Ukopha Kwe-Postmenopausal

-Delile

• Kuyini ukopha esithweni sangasese?
• Yini ebangela ukuphuma kwegazi ngemuva kokuya esikhathini?
• Ama-polyp wesibeletho
• I-endometrial hyperplasia
• Umdlavuza we-Endometrial
• I-endometrial atrophy
• Umdlavuza wesibeletho
• Izimpawu zokopha kwe-postmenopausal
• Kutholakala kanjani ukopha kwe-postmenopausal?
• I-ultrasound yangaphambilini
• I-Hysteroscopy
• Ukwelashwa kwe-postmenopausal kwelashwa kanjani?
• Ukuvimbela
• Ongakwenza
  
• Uyini umbono wokuphuma kwegazi nge-postmenopausal?

Kuyini ukopha nge-postmenopausal?

Ukopha kwe-Postmenopausal kwenzeka esithweni sangasese sowesifazane ngemuva kokuthi eye esikhathini. Uma umuntu wesifazane esehambe izinyanga eziyi-12 ngaphandle kokuya esikhathini, uthathwa njengowokuya esikhathini.

Ukuze kukhishwe izinkinga ezinkulu zezokwelapha, abesifazane abane-postmenopausal ukopha kufanele njalo babonane nodokotela.

Kuyini ukopha esithweni sangasese?

Ukopha kwesitho sangasese sangasese kungaba nezimbangela ezahlukahlukene. Lokhu kufaka phakathi imijikelezo ejwayelekile yokuya esikhathini kanye nokopha ngemuva kokuya esikhathini. Ezinye izimbangela zokuphuma kwegazi esithweni sangasese zifaka:

• ukuhlukumezeka noma ukuhlaselwa
• umdlavuza wesibeletho
• izifo, kufaka phakathi izifo zomgudu womchamo

Uma uhlangabezana nokuphuma kwegazi esithweni sangasese futhi une-postmenopausal, udokotela wakho uzokubuza ngobude begazi, inani legazi, noma yibuphi ubuhlungu obengeziwe, noma ezinye izimpawu ezingaba ezifanele.

Ngoba ukuphuma kwegazi ngokungajwayelekile kungaba uphawu lomdlavuza womlomo wesibeletho, wesibeletho, noma we-endometrium, kufanele uthole noma yikuphi ukopha okungavamile okuhlolwa ngudokotela.

Yini ebangela ukuphuma kwegazi ngemuva kokuya esikhathini?

Ukopha kungenzeka kwabesifazane be-postmenopausal ngezizathu eziningana. Isibonelo, abesifazane abathatha ukwelashwa okubuyisela ama-hormone bangaba nokopha kwesitho sangasese sowesifazane izinyanga ezimbalwa ngemuva kokuqala ama-hormone. Kungenzeka futhi ngowesifazane obecabanga ukuthi usesikhathini sokuya esikhathini aqale ukuphuma ngamaqanda. Uma lokhu kwenzeka, ukuphuma kwegazi nakho kungenzeka.

Kunezinye izimo ezahlukahlukene ezingadala ukopha kwe-postmenopausal.

Ezinye izimbangela ezijwayelekile zifaka phakathi: ama-polyps, i-endometrial hyperplasia, ne-endometrial atrophy.

Ama-polyp wesibeletho

Ama-polyps wesibeletho ukukhula okungekho komdlavuza. Yize enobungozi, amanye ama-polyps angagcina esengumdlavuza. Uphawu kuphela kweziguli ezinama-polyps oluzobhekana nalo ukuphuma kwegazi ngokungajwayelekile.

Ama-polyps wesibeletho ajwayelekile ikakhulukazi kwabesifazane asebedlule esikhathini. Kodwa-ke, abesifazane abasebancane nabo bangabathola.

I-endometrial hyperplasia

I-endometrial hyperplasia ukuqina kwe-endometrium. Kuyimbangela engaba khona yokopha kwe-postmenopausal. Kuvame ukubangelwa lapho kunokuningi kwe-estrogen ngaphandle kweprogesterone eyanele. Kwenzeka kaningi kwabesifazane ngemuva kokunqamuka kokuya esikhathini.

Ukusetshenziswa kwesikhathi eside kwe-estrogen kungaholela engcupheni eyandayo ye-endometrial hyperplasia. Kungagcina kuholele kumdlavuza wesibeletho uma ungelashwa.

Umdlavuza we-Endometrial

Umdlavuza we-Endometrial uqala esibelethweni. I-endometrium ungqimba lwesibeletho. Ngaphezu kokuphuma kwegazi ngokungajwayelekile, iziguli zingathola ubuhlungu be-pelvic.

Lesi simo sivame ukutholakala kusenesikhathi. Kubangela ukopha okungavamile, okubonwa kalula. Isibeletho singasuswa ukwelapha umdlavuza ezimweni eziningi. Mayelana nabesifazane abane-postmenopausal ukopha banomdlavuza we-endometrial.

I-endometrial atrophy

Lesi simo siholela ekutheni ulwelwesi lwe-endometriamu lube mncane kakhulu. Kungenzeka kwabesifazane be-postmenopausal. Njengoba ulwelwesi luceka, ukuphuma kwegazi kungenzeka.

Umdlavuza wesibeletho

Ukopha ngemuva kokunqamuka kokuya esikhathini ngokuvamile akunangozi. Kodwa-ke, futhi kungaba uphawu olungajwayelekile lomdlavuza womlomo wesibeletho. Umdlavuza wesibeletho uvame ukukhula kancane.Odokotela kwesinye isikhathi bangawabona la maseli ngesikhathi sokuhlolwa okujwayelekile.

Ukuhambela minyaka yonke kudokotela wezifo zabesifazane kungasiza ekutholeni kusenesikhathi kanye nasekuvikeleni umdlavuza wesibeletho. Lokhu kungenziwa ngokuqapha ama-Pap smear angajwayelekile.

Ezinye izimpawu zomdlavuza womlomo wesibeletho zingabandakanya ubuhlungu ngesikhathi socansi noma ukukhishwa okungavamile kwesitho sangasese sowesifazane, kufaka phakathi abesifazane abase-postmenopausal.

Izimpawu zokopha kwe-postmenopausal

Abesifazane abaningi abathola ukuphuma kwegazi ngemuva kwe-postmenopausal kungenzeka bangabi nezinye izimpawu. Kepha izimpawu zingaba khona. Lokhu kungancika embangela yokopha.

Izimpawu eziningi ezenzeka ngesikhathi sokuya esikhathini, njengokushisa okushisayo, zivame ukuqala ukwehla ngesikhathi se-postmenopausal. Kunezinye, noma kunjalo, ezinye izimpawu abesifazane abangemva kokuya esikhathini abangahlangabezana nazo.

Izimpawu ze-postmenopausal abesifazane abangazithola zihlanganisa:

• ukoma kwesitho sangasese sowesifazane
• kwehle i-libido
• ukuqwasha
• ukungakwazi ukucindezeleka
• ukwanda kwezifo zomgudu womchamo
• ukuzuza kwesisindo

Kutholakala kanjani ukopha kwe-postmenopausal?

Udokotela angenza ukuhlolwa ngokomzimba kanye nokuhlaziywa komlando wezokwelapha. Bangase futhi benze iPap smear njengengxenye yokuhlolwa kwe-pelvic. Lokhu kungahlola umdlavuza wesibeletho.

Odokotela bangasebenzisa ezinye izinqubo ukubuka ingaphakathi lesitho sangasese sowesifazane nesibeletho.

I-ultrasound yangaphambilini

Le nqubo ivumela odokotela ukuthi babheke ama-ovaries, isibeletho, nomlomo wesibeletho. Kule nqubo, uchwepheshe ufaka uphenyo esithweni sangasese, noma acele isiguli ukuthi sizifakele sona.

I-Hysteroscopy

Le nqubo ikhombisa izicubu ze-endometrium. Udokotela ufaka isikwele se-fiber optic esithweni sangasese kanye nomlomo wesibeletho. Udokotela ube esepompa igesi yesikhutha esikhaleni. Lokhu kusiza ukukhulisa isibeletho futhi kwenza isibeletho sibonakale kalula.

Ukwelashwa kwe-postmenopausal kwelashwa kanjani?

Ukwelashwa kuncike embangela yokopha, ukuthi ukuphuma kwegazi kusinda yini, futhi uma kunezimpawu ezengeziwe. Kwezinye izimo, ukuphuma kwegazi kungadinga ukwelashwa. Kwezinye izimo lapho umdlavuza ukhishwe ngaphandle, ukwelashwa kungafaka okulandelayo:

• Okhilimu be-Estrogen: Udokotela wakho angakunikeza ukhilimu we-estrogen uma ukuphuma kwegazi kungenxa yokuncipha kanye ne-atrophy yezicubu zakho zangasese.
• Ukususwa kwe-polyp: Ukususwa kwe-polyp kuyindlela yokuhlinzwa.
• I-Progestin: I-Progestin iyindlela yokwelashwa esikhundleni se-hormone. Udokotela wakho angayincoma uma izicubu zakho ze-endometrial zikhule ngokweqile. Iprogestin inganciphisa ukwanda kwezicubu futhi inciphise ukopha.
• I-Hysterectomy: Ukopha okungalashwa ngezindlela ezingezinhle kakhulu kungadinga i-hysterectomy. Ngesikhathi se-hysterectomy, udokotela wakho uzosusa isibeletho sesiguli. Inqubo ingenziwa nge-laparoscopically noma ngokuhlinzwa okuvamile kwesisu.

Uma ukopha kungenxa yomdlavuza, ukwelashwa kuzoya ngohlobo lomdlavuza nesigaba sawo. Ukwelashwa okuvamile komdlavuza we-endometrial noma womlomo wesibeletho kubandakanya ukuhlinzwa, ukwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe.

Ukuvimbela

Ukopha kwe-Postmenopausal kungaba yingozi noma kungaba ngumphumela wesimo esibi kakhulu njengomdlavuza. Yize ungeke ukwazi ukuvimbela ukopha okungavamile kwesitho sangasese sowesifazane, ungafuna usizo ngokushesha ukuze uthole uhlelo lokuxilongwa nokwelashwa olukhona, noma ngabe kubangelwa yini. Lapho umdlavuza utholakala kusenesikhathi, amathuba okusinda aphezulu. Ukuvimbela ukuphuma kwegazi okungajwayelekile kwe-postmenopausal, isu elihle kakhulu ukunciphisa izinto zakho zobungozi ezimweni ezingazibangela.

Ongakwenza

• Phatha i-endometrial atrophy kusenesikhathi ukuze uyivimbele ukuthi ingakhuli ibe ngumdlavuza.
• Vakashela udokotela wezifo zabesifazane ukuze uhlolwe njalo. Lokhu kungasiza ukuthola izimo ngaphambi kokuba zibe nenkinga enkulu noma kubangele ukuphuma kwegazi ngemuva kokuya esikhathini
• Gcina isisindo esinempilo, ulandela ukudla okunempilo nokuzivocavoca umzimba njalo. Lokhu kukodwa kungavimbela izinkinga nezimo ezahlukahlukene kuwo wonke umzimba.
• Uma udokotela wakho ekuncoma, cabanga ngokwelashwa kwe-hormone esikhundleni. Lokhu kungasiza ukuvimbela umdlavuza we-endometrium. Kukhona okubi, noma kunjalo, okufanele uxoxe nodokotela wakho.

Uyini umbono wokuphuma kwegazi nge-postmenopausal?

Ukopha kwe-Postmenopausal kuvame ukwelashwa ngempumelelo. Uma ukuphuma kwakho kwegazi kungenxa yomdlavuza, umbono uya ngohlobo lomdlavuza kanye nesigaba lapho utholakale khona. Izinga lokusinda leminyaka emihlanu lilinganiselwa kumaphesenti angama-82.

Akunandaba ukuthi yini imbangela yokopha, gcina indlela yokuphila enempilo futhi uqhubeke nokuhambela njalo udokotela wakho wezifo zabesifazane. Bangasiza ukuthola noma yiziphi ezinye izimo kusenesikhathi, kufaka phakathi umdlavuza.