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Ndijonge njani kwisifo somhlaza womlomo wesibeleko ngexesha lokukhulelwa

Ndijonge njani kwisifo somhlaza womlomo wesibeleko ngexesha lokukhulelwaImiba Yoluntu Ekuhlaleni

Ngo-2019, ndafumana iindaba endandizinqwenela — ndandinomntwana! Ndabona ukuba ndikhulelwe kanye ngaphambi kokuba ndibaleke i-18th marathon. Xa ndibuyela ekhaya, ndaya ngqo kwi-OB-GYN yam ukuba ndiqinisekise ukuba bendilindele.





Ndonwabile kwaye ndikulungele ukuqala uhambo lwam lokuba ngumzali, ndakhawuleza ndacwangcisa ukuqeshwa kwam okulandelayo, kubandakanya a Uvavanyo lwePap lokuvavanywa komhlaza womlomo wesibeleko . Uvavanyo lwePap kunye nokuvavanywa kokubambisana kunye ne-HPV kuyacetyiswa rhoqo kwiminyaka emihlanu ukusuka kwiminyaka engama-25 ukuya kuma-65 ubudala, ngokwe Izikhokelo zoMbutho woMhlaza waseMelika .



Umongikazi wanditsalela umnxeba kwiintsuku ezimbalwa kamva. Iziphumo zam zovavanyo bezingaqhelekanga.

Ithetha ukuthini i-Pap smear engaqhelekanga

Ndothuka kancinci, kodwa andothuka. Xa iPap smear ingaqhelekanga, oko kuthetha ukuba iiseli zomlomo wesibeleko azibonakali zilungile. Akuthethi ukuba unomdlavuza, nangona enye yezinto ezinokwenzeka. Kukho iintlobo zeziphumo ezingaqhelekanga zokuvavanywa komhlaza womlomo wesibeleko ngamanyathelo alandelayo ahlukeneyo ovavanyo okanye ulawulo oluthe kratya.

Kwimeko yam, iiseli ezingaqhelekanga zibangelwe sisifo esiqhelekileyo esidluliselwa ngesondo esibizwa ngokuba yi-human papillomavirus (HPV). Phantse iipesenti ezingama-80 zabantu abadala abasebenza ngokwesondo, abesilisa nabasetyhini, bosulelwe yi-HPV ngaxa lithile ebomini babo, utshilo UKathleen M. Schmeler, MD , Unjingalwazi we-gynecologic oncology kunye neyeza lokuzala kwi-MD Anderson Cancer Centre eHouston.



Kwabaninzi, usulelo alubangeli naziphi na iingxaki. Uninzi lwabantu luyalususa lodwa usulelo kwaye abaze bazi ukuba banalo, uGqirha Schmeler uyacacisa. Kwindawo encinci yabasetyhini, usulelo lwe-HPV luyaqhubeka kwaye kunokubangela i-dysplasia yomlomo wesibeleko, enokucholwa kuvavanyo lwe-HPV okanye iPap smear.

Kuba iPap smear yam ibonakalisile iiseli zedlala ezingaqhelekanga Ingabonisa umhlaza, i-OB-GYN yam ifuna ukujonga ngakumbi kwaye ifumane enye isampulu ene-colposcopy.

Yintoni icolposcopy?

NjengePap smear, a icolposcopy Uvavanyo lwe-pelvic olunika ukujonga ngokusondeleyo kumlomo wesibeleko sakho. Isisombululo esisekwe kwiviniga sisetyenziswa kumlomo wesibeleko sakho ukwenza lula ukubona naziphi na izitenxo. Kwaye icolposcope, isixhobo esikhangeleka njengee-binoculars, sisetyenziselwa ukukhangela ngakumbi. Kwimeko yam, i-OB-GYN yam yayixhalabile malunga noko ikubonileyo kwaye yagqiba kwelokuba yenze i-biopsy yomlomo wesibeleko ukufumana isampulu eyongezelelweyo. Kwiiveki ezili-13 ndikhulelwe, ndafumana ukopha ngakumbi kunesiqhelo, kodwa kwakungekho nzima kunethuba kwaye kwahlala nje iintsuku ezimbalwa.



Ukufumana iziphumo zam zebhayopsy

Iziphumo zam ze-biopsy zibonise ukuba ndinayo I-AIS, adenocarcinoma in situ , okanye iSigaba 1A1 somhlaza womlomo wesibeleko. Umhlaza womlomo wesibeleko ngumhlaza wesine oqhelekileyo phakathi kwabasetyhini, ngokophando olwenziwe ngo-2018 ngu I-World Health Organization (WHO), kodwa ayixhaphakanga kakhulu eMelika. Ngamanye amagama, imeko yam-yokuba ne-HPV kunye nomhlaza womlomo wesibeleko-yayingaqhelekanga.

Kuba ndandikwikota yesibini yam ngexesha lokufunyanwa kwam, ndakhawuleza ndathunyelwa kugqirha wamazinyo owayeza kujonga omnye umlomo wam wesibeleko kwaye andinike isicwangciso sonyango.

Ukufumana esi sifo yayiyenye yeefowuni zoxinzelelo endakha ndaziva. Ukufumanisa ukuba unokuba nomhlaza kuyothusa, kodwa ukufumanisa ukuba unokuba nomhlaza ngelixa uthwele umntwana wakho wokuqala kubi kakhulu. Ngethamsanqa, bendinenkqubo enkulu yenkxaso kunye neqela lezonyango elindincedileyo kule nkqubo.



Ukunyanga umhlaza womlomo wesibeleko ngelixa ukhulelwe

Ngoku ka UKellie Schnieder, MD, ugqirha wamazinyo kwi-Novant Health eCharlotte, eMantla Carolina, isicwangciso sam sonyango sasihambelana nengcebiso yesiqhelo yesigulana esikhulelweyo esinomhlaza womlomo wesibeleko kwangoko. Ndandinokuqeshwa kunye ne-oncologist qho kwiinyanga ezintathu zokujonga umlomo wam wesibeleko kwaye ndacwangcisa i-cone biopsy emva kokuba ndifumene ukubeleka.

Inkqubo ye- unyango luyahluka ngokusekwe kwinqanaba lokukhulelwa kunye nokuqhubela phambili komhlaza. Ingabandakanya i-lymphadenectomy (ukususwa kwe-lymph nodes), i-trachelectomy (ukususwa kwenxalenye yomlomo wesibeleko, ubufazi, kunye nezicubu ezijikelezileyo), okanye i-neoadjuvant chemotherapy (iyeza lokunciphisa ubungakanani besisu). Uninzi lweziganeko ezifunyenwe ngexesha lokukhulelwa ziphakathi. Izinga lokusinda kule meko ngama-99.1%.



Ngo-Matshi 2020, emva kweeveki ezisibhozo ndihambisile unyana wam, uParker, ndaya kungenaukunxibelelanaInkqubo, eyasusa ngempumelelo izicubu zomhlaza. Unyana wam ngoku uneenyanga ezili-11 ubudala, kwaye ndisenomhlaza- kunye ne-HPV-free. Ndibuyela kwindawo yokuqeshwa rhoqo rhoqo emva kweenyanga ezine ukuqinisekisa ukuba ihlala injalo.

Ezinye iintlobo zonyango

Kukho iintlobo ezahlukeneyo zonyango lomhlaza womlomo wesibeleko kunye nedysplasia, exhomekeke kwinqanaba, kwaye kwiimeko ezininzi, ukuchuma kunokugcinwa. Uninzi lwabasetyhini abane-dysplasia yomlomo wesibeleko (ngaphambi komhlaza) abayifuni i-hysterectomy, uGqirha Schmeler ucacisa. Abasetyhini abanesifo esiphakamileyo sedysplasia yomlomo wesibeleko bahlala befuna unyango kwaye benze i-LEEP (inkqubo ye-loop electrosurgical excision) apho isahlulo esincinci somlomo wesibeleko esineeseli ezingaqhelekanga sisuswe, sishiya uninzi lomlomo wesibeleko kunye nawo onke amaqanda esibelekweni.



Kumanqanaba aphambili, 1A2-1B2, i-hysterectomy okanye i-radical trachelectomy (ukususwa komlomo wesibeleko, ubufazi obungaphezulu, kunye neparametrium, okanye izicwili ezijikeleze umlomo wesibeleko) kunokuqwalaselwa, kwaye ngokukaGqirha Schnieder, amathumba amakhulu anokunyangwa ngekhemotherapy ngokudityaniswa nonyango lwemitha.

Ukubaluleka kokuthintela

Umhlaza womlomo wesibeleko uchaphazela amawaka abantu basetyhini, kodwa iyathintelwa ngokuhlolwa rhoqo kunye I-HPV isitofu sokugonya. Eyona nto intle abanokuyenza abafazi ukuyikhusela kukufumana isitofu sokugonya, ucacisa uGqirha Schnieder. I-HPV lolona suleleko luxhaphakileyo ngokwesondo, kwaye phantse wonke umntu unayo okanye wayenayo. Akukho ndlela intle yokuyiphepha ngaphandle kokugonywa. Isitofu sokugonya sivunyiwe iminyaka eli-9 ukuya kwengama-45 ubudala kwaye sikhuselekile ukuba sisifumane ngexesha lokukhulelwa.



Amanye amanyathelo abalulekileyo othintelo abandakanya ukhathalelo lokuqala, isiqhelo kunye nokuvavanywa komhlaza womlomo wesibeleko ngexesha elifanelekileyo, ukusetyenziswa kwekhondomu okungaguquguqukiyo, kunye nokugcina imikhwa esempilweni njengokungatshayi, ukusebenzisa kakubi utywala, ukutya okusempilweni, ukugcinwa rhoqo, kunye nokufumana ubunzima obunempilo.

Ezinxulumene: Kutheni le nto kufuneka ufumane isitofu sokugonya se-Gardasil-nokuba kukwiminyaka engama-30 okanye engama-40

Ubhubhane we-coronavirus ukwakhokele uninzi lwabasetyhini ukuba bayeke ukuhlolwa kwabo kunye nokuqeshwa kwesiqhelo, nangona ifuthe ekuchongeni isifo somhlaza okwangoku akukaziwa. Iiklinikhi kunye nezibhedlele zithatha amanyathelo okhuseleko ngoku, ke ukuba bekukudala ukuba ujonge, ungalibali ukwenza idinga. Uthintelo oluncinci lunokuhamba indlela ende.

Ubomi emva komhlaza womlomo wesibeleko

Olona hlobo lwam lukhulu lokususa kumava okuba ndikhulelwe umhlaza womlomo wesibeleko kubalulekile kuthintelo. Ngenxa yokuba i-HPV iyi-STI, iyaqhubeka nokubamba ibala, endinethemba lokuba ndinganceda ukuhla ngokwabelana ngamava am. Kwaye, xa wam Unyana mdala ngokwaneleyo , Ngokuqinisekileyo uya kugonywa!