Uyini umugqa we-Endometrial?

-Delile

• Ngabe umugqa uvame ukubukeka kanjani?
• Isikhathi sokuya esikhathini noma sokuqala
• Isigaba esandayo esedlule
• Isigaba semfihlo
• Umugqa kufanele ube mkhulu kangakanani?
• Ezengane
• Premenopausal
• Ukukhulelwa
• Ngemuva kokubeletha
• I-Postmenopausal
• Yini ebangela izicubu ezinzima ngokweqile?
• Ama-polyps
• Ama-Fibroids
• Ukusetshenziswa kweTamoxifen
• I-endometrial hyperplasia
• Umdlavuza we-Endometrial
• Yini ebangela izicubu ezondile ngokungajwayelekile?
• Ukunqamuka kokuya esikhathini
• I-Atrophy
• Yiziphi izimpawu ezihambisana nokungajwayelekile kwezicubu?
• Khuluma nodokotela wakho

Kwenzenjani?

Ulwelwesi lwakho lwesibeletho lubizwa ngokuthi i-endometrium. Uma une-ultrasound noma i-MRI, i-endometrium yakho izovela njengomugqa omnyama esikrinini. Lo mugqa kwesinye isikhathi ubizwa ngokuthi “umugqa we-endometrium.” Leli gama alibhekiseli esimweni sempilo noma ekuxilongweni, kodwa engxenyeni ejwayelekile yezicubu zomzimba wakho.

Amaseli we-Endometrial angavela kwezinye izingxenye zomzimba wakho njengophawu lwe-endometriosis, kepha "umugqa we-endometrial" ubhekisa ngqo kwizicubu ze-endometrium esibelethweni sakho.

Lesi sicubu sizoshintsha ngokwemvelo njengoba ukhula futhi udlule ezigabeni ezahlukahlukene zokuzala. Funda ukuze ufunde kabanzi mayelana nalezi zinguquko, izimpawu okufanele uzibheke, nokuthi uzobona nini udokotela wakho.

Ngabe umugqa uvame ukubukeka kanjani?

Uma uneminyaka yobudala yokuzala, ukubukeka kukonke komugqa wakho we-endometrium kuzoya ngokuthi ukuphi lapho usemjikelezweni wakho wokuya esikhathini.

Isikhathi sokuya esikhathini noma sokuqala

Izinsuku phakathi nesikhathi sakho futhi ngokushesha ngemuva kwazo zibizwa ngokuthi isigaba sokuya esikhathini, noma sokuqala kokukhula. Ngalesi sikhathi, umugqa we-endometrial uzobukeka uzacile kakhulu, njengomugqa oqondile.

Isigaba esandayo esedlule

Izicubu zakho ze-endometrium zizoqala ukuqina kamuva emjikelezweni wakho. Ngesikhathi sesigaba esandayo sekwedlule isikhathi, umugqa ungabonakala ugcwele, ngomugqa omnyama ohamba maphakathi. Lesi sigaba siphela uma usuvundile.

Isigaba semfihlo

Ingxenye yomjikelezo wakho phakathi kokuvuthwa kwakho nalapho kuqala isikhathi sakho ibizwa ngokuthi isigaba semfihlo. Ngalesi sikhathi, i-endometrium yakho ishubile kakhulu. Umugqa uqoqa uketshezi oluzungezile futhi, kwi-ultrasound, uzobonakala unobuningi obulinganayo nombala kuyo yonke indawo.

Umugqa kufanele ube mkhulu kangakanani?

Ububanzi obujwayelekile bokushuba buyahluka kuye ngokuthi ukulesiphi isigaba sempilo okuso.

Ezengane

Ngaphambi kokuthomba, umugqa we-endometrial ubukeka njengolayini omncane inyanga yonke. Kwezinye izimo, kungenzeka kungakatholakali nge-ultrasound.

Premenopausal

Kwabesifazane abaneminyaka yobudala bokuzala, umugqa we-endometrial uqina futhi ucebe ngokomjikelezo wabo wokuya esikhathini. Umugqa ungaba kusuka kusilinganiso esingaphansi kwamamilimitha ayi-1 (mm) kuye ngaphezulu kosayizi ongu-16 mm. Konke kuncike kusiphi isigaba sokuya esikhathini onaso lapho isilinganiso sithathwa.

Izilinganiso ezimaphakathi zimi kanje:

• Ngesikhathi sakho: 2 kuya ku-4 mm
• Isigaba sokuqala esandayo: 5 kuye ku-7 mm
• Isigaba esanda ngokwanda: Kuze kufike ku-11 mm
• Isigaba semfihlo: Kufika ku-16 mm

Ukukhulelwa

Lapho ukukhulelwa kwenzeka, iqanda elikhulelisiwe lizotshala ku-endometrium ngenkathi likhulu kakhulu. Ukuhlola ukuhlolwa okwenziwe ngesikhathi sokukhulelwa kwasekuqaleni kungakhombisa umugqa we-endometrial ka-2 mm noma ngaphezulu.

Ekukhulelweni okujwayelekile, umugqa we-endometrium uzoba ikhaya lombungu okhulayo. Umugqa ekugcineni uzofihlwa yisikhwama sokukhulelwa kanye ne-placenta.

Ngemuva kokubeletha

Umugqa we-endometrial ukhuluphele kunokujwayelekile ngemuva kokubeletha. Lokho kungenxa yokuthi amahlule egazi nezicubu ezindala kungalibala ngemuva kokubeletha.

Lezi zinsalela zibonakala ngemuva kwamaphesenti angama-24 okukhulelwa. Zijwayelekile ikakhulukazi ngemuva kokulethwa kwe-cearean.

Umugqa we-endometrial kufanele ubuyele kumjikelezo wawo ojwayelekile wokuncipha nokuqina lapho umjikelezo wakho wesikhathi uqala kabusha.

I-Postmenopausal

Ubukhulu be-endometrium buyazinza ngemuva kokufinyelela esikhathini.

Uma ususondele ekufinyeleleni esikhathini sokuya esikhathini kodwa usaqhubeka ukopha esithweni sangasese, umugqa omaphakathi ungaphansi kuka-5 mm ubukhulu.

Uma ungasaboni ukuphuma kwegazi esithweni sangasese, umugqa we-endometrial ongaphezulu kwe-4 mm noma ngaphezulu uthathwa njengesibonakaliso somdlavuza we-endometrium.

Yini ebangela izicubu ezinzima ngokweqile?

Ngaphandle kokuthi uhlangabezana nezimpawu ezingajwayelekile, izicubu eziwugqinsi ze-endometrial ngokuvamile akuyona imbangela yokukhathazeka. Kwezinye izimo, umugqa ojiyile we-endometrium ungaba uphawu lwe:

Ama-polyps

Ama-polyps e-Endometrial ukungajwayelekile kwezicubu ezitholakala esibelethweni. Lawa ma-polyps enza i-endometrium ibonakale ijiyile ku-sonogram. Ezimweni eziningi, ama-polyps ayingozi. Ezimweni ezithile, ama-polyps endometrial angaba yingozi.

Ama-Fibroids

I-uterine fibroids inganamathela ku-endometrium futhi iyenze ibukeke ijiyile. Ama-fibroid ajwayelekile kakhulu, abesifazane abathuthukisa ngesikhathi esithile ngaphambi kokuba babe neminyaka engama-50.

Ukusetshenziswa kweTamoxifen

I-Tamoxifen (i-Nolvadex) yisidakamizwa esisetshenziselwa ukwelapha umdlavuza webele. Imiphumela emibi ejwayelekile ifaka phakathi ukunqamuka kokuya esikhathini kwasekuqaleni kanye nezinguquko endleleni i-endometrium yakho ejiya ngayo.

I-endometrial hyperplasia

I-endometrial hyperplasia yenzeka lapho izindlala zakho ze-endometrial zidala ukuthi izicubu zikhule ngokushesha okukhulu. Lesi simo sivame kakhulu kwabesifazane asebefinyelele esikhathini sokuya esikhathini. Kwezinye izimo, i-endometrial hyperplasia ingaba yingozi.

Umdlavuza we-Endometrial

Ngokwe-American Cancer Society, cishe wonke umdlavuza wesibeletho uqala kumaseli e-endometrium. Ukuba ne-endometrium eminyene ngokweqile kungaba uphawu lokuqala lomdlavuza. Ezinye izimpawu zifaka ukopha okusindayo, okuvame ukwenzeka noma okungajwayelekile, ukukhishwa okungajwayelekile ngemuva kokunqamuka kokuya esikhathini, nobuhlungu besisu noma besitho sangasese obuphansi.

Yini ebangela izicubu ezondile ngokungajwayelekile?

Ngaphandle kokuthi uhlangabezana nezimpawu ezingajwayelekile, izicubu zomzimba ezincane ze-endometrial ngokuvamile akuyona imbangela yokukhathazeka. Kwezinye izimo, umugqa omncane we-endometrial ungaba uphawu lwe:

Ukunqamuka kokuya esikhathini

I-endometrium yakho izomisa ukuncipha kwayo njalo ngenyanga nokuqina phakathi nesikhathi nangemva kokunqamuka kokuya esikhathini.

I-Atrophy

Amazinga aphansi e-estrogen angaholela esimweni esibizwa ngokuthi i-endometrial atrophy. Ngokuvamile, lokhu kuxhunywe ekuqaleni kokunqamuka kokuya esikhathini. Ukungalingani kweHormone, ukuphazamiseka kokudla, kanye nezimo ze-autoimmune nakho kungaholela ekuqothulweni kwabesifazane abasebasha. Lapho umzimba wakho unezinga eliphansi le-estrogen, izicubu zakho ze-endometrial zingahle zingabi zikhulu ngokwanele ukuze iqanda lifakwe.

Yiziphi izimpawu ezihambisana nokungajwayelekile kwezicubu?

Lapho amangqamuzana e-endometrium ekhula ngesilinganiso esingajwayelekile, kungavela ezinye izimpawu.

Uma unomugqa ojiyile kunomugqa ojwayelekile we-endometrium, lezi zimpawu zingafaka:

• ukuphuma kwegazi phakathi kwezikhathi
• izikhathi ezibuhlungu kakhulu
• ubunzima bokukhulelwa
• imijikelezo yokuya esikhathini emifushane kunezinsuku ezingama-24 noma ngaphezulu kunezinsuku ezingama-38
• ukopha kakhulu ngesikhathi sakho

Uma i-endometrium yakho incane kunokujwayelekile, ungaba nezinye zezimpawu ezifanayo ezihambisana nezicubu ezijiyile. Ungahle uzwe:

• izinkathi ezeqiwe noma ukungabikho ngokuphelele kokuya esikhathini
• ubuhlungu be-pelvic ngezikhathi ezahlukahlukene phakathi nenyanga
• ucansi olubuhlungu

Uma uhlangabezana nenye yalezi zimpawu, yenza i-aphoyintimenti nodokotela wakho. Bangancoma ukuhlolwa kwe-ultrasound noma okunye ukuhlola ukuxilonga imbangela.

Khuluma nodokotela wakho

Unganqikazi ukubuza udokotela wakho imibuzo mayelana nempilo yakho yokuzala. Udokotela wakho angabuyekeza umlando wakho wezokwelapha futhi axoxe ngokujwayelekile ngawe.

Uma uhlangabezana nezimpawu ezingajwayelekile, qiniseka ukubona udokotela wakho wezifo zabesifazane - akufanele ulinde kuze kube ukuhlolwa kwakho konyaka. Ukwenza kanjalo kungabambezela noma yikuphi ukwelashwa okudingekayo.