Umdlavuza we-Endometrial (umzimba wesibeletho)
Umdlavuza we-Endometrial umdlavuza wangaphakathi esibelethweni, lapho i-endometrium iwulwelwesi olungena ngaphakathi kwesibeletho. Kwabesifazane abanomdlavuza kuleli zinga, amangqamuzana e-endometrial aphindaphindeka ngendlela engavamile. Umdlavuza we-Endometrial uvame ukuba khona ngemva kokunqamuka kokuya esikhathini, kodwa u-10 kuya ku-15% wamacala athinta abesifazane abangaphambi kokuya esikhathini, okuhlanganisa u-2 kuya ku-5% wabesifazane abangaphansi kweminyaka engama-40 ubudala.
Ibhokisi: I-endometrium ijwayele ukusetshenziselwa ini? Kowesifazane ongaphambi kokuya esikhathini, phakathi nengxenye yokuqala yomjikelezo wokuya esikhathini, i-endometrium evamile iyajiya futhi amangqamuzana ayo anda phakathi nengxenye yokuqala yomjikelezo ngamunye wokuya esikhathini. Indima yale endometrium ukusingatha umbungu. Uma kungabikho ukukhulelwa, le endometrium ikhishwa umjikelezo ngamunye ngendlela yemithetho. Ngemva kokunqamuka kokuya esikhathini, lesi simo siyayeka. |
Le umdlavuza we-endometrial ungowesibili umdlavuza wezifo zabesifazane ovame kakhulu eFrance, ngemva komdlavuza webele. Itholakala kwa-5e izinga lomdlavuza kubantu besifazane ngokwezehlakalo ezibalelwa ku-7300 abantu abasha abalinganiselwa ngo-2012. E-Canada, ingeyesinee ezehlakalweni kwabesifazane (emva komdlavuza webele, wamaphaphu kanye nowokhololo), ngezigameko ezintsha ezingama-4200 ngo-2008 eCanada. Ukufa kwabantu kuncipha kancane kancane kulolu hlobo lomdlavuza, oselapheka ngokwandayo.
Lapho umdlavuza we-endometrial welashwa ekuqaleni kwawo (isigaba I), the isilinganiso sokusinda ingu-95%, iminyaka emi-5 ngemva kokwelashwa1.
Izimbangela
Ingxenye ebalulekile ye umdlavuza we-endometrial kungabangelwa a ngokweqile ama-hormone e-estrogen akhiqizwa ama-ovari noma alethwe ngaphandle. Ama-ovari akhiqiza izinhlobo ezi-2 zamahomoni phakathi nomjikelezo wesifazane: i-estrogen ne-progesterone. Lawa mahomoni asebenza ku-endometrium kuwo wonke umjikelezo, akhuthaze ukukhula kwawo bese exoshwa ngesikhathi sokuya esikhathini. Ukweqisa kwamahomoni e-estrogen kungadala ukungalingani okuholela ekukhuleni okungalawulwa kahle kwamaseli e-endometrial.
Izici eziningana zingandisa amazinga e-estrogen, njengokukhuluphala noma i-hormone therapy ku-estrogen kuphela. Ngakho-ke lolu hlobo lwe-hormone therapy lugcinelwe abesifazane abakhishwe isibeletho noma i-hysterectomy abangaseyona ingozi yomdlavuza we-endometrial. Ukuze uthole ulwazi olwengeziwe, bheka izingxenye ze-Risk factor kanye nethi Abantu Abasengozini.
Nokho, kwabanye besifazane, umdlavuza we-endometrial awubonakali ubangelwa izinga eliphakeme le-estrogen.
Ezinye izimbangela zibandakanya umdlavuza we-endometrial, njengokuguga, ukukhuluphala ngokweqile noma ukukhuluphala, izakhi zofuzo, umfutho wegazi ophakeme ...
Kwesinye isikhathi umdlavuza uvela ngaphandle kokuthi kubonakale isici esiyingozi.
kwesifo
Akukho ukuhlolwa kokuhlolwa komdlavuza we-endometrial. Ngakho-ke udokotela wenza izivivinyo ukuze abone lo mdlavuza phambi kwezimpawu ezifana nokopha kwabesifazane okwenzeka ngemva kokunqamuka kokuya esikhathini.
Ukuhlolwa kokuqala okufanele kwenziwe i-pelvic ultrasound lapho uphenyo lufakwa esiswini bese lungena endaweni yesitho sangasese sowesifazane ukuze kubonakale ngeso lengqondo ukushuba okungavamile kwe-endometrium, ulwelwesi lwangaphakathi lwesibeletho.
Uma kwenzeka ukungavamile ku-ultrasound, ukuthola umdlavuza we-endometrial, udokotela wenza lokho okubizwa ngokuthi "i-endometrial biopsy". Lokhu kuhilela ukuthatha ulwelwesi lwamafinyila elincane ngaphakathi kwesibeletho. I-endometrial biopsy ingenziwa ehhovisi likadokotela ngaphandle kwesidingo se-anesthesia. Ishubhu elincanyana, eligobekayo lifakwa emlonyeni wesibeletho bese isicucu esincane sikhishwa ngokumuncwa. Lesi sampula siyashesha kakhulu, kodwa singaba buhlungu kancane. Kungokwemvelo ukopha ngemva kwesikhashana.
Ukuxilongwa kube sekwenziwa elabhorethri ngokubheka ngesibonakhulu indawo yolwelwesi lwamafinyila olususiwe.
Uma kwenzeka ukugula noma imithi, udokotela kufanele aziswe uma kudingeka enze lokhu kuhlolwa.