Abesifazane abaningi abanoma yikuphi ukwephulwa kwezidakamizwa bavame ukuthatha okubi kakhulu futhi babheke izibonakaliso zokuqala zomdlavuza wesibeletho. Kodwa lesi sifo isikhathi eside sinamandla.
Izimpawu zokuqala zomdlavuza wesibeletho
Izimpawu zomdlavuza we-endometrial wesibeletho esifundeni sokuqala sesifo zivezwe ekuhlolweni kwezokwelapha ngaphambi kokubonakala kwanoma yisiphi isifo sempawu. Ngesikhathi esifanayo, amangqamuzana ase-atypical azotholakala ePap smear, igazi emakhanini omdlavuza lizobonisa ukutholakala kwesifo, kanti ezinye izimpawu zomdlavuza wesibeletho ngeke zibe khona noma izimpawu zendlala ejwayelekile (ukukhathala, ubuhlungu emilenzeni, izinguquko eziningi zemizwa), ezingenakubonisa ngokuthembeka ngokuba khona kwalesi sifo.
Kodwa njengoba lesi sifo sikhula, kuzoba nezinkinga ezingase zihlotshaniswe nokuba khona kwamaseli ase-atypical endometrium: ukukhishwa nokuphuma kwegazi. Ukukhishwa kwemvelo emangcwabeni ngephunga elingathandeki futhi ngobuningi - ngokuvamile lokhu kuyimpawu zokuqala zomdlavuza wesibeletho. Kodwa lezi zibonakaliso zezifo eziningi zokuvuvukala, futhi akuzona njalo ukukhishwa okuhlobene nesisu.
Endabeni yokuya esikhathini, noma yikuphi ukuphuma kwegazi nokubonakala kwabesifazane kuyisibonakaliso somdlavuza wesibeletho. Futhi ngesikhathi sokuzala, ukuphuma kwegazi akuyona njalo isibonakaliso somdlavuza, kodwa futhi nesifo sezinye izifo zesibindi kanye nama-ovari - i-fibromyoma, i-endometrial dysplasia, i-ectopic pregnancy noma i-miscarriage, i-endometriosis, i-polyps endometrial .
Kungenzeka ukusola i-oncology nge-prolonged discharge-purulent discharge enomunwe omnandi, ukuphuma kwegazi njalo lapho kungekho ezinye izifo ze-endometrial kanye nomzimba wesisu. Izimpawu zomdlavuza - lokhu kuhlanganiswa kokuphuma kwegazi ngamanzi amaningi namanzi amaningi, ama-atypical and aviation emva kokulala ngokobulili, ukuvivinya ngokomzimba, ukulimala okuncane, ngokuvamile ngaphandle kokuhlukunyezwa kwesifo sofuba.
Izibonakaliso ezincane zomdlavuza wesibeletho
Ukuze uqonde ukuthi yiziphi izimpawu zomdlavuza wesibeletho ezinyangeni ezilandelayo, kubalulekile ukukhumbula ukuthi njengoba isikhumba sikhula, asigcini kuphela ngaphakathi kwesibeletho, kodwa futhi sikhula emzimbeni wayo, lapho amangqamuzana omdlavuza angakwazi khona ukusuka emthonjeni wegazi kanye nesisindo sokuqala: kuqala ukuya eseduze bese ungena ezingxenyeni ezikude ze-lymph nodes.
Kulokhu, izibonakaliso zokungcoliswa kwamanzi lymph zingenzeka: ukuvuvukala kwezingqimba zamangqamuzana, izinguquko embala wazo, ukuchithwa kwe-serous fluid emgodini wesisu. Futhi, ngenxa yokukhula kwe-tumor, izimpawu zokudakwa ziyanda: ubuhlungu obukhunjini obuncane, imilenze kanye nomhlane ophansi, ama-aches kuzo zonke izingxenye zomzimba, ubuthakathaka jikelele, ukukhathala, ikhanda.
Esikhathini esilandelayo, izicubu zingahluma ezingxenyeni ezingomakhelwane (ezinamaqanda, isisu, isisu, udonga lwesisu) ezibangela ukuvuthwa nokuhlukunyezwa, izimpawu zokuvuvukala emagqumeni, ngesifo esiqhamuka edongeni lwesisu, ukubomvu kwesikhumba, izinguquko zesisu, ukuvuvukala okungenasisindo isisu.
Uma lesi sifo sihlakazeka ngenxa yokukhula okusheshayo kwemithambo yegazi kuyo kanye ne-necrosis yezingxenye zayo, kuzoba nezimpawu zokudakwa, ukuphuma kwegazi okuhlukahlukene, ubuhlungu kanye ne-thrombosis yezitsha ezinezicubu zesisu.
I-metastase ye- tumor kwezinye izitho (ikakhulukazi emaqanda amaqanda, isibindi namathambo) nazo zihambisana nezimpawu zokukhathala okuvamile, futhi zibangele ukuphazanyiswa emsebenzini walezi zitho lapho kuvela khona i-foci yesibili.
Ukuxilongwa komdlavuza wesibeletho
Ekuqaleni kwesifo, kuvame ukutholakala ngePap smear ngesikhathi sokuhlolwa komzimba. Ngezigaba ezedlule, udokotela angase asole umdlavuza wesibindi sesisu, u-hterogeneity, ukungabi nokuhamba, ngokuvamile ngenxa yokungabikho kobuhlungu bezinye izimpawu zokuvuvukala, nokuba khona kokuphuma kwegazi.
Ukuze uqinisekise ukuxilongwa, khetha izindlela ezengeziwe zokuhlolwa, isibonelo, ukuhlolwa kwegazi kulabo abaqhamukayo. Kunezibonakaliso ezenza sikwazi ukusola umdlavuza wesibeletho kanye nokuhlolwa kwe-ultrasound: kuyinhlangano engavamile, enezingxabano ezinomsoco esibelethweni esibelethweni, ngezinye izikhathi ngezibalo, ngokunyakaza okukhulayo, ezikhulayo zibe ezinye izicubu nezitho.
Ngaphezu kwalokho, ukuhlolwa kwe-histological emva kokuhlushwa kokuxilongwa kwe-uterine cavity, ukuvivinya komtholampilo jikelele, kanye nokuhlolwa kwamanye amalungu kanye nezinhlelo zokuba khona kwe-metastase zisetshenziselwa ukuxilongwa.