Izinto eziyingozi kanye nokuvimbela umdlavuza we-endometrial (umzimba wesibeletho)

Izinto eziyingozi kanye nokuvimbela umdlavuza we-endometrial (umzimba wesibeletho)

Izici zengozi 

  • ukukhuluphala. Lokhu kuyingozi enkulu, njengoba izicubu ze-adipose ezinamafutha zenza i-estrogen, ekhuthaza ukukhula kolwelwesi lwesibeletho (i-endometrium);
  • Ukwelashwa kwe-hormone esikhundleni nge-estrogen kuphela. Ukwelashwa kwe-hormone nge-estrogen kuphela, ngakho-ke ngaphandle kwe-progesterone, kuhlotshaniswa ngokucacile nengozi eyengeziwe yomdlavuza we-endometrial noma i-hyperplasia. Ngakho-ke kunconywa kuphela kwabesifazane abakhiphe isibeletho.2 ;
  • Ukudla okunamafutha amaningi kakhulu. Ngokufaka isandla ekukhuleni kwesisindo nokukhuluphala ngokweqile, futhi mhlawumbe ngokusebenza ngokuqondile kumetabolism ye-estrogen, amafutha ekudleni, adliwe ngokweqile, andisa ingozi yomdlavuza we-endometrial;
  • Ukwelashwa kwe-Tamoxifen. Abesifazane abathatha noma abaphuze i-tamoxifen ukuvimbela noma ukwelapha umdlavuza webele basengozini enkulu. Oyedwa kwabesifazane abangama-500 abalashwa nge-tamoxifen uba nomdlavuza we-endometrial1. Le ngozi ngokuvamile ibhekwa njengephansi uma iqhathaniswa nezinzuzo ezilethayo.
  • Ukuntuleka kokuzivocavoca umzimba.

 

Prevention

Izinyathelo zokuhlola

Kubalulekile ukusabela ngokushesha ku-a ukuphuma kwegazi okungavamile, ikakhulukazi kowesifazane osesigabeni sokunqamuka kokuya esikhathini. Kufanele ke uthintane nodokotela wakho ngokushesha. Futhi, kubalulekile ukubonisana nodokotela njalo futhi ube njalo ukuhlolwa kwabesifazane, lapho udokotela ehlola isitho sangasese sowesifazane, isibeletho, ama-ovaries kanye nesinye.

Isexwayiso. I-pap smear, evame ukubizwa ngokuthi i-Pap test (Pap smear), ayikwazi ukubona ukuba khona kwamaseli omdlavuza ngaphakathi kwesibeletho. Isetshenziselwa ukuhlola kuphela umdlavuza kwepasi isibeletho (ukungena esibelethweni) hhayi lezo ze-endometrium (ngaphakathi kwesibeletho).

I-Canadian Cancer Society incoma ukuthi abesifazane abasengozini engaphezu kwesilinganiso somdlavuza we-endometrial bahlole kanye nodokotela wabo ukuthi kungenzeka yini ukusungula ukulandelela komuntu siqu.

Izindlela eziyisisekelo zokuvimbela

Nokho, abesifazane banganciphisa ingozi yokuba nomdlavuza we-endometrial ngezinyathelo ezilandelayo. Qaphela ukuthi abesifazane abaningi abasengozini ngeke babe nomdlavuza we-endometrial

Gcina isisindo esinempilo Ukukhuluphala kungenye yezinto eziyingozi kakhulu zomdlavuza we-endometrial kwabesifazane be-postmenopausal. Abacwaningi baseSweden bahlaziye idatha ye-epidemiological evela emazweni ase-European Union futhi bathola ukuthi ama-39% omdlavuza we-endometrial kulawa mazwe axhumene nesisindo eseqile.3.

Zibandakanye njalo emisebenzini engokwenyama. Abesifazane abazivocavoca njalo abasengozini encane. Ucwaningo oluningana lubonisa ukuthi lo mkhuba unciphisa ingozi yomdlavuza we-endometrial.

Thatha ukwelashwa kwe-hormone efanele ngemva kokuya esikhathini. Kwabesifazane abakhetha ukuqala ukwelashwa ngama-hormone ngesikhathi sokuya esikhathini, lokhu kwelashwa kufanele kube ne-progestin. Futhi lokhu kusenjalo nanamuhla. Ngempela, lapho ukwelapha nge-hormone kuqukethe i-estrogen kuphela, kwandisa ingozi yomdlavuza we-endometrial. I-Estrogens yodwa isanqunywa ngezinye izikhathi, kodwa igcinelwe abesifazane abaye bakhishwa isibeletho (hysterectomy). Ngakho-ke abasekho engozini yomdlavuza we-endometrial. Ngokukhethekile, abanye besifazane bangase badinge ukwelapha nge-hormone ngaphandle kwe-progestin ngenxa yemiphumela engemihle ebangelwa i-progestin2. Kulesi simo, iziphathimandla zezokwelapha zincoma ukuthi ukuhlolwa kwe-endometrial kwenziwe njalo ngonyaka ngudokotela, njengendlela yokuvimbela.

Yamukela ukudla okulwa nomdlavuza ngangokunokwenzeka. Ngokuyinhloko kusekelwe emiphumeleni yezifundo ze-epidemiological, izifundo zezilwane kanye nezifundo kwesibeletho, abacwaningi nodokotela bakhiphe izincomo zokugqugquzela ukusetshenziswa kokudla okusiza umzimba ukuvimbela umdlavuza4-7 . Kukholakala futhi ukuthi ukukhululeka komdlavuza kungase kukhuthazwe, kodwa lokhu kuseyinkolelo-mbono. Bheka ishidi lokudla okwenziwe ngokwezifiso: umdlavuza, okuklanywe isazi sokudla okunomsoco u-Hélène Baribeau.

esasizizwa. Ukuthatha i-estrogen-progestogen contraceptives (iphilisi lokulawula ukuzalwa, iringi, isichibi) iminyaka eminingana kunciphisa ingozi yomdlavuza we-endometrial.

 

shiya impendulo