Khansara ya ovarian imatchulidwa kuti "wakupha wakupha" chifukwa akuti ndi zizindikiro zochepa m'mayambiriro a matendawa. Posachedwapa, ofufuza apeza kuti nthawi zambiri amai amakhala ndi zizindikiro, monga kupweteka kwa m'mimba, kumverera mofulumira pamene akudya, kupweteka kwa m'mimba, ndi kuvota kwabwino, koma nthawi zambiri amakhala osabisa, osadziwika bwino, komanso osamveka mosavuta chifukwa cha chinthu china. .
Kupeza lingaliro lachipatala pa zizindikiro zilizonsezi ndizofunika kuti mupeze khansara ya ovenda oyambirira chifukwa, mwatsoka, palibe kuyezetsa kuyesa matendawa panthawiyi ndipo nthawi zambiri zimapezeka pamayendedwe awo apamwamba.
Zizindikiro Zoyamba Kumayambiriro
Atawadziwitsa za matenda a khansa ya ovarian ndipo anafunsidwa za mbiri ya zizindikiro zokhudzana ndi matendawa, amai ambiri amayang'ana mmbuyo ndipo amazindikira kuti ali ndi zizindikiro zotere kwa nthawi ndithu-anali otukwana kapena ofatsa kuti ayambe kukambirana ndi dokotala.
Akatswiri ofufuza apeza kuti zizindikiro zinayi, makamaka, zimakhalapo pamayambiriro a matendawa. Ngati mumakumana ndi izi, lankhulani ndi dokotala wanu.
Mimba Yamimba
Anthu ambiri amadziwa kupweteka kwa m'mimba komanso kutupa nthawi zina, makamaka nthawi yoyamba kapena atadya chakudya chambiri. Koma kupweteka kumeneku kuli kosavuta ndi chizindikiro chochenjeza cha khansa ya ovari. Mlingo wa kuphulika ungakhale wosiyana ndi wofatsa, koma nthawi zambiri umapezeka tsiku ndi tsiku ndipo ukhoza kuwonongeka ndi nthawi.
Chidziwitso chabwino chingakhalepo panonso.
Popeza kuti chisonyezerochi n'chobisika, samalani ngati zovala zanu zimamveka molimba kumbali yanu, ngakhale mutakhala kuti simukulemera. Tengani pang'ono pagalasi. Mwinamwake simungodzimva kuti mwavulaza koma onani zowoneka zokhazikika pagalasi. Akazi ena amapanga zizindikiro, makamaka ngati sanakhale ndi pakati.
Nthaŵi zambiri, kubvunda ndi khansa yoyambirira ya ovari kumatchulidwa kuti ikugwirizana ndi msinkhu, kusamba, kapena kupeza mapaundi angapo. Kukumana ndi mvula kwa nthawi yoposa tsiku kapena awiri ndi chifukwa chodera nkhawa.
Kupweteka kwapala kapena kupanikizika
Kupweteka kwapilisi komwe kumamveka ngati kumaso kwa msambo kumakhalanso kofala kale ndi khansa ya ovari. Mofanana ndi kuvulaza, amayi ambiri nthawi zambiri amakhala ndi ululu wa m'mimba, makamaka nthawi yawo. Koma ngati kupweteka kwa m'mimba kumapitirira, makamaka ngati kumaphatikizidwa ndi kuthamanga, ndi chifukwa chowonera dokotala wanu. Kupweteka kumakhala kumalo amodzi, koma kungakhalenso kufalikira komanso kumverera ponseponse.
Kumverera Mwamsangamsanga Ndi Kudya
Anthu ambiri omwe ali ndi khansara oyambirira amawona kuti amamva mofulumira atadya chakudya chokwanira kuposa momwe anachitira kale. Angapitirize kukhala ndi maganizo pakati pa chakudya. Izi zikhoza kuyendetsedwa ndi gasi komanso kudzipusitsa. Kulemera kwa thupi kumakhala kofala ndi khansa yapamwamba kwambiri ya ovari koma ingakhalenso chizindikiro choyambirira chokhudzana ndi chidziwitso chimenechi m'mimba kapena m'mimba.
Nthawi Zambiri za Urinary
Kuthamanga kawirikawiri kapena kumverera kuti mwadzidzidzi pakufunika kupita kumayambiriro ndi khansa ya ovari.
Izi zingakhale zokhudzana ndi kupanikizika kwa chikhodzodzo kuchokera ku chotupa komanso kusintha kwa mahomoni komwe kumayambitsa ziwalo zina. Azimayi ena amafunikanso kukodza, koma pokhala pansi amazindikira kuti safunikira kupita.
Zizindikiro Zambiri Zoyenda
Palinso zizindikiro zina zomwe zimapezeka ndi khansa ya ovari, koma zambiri zimapezeka pokhapokha ngati chotupa chafika pamsinkhu wopita patsogolo. Apanso, pali zifukwa zambiri zomwe zingayambitse izi, ndipo nkofunika kuona dokotala wanu kuti adziwe chifukwa chake.
Kusintha kwa Zizolowezi Zamatumbo
Ichi ndi chizindikiro chofunika kwambiri kuti muzindikire (khansa yamtundu, nayenso). Zizolowezi za m'mimba zimatha kuphatikizapo kudzimbidwa ndi kutsekula m'mimba.
Pamene chotupa chimayikaniza pamatumbo, zidole zimakhala zochepa. M'madera ochepa a khansa ya ovarira, zotupa pamatumbo ndi m'mimba zingayambitse chotupa. Zizindikiro za zimenezi zimaphatikizapo kupweteka ndi kupweteka kwa m'mimba, kusanza, ndi kutsekula m'mimba.
Ululu Wochita Zogonana
Zowawa panthawi yogonana , yotchedwanso dyspareunia, imatha kukhala ndi khansa ya ovari koma imakhalanso chizindikiro chodziwika bwino monga matenda ena opatsirana. Nthawi zambiri ululuwu umamveka pambali imodzi kusiyana ndi ina koma umatha kupangidwa. Ululu wofanana ndi kusamba kwa msambo ungayambenso ndi kugonana ndikupitiriza kwa kanthawi ndithu. Chizindikiro ichi chikhoza kukhala chizindikiro chenichenicho cha zikhalidwe zingapo, koma zingayambitsenso mavuto komanso maubwenzi. Lankhulani ndi dokotala wanu ngati muwona chisokonezo chilichonse pa nthawi yogonana.
Ululu Wabwerere
Ululu ukhoza kukhala m'munsi kumbuyo kapena kumbali (mbali ya thupi, pakati pa nthiti ndi chiuno) ndikumva zofanana ndi kupweteka kwa msambo kapena magawo oyambirira a ntchito. Chotsitsa chaching'ono chosagwirizanitsidwa ndi zinthu monga kukweza katundu n'koyenera kuwona.
Kuperewera kwa Kunenepa Kwambiri Kapena Kulemera Kwambiri
Pamene kupindula kumachitika, nthawi zambiri zimachitika mofulumira chifukwa cha kusungunuka kwa madzi m'mimba (ndi ascites, tawonetsedwa pansipa).
Kulemera kwa thupi kungayambe pazifukwa zingapo, kuphatikizapo kumverera koyamba kwa kukhuta ndi kusowa kwa njala. Ndi khansa yapamwamba kwambiri, khansa ya khansa -matenda a kulemera kwake, kutayika kwa minofu, ndi kusowa kwa njala-ingakhale ikusewera.
Kuwonongeka kosayembekezereka kumatanthauzidwa ngati kutayika kwa 5 peresenti kapena kulemera kwa thupi pa miyezi isanu ndi umodzi kapena 12. Chitsanzo cha kulemera kosazindikiratu kungakhale mayi wa mapaundi 150 otaya mapaundi 7.5 pa miyezi isanu ndi umodzi popanda kusintha kwa zakudya zake kapena zolimbitsa thupi.
Kuwonongeka kosafuna mwadzidzidzi kuyenera kuyesedwa nthawi zonse, chifukwa pali zinthu zina zoopsa zomwe zingayambitse chizindikirochi kuphatikizapo khansa ya ovari. Kafukufuku apeza kuti anthu opitirira atatu mwa anthu omwe amatha kulemera kwadzidzidzi amakhala ndi khansa ya mtundu wina.
Kusonkhanitsa Kwazigawo M'mimba (Ascites)
Mtundu wina wa kutupa m'mimba ukhoza kuchitika pamayendedwe apamwamba a khansa ya ovari. Ndi metastases ku chiwalo cha m'mimba ndi chiwindi, kuchuluka kwa madzi amatha kusonkhanitsa ndikufuna madzi. Izi zimatchedwa ascites . Ascites angathenso kutsogolera mpweya woperewera ngati madzi amadzikwera m'mapapo.
Kutopa
Kutopa ndi chizindikiro chofala kwambiri cha khansa koma kungakhale chizindikiro cha matenda osiyanasiyana. Kutopa komwe kumawoneka ndi khansara kumakhala kosiyana ndi kutopa kwamba; Sizimayankha usiku wabwino wokhala tulo kapena khofi yabwino. Monga khansara ya ovariya ikupita, maselo a khansa amapikisana ndi maselo abwino a mphamvu, zomwe zimabweretsa kutopa.
Germ Cell ndi Cell Stromal Minofu
Zilonda zajeremusi ndi chingwe cha kugonana zimakhala zotupa, mitundu yambiri ya khansa ya ovari yomwe imapezeka nthawi zambiri kwa atsikana, ingakhale ndi zizindikiro zomwe tafotokoza pamwambapa komanso zizindikiro zina. Ena mwa awa ndi awa:
Masculinization
Ziphuphu zomwe zimabweretsa mahomoni amtundu wamwamuna zingayambitse masculinization, ndi zizindikiro monga kuchepetsa mawu ndi kukula kwa tsitsi la amuna. Zizindikirozi zimapezeka nthawi zambiri m'matumbo a stromal ovarian otchedwa Sertoli-Leydig maselo .
Kutaya kwa Vaginal kapena Kuchetsa
Mafinya a m'magazi (omveka bwino, achikasu, kapena othamanga magazi) ndi / kapena kutuluka kwa magazi mofanana ndi nthawi angakhalenso. Zizindikiro za kutaya magazi musanafike msinkhu (nthawi yoyamba), pambuyo pa kutha kwa thupi, kapena pakatikatikatikatikati mwa mkaka pakati pa akazi a msinkhu wobereka ayenera kubweretsedwa kwa dokotala monga pali zifukwa zambiri zomwe zingayambitse. Kutaya magazi kwapadera ndi chizoloŵezi chofala cha zotupa za maselo osakanikirana ndipo zimagwirizanitsidwa ndi estrogen yomwe imabisika ndi zotupazo.
Kutha msinkhu
Kutha msinkhu (kutha msinkhu) kutha msinkhu kungakhalenso chifukwa cha zotupa zotchedwa estrogen ndipo nthawi zambiri zimawoneka ndi majeremusi ndi maselo a stromal cell. Zizindikiro zingaphatikizepo kukula kwa m'mawere, kupititsa patsogolo ubweya, kapena msanga kwa atsikana.
Ululu Wofiira Wofiira
Kupweteka kwapakhosi ndi kupanikizika ndizofala kawirikawiri zizindikiro za khansa ya ovine, koma kupweteka komwe kuli kovuta kumatha kulengeza chotupa chamimba mwa njira yina. Matenda a ovariya, makamaka majeremusi ndi maselo a stromal cell, amachititsa kuti ovary ayambe kuzungulira khola (torsion). Izi zikachitika, mitsempha ya magazi imene imabweretsa magazi ku ovary ikhoza kuthetsedwa, ndipo kusowa kwa magazi kungabweretse ululu waukulu, magazi, komanso nthawi zambiri matenda.
Misala
Zowonjezereka kwambiri ndi maselo a majeremusi ndi ziwalo za stromal maselo kwa atsikana ndi atsikana, nthendayi imatha kukhala chizindikiro choyamba cha khansa. Ziphuphu za mavava (ngati cysts) nthawi zina zimakhala zazikulu kwambiri musanayambe zizindikiro zambiri.
Mavuto
Kuphatikiza pa zizindikiro zapamwamba, khansara ya ovari nthawi zina imabweretsa mavuto, nthawi zambiri chifukwa cha metastases ku mimba ndi mapapo. Kumbukirani kuti anthu ambiri ali ndi zovuta zochepa ngati zilipo. Komabe, ndizofunikira kudziwa zina mwazochita ndikupempha mankhwala ngati muli ndi zizindikiro. Ena mwa awa ndi awa:
Kumangidwanso
Mwamwayi, zolepheretsa m'mimba zikhoza kuchitika zonse chifukwa cha metastases m'mimba ndi m'mimba, ndi kumatira (minofu yofiira) yomwe imapangidwa pambuyo pa opaleshoni ya m'mimba kapena m'mimba (kuphatikizapo opaleshoni ya khansara ya ovari). Minofuyi imatha kuyambitsa makina ndi kupotoka m'mimba, zomwe zimapangitsa kuti zisawonongeke.
Zizindikiro nthawi zambiri zimakhala zowawa, kupweteka kwa m'mimba ndi kusanza. Nthawi zambiri opaleshoni imafunika kuchotsa mbali zomwe zimakhudzidwa m'mimba. Izi zikachitika, chapamimba chogwiritsira ntchito kapena chupastric tube nthawi zambiri amafunika kudyetsa pamene matumbo amatha.
Stomas (Ileostomy ndi Colostomy)
Ngati matumbo sangathe kuyanjanitsidwa pambuyo pochita opaleshoni chifukwa choletsedwa pang'ono kapena chachikulu, mapeto a matumbo amatha kusungunuka pakhungu pang'onopang'ono (pang'onopang'ono) kapena nthawi zina. Pamene matumbo aang'ono amathandizidwa, mbola iyi (kugwirizana kwa matumbo kumtambo wa ngalande) imatchedwa ileostomy, ndipo ikaphatikizapo colon, colostomy.
Perforated Colon
Khansara ya ovariya imayamba kuchepa pamatumbo ndikukula. Minofu imatha kufooketsa, kuyambitsa malo oweta matumbo omwe amachititsa kuti matumbowa alowe m'mimba mwa mimba ndikuyambitsa matenda (peritonitis). Nthawi zambiri opaleshoni imafunika kudutsa malo odwala a matumbo.
Kusungidwa kwa Ureter / Urinary Observation
Khansa ya ovariya imatha kufalikira m'matumbo, kutseka ma tubes omwe amayenda kuchokera pa impso kupita ku chikhodzodzo (the ureters). Ngati zonsezi zitatsekedwa, mkodzo umachoka. Ngati kokha kamodzi kadzatsekedwa, sipangakhale zizindikiro kapena pangakhale ululu wowawa, malingana ndi malo omwe amatsekedwa. Kuyika kwa stent kuti ugwire ureter kutseguke kungakhale kofunikira kuti athetse kutseka.
Pleural Effusion
Ndi metastases kumapapu kapena m'chigawo cha chifuwa, madzi amatha kumanga pakati pa nembanemba zomwe zimayendera mapapo ( pleura ). Nthawi zina madziwa amakhala ndi maselo a khansa ndipo amatchulidwa ngati chiwonongeko chopweteka .
Ndondomeko yotchedwa thoracentesis (kuyika singano kupyola khungu pachifuwa mu mthunzi wofufuzira) ingagwiritsidwe ntchito kukhetsa madzi. Zomwe zimachitika nthawi zambiri zimabwereranso ndi khansara ndipo, ngati izi zichitika, zimatha kukhazikika kuti zilowetse madzi; monga njira ina, mankhwala akhoza kuikidwa pakati pa zigawo zomwe zimapangitsa kuti nembidzi zisamale limodzi kuti madzi ena asamangidwe ( pleurodesis ).
Kupweteka kwa mafupa
Ululu wa mafupa okhudzana ndi mafupa a metastases ukhoza kukhala wovuta, koma pali njira zambiri zomwe mungagwiritse ntchito kuphatikizapo mankhwala osokoneza bongo komanso mankhwala omwe angakuthandizeni.
Nthawi Yomwe Muwone Dokotala
Kafukufuku wa 2016 anapeza kuti zizindikiro zomwe zinkakhala zotheka kusonyeza khansa ya ovari zimaphatikizapo mimba ya m'mimba, kutayika m'mimba (kapena kuwonjezeka girth), kupweteka m'mimba kapena kupweteka kwa m'mimba, kupyolera m'mimba kapena kuperewera kwa mimba, ndi kusowa kwa njala.
Izi zikuti, kumbukirani kuti zizindikiro zoyambirira za khansa ya ovari, pamene ilipo, nthawi zambiri imakhala yosamveka komanso yowonekera, ndipo ndi zizindikiro izi, nthawi zambiri zimakhala zovuta, zomwe zimakhala zovuta. Chirichonse chomwe chikuwoneka kuti sichiri cholondola ndipo chomwe chimakhala kwa masiku angapo, makamaka ngati chikufanana ndi zomwe mukuwona pamwambapa, ndibwino kukambirana.
Ngati mayeso anu ndi achilendo, koma thupi lanu likadali kukuuzani kuti chinachake chalakwika, mvetserani. Tsatirani kachiwiri kapena kupeza lingaliro lachiwiri. Khansara ya ovarian ndi imodzi mwa khansa yomwe ingachiritsidwe kapena yosamalidwa kuti ikhale ndi mwayi wochepa kwambiri wobwereranso ikapezeka muyambirira.
> Zotsatira:
> Ebell, M., Culp, M., ndi T. Radke. Kusanthula Kwambiri kwa Zizindikiro Za Kuzindikira Khansa ya Ovariani. Magazini ya American Medical Prevention Medicine . 2016. 50 (3): 384-394.
> National Cancer Institute. Ovarian epithelial, Tube Fallopian, ndi Primary Primary Peritoneal Treatment Treatment (PDQ) -Achilengedwe Professional Version. Kusinthidwa 01/19/18. https://www.cancer.gov/types/ovarian/hp/ovarian-epithelial-treatment-pdq