Kodi chimawonjezera chiopsezo cha khansa ya m'mimba?
Khansara ya endometrial ndi khansara ya chiberekero cha chiberekero, endometrium . Ndi njira yowopsa kwambiri ya khansa ya uterine ya amayi. Zomwe zimayambitsa kansa ya m'magazi sizidziwikiratu, koma madokotala apeza zifukwa zingapo zowopsa.
Ngakhale zifukwa zomwe zingayambe kuika moyo pachiswe zingakupangitse mwayi wanu wodwala khansa ya m'mimba, sizikutanthauza kuti mudzazipeza kapena kuti zimayambitsa khansara.
American Cancer Society imanena kuti amayi ambiri omwe ali ndi vuto limodzi kapena zingapo zambiri samayambitsa khansa ya m'magazi, pamene amayi ena omwe ali ndi khansara ili alibe zidziwitso zosadziwika.
Estrogen May Awonjezere Vuto Lanu la Khansara Yam'mimba
Ngakhale kuti sitingathe kufotokozera chomwe chimayambitsa khansa ya m'magazi, kafukufuku amasonyeza kuti ma level etirogen ndi apamwamba kwambiri kwa estrogen pazaka zambiri angagwirizane ndi chitukuko cha khansa ya endometrial.
Estrogen ndi hormone yachibadwa yomwe imapezeka m'mimba mwake, pamodzi ndi progesterone ya hormone. Mahomoni ameneŵa amatha kusintha pakati pa mwezi uliwonse. Panthawi ndi pambuyo poti ayamba kusamba, thupi limasiya kupanga mahomoniwa. Izi ndi zomwe zimayambitsa zotsatira za kusamba, monga kutentha kwa moto, kutuluka kwa usiku, ndi kuuma kwina .
Zifukwa zomwe mwakhala mukukweza masiteji a estrogen kapena kuwonetsa nthawi yaitali:
- Estrogen-Njira yokha yochizira Hormone: Kuti athetse mavuto omwe amabweretsa chifukwa cha kusamba kwa thupi, amayi ena amalembedwa mankhwala otchedwa hormone. Izi zikhoza kukhala estrogen kapena estrogen pamodzi ndi progestin (progesterone), malinga ndi ngati alibe chiberekero. Estrogen ikhoza kuyambitsa chiberekero kukula (endometrial hyperplasia) ngati mayi akadali ndi chiberekero chake, choncho adzafunika kutenga progestin kuti amuthane nayo. Pali chiopsezo cha khansa ya uterine ngati izi zikuchitika. Choncho, kutenga estrogen popanda chithandizo cha progestin ngati muli ndi chiberekero kungakulepheretseni kutenga khansa ya m'mimba.
- Kunenepa Kwambiri: Ngakhale kuti mazira ambiri sapanga maantirojeni atatha kusamba monga kale, estrogen ikhoza kupezeka m'thupi mwa mafuta. Izi ndi zachilendo kwa amayi onse. Ochita kafukufuku amakhulupirira kuti popeza amayi olemera amakhala ndi minofu yambiri, amakhala pachiopsezo chachikulu chokhala ndi kansa ya m'magazi chifukwa ali ndi etirogen. Mwamwayi, amayi omwe ali ochepa kwambiri komanso omwe ali ndi khansa ya endometrial ali ndi chiopsezo chowonjezeka cha imfa ku matendawa. Kumbukirani kuti amayi omwe ali ndi zolemera zowonongeka amakhalanso ndi chiopsezo cha khansa ya endometrial - sizimangopitirira akazi owonjezera kwambiri.
- Zaka Zambiri za Kusamba: Kuyambira kumayambiriro kumayambiriro kapena kuyamba kuyambira mochedwa kumapanganso chiopsezo cha khansa ya m'mimba. Apanso, estrogen ndi chifukwa chake izi zingawonjezere chiopsezo chanu. Azimayi omwe amasiya kusamba, endometriamu imapezeka ku estrogen. Pamene muli ndi miyandamiyanda yochulukirapo, maestrojeni ambiri amawonetsa zochitika zanu za endometrium.
- Odwala PCOS kapena Ovulation Osavomerezeka: Azimayi omwe amamva zovuta, monga odwala matenda ovary ovary (PCOS), amakhala ndi chiopsezo chachikulu cha khansa ya m'mimba. Kwa akaziwa, estrogen ikupangidwira ndipo imalimbikitsa kukula (kutumphuka) kwakumangirira. Komabe, ngati ovulation sichikuchitika, chovala cha endometrial sichitha (monga mwachizoloŵezi, amai ovulitsa) ndipo amapezeka ku estrogen yambiri. Zotsatira zake zikhoza kukhala endometrial hyperplasia, zomwe zingayambitse khansa ya m'magazi.
- Musakhale Woyembekezera: Azimayi omwe sanakhalepo ndi amayi ali pachiopsezo chowonjezeka, makamaka omwe akuvutika ndi kusabereka. Kuganiza kumbuyo kwa chiopsezo ichi ndikuti amayi omwe sanayambepo kutenga pakati angakhale ndi mavota osagwirizana, omwe akufotokozedwa pamwambapa.
- Tamoxifen Gwiritsani ntchito: Tamoxifen ndi mankhwala othandizira odwala omwe ali ndi khansa ya m'mawere. Zimamanga maselo otchedwa estrogen m'magulu ena, kuteteza estrojeni kuchoka ku kumangirira ndi kukulirakulira. Izi zimalepheretsa estrogen kuti iwononge kukula kwa mitundu ina ya khansa ya m'mawere. Mwatsoka, Tamoxifen ingathandizenso kukula kwa endometrium.
Zina Zowopsa Kwambiri za Khansa
Estrogen sichifukwa chokhacho chothetsera khansa ya m'mimba. Ofufuza apeza zina mwazifukwa zomwe zimayambitsa matenda:
- Matenda a shuga: Kafukufuku amasonyeza kuti amayi omwe ali ndi matenda a shuga amakhala pachiopsezo chachikulu cha khansa ya m'mimba. Izi zikhoza kukhala chifukwa kunenepa ndi matenda a shuga zikugwirizana.
- Mbiri yaumoyo waumoyo wa khansa kapena khansa ya ovarian : Azimayi amene ali ndi khansara ya m'mawere kapena ovariya ali ndi chiwopsezo chochepa cha chiopsezo cha khansa ya m'magazi. Matenda atatu onsewa amagawana zofanana zoopsa.
- Lynch Syndrome: Amadziwikanso kuti HNPCC (khansa yopanda malire ya nonpolyposis), Lynch syndrome ndi matenda omwe amachititsa munthu kutenga chiopsezo cha khansa, makamaka khansa ya colon. Matenda a Lynch amakhudza kwambiri kapangidwe ka zakudya, koma amachititsanso kuti chiopsezo cha ovari ndi khansa ya endometrial chikhalepo kwa amayi.
> Chitsime:
> "Endometrial (Uterine) Khansa," American Cancer Society, 3/17/2015.