Mtundu Wopanga Mazira a Ovarian Cell Malignancy
Ngati mwauzidwa kuti muli ndi tchire, mumakhala woopsa kwambiri. Izi sizikutanthauza kuti khansara, koma zotupa zimapezeka pamene anthu ali aang'ono kwambiri.
Kodi ndondomeko yotereyi ndi yotani, ndipo imatani?
Mwachidule
Matenda oterewa amakhala opangidwa ndi tizilombo tofanana ndi omwe amapezeka m'mimba. Ndiwo msuwani omwe amawawopsa kwambiri omwe amatha kukhala okhwima a cystic teratomas kapena dermoid cysts .
Pamene maatatomu aang'ono amapezeka pamodzi ndi ziwalo zina zamagulu , zimatchedwa "zowonongeka m'magazi."
Koyera kwambiri teratoma ndi kawirikawiri kwambiri ndipo imayimirira pafupifupi 1 peresenti ya khansa yonse ya ovari-koma mkati mwa gulu la kachilombo ka HIV, ndiyo yachiwiri yowopsa kwambiri.
Zaka za Azimayi okhala ndi Matenda Osabadwa
Kwa amayi osakwana zaka 20, zotupazi zikuyimira 10 peresenti mpaka 20 peresenti ya malungo onse ovunda. Pafupi theka la zonse zotentha zapakati zingathe kuchitika ngakhale kale, pakati pa zaka 10 mpaka 20. Sizimapezeka kawirikawiri m'mayi am'magazi .
Chithandizo
Chithandizo cha mwana wachinyamata chimaphatikizapo opaleshoni komanso chemotherapy, Odwala omwe ali ndi masewera a masewera a masewera a masewera ambiri amachiritsidwa okha ndi opaleshoni yokha chifukwa maulendowa ndi abwino kwambiri. Pamene chifuwacho chikula mpaka 2 kapena 3, kapena siteji imapita kupitirira ia, chemotherapy nthawi zambiri amalimbikitsidwa.
Chiwerengero cha tchire tating'ono chimatanthawuza chiwerengero cha minofu yomwe ili ndi minofu ya neural (yomwe imawoneka ngati ziwalo zoberekera). Mwachitsanzo, malinga ndi American Cancer Society, kalasi yoyamba ya 1 yotchedwa immature teratoma imakhala ndi minofu yambiri yomwe ilibe khansa, ndipo ndi malo owerengeka chabe a khansa, yomwe imawoneka pansi pa microscope.
Gawo la tchire lakutali limatanthawuza kutali komwe lafalikira-siteji yanga imatanthawuza kuti kukula kwake kumangokwanira ku mazira.
Kuchiza Opaleshoni
Azimayi omwe ali ndi zaka zobeleka omwe akufuna kukhalabe ndi chonde, kuchotsedwa kwa ovary ndi opaleshoni, kungachititse kuti chiberekero ndi ovary ena okha. Izi zikhoza kuchitika chifukwa nthendayi ina imakhala yosagwirizanitsa, koma zofunikira zimayesetsabe kuti kansa isafalike.
Iyo imafalikira, nthawi zambiri imakhala ngati khansa ya epathelial ovarian-mkati ndi kuzungulira ziwalo mkati mwa peritoneal cavity. Kawirikawiri, iyo imatha kufalikira ku maselo am'mimba , ndipo imayambira kumadera akutali monga mapapo ndi chiwindi kudzera m'magazi.
Chemotherapy
Popeza ichi ndi chotupa chochepa, deta yochepa ya kafukufuku imapezeka poyerekeza ndi zomwe tiri nazo pa khansa yambiri yomwe imakhalapo kwambiri. Maphunzirowa omwe atsirizidwa, amasonyeza kuti njira zabwino kwambiri zothandizira mankhwalawa ndi BEP ndi VAC.
Mankhwalawa ndi awa (BEP):
- bleomycin
- etoposide
- cisplatin
ndi (VAC):
- vincristine
- Adriamycin
- cyclophosphamide
Zambiri zokhudzana ndi matendawa zimachokera kuzochitikira kwa odwala amuna omwe ali ndi kansa yowonongeka. Komabe, Gynecologic Group Oncology Group (GOG) yatulutsa zochepa zochepa zoyesera.
Panthawiyi, chiwerengero cha BEP ndi njira yoyamba yothandizira kuchipatala nthawi zambiri, koma malamulo a VAC angagwiritsidwe ntchito, makamaka ngati akubwereranso.
Tsatirani Patatha Chithandizo
Kutsata pambuyo pa chithandizo kwa tchire kamene kawirikawiri kumayambira pa zochitika zachipatala, zizindikiro, ndi zida zoganizira monga CAT scan. Izi zikutanthawuza kuti dokotala wanu akhoza kuitanitsa kuthandizira ngati muli ndi zizindikiro zatsopano kapena chinachake chimamveka poyesa. Kuyambira tsopano, zojambulazo nthawi zonse sizivomerezeka, ndipo palibe zodalirika zowonongeka.
Kuthamangitsani
Chiwerengero cha chotupacho ndi chinthu chimodzi chofunika kwambiri pa chiyambi cha matenda-kufotokozera zikutanthauza mwayi wa munthu wochira.
Mwa kuyankhula kwina, ngakhale ngati teratoma yachinyamatayi ili pa chitukuko chomwe chinanenedwa, kalasiyo ndi yofunika kwambiri (kuganiza kuti khansara yowonekayo ingachotsedwe opaleshoni).
Pakati pa magawo onse, zaka zisanu zapakati pa matendawa ndi pafupifupi 82 peresenti ndipo zimagwa mpaka pafupifupi 30 peresenti pamene matenda a grade 3 alipo. Matenda a zaka zisanu ndi zisanu ndi makumi asanu ndi awiri (95%) mpaka 95 peresenti, pamene kupitirira kwa masitepe amatha kupitirira 50 peresenti ndi khansa ya 1 mpaka 2 komanso 25 peresenti peresenti pamene matenda apezeka m'kalasi yachitatu.
Kulimbana ndi Matendawa
Kuzindikira kwa khansara kukuwopsya panthawi imodzimodzi yomwe mukuitanidwira kuti mupange zisankho zazikulu za thanzi lanu kapena la mwana wanu. Nazi malingaliro othandizira kukutsogolerani mu nthawi yovuta iyi:
- Funsani mafunso ambiri.
- Taganizirani kupeza maganizo awiri.
- Phunzirani zonse zomwe mungathe pokhudzana ndi matenda anu - zikuwoneka kuti zili ndi phindu limene sikuti limangokudziwitsani koma lingakhudzire matenda.
- Funsani dokotala wanu za mayesero a zachipatala.
- Phunzirani chomwe chingachitike kuti musungire chonde ndi khansa .
Popeza ichi ndi chotupa chosadziwika, mwinamwake mulibe gulu lothandizira m'dera lanu, koma m'madera omwe amapezeka pa khansa nthawi zambiri amatha kukulolani kulankhula ndi ena ambiri omwe akukumana ndi matenda omwewo.
Kumbukirani kuti mankhwala opatsirana khansa ayamba kusintha (chiŵerengero ndi nambala zomwe zimatiuza momwe munthu adachitira kale, mwinamwake chisanafike mankhwala atsopano). Phunzirani momwe mungadzilimbikitsire nokha kapena mwana wanu ngati wodwala khansara kuti muthe kukhala ndi mphamvu paulendo wanu.
Zotsatira:
> Alwazzan AB, Popwich S, Dean E, Robinson C, Lotocki R, Altman AD. Malo Osavuta Ovary Ovary Okalamba: Zaka makumi atatu Zomwe Zimakhala ndi Ntchito Yodzipereka Kwambiri Yokha. Int J Gynecol Khansa . 2015 Nov; 25 (9): 1616-22.
> American Cancer Society. (2/2016). Kuchiza kwa Germ Cell Tumors of the Ovary.
National Cancer Institute. (2/2016). Ovarian Germ Mankhwala Ochepetsa Matenda - Health Professional Version.