Yintoni i-Endometrial Hyperplasia kwaye inyangwa njani?

Umxholo

• Ushwankathelo
• Zeziphi iintlobo zehyperplasia ye-endometrium?
• Ndazi njani ukuba ndinayo?
• Yintoni ebangela i-endometrial hyperplasia?
• Kufunyaniswa njani?
• Inyangwa njani?
• Ngaba kunokubangela iingxaki?
• Yintoni imbonakalo?

Ushwankathelo

I-endometrial hyperplasia ibhekisa kukuqina kwe-endometrium. Olu luluhlu lweeseli ezihambelana ngaphakathi kwesibeleko sakho. Xa i-endometrium yakho iqina, inokukhokelela ekopha okungavamile.

Ngelixa imeko ingengomhlaza, ngamanye amaxesha inokuba sisandulela somhlaza wesibeleko, ke kungcono ukuba usebenze nogqirha ujonge naluphi na utshintsho.

Funda malunga neengcebiso malunga nokuba ungazibona njani iimpawu kwaye ufumane uxilongo oluchanekileyo.

Zeziphi iintlobo zehyperplasia ye-endometrium?

Zimbini iintlobo eziphambili ze-endometrial hyperplasia, kuxhomekeka ekubeni zibandakanya iiseli ezingaqhelekanga, ezaziwa ngokuba yi-atypia.

Ezi ntlobo zimbini zezi:

• I-endometriya hyperplasia ngaphandle kwe-atypia. Olu hlobo alubandakanyi iiseli ezingaqhelekanga.
• I-atypical endometrial hyperplasia. Olu hlobo luphawulwa kukugqobhoza kweeseli ezingaqhelekanga kwaye kuthathelwa ingqalelo njengengxamile. Precancerous kuthetha ukuba kukho ithuba elinokuthi lijike libe ngumhlaza wesibeleko ngaphandle konyango.

Ukwazi uhlobo lwe-endometrial hyperplasia onayo kunokukunceda uqonde ngcono umngcipheko womhlaza kwaye ukhethe olona nyango lusebenzayo.

Ndazi njani ukuba ndinayo?

Uphawu oluphambili lwe-endometrial hyperplasia yinto engavamile yokuphuma kwegazi. Kodwa injani le nto?

Oku kulandelayo kunokuba yimiqondiso ye-endometrial hyperplasia:

• Amaxesha akho aya esiba made kwaye anzima kunesiqhelo.
• Kukho iintsuku ezingaphantsi kwe-21 ukusuka kusuku lokuqala lwexesha elinye ukuya kusuku lokuqala olulandelayo.
• Ujongene nokuphuma kwegazi kwilungu lobufazi nangona sele uyekile ukuya exesheni.

Kwaye, ewe, ukopha okungaqhelekanga akuthethi ukuba une-endometrial hyperplasia. Kodwa inokuba sisiphumo senani lezinye iimeko, ke kungcono ukuba ulandele ugqirha.

Yintoni ebangela i-endometrial hyperplasia?

Umjikelo wakho wokuya exesheni uxhomekeke ikakhulu kwihomoni ye-estrogen kunye neprogesterone. I-Estrogen inceda ukukhula kweeseli kuludwe lwesibeleko. Xa kungekho kukhulelwa kwenzeka, ukwehla kwinqanaba le-progesterone kuxelela isibeleko sakho ukuba sikhuphe ulwelo lwaso. Oko kuqala ixesha lakho kwaye umjikelo uqala kwakhona.

Xa ezi hormone zimbini zilungelelanisiwe, yonke into ihamba kakuhle. Kodwa ukuba unokuninzi okanye kuncinci kakhulu, izinto zinokuphuma ngaphandle kokuvumelanisa.

Esona sizathu sixhaphakileyo se-endometriya hyperplasia ine-estrogen eninzi kwaye ayonelanga yiprogesterone. Oko kukhokelela kwisikhululo esigqithisileyo.

Kukho izizathu ezininzi onokuthi ube nokungalingani kwehomoni:

• Ufikelele exesheni. Oku kuthetha ukuba awusayi kuvumba kwaye umzimba wakho awuvelisi iprogesterone.
• Ukwi-perimenopause. I-Ovulation ayenzeki rhoqo kwakhona.
• Ungaphaya kokuyeka ukuya exesheni kwaye uthathe okanye ngoku uthatha i-estrogen (unyango olungena endaweni yehomoni).
• Unomjikelezo ongaqhelekanga, ukungachumi, okanye isifo se-ovary syndrome.
• Uthatha amayeza alinganisa i-estrogen.
• Uthathwa njengotyebileyo.

Ezinye izinto ezinokunyusa umngcipheko we-endometrial hyperplasia zibandakanya:

• ungaphezulu kweminyaka yobudala engama-35
• ukuqala ukuya exesheni usemncinci
• ukufikelela exesheni ebudaleni
• ukuba nezinye iimeko zempilo ezinje ngeswekile, isifo sedlala, okanye isifo senyongo
• ukuba nembali yosapho yesibeleko, i-ovari, okanye umhlaza wekolon

Kufunyaniswa njani?

Ukuba uxele ukopha ngokungaqhelekanga, ugqirha wakho uya kuqala ngokubuza imibuzo malunga nembali yakho yezonyango.

Ngexesha lokuqeshwa kwakho, qiniseka ukuxoxa:

• ukuba kukho ukujiya kwegazi kwaye ukuba ukuhamba kuyasinda
• ukuba ukopha kubuhlungu
• naziphi na ezinye iimpawu onokuba nazo, nokuba ucinga ukuba azidibani
• ezinye iimeko zempilo onazo
• nokuba ungakhulelwa okanye hayi
• Nokuba sele ufikelele exesheni
• nawaphi na amayeza e-hormonal owathathayo okanye owaphukileyo
• ukuba unembali yosapho yomhlaza

Ngokusekwe kwimbali yakho yonyango, baya kuqhubeka novavanyo oluthile lokuqonda isifo. Oku kunokubandakanya enye okanye indibaniselwano yoku kulandelayo:

• I-ultrasound yangaphantsi. Le nkqubo ibandakanya ukubeka isixhobo esincinci kwilungu lobufazi eliguqula amaza esandi abe yimifanekiso kwiscreen. Inokukunceda ugqirha wakho alinganise ubukhulu be-endometrium yakho kwaye ajonge isibeleko sakho kunye namaqanda.
• IHysteroscopy. Oku kubandakanya ukufaka isixhobo esincinci esinokukhanya kunye nekhamera kwisibeleko sakho ngomlomo wesibeleko ukukhangela nantoni na engaqhelekanga ngaphakathi kwesibeleko.
• Uqhaqho. Oku kubandakanya ukuthatha isampulu encinci yesibeleko sakho ukujonga naziphi na iiseli ezinomhlaza. Isampulu yethishu inokuthathwa ngexesha le-hysteroscopy, i-dilation kunye ne-curettage, okanye njengenkqubo elula ese-ofisini. Isampulu yethishu ke yona ithunyelwa kugqirha wezifo kuhlalutyo.

Inyangwa njani?

Unyango ngokubanzi lubandakanya unyango lwehomoni okanye utyando.

Izinketho zakho ziya kuxhomekeka kwizinto ezimbalwa, ezinje:

• ukuba iiseli ze-atypical zifunyenwe
• ukuba ufikelele kwinqanaba lokuyeka ukuya exesheni
• izicwangciso zokukhulelwa ezizayo
• Imbali yobuqu neyosapho yomhlaza

Ukuba une-hyperplasia elula ngaphandle kwe-atypia, ugqirha wakho unokucebisa ngokugcina iso kwiimpawu zakho. Ngamanye amaxesha, azibi mbi kwaye imeko inokuthi ihambe yodwa.

Ngaphandle koko inokunyangwa nge:

• Unyango lwehormonal. Iprogestin, uhlobo lokwenziwa kweprogesterone, iyafumaneka kwifom yepilisi kunye nenaliti okanye isixhobo sangaphakathi.
• Uhlobo lweHysterectomy. Ukuba une-atypical hyperplasia, ukususa isibeleko sakho kuya kunciphisa umngcipheko womhlaza. Ukuba nolu tyando kuthetha ukuba ngekhe ukwazi ukukhulelwa. Kungayinto elungileyo ukuba ufikelele kwinqanaba lokuyeka ukuya exesheni, ungacwangcisi ukukhulelwa, okanye ube semngciphekweni omkhulu womhlaza.

Ngaba kunokubangela iingxaki?

Umbane wesibeleko unokuqina ngokuhamba kwexesha. I-Hyperplasia ngaphandle kwe-atypia ekugqibeleni inokukhulisa iiseli ze-atypical. Eyona ngxaki iphambili ngumngcipheko wokuba iya kuqhubela phambili kumhlaza wesibeleko.

I-Atypia ithathwa njengengaphambuki. baqikelele umngcipheko wokuqhubela phambili ukusuka kwi-atypical hyperplasia ukuya kumhlaza njengama-52 eepesenti.

Yintoni imbonakalo?

I-endometrial hyperplasia ngamanye amaxesha isombulula yodwa. Kwaye ngaphandle kokuba uthathe iihomoni, ihlala ikhula kancinci.

Amaxesha amaninzi, ayisiyomhlaza kwaye iphendula kakuhle kunyango. Ukulandela kubaluleke kakhulu ukuqinisekisa ukuba i-hyperplasia ayihambeli kwiiseli ze-atypical.

Qhubeka nokuhlolwa rhoqo kwaye uqaphele ugqirha wakho kulo naluphi na utshintsho okanye iimpawu ezintsha.