Amayi ambiri amada nkhaŵa ndi kansalu yotenga mazira, chifukwa panopa ndiyo yachisanu ndi chiwiri yomwe imayambitsa kufala kwa khansa kwa amayi. Komabe, pali zinthu zina zomwe mungachite kuti muteteze, kapena kuchepetsani mwayi wanu wodwalayo. Kukhalabe ndi thanzi labwino, kupeŵa talc muzinthu zakuthupi, kuganizira zoopsa pamene mukusankha njira zothandizira njira yowonongera kapena mahomoni, ndikuwona opaleshoni ngati muli ndi chiopsezo chachikulu, ndizosankha.
Kupeza ma khansawa mwamsanga (kuyambira koyamba) ndi kovuta kwambiri, popeza sitinapeze malangizo owonetsera.
Pali ziganizo zingapo zofunikira zomwe zimapangidwa musanalankhule za zomwe amayi angatenge kuti athe kufa chifukwa cha khansa ya ovari. Izi zikuphatikizapo:
Kupewa vs Kuzindikira Kwambiri (Kuwunika)
Tikamayankhula za khansa "kupewa," pali nkhani ziwiri zosiyana. Kupewa kapena kuchepetsa chiopsezo kumatanthauza zinthu zomwe amai angathe kuchita kuti athetse mwayi wawo wopezera khansa ya ovari poyamba. Kuzindikira koyambirira, kumatanthauzira, kumatanthawuza kupeza khansara ya ovari yomwe ili kale kale mwamsanga. Kafukufuku wambiri woyezetsa khansa ndiwo kwenikweni kuyesa kuyesa, ndipo pamene samachepetsa chiopsezo chotenga nthendayi, akhoza kuchepetsa mwayi kuti mudzafa ndi matendawa.
Zomwe Zingadziteteze Vuto Lopanda Kusatetezedwe (Zoopsa Zosinthika)
Kupewa, kapena kuchepetsa chiopsezo chanu kumayamba podziwa zoopsa zanu za khansa ya ovari . Mwazifukwazi, pangakhale zina zomwe zingasinthidwe kapena kusinthidwa, pomwe ndi ena muli zochepa zomwe mungachite (mwachitsanzo, simungasinthe zaka zanu). Kumvetsetsa kwa onse, komabe, ndikofunikira.
Mungathe kusintha moyo wanu kuti musinthe zina mwazidziwitso, koma kudziwa zomwe simungasinthe kungakukumbutseni kuti muzindikire zizindikiro zoyambirira za matendawa kuti mupeze chithandizo mwamsanga ngati iwo amapezeka.
Kuyeza ndi Kufufuza
Kuyeza kuyesera (monga transvaginal ultrasounds) pamene wapatsidwa, akuyenera kuchitidwa kwa anthu omwe alibe zizindikiro za matenda. Kuyang'ana khansa ya m'mawere kungathandize kuti izi zikhale zovuta kumvetsa. Mammograms kwa kuyang'anitsitsa khansa ya m'mawere akuchitidwa pa akazi omwe ali osakanikirana bwinobwino. Ngati mayi ali ndi zizindikiro, monga bere, mayezeso ena nthawi zambiri amafunika ndipo mamemografia okha sangathe kuchotsa khansa. Chimodzimodzinso, ngati mayi ali ndi zizindikiro za khansara ya ovari, mayesero oyesera (omwe nthawi zina amagwiritsidwa ntchito) sangakhale okwanira kuthetsa khansa.
Kupewa (Kuchepetsa Ngozi): Zinthu Zowonongeka Zosintha
Zambiri mwaziopsezo za khansa ya ovari zimayikidwa. Simungasinthe msinkhu umene munali nawo pamene munali ndi nthawi yoyamba, mwachitsanzo. Koma pali zinthu zomwe mungathe kuchita. Popeza khansara ya ovariya imatengedwa kuti "yambiri," kutanthauza kuti njira zingapo zimagwirira ntchito palimodzi kuti zikhalitse kapena kuchepetsa chiopsezo cha khansa izi, kuti ngakhale kusintha pang'ono kungakhale kusiyana kwakukulu ngati munthu ali ndi khansa.
Kodi mungatani kuti muchepetse chiopsezo chanu?
Pitirizani Kulemera Kwambiri
Kupeza ndi kusunga ulemelero wabwino (chiwerengero cha mthupi pakati pa 19 ndi 25) ndi lingaliro labwino ngati mulibe nkhawa ndi khansa ya ovari. Kukhala olemera kwambiri kapena olemera kwambiri kumawonjezera pangozi ya mitundu ina (koma osati yonse) ya khansara ya ovari, makamaka ya amayi oyambirira. Ngati kutaya thupi kumveka kosavuta, kumbukirani kuti simukuyenera kufika kulemera kwanu kuti muchepetse chiopsezo chanu. Kutaya mapaundi asanu okha mpaka mapaundi khumi ndi kopindulitsa ngati inu mukulemera kwambiri.
Pewani Talc Muzinthu Zamagulu
Talc m'mapiritsi azimayi omwe amawotcha ndi phulusa amaphatikizidwa ndi chitukuko cha khansa ya ovari.
Ngakhale talc siyi yaikulu kwambiri ya khansa ya ovari, ndi imodzi yomwe imapewa mosavuta.
Sankhani Kugonana Kwako Mosamala
Njira zina zothandizira kuchepetsa kubereka zingachepetse chiopsezo cha khansara ya ovari, koma kukambirana mosamala za ngozi ndi mapindu onse ndikofunika ngati mukuyang'ana pa zosankhazi mogwirizana ndi kupewa khansa.
Akazi omwe amamwa mankhwala opatsirana kulera amakhala ndi chiopsezo chachikulu chokhalira ndi khansara ya ovari. Kuti mumvetse izi, ndibwino kuganizira za kuvuta. Pamene dzira limatulutsidwa kuchokera ku ovary kupita ku khola lamagalimoto, malo opweteka ndi zowawa zimapangidwa. Zimaganizidwa kuti kutupa ngati izi kungathandize pa chitukuko cha khansa. Mankhwala oletsa kumwa mankhwala ("mapiritsi") amaletsa ovulation. Piritsi lonse, mapiritsi angathe kuchepetsa chiopsezo cha khansa ya ovariya mpaka 50 peresenti, malingana ndi nthawi yayitali bwanji. Kuonjezera apo, kuchepetsa chiopsezo choterechi kumawoneka kuti kumatha zaka 30.
Koma kuchepa kwa khansa ya ovari, komabe, iyenera kuyesedwa ndi zotsatira zina kapena zotsatira zake. Anthu amene amamwa mapiritsi amakhala ndi mwayi wopanga magazi, makamaka ngati amasuta. Kugwiritsa ntchito mankhwala opatsirana pakamwa kumapangitsanso chiopsezo cha khansa ya m'mawere pang'ono, makamaka kwa omwe ali ndi chiopsezo chachikulu cha matendawa.
Mfuti yotchedwa Depoprovera (kuwombera kamodzi pakatha miyezi itatu iliyonse yoletsa kubereka) ili ndi progesterone koma osati estrogen, ndipo ikuwonekeranso kuchepetsa ngozi ya khansa ya ovarian. Ngakhale kuti Opoprovera sangakhale ndi vuto la khansa ya m'mawere ya mapiritsi ophatikizira, palinso mavuto ena a Depo-Provera , monga kulemera.
Tubal ligation ndi njira yoletsa kubereka yomwe imachepetsa chiopsezo cha khansa ya ovari kwambiri, ndi kuchepa kwa makumi asanu ndi awiri pa makumi asanu ndi awiri (70%) ya epithelial ovarian ovarian (mtundu wamba). Komabe, izi zimaphatikizapo njira yopaleshoni ndipo iyenera kuonedwa ngati yosasinthika. Izi zikufotokozedwa mozama pansi pa "opaleshoni" pansipa.
Ganizirani Kuyamwitsa Mwana Wanu
Mofanana ndi vuto la khansa ya m'mawere, kuyamwa kungachepetse chiopsezo chanu chokhala ndi khansa ya mazira. Kuyamwitsa (nthawi yosamalitsa nthawi zonse) kumachepetsa mavuni.
Sankhani Mankhwala Osakaniza Mahomoni Mwanzeru
Ngati mukuganiza za kugwiritsa ntchito mankhwala otchedwa hormone replacement therapy (HRT), pali zambiri zomwe mungaziganizire kuwonjezera pa ngozi ya khansa ya ovari. Izi ndizofunika kuti amai amvetsetse kuti omwe amatenga maantimoni okha omwe amatenga kansalu yowonjezera, amakhala ndi chiopsezo chachikulu chokhala ndi khansara ya ovari kuposa amayi omwe amatenga isrogen ndi kukonzekera kwa progesterone.
Muzidula Moyo Wanu
Mitundu yamtunduwu imagwiritsidwa ntchito yowonjezereka m'mapiri ndi mpiru (omwe amachititsa mtundu wachikasu) ndipo gawo lina la turmeric lotchedwa curcumin limapezeka kuti liri ndi zida zamphamvu zowonongeka. Akatswiri ofufuza adazindikira kuti chiwopsezo cha khansa ya m'mimba ku Japan ndi yotsika kwambiri, pomwe kumwa kwa Ukon (komwe kuli ndi turmeric) ndipamwamba. Maphunziro ena akuyang'anitsitsa maselo a khansa ya ovarian mu labu yomwe inapeza kuti turmeric inachititsa kuti pulojekiti iwonongeke (apoptosis) mu maselo a khansa ya mazira koma osati maselo abwino. Sitikudziwa ngati maphunziro aliwonse omwe alembedwa pa labu angamasulire zotsatira mwa anthu, ndipo ndizoyambirira kwambiri kuti akambirane za kuwonjezera chowonjezera pazochitika zanu za tsiku ndi tsiku. Koma ngati mumasangalala ndi curard ndi mpiru, kusangalala nawo monga chakudya nthawi zonse sikuvulaza.
Ngati Mumasuta, Tulukani
Kusuta kumawonjezera pangozi ya mtundu umodzi wa khansara ya ovari, m'mimba yopweteka kwambiri, koma pali zifukwa zambiri zosiya lero.
Opaleshoni
Pali mitundu yochepa ya opaleshoni yomwe imadziwika kuchepetsa chiopsezo cha khansa ya ovari, ngakhale kuti zizindikiro za opaleshoni imeneyi zimasiyana.
- Tubal ligation : Chifukwa cha zomwe sitikumvetsetsa bwino, tubal ligation ("kugwirizanitsa ziphuphu") ingachepetse chiopsezo cha khansa ya ovari mpaka 70 peresenti, malingana ndi zaka zomwe zikuchitika. A tubal ligation amagwiritsidwa ntchito ngati njira yolerera, koma atapatsidwa kuchepetsa, omwe ali ndi chiopsezo chachikulu chokhala ndi khansara ya mazira angafune kuganizira njira iyi yoberekera ngati atakhala ndi ana.
- Salpingo-Oophorectomy : Chithandizo choyenera cha kuchepetsa chiopsezo cha khansa kwa anthu omwe ali pangozi (monga BRCA gene mutations) ndi salpingo-oophorectomy. Kuchita opaleshoniyi kumaphatikizapo kuchotsa mazira ndi mazira, ndipo kawirikawiri kumachitidwa opaleshoni yochepa (yomwe ili ndi zochepa zochepa m'mimba ndi kafukufuku zomwe zimachotsa minofu). Kuchotsa minofu imeneyi kungachepetse chiopsezo cha khansa ya mazira pakati pa 75 peresenti ndi 90 peresenti. Anthu ena amadabwa kuti opaleshoniyi siimathetsa ngozi, komabe ena amayamba kukhala ndi khansa m'mimba yomwe ili pafupi ndi ziwalo za m'mimba ndi m'mimba mwawo m'malo mwa mazira kapena mazira.
- Matenda a hysterectomy ndi salpingectomy: Amayi ambiri ali ndi hysterectomy (kuchotsa chiberekero) kwa zinthu zosiyanasiyana, koma sankhani mazira awo. Izi ndizowona ngati mayi ali wamng'ono, ndipo akhoza kukhala ndi zotsatira zoyipa zokhudzana ndi kusowa kwa estrogen yopangidwa ndi mazira. Madokotala ambiri, tsopano, akuvomereza kuti achotse mitsempha ya chiwerewere komanso chiberekero kuti achepetse chiopsezo cha khansa ya ovari.
Kuzindikira Kwambiri
Pakalipano, tilibe chiyeso choyesa khansara, omwe ali ndi chiopsezo chachikulu kapena omwe ali ndi chiopsezo chachikulu. Pachifukwa ichi, kuyankhula ndi dokotala wanu za zoopsa zanu, ndikufunanso chithandizo chamankhwala mwamsanga ngati muli ndi zizindikiro, ndizofunika kuti anthu apeze khansa kumayambiriro koyambirira.
Khansara ya ovarian nthawi zina imawoneka pamtunda, ngakhale tilibe umboni uliwonse wakuti izi zimachepetsa chiwerengero cha imfa kuchokera ku matenda. Palinso zina zamankhwala, komabe, zomwe machitidwe achibadwa amachibadwa amathandiza.
Monga momwe tafotokozera m'nkhani ina, tilibe umboni uliwonse wakuti mayeso ena madokotala amachititsa kuti amayi omwe ali ndi chiopsezo chachikulu (monga kupitirira kwa ultrasound ndi CA-125) ayese kufala kwa matendawa. Koma ndizofunikira kuzindikira kuti izi ndi ziwerengero zochokera "kuwerengera" zomwe zimachitika akazi ambiri. Mkazi aliyense ndi wosiyana. Inu ndi dokotala wanu mungaganize kuti njira yowunikiridwa ndi yofunika yomwe inaperekedwa pangozi yanu, ndipo ndithudi ikhoza kukhala yopindulitsa payekha payekha. Mfundo yofunika kwambiri ndi kukhala wochonderera nokha ndipo onetsetsani kuti mumvetsetsa zoyesayesa zoyambirira zomwe dokotala wanu amalangiza.
> Zotsatira:
> American Cancer Society. Kodi Thupi Lathupi Limakhudza Vuto la Khansa? . Kusinthidwa 01/04/18.
> American College of Othandizira ndi Amayi a Gynecologists. Maganizo a Komiti. Salpingectomy kwa Ovarian Cancer Prevention. 01/2015.
> National Cancer Institute. Kusintha kwa BRCA: Kuopsa kwa Khansa ndi Kuyeza kwa Genetic. Kusinthidwa 01/30/18.
> National Cancer Institute. Ovarian epithelial, Tube Fallopian, ndi Primary Primary Peritoneal Treatment Treatment (PDQ) -Achilengedwe Professional Version. Kusinthidwa 01/19/18.
>, J., Kim, B., Dhanasekaran, D., Tsang, B., ndi Y. Nyimbo. Curcumin Amayambitsa Apoptosis ndi Kuletsa Sarco / Endoplasmic Reticulum Ca2 + ATPase Ntchito m'maselo a Khansa ya Ovari. Mayankho a Khansa . 2016. 371 (1): 30-7.