Istituto Clinico Beato Matteo (Vigevano, Italy)

Buyekeza:I-Hysterectomy kuwukususa isibeletho. Nge-hysterectomy, kuphela isibeletho esisuswa, noma futhi isibeletho, ama-ovari namashubhu we-fallopian. I-hysterectomy ingenziwa ngokusebenzisa isisu sesibeletho (isisu se-hysterectomy) noma ngokusebenzisa isitho sangasese sowesifazane sangasese sowesifazane. I-hysterectomy ingenziwa njengokuhlinzwa okuvulekile noma ukuhlinzwa kwe-laparoscopic (ukuhlinzwa kwe-arthroscopic). Ama-fibter we-uterine ayimbangela evame kakhulu ye-hysterectomy. Njengoba isikhathi sokuvuselela isikhathi eside kakhulu, ukusebenza kukhonjiswa kuphela ngaphakathiuma ezinye izindlela zokwelapha zingaphumelelanga. Ngemuva kwe-hysterectomy, owesifazane uyeka ukuya esikhathini, akakwazi ukuba nezingane, futhi kunqunywe ukwelashwa kwe-hormonal therapy. Isilinganiso sobude bokuhlala phesheya: 1 - 3 amasontoNgemuva kokuhlinzwa, owesimame udinga amaviki ambalwa wokuvuselelwa ngaphambi kokuhamba. Udokotela kufanele aqiniseke ukuthi isimo sesiguli sesizinzile, futhi ukulungele ukuhamba.

Into yokuqala iziguli nawo wonke umuntu wesifazane okudingeka ayazi ngomdlavuza webele (njengoba, ngempela, noma uluphi uhlobo lomdlavuza): namuhla lesi akusona isigwebo, isigaba sangaphambi kwesifo, amathuba aphezulu wokuhlula umdlavuza ngokuphelele. Futhi ezigabeni zakamuva, kunamathuba amaningi futhi amaningi okulwa ngempumelelo nesifo sibonga ukuqala kwezindlela zanamuhla zokuguqula izindlela zokwelapha (bheka ngezansi).Ubani osengozini? Umdlavuza webele yi-neoplasm ebabayo eyenzeka cishe koyedwa kwabesifazane abayishumi. Umdlavuza webele ungatholakala kunoma yimuphi ubudala, kepha ngemuva kweminyaka engama-65 yobudala, ubungoziUkwakheka kwesimila kukhuphuke amahlandla ayi-6 kunangaphambilini. Abaphenyi bakhomba izimbangela ezilandelayo zokukhula kwalesi sifo:1) ifa elisindayo: uma izihlobo, ikakhulukazi ohlangothini lukamama, zitholakale zinomdlavuza webele, izitho zangasese zowesifazane, nezinye izifo ze-oncological, khona-ke ingozi yokuthola umdlavuza webele iyanda;2) ukuqala kokuqala kokuya esikhathini (kuze kube yiminyaka eyi-12) kanye nokuqala kwesikhathi kokuya esikhathini (ngemuva kweminyaka engama-55);I-3) ukungazali inzalo, ukuzalwa kokufika sekwedlule isikhathi (ngemuva kweminyaka engama-30), ukuntuleka kokuqunjelwa yisisu noma isikhathi esifushane sokuncelisa ibele, i-postitis ye-mastitis;4) impilo yobulili engajwayelekile;5) ukulimala kwe-gland ye-mammary;6) ukuxilongwa kwe "dishormonalmammary gland hyperplasia ”;7) ukukhuluphala;8) ukungasebenzi kwegilo;9) ukwelashwa esikhundleni se-hormone.Izimpawu zomdlavuza webele Kwezokwelapha, isimila esiswini sezilwane ezincelisayo ezimweni eziningi sitholwa ngowesifazane noma oshade naye, okwenzeka futhi. Isimila singatholakala lapho kuhlolwa udokotela wezifo ezincelisayo, udokotela wezifo zamehlo, udokotela ohlinzayo, noma ukutholakala ngengozi ngesikhathi sokuhlolwa kwesibalo.Yiziphi izimpawu okufanele ziqwashise:    ngaphezu kokuzizwa ngemfundo ebeleni, owesifazane angabona izinguquko ezingalweni: ulceration, retraction, ubona kusukela ingono. Lesi yisikhathi sokubonana nodokotela ngokushesha!     ezigabeni zakamuva umakiubuthakathaka obukhulayo, ukuwohloka kwempilo, ukukhwehlela, ukuphefumula kanzima, ubuhlungu bethambo kungenzeka.Ukwelashwa Komdlavuza Webele Ukwelashwa umdlavuza webele kwenziwa ngezigaba eziningana kusetshenziswa izindlela ezahlukahlukene. Izindlela ezintathu eziphambili zisetshenziswa namuhla:Umuthi wokwelapha antitumor.Kunezinhlobo eziningi zokwelapha okunjalo, okungukuthi:* i-chemotherapy: kulokhu, izidakamizwa ezihlose ekubhujisweni kwamaseli e-tumor ziyasetshenziswa;* Ukwelashwa kwama-hormone, okungukuthi, ukusetshenziswa kwezidakamizwa ezicindezela ukusebenza kwe-hormonal kwesimila kanye nomzimba;* Ukwelapha okuqondisiwe kuyinkomba entsha, indlela lapho izidakamizwa “zibukhali” ngomphumela oqondiwe kumaseli we-tumor futhi kakhulu kuthinta abaphilileizicubu zomuntu;* I-Immunotherapy iyinkomba entsha kakhulu, namuhla ezinhlanganweni zamazwe omhlaba ze-oncologists ibizwa ngokuthi enye yezindlela eziphambili kakhulu nezikhuthazayo zokulwa nezinhlobo ezahlukene zomdlavuza. Umongo we-immunotherapy usezinhlelweni ezikhethekile zamaseli omzimba eziguli. Ngenxa yobuchwepheshe babo obuhlukile, baphenduka isikhali esinamandla esingabona futhi sibhubhise ngokunembile amaseli womdlavuza.Ngokuxilongwa komdlavuza webele, ukwelashwa okuhlinzwa nokwelashwa ngemisebe nakho kuyasetshenziswa.Shiya isicelo kuwebhusayithi yethu futhi ongoti bethu bazokuthinta bakusize ukhethe umtholampilo ohamba phambili ngokuhambisana necala lakho mahhala.