Isifundo Esincane Sosuku Lomama: Ukuqapha Impilo Yomama

Usuku Lomama lusondela maduze. Ingabe usuzilungiselele izibusiso zakho kumama wakho ngalolu suku olukhethekile? Ngesikhathi uthumela izibusiso zakho, ungakhohlwa ukunakekela impilo kamama wakho! Namuhla, iBigfish ilungiselele umhlahlandlela wezempilo ozokukhombisa ukuthi ungayivikela kanjani impilo kamama wakho.
Njengamanje, izimila ezinkulu ezibangela izifo zabesifazane ezinezinga eliphezulu lokwanda kwabesifazane eShayina umdlavuza wesibeletho, umdlavuza wesibeletho kanye nomdlavuza webele. Zisongela kakhulu impilo nokuphila kwabesifazane. Izimbangela kanye nezindlela zalezi zimila ezintathu zihlukile, kodwa zonke zihlobene nezakhi zofuzo, i-endocrine kanye nemikhuba yokuphila. Ngakho-ke, isihluthulelo sokuvimbela lezi zimila ukutholakala nokwelashwa kusenesikhathi, kanye nokuthatha izinyathelo ezithile zokuvimbela ezisebenzayo.

Umdlavuza Wesibeletho

Umdlavuza wesibeletho uyisifo esibi kakhulu esihlasela uhlelo lokuzala lwabesifazane, esivame ukwenzeka kwabesifazane asebekhulile. Izimpawu zokuqala azibonakali futhi zivame ukulibazisa ukuxilongwa. Ukukhula komdlavuza wesibeletho kuhlobene nezici ezifana nofuzo, izinga le-estrogen, inani lokukhishwa kwamaqanda kanye nomlando wokuzala. Ukuze kuvinjelwe umdlavuza wesibeletho, kunconywa ukuthi unake la maphuzu alandelayo:
-Ukuhlolwa okuvamile kwezifo zabesifazane, okuhlanganisa ukuhlolwa kwe-pelvic, ukuhlolwa kwe-ultrasound kanye nokuhlolwa kwezimpawu zesimila, ikakhulukazi kumaqembu asengozini enkulu anomlando womndeni womdlavuza wesibeletho noma ukuguquka kwezakhi zofuzo okubangelwa ufuzo (isb. i-BRCA1/2), kufanele kuhlolwe minyaka yonke kusukela eminyakeni engama-30 noma engama-35.
- Qaphela ukuvama kokuya esikhathini kanye nokuvuthwa kweqanda. Uma kukhona ukuya esikhathini okungavamile noma ukuvuvuka kweqanda, kufanele ufune iseluleko sezokwelapha ngokushesha ukuze ulawule izinga le-endocrine futhi ugweme ukukhuthazwa kwe-estrogen eyodwa isikhathi eside.
- Lawula isisindo ngendlela efanele, gwema ukukhuluphala ngokweqile, futhi wandise ukuzivocavoca ukuze uthuthukise amazinga okusebenza komzimba kanye namazinga e-estrogen aphansi.
- Khetha izindlela zokuvimbela inzalo ngendlela efanele futhi ugweme ukusebenzisa izithibela-nzalo eziphuzwa ngomlomo eziqukethe i-estrogen noma amadivayisi okuvimbela inzalo angafakelwa, esikhundleni salokho khetha ukusebenzisa izithibela-nzalo eziqukethe i-progestogen noma amakhondomu, njll.
- Khulisa inani lokubeletha kanye nesikhathi sokuncelisa ngokufanele, futhi unciphise inani lamaqanda kanye nesikhathi sokuchayeka ku-estrogen.
- Gwema ukuchayeka ezintweni ezinobuthi nezibangela umdlavuza njenge-asbestos, izibulala-zinambuzane, udayi, njll.
- Ezigulini ezisengozini enkulu noma ezitholakale zinomdlavuza wesibeletho, cabanga ngokuhlinzwa kokuhlinzwa kwesisu okubangelwa yi-bilateral salpingo-oophorectomy noma ukwelashwa okuqondiwe (isib. i-PARP inhibitors) ngaphansi kokuqondiswa udokotela.

Umdlavuza Wesibeletho

Umdlavuza womlomo wesibeletho ungomunye wemikhuhlane evame kakhulu ohlelweni lokuzala lwabesifazane, eyenzeka kakhulu kwabesifazane abaneminyaka ephakathi kuka-30 no-50. Imbangela eyinhloko yomdlavuza womlomo wesibeletho ukutheleleka kwe-human papillomavirus (HPV), igciwane elidluliselwa ngokuxhumana ngokocansi nezinhlobo ezingaphezu kwe-100 ezahlukene, ezinye zazo ezaziwa ngokuthi i-HPV enobungozi obukhulu futhi zingabangela izinguquko ezingavamile kumaseli womlomo wesibeletho, okungabe sekuphenduka umdlavuza womlomo wesibeletho. Izinhlobo ze-HPV ezinobungozi obukhulu zifaka phakathi izinhlobo ezingu-16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58 kanye no-59. Phakathi kwazo, izinhlobo ezingu-16 no-18 yizo ezivame kakhulu, ezibalelwa ngaphezu kuka-70% wazo zonke izinhlobo zomdlavuza womlomo wesibeletho. Umdlavuza womlomo wesibeletho uyisifo esingavinjelwa futhi eselaphekayo, futhi uma izilonda ezingaphambi komdlavuza zingatholakala futhi zelashwe ngesikhathi, ukwanda kanye nezinga lokufa komdlavuza womlomo wesibeletho kungancishiswa ngempumelelo. Indlela ephumelela kakhulu yokuvimbela umdlavuza womlomo wesibeletho ukugonyelwa i-HPV. Umuthi wokugomela i-HPV ungavimbela ukutheleleka kwe-HPV okuyingozi kakhulu ngaleyo ndlela unciphise ingozi yomdlavuza wesibeletho. Njengamanje, imijovo emithathu ye-HPV ivunyelwe ukumakethwa eShayina, okungukuthi imijovo ye-bivalent, i-quadrivalent kanye ne-nine-valent. Phakathi kwayo, umuthi wokugomela i-bivalent HPV uhlose ukutheleleka kwe-HPV16 kanye ne-HPV18 futhi ungavimbela u-70% womdlavuza wesibeletho. Umuthi wokugomela i-HPV one-quadrivalent awugcini nje ngokuhlanganisa emibili ene-bivalent, kodwa futhi ne-HPV6 kanye ne-HPV11, engavimbela u-70% womdlavuza wesibeletho kanye no-90% we-acromegaly. Umuthi wokugomela i-HPV one-valent nine, ngakolunye uhlangothi, uhlose izinhlobo ze-HPV eziyisishiyagalolunye futhi ungavimbela u-90% womdlavuza wesibeletho. Umuthi wokugomela unconywa kwabesifazane abaneminyaka engu-9-45 abangazange batheleleke nge-HPV ngaphambili. Ngaphezu kwalokhu, kunezindlela zokuvimbela ezilandelayo ezitholakalayo zomdlavuza wesibeletho:
1. Ukuhlolwa njalo komdlavuza wesibeletho. Ukuhlolwa komdlavuza wesibeletho kungathola izilonda zomlomo wesibeletho ezingaphambi komdlavuza noma umdlavuza wesibeletho ekuqaleni ngesikhathi sokwelashwa okuphumelelayo ukuze kugwenywe ukuqhubeka nokukhula komdlavuza. Njengamanje, izindlela eziyinhloko zokuhlolwa komdlavuza wesibeletho ukuhlolwa kwe-DNA ye-HPV, i-cytology (i-Pap smear) kanye nokuhlolwa okubonakalayo nge-acetic acid staining (VIA). I-WHO incoma ukuhlolwa kwe-HPV DNA njalo eminyakeni emi-5-10 kwabesifazane abaneminyaka engaphezu kwengu-30 ubudala, futhi uma kukhona okubonisa ukuthi kukhona okubonisayo, ukuhlolwa kwe-triage kanye nokwelashwa. Uma ukuhlolwa kwe-DNA ye-HPV kungatholakali, i-cytology noma i-VIA kwenziwa njalo eminyakeni emi-3.
2. Naka inhlanzeko yomuntu siqu kanye nempilo yocansi. Inhlanzeko yomuntu siqu kanye nempilo yocansi kuyizinto ezibalulekile zokuvimbela ukutheleleka nge-HPV. Abesifazane belulekwa ukuthi bashintshe izingubo zabo zangaphansi kanye nezingubo zokulala njalo, bagqoke izingubo zangaphansi zikakotini eziphefumulayo nezikhululekile, futhi bagweme ukusebenzisa insipho, ama-lotion, nezinye izinto ezicasulayo ukuze bahlanze i-vulva. Futhi, abesifazane belulekwa ukuthi balondoloze ukuzinza nokwethembeka kwabalingani babo bocansi, bagweme abalingani abaningi bocansi noma ucansi olungaphephile, futhi basebenzise amakhondomu nezinye izindlela zokuvimbela inzalo.
3. Yeka ukubhema nokuphuza ukuze uqinise amasosha omzimba. Ukubhema nokuphuza utshwala kungalimaza amasosha omzimba, kunciphise ukumelana nokutheleleka nge-HPV futhi kwandise ingozi yomdlavuza wesibeletho. Ngakho-ke, abesifazane belulekwa ukuba bayeke ukubhema nokuphuza, balondoloze imikhuba emihle yokuphila, badle izithelo nemifino eminingi ecebile ngamavithamini kanye nefayibha, futhi basebenzise umzimba ngendlela efanele ukuze bathuthukise ukuqina komzimba wabo.
4. Ukwelapha ngenkuthalo izifo zabesifazane ezihlobene.

Umdlavuza Webele

Umdlavuza webele yisifo esibi esivame kakhulu kwabesifazane, esithinta kakhulu impilo yabesifazane kanye nekhwalithi yokuphila. Izimpawu zaso zifaka: amaqhubu amabele, ukuvaleka kwezingono, ukugcwala kwezingono, izinguquko zesikhumba, ama-lymph node akhuphukile kanye nobuhlungu bebele.
Ukuvimbela umdlavuza webele kuhlanganisa kakhulu izici ezilandelayo:
I. Ukulawula isisindo kanye nokudla

Ukukhuluphala ngokweqile kuyisici esiyingozi somdlavuza webele, ikakhulukazi kwabesifazane asebedlulile esikhathini sokuya esikhathini. Ukukhuluphala ngokweqile kungaholela emazingeni aphezulu e-estrogen, kukhuthaze ukwanda kwamaseli ebele futhi kwandise ingozi yomdlavuza webele. Ngakho-ke, ukugcina isisindo esinempilo nokugwema ukukhuluphala ngokweqile kuyisinyathelo esibalulekile sokuvimbela umdlavuza webele.
Ngokuphathelene nokudla, kunconywa ukudla ukudla okuningi okucebile ngamavithamini, amaminerali kanye nama-antioxidants, njengezithelo ezintsha, imifino, ubhontshisi namantongomane, okungaqinisa amasosha omzimba futhi kumelane nomdlavuza. Ngesikhathi esifanayo, kuyadingeka ukudla ukudla okuncane okunamafutha amaningi, ama-calorie amaningi, usawoti omningi, okuthosiwe, okuthosiwe kanye nokunye okungenampilo, okungakhulisa ukukhiqizwa kwama-free radical emzimbeni, kulimaze i-DNA yamangqamuzana futhi kukhuthaze izinguquko zomdlavuza.
2. ukuzivocavoca okulinganiselwe
Ukuzivocavoca kungathuthukisa ukujikeleza kwegazi, kukhuthaze i-metabolism, kunciphise amazinga e-estrogen futhi kunciphise amathuba okukhuthazwa kwe-estrogen kwamaseli ebele. Ukuzivocavoca kungaphinde kunciphise ukucindezeleka, kulawule imizwa futhi kuthuthukise ikhwalithi yengqondo, okuwusizo ekuvimbeleni umdlavuza webele.
Kunconywa okungenani imizuzu eyi-150 yokuzivocavoca okulingene noma imizuzu engama-75 yokuzivocavoca okunamandla kakhulu, njengokuhamba, ukugijima, ukubhukuda, ukugibela ibhayisikili, njll., njalo ngeviki. Ngesikhathi esifanayo, kuyadingeka futhi ukwenza ukuqeqeshwa kwe-plyometric kanye nokuguquguquka, njengokwenza ama-push-up, ukuhlala phansi, ukwelula, njll. Ukuzivocavoca kufanele kunake inani elifanele lokuzivocavoca okulingene, ukuze kugwenywe ukuzikhandla ngokweqile nokulimala.
3. ukuhlolwa okuvamile
Kwabesifazane abanomlando womndeni womdlavuza, ukuhlolwa kofuzo komdlavuza kungenye yezindlela eziphumelelayo zokuvimbela umdlavuza. Umdlavuza ngokwawo awulona ufuzo, kodwa izakhi zofuzo zokuthambekela komdlavuza zingatholwa njengefa. Ukuhlolwa kofuzo kunganquma cishe uhlobo lokuguquka kwezakhi zofuzo zesimila esigulini ngokwaso. Ukuhlolwa kwamaqembu asengozini enkulu aphethe izakhi zofuzo eziguquliwe akukwazi nje ukubikezela ingozi yomdlavuza, kodwa futhi kwakha izinhlelo zokuphathwa kwezempilo eziqondiwe zokuvimbela nokungenelela kwasekuqaleni. Thatha umdlavuza webele njengesibonelo, u-15% kuya ku-20% weziguli zomdlavuza webele zinomlando womndeni. Abantu abasengozini enkulu abanomlando womndeni wesimila bangacatshangelwa ukuhlolwa okuqondile kokuvimbela umdlavuza. Inani elincane legazi elisemithanjeni lingadonswa, nokuthi ngabe liphethe izakhi zofuzo zokuthambekela komdlavuza noma izakhi zofuzo ezishayelayo lingatholakala ezinsukwini ezingaba yi-10 ngokuhlolwa kwe-PCR eningi noma ubuchwepheshe bokulandelana kwesizukulwane sesibili samasampula egazi. Ezigulini ezitholwe zinomdlavuza, ukuhlolwa kofuzo kungasiza ekwelashweni okuqondile futhi kunqume ukuthi imithi yokwelapha eqondiwe ingasetshenziswa yini. Ngokufanayo, ukuhlolwa kofuzo kuyadingeka ngaphambi kokuqhubeka ne-immunotherapy yesimila ukuze kunqunywe ukuthi isiguli sifanelekile yini ohlelweni lwe-immunotherapy.
Ngesikhathi soSuku Lomama, iBigfried Sequence ifisa ukufisela bonke omama emhlabeni impilo enhle. Dlulisa le tweet kubangani bakho bese ubhala phansi izifiso zakho ngomama wakho, thatha isithombe-skrini bese usithumelela umlayezo oyimfihlo, sizokhetha ngokungahleliwe umngane ozothumela isipho soSuku Lomama sikamama wakho ngemva kweholide. Okokugcina, ungakhohlwa ukusho "Amaholide Ajabulisayo" kumama wakho.