Isibeleko polyp: yintoni, oonobangela eziphambili kunye nonyango
Umxholo
Isibeleko sesibeleko kukukhula okugqithileyo kweeseli kudonga lwangaphakathi lwesibeleko, olubizwa ngokuba yi-endometrium, elenza iipellets ezinjengeecyst ezikhula ziye kwisibeleko, kwaye ikwabizwa ngokuba yipypyp polyp kwaye, kwimeko apho i-polyp ibonakala kwi umlomo wesibeleko, ubizwa ngokuba yipolyp endocervical.
Ngokubanzi, ii-polyps zesibeleko zihlala zixhaphakile kwabasetyhini abakwinqanaba lokuya exesheni, nangona kunjalo, banokubonakala nakwabasetyhini abancinci, kunokubangela ubunzima ekukhulelweni, okuya kuxhomekeka kubungakanani kunye nendawo ye-polyp. Funda ukuba i-uterine polyp inokuphazamisa njani ukukhulelwa.
I-polyp uterine ayisiwo umhlaza, kodwa kwezinye iimeko inokujika ibe sisilonda esibi, ngoko ke kubalulekile ukuba kuvavanywe ugqirha wezifo rhoqo emva kweenyanga ezi-6, ukubona ukuba i-polyp inyukile okanye yehlile ngobukhulu, ukuba iipolyps ezintsha okanye wanyamalala.
Izizathu ezinokubangela
Esona sizathu siphambili sokuphuhliswa kwesibeleko sesibeleko lutshintsho lwehomoni, ikakhulu i-estrogen, kwaye ke, abafazi abanengxaki yokuphazamiseka kwamadlala afana nalawo angaqhelekanga, ukuphuma kwegazi ngaphandle kwexesha lokuya exesheni okanye ukuya exesheni ixesha elide basemngciphekweni omkhulu wokukhula kwezi polyps zesibeleko.
Ezinye izinto zinokuba negalelo kuphuhliso lwee-polyps zesibeleko ezinje nge-perimenopause okanye i-postmenopause, ukutyeba kakhulu okanye ukutyeba kakhulu, uxinzelelo lwegazi okanye ukusebenzisa i-tamoxifen kunyango lomhlaza wamabele.
Ukongeza, kukho umngcipheko okhulayo wokuphucula iipolyps zesibeleko kubafazi abane-polycystic ovary syndrome, abathatha ii-estrogens ixesha elide.
Iimpawu eziphambili
Uphawu oluphambili lwe-polyp endometrial ukuphuma kwegazi ngokungaqhelekanga ngexesha lokuya esikhathini, okuhlala kuninzi. Ukongeza, ezinye iimpawu zinokuvela, ezinje:
- Ixesha elingafanelekanga lokuya esikhathini;
- Ukopha kwilungu lobufazi phakathi kwenyanga nganye;
- Ukopha kwilungu lobufazi emva konxibelelwano olusenyongweni;
- Ukopha kwilungu lobufazi emva kokuyeka ukuya exesheni;
- Iicramps ezinamandla ngexesha lokuya exesheni;
- Kunzima ukukhulelwa.
Ngokubanzi, ii-polyps ze-endocervical azibangeli zimpawu, kodwa ukopha kunokwenzeka phakathi kwamaxesha okanye emva kokulalana. Kwiimeko ezinqabileyo, ezi polyps zinokosulelwa, zibangele ukuphuma kwamanzi oku-tyheli ngenxa yobukho bolusu. Bona ezinye iimpawu zesibeleko sepolypo.
Umfazi oneempawu zesibeleko se-polyp kufuneka abonane no-gynecologist wakhe kwiimviwo, ezinje nge-pelvic ultrasound okanye i-hysteroscopy, umzekelo, ukufumanisa ingxaki kwaye uqalise unyango olufanelekileyo.
Unyango lwenziwa njani
Kwiimeko ezininzi, ii-polyps zesibeleko azidingi nyango kwaye ugqirha wamazinyo unokucebisa ngokujongwa kunye nokulandelwa rhoqo kwiinyanga ezi-6 ukubona ukuba i-polyp inyukile okanye yehlile, ngakumbi xa iipolyps zincinci kwaye umfazi engenazo iimpawu. Nangona kunjalo, ugqirha unokucebisa unyango ukuba ngaba umfazi usemngciphekweni wokuba nomhlaza wesibeleko. Funda ngendlela yokuphatha i-polyp uterine ukuthintela umhlaza.
Ezinye iziyobisi zehomoni, ezinje ngesicwangcisi esineprogesterone okanye iziyobisi eziphazamisa umqondiso wokuba ingqondo idlulisela ama-ovari ukuvelisa i-estrogen kunye neprogesterone, inokubonakaliswa ngugqirha wezifo zabasetyhini ukunciphisa ubungakanani beepolyps, kwimeko yabasetyhini abaneempawu . Nangona kunjalo, la mayeza sisisombululo sexesha elifutshane kwaye iimpawu zihlala zivela kwakhona xa unyango lumisiwe.
Kwimeko yomfazi ofuna ukukhulelwa kwaye i-polyp iyenza nzima le nkqubo, ugqirha unokwenza i-hysteroscopy yotyando equka ukufaka isixhobo kwilungu lobufazi esibelekweni, ukususa i-endometrial polyp. Fumanisa ukuba utyando lokususa i-polyp uterine lwenziwa njani.
Kwiimeko ezinzima kakhulu, apho i-polyp inganyamalali kunye neyeza, ayinakususwa nge-hysteroscopy okanye ibe yingozi, i-gynecologist inokucebisa ukuba kwenziwe utyando ukuze kususwe isibeleko.
Kwiipolyps kumlomo wesibeleko, utyando, olubizwa ngokuba yi-polypectomy, lolona nyango lufanelekileyo, olunokuthi lwenziwe kwi-ofisi kagqirha ngexesha lovavanyo lwe-gynecological, kwaye i-polyp ithunyelwa kwi-biopsy emva kokuba isusiwe.