Imithi yokwelashwa

Ukwelashwa kuncike isigaba sokukhula komdlavuza, uhlobo lomdlavuza (okuncike kuma-hormone noma cha) kanye nobungozi bokuphinda.

Ukukhethwa kokwelashwa akwenziwa udokotela oyedwa, kodwa kunqunywe emhlanganweni wokubonisana wemikhakha eminingi ehlanganisa odokotela abaningana abavela emisebenzini ehlukahlukene (odokotela bezifo zabesifazane, odokotela abahlinzayo, ama-radiotherapists, ama-chemotherapists, i-anesthesiologists, njll.) Laba dokotela bakhetha ngokuvumelana nezinqubo ezinikeziwe, ngokusho ohlotsheni lomdlavuza we-endometrial ohilelekile. Ngakho-ke isu lokwelapha linqunywa ngokwesayensi kakhulu ukuthi liphumelele ngangokunokwenzeka kuyilapho libangela imiphumela engemihle embalwa ngangokunokwenzeka.

ukuhlinzwa

Iningi labesifazane liyahlinzwa ukuze kukhishwe isibeletho (hysterectomy), kanye namaqanda namashubhu (hysterectomy with salpingo-oophorectomy).

Le nqubo iqeda imithombo yemvelo yamahomoni ocansi (i-estrogen, i-progesterone ne-testosterone), engashukumisa amangqamuzana omdlavuza.

Lokhu kuhlinzwa kungenziwa nge-laparoscopy (izimbobo ezincane esiswini), ngesitho sangasese sowesifazane, noma nge-laparotomy (ukuvulwa okukhulu kwesisu), futhi ukukhetha uhlobo lokuhlinza kwenziwa udokotela ohlinzayo ukuze athole imiphumela engcono kakhulu.

Lapho ukuhlinzwa kwenziwa ekuqaleni kwesifo, lokhu kwelashwa kungase kube ngokwanele.

Radiotherapy

Abanye besifazane abanomdlavuza we-endometrial baphinde bathole ukwelashwa ngemisebe, okungaba yi-radiation ye-radiation yangaphandle noma i-brachytherapy. I-radiotherapy yangaphandle ihlelwa ngezikhathi zamaviki angu-5, ngokufaka imisebe ngaphandle komzimba, kuyilapho ukwelapha i-curia kuhlanganisa ukufaka ngaphakathi kwe-intravaginally, isifaki semisebe semizuzu embalwa ngesilinganiso seseshini eyodwa ngesonto amaviki ama-2 kuya kwangu-4. .

Ukwelashwa ngamakhemikhali

Kungase futhi kube yingxenye yokwelashwa komdlavuza we-endometrial, ngokuvumelana nezinqubo ezivumelaniswe nesimo sabo.Ivame ukunikezwa ngaphambi noma ngemva kwe-radiotherapy.

Ukwelashwa ngama-hormone

Ukwelashwa kweHormone futhi ingenye yezindlela zokwelapha ezisetshenziswa ngezinye izikhathi. Kuqukethe izidakamizwa ezinomphumela we-anti-estrogenic, okuvumela ukwehlisa ukugqugquzelwa kwamangqamuzana omdlavuza azoba khona emzimbeni.

Uma ukwelashwa sekwenziwe, kuyancomeka ukubonana nodokotela wakho noma udokotela wezifo zabesifazane ukuthola a ukuhlolwa kwabesifazane njalo, ngokwezincomo zikadokotela, njalo ezinyangeni ezi-3 noma ezi-6 iminyaka emi-2. Kamuva, ukulandelela konyaka ngokuvamile kwanele.

Ukunakekelwa okusekelayo

Lesi sifo kanye nokwelashwa kwaso kungaba nomthelela omkhulu, njengokushintsha inzalo nokuya ocansini, futhi kungabangela ukucindezeleka okukhulu. Izinhlangano eziningi ezisekelayo zinikeza izinsizakalo zokuphendula imibuzo futhi zinikeze isiqinisekiso. Bheka isigaba esithi Amaqembu Okusekela.

Izindlela ezihambisanayo

Isexwayiso ngesoya isoflavones (soy). Ocwaningweni oluningi olwalinganisa umphumela we-soy isoflavones (phytoestrogens) ku-endometrium, aluzange lukhuthaze ukukhula kwamangqamuzana (hyperplasia) alolu lwelwesi lwesibeletho.⁸. Kodwa-ke, ocwaningweni lweminyaka emi-5 olunabesifazane abangama-298 abaphile kahle ngemuva kokuya esikhathini, kube nezigameko eziningi ze-endometrial hyperplasia eqenjini elithatha u-150 mg we-isoflavones ngosuku (+3,3, 0%) kunaseqenjini le-placebo (XNUMX%).⁹. Le datha ikhombisa ukuthi a umthamo we-haute d'isoflavones kungase, ngokuhamba kwesikhathi, kuholele ku ingozi ekhuphuke kancane umdlavuza we-endometrial. Kodwa-ke, azikho izimo zomdlavuza we-endometrial kulolu cwaningo.