa inani lexesha lokuhamba ukuya kwindoda ebomini, okungaba esinye isizathu sokuba ukukhulelwa kokuqala kubonakale kunciphisa umngcipheko wesifo somhlaza.
Xa ibhinqa linomntwana wakhe wokuqala kwiminyaka emva, unomngcipheko ophezulu womdlavuza webele xa uthelekiswa nomfazi ophethe umntwana wakhe wokuqala. Ukuba nokukhulelwa kokuqala kwiminyaka engama-35 ubudala ubudala, kwenza umfazi wesine-40 ukuba abe nomdlavuza webele kunomfazi owayenomntwana wakhe wokuqala ngaphambi kokuba eneminyaka engama-20 ubudala.
Uphando lubonisa ukuba ukuzalwa kwexesha elizeleyo umfazi, unomngcipheko wesifo somhlaza webele. Kwinkwenkwe engazange ibele, ingozi yomhlaza wesisu iphezulu kakhulu xa kuthelekiswa nabasetyhini abanamntwana ongaphezu komnye. Kodwa, ibhinqa elingaphezu kwama-35 kwaye lizala linomngcipheko ophezulu ngokuthelekiswa nomfazi ongenamntwana.
Ubunzima obongezelelweyo Izinto ezinxulumene noKhuseleko lomhlaza webele lomntwana
- Ukuzala ngokutsha: Abasetyhini abasandul 'ukuzalwa bakholelwa ukuba banokunyuka kwexesha elifutshane emngciphekweni wesibeleko sebele. Isizathu sokwanda kwexeshana asiyazi ngokwenene. Enye ingcamango kukuba ingaba yimpembelelo yamanqanaba aphezulu ama-hormone kwiisifo ezinomdlavuza, okanye nokuba nokukhula okukhawuleza kweeseli zebele xa ukhulelwe.
- Ukuthatha i-diethylstilbestrol (DES) ngelixa ukhulelwe: Sekuyiminyaka engama-50 ukususela ekubeni i-DES imiselwe ukuba abafazi abakhulelweyo kwi-Studies yase-US bafumene ukuba le-estrogen eyenziwe yabasetyhini, abayithatha ngexesha lokukhulelwa kwabo, babe sebunciphekweni obuncinane besifuba umhlaza kunabasetyhini abangazange bathathe i-DES ngexesha lokukhulelwa. Olu mngcipheko oluphezulu luqhutyelwe kwiintombi zabo, ngoku banokuba nomngcipheko omncinci wokuba nomdlavuza webele, emva kweminyaka engama-40, kunabesifazana abangazange bavelele kwi-DES ngelixa besisu.
Ngaba ukukhupha isisu seNtsholongwane kaGawulayo?
Kwakukho izifundo ezimbalwa phakathi kwee-1990 ezacetyiswa ukuba ukukhupha isisu kuhlanganiswe nomngcipheko wokwanda komhlaza wesifuba. Ezi zifundo zenze izinto ezingafaniyo. Izifundo zixhomekeke kubathathi-nxaxheba ukubika ingxelo yabo yezobugqirha engenza izinto ezingachanekanga.
Nangona kunjalo, izifundo ezizayo, ezizinzileyo ekuyilo, azibonisanga umhlobo phakathi kokukhupha isisu kunye nengozi yomhlaza wesifuba. Ngo-2009, iKomiti ye-Gynecologic Practice yase-American College of Obstetricians kunye neGynecologists yafikelela kwisigqibo sokuba "izifundo ezingaphezulu ngokugqithisileyo zibonise ukuba akukho buhlobo obunomdla phakathi kokukhipha isisu kunye nokunyuka okuqhubekayo emngciphekweni wesifo somhlaza." Ukufunyanwa kwezi zihlandlo zandul ' : I
- Abasetyhini ababenokukhupha isisu, banomngcipheko ofanayo wesibeleko sesifuba njengabanye bafazi.
- Abasetyhini ababenokukhupha isisu ngokuzenzekelayo, ngokunye okubizwa ngokuba yi-swelling, bafumana ingozi efanayo yomhlaza wesisu njengabanye bafazi.
- Amagciwane angaphantsi komdlavuza webele ayabonakala engahambelani nomlando wokukhipha isisu okanye ukukhipha isisu.
Imithombo:
INational Cancer Institute