Yini Ebangela Ukutshelwa Okumnyama Ngemuva Kokuya Esikhathini?

-Delile

• Usho ukuthini umbala?
• Yini ebangela ukubonwa?
• Ukwelashwa kweHormone
• Ukwehla kwezicubu zesitho sangasese sowesifazane kanye nesibeletho
• Ama-polyps
• Umdlavuza wesibeletho noma wesibeletho
• Ingabe kufanele ngiye kudokotela?
• Yini engingayilindela lapho ngibona udokotela wami?
• Ingabe kungalashwa?
• I-endometrial hyperplasia
• I-atrophic vaginitis noma i-endometrium
• Ama-polyps
• Umdlavuza
• Ingabe ikhona indlela yokuvimbela izinkinga ezibangela ukubonwa?
• Umbono
• Amathiphu okuphatha ukubonwa nokucasuka kwesitho sangasese sowesifazane

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

Eminyakeni eholela ekunqamukeni kokuya esikhathini, amazinga akho e-estrogen ne-progesterone aqala ukwehla. Lokhu kungadala ushintsho oluningi esithweni sakho sangasese, umlomo wesibeletho, nesibeletho.

Ufinyelele ngokusemthethweni ukuya esikhathini lapho ungazange ube nesikhathi ezinyangeni eziyi-12. Noma yikuphi ukubona noma ukuphuma kwegazi ngemuva kwalokho kubizwa nge-postmenopausal ukopha, futhi kusho ukuthi okuthile akulungile.

Qhubeka ufunde ukuze ufunde izimbangela zokopha ngemuva kokunqamuka kokuya esikhathini nokuthi kufanele ufune nini ukwelashwa.

Usho ukuthini umbala?

Yize isitho sangasese sowesifazane sinomswakama omncane ngemuva kokunqamuka kokuya esikhathini, ungahle ube nokukhishwa okuthile. Lokhu kuvamile ngokuphelele.

Ulwelwesi oluncane lwesitho sangasese sowesifazane luyacasuka kalula futhi lusengozini yokutheleleka. Enye inkomba yokuthi unegciwane ukukhipha okukhulu, okuphuzi nokumhlophe.

Igazi elisha libukeka libomvu ngokugqamile, kodwa igazi elidala liphenduka libe nsundu noma libe mnyama. Uma ubona amabala ansundu noma amnyama ezingutsheni zakho zangaphansi, kungenzeka kube yigazi. Okukhishwayo kungaba lula ngombala uma futhi unokukhipha okuphuzi noma okumhlophe ngenxa yokutheleleka.

Yini ebangela ukubonwa?

Izinto ezahlukahlukene zingadala ukubonwa nsundu ngemuva kokunqamuka kokuya esikhathini.

Ukwelashwa kweHormone

Ukopha kwesitho sangasese sowesifazane kungaba nomphumela oseceleni we-hormone replacement therapy (HRT). I-HRT yesilinganiso esiphansi eqhubekayo ingadala ukopha okulula noma ukubona izinyanga ezimbalwa ngemuva kokuqala ukuyithatha. I-cyclic HRT ingadala ukopha okufana nokwesikhathi.

Isizathu esenza lokhu ukuthi i-HRT ingaholela ekuqineni kolwelwesi lwesibeletho, olwaziwa njenge-endometrial hyperplasia. I-endometrial hyperplasia ingadala ukubona noma ukuphuma kwegazi okunzima. Ngokuvamile kungumphumela we-estrogen eningi futhi akwanele i-progesterone.

Abanye besifazane abane-endometrial hyperplasia baba namaseli angajwayelekile, okuthiwa yi-atypical hyperplasia. Yisimo esingaholela kumdlavuza wesibeletho. Ukopha okungavamile kuyisibonakaliso esisobala kakhulu somdlavuza we-endometrium. Ukuxilongwa nokwelashwa kusenesikhathi kungavimbela lolu hlobo lomdlavuza ukuthi lukhule.

Ukwehla kwezicubu zesitho sangasese sowesifazane kanye nesibeletho

Ukwehla kwamazinga amahomoni kungadala ukuncipha kolwelwesi lwesitho sangasese sowesifazane (i-atrophy yesitho sangasese sowesifazane) noma isibeletho (i-endometrial atrophy).

I-atrophy yesitho sangasese sangasese ibangela ukuthi isitho sangasese sowesifazane singabi bhetyebhetye, some futhi singabi ne-asidi eningi. Indawo yesitho sangasese sowesifazane nayo ingaba nokuvuvukala, isimo esaziwa njenge-atrophic vaginitis. Ngaphezu kokukhishwa, lokhu kungadala:

• ububomvu
• evuthayo
• ukulunywa
• ubuhlungu

Ama-polyps

Ama-polyps ukukhula okunganomdlavuza emgodini wesibeletho noma esibelethweni. Ama-polyps anamathiselwe emlonyeni wesibeletho angadala ukopha kulandela ukuhlangana.

Umdlavuza wesibeletho noma wesibeletho

Ukopha kuyisifo esivame kakhulu somdlavuza wesibeletho. Ezinye izimpawu zifaka ukuchama okubuhlungu, ubuhlungu be-pelvic, nobuhlungu ngesikhathi sokuya ocansini.

Ingabe kufanele ngiye kudokotela?

Ukopha ngemuva kokunqamuka kokuya esikhathini akuyona into ejwayelekile, ngakho-ke kungcono ukuthi kuhlolwe. Okuhlukile kungaba uma uku-HRT futhi welulekwe ukuthi kungaba nomphumela ohlangothini ongaba khona. Noma kunjalo, uma ukubona nokuphuma kwegazi kusinda futhi kuthatha isikhathi eside kunalokho obekulindelekile, bheka udokotela wakho.

Yini engingayilindela lapho ngibona udokotela wami?

Ngokuya ngezinye izimpawu noma izimo zempilo ezaziwayo onazo, udokotela wakho anga:

• buza ngomlando wakho wezokwelapha nemithi yamanje
• yenza ukuhlolwa komzimba, kufaka phakathi ukuhlolwa kwe-pelvic
• thatha i-swab ukuhlola izifo
• yenza ukuhlolwa kwePap ukuhlola amaseli womdlavuza womlomo wesibeletho.
• thatha isampula yegazi
• yenza i-pelvic ultrasound noma i-hysteroscopy ukuthola izithombe zomlomo wesibeletho sakho, isibeletho, nama-ovari
• thatha isampula lezicubu, elaziwa nangokuthi yi-biopsy, ukuhlola amaseli anomdlavuza
• yenza i-dilation ne-curettage (D & C) ukuklwebha izindonga zangaphakathi zesibeletho sakho ukuze amasampula wezicubu ahlolelwe umdlavuza

Ezinye zalezi zivivinyo zingenziwa ngokushesha ehhovisi likadokotela wakho. Ezinye zingahlelelwa njengenqubo yokugula kweziguli kamuva.

Ingabe kungalashwa?

Ukubala kungalashwa, kepha kuya ngesizathu.

I-endometrial hyperplasia

Kunezindlela eziningi zokwelashwa zokuqina kwe-endometrium. Ngokuqina okuncane, udokotela wakho angathatha indlela yokulinda nokubona. Uma ukuphuma kwakho kwegazi kungenxa ye-HRT, kungadingeka ukuthi ulungise ukwelashwa kwakho noma ukuyeke ngokuphelele. Ngaphandle kwalokho, izinketho zokwelashwa zifaka:

• ama-hormone ngesimo samaphilisi omlomo noma ukufakelwa kwesistimu ye-intrauterine
• i-hysteroscopy noma i-D & C ukususa ukuqina
• ukuhlinzwa kukhishwe umlomo wesibeletho, isibeletho, nama-ovari, okubizwa nge-hysterectomy ephelele

I-endometrial hyperplasia iphakamisa ubungozi bakho bomdlavuza we-endometrial, ngakho-ke kubalulekile ukuqapha isimo sakho.

I-atrophic vaginitis noma i-endometrium

Ukwelashwa kwe-Estrogen ukwelashwa okujwayelekile kwe-atrophic vaginitis noma i-endometrium. Itholakala ngezindlela eziningi njenge:

• amaphilisi
• ama-gel
• okhilimu
• amabala esikhumba

Enye indlela ukusebenzisa indandatho yesitho sangasese sowesifazane esithambile, eguquguqukayo, ekhipha kancane kancane i-hormone.

Uma unecala elincane, kungahle kungadingi ukwelashwa nhlobo.

Ama-polyps

Ama-polyps ngokuvamile asuswa ngokuhlinzwa. Ama-polyps wesibeletho kwesinye isikhathi angasuswa ehhovisi likadokotela. Usebenzisa i-forceps encane, udokotela wakho angaphazamisa i-polyp futhi ayivimbele indawo.

Umdlavuza

Umdlavuza we-Endometrial uvame ukudinga i-hysterectomy nokususwa kwama-lymph node aseduze. Ukwelashwa okwengeziwe kungafaka i-chemotherapy kanye ne-radiation therapy. Lapho ibanjwa kusenesikhathi, iyelapheka kakhulu.

Ingabe ikhona indlela yokuvimbela izinkinga ezibangela ukubonwa?

Ukunqamuka kokuya esikhathini kuhlukile kuwo wonke umuntu wesifazane. Awukwazi ukuvimbela iningi lezinkinga ezihambisana nokubona. Kodwa kunezinto ongazenza ukuze uthole ukuxilongwa kusenesikhathi bese uzelapha ngaphambi kokuba zibe zimbi kakhulu, kufaka phakathi:

• Ukuhlolwa minyaka yonke. Uma usengozini enkulu yomdlavuza wesibeletho noma wesibeletho, buza udokotela wakho ukuthi kufanele uthole kangaki ukuhlolwa kwePap smear kanye nokuhlolwa kwezitho zangasese.
• Ukubika ukukhishwa okungajwayelekile, ukubona, noma ukopha kudokotela wakho khona manjalo, ikakhulukazi uma kuhambisana nobuhlungu noma ezinye izimpawu.
• Ukutshela udokotela wakho uma ukuya ocansini kungakhululekile noma kubuhlungu.

Umbono

Kufanelekile ukubonisana nodokotela wakho nganoma yikuphi ukubona okusobala, okumnyama, noma okubomvu ngemuva kokunqamuka kokuya esikhathini.

Lapho usuthole imbangela, bangancoma indlela engcono yokuyelapha. Ezimweni eziningi, ukwelashwa kuzoxazulula inkinga.

Amathiphu okuphatha ukubonwa nokucasuka kwesitho sangasese sowesifazane

Ukubala amabanga kungaba yinkinga nganoma yisiphi isikhathi, futhi kanjalo nokunye ukucasuka kwesitho sangasese sowesifazane. Ukwenza impilo ibe lula kancane, landela lezi zeluleko:

• Gqoka iphedi elula yokuya esikhathini nsuku zonke ukuvikela izingubo zakho. Kuzokusiza ukuthi ugweme ukubanjwa ngumphakathi noma ukungcolisa izingubo zakho ozithandayo.
• Gqoka izingubo zangaphansi zikakotini eziphefumulekayo noma izikhindi zangaphansi ezine-crotch kakotini.
• Gwema izingubo eziqinile esikhaleni.
• Gwema insipho enokhahlo noma enamakha nemikhiqizo yokuya esikhathini engacasula izicubu zakho zangasese ezinciphile.
• Ungadaki. Kungadala ukucasuka futhi kusakaze amagciwane.
• Gwema okokuhlanza okokuhlanza okuqinile.