Istituto Clinico Beato Matteo (Vigevano, Italy)

Uphengululo:I-Hysterectomy ngumsebenzi osusa isibeleko. Nge-hysterectomy, kuphela isibeleko esishenxisiweyo, okanye kunye nomlomo wesibeleko, i-ovari kunye neetyhubhu ze-fallopian. I-hysterectomy inokwenziwa ngokusebenzisa isisu esisesiswini (isisu hysterectomy) okanye ngokusebenzisa ubufazi (vagst hysterectomy). Ugqirha we-hysterectomy unokwenziwa njengohlinzwa ovulekileyo okanye utyando lwe-laparoscopic (utyando lwe-arthroscopic). I-uterine fibroids yeyona nto ibangela i-hysterectomy. Kuba ixesha lokuhlaziya lide kakhulu, ukusebenza kubonisiwe kuphelaukuba olunye unyango aluphumelelanga. Emva kwe-hysterectomy, umfazi uyeka ukuya esikhathini, akakwazi ukuba nabantwana, kwaye ke kunyangwa unyango kuye. Ububanzi obumiselweyo bokuhlala kwelinye ilizwe: 1 - 3 iivekiEmva kotyando, umfazi udinga iiveki ezininzi zokuvuselelwa ngaphambi kokuba ahambe. Ugqirha kufuneka aqiniseke ukuba imeko yesigulana izinzile, kwaye ukulungele ukuhamba.

Into yokuqala ekufuneka beyazi abaguli kunye nawo wonke umntu obhinqileyo malunga nomhlaza wamabele (njengoko, eneneni, malunga naluphi na uhlobo lomhlaza): namhlanje esi ayisosigwebo, isigaba sangaphambi sesi sifo, ayanda amathuba wokoyisa umhlaza ngokupheleleyo. Kwaye kwizigaba ezilandelayo, kukho amathuba ngakumbi okulwa nesi sifo ngokubulela kweendlela zonyango zangoku (jonga ngezantsi).Ngubani osengozini? Umhlaza webele sisifo esingalunganga esibi esenzeka phantse kumfazi omnye kwabalishumi. Umhlaza wesifuba unokufunyaniswa nangaliphi na ixesha, kodwa emva kweminyaka engama-65 ubudala, umngciphekoUkwenziwa kwethumba kukuphindwe kasi-6 kunangaphambili. Abaphandi bafumanisa ezona zinto zibangela ukukhula kwesi sifo:1) Ukufumana inzala: ukuba izalamane, ngakumbi kwicala loomama, ziye zafunyaniswa ukuba zinomhlaza webele, izitho zangasese zabasetyhini, kunye nezinye izifo ze-oncological, ke umngcipheko wokukhula komhlaza webele unyuke;2) ukuqala kokuqala kokuya esikhathini (ukuya kuthi ga kwiminyaka eli-12) kunye nokuqala kade kokuyeka ukuya esikhathini (emva kweminyaka engama-55);I-3) ukungabikho komntwana, ukuzala kade emva kwexesha (emva kweminyaka engama-30), ukunqongophala kokuzala okanye ixesha elifutshane lokuncancisa, isifo sokudumba kwasemva kokubeletha;4) ubomi besondo ngokungaqhelekanga;5) ukulimala kwe-mammary gland;I-6) Ukuchongwa kwe-"dishormonali-mammary gland hyperplasia ”;7) ukukhuluphala;8) ukungasebenzi kwe-thyroid;9) Unyango olungena endaweni yehomoni.Iimpawu zomhlaza wamabele Kwinkqubo yezonyango, ithumba elikwi-gland ye-mammary kwiimeko ezininzi lifunyaniswa ngumfazi okanye iqabane, okwenzekileyo. Isimila sinokufunyanwa xa kubhalwa uviwo lwe-mammologist, ugqirha wezifo zengqondo, okanye ugqirha ofumaneke ngengozi ngexesha lovavanyo.Zeziphi iimpawu ekufuneka ulumkise:    Ukongeza kwimvakalelo kwimfundo ebeleni, umfazi unokujonga utshintsho kwi-nipple: ulceration, retraction, spoting from the nipple. Eli lithuba lokudibana nodokotela kwangoko!     kumanqanaba kamva uphawuukukhula kobuthathaka, ukonakala kwempilo, ukukhohlela, ukuphefumla okunzima, iintlungu zamathambo zinokwenzeka.Unyango lomhlaza webele Unyango lomhlaza webele lwenziwa ngamanqanaba aliqela kusetyenziswa iindlela ezahlukeneyo. Iindlela ezintathu eziphambili zisetyenziswa namhlanje:Unyango lwe-antitumor yamayeza.Kukho iindlela ezahlukeneyo zonyango olunje, ezizezi:* ichemotherapy: kule meko, iziyobisi ezijolise ekutshatyalalisweni kweeseli ze-tumor zisetyenzisiwe;* Unyango lwehomoni, oko kukuthi, ukusetyenziswa kweziyobisi ezixinzelela umsebenzi wehomoni wesisu kunye nomzimba;* Unyango olujolisiweyo luhambo olutsha, indlela apho amachiza “abukhali” kwiziphumo ekujolise kuzo kwiseli yesisu kwaye enze ngokungacacanga kwimpiloizicubu zomntu;* I-Immunotherapy lulwalona lwalathiso lutsha, abathi namhlanje kwiingqungquthela zamazwe amaninzi ze-oncologists babizwe yenye yeendlela eziphambili nezikhuthazayo zokulwa iintlobo ezahlukeneyo zomhlaza. Umxholo we-immunotherapy ukwinkqubo ekhethekileyo yeeseli zomzimba zokuzikhusela. Ngenxa yetekhnoloji yabo eyahlukileyo, bajika baba sisixhobo esinamandla esikwaziyo nokutshabalalisa ngokuchanekileyo iiseli zomhlaza.Ngokuxilongwa komhlaza wamabele, unyango lokuhlinzwa kunye nonyango lweradiation luyasetyenziswa.Shiya isicelo kwiwebhusayithi yethu kwaye iingcali zethu ziya kunxibelelana nawe kwaye zikuncede ukhethe ezona klinikhi zibalaseleyo ngokubhekisele kwimeko yakho yasimahla.