Naluphi na utshintsho olungaqhelekanga oluvelayo kwisibeleko, esiyinxalenye esezantsi yesibeleko ebizwa ngokuba ngumhlaza womlomo wesibeleko. Luqheleke kakhulu kubasetyhini kwaye lubangelwa yintsholongwane ye-HPV. Malunga nama-660,000 abasetyhini afumana umhlaza womlomo wesibeleko, kwaye izinga lokufa liyanda kwihlabathi liphela. Kwinqanaba lokuqala, lunokunyangelwa ngeendlela ezibanzi ezifana nokuhlolwa, ukunyangwa, njl. Unyango lomhlaza womlomo wesibeleko olungcono lunokunceda abafazi ukuba baphile ubomi obusemgangathweni.
Iintlobo zoMhlaza woMlomo weSibeleko
Ikwahlulwe kwiintlobo ezilandelayo ezixhomekeke kwimbonakalo yayo.
- I-Squamous Cell Carcinomas: Kwenzeka ngenxa yokuveliswa okugqithisileyo kweeseli ze-squamous, eziqala kwinwebu yomlomo wesibeleko.
- Adenocarcinomas: Zenzeka loo madlala avelisa amafinyila.
- I-Carcinomas edibeneyo: Ibandakanya iintlobo ezimbini ze-histotypes okt, i-squamous cell carcinomas kunye ne-adenocarcinomas.
Izinto ezibangela uMhlaza woMlomo weSibeleko
Ixhaphakile kwizigulane ezine-HIV kunabasetyhini abangenayo i-HIV.
- Abo bantu babelana ngesondo kwaye babandakanyeke namaqabane amaninzi ngesondo omnye bosulelwa yi-Human Papillomavirus. Iintlobo zayo ezinobungozi zibangela utshintsho olungaqhelekanga kumlomo wesibeleko.
- Umntu onesistim somzimba esibuthathaka angafumana lo mhlaza. Kungenxa yokuba usulelo lwe-HIV luwenza buthathaka amajoni omzimba.
- Utshintsho kwiDNA
- Ukusetyenziswa kweepilisi zokuthintela ukukhulelwa
- Ukuzala abantwana abaninzi
- ukutshaya
- Ukuhlafuna icuba
- Ukusetyenziswa kotywala
Iimpawu zomhlaza womlomo wesibeleko
Iimpawu zayo azifumaneki kwisigaba sokuqala. Nangona kunjalo, nazi ezinye iimpawu zenqanaba lokuqala kunye nomhlaza ophambili:
- Ukopha kakhulu ngexesha lokuya exesheni okuhlala ixesha elide.
- Iintlungu ze-pelvic kunye nokungakhululeki
- Ukudumba kwemilenze
- Ubuhlungu ngexesha lokwabelana ngesondo
- Ukukhutshwa okungaqhelekanga kwilungu lobufazi kubandakanya igazi elinevumba elibi.
- Intlungu zesisu
- Ukuhamba kwamathumbu okubuhlungu
- Ubunzima bokukhupha umchamo
Ungafunyaniswa njani uMhlaza woMlomo weSibeleko?
Olunye uvavanyo lwakwangoko kufuneka lwenziwe ukuxilonga nonyango ngokukhawuleza.
- Biopsy
- Uhlolo loqobo
- I-MRI kunye ne-PET-CT scan
- Colposcopy
- Ipap smear
Iinketho zoNyango loMhlaza woMlomo weSibeleko
Kukho izinto ezithile ekufuneka ziqwalaselwe phambi kokuqala unyango. Njengamanqanaba, ubudala, impilo, isicwangciso sonyango esisebenzayo, njl.
Amanqanaba oMhlaza woMlomo weSibeleko
- Inqanaba I: Iiseli zomhlaza okanye iithishu zifumaneka kumlomo wesibeleko kuphela.
- Inqanaba II: Kule nqanaba, isasazeka ngaphaya kobuso bomlomo wesibeleko, echaphazela izicubu ezijikeleze isibeleko.
- Inqanaba III: Kwinqanaba lesithathu, lifikelela eludongeni lwe-pelvic, olubandakanya i-lymph nodes.
- Isigaba IV: Linqanaba lesine lomhlaza womlomo wesibeleko apho ukhula ngendlela engalawulekiyo ngaphaya kwe-pelvis. Isasazeka ngokukhawuleza kwisinyi okanye kwi-rectum nakwamanye amalungu omzimba.
Iindidi zonyango loMhlaza woMlomo weSibeleko
Kukho iintlobo ngeentlobo zonyango ezinokuthi zisetyenziswe ukunyanga umhlaza womlomo wesibeleko, ezi zilandelayo:
Utyando lweyeza
Kolu nyango lwemitha, imitha ephezulu yemitha yemitha isetyenziselwa ukubulala iiseli ezinomhlaza.
- Unyango lwangaphakathi ngemitha: Into eqhuma ngeradioactive ipakishwa kwizixhobo ezifana neecatheter, iinaliti njl.njl., zibekwe kwindawo enomhlaza kwilungu lobufazi okanye lomlomo wesibeleko.
- Unyango lwangaphandle lokusasazeka: Lunyango lwemitha ye-3-D ye-IMRT esetyenziselwa ukubonelela ngemitha yangaphandle evela ngaphandle komzimba ukuya kwindawo yethumba ngaphandle kokonakalisa ezinye izihlunu ezisempilweni.
Ukuhlinzwa
Kuthathwa njengonyango olungundoqo ukuba umhlaza womlomo wesibeleko ufunyaniswa kwangethuba. Kukho iintlobo ezahlukeneyo zotyando:
- I-Hysterectomy: Utyando lwe-Hysterectomy lwenziwa ngelungu lobufazi apho kufuneka utyando. Kule lungu lobufazi, umlomo wesibeleko, iityhubhu zefallopian, isinyi, irectum kunye neendawo ezichaphazeleka ngumhlaza.
- Utyando: In ikhowudi, kusetyenziswa iprobe yentsimbi ebandayo ethi ifakwe kumlomo wesibeleko ukuze itshabalalise okanye yonakalise iiseli ezinomhlaza ngokuzikhenkceza.
- Ukudibanisa: Ukuhlanganiswa komlomo wesibeleko i-cone biopsy apho iqhekeza le-cone-shaped of tissue lisuswa kumlomo wesibeleko ngokusebenzisa i-scalpel (i-cold knife conization). Iluncedo ekususeni umhlaza wokuqala kunye nomhlaza wangaphambili.
Unyango ekujoliswe kulo
Koku, amayeza athile asetyenziselwa ukujolisa kwiprotheyini ethile kunye nee-enzymes ezinoxanduva lokukhuthaza ukukhula kweeseli ezinomhlaza.
Chemotherapy
Amayeza eekhemikhali athathwa ngomlomo okanye ngemithambo, nto leyo enceda ekumiseni ukukhula kweeseli okanye izicubu ezinomhlaza. Ngamanye amaxesha, i-chemotherapy inikwa kunye nezinye iintlobo zonyango ukuze ifumane isiphumo sayo esiphezulu.
immunotherapy
La mayeza anceda amajoni omzimba ukuba abone iiseli ezinomhlaza kwaye azitshabalalise ekugqibeleni. Inceda amajoni omzimba ukuba alwe nomhlaza. Kukho ukusebenza kakuhle kwamayeza e-immunotherapy, njengePembrolizumab.
Ungathintelwa Njani Umhlaza Womlomo Wesibeleko?
Amanye amanyathelo kufuneka athathwe ukunciphisa umngcipheko womhlaza womlomo wesibeleko:
- Uvavanyo lokuhlola
- Ugonyo lweHPV
- Ukuthatha amanyathelo okhuseleko ngelixa usabelana ngesondo
- Yeka ukutshaya, icuba notywala
Uvavanyo lweZliniki
Uvavanyo lwezonyango luphando olunempembelelo enkulu ekuphuculeni unyango lwamva nje. Uphando olwahlukeneyo lwenziwa ngokusekelwe kuhlobo lomhlaza , ubudala bomguli, njl. Uphando lwalo lubonisa ukuba unyango luyasebenza kwaye lukhuselekile okanye akunjalo.
Ukhathalelo Lolandelelo Ngexesha Nasemva Konyango
Kubaluleke kakhulu ukuba isigulana silandele ukuxilongwa rhoqo kunye novavanyo kuba kubalulekile ukufumanisa isifo, inqanaba laso kunye nendlela amayeza asebenza ngayo. Kuya kunceda nokwazi malunga notshintsho kunye neempawu zokuphinda uhlazeke umhlaza womlomo wesibeleko.
