I-Sarcoma yomzimba wesibeletho yisifo esiyingozi esingavamile, esenzeke kuphela kumaphesenti amathathu kuya kwahlanu amacala wonke umdlavuza womzimba. Lesi sifo sibonakala ngezinga eliphezulu le-metastasis nokuphindaphindiwe. Okubaluleke kakhulu, lesi sifo esiyingozi sithinta abesifazane ngesikhathi se-postmenopausal.
Izimpawu
Esikhathini sokuqala, izimpawu ze-uterine sarcoma zincane kakhulu. Ngokuvamile, udokotela kufanele axoxwe izinyanga ezimbalwa ngemva kokuba lesi sifo siqale ukuthuthukisa. Owesifazane uyaqaphela ukuthi umbala omhlophe uba amanzi, iphunga elimnandi libonakala, ngezinye izikhathi ukukhishwa kwegazi kuvela emacinini. Umjikelezo wokuya esikhathini uvame ukuphuka, futhi isisu esingaphansi siba naso sonke isikhathi. Izitebhisi ezizayo zibhekene nobuthakathaka, isifiso esibi, ukulahlekelwa isisindo, ukubonakala kwe-anemia, okungahambisani nokuphuma kwegazi. Uma i-sarcoma yesibeletho isenzelwe isibindi, amaphaphu noma ezinye izitho, khona-ke izibonakaliso eziningana zibonakala ziyizici zesilonda esithile.
Izimpawu ze-sarcoma ye-uterine zifana nezifo ezifana ne- uterine fibroids , i-tumor ovarian, i-polyps endometrial , nezibeletho zesisu esisondelene nesibindi. Lesi sifo sezinto eziphilayo sivame ukufana nokukhulelwa kwesibeletho.
Izizathu ezivusa ukuthuthukiswa kwesibeletho sarcoma noma umlomo wesibeletho azikazanga isayensi. Kodwa-ke, abesifazane ababenokuqala kokuya esikhathini, nalabo ababeletha ngemuva kweminyaka engama-35 ubudala, babenezinkinga zokukhubazeka, ukukhipha izisu, ama-fibroids, abasengozini.
Izindlela zokuxilonga
Into yokuqala owesifazane okufanele ayenze uxoxisana nomjozi wezifo zogciwane kanye ne-oncogynecologist. Uma ukusola kuqinisekiswa, kuzodingeka izindlela eziningi zokwenza uphenyo. Lezi zifundo zihlanganisa izifundo ze-histological, lapho kutholakala khona ukuhlolwa kwe-endometrium noma isisu ngesikhathi sokuhlinzwa, kanye nokuhlolwa kwe-immunohistochemical ukuthola uhlobo lwe-sarcoma. Uma kunesidingo, udokotela uzokwenza i-hysteroscopy, okungukuthi, ihlola hysteroscope yodonga lwamagumbi okubeletha, i-hysterocervicalography, i-computed tomography, i-MRI, ukuzwakala, i-ultrasound tomography ne-Doppler ibalazwe lokubala kombala, kanye ne-radiography yamaphaphu kanye nezinkomba zesibindi ukusiza ukubona izidakamizwa ezikude.
Ukwelapha
Ukwelashwa kwe-sarcoma ye-uterine ngezindlela ezinjengokwelashwa kwezidakamizwa kanye nemisakazo, ukungenelela kokuhlinzwa kubaluleke kakhulu, hhayi okungaphansi kokuphindwe kabili ngonyaka ukuvakashela umjozi wezifo zamasosha. Kulesi simo, lesi sifo sizotholakala esiteji sokuqala, okwandisa kakhulu amathuba okuthola ukwelashwa okuphumelelayo.
I-Sarcoma - isisu sinonya kakhulu. Ikhula kalula ezingxenyeni eziseduze, ngokushesha ikhulula ama-metastases, isakazeka ohlelweni lwe-lymphatic and circulatory, oluthinta ama-lymph nodes, amathambo, isibindi namaphaphu.
Isibikezelo esihle kunazo zonke iziguli ezine-uterine ye-endometrial stromal sarcoma ukuthi abesifazane abangama-57 bahlala iminyaka emihlanu noma ngaphezulu. Izinga elifanayo lokusinda abesifazane abatholwe nge-leiomyosarcoma lingama-48%. Ukubikezelwa okuncane kakhulu kweziguli ezine-carcinosarcoma akungaphezu kwama-27%, kanye nalabo abatholwa nge-endometrial sarcoma. Inkambo enhle kakhulu ejwayelekile ye-uterine sarcoma, evela ku-node fibromatous, uma kungekho metastases.
Uma izifo ze-endocrine zifunyanwa futhi zilungiswa ngesikhathi esifanele, i-endometritis, i-uterine fibroids, i-endometriosis nama-polyps endometriya ziyaphathwa, amathuba okuthi izifo ezingokwemvelo ziyancishiswa kakhulu. Izinyathelo zokuvimbela nazo zikhethwa ngokuqondile kwezindlela zokwelapha nokuvimbela ukukhipha isisu.