Umgidvo we-Endometrial Cancer yini? Izimpawu, Izimbangela, & Ukwelashwa

Umgidvo we-endometrial uhlobo lomdlavuza oluqala ekugqokeni kwesisu, okuthiwa yi-endometrium. Leli thishu livame ukukhula futhi liwile njalo ngenyanga ngesikhathi sesikhathi sakho, kodwa ngezinye izikhathi amaseli kule lining angakhula ngokungajwayelekile futhi abe yimigidvo.

Izindaba ezinhle ukuthi umdlavuza we-endometrial uhlale ubanjwa ngokushesha ngoba uhlale ubangela izimpawu ezibonakalayo njengokuphuza okungajwayelekile. Uma utholakala ngokushesha, ukwelashwa kuvame ukuba nempumelelo kakhulu, futhi abantu abaningi baqhubeka bephila impilo egcwele, enempilo ngemuva kokwelashwa.

Umgidvo we-endometrial yini?

Umgidvo we-endometrial ukhula lapho amaseli e-endometrium eqala ukukhula ngokungapheli. Cabanga nge-endometrium yakho njengoba iphepha lodonga langaphakathi lesisu lakho eliyakha njalo ngenyanga ukulungiselela ukukhulelwa okungenzeka.

Lolu hlobo lomdlavuza yilona eliqheleke kakhulu lomdlavuza wesisu, oluthinta cishe owesifazane oyedwa ku-36 phakathi nokuphila kwakhe. Izimo eziningi zenzeka kwabesifazane ngemuva kwe-menopause, ngokuvamile phakathi kweminyaka engama-50 no-70, yize kungenzeka kunoma iyiphi iminyaka.

Kunezinhlobo ezimbili eziyinhloko zomdlavuza we-endometrial. Umgidvo wohlobo lwe-1 uvamile futhi ngokuvamile ukhula kancane, kuyilapho umgidvo wohlobo lwe-2 ungavamile kodwa uhlale uba namandla futhi ungasakazeka ngokushesha.

Ziyini izimpawu zomdlavuza we-endometrial?

Isilwane sokuqala esivamile ukuphuza okungajwayelekile kwe-vaginal, ikakhulukazi ngemuva kwe-menopause. Umuthi wakho uukunika isilwane esibalulekile sokuthi kukhona okuthile okudinga ukunakekelwa, futhi ukuyibamba ngokushesha kwenza umehluko omkhulu ekuphumeleleni kokwelashwa.

Nazi izimpawu eziyinhloko okufanele uzibheke:

• Ukopha kwebele emva kokuphela kwesikhathi
• Ukopha phakathi nezinsuku noma izinsuku ezinzima noma ezihlala isikhathi eside kunokujwayelekile
• Ukuqothuka okungajwayelekile kwebele okungase kube namanzi, bomvu obomvu, noma kunuka okunamandla
• Ubuhlungu noma ukucindezela emathunjini
• Ubuhlungu ngesikhathi sokuthamba
• Ubunzima bokuqeda isithando sakho ngokuphelele
• Ukulahlekelwa isisindo okungachazeki
• Ukukhathala okungapheli ngisho noma ukhuluphuke

Izimpawu ezingavamile zingafaka ukuqhuma, ukuzwa ukugcwaliswa ngokushesha lapho kudliwa, noma ukushintsha kwemikhuba yomathumbu. Lezi zimpawu zingase futhi zibe izimpawu zezinye izimo, ngakho-ke ukuziba akukho okusho ukuthi unekansa.

Khumbula ukuthi izimo eziningi zingabangela izimpawu ezifanayo, futhi udokotela wakho angakusiza ukuthola ukuthi yini ebangela eyakho. Okubalulekile ukungawunaki ushintsho oluqhubekayo emzimbeni wakho, ikakhulukazi ukopha okungajwayelekile.

Imikhakha ye-endometrial cancer yini?

I-Endometrial cancer ihlukaniswe ngezinhlobo ezimbili eziyinhloko ngokusekelwe ekutheni amaseli ekansa abonakala kanjani ngaphansi komkhulu kanye nendlela aziphatha ngayo. Ukuqonda uhlobo lwakho kusiza iqembu lakho lezokwelapha ukwakha uhlelo lokwelapha oluphumelela kakhulu kuwe.

I-Type 1 endometrial cancers yenza cishe u-80% wazo zonke izimo. Lezi zikensa ngokuvamile zikhula kancane futhi zivame ukuxhumene nokwanda kwe-estrogen emzimbeni. Ngokuvamile ziphendula kahle ekwelapheni, ikakhulukazi lapho zitholakala ngokushesha.

I-Type 2 endometrial cancers ayivamile kodwa ivame ukuba namandla. Lezi zikensa ngokuvamile azixhunyaniswanga amazinga e-estrogen futhi zingase zisakazeke ngokushesha ezingxenyeni eziningi zomzimba.

Phakathi kwalezi zinhlobo ezimbili eziyinhloko, kunezinhlobo eziningi ezithile. Uhlobo oluvamile kakhulu yi-endometrioid adenocarcinoma, oluwela ngaphansi kwe-Type 1. Ezinye izinhlobo zifaka i-serous carcinoma, i-clear cell carcinoma, ne-carcinosarcoma, ezibhekwa ngokuvamile njenge-Type 2 cancers.

Yini ebangela i-endometrial cancer?

Umphukane we-endometrium uqala lapho okuthile kubangela ukushintsha kwe-DNA ezicelleni ze-endometrium, okuholela ekukhuleni nasekuphindaphindeni kwazo ngokungenakulawuleka. Nakuba singazi ngaso sonke isikhathi ukuthi lokhu kwenzeka ngani, abacwaningi baye baqaphela izinto eziningi ezingandisa ingozi.

Into ebaluleke kakhulu ukukhuluphala kwesikhathi eside se-estrogen ngaphandle kokwanele kwe-progesterone ukuze kuqondane. I-estrogen ikhuthaza ukukhula kwe-endometrium, futhi uma kungekho progesterone eyanele ukuze kugcinwe lokhu kukhula, amaseli angaqala ukukhula ngokungajwayelekile ngokuhamba kwesikhathi.

Izimo nezinye izimo eziningi zingabangela lokhu kungalingani kwe-hormonal:

• Ukuba awukaze ukhule (ukukhulela kukhuthaza amazinga e-progesterone)
• Ukuqala kokutholakala kwesikhathi sokuqala (ngaphambi kweminyaka engu-12) noma i-menopause kamuva (ngemuva kweminyaka engu-52)
• I-Polycystic ovary syndrome (PCOS), engabangela ukungalingani kokutholakala kwesikhathi
• Ukukhuluphala, njengoba amanoni e-fat akhiqiza i-estrogen
• Ukuthatha i-estrogen replacement therapy ngaphandle kwe-progesterone
• Imithi ethile efana ne-tamoxifen esetshenziswa ekwelapheni umdlavuza webele

Ezinye izinto zofuzo zingase futhi zidlale indima. I-Lynch syndrome, isimo sokuzala esithinta ukulungiswa kwe-DNA, sikhuthaza kakhulu ingozi yomdlavuza we-endometrium. Ngaphezu kwalokho, ukuba nomlando womndeni womdlavuza we-endometrium, i-colorectal, noma i-ovarian kungase kukhulise ingozi yakho.

Kubalulekile ukukhumbula ukuthi ukuba nezinto ezingozi akusho ukuthi uzophuka ngokuqinisekile umdlavuza. Abantu abaningi abanazo izinto eziningi ezingozi abaphuli umdlavuza we-endometrium, kanti abanye abanazo izinto ezimbalwa ezingozi bayaphuka.

Nini kufanele ubone udokotela ngomdlavuza we-endometrium?

Kufanele uxhumane nodokotela wakho ngokushesha uma uhlangabezana nanoma yiliphi igazi elingajwayelekile le-vaginal, ikakhulu uma usuqedile i-menopause. Ngisho nokukhanya okuncane ngemuva kwe-menopause kufanele kube yingxoxo nodokotela wakho.

Uma uyaqhubeka nokuba neziqephu, bona udokotela uma ubona ukuphuma kwegazi phakathi kweziqephu, iziqephu ezinzima kakhulu kunokujwayelekile, noma iziqephu ezithatha isikhathi eside kunokujwayelekile. Ukushintsha kwesiko lakho okuvamile kufanele kunakekelwe.

Ungalindi uma ubhekene nobuhlungu be pelvis obungapheli, ikakhulukazi uma buhambisana nezinye izimpawu ezifana nokukhishwa okungavamile noma ukuphuma kwegazi. Nakuba lezi zimpawu zivame ukuba nezizathu ezingalimi, kuhlale kungcono ukuthi zihlolwe.

Kufanele ukhulume nezinye izici eziyingozi nodokotela wakho ngesikhathi sokuvakasha okuvamile. Uma unomlando womndeni wokukhishwa komdlavuza we-endometrial, ovarian, noma i-colorectal, noma uma unayo i-Lynch syndrome, udokotela wakho angakuncoma ukuhlolwa okuvamile.

Iyini imikhakha eyingozi yomdlavuza we-endometrial?

Ukuqonda imikhakha eyingozi kungakusiza wena nodokotela wakho ukuba nizenze izinqumo ezisekelwe olwazini mayelana nokuhlola nokuvimbela. Ezinye izici awukwazi ukuzilawula, kanti ezinye zihlangene nokuziphatha kwempilo ongakuthinta.

Imikhakha eyingozi ebaluleke kakhulu ongenakuyishintsha ihlanganisa:

• Ubudala (izincazelo eziningi zenzeka ngemuva kwe-menopause)
• Ukuba awukaze ukhulelwe
• Ukuqala kweziqephu ngaphambi kweminyaka engu-12 noma ukufinyelela e-menopause ngemuva kweminyaka engu-52
• Umdlalo womndeni womdlavuza we-endometrial, ovarian, noma i-colorectal
• I-Lynch syndrome noma ezinye izimo ze-genetic
• Ukwelashwa kwangaphambili nge-radiation e-pelvis

Izici zokuphila nokuhlangene nempilo ezingandisa ingozi zihlanganisa:

• Ukukhuluphala, ikakhulukazi ukuphatha isisindo esengeziwe eduze kwesigamu sakho
• I-Diabetes, ikakhulukazi i-Type 2 diabetes
• Uxinzelelo lwegazi oluphezulu
• Ukuthatha i-estrogen ngaphandle kwe-progesterone yokushintshwa kwe-hormone
• Ukuthatha i-tamoxifen yokwelashwa komdlavuza webele
• Ukuba ne-polycystic ovary syndrome (PCOS)

Ezinye izinto empeleni zinciphisa ingozi yakho, njengokuba uke wakhulelwa, ukusebenzisa amaphilisi okuvimbela ukukhulelwa, noma ukusebenzisa i-intrauterine device (IUD) ekhipha i-progestin. Ukuzivocavoca komzimba nokugcina isisindo esinempilo kungasiza futhi ekuqedeni ingozi yakho.

Ziyini izinhlanganisela ezingase zenzeke zomdlavuza we-endometrial?

Nakuba umdlavuza we-endometrial uvamise ukutholwa ngokushesha futhi uphathwe ngempumelelo, kuyinto evamile ukuba uzibuze ngezingxaki ezingase zenzeke. Ukuqonda lezi zinto ezingase zenzeke kungakusiza ukusebenza neqembu lakho lezokwelapha ukuze uzivimbele noma uziphathe ngempumelelo.

Inhlanganisela ebucayi kunazo zonke ukusabalala komdlavuza ezingxenyeni zomzimba wakho. Umdlavuza we-endometrial wokuqala ngokuvamile uhlala esibelekweni, kodwa uma ungaphathwa, ungasabalala ezihlabathini eziseduze njenge-ovari, ama-fallopian tubes, noma ama-lymph nodes.

Umdlavuza ophambili ungasabalala ezindaweni ezikude, okuhlanganisa:

• Isisu kanye ne-pelvis
• Amaphaphu
• Isibindi
• Amathambo
• Ubuchopho (nakuba lokhu kuyinto engavamile)

Izinhlanganisela ezihlobene nokwelashwa zingase zenzeke, yize iqembu lakho lezokwelapha lisebenza kanzima ukuze lizinciphise. Ukuhlinzwa kungase kube nezingxaki njengokuqubuka, ukuphuza igazi, noma ukonakala kwezihlabathini eziseduze. Ukwelashwa ngomgogodla kungase kubangele ukukhathala, ukushintsha kwesikhumba, noma izinkinga zesibindi kanye ne-bladder.

I-Chemotherapy ingabangela imiphumela emibi efana nokuhlanza, ukukhathala, ukulahlekelwa kweenwele, kanye nengozi ephakeme yokuqubuka. Noma kunjalo, eminingi yale miphumela emibi iyikwesikhashana futhi ingaphathwa ngokunakekelwa okusekela kanye nemithi.

Izindaba ezinhle ukuthi uma umdlavuza we-endometrial utholwa ngokushesha, iningi labantu liyaphiliswa futhi alihlangani nezingxaki ezinkulu. Ukulandelela njalo kunceda ekutholeni noma yiziphi izinkinga ngokushesha.

Umdlavuza we-endometrial ungavikeleka kanjani?

Nakuba ungakwazi ukuvimbela ngokuphelele umdlavuza we-endometrial, kunezinyathelo eziningana ongazithatha ukuze unciphise ingozi yakho. Eminingi yalezi zindlela izuzisa impilo yakho yonke nokuthula kwakho.

Ukugcina isisindo esinempilo ingenye yezinto ezibaluleke kakhulu ongayenza. Isisindo esiningi sanda ukukhiqizwa kwe-estrogen, okungandisa ingozi yakho. Ngisho nokunciphisa isisindo esincane kungenza umehluko uma ususesisindweni esingaphezu kwesilinganiso sakho esifanele.

Ukuzivocavoca njalo kusiza ngezindlela eziningi. Ukuzivocavoca kusiza ekugcineni isisindo esinempilo, kungasiza ekulawuleni ama-hormone, futhi kuye kwabonakala kunciphisa ingozi yezinhlobo eziningi zomdlavuza, kufaka phakathi umdlavuza we-endometrial.

Uma ucabanga ngokuqhathaniswa kwe-hormone therapy ngezimpawu ze-menopause, xoxa ngezinketho nodokotela wakho. Ukuthatha i-estrogen yodwa kwanda ingozi yomdlavuza we-endometrial, kepha ukuyithatha ne-progesterone kungasiza ekuvikeleni kule ngozi.

Amaphilisi okuvimbela ukukhulelwa angase anciphisa ingozi yakho yomdlavuza we-endometrial, ngokuvikelwa okuqhubeka iminyaka eminingi ngemva kokuba uyeka ukuwathatha. Noma kunjalo, anazo ezinye izingozi, ngakho-ke xoxa ukuthi lolu khetho lunengqondo yisimo sakho.

Uma une-diabetes, ukugcina ushukela wakho wegazi ulawulwa kahle kungasiza ekuqedeni ingozi yakho. Sebenza neqembu lakho lokunakekelwa kwezempilo ukuze ulawule i-diabetes yakho ngokuphumelelayo ngokudla, ukuzivocavoca, kanye nemithi uma kudingeka.

Umdlavuza we-endometrial utholakala kanjani?

Ukuxilongwa komdlavuza we-endometrial kuvame ukuqala ngengxoxo ngezimpawu zakho kanye nokuhlolwa komzimba. Udokotela wakho uzofuna ukuqonda izimpawu zakho, umlando womndeni, nanoma yiziphi izingozi ongazibeka kuzo.

Isinyathelo sokuqala ngokuvamile ukuhlolwa kwesigxobo, lapho udokotela wakho ahlola khona isisu sakho, ama-ovari, namanye amalungu esigxobo ukuze abone noma yikuphi ukungalungi. Bangase futhi benze i-Pap test, yize lokhu kungakuqondi ngqo umdlavuza we-endometrial.

Uma udokotela wakho enesizathu sokuthi ungaba nomdlavuza we-endometrial, cishe uzokuncoma ukuhlolwa okuqhubekayo:

• Ukusetshenziswa kwe-ultrasound ye-transvaginal ukuze kuqale ukukhulu kweliningi lakho le-endometrial
• I-biopsy ye-endometrial, lapho isibonelo esincane sethishu sisuswa khona ukuze sihlolwe
• I-Hysteroscopy, lapho ithyube elincane, elikhanyayo lifakwa khona nge-vagina yakho ukuze kubonwe ngaphakathi kwesisu sakho
• Ukukhulisa nokuhlanza (D&C) uma i-biopsy inganiki ithishu eyanele

Uma kutholakala i-cancer, ukuhlolwa okuengeziwe kusiza ekuqondeni isigaba nobubanzi besifo. Lokhu kungafaka i-CT scans, i-MRI, i-X-rays yesifuba, noma ukuhlolwa kwegazi ukuze kuhlolwe ama-tumor markers.

Imiphumela ye-biopsy izokutshela udokotela wakho ukuthi yiluphi uhlobo lwe-endometrial cancer olukhona kuwe nokuthi luhlasela kangakanani. Ulwazi lolu, oluhlanganiswe nezivivinyo ze-imaging, lusiza ekuqondeni indlela engcono kakhulu yokwelapha isimo sakho esithile.

Iyini impilo ye-endometrial cancer?

Ukwelashwa kwe-endometrial cancer kuncike ezintweni eziningi, kufaka phakathi uhlobo nesigaba se-cancer, impilo yakho yonke, kanye nezifiso zakho siqu. Izindaba ezinhle ukuthi iningi le-endometrial cancers litholakala ekuqaleni lapho ukwelashwa kuphumelela kakhulu.

Ukuhlinzwa yikona ukwelashwa okuyinhloko kwe-endometrial cancers eningi. Inkqubo evamile yiyona hysterectomy, esusa isisu ne-cervix. Udokotela wakho angase futhi asuse ama-ovari nama-fallopian tubes, ikakhulu uma usuqedile i-menopause.

Phakathi nokuhlinzwa, udokotela wakho uzohlola futhi ama-lymph nodes aseduze ukuze abone ukuthi i-cancer isakazeke yini. Ulwazi lolu lusiza ekuqondeni ukuthi udinga ukwelashwa okuengeziwe ngemva kokuhlinzwa.

Ukwelashwa okuengeziwe kungafaka:

• Ukwelashwa nge-radiation ukubulala noma iyiphi i-cancer cells eselele
• I-Chemotherapy ye-cancers ezingaphambili noma ezihlaselayo
• I-Hormone therapy yezinye izinhlobo ze-endometrial cancer
• Imithi ye-Targeted therapy ehlasela izici ezithile ze-cancer cell
• I-Immunotherapy ukusiza isimiso sakho sokuvikela umzimba ukulwa ne-cancer

Oncologist yakho izokwakha uhlelo lokwelapha olufanele isimo sakho. Bazobheka izinto ezinjengobudala bakho, impilo yakho yonke, uhlobo nesigaba somdlavuza wakho, kanye nemigomo yakho siqu nezifiso.

Abantu abaningi abane-endometrial cancer yesigaba sokuqala badinga ukwelashwa ngokuhlinzwa kuphela futhi bacatshangelwa ukuba baphilile. Abanye bangadinga ukwelashwa okwengeziwe, kodwa ngisho ne-endometrial cancer ephambili ingavame ukwelashwa ngempumelelo noma ilawulwe njengesimo esingapheli.

Ungayilawula kanjani i-endometrial cancer ekhaya?

Ukukhathalela wena ekhaya ngesikhathi sokwelashwa kwe-endometrial cancer kuyiyingxenye ebalulekile yohlelo lwakho lokhathalela lonke. Amasu alula angakusiza uzizwe kangcono futhi usekele inqubo yokwelapha yomzimba wakho.

Gxilisa ukudla ukudla okunomsoco ukuze usekele amandla akho kanye nesistimu yakho yokuvimbela. Khetha izithelo ezihlukahlukene, imifino, ukudla okugcwele, namaprotheni ashelele. Uma ukwelashwa kuchaphazela ukulangazelela kwakho noma kubangele isicanucanu, zama ukudla ukudla okuncane, okuvamile.

Hlala usebenza ngangokunokwenzeka ngaphakathi kwezinga lakho lokududuzeka. Ukuzivocavoca okulula njengokuhamba kungakusiza ugcine amandla akho, uthuthukise isimo sakho sengqondo, futhi unciphise ukukhathala. Qaphela njalo iqembu lakho lezokwelapha ngaphambi kokuthi uqale noma yiluphi uhlelo lokusebenza oluqalayo.

Ukulawula imiphumela emibi kubalulekile ngenxa yokududuzeka kwakho nokuphila kwakho okuhle:

• Phumula uma udinga, kodwa zama ukugcina imisebenzi yansuku zonke
• Hlala uthambile ngokuphuza amanzi amaningi usuku lonke
• Sebenzisa amasu okuphumula njengokuphefumula okujulile noma ukucamngca ukuze ulawule ukucindezeleka
• Gcina umbhalo wemiphumela yakho kanye nemiphumela emibi ukuze wabelane neqembu lakho lezokwelapha
• Thatha imithi ngokuqondile njengoba kuqokiwe
• Hlanganyela kuyo yonke imininingwane yokulandelela

Unganqikazi ukuxhumana neqembu lakho lezempilo uma unezikhalo noma uma izimpawu ziyanda. Bakhona ukuze bakusekele kuzo zonke izinyathelo zokwelashwa kwakho nokuphulukiswa kwakho.

Cabanga ngokubamba iqhaza emaqenjini wokusekela noma ukuxhumana nabanye abantu abaphile behlushwa yikankansi. Ukwabelana ngamava nezeluleko nabantu abaqonda lokho okukukhathazayo kungaba usizo kakhulu.

Kufanele ulungiselele kanjani isikhathi sakho sokuya kudokotela?

Ukulungiselela isikhathi sakho sokuya kudokotela kungakusiza ukuba uzuze kakhulu ngesikhathi senu ndawonye futhi kuqinisekise ukuthi uthola ulwazi nokukhathalelwa okudingayo. Ukuzilungiselela kancane kunganciphisa ukukhathazeka futhi kukwenze uzizwe ulawula.

Bhala phansi wonke amazinga akho, kufaka phakathi ukuthi aqale nini, ukuthi avele kangaki, nokuthi yini eyenza kube ngcono noma kubi. Chaza ngokucacile ngezindlela zokopha igazi, amazinga obuhlungu, nanoma yiziphi ezinye izinguquko ozibonile.

Butha ulwazi olubalulekile ukuze uhlanganyele nodokotela wakho:

• Umbiko wakho ophelele wezokwelapha, kufaka phakathi ukuhlinzwa kwangaphambili noma ukwelashwa
• Yonke imithi oyithatha njengamanje, kufaka phakathi izithasiselo
• Umbiko womndeni wokukhulelwa kwekankansi, ikakhulukazi i-endometrial, i-ovarian, noma i-colorectal cancer
• Umbiko wakho wokuya esikhathini, kufaka phakathi iminyaka yokuqala kwesikhathi sakho nokuyeka kwesikhathi sakho
• Umbiko wokukhulelwa nokusetshenziswa kwamahomoni

Lungiselela uhlu lwemibuzo ofuna ukuyibuza. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu – udokotela wakho ufuna ukukusiza ukuthi uqonde isimo sakho. Cabanga ngokuletha umngani othembekile noma ilungu lomndeni ukuze likusize ukukhumbula ulwazi olubalulekile.

Uma ubona uchwepheshe, letha amakhophi azo zonke iziphumo zezivivinyo zangaphambili, izifundo zokwenza izithombe, noma imibiko ye-pathology. Lokhu kusiza udokotela wakho omusha ukuthi aqonde isithombe sakho esiphelele sezokwelapha ngaphandle kokupinda ukuhlolwa okungadingeki.

Bhala phansi lokho onethemba lokufeza ngesikhathi sokuvakashela, kungaba ukuthola ukuxilongwa, ukuqonda izinketho zokwelapha, noma ukuxoxa ngezinkinga zakho mayelana namazinga.

Iyini into ebaluleke kakhulu mayelana nekankansi ye-endometrial?

Okubaluleke kakhulu okufanele kukhunjulwe ngomdlavuza we-endometrial ukuthi ukutholwa kwasekuqaleni kwenza umehluko omkhulu ekuphumeleleni kokwelashwa. Iningi lomdlavuza we-endometrial litholakala ekuqaleni ngoba lubangela izimpawu ezibonakalayo, ikakhulukazi ukuphuza okungajwayelekile.

Ungawunaki ubuhlungu obuqhubekayo, ikakhulukazi ukuphuza kwe-vaginal ngemuva kokuphela kwesikhathi noma ukushintsha okukhulu kwesimiso sakho sokuya esikhathini. Nakuba lezi zimpawu zivame ukuba nezizathu ezingalimi, zihlale zifanele ukunakekelwa kwezokwelapha.

Umdlavuza we-endometrial uyaphatheka kalula, ikakhulukazi uma utholakala ekuqaleni. Izinga lokuphila iminyaka emihlanu lomdlavuza we-endometrial osezingeni lokuqala lihle kakhulu, futhi abantu abaningi baqhubeka bephila impilo egcwele, enempilo ngemuva kokwelashwa.

Khumbula ukuthi ukuba nezici ezingozi akusho ukuthi uzophuka umdlavuza, futhi ungathatha izinyathelo zokunciphisa ingozi yakho ngokugcina isisindo esinempilo, uhlale usebenza, nokusebenzisana nodokotela wakho ukulawula ezinye izimo zempilo.

Themba umzimba wakho futhi ungangabazi ukufuna ukunakekelwa kwezokwelapha uma kukhona okungalungile. Iqembu lakho lokukhathalela impilo likhona ukukusekela, ukuphendula imibuzo yakho, nokunikeza ukunakekelwa okuhle kunazo zonke isimo sakho.

Imibuzo evame ukubuzwa ngomdlavuza we-endometrial

Ingabe umdlavuza we-endometrial ungaphiliswa ngokuphelele?

Yebo, umdlavuza we-endometrial uvamise ukuphiliseka ngokuphelele, ikakhulukazi uma utholakala ekuqaleni. Izinga lokuphila iminyaka emihlanu lomdlavuza we-endometrial osezingeni lokuqala lingaphezu kuka-95%. Ngisho noma umdlavuza uthuthukile, abantu abaningi bangaphathwa ngempumelelo noma baphile nomdlavuza ophathwa njengesimo esingapheli iminyaka eminingi.

Ingabe ngizodinga i-hysterectomy ngomdlavuza we-endometrial?

Abantu abaningi abane-kansa ye-endometrial badinga ukuxilongwa kwe-hysterectomy njengengxenye yokwelashwa kwabo. Lolu cuku lususula i-uterus lapho i-kansa iqale khona futhi iyindlela ephumelela kakhulu yokwelapha lesi sifo. Udokotela wakho oqeqeshwe ukwenza ukuhlinzwa uzoxoxa ngohlobo oluthile lokuhlinzwa olufanele isimo sakho, okungase kufaka nokukhipha ama-ovari nama-fallopian tubes.

Ngingasakwazi yini ukuba nezingane ngemva kokwelashwa kwe-kansa ye-endometrial?

Ngeshwa, ukwelashwa okuvamile kwe-kansa ye-endometrial kuvame ukufaka ukukhipha i-uterus, okwenza ukukhulelwa kungenzeki. Kodwa-ke, nge-kansa yesigaba sokuqala kubesifazane abasebasha abafisa kakhulu ukuba nezingane, abanye odokotela bangase bacabangele ukwelashwa okuvikela ukukhulelwa besebenzisa i-hormone therapy. Lokhu kudinga ukuxoxisana ngokucophelela nodokotela oqeqeshwe futhi kulandelwe ngokucophelela.

Kufanele ngibe nokunakekelwa okulandelayo kangakanani ngemva kokwelashwa?

Ukukhathalela okulandelayo kuvame ukufaka izivivinyo ezijwayelekile njalo ngenyanga ezingu-3-6 eminyakeni embalwa yokuqala ngemva kokwelashwa, bese kuba kancane ngokuhamba kwesikhathi. Udokotela wakho uzokwenza izivivinyo zomzimba, angase a-ode ama-imaging tests, futhi uzolandelela noma yiziphi izimpawu zokubuyela kwe-kansa. Abantu abaningi baqhubeka benolunye uhlobo lokunakekelwa okulandelayo okungenani iminyaka emihlanu ngemva kokwelashwa.

Ziyini amathuba okubuyela kwe-kansa ye-endometrial?

Ingozi yokubuyela kwe-kansa ye-endometrial ixhomeke kakhulu esigabeni nohlobo lwe-kansa lapho iqale ukutholakala. Ngoba i-kansa yesigaba sokuqala, izinga eliphansi, ingozi yokubuyela iphansi kakhulu - ngaphansi kuka-5%. Ngoba i-kansa ephakeme noma e-aggressive, ingozi ingase ibe phezulu, kodwa u-oncologist wakho angakunika ulwazi oluqondile olusekelwe esimweni sakho.