Noma yiziphi izinguquko ezingavamile zenzeka emlonyeni wesibeletho, okuyingxenye engezansi yesibeletho ebizwa ngokuthi umdlavuza womlomo wesibeletho. Kuvame kakhulu kwabesifazane futhi kubangelwa igciwane le-HPV. Babalelwa ku-660,000 abesifazane abanomdlavuza womlomo wesibeletho, futhi izinga lokufa liyakhula emhlabeni wonke. Esikhathini sokuqala, singelashwa ngezindlela ezibanzi njengokuhlola, ukwelapha, njll. Umlomo wesibeletho ongcono kakhulu. ukwelashwa komdlavuza kungasiza abesifazane ukuba baphile izinga elihle lempilo.
Izinhlobo Zomdlavuza Womlomo wesibeletho
Ihlukaniswe yaba izinhlobo ezilandelayo ezincike ekubukekeni kwayo.
- I-Squamous Cell Carcinomas: Kwenzeka ngenxa yokukhiqizwa ngokweqile kwamaseli e-squamous, aqala olwelweni lomlomo wesibeletho.
- I-Adenocarcinoma: Zenzeka lezo zindlala ezikhiqiza amafinyila.
- I-Carcinomas Ehlanganisiwe: Ihlanganisa izinhlobo ezimbili ze-histotypes okungukuthi, i-squamous cell carcinomas kanye ne-adenocarcinomas.
Izimbangela Zomdlavuza Womlomo wesibeletho
Kuvamile ezigulini ezine-HIV kunabesifazane abangenalo i-HIV.
- Labo bantu abenza ucansi futhi abahlanganyele ocansini abangaphezu koyedwa bangenwa yi-Human Papillomavirus. Izinhlobo zayo eziyingozi zidala izinguquko ezingavamile emlonyeni wesibeletho.
- Umuntu onamasosha omzimba abuthakathaka angaba nalo mdlavuza. Kungenxa yokuthi ukutheleleka nge-HIV kwenza amasosha omzimba abe buthaka.
- Ukuguqulwa kwe-DNA
- Ukusetshenziswa kwamaphilisi okuvimbela inzalo
- Ukuzala izingane eziningi
- Ukubhema
- Ugwayi ohlafunwayo
- Ukusetshenziswa kotshwala
Izimpawu Zomdlavuza Wesibeletho
Izimpawu zayo azitholakali ekuqaleni. Kodwa-ke, nazi ezinye izimpawu zomdlavuza osaqala futhi othuthukile:
- Ukopha kakhulu ngesikhathi sokuya esikhathini okuhlala isikhathi eside.
- Ubuhlungu be-pelvic nokungakhululeki
- Ukuvuvukala kwemilenze
- Ubuhlungu ngesikhathi socansi
- Ukukhishwa okungajwayelekile kwesitho sangasese sowesifazane kuhlanganisa igazi elinephunga elibi.
- Ubuhlungu besisu
- Ukuphuma kwamathumbu okubuhlungu
- Ubunzima bokukhipha umchamo
Ungatholakala Kanjani Umdlavuza Womlomo Wesibeletho?
Okunye ukuhlolwa kusenesikhathi kufanele kwenziwe ukuze kuxilongwe futhi kwelashwe ngokushesha.
- Biopsy
- Ukuhlolwa komzimba
- I-MRI ne-PET-CT scan
- I-Colposcopy
- I-Pap smear
Izinketho Zokwelashwa Komdlavuza Womlomo wesibeletho
Kunezinto ezithile okufanele zicatshangelwe ngaphambi kokuqala ukwelashwa. Njengezigaba, ubudala, impilo, uhlelo lokwelapha olusebenzayo, njll.
Izigaba Zomdlavuza Womlomo wesibeletho
- Isigaba I: Amaseli noma izicubu ezinomdlavuza zitholakala emlonyeni wesibeletho kuphela.
- Isigaba II: Kulesi sigaba, isakazeka ngaphesheya komlomo wesibeletho, okuthinta izicubu ezizungeze isibeletho.
- Isigaba III: Esigabeni sesithathu, ifinyelela odongeni lwe-pelvic, oluhlanganisa nama-lymph nodes.
- Isigaba IV: Yisigaba sesine somdlavuza womlomo wesibeletho lapho uvela khona ngendlela engalawuleki ngale kwe-pelvis. Isakazeka ngokushesha esinyeni noma i-rectum nakwezinye izingxenye zomzimba.
Izinhlobo Zokwelapha Umdlavuza Womlomo Wesibeletho
Kunezinhlobo ezahlukene zokwelapha ezingasetshenziswa ukwelapha umdlavuza womlomo wesibeletho, lezi zilandelayo:
I-Radiation Therapy
Kulokhu kwelashwa ngemisebe, kusetshenziswa imisebe ephezulu yemisebe ukuze kubulawe amangqamuzana anomdlavuza.
- I-Internal Radiation Therapy: Umuthi okhipha imisebe upakishwa kumathuluzi afana nama-catheter, izinaliti njll., abekwe endaweni enomdlavuza esithweni sangasese sowesifazane noma somlomo wesibeletho.
- Ukwelashwa Kwemisebe Yangaphandle: Ukwelapha ngemisebe ye-3-D ye-IMRT esetshenziselwa ukuhlinzeka ngemisebe yangaphandle esuka ngaphandle komzimba iye endaweni yesimila ngaphandle kokulimaza ezinye izicubu ezinempilo.
Ukuhlinzwa
Kuthathwa njengokwelashwa okuyinhloko uma umdlavuza womlomo wesibeletho utholakala kusenesikhathi. Kunezinhlobo ezahlukene zokuhlinzwa:
- I-Hysterectomy: Ukuhlinzwa kwe-Hysterectomy kwenziwa ngesitho sangasese sowesifazane lapho kudingeka khona ukuhlinzwa. Kulesi sitho sangasese sowesifazane, isibeletho, amashubhu e-fallopian, esinyeni, i-rectum kanye nezindawo izicubu ezithintekayo umdlavuza.
- I-Cryosurgery: In ukukhala, kusetshenziswa i-cold metal probe efakwa emlonyeni wesibeletho ukuze kucekelwe noma kulimaze amangqamuzana anomdlavuza ngokuwaqanda.
- I-Conization: Ukuhlangana komlomo wesibeletho i-cone biopsy lapho ucezu lwesicubu olumise okwekhoni lukhishwa emlonyeni wesibeletho kusetshenziswa i-scalpel (i-cold knife conization). Kuwusizo ekususeni umdlavuza wangaphambi kwesikhathi kanye nomdlavuza wangaphambi komdlavuza.
Ukwelashwa okubhekiswe
Kulokhu, imithi ethile isetshenziselwa ukukhomba amaprotheni athile nama-enzyme anesibopho sokukhuthaza ukukhula kwamangqamuzana anomdlavuza.
Ukwelashwa ngamakhemikhali
Imithi yamakhemikhali ithathwa ngomlomo noma ngomthambo esiza ukumisa ukukhula kwamangqamuzana anomdlavuza noma izicubu. Kwesinye isikhathi, imiphumela emibi yokwelashwa ngamakhemikhali inikezwa nezinye izinhlobo zokwelashwa ukuze ithole umphumela wayo omkhulu.
immunotherapy
Le mithi isiza amasosha omzimba womuntu ukuthi abone amangqamuzana anomdlavuza futhi awabhubhise ekugcineni. Isiza amasosha omzimba esiguli ukuthi alwe nomdlavuza. Kukhona ukuphumelela kwemithi ye-immunotherapy, njenge-Pembrolizumab.
Ungavinjelwa Kanjani Umdlavuza Womlomo Wesibeletho?
Ezinye izinyathelo kufanele zithathwe ukunciphisa ingozi yomdlavuza womlomo wesibeletho:
- Ukuhlolwa kokuhlola
- Ukugonywa kwe-HPV
- Ukuthatha izinyathelo zokuphepha ngenkathi wenza ucansi
- Yeka ukubhema, ugwayi, notshwala
Izivivinyo zemitholampilo
Izivivinyo zemitholampilo ziyizifundo zocwaningo ezinomthelela omkhulu wokuthuthukisa ukwelashwa kwakamuva. Ucwaningo oluhlukahlukene lwenziwa ngesisekelo uhlobo lomdlavuza, iminyaka yesiguli, njll. Ucwaningo lwayo lubonisa ukuthi ukwelashwa kuyasebenza futhi kuphephile noma cha.
Ukunakekelwa Kokulandelela Ngesikhathi Nangemuva Kokwelashwa
Kubaluleke kakhulu ukuthi isiguli silandele ukuhlolwa nokuhlolwa njalo ngoba kubalulekile ukuhlonza isifo, isigaba saso nokuthi imithi isebenza ngempumelelo kangakanani. Kuzosiza nokwazi ngezinguquko kanye nezinkomba zokuphindelela komdlavuza womlomo wesibeletho.
