Mankhwalawa, Chithandizo, ndi Mafupa a Sertoli-Leydig Cell Tumors
Kodi maselo a Sertoli-Leydig ndi zotani za ovary?
Tanthauzo ndi Kulowa
Mitsempha ya sertoli-Leydig (SLCTs), yomwe imatchedwanso kuti Sertoli-stromal cell tumors ndi yachilendo kwambiri ndipo imakhala pafupifupi 0,5% mwa ziwalo zonse za m'mimba. Kawirikawiri, zotupazi zimakhudza amayi osapitirira zaka 30, ngakhale kuti akhala akufotokozedwa m'zaka zonse. Ziphuphuzi zikhoza kukhala zonyansa (osati khansa) kapena zoipa (osati khansa.)
Hormone Kupanga Matenda
Masolo amatha kupanga mahomoni, kawirikawiri mahomoni a akazi. Komabe, pafupifupi gawo limodzi mwa magawo atatu aliwonse a amayi, amai amapanga zizindikiro zowonjezera mavitamini a androgen (abdominal), njira yotchedwa masculinization. Izi zikachitika, chotupachi chimadziwika kuti "androblastoma" kapena "arrhenoblastoma." Mayinawa amapezeka kokha pamene matendawa akuposa mahomoni amphongo.
Zizindikilo za masculinization zimaphatikizapo kupezeka kwa msambo, kusowa kwa m'mawere kapena kupweteka kwa m'mawere, acne kwambiri, kukula kwa tsitsi kumaso ndi chifuwa, maonekedwe a amuna, mazenera, ndi kukulitsa kwa clitoris. Ngakhale zosawerengeka, kutuluka magazi kwachiberekero kumatha kuchitika.
Zotsatira
Ziphuphuzi zimagawidwa m'magawo anayi, malinga ndi momwe amaonekera pansi pa microscope. Zinthu izi ndi zovuta kwambiri komanso zochitika kapena maonekedwe omwe odwala matendawa angathe kudziwa:
1. Kusiyanitsa bwino (kalasi yoyamba)
2.
Anasiyanitsa mosiyana (kalasi 2)
3. Kusiyanitsa kochepa (kalasi 3)
4. Pulogalamu yokonzanso (mawonekedwe ooneka bwino kwambiri pa microscope)
Mwamwayi, zoposa 97% za SLCTs ndi kalasi yoyamba I. Mwa kuyankhula kwina, iwo amapezeka mofulumira kwambiri pa milandu yambiri.
Chithandizo
Kutsegula kwa ovary okhudzidwa ndi opaleshoni ndizofala kwambiri - ndipo kawirikawiri mankhwala onse oyenera.
Ndichifukwa chakuti zopitirira 75% za zotupa zimenezi zimapezeka msanga (kalasi yoyamba I) ndi ovary imodzi yokha.
Ngati khansayo imapezeka pamsinkhu wopititsa patsogolo , chemotherapy ndi ma radiation pambuyo pochotsa opaleshoni ya mazira ochuluka. Komanso opaleshoniyi ndi yowonjezereka, kuphatikizapo kuchotsa chiberekero, mazira ndi mazira ena onse omwe amawonekera m'mimba yamakono kapena mkati mwa m'mimba.
Komabe, kumbukirani kuti chifukwa cha mtundu uwu wa khansa yapaderayi, palibe ndondomeko zotsatiridwa ndi kafukufuku pa mitundu yabwino kwambiri ya mankhwala opatsirana ndi radiation ndi chemotherapy .
Kuthamangitsani
Kawirikawiri, malingaliro (nthawi yayitali) ndi mwayi wochiritsidwa amadalira pa siteji ndi kalasi ya chotupacho. Mwakutanthauzira, zotupa zonse zomwe zafalikira kunja kwa ovary zimaonedwa ngati zosautsa (kapena khansa).
Kubwereza
Kubwereza kumagwirizanitsa ndi zinthu ziwiri : kupweteka kapena kutupa kwa chotupa musanayambe kapena opaleshoni, ndipo ngati mkaziyo ali ndi ndondomeko yowonongeka yosawerengeka yomwe tatchula pamwambapa. Kawirikawiri, pamene amalonda a SLCT amatha, amatha kubwerera mwamsanga pakangotha chithandizo - kwenikweni, pafupifupi magawo awiri pa atatu aliwonse omwe amabwerera pakatha chaka choyamba atalandira chithandizo. Pambuyo pazaka zisanu, chiwerengerochi chikutsika ku 6%. Ngati zakhala zaka zisanu ndipo simunayambe kubwereranso, mukhoza kutenga chizindikiro ngati chabwino kuti musakhale ndi khansa imeneyi.
Kulimbana
Kulimbana ndi chotupa cha m'mimba ndi chovuta - koma mukakhala wachinyamata umamva bwino kwambiri. Khalani woyang'anira wanu nokha mu chisamaliro chanu, ndipo funsani mafunso ambiri. . Funsani za mayesero alionse a khansa ya khansa ya ovari. Zilonda za Sertoli-Leydig sizinali zachilendo kotero kuti musakhale ndi gulu lothandizira m'mudzi mwanu, koma anthu ambiri othandizana ndi ovunikira amapezeka pa intaneti pamatenda ochepa kwambiri. Pemphani thandizo. Lolani anthu akuthandizeni. Kumbukirani kuti imodzi mwa mphatso zabwino zomwe mungapatse ena ndi kuvomereza ndikuyamikira zomwe mudapatsidwa.
Zotsatira:
Gershenson, D. Zovulala zothana ndi kugonana kwa ovary: Zikodzo za sertoli-stromal cell. Zaposachedwa. Kusinthidwa 09/04/15. http://www.uptodate.com/contents/sex-cord-stromal-tumors-of-the-ovary-sertoli-stromal-cell-tumors
National Institute of Health. MedlinePlus. Ziphuphu za sertoli Lydig. Kusinthidwa 05/29/14. http://t.co/PaMPPMPMPMPMP/Malicine/Condition-and-diseases/How-Positive-Cancer-May-Affect-Body-Image.htm