Isizalo polyp: kuyini, izimbangela eziyinhloko nokwelashwa
-Delile
I-polyp uterine ukukhula okweqile kwamaseli odongeni lwangaphakathi lwesibeletho, olubizwa ngokuthi i-endometrium, elenza ama-pellets afana ne-cysts akhula aye esibelethweni, futhi aziwa nangokuthi i-endometrial polyp futhi, ezimweni lapho i-polyp ivela khona umlomo wesibeletho, ubizwa ngokuthi i-endocervical polyp.
Ngokuvamile, ama-polyps wesibeletho avame kakhulu kwabesifazane abasekunqamukeni kokuya esikhathini, noma kunjalo, angavela nakwabesifazane abasebasha, okungadala ubunzima bokukhulelwa, okuzoya ngosayizi nendawo ye-polyp. Funda ukuthi i-polyp uterine ingaphazamisa kanjani ukukhulelwa.
I-polyp uterine ayiwona umdlavuza, kepha kwezinye izimo ingaphenduka isilonda esibulalayo, ngakho-ke kubalulekile ukuthi kuhlolwe nodokotela wezifo zabesifazane njalo ezinyangeni eziyisithupha, ukubona ukuthi i-polyp inyukile noma yehlile ngosayizi, uma ama-polyps amasha noma wanyamalala.
Izimbangela ezingaba khona
Isizathu esiyinhloko sokuthuthukiswa kwe-polyp uterine yizinguquko ze-hormonal, ikakhulukazi i-estrogen, ngakho-ke, abesifazane abanezinkinga ze-hormonal njengalezo zokuya esikhathini, ukuphuma kwegazi ngaphandle kokuya esikhathini noma ukuya esikhathini eside kusengozini enkulu yokuthuthukisa lezi polyps zesibeletho.
Ezinye izinto zinganikela ekwakheni ama-polyps wesibeletho anjenge-perimenopause noma i-postmenopause, ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile, umfutho wegazi ophakeme noma ukusebenzisa i-tamoxifen ekwelapheni umdlavuza webele.
Ngaphezu kwalokho, kukhona nengozi eyengeziwe yokuthuthukisa ama-polyps wesibeletho kwabesifazane abane-polycystic ovary syndrome, abathatha ama-estrogens isikhathi eside.
Izimpawu eziyinhloko
Uphawu oluyinhloko lwe-polyp endometrial ukuphuma okungavamile ngesikhathi sokuya esikhathini, okuvame ukugcwala. Ngaphezu kwalokho, ezinye izimpawu zingavela, njenge:
- Isikhathi esingajwayelekile sokuya esikhathini;
- Ukopha kwesitho sangasese sowesifazane phakathi kokuya esikhathini ngakunye;
- Ukopha kwesitho sangasese sowesifazane ngemuva kokuxhumana okusondelene;
- Ukopha kwesitho sangasese sowesifazane ngemuva kokuya esikhathini;
- Amajaqamba aqinile ngesikhathi sokuya esikhathini;
- Kunzima ukukhulelwa.
Ngokuvamile, ama-polyps endocervical awazibangeli izimpawu, kepha ukopha kungenzeka phakathi kwezikhathi noma ngemuva kocansi. Ezimweni ezingavamile, lawa ma-polyps angatheleleka, abangele ukukhishwa kwesisu okuphuzi ngenxa yobukhona be-pus. Bona ezinye izimpawu zesizalo polypo.
Owesifazane onezimpawu zesibindi se-polyp kufanele abonane nodokotela wakhe wezifo zabesifazane izivivinyo, njenge-pelvic ultrasound noma i-hysteroscopy, ngokwesibonelo, ukuthola inkinga bese uqala ukwelashwa okufanele kakhulu.
Yelashwa kanjani
Ezimweni eziningi, ama-polyps wesibeletho awadingi ukwelashwa kanti udokotela wezifo zabesifazane angancoma ukubonwa nokulandelwa njalo ezinyangeni eziyisithupha ukubona ukuthi i-polyp inyukile noma yehlile, ikakhulukazi uma ama-polyps emancane futhi owesifazane engenazo izimpawu. Kodwa-ke, udokotela angancoma ukwelashwa uma owesifazane esengozini yokuba nomdlavuza wesibeletho. Funda ukuthi ungaphatha kanjani i-polyp uterine ukuvimbela umdlavuza.
Eminye imishanguzo yamahomoni, njengezindlela zokuvimbela inzalo ezine-progesterone noma izidakamizwa eziphazamisa isignali yokuthi ubuchopho budlulisela kuma-ovari ukuze kukhiqizwe i-estrogen ne-progesterone, ingakhonjiswa ngudokotela wezifo zabesifazane ukunciphisa usayizi wama-polyps, esimweni sabesifazane abanezimpawu . Kodwa-ke, le mithi iyisixazululo sesikhashana futhi izimpawu zivame ukuvela lapho ukwelashwa kumiswa.
Endabeni yowesifazane ofuna ukukhulelwa futhi i-polyp yenza inqubo ibe nzima kakhulu, udokotela angenza i-hysteroscopy yokuhlinzwa equkethe ukufaka insimbi ngesitho sangasese esibelethweni, ukususa i-polyp endometrial. Thola ukuthi ukuhlinzwa ukususa i-polyp uterine kwenziwa kanjani.
Ezimweni ezinzima kakhulu, lapho i-polyp inganyamalali nomuthi, ayinakususwa nge-hysteroscopy noma isibe sibi, udokotela wezifo zabesifazane angaluleka ukuthi ahlinzwe ukuze kukhishwe isibeletho.
Kuma-polyps emlomo wesibeletho, ukuhlinzwa, okubizwa nge-polypectomy, ukwelashwa okufanele kakhulu, okungenziwa ehhovisi likadokotela ngesikhathi sokuhlolwa kwabesifazane, kuthi i-polyp ithunyelwe ku-biopsy ngemuva kokususwa kwayo.