Ukugcina I-Eye Out for This Issue Isymptomatic Issue
Phantse ikota nganye yabasetyhini banamava e-polyps, ubuninzi beethambo kwi-endometrium. Ngelixa abaninzi abafazi bafumana ukuphuma kwamanzi okungaqhelekanga , inyaniso kukuba i-polyps i-uterine ihlala ihamba kakuhle.
Ii-polyps ze-uterine, ezibizwa ngokuba yi-endometrial polyps, zisoloko zincinci, iifubb ezinemibala e-endometrial ezixhomekeke kwisibeletho ngesiqu.
Zithambile, ngokuchasene ne- uterine fibroids , ezinokukhula zikhulu kwaye zenziwe zizihlunu ezinzima.
Iimpawu ze-Uterine Polyps
Xa izibonakaliso ze-polyps zibonakaliswa, zifana neemeko ezinzulu, ezifana nomhlaza we-endometrial. Ukuba unayo le mpawu kubalulekile ukuba ubone ugqirha. Iimpawu zingabandakanya iintlobo ezininzi zegazi elingaqhelekanga njengegazi:
- umthwalo onzima wokuphuma kwamanzi
- ukubonakala phakathi kwamaxesha
- kuphuma emva kwesondo
- ukuphuma kumva emva kokuphuma komzi
Ngubani Osemngciphekweni?
Isizathu esona sizathu se-polyps uterine akwaziwa, kodwa baziva kwi-hormone estrogen. Unokuba usenokwenzeka ukuba uhlakulele iipolisi ukuba:
- abaneminyaka engama-40 ukuya kuma-50
- kwangaphambili okanye kwimizuzu
- ogqithiseleyo
- okwangoku okanye ngaphambili ethatha isilonda-anti-estrogen
Ngaphantsi kwepesenti enye yazo zonke ii-polyps ze-uterine zidibene nomhlaza.
I-Uterine Polyps kunye noNgenalo
Ukungabi naluphi uhlobo kuchazwa njengokungakwazi ukukhulelwa emva konyaka omnye wokuzama.
Xa ibhinqa lingenasifo kwaye lingenalo impawu ye-polyps ye-uterine, ithuba lokuba unama-polyps asymptomatic liphakathi kwamaphesenti amathathu kunye namahlanu ekhulwini, ngokutsho kwe-Jones Institute of Medicine Reproductive. Ukuba ufumana ukuphuma kwegazi ngokuqhelekileyo, kunokwenzeka ukuba iifolps zikhoyo.
Ii-polyps ze-uterine ziyakwenza njengezixhobo zendalo zangaphakathi (IUD), ukuthintela iqanda elichumayo ukuba lingeniswa eludongeni lwe-uterine.
Banokuthi bayivimbele ummandla apho ityhubhu ye-fallopian idibanisa kwisigxina se-uterine, ukuthintela isidoda ukuba singene kwi-tube ukuhlangabezana neqanda. Ngokufanayo, banokuthi banqande umgca we-cervix, oya kuthintela isidoda ukungena kwisibeletho. Iipolyps zingadlala indima ekuphumuleni komfazi othile.
Kwiphononongo epapashwe ngo-2005 kwi- Journal of Human Reproduction , abasetyhini abahamba ngokugqithiswa kokufakelwa emva kokuba iifolthi zabo zisuswe zakhulelwa malunga nephindwe kabini izinga labasetyhini ababengenayo iifolthi zabo. Enyanisweni, abafazi ababenokuthi bashenxiswe ngokuphindaphindiweyo babekhulelwe ngaphandle kokuchithwa kwempahla.
Ukuxilongwa kunye noTyango
Ugqirha wakho unokuncoma enye yeendlela ezininzi zokufumana ukuba unayo i-polyps yohlobo:
- Hysterosalpingogram (HSG). Uvavanyo olusebenzisa i-x-ray, apho i-radiologist inobumba idayi eyahlukileyo kwiimbumba kunye nezigulane zokuthi zenze ukuba kube lula ukubona iipolisi nezinye izicubu.
- Ultrasound. Ukufakwa kwefowuni enjenge-wand-like in the vagina ethumela amaza omsindo ophezulu ukudala imifanekiso.
- Sonohysterogram. Uhlobo olukhethekileyo lwe-ultrasound apho i-radiologist igcwalisa umtya we-uterine nge-saline usebenzisa i-catheter encinci. I-saline idlulisa isigxina (njengobhaluni) kwaye idala indawo phakathi kweendonga. Oku kunceda ekuboniseni iipolisi ezingenakuphoswa nge-ultrasound yendabuko.
- Hysteroscopy . Inkqubo esebenzise ubungakanani obufakwe kwi-vagina kwisibeleko ukujonga iipolisi kwaye ubeke ubungakanani bawo nobukhulu bawo. Icandelo okanye yonke i-polyp nayo ingasuswa kwi-microscopic examination ngokufaka izixhobo nge-tube hysteroscopic.
- Ukuqwalaselwa ngeendlela eziqhelekileyo. Isampula ye-polyp ingafumaneka ngokucoca ( ukutshitshisa okanye ukuhlawula ) okanye i-biopsy (ukususa izicubu ngokusebenzisa isitya esifana nesitya sokusela), okanye emva kwe- hysterectomy (ukususwa kwesibeletho).
Ukuhlolwa kwezicubu ngaphantsi kwe-microscope yindlela efanelekileyo yokuqinisekisa ukuba i-polyp ibenobunzima (ingenangqineka) okanye inobungozi (umhlaza).
Ezinye iipolisi zinyamalala zodwa. Xa kususwe kuyimfuneko ukulawula ukuphuma kwegazi, ukwandisa ukukhulelwa, okanye ukujonga umhlaza, ukunyangwa kwe-hysteroscope kuvame ukucetyiswa. Indlela eqhelekileyo, ukuhluthwa kunye nokukhutshwa (iD & C), okanye ukutshiza i-uterine bining, nayo isetyenziswa.
I-Hysteroscopy ngokuqhelekileyo iqhutyelwa kusetyenziswe okanye ingekho i- anesthesia , kodwa i-anesthesia jikelele ngokuqhelekileyo isetyenziswa ngamanye amaxesha. Emva kohlobo lwe-hysteroscopy, unokufumana amaqhekeza amancinci kunye nobumnene, kodwa kufuneka uqale ukuqhuba imisebenzi eqhelekileyo ngokukhawuleza, kunye neentlobo zesini, apho unokufuna ukukhusela iiveki okanye ezimbini ukuba ugqirha wakho ucebisa.
Xa iipolisi zininzi kakhulu ekukhutshweni kwe-hysteroscopic, i-hysterectomy inganconywa.
Akukho ndlela ekhethekileyo yokukhusela i-polyps ye-uterine, nangona uzigcina uhlalutyo obunempilo kwaye ubukele uxinzelelo lwegazi ziindlela ezilungileyo zokunciphisa ingozi yakho.
Imithombo:
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"Iimeko ze-Endometrial." frankfordhospitals.org. 2008. Izibhedlele zaseFranford.
"I-Endometrial Polyps." umich.edu. 2006. IYunivesithi yaseMichigan.
Giordano, Giovanna, Letizia Gnettia, uCarla Merisio kunye noMauro Melpignano. Isikhundla se-postmenopausal, i-Hypertension kunye nokunyameka njengezinto ezinobungozi bokuguqula kakubi kwi-Polymetric Polyps. " Maturitas 56: 2 (2007): 190-197.
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"Ukungenzi lutho - I-Factory Factor." jonesinstitute.org. 2006. I-Jones Institute for Medicine Reproductive.
McGurgan, P., LJ Taylor, SR Duffy, kunye noPJ O'Donovan. "Ukuqhathaniswa kwe-Immunohistochemical ye-Endometrial Polyps evela kwi-Women's Postmenopausal Exposed and Exposed to HRT." Maturitas 53: 4 (2006): 454-461.
Ingxelo yePathology: I-Endometrial Polyps. cap.org. 1 uEpreli 2005. Ikholeji yama-American Pathologists.
UPerez-Medina, uTirso, uJoseen Bajo Arenas, uFrancisco Salazar, uTeresa Redondo, uLuis Sanfrutos, uPilar Alvarez kunye noVirginia Engels. "I-Endometrial Polyps kunye neNkcazo Yabo ekukhulelweni Iindleko zezigulane ezithatha i-Intrauterine Insemination: I-Outlook, i-Randomized Study." Ukuzaliswa kwabantu 20 (2005): 1632-1635.
"Sonohysterogram." dhmc.org. 2009. I-Dartmouth-Hitchcock Medical Centre.