Kuyini i-Endometrial Hyperplasia futhi Ilashwa Kanjani?

-Delile

• Ukubuka konke
• Yiziphi izinhlobo ze-endometrial hyperplasia?
• Ngazi kanjani ukuthi nginayo?
• Yini ebangela i-endometrial hyperplasia?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Kungadala noma yiziphi izinkinga?
• Uyini umbono?

Ukubuka konke

I-endometrial hyperplasia isho ukuqina kwe-endometrium. Lolu ungqimba lwamangqamuzana agudla ingaphakathi lesibeletho sakho. Lapho i-endometrium yakho iqina, ingaholela ekopha okungavamile.

Yize isimo singesona umdlavuza, kwesinye isikhathi singaba yisandulela somdlavuza wesibeletho, ngakho-ke kungcono ukusebenzisana nodokotela ukuqapha noma yiziphi izinguquko.

Funda ukuze uthole amathiphu okuthi ungazibona kanjani izimpawu futhi uthole ukuxilongwa okunembile.

Yiziphi izinhlobo ze-endometrial hyperplasia?

Kunezinhlobo ezimbili eziyinhloko ze-endometrial hyperplasia, kuya ngokuthi ngabe zibandakanya amaseli angajwayelekile, aziwa njenge-atypia.

Izinhlobo ezimbili yilezi:

• I-endometrial hyperplasia ngaphandle kwe-atypia. Lolu hlobo alubandakanyi noma yimaphi amaseli angajwayelekile.
• I-atypical endometrial hyperplasia. Lolu hlobo luphawulwa ukugcwala kwamaseli angajwayelekile futhi lubhekwa njengolungaphambi kwesikhathi. I-precancerous isho ukuthi kunethuba lokuthi ingaphenduka umdlavuza wesibeletho ngaphandle kokwelashwa.

Ukwazi uhlobo lwe-endometrial hyperplasia onayo kungakusiza uqonde kangcono ingozi yomdlavuza wakho bese ukhetha ukwelashwa okusebenza kakhulu.

Ngazi kanjani ukuthi nginayo?

Uphawu oluyinhloko lwe-endometrial hyperplasia ukopha okungavamile kwesibeletho. Kepha lokhu kubukeka kanjani empeleni?

Okulandelayo kungaba yizimpawu ze-endometrial hyperplasia:

• Izikhathi zakho ziba zinde futhi zisinda kunokujwayelekile.
• Kunezinsuku ezingaphansi kwezingu-21 kusukela osukwini lokuqala lwenkathi eyodwa kuya osukwini lokuqala olulandelayo.
• Uhlangabezana nokuphuma kwegazi esithweni sangasese yize usufinyelele esikhathini sokuya esikhathini.

Futhi-ke, ukuphuma kwegazi okungajwayelekile akusho ukuthi une-endometrial hyperplasia. Kepha futhi kungaba ngumphumela wezinye izimo eziningi, ngakho-ke kungcono ukulandela udokotela.

Yini ebangela i-endometrial hyperplasia?

Umjikelezo wakho wokuya esikhathini uncike kakhulu kuma-hormone estrogen ne-progesterone. I-Estrogen isiza ukukhula kwamaseli kulwelwesi lwesibeletho. Lapho kungekho ukukhulelwa okwenzekayo, ukwehla ezingeni lakho le-progesterone kutshela isibeletho sakho ukuthi sichithe ulwelwesi lwaso. Lokho kuqala isikhathi sakho futhi umjikelezo uqala futhi.

Lapho la mahomoni amabili esilinganisweni, yonke into ihamba kahle. Kepha uma unokuningi kakhulu noma okuncane kakhulu, izinto zingaphuma ekuvumelaniseni.

Isizathu esivame kakhulu se-endometrial hyperplasia sine-estrogen eningi kakhulu futhi ayanele i-progesterone. Lokho kuholela ekukhuleni kweseli.

Kunezizathu eziningana zokuthi ungaba nokungalingani kwe-hormonal:

• Ufinyelele ekunqamukeni kokuya esikhathini. Lokhu kusho ukuthi awusavundisi futhi umzimba wakho awukhiqizi i-progesterone.
• Usekhathini lokungena esikhathini. I-ovulation ayenzeki njalo.
• Usudlulele esikhathini sokuya esikhathini futhi uthathe noma njengamanje uthatha i-estrogen (i-hormone replacement therapy).
• Unomjikelezo ongajwayelekile, ukungazali, noma i-polycystic ovary syndrome.
• Uthatha imithi elingisa i-estrogen.
• Ubhekwa njengomuntu okhuluphele ngokweqile.

Ezinye izinto ezingakhuphula ubungozi be-endometrial hyperplasia zifaka:

• uneminyaka engaphezu kwengama-35
• ukuqala ukuya esikhathini usemncane
• ukufinyelela esikhathini sokuya esikhathini usemncane
• ukuba nezinye izimo zezempilo ezifana nesifo sikashukela, isifo se-thyroid, noma isifo se-gallbladder
• ukuba nomlando womndeni wesibeletho se-uterine, ovarian, noma colon

Kutholakala kanjani?

Uma ubike ukuthi wopha ngokweqile, udokotela wakho mhlawumbe uzoqala ngokubuza imibuzo ngomlando wakho wezokwelapha.

Ngesikhathi sokuqokwa kwakho, qiniseka ukuxoxa:

• uma kukhona ukujiya kwegazi futhi uma ukugeleza kusinda
• uma ukopha kubuhlungu
• noma yiziphi ezinye izimpawu ongaba nazo, noma ngabe ucabanga ukuthi azihlobene
• ezinye izimo zempilo onazo
• ukuthi ungakhulelwa noma cha
• ukuthi usufinyelele yini ukunqamuka kokuya esikhathini
• noma imiphi imithi ye-hormonal oyiphuzayo noma oyithathile
• uma unomlando womndeni wesifo somdlavuza

Ngokuya ngomlando wakho wezokwelapha, kungenzeka ukuthi baqhubeke nokuhlolwa okuthile kokuxilongwa. Lokhu kungafaka okukodwa noma inhlanganisela yalokhu okulandelayo:

• I-ultrasound yangaphambilini. Le nqubo ifaka ukufaka into encane esithweni sangasese ephendula amaza omsindo abe yizithombe esibukweni. Kungasiza udokotela wakho ukukala ubukhulu be-endometrium yakho futhi abuke isibeletho sakho nama-ovari.
• I-Hysteroscopy. Lokhu kubandakanya ukufaka into encane enokukhanya nekhamera esibelethweni sakho ngomlomo wesibeletho ukuze uhlole noma yini engajwayelekile ngaphakathi kwesibeletho.
• Isidumbu. Lokhu kuhilela ukuthatha isampula lezicubu zesibeletho sakho ukuze uhlole noma yimaphi amaseli anomdlavuza. Isampula lezicubu lingathathwa ngesikhathi se-hysteroscopy, i-dilation ne-curettage, noma njengenqubo elula esehhovisi. Isampula lezicubu bese lithunyelwa kudokotela wezifo ukuthi liyohlaziywa.

Ilashwa kanjani?

Ukwelashwa ngokuvamile kuqukethe ukwelashwa kwe-hormone noma ukuhlinzwa.

Izinketho zakho zizoya ngezinto ezimbalwa, ezifana:

• uma kutholakala amaseli we-atypical
• uma usufinyelele ukunqamuka kokuya esikhathini
• izinhlelo zokukhulelwa ezizayo
• umlando womuntu siqu nowomndeni womdlavuza

Uma une-hyperplasia elula ngaphandle kwe-atypia, udokotela wakho angase asikisele ukuthi ubheke nje izimpawu zakho. Kwesinye isikhathi, azibi zimbi kakhulu futhi isimo singahamba sodwa.

Ngaphandle kwalokho, ingelashwa nge:

• Ukwelashwa kweHormonal. I-Progestin, uhlobo lokwenziwa kwe-progesterone, iyatholakala ngefomu lephilisi kanye nomjovo noma i-intrauterine device.
• I-Hysterectomy. Uma une-atypical hyperplasia, ukususa isizalo sakho kuzokwehlisa ingozi yomdlavuza wakho. Ukuba nalokhu kuhlinzwa kusho ukuthi ngeke ukwazi ukukhulelwa. Kungaba inketho enhle uma usufinyelele esikhathini sokuya esikhathini, ungahleleli ukukhulelwa, noma ube nengozi enkulu yomdlavuza.

Kungadala noma yiziphi izinkinga?

Ulwelwesi lwesibeletho lungakhula ngokuhamba kwesikhathi. I-Hyperplasia ngaphandle kwe-atypia ekugcineni ingakhulisa amaseli we-atypical. Inkinga enkulu ubungozi bokuthi izothuthukela kumdlavuza wesibeletho.

I-Atypia ibhekwa njengengaphambi kwesikhathi. balinganisele ubungozi bokwanda kusuka ku-atypical hyperplasia kuya kumdlavuza njengamaphesenti angama-52.

Uyini umbono?

I-endometrial hyperplasia kwesinye isikhathi iyazixazulula yodwa. Futhi ngaphandle kokuthi uthathe ama-hormone, kuvame ukukhula kancane.

Isikhathi esiningi, akusiwo umdlavuza futhi uphendula kahle ekwelashweni. Ukulandelela kubaluleke kakhulu ukuqinisekisa ukuthi i-hyperplasia ayiqhubeki ibe ngamaseli we-atypical.

Qhubeka nokuhlolwa njalo futhi wazise udokotela wakho kunoma yiziphi izinguquko noma izimpawu ezintsha.