Umlomo wesibeleko

Umxholo

• Iimpawu
• Oonobangela
• Kufunyaniswa njani?
• Inyangwa njani?
• I-endometriosis yomlomo wesibeleko xa ukhulelwe
• Iingxaki kunye neemeko ezinxulumene nazo
• Imbonakalo

Ushwankathelo

I-endometriosis yomlomo wesibeleko (EC) yimeko apho izilonda zenzeka khona ngaphandle komlomo wesibeleko sakho. Uninzi lwabasetyhini abane-endometriosis yomlomo wesibeleko abanamava. Ngenxa yoku, imeko ihlala ifunyanwa kuphela emva kovavanyo lwe-pelvic.

Ngokungafaniyo ne-endometriosis, i-endometriosis yomlomo wesibeleko inqabile kakhulu. Kuphononongo luka-2011, amabhinqa angama-33 kwabali-13,566 afunyaniswa enale meko. Kungenxa yokuba i-CE ayisoloko ibangela iimpawu kunye neempawu, ukuxilongwa kunokuba nzima.

Iimpawu

Uninzi lwabasetyhini, i-CE ayibangeli zimpawu. Unokuqala ufunde ukuba unemeko enobungozi emva kovavanyo lwe-pelvic.

Ngexesha loviwo, ugqirha wakho unokufumana izilonda ngaphandle komlomo wesibeleko. Ezi zilonda zihlala ziblowu-mnyama okanye bomvu-bomvu, kwaye zisenopha xa zichukumisekile.

Abanye abantu basetyhini banokufumana ezi mpawu:

• ukukhutshwa kwilungu lobufazi
• iintlungu zangasese
• iintlobano zesini ezibuhlungu
• ukopha emva kokwabelana ngesondo
• ukopha phakathi kwexesha
• amaxesha anzima ngokungaqhelekanga okanye ixesha elide
• amaxesha abuhlungu

Oonobangela

Akucaci ukuba yintoni ebangela i-CE, kodwa iziganeko ezithile zonyusa umngcipheko wokuphuhlisa.

Umzekelo, ukuba nenkqubo yokusika okanye yokususa izicwili zomlomo wesibeleko kwandisa umngcipheko. I-Cryotherapy, i-biopsies, iinkqubo zokukhupha i-loop, kunye neyeza zonyango zingenza umonakalo kunye nokuqhaqha umlomo wesibeleko, kwaye banokunyusa umngcipheko wokukhula okuhle.

Kuphononongo luka-2011, iipesenti ezingama-84.8 zabasetyhini abanesifo somhlaza womlomo wesibeleko babenokubelekiswa ngokwesini okanye unyango, leyo yinkqubo efuna ukukroba okanye ukukrwela umgca wesibeleko. Ezi ntlobo zeenkqubo zixhaphake kakhulu namhlanje, ngenxa yoko kunokwenzeka ukuba iimeko ze-CE ziphezulu.

Kufunyaniswa njani?

I-CE ayisoloko ibangela iimpawu. Ngenxa yeso sizathu, uninzi lwabasetyhini alunakufumanisa ukuba lunezilonda de ugqirha azifumane ngexesha lokuvavanywa kwe-pelvic. IPap smear engaqhelekanga nayo ingakwazisa wena kunye nogqirha wakho malunga naloo ngxaki.

Ukuba ugqirha wakho ubona izilonda, banokwenza iPap smear ukukhangela iziphumo ezingaqhelekanga. Ukuba iziphumo zePap aziqhelekanga, banokwenza i-colposcopy. Le nkqubo isebenzisa imicroscope ekhanyayo kwaye ivumela ugqirha ukuba awuhlolisise umlomo wesibeleko, ubufazi, kunye ne-vulva kwiimpawu zezifo okanye izilonda.

Kwiimeko ezininzi, ugqirha unokuthatha i-biopsy yesilonda kwaye avavanywe ukuqinisekisa isifo. Ukuvavanywa kweeseli phantsi kwemicroscope kunokwahlula i-CE kwezinye iimeko ezifanayo.

Ukonakala komlomo wesibeleko kwiinkqubo zangaphambili kunokwenza ukuba ukususwa kwesilonda kube nzima. Ukuba ugqirha wakho uqinisekisa ukuba izilonda zivela kwi-CE, kusenokungafuneki ukuba uzinyange kwaphela ukuba awunazo iimpawu. Ukuba unayo impawu, nangona kunjalo, unyango lunokunceda ukuyeka.

Inyangwa njani?

Abasetyhini abaninzi abane-CE abazukufuna unyango. Ukuhlolwa rhoqo kunye nolawulo lweempawu kunokwanela. Nangona kunjalo, abasetyhini abafumana iimpawu ezinje ukopha ngokungaqhelekanga okanye amaxesha anzima banokufuna unyango.

Unyango ezimbini zihlala zisetyenziselwa i-CE:

• Amandla ombane aphezulu. Le nkqubo isebenzisa umbane ukuvelisa ubushushu, obusetyenziswa kwizicwili ukususa izicwili ezingaqhelekanga.
• Ukukhululwa okukhulu kweluphu. Umtya onentambo onamandla ombane asebenza kuwo unokugqithiswa ngaphaya komlomo wesibeleko. Njengoko ihamba kunye nezicubu, isika izilonda kwaye itywinise inxeba.

Logama nje izilonda zingabangeli zimpawu okanye zintlungu, ugqirha wakho unokucebisa ukuba ungazinyangi. Ukuba iimpawu ziyaqhubeka okanye zibuhlungu, nangona kunjalo, unokufuna unyango ukuze ususe izilonda. Ngamanye amaxesha, izilonda zingabuya emva kokuba zisusiwe.

I-endometriosis yomlomo wesibeleko xa ukhulelwe

I-CE ayizukuchaphazela ithuba lomfazi lokukhulelwa. Ngamanye amaxesha, izicwili ezibomvu kumlomo wesibeleko zinokuthintela amadlozi ukuba angene esibelekweni ukuchumisa iqanda. Nangona kunjalo, oku kunqabile.

Thetha nogqirha wakho ukuba unenkxalabo yokuba ukushiya izilonda kunokuchaphazela ukuzala kwakho, okanye ukuba ukwenza inkqubo kunokunciphisa amathuba akho okukhulelwa ngokwemvelo.

Iingxaki kunye neemeko ezinxulumene nazo

I-CE ihlala ididekile kwezinye izilonda ezinobungozi okanye zomhlaza womlomo wesibeleko. Ngapha koko, enye imeko inokuchongwa ngokungazi endaweni ye-CE kuba inqabile. Uvavanyo lwe-biopsy okanye olusondeleyo lomzimba lunokwazi ukulawula ezinye iimeko ngaphandle.

Oku kubandakanya:

• ukukhula okuqinileyo kwemisipha egudileyo ekhula kumlomo wesibeleko
• ukudumba
• polyp wesibeleko
• imicu ye-fibroids engene kulayini wesibeleko
• melanoma (umhlaza wolusu)
• umhlaza womlomo wesibeleko

Ukongeza, ezinye iimeko zihlala zinxulunyaniswa ne-CE. Ezi meko zinokwenzeka ngaxeshanye kwaye zinokuba nzima ukuxilongwa.

Oku kubandakanya:

• usulelo lomntu lwe-papillomavirus (HPV)
• usulelo lwebhaktiriya
• ukuqina kwethishu yomlomo wesibeleko

Imbonakalo

I-CE inqabile, kwaye isenokungabikho koxilongo ogqirha abajonga rhoqo xa bevavanya isigulana. Uninzi lweempawu kunye neempawu zale meko zinokubangelwa zezinye iimeko, kodwa ukuxilongwa kuya kukunceda ufumane unyango oluchanekileyo.

Ukuba ufumana iimpawu ezihambelana ne-CE, yenza idinga nogqirha wakho. Ngexesha loviwo, baya kwenza uvavanyo lwe-pelvic, kunye ne-Pap smear. Ukuba izilonda zibonwa, banokuthatha isampulu yethishu kwi-biopsy.

Kubafazi abaninzi abafunyaniswe benayo le meko, unyango lubandakanya ukulawula naziphi na iimpawu zokuqhekeka, ezinjengokubona phakathi kwamaxesha, iintlungu zentlungu, kunye nentlungu ngexesha lokwabelana ngesondo. Ukuba iimpawu ziyaqhubeka ngaphandle konyango, okanye ukuba ziya zisiba mbi, ukususa izilonda kumlomo wesibeleko kunokuba yimfuneko. Ezi nkqubo ziyimpumelelo kwaye zikhuselekile. Nje ukuba izilonda zihambe, akufuneki ube nazimpawu, kwaye abantu abaninzi bahlala bengenazo izilonda iminyaka emva kotyando.