Khansara ya chiberekero ndi mtundu wa khansara yomwe imakhudza chiberekero , mbali imodzi ya chiberekero cha ubereki. Khansarayi imayamba kufalikira mu endometrium ya chiberekero, zomwe zimachititsa khansa ya m'magazi , mtundu wambiri wa khansa ya uterine. Kawirikawiri, khansa imafalikira minofu ndi ziwalo zina zomwe zimathandiza chiberekero.
Izi zikachitika, amatchedwa uterine sarcoma. Pakati pa 5 peresenti ya khansa ya uterine ndi mitsempha.
Zifukwa ndi Zoopsa
Mwamwayi, sitingathe kudziwa zomwe zimayambitsa khansa ya uterine, koma tikudziwa zoopsa zomwe zingapangitse kuti chitukuko chikule. Kansa ya chiberekero kawirikawiri imapezeka mwazimayi omwe ali ndi mimba ya mimba . Azimayi achichepere angakhalenso ndi matendawa, koma izi zimachitika kawirikawiri.
Pakati pa mitsempha ya uterine, tikudziwa kuti chithandizo chamankhwala cham'mazira chisanafike chikhoza kuonjezera chiopsezo kwa amayi ena. Zikuwonekeranso kuti mazira a uterine amapezeka kawirikawiri m'mabambo a ku America ndi a America kusiyana ndi ku Caucasus, ngakhale chifukwa chake sichidziwika bwino.
Mwamwayi, timadziwa zambiri zokhudza khansa ya m'magazi kuposa momwe timachitira ndi mitsempha ya uterine. Ofufuza apeza zinthu zingapo zomwe zimadziwika kuti ndi zoopsa, kuphatikizapo:
- osakhala ndi pakati
- kuyambira msambo usanafike zaka 12, ndikupitirira zaka 50 kapena kuposerapo
- akudwala shuga
- kunenepa kwambiri
- kugwiritsa ntchito estrogen m'malo wothandizira (ERT)
- Mbiri yaumwini kapena banja la khansa ya m'mawere kapena ovari
- ntchito ya Tamoxifen , mankhwala a khansa ya m'mawere
Chinthu chimodzi choyenera kukumbukira ndi khansa ya uterine ndizoopsa kuti amayi ena omwe ali pachiopsezo chachikulu sakhala ndi khansa ya uterine pamene akazi ena omwe sakhala ndi zoopsa zilizonse zimayambitsa khansa ya uterine.
Zizindikiro
Chizindikiro chofala kwambiri cha khansa ya uterine ndi magazi omwe amapezeka pambuyo pa kutha kwa thupi . Pambuyo pake, magazi a m'mimba amaonedwa kuti ndi achilendo pamene:
- Nthawi ndizolemera komanso zazitali
- Kuwoneka kolemera kumachitika pakati pa nthawi
- Pali nthawi yochulukirapo mwezi
- Kutuluka magazi kumachitika kale komanso / kapena pambuyo pa kugonana
Chizindikiro china ndi madzi, umaliseche wamadzi womwe umayambitsidwa ndi magazi. Kumayambiriro kwa uterine sarcoma, sipangakhale zizindikiro zodziwika.
Ndi khansa ya m'magazi, chizindikiro chodziwika kwambiri ndi choyamba choyamba ndi magazi osadziwika. Zizindikiro zina zimaphatikizapo kusamba kwa madzi, kupweteka panthawi yogonana, ndi ululu wamkati .
Kudziwa
Ngati mukuganiza kuti khansa ya uterine imayesedwa, kuyesa kwapadera kumachitidwa koyamba ndi azimayi. Iyi ndi nthawi yabwino kwambiri yokambirana za mbiri yachipatala yaumwini ndi ya banja, zizindikiro, ndi kufunsa mafunso. Ngati simunakhalepo ndi Pap smear yatsopano komanso chifukwa cha imodzi, azimayi akhoza kuchita limodzi ndi mayeso a pelvic. Mapuloteni a Pap omwe sakhala nawo nthawi zambiri amazindikira khansa ya uterine, koma amatha kuchitapo kanthu kuti athetse chikhalidwe china cha mimba.
Kuti atsimikizire kukhalapo kapena kusapezeka kwa khansa, biopsy yokhala ndi endometrial idzakhala yofunikira. Izi zikhoza kuchitidwa ku ofesi ya azimayi ndipo zimatenga nthawi pang'ono kuti mutsirize.
Amayi ambiri amanena kuti akumva kupweteka kochepa komanso kupweteka kumene kumangochitika pokhapokha, ndipo ena amatha kupweteka pang'ono.
Njira ina yopezera minofu ya endometrial ndi kupyolera ndi kudula (D & C). Pakati pa D & C, chiberekero chimatengedwa ndi chida chotchedwa curette. Mumapatsidwa mankhwala osokoneza bongo kuti musamve chilichonse panthawiyi, koma mukhoza kuyembekezera kupweteka pang'ono.
Ngati zitsanzo za biopsy zimatulutsa uterine sarcoma kapena kansa ya endometrial, ndiye kuti khansara imayambira. Kutsegula kumatanthawuza momwe khansara yafalikira kutali ndi minofu kapena ziwalo zapafupi.
Chithandizo
Njira zothandizira zimadalira kwambiri mtundu ndi siteji ya khansa ya uterine, koma opaleshoni ndiyo njira yowonjezereka ya mankhwala kwa mitundu yonse.
Opaleshoni ndi awa:
- hysterectomy , kuchotsa opaleshoni ya chiberekero
- mankhwala osokoneza bongo omwe amatha kupititsa patsogolo chiberekero, opaleshoni yochotsa chiberekero, mazira, ndi mazira.
- Kachilombo koyambitsa matenda a mitsempha, kuchotsedwa kwa maselo a mitsempha yamtunduwu panthawi ya hysterectomy yomwe yapangidwira kafukufuku wa khansa
Thandizo la ma ARV ndilo njira yothandizira khansa ya uterine. Mankhwalawa amagwiritsira ntchito mphamvu zamagetsi zamtundu wa dzuwa kuti zikhale zotupa kapena kuthetsa maselo a khansa. Mankhwalawa amachititsa kuti DNA iwonongeke. Ngakhale mankhwala opatsirana pogwiritsa ntchito ma radiation angasokoneze maselo a thanzi lapafupi, maselo a khansa ndi ofunika kwambiri poizoni komanso amafa akamapatsidwa mankhwala. Ma cell wathanzi omwe amawonongeka pa nthawi ya ma radiation ndi othandiza ndipo nthawi zambiri amatha kuchira.
Chemotherapy angathenso kulamulidwa kuti azichiza khansa ya uterine kwa amayi ena. Mankhwala a chemotherapy amagwira ntchito mwa kuthetsa mofulumira kuchulukitsa maselo a khansa. Komabe, palinso maselo ena abwino m'thupi omwe amachulukana mofulumira, monga maselo osungira tsitsi. Mwamwayi, mankhwala ambiri a mankhwala a chemotherapy sangathe kuzindikira maselo awiri, omwe amatha kukhala ndi thanzi labwino ndi kuwononga zotsatira , monga tsitsi .
Kupewa
Chifukwa sitikudziŵa chomwe chimayambitsa kansa ya uterine, kupewa kungakhale kovuta.
Tikudziwa kuti chithandizo chamatenda asanafike patsogolo chingapangitse chiopsezo cha uterine sarcoma, koma sayenera kupeŵa chifukwa cha chiwindi cha khansa ya uterine.
Popeza tikudziwa zambiri za zomwe zimachititsa khansa ya m'magazi, njira zochepetsera chiopsezo zimakhala zambiri. Kugwiritsira ntchito nthawi yayitali za kulera kwa pakamwa ndi kukhala ndi kulemera kwabwino ndi njira zochepetsera chiopsezo chanu chokhala ndi khansa ya m'magazi. Chifukwa khansa ya m'magazi imayambitsidwa ndi estrogen, pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito progestin limodzi ndi estrogen akhoza kuchepetsa chiopsezo cha amai. Mankhwala oterewa ali ndi zotsatirapo, komabe, osati kwa aliyense.
Ngakhalenso ndi khansa ya m'magazi, simungapewe zoopsa monga momwe kale tamoxifen imagwiritsira ntchito poyeza khansa ya m'mawere. Dokotala kapena wodwala sangakane konse kugwiritsa ntchito tamoxifen pogwiritsa ntchito chiopsezo pang'ono chokhalira ndi khansa ya endometrial m'tsogolomu. Kuopsa kwake sikungowonjezera phindu.
> Zotsatira:
> American Cancer Society. Kodi Uterine Sarcoma ndi chiyani? Ndondomeko Yoyenera June 2006.
> National Cancer Institute. Uterine Sarcoma. 26 June 2008.