Mitundu, Chithandizo ndi Mafupa
Khansara ya ovariya imachitika kwa atsikana, komabe pali njira zambiri zosiyana ndi akazi achikulire.
Akazi Ammayi ndi Akazi Okalamba
Ngakhale kuti khansa ya m'mimba yambiri imakhala yochepa kwambiri kwa amayi ochepera zaka 40, zimatha ndipo zimachitika kwa atsikana. Mukapezeka mu zaka za 40, kapena asanakumane nawo, nthawi zambiri zimakhudzana ndi cholowa chawo ndi BRCA1 kapena BRCA2 (majini omwe amachititsa kuti pakhale vuto la khansa ya ovari ndi ya m'mawere).
Ngakhale m'zaka zapitazo, makamaka pamene pali mbiri ya banja la khansa, kumvetsetsa chidziwitso cha m'mimba ndi zizindikiro za m'mimba n'kofunika.
Mitundu Yambiri ya Khansa ya Ovarian Akazi Aang'ono
Khansara ya ovarian ndi matenda ambiri, ndipo pali oposa 30 odziwika bwino. Mtundu uliwonse ukhoza kuchita mosiyana ndi kuyankha mosiyana ndi njira zothandizira. Pali mitundu iwiri ikuluikulu ya khansara ya ovari yomwe imapezeka makamaka kwa atsikana achichepere: kachilombo ka HIV ndi kugonana kwapakhosi. Pano pali kufotokoza mwachidule kwa aliyense:
Germ Cell Tumimba
Mankhwalawa amachokera ku maselo ovary omwe amayenera kukhala mazira ndipo sapezeka, omwe amaimira 5 peresenti ya khansa yonse ya mazira. Pafupifupi 70 peresenti ya zotupa zimenezi zimapezeka msanga, koma zimakhala ngati zotupa mwamsanga. Ziphuphuzi zimapezeka kawirikawiri mwa amayi a zaka za m'ma 20s. Mawonekedwe akuluakulu m'gulu ili ndi awa:
- dysgerminomas
- zotupa zowonongeka
- mazira aakulu
Zomwe zimatulutsa mitsempha - Zambiri za khansa zimabweretsa zotupa-LDH, AFP ndi hCG-zomwe zimawoneka m'magazi. Izi ndizo zizindikiro zomwe zingathandize madokotala kudziwa, ngakhale asanachitike opaleshoni, zomwe zikuoneka kuti zilipo. Ngati muzindikira HCG, ndi chifukwa chakuti ndi ma hormone omwe amayesedwa kuti ayambe kuyesedwa.
Popeza kuti zotupazi zimatha kutulutsa mahomoniwa, ndipo chifukwa chimodzi mwa zizindikiro za khansa ya m'mimba ndikumangika m'mimba, ziwalozi poyamba zimakhala zovuta kudziwa ngati ali ndi mimba.
Mankhwala - Opaleshoni amafunikanso kuti azindikire chithunzi chenicheni ndikuwona ngati khansara yayamba. Azimayi ambiri akudandaula kuti kusankha opaleshoni ngati chithandizo cha mankhwala kudzakhudza kubereka kwawo. Komabe, nthawi zambiri, ovary imodzi yokha imayenera kuchotsedwa, choncho nthawi zambiri kubala nthawi zambiri sikungakhoze kupulumutsidwa. Pankhaniyi, mazira ena, mazira, ndi chiberekero amasiyidwa m'malo, ndipo mimba ikhoza kuchitika kawirikawiri. Amakonda kukhala achisamaliro kwa chemotherapy ndipo motero amakhala ochiritsika, makamaka akapezeka m'mayambiriro oyambirira. Chithandizo cha fetata teratoma n'chovuta kwambiri kuposa chiwalo china cha mthupi.
Zingwe za kugonana zimatulutsa mimba
Mankhwalawa amayamba m'maselo ophatikizana omwe amathandiza kwambiri mazira ndi kutulutsa mahomoni monga estrogen, progesterone, ndi testosterone. Amaimira pafupifupi 6 peresenti ya khansa yonse ya mazira ovoda ndipo makamaka imachitika kwa atsikana. Kawirikawiri, amayamba kuchepa mofulumira. Mfundo zazikuluzikuluzi ndizo:
- selo ya granulosa yosakanikirana
- zotupa za sertoli-Leydig
Mavotolo a Granulosa osakanikirana a maselo angapangitse hormone yotchedwa inhibin, yomwe ingagwiritsidwe ntchito monga chotupa chotupa. Nthawi zambiri matendawa amayamba kupangika, ndipo "mawonekedwe akuluakulu" (omwe amapezeka odwala omwe ali ndi zaka 40) sakhala achiwawa kwambiri. Komabe, mawonekedwe otchedwa "achinyamata" mawonekedwe (ambiri koma osati onse amayamba zaka 20 zoyambirira za moyo) amapezeka nthawi zambiri. Mwamwayi, sikumvera mankhwala a chemotherapy.
Matenda owopsa (khansa) Sertoli ndi Sertoli-Leydig maselo sakhala ochepa. Ambiri ndi khansa yowopsa kapena yowopsya. Ambiri amapezeka m'mayambiriro oyambirira ndipo amachiritsidwa kwambiri ndi opaleshoni yokha.
Popeza zimatulutsa estrogen kapena testosterone, zizindikiro zoyambirira zimakhala ndi zochitika zokhudzana ndi kusintha kwa mahomoni. Zizindikiro izi zingakhale monga kukula kwa tsitsi, mawu otsika, ndi kutha msinkhu komanso / kapena nthawi yachilendo.
Genetics ndi Heditary Ovarian Khansa
Monga taonera kale, majini amathandiza kwambiri amayi ena omwe amakhala ndi kansa ya ovari ali aang'ono. Lankhulani ndi dokotala wanu. Phunzirani za khansa ya mawere ndi mazira obadwa . Kuyezetsa magazi kumapezeka tsopano.
Khansa ya Ovarian ndi Fertility
Monga taonera pamwambapa, opaleshoni ingalole kuti m'modzi mwa mavairasi asalowe m'malo. Ndikofunika kuzindikira kuti ngakhale ndi ovary alipo, chemotherapy nthawi zina imayambitsa ovarian kulephera, yomwe ndi yosatha. Musanayambe kuchipatala onetsetsani kuti mutenge nthawi yokambirana ndi dokotala wanu za kusungira chonde chanu musanayambe kuchiza khansa .
Mawu Ochokera
Khansara ndi matenda owopsya, ngakhale mutakhala ndi imodzi mwa zotupazi, zomwe ngati zigwidwa msanga zimachiritsidwa kwambiri. Funsani mafunso ambiri. Phunzirani momwe mungafufuzire khansa yanu pa intaneti . Yesetsani achibale ndi anzanu kuti akuthandizeni. Pali malo amphamvu a anthu okalamba omwe ali ndi khansa yapamwamba yomwe imakhala yogwira ntchito kwambiri. Ambiri amakhalanso ndi ma blogs omwe amagawana nawo ulendo wawo wa khansa, monga Fran Dresher's Cancer Schmancer. Mofananamo, pali gulu la achinyamata omwe apulumuka khansa ya mitundu yonse yotchedwa Stupid Cancer: Voice of Young Adult Cancer.
Sizowonongeka kuti mukwanitse kuthana ndi khansara mukakali aang'ono-kapena pa msinkhu uliwonse. Mwamwayi tikuphunzira zambiri za kupulumuka ndi njira zothandizira amayi (ndi amuna) kuti azikhala bwino nthawi zonse komanso pambuyo pa chithandizo cha khansa. Ndipo, ngati muli ndi masiku omwe mumakhala osalungama, kumbukirani kuti maphunziro tsopano akutiuza zomwe tangoganizira kale. Khansa imasintha anthu m'njira zabwino osati zoipa ayi!
> Zotsatira:
> Isaacs C, Peshkin B. Utsogoleri wa odwala omwe ali ndi khansa yokhala ndi cholowa chawo komanso / kapena abambo awo. Zaposachedwa. Kusinthidwa 07/05/15.
> National Cancer Institute. BRCA1 ndi BRCA2: Kuopsa kwa khansa ndi kuyesa kwa majeremusi. Kusinthidwa 04/15/15.
> National Cancer Institute. Ovarian Germ Mankhwala Ochepetsa Matenda (PDQ). 0212/16.
> Ray-Coquard I, Brown J, Harter P, ndi al. Kanema ya kansa yotchedwa Cancer InterGroup (GCIG) yovomerezeka yokhudza kugonana kwa chilakolako chogonana. Magazini ya International Journal ya Cancer Gynecologic . 2014. 24 (9 Suppl 3): S42-7.
> Simone C, Markham M, Dizon D. Chemotherapy mu majekeseni a majekeseni okhudzana ndi majeremusi. Gynecologic Oncology . 2016. (Epub patsogolo pa kusindikiza).