Umdlavuza Wesizalo

Ukwelashwa Okungcono Kakhulu Komdlavuza Wesibeletho e-Hyderabad, India

Izinhlobo ezahlukene zomdlavuza wesibeletho noma wesibeletho sezizonke zibizwa ngokuthi umdlavuza wesibeletho.

Enye yezinhlobo ezivame kakhulu zomdlavuza we-gynecologic (Umdlavuza othinta uhlelo lokuzala) umdlavuza we-endometrial. Ukuthuthukiswa komdlavuza we-endometrial kuqala ku-endometrium. I-endometrium iwuhlaka lwangaphakathi lwesibeletho. 

Ezinhlotsheni ezihlukahlukene zomdlavuza we-gynecologic, ama-sarcomas esibelethweni awavamile kakhulu. Lolu hlobo lomdlavuza wesibeletho luqala ukukhula ku-myometrium. I-Myometrium wudonga lwemisipha yesibeletho. 

Umdlavuza wesibeletho uhlangene ubhekisela ezinhlotsheni ezimbili zomdlavuza. Umdlavuza wesibeletho ubhekisela ku-uterine sarcoma, umdlavuza we-endometrial nanoma yiluphi uhlobo lomdlavuza ongavamile ongavela esibelethweni sakho. Ngokuvamile kunalokho, umdlavuza wesibeletho kanye nomdlavuza we-endometrial amagama amabili aphathwa ngokufanayo. Lokhu kungenxa yokuthi; umdlavuza we-endometrial uwuhlobo oluvame kakhulu lomdlavuza. 

Izimbangela

Imvelaphi enembile yomdlavuza wesibeletho ayiqondwa ngokugcwele, kodwa ihilela inqubo lapho izinguquko zenzeka khona kumaseli ngaphakathi kwesibeletho. Lawa maseli aguquliwe akhula ngendlela engalawuleki futhi aphindaphindeke, okuholela ekwakhekeni kwesigaxa esaziwa ngokuthi isimila.

Izinto ezimbalwa eziyingozi zingakhuphula amathuba okuba nomdlavuza wesibeletho. Uma uzithola usesigabeni esisengozini enkulu, kuyatuseka ukuthintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze nixoxe ngezinyathelo zokuvimbela kanye nokuvikela inhlalakahle yakho.

Izimpawu Zesimo

Izimpawu zomdlavuza wesibeletho zifana kakhulu nezimpawu zezinye izimo zempilo. Lokhu kuyiqiniso ikakhulukazi esimweni sezinye izimo zezempilo ezihlobene nezitho zokuzala. Kufanele nakanjani uthintane nomhlinzeki wakho wezempilo ngokushesha uma ubona izimpawu zobuhlungu obungavamile, ukopha, noma ukuvuza. Ukuze uthole ukwelashwa okufanele, kufanele uthole ukuxilongwa okunembile. Ukuze uthole ukuxilongwa okunembile, kuyadingeka ukuthintana nomhlinzeki wakho wokunakekelwa kwezempilo ngokushesha nje lapho ubona noma yiziphi izimpawu ezingavamile.  

Izimpawu eziyinhloko ze-uterine sarcoma noma umdlavuza we-endometrial: - 

• Uma ubona ukopha kwesitho sangasese sowesifazane phakathi kokuya esikhathini noma ngaphambi kokuya esikhathini, kungase kube uphawu lomdlavuza wesibeletho. 

• Ngisho namabala amancane noma ukopha kwesitho sangasese sowesifazane ngemva kokunqamuka kokuya esikhathini kungaba uphawu lomdlavuza wesibeletho. 

• Uma ubona izinhlungu esiswini sakho esingaphansi noma ukuminyana ku-pelvis yakho, ngaphansi nje kwendawo yesisu sakho, lokho kungase kubonise umdlavuza wesibeletho. 

• Uma usu-post-menopausal, bheka ukukhishwa okuzacile, okumhlophe, noma okucacile kwesitho sangasese sowesifazane. 

• Uma ungaphezu kweminyaka engama-40, ukopha okuhlala isikhathi eside kakhulu, okuvamisile noma okusindayo kungase kube imbangela yokukhathazeka. 

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele uthinte uchwepheshe wezempilo ngokushesha. 

Izinhlobo Zezifo

Njengoba sike saxoxa ngaphambili, igama elithi umdlavuza wesibeletho ngokuhlangene libhekisela ezinhlotsheni ezahlukene zomdlavuza ezenzeka esibelethweni. Izinhlobo zomdlavuza wesibeletho yilezi:- 

Umdlavuza we-Endometrial - Umdlavuza osuka kumaseli akhona ezindlala ze-endometrium waziwa ngokuthi yi-endometrial carcinoma. I-endometrium iyingxenye yesibeletho. I-Endometrial carcinoma ihlanganisa i-endometrioid adenocarcinoma evamile futhi elapheka kalula. Lokhu kufaka phakathi i-uterine clear cell carcinoma enamandla kakhulu kanye ne-uterine papillary serous carcinoma enamandla kakhulu.  

Kukhona nezimila ezimbi ezixubile ze-Mullerian, ezaziwa nangokuthi i-uterine carcinosarcoma. Ziyizicubu ze-endometrial ezingavamile kakhulu. Zibonisa kokubili ukwehlukana kwezindlala kanye ne-stromal. 

I-Sarcoma yesibeletho - I-uterine sarcoma, eyaziwa kahle ngokuthi i-Leiomyosarcomas isuka kungqimba lwemisipha yesibeletho. Lolu ngqimba lwaziwa nangokuthi i-myometrium. Kumele kuqashelwe ukuthi i-leiomyosarcoma ihluke kakhulu ku-leiomyomas yesibeletho. I-uterine leiomyomas iwuhlobo olubi kakhulu lomdlavuza wesibeletho.

Umsuka we-endometrial stromal sarcoma yizicubu ezixhumene ze-endometrium. Futhi azivamile njenge-endometrial carcinomas. 

Izingozi Ezihilelekile Nezifo

• Ama-ovari kwabesifazane abandakanyeka ekukhiqizeni amahomoni amabili ayinhloko-i-estrogen ne-progesterone. Kukhona ukushintshashintsha okuningi emazingeni alawa ma-hormone kukho konke ukuphila. Lokhu kuguquguquka kuholela ekushintsheni kwe-endometrium. 

• Noma yisiphi isifo noma isimo esandisa inani le-estrogen kodwa hhayi izinga le-progesterone. Lokhu kungandisa ingozi yomdlavuza we-endometrial emzimbeni wakho. Ngemva kokunqamuka kokuya esikhathini, ukuthathwa kwamahomoni aqukethe i-estrogen kodwa hhayi i-progesterone kwandisa ingozi yokuba nomdlavuza we-endometrial. 

• Kukhona futhi uhlobo olungavamile lwesimila esibelethweni esikhiqiza i-estrogen. Lokhu futhi kwandisa ingozi yomdlavuza we-endometrial. 

• Uma umuntu eqala ukuya esikhathini ngaphambi kokuba abe neminyaka eyi-12 noma eyeka ukuya esikhathini sekwephuzile kakhulu ekuphileni kwakhe, lokhu kwandisa ingozi yokuba nomdlavuza we-endometrial. Lokhu kungenxa yokuchayeka isikhathi eside kwesibeletho sakho ku-estrogen phakathi nezikhathi. 

• Kwesinye isikhathi abesifazane abangakaze bakhulelwe kukho konke ukuphila kwabo basengozini enkulu yokuba nomdlavuza wesibeletho kunomuntu okhulelwe okungenani okukodwa. 

• Ukuguga kuhlale kuyimbangela yokuba nazo zonke izinhlobo zezifo, futhi umdlavuza unjalo. Ingozi yomdlavuza we-endometrial iphezulu ikakhulukazi ngemva kokuya esikhathini. 

• Ukukhuluphala ngokweqile kubeka umzimba womuntu engozini, hhayi nje ngenxa yomdlavuza, kodwa nakwezinye izifo eziningi. Lokhu kwenzeka ngoba inani eliningi lamafutha omzimba lithinta amazinga e-hormone emzimbeni wakho. 

• Ukwelashwa ngama-hormone omdlavuza webele nakho kungabeka umzimba wakho engcupheni enkulu yokuba nomdlavuza wesibeletho. 

Welashwa kanjani umdlavuza wesibeletho?

Ukwelashwa okuyinhloko kweningi labantu abanomdlavuza we-endometrial kuhilela izinqubo zokuhlinzwa. Indlela yokwelapha ethize inqunywa izici ezifana nohlobo lomdlavuza kanye nempilo yesiguli iyonke. Izinketho zokwelashwa ezengeziwe zingabandakanya:

• I-Chemotherapy: Lokhu kuhlanganisa ukusetshenziswa kwezidakamizwa ezinamandla ukuze kuqedwe amangqamuzana omdlavuza.
• Ukwelashwa ngemisebe: Le ndlela ihlanganisa ukuqondisa imishayo yemisebe egxilile ukuze kuqedwe amangqamuzana omdlavuza.
• Ukwelashwa kweHormone: Ama-hormone alawulwa noma avinjelwe ukubhekana nomdlavuza.
• I-Immunotherapy: Ukwelashwa okuqinisa amandla amasosha omzimba okulwa nomdlavuza.
• Ukwelashwa okuhlosiwe: Imithi isetshenziselwa ukukhomba ngokuqondile futhi ivimbele ukwanda kwamangqamuzana omdlavuza.

Lesi Simo Sitholakala Kanjani?

Inqubo esetshenziselwa ukuhlonza umdlavuza we-endometrial/uterine imi kanje:- 

Ukuhlolwa kwe-pelvic kuyindlela eyisisekelo yokuhlola izitho zakho zokuzala ukuze uthole noma yiluphi uphawu lomdlavuza. Phakathi nalokhu kuhlolwa, udokotela uhlola ngokucophelela ingxenye yangaphandle yezitho zakho zangasese. Isitho sakho sangasese kanye nesisu sakho kucindezelwa kusuka phezulu ukuze kuhlolwe ama-ovari nesibeletho sakho. Umshini obizwa ngokuthi i-speculum nawo ufakwa esithweni sangasese sakho, ngakho uyavuleka bese umlomo wesibeletho ube usuhlolwa ukuthi awunazo yini izinto ezingavamile. 

I-Ultrasound ingenye indlela yokuhlola isibeletho sakho ukuthi akukho yini okungavamile. I-ultrasound ye-Transvaginal ukuze ubheke ukuthungwa nokuqina kwe-endometrium yakho. Amaza omsindo akhiqizwa i-ultrasound asiza ukukhiqiza izithombe zolwelwesi lwesibeletho sakho. 

Ngezinye izikhathi ububanzi busetshenziselwa ukuhlola i-endometrium yakho. Leli ishubhu eligobekayo elishutheka esithweni sangasese sowesifazane, emlonyeni wesibeletho sakho ukuze kuhlolwe isibeletho sakho. Ilensi ekhona ku-hysteroscope isiza udokotela ukuthi ahlole ingaphakathi lesibeletho sakho. 

Indlela ephumelela kakhulu kanye nokuxilongwa okuvamile komdlavuza yi-Biopsy. Ukuze uhlole umdlavuza we-endometrial, kukhishwa ingxenye encane yezicubu ezivela esibelethweni sakho. Lokhu kuhlolwa elebhu ukuze kuhlolwe okungavamile. 

Zingasiza Kanjani Izibhedlela Ze-CARE?

Izibhedlela ze-CARE zinikeza ukunakekelwa okuhle kakhulu, nengqalasizinda yayo yesimanje nodokotela nabasebenzi abaqeqeshwe kahle. Ukwelashwa komdlavuza kanye nokunakekelwa kwangemva kweziguli kuyinqubo eyinkimbinkimbi kakhulu, ende, futhi ebalulekile, kubo bobabili odokotela neziguli. Kodwa akukho okumele ukhathazeke ngakho. Sinikeza iziguli izinhlelo ezingcono kakhulu zokwelashwa komdlavuza futhi sinikeze iziguli ukunakekelwa kwekhwalithi.