Akazi Ambiri Alibe Zizindikiro Mpakana Zidzatha
Khansara ya ovarian imatchedwa "wakupha" wakupha chifukwa nthawi zambiri palibe zizindikiro mpaka matendawa apita patsogolo. Gawo limodzi la amayi a ku America lidzakhala ndi mtundu wina wa khansa m'moyo wawo ndipo pafupifupi 1 1/2 peresenti ya milanduyi idzakhala ndi khansa yokhudza imodzi kapena mazira ochuluka .
Zizindikiro zoyambirira za khansa ya ovari ndizochepa, zomwe zimapangitsa kuti matendawa avutike.
Zizindikiro zina zoyambirira zimaphatikizapo:
- Kumverera kosadabwitsa kwakwanira kapena kusokonezeka mu dera lamapiri
- Kuthamangitsidwa kosadziwika, gasi kapena kupopera kumene sikuchotsedwe ndi mankhwala osokoneza bongo
- Ululu pa kugonana
- Kuchepetsa magazi
- Kutupa ndi kupweteka kwa mimba
Nthawi zambiri zizindikirozi sizimasonyeza khansa ya ovari. Komabe, ngati mumawapeza, muyenera kukambirana nawo ndi dokotala wanu.
Kuzindikira koyambirira kwa khansara ya ovari kumapereka mankhwala okwanira 90 peresenti. Chomvetsa chisoni n'chakuti, chifukwa cha matenda osachiritsika omwe alibe matendawa, pafupifupi 75 peresenti ya khansa ya ovary idzafalikira pamimba nthawi yomwe idzawonekere, ndipo mwatsoka, odwala ambiri amafa pasanathe zaka zisanu.
Kudziwa
Khansara yosawerengeka imapezeka nthawi zambiri pamene mayi akuyezetsa magazi nthawi zonse. Dokotala wanu adzakulingani mazira anu pamatenda anu a m'mimba ndi mawerementi omwe amapezeka pamtunda.
Ngati pali vuto lina lililonse, adzalandanso mayesero omwe angaphatikizepo Xs ray ya ultrasound ndi chifuwa. Ngati kuyesedwa kotheka kuli kofunika, laparoscopy ikhoza kuchitidwa.
Njira zowonetsera koyambirira kwa khansa ya ovari zimakhala ndi ultrasound mogwirizana ndi kuyesa magazi. Mayeso a magazi angaone kuti ali ndi mapuloteni a khansa otchedwa CA 125, omwe nthawi zina amawoneka m'magazi a amayi omwe ali ndi khansa ya ovari.
Mayeserowa ndi othandiza pofufuza kukula kwa chilakolako, komabe, palibe mwa iwo omwe atsimikiziridwa ngati njira yodalirika yowonera khansara ya ovari. Ultrasound ikhoza kuzindikira kuti kusintha, koma sikumapereka zambiri zokwanira kuti apeze khansa ya ovari.
Mayeso a magazi a CA 125 angabweretse zotsatira zabwino pamene palibe khansa ilipo chifukwa cha zovuta zina zomwe mkazi angachite, kuphatikizapo zotupa za fibroid , endometriosis , matenda a pelvic, mimba kapena mavuto ena omwe si amayi.
Kuchiza kwa Khansa ya Ovarian
Chithandizo cha khansara ya ovari chimasiyana malinga ndi zifukwa zingapo. Kwa amayi ambiri, chithandizo choyamba ndi njira yothandizira yomwe imaphatikizapo opaleshoni kudziwa momwe matendawa afalikira. Chifukwa cha opaleshoni, khansara idzakhazikitsidwa.
Ndondomeko yayambira kuyambira I mpaka IV, ndipo ine ndikukhala woyamba komanso IV ndikukhala patsogolo kwambiri. Kuchiza kwa khansa ya ovari kumayambira pa siteji ndi kalasi ya matendawa. Katswiri wa matenda odwala matenda amatha kudziwa momwe angayambitsire matendawa.
Mankhwala osokoneza bongo omwe ali ndi salpingo-oophorectomy (kuchotsa mitsempha yamatenda ndi imodzi kapena mazira ochuluka) nthawi zambiri amatsatira khansa ya ovari. Azimayi omwe akufunabe ana ndipo ali ndi mitundu yambiri ya khansa yoyambirira ya ovine yomwe imatulutsidwa ku ovary imodzi ikhoza kukhala ndi ovary okha omwe amachotsedwa.
Chemotherapy kapena ma radiation adzatsatizana ndi hysterectomy yochokera pa milandu ya munthu aliyense.
Kodi Mwayesedwa?
Modzidzimutsa (mayi, mlongo kapena mwana wamkazi) yemwe ali ndi khansara ya ovari amachititsa kuti mutenge matendawa katatu, ndikupatseni chiopsezo cha khansa ya mtsogolo yamakono 5 mpaka 7 peresenti.
Pamene chiwopsezocho chimabadwa, khansara ya ovoda imasonyeza zaka khumi m'mbuyomu mbadwo uliwonse wotsatizana. (Ngati amayi anu anali ndi khansa ya m'mawere m'zaka za m'ma 60, mumakhala ndi mwayi woti matendawa adzakula mwa inu m'ma 50s.)
Kupereka uphungu kwa chibadwa ndi lingaliro labwino kwa amayi omwe ali ndi mbiri ya banja la khansa ya m'mawere kapena mazira.
Akazi omwe ali ndi mbiri ya banja akhoza kusankha oophorectomy , ngakhale kuti njirayi sipereka chitetezo chenicheni chimachepetsa chiopsezo cha 75 mpaka 90 peresenti.
Kafukufuku watsimikizira kuti amayi omwe amagwiritsa ntchito ufa wofiira m'madera awo opatsirana amakhala ndi chiopsezo chachikulu cha khansa ya ovari. Zopopera zamadzimadzi zowonongeka zimatha pafupifupi kawiri chiopsezo chanu.
Akazi omwe amagwiritsira ntchito njira zothandizira kulandira mankhwala kwa zaka zosachepera zisanu amachepetsa mwayi wokhala ndi khansa ya ovari ndi theka la ntchito yochepa yomwe ikutsatira ndipo mwina kwa moyo wawo wonse. Mukamagwiritsira ntchito mapiritsiwa, kuchepetsa chiopsezo chanu.
Kukhala ndi ana awiri kapena atatu akhoza kuchepetsa chiopsezo chanu poyerekeza ndi amayi 30 omwe sakhala ndi pakati kapena kubereka. Kukhala ndi ana asanu kapena ochuluka kumachepetsa chiopsezo mpaka 50 peresenti, ndipo kuyamwa ana anu kungachepetse chiopsezo chanu.
Tubal ligation amachepetsa chiopsezo cha amai mpaka 70 peresenti.
Kumbukirani kuti njira yabwino kwambiri yodziwira khansa ya ovari ndi yowunika nthawi zonse. Onetsetsani dokotala wanu wa zachipatala pa Pap smear ( zojambula za khansara ya chiberekero kokha) ndi kuyeza kwa msana / rectal pachaka kapena ngati dokotala wanu amakukonzerani bwino.
Chitsime:
Khansara ya The Ovary. ACOG Education Pamphlet AP096.