Kuthetha Ukuthini ukuba noMlomo weSibeletho oShushu kwaye uphathwa njani?

Umxholo

• Ziintoni iimpawu?
• Yintoni enokubangela oku?
• Izifo ezosulela ngokwabelana ngesondo (STDs)
• I-atrophy yelungu lobufazi
• Ukungalingani kwehormonal
• Ezinye izizathu
• Kufunyaniswa njani?
• Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?
• Ngaba iingxaki zinokwenzeka?
• Umlomo wesibeleko ovuthayo xa ukhulelwe
• Umlomo wesibeleko ovuthayo kunye nomhlaza
• Yintoni imbonakalo?
• Ngaba inokuthintelwa?

Yintoni umlomo womlomo wesibeleko?

Umlomo wakho wesibeleko uyinxalenye esezantsi emile okweqanda yesibeleko sakho. Isebenza njengebhulorho phakathi kwesibeleko sakho kunye nelungu lobufazi. Igama elithi “friable” libhekisa kwizicwili ezikrazula, ezitswayayo nezopha ngokulula xa zichukumiseka.

Ukuba isicwili sakho somlomo wesibeleko siba novakalelo kakhulu kwaye sicaphuka msinya, saziwa njengomlomo wesibeleko.

Umlomo wesibeleko esothusayo uhlala uluphawu lwemeko enokuthi inyangwe.

Qhubeka ufunda ukuze ufunde ngakumbi ngeemeko ezibangela umlomo womlomo wesibeleko, ukuba ufunyaniswa njani, kunye nento onokuyilindela kunyango.

Ziintoni iimpawu?

Ukuba unomlomo wesibeleko, unokufumana:

• ukubona phakathi kwamaxesha
• ukurhawuzelelwa lilungu lobufazi, ukutshisa, okanye ukucaphuka
• ukukhutshwa okungaqhelekanga
• ukungonwabi okanye iintlungu ngexesha lokwabelana ngesondo
• ukopha emva kokwabelana ngesondo

Iimpawu ezongezelelweyo zixhomekeke kwisizathu esithile. Kubalulekile ukuba ukhumbule ukuba zonke ezi mpawu kunye neempawu zingabangelwa zizinto ezingezizo ezomlomo wesibeleko. Kwakhona, kunokwenzeka ukuba awuyi kuba naziphi na iimpawu kwaye umlomo wesibeleko onqabileyo uya kufunyanwa kuphela ngugqirha wakho ngexesha lovavanyo oluqhelekileyo lwenqatha.

Yintoni enokubangela oku?

Unobangela awunakusoloko umiselwa, kodwa zininzi izizathu onokuba unomlomo wesibeleko. Ezinye zazo zezi:

Izifo ezosulela ngokwabelana ngesondo (STDs)

I-Cervicitis, ukuvuvukala kosuleleko okanye ukungosuleli komlomo wesibeleko, kuhlala kubangelwa yi-STD. Iimpawu ze-STD ngokubanzi zibandakanya ukukhutshwa kwilungu lobufazi kunye nokopha phakathi kwamaxesha okanye emva kwesondo. Ezinye ii-STD azinazo iimpawu.

Ezinye ii-STD ezinokubangela i-cervicitis kunye nomlomo wesibeleko esibi zezi:

• I-Chlamydia: I-Chlamydia ichaphazela umlomo wesibeleko, onokuthi uyenze ithambe ngakumbi. Iimpawu zibandakanya ukukhutshwa okungaqhelekanga kunye nokuphuma kwegazi ngokulula.
• Ukuvuza ngaphantsi: I-Gonorrhea inokuchaphazela umlomo wesibeleko. Iimpawu zibandakanya ukwanda kokukhutshwa kwilungu lobufazi, imvakalelo evuthayo ngexesha lokuchama, kunye nokopha phakathi kwamaxesha.
• Iherpes: Abanye abantu basetyhini bafumana i-herpes kuphela kumlomo wesibeleko. Iimpawu zibandakanya ukukhutshwa kwilungu lobufazi, ukucaphuka kwilungu lobufazi, kunye nezilonda kumalungu esini.
• Itrichomoniasis: Esi sifunxi-gazi sichaphazela isicatshulwa esisezantsi, kubandakanya umlomo wesibeleko. Iimpawu zinokubandakanya ukungonwabi xa usabelana ngesondo, ukutshisa kunye nokukhutshwa okungaqhelekanga.

I-atrophy yelungu lobufazi

I-atrophy yelungu lobufazi yenzeka xa ulusu lwakho lobufazi luqala ukuncipha kwaye luyancipha.Ekugqibeleni, ibhinqa lingancipha kwaye lifutshane. Oku kunokwenza ukuba neentlobano zesini kube buhlungu, okanye kufutshane kungenzeki.

I-atrophy ye-vaginal inokukhokelela kwiingxaki zomchamo, kubandakanya usulelo lwe-urinary tract (UTIs) kunye nokunyuka kwexesha lokuchama. I-atrophy yelungu lobufazi ihlala ibangelwa kukungalingani kwehomoni.

Ukungalingani kwehormonal

Ezona hormone zintokazi zi-estrogen kunye neprogesterone, eziveliswa ikakhulu kwii-ovari. I-Estrogen ibaluleke kakhulu ekugcineni impilo yelungu lobufazi.

Ezinye zezinto ezinokubangela ukuhla kwehomoni okanye ukwehla kwe-estrogen zezi:

• ukukhulelwa
• ukuzala
• ukuncancisa
• ukususwa ngotyando lwamaqanda
• ixesha lokuphela kwexesha kunye nokuyeka ukuya exesheni
• amayeza athile kunye nonyango lomhlaza

I-estrogen esezantsi inokubangela:

• ukoma kwilungu lobufazi
• ukuncipha kwezicubu zelungu lobufazi
• ukudumba kwilungu lobufazi
• Ukucaphuka nokungonwabi, ngakumbi ngexesha nasemva komsebenzi wesondo

Ezinye iimpawu ze-estrogen ephantsi zezi:

• ukuhamba kweemvakalelo
• iingxaki ngememori kunye noxinzelelo
• kushushu kwaye kubila ebusuku
• unxunguphalo kunye noxinzelelo
• ukuphoswa lixesha lokuya exesheni
• isikhumba esomileyo
• ukuchama rhoqo okanye ukungahambi kakuhle komchamo

Ezinye izizathu

Umlomo womlomo wesibeleko unokubangelwa ngu:

• I-ectropion yomlomo wesibeleko: Le yimeko apho iiseli glandular ezivela ngaphakathi kumjelo womlomo wesibeleko zisasazeka kumphezulu wangaphandle womlomo wesibeleko. Ukongeza ukopha ngokulula, unokubona ukukhutshwa okungaphezulu kwesiqhelo. Ukopha kunye nentlungu ngexesha lokwabelana ngesondo okanye uvavanyo lwe-pelvic kunokwenzeka.
• Iipolyps zomlomo wesibeleko: Ezi zihlala zingenamhlaza. Ngaphandle kokopha kancinci kunye nokukhutshwa, iipolyps ngokubanzi azibangeli zimpawu.
• Isibeleko se-intraepithelial neoplasia (CIN): Oku kukukhula kwangaphambili kweeseli ezingaqhelekanga ezihlala zenzeka emva kokosulelwa yintsholongwane ye-papilloma virus (HPV). Ayisoloko ibangela iimpawu kwaye ihlala ifunyanwa kuvavanyo oluqhelekileyo lwePap.

Kufunyaniswa njani?

Ugqirha wakho uya kuqala ngoviwo olupheleleyo lwe-pelvic ukukhangela izilonda okanye ezinye izinto ezingaqhelekanga ezinokubonwa okanye zive.

Ugqirha wakho uza kuqala ngovavanyo lwePap (iPap smear) ukujonga ukungaqheleki kweeseli zomlomo wesibeleko. Uvavanyo lwePap lubandakanya i-swab elula yomlomo wesibeleko ngexesha lovavanyo lwe-pelvic. Iziphumo zingabonisa imeko echanekileyo okanye umhlaza womlomo wesibeleko.

Ngokuxhomekeke kwinto efunyenweyo kunye naziphi iimpawu onazo, ugqirha wakho unokucebisa:

• A icolposcopy, oluvavanyo lomlomo wesibeleko kusetyenziswa isixhobo sombane esikhanyisiweyo esibizwa ngokuba yicolposcope. Kungenziwa kanye kwiofisi kagqirha wakho.
• A ingcaciso saso nasiphi na isilonda esikrokrisayo sokujonga umhlaza. Izicubu zinokuthathwa ngexesha le-colposcopy.
• Uvavanyo lwe-STD, ngesiqhelo kuvavanyo lwegazi kunye nomchamo.
• Ukuvavanywa kwenqanaba leHormone, ngesiqhelo kuvavanyo lwegazi.

Zeziphi iindlela zonyango ezikhoyo onokukhetha kuzo?

Ugqirha wakho uya kufuna ukufumana unobangela ngaphambi kokwenza ingcebiso. Ukunyanga imeko ekuyo kungasombulula iimpawu zakho.

Okwangoku, buza ukuba ungazisebenzisa na izinto zokuthambisa okanye iikhrim ukuze uzenze ukhululeke.

I-Chlamydia Unyangeka ngamayeza okubulala iintsholongwane. Ukuvuza ngaphantsi sinokunyangeka ngamayeza, nangona esi sifo sinokubangela umonakalo ongapheliyo. Akukho lunyango iherpes, kodwa ngonyango, unokunciphisa iimpawu kunye nokuphindaphinda kwezifo. Itrichomoniasis Unokuphathwa ngamayeza.

Kuba idlala lobufazi kwaye Ukungalingani kwehomoni, ugqirha wakho unokucebisa i-lotions kunye neoyile ezinokunciphisa ukoma. Ungasebenzisa kwakhona i-dilator, enceda ukwandisa kancinci ubufazi, ukwenza kube lula ukuba neentlobano zesini ngaphandle kwentlungu. Unyango lwe-hormone engxamisekileyo okanye yomlomo inokuthomalalisa iimpawu, yenze izicwili zomlomo wesibeleko kunye nelungu lobufazi, kwaye ibuyisele ibhalansi yebacteria kunye neasidi.

I-ectropion yomlomo wesibeleko inokuzicacisa yodwa, kodwa indawo inokukhutshelwa ngaphandle xa kukho imfuneko.

Iipolyps zomlomo wesibeleko kwaye CIN ingasuswa ngexesha le-colposcopy. Izicubu ziya kuthi emva koko zithunyelwe elebhu ukuvavanyelwa umhlaza.

Ukuba umlomo wakho womlomo wesibeleko ubangelwa ngamayeza okanye unyango lomhlaza, kuya kufuneka kucace xa unyango lwakho lugqityiwe.

Ngaba iingxaki zinokwenzeka?

Umlomo wesibeleko onqabileyo awubangeli naziphi na iingxaki ezinzima. Kodwa ukuba awunyangwa ngenxa ye-cervicitis kunye nee-STD ezithile, usulelo lunokusasazeka kwisibeleko sakho okanye kwimibhobho yesibeleko. Oku kunokukhokelela kwisifo sokudumba kwepelevic (PID).

Ukuba ishiywe inganyangwa, i-CIN ekugqibeleni inokukhula ibe ngumhlaza womlomo wesibeleko.

Umlomo wesibeleko ovuthayo xa ukhulelwe

Ukukhulelwa kubangela utshintsho kumanqanaba eehomoni, ngenxa yoko kunokwenzeka ukuba uphuhlise umlomo wesibeleko ekukhulelweni. Ukubala okanye ukuphuma kwegazi ngexesha lokukhulelwa kufuneka kuthathwe nzulu.

Ugqirha wakho uya kujonga iimpawu zosulelo lomlomo wesibeleko, umlomo wesibeleko odumbileyo, okanye ukukhula kumlomo wesibeleko.

Umlomo wesibeleko sodwa awubeki esichengeni ukukhulelwa kwakho. Kodwa ugqirha wakho uya kufuna ukujonga izicubu ezibuthathaka zomlomo wesibeleko, imeko ebizwa ngokuba kukungakwazi komlomo wesibeleko (umlomo wesibeleko).

Le meko inokubangela ukuba umlomo wesibeleko uvule ngokukhawuleza, okukhokelela ekuhanjisweni kwangaphambi kwexesha. I-ultrasound inokukunceda ukuba ngaba kunjalo. Ukungabikho komlomo wesibeleko kunokunyangwa ngamayeza.

Umlomo wesibeleko ovuthayo kunye nomhlaza

Umlomo wesibeleko ovuthayo unokubangela iintlungu ngexesha lokwabelana ngesondo, ukopha emva kokwabelana ngesondo, kunye nokubona phakathi kwamaxesha. Nangona oku kunokuba ngenxa yosulelo, ukungalingani kwehomoni, okanye enye imeko, oku kunokuba ziimpawu zomhlaza womlomo wesibeleko. Kungenxa yoko le nto kubaluleke kakhulu ukubona ugqirha wakho ngaphandle kokulibazisa.

Ukuvavanywa komhlaza womlomo wesibeleko kunokubandakanya:

• Uvavanyo lwePap
• icolposcopy
• I-biopsy yomlomo wesibeleko

Unyango lomhlaza womlomo wesibeleko luxhomekeke kwinqanaba lokuchongwa kwaye linokubandakanya:

• utyando
• ichemotherapy
• unyango lwemitha
• unyango ekujoliswe kulo

Yintoni imbonakalo?

Ngamanye amaxesha, umlomo wesibeleko esinokukhubazeka unokuzicoca wedwa, ngaphandle konyango.

Imbonakalo yakho igqitywe ngunobangela kunye nonyango olufumanekayo. Ngokuthatha yonke iprofayili yezempilo uyithathele ingqalelo, ugqirha wakho uya kuba nakho ukukunika umbono wokuba ungalindela ntoni.

Buza ugqirha wakho malunga nokuba uza kulandelela nini kwaye kangaphi.

Ngaba inokuthintelwa?

Umlomo wesibeleko esidlakadlaka udla ngokuba luphawu losulelo okanye enye imeko. Nangona kungekho thintelo oluthile kuyo, ungawanciphisa amathuba akho okuphuhlisa ezinye zeemeko ezikhokelela kumlomo wesibeleko.

Umzekelo, ukunciphisa amathuba akho okufumana i-STD ngokusebenzisa iikhondom kunye nokuziqhelanisa nokuba neqabane elinye.

Ukuba unentlungu okanye ukopha ngexesha okanye emva kokwabelana ngesondo, jonga ugqirha wakho. Unyango kwangoko losulelo kunye nee-STD zinokuthintela iingxaki zePID.

Kwaye qiniseka ukubona ugqirha wakho okanye ugqirha wamazinyo ekuvavanyeni rhoqo.