Kuyini i-Cervical Ectropion (Crosion Erosion)?

-Delile

• Ziyini izimpawu?
• Yini ebangela lesi simo sikhule?
• Kutholakala kanjani?
• Ingabe kufanele yelashwe?
• Ezinye izimo zomlomo wesibeletho
• Umdlavuza wesibeletho
• UChlamydia
• Uyini umbono?

Yini i-ectropion yomlomo wesibeletho?

I-ectropion yomlomo wesibeletho, noma i-ectopy yomlomo wesibeletho, kulapho amaseli athambile (amaseli we-glandular) agxila ngaphakathi komsele wesibeletho esakazeka engxenyeni engaphandle yomlomo wesibeletho sakho. Ingaphandle lomlomo wakho wesibeletho liba namaseli aqinile (amaseli we-epithelial).

Lapho kuhlangana khona izinhlobo ezimbili zamaseli kubizwa ngokuthi indawo yenguquko. Umlomo wesibeletho “yintamo” yesibeletho sakho, lapho isibeletho sakho sixhuma khona esithweni sakho sangasese.

Lesi simo kwesinye isikhathi sibizwa ngokuthi ukuguguleka komlomo wesibeletho. Lelo gama alihluphi nje kuphela, kodwa futhi liyadukisa. Ungaqiniseka ukuthi umlomo wakho wesibeletho awugugi ngempela.

I-ectropion yomlomo wesibeletho ijwayelekile phakathi kwabesifazane abaneminyaka yobudala bokubeletha. Akuwona umdlavuza futhi akuthinti ukuzala. Eqinisweni, akusona isifo. Noma kunjalo, kungadala izinkinga kwabanye besifazane.

Funda ukuze ufunde kabanzi ngalesi simo, ukuthi sitholakala kanjani, nokuthi kungani singadingi ukwelashwa ngaso sonke isikhathi.

Ziyini izimpawu?

Uma ufana nabesifazane abaningi abane-ectropion yomlomo wesibeletho, ngeke ube nazimpawu nhlobo. Ngokumangazayo, ungahle ungazi ukuthi unakho uze uvakashele udokotela wezifo zabesifazane futhi uhlolwe okhalo.

Uma unezimpawu, kungenzeka zifake:

• ukukhishwa kwe-mucus elula
• ukubona phakathi kwezikhathi
• ubuhlungu nokopha ngesikhathi noma ngemuva kocansi

Ubuhlungu nokuphuma kwegazi nakho kungenzeka ngesikhathi noma ngemuva kokuhlolwa kwe-pelvic.

Ukukhishwa kuba yinkinga. Ubuhlungu buphazamisa ukujabulela ucansi. Kwabanye besifazane, lezi zimpawu zinzima.

I-ectropion yomlomo wesibeletho iyimbangela evame kakhulu yokopha ezinyangeni zokugcina zokukhulelwa.

Isizathu salezi zimpawu ukuthi amaseli we-glandular abucayi kakhulu kunamaseli we-epithelial. Akhiqiza amafinyila amaningi futhi athanda ukopha kalula.

Uma unezimpawu ezincane ezifana nalezi, akufanele ucabange ukuthi une-ectropion yomlomo wesibeletho. Kuyafaneleka ukuthola ukuxilongwa okufanele.

Bheka udokotela wakho uma wopha phakathi kwezikhathi, ukukhishwa okungavamile, noma ubuhlungu ngesikhathi socansi noma ngemuva kwocansi. I-ectropion yomlomo wesibeletho ayibi kakhulu. Kodwa-ke, lezi zimpawu nezimpawu zingaba umphumela wezinye izimo okufanele zikhishwe noma zelashwe.

Ezinye zazo yilezi:

• ukutheleleka
• ama-fibroids noma ama-polyps
• i-endometriosis
• izinkinga nge-IUD yakho
• izinkinga ngokukhulelwa kwakho
• umlomo wesibeletho, isibeletho, noma olunye uhlobo lomdlavuza

Yini ebangela lesi simo sikhule?

Akunakwenzeka ngaso sonke isikhathi ukuthola imbangela ye-ectropion yomlomo wesibeletho.

Abanye besifazane baze bazalwe nayo. Kungaba futhi ngenxa yokuguquguquka kwamahomoni. Yingakho kuvamile kwabesifazane abaneminyaka yobudala yokuzala. Lokhu kufaka phakathi intsha, abesifazane abakhulelwe, nabesifazane abasebenzisa amaphilisi okuvimbela inzalo noma amabala aqukethe i-estrogen.

Uma uba ne-ectropion yomlomo wesibeletho ngenkathi uthatha izinto zokuvimbela inzalo eziqukethe i-estrogen, futhi izimpawu ziyinkinga, buza udokotela wakho uma kunesidingo sokushintsha uhlelo lwakho lokuzalwa.

I-ectropion yomlomo wesibeletho ayivamile kwabesifazane be-postmenopausal.

Akukho ukuxhumana phakathi kwe-ectropion yomlomo wesibeletho kanye nokwakhiwa komdlavuza womlomo wesibeletho noma eminye. Ayaziwa ngokuholela ezinkingeni ezinkulu noma ezinye izifo.

Kutholakala kanjani?

I-ectropion yomlomo wesibeletho kungenzeka itholakale ngesikhathi sokuhlolwa okwejwayelekile kwe-pelvic nePap smear (iPap test). Isimo empeleni siyabonakala ngesikhathi sokuhlolwa kwe-pelvic ngoba umlomo wakho wesibeletho uzovela ubomvu ngokugqamile futhi ube rougher kunokujwayelekile. Kungopha kancane ngesikhathi sokuhlolwa.

Yize kungekho ukuxhumana phakathi kwabo, umdlavuza wokuqala wesibeletho ubukeka kakhulu njenge-ectropion yomlomo wesibeletho. Ukuhlolwa kwePap kungasiza ukukhipha umdlavuza wesibeletho.

Uma ungenazo izimpawu, futhi imiphumela yakho yokuhlolwa kwe-Pap ijwayelekile, mhlawumbe awudingi ukuhlolwa okwengeziwe.

Uma unezimpawu ezinzima, ezifana nobuhlungu ngesikhathi socansi noma ukukhishwa okunzima, udokotela wakho angahle afune ukuhlola isimo esingaphansi.

Isinyathelo esilandelayo kungaba inqubo ebizwa nge-colposcopy, engenziwa ehhovisi likadokotela wakho. Kubandakanya ukukhanyisa okunamandla nensimbi ekhethekile yokukhulisa ukuze ubhekisise umlomo wakho wesibeletho.

Ngesikhathi senqubo efanayo, isampula elincane lezicubu lingaqoqwa (i-biopsy) ukuze kuhlolwe amaseli anomdlavuza.

Ingabe kufanele yelashwe?

Ngaphandle kokuthi izimpawu zakho zikukhathaze, kungahle kungabi bikho sizathu sokwelapha i-ectropion yomlomo wesibeletho. Iningi labesifazane libhekana nezinkinga ezimbalwa kuphela. Isimo singahamba sodwa.

Uma unezimpawu eziqhubekayo, ezinzima - njengokukhishwa kwe-mucus, ukuphuma kwegazi, noma ubuhlungu ngesikhathi noma ngemuva kocansi - khuluma nodokotela wakho ngezinketho zakho zokwelashwa.

Ukwelashwa okuyinhloko yi-cauterization yendawo, engasiza ekuvimbeleni ukukhishwa okungavamile nokopha. Lokhu kungafezwa ngokusebenzisa ukushisa (i-diathermy), ukubanda (i-cryosurgery), noma i-nitrate yesiliva.

Ngayinye yalezi zinqubo ingenziwa ngaphansi kwe-anesthetic yendawo ehhovisi likadokotela wakho ngemizuzu nje embalwa.

Uzokwazi ukuhamba ngokushesha uma kuphela.Ungaqala kabusha imisebenzi yakho ejwayelekile khona manjalo. Ungaba nokukhathazeka okuncane okufana nenkathi yamahora ambalwa kuya ezinsukwini ezimbalwa. Ungase futhi ube nokukhishwa okuthile noma ukubona amasonto ambalwa.

Ngemuva kwenqubo, umlomo wakho wesibeletho uzodinga isikhathi sokuphola. Uzokwaziswa ukuthi ugweme ukuya ocansini. Akufanele usebenzise ama-tampon cishe amasonto amane. Lokhu kuzosiza futhi ekuvikeleni ukutheleleka.

Udokotela wakho uzohlinzeka ngemiyalo yokunakekelwa ngemuva futhi ahlele ukuhlolwa kokulandelela. Okwamanje, tshela udokotela wakho uma ngabe:

• ukukhishwa okunuka kabi
• ukopha kusinda ukudlula isikhathi
• ukopha okuhlala isikhathi eside kunokulindelekile

Lokhu kungakhombisa ukutheleleka noma enye inkinga enkulu edinga ukwelashwa.

I-cauterization ivame ukuxazulula lezi zimpawu. Uma izimpawu zehla, ukwelashwa kuzothathwa njengokuphumelelayo. Kungenzeka ukuthi izimpawu zizobuya, kepha ukwelashwa kungaphindwa.

Ezinye izimo zomlomo wesibeletho

Umdlavuza wesibeletho

Umdlavuza wesibeletho awuhlobene ne-ectropion yomlomo wesibeletho. Kodwa-ke, kubalulekile ukuvakashela udokotela wakho uma uhlangabezana nezimpawu ezinjengezinhlungu zomlomo wesibeletho nokubona phakathi kwezikhathi.

UChlamydia

Yize i-chlamydia nayo ingahlobene ne-ectropion yomlomo wesibeletho, ucwaningo lwango-2009 lwathola ukuthi abesifazane abangaphansi kweminyaka engama-30 ababene-ectropion yomlomo wesibeletho babenezinga eliphakeme le-chlamydia kunabesifazane abangenayo i-ectropion yomlomo wesibeletho.

Kungumqondo omuhle ukuhlolwa njalo ngezifo zocansi ezifana ne-chlamydia ne-gonorrhea ngoba kaningi azinazo izimpawu.

Uyini umbono?

I-ectropion yomlomo wesibeletho ibhekwa njengesimo esibi, hhayi isifo. Abesifazane abaningi abazi ngisho nokuthi banayo ize itholakale ngesikhathi sokuhlolwa okujwayelekile.

Akuvamisile ukuhlotshaniswa nokukhathazeka okungathi sína kwezempilo. Uma ukhulelwe, ngeke kulimaze ingane yakho. Kungaba okuqinisekisayo ukuthola lokhu kutholakala ngoba ukuphuma kwegazi ekukhulelweni kungashaqisa.

Akudingi ukwelashwa ngaphandle uma ukukhishwa kuba yinkinga noma kuphazamisa ukujabulela kwakho ucansi. Uma unezimpawu ezingeke zixazululwe zodwa, ukwelashwa kuyashesha, kuphephile, futhi kuyasebenza.

Ngokuvamile akukho ukukhathazeka kwezempilo okuhlala isikhathi eside.