Chirwere cheuchetera chirwere chekenza chinokanganisa chibereko , chikamu chinokosha chekuberekwa kwevakadzi. Uyu kenza inowanzotanga mu endometrium yechibereko, zvichiguma nekenza yemapendometri, chirwere chinowanzopararira chechirwere chekuberekwa. Zvishoma zvishoma, kenza inowedzera mumasumbu uye mamwe masukisi anotsigira chibereko.
Kana izvi zvichiitika, inonzi uterine sarcoma. Pasi pe5 muzana yeukenza yeuketini ndiyo sarcomas.
Zvinokonzera uye Zviitiko Zvengozi
Zvinosuruvarisa, hatigoni kuziva kuti chii chinokonzera chirwere chekuberekwa, asi isu tinoziva nezvezvipingamupinyi zvinogona kuwedzera mukana wekukura. Chirwere chekuberekwa kazhinji chinowanzoitika kune vakadzi vanonzi post-menopausal . Vakadzi vaduku vanogonawo kuwedzera chirwere ichi, asi izvi zvinowanzoitika kakawanda.
Mune zviitiko zveuterine sarcomas, tinoziva kuti kupera kwemishonga inonzi pelvic kuchirapa kunogona kuwedzera dambudziko kune vamwe vakadzi. Izvi zvinoratidza zvakare kuti mazarine ane uterine anoitika kakawanda muvakadzi veAfrica -America kupfuura kuCaucasians, kunyange chikonzero chisina kujeka.
Nenzira yakanaka, tinoziva zvakawanda pamusoro pemukenza wependometri kupfuura zvatinoita pamusoro pehutachiona hwemasterine. Vatsvakurudzi vakatsanangura maitiro akawanda anozivikanwa pangozi, kusanganisira:
- kusambova nepamuviri
- kutanga kumwedzi asati ava nemakore gumi nemaviri, nekuenderera mberi nemakore makumi mashanu kana kupfuura
- ari chirwere cheshuga
- kuneta
- kushandisa yesrogen replacement therapy (ERT)
- nhoroondo yega kana yemhuri yekamuti kana kenza yemuviri
- kushandiswa kweTamoxifen , chirwere chekenza mishonga
Chinhu chimwe chinofanira kuchengeta mupfungwa nehutachiona hwehutachiona hunokonzerwa nehuwandu ndechekuti vamwe vakadzi avo vari pangozi yakawanda havazombovi nekenza yepamusoro apo vamwe vakadzi vasingaiti chero njodzi dzinokonzera uterine kenza.
Zviratidzo
Chiratidzo chinowanzovhiringidzika chekuberekwa kwechirwere chepachiviri chemuviri chinokonzerwa nekubuda ropa kunowanikwa mushure mekuguma kwemurume . Kare zvisati zvadaro, kubuda ropa kwemukadzi kunofungidzirwa kusina kuitika apo:
- nguva dzinorema uye dzinowedzera
- kuora kunorema kunoitika pakati penguva
- kune nguva inopfuura imwechete mumwedzi unoyerera
- Kubuda ropa kunoitika kare uye / kana shure kwepabonde
Chimwe chiratidzo chiri mumvura, kubuda kwemudzimai kunokonzerwa neropa. Mune zvikamu zvekutanga zve uterine sarcoma, pangasave nezvimwe zviratidzo zvinooneka.
Nekenza yemapendometri, chiratidzo chakakurumbira uye chekutanga chekuziva chiropa chinokonzerwa nekubuda ropa. Zvimwe zviratidzo zvinosanganisira mvura yakadzika kubuda, marwadzo panguva dzepabonde, uye kurwadziwa kwepamuviri .
Kuziva
Kana chirwere chekuita uterine chichifungidzirwa, kuongororwa kwepachevic kunotanga kuitwe nemudzimai wegynecologist. Ino ndiyo nguva yakanakisisa yekukurukura nezvemhuri uye yemhuri yezvokurapa, zviratidzo, uye kubvunza mibvunzo. Kana iwe usina kumbove neP Pap smear uye yakakonzerwa nechimwe chete, gynecologist inogona kuita pamwe nekuongorora kwepelvic. Pap smears kazhinji kasati yamboona kenza yemukirini, asi imwe inogona kuitwa kutonga kunze kwemamwe mishonga yemukango.
Kuti kusimbise kuvepo kana kusavapo kwekenza, chirwere chekupedzisira chemakemikari chichave chakakosha. Izvi zvinogona kuitwa muhofisi yegynecologist uye inotora nguva shomanana yekupedzisa.
Vakadzi vakawanda vanotaura kuti vanonzwa kurwadziwa kwakanyanyisa uye kuputika kunongopedzisira kuburikidza ne-biopsy, uye vamwe vanyoro zvishoma pashure.
Imwe nzira yekuwana mishonga ye endometrial ndeyekuwedzera uye kuporesa (D & C). Munguva yeD & C, chibereko chinoputirwa nechombo chinonzi curette. Iwe unopiwa anesthetic kuitira kuti iwe urege kunzwa chero nguva panguva iyo, asi iwe unogona kutarisira kugadzika kwakanyarara pashure.
Kana sampuro ye biopsy inoratidza uterine sarcoma kana chirwere chendometrial, ipapo kenza inogadzirwa. Kutarisa kunoreva kuti kenza yakapararira zvakadini kumashure kana zvikamu zviri pedyo.
Kurapa
Kurapa kunoshandiswa zvakanyanya pamhando uye chikwata chechirwere chekuberekwa, asi kuvhiyiwa ndiyo nzira yakajairika yehutano hwemarudzi ose.
Kuvhiya kunosanganisira:
- kunyengedzera , kubviswa kwechibereki
- hysterectomy ne -bilateral salpingo-oophorectomy , kubviswa kwechibereki, fallopian tubes, uye mavari
- lymph node dissection, kubviswa kweplvic lymph nodes munguva ye hysterectomy iyo yakazoongororwa nekenza
Radiation therapy inosarudzo yekurapa chirwere chekuberekwa. Iyo nzira yekurapa inoshandisa yakakura-masero emagetsi ekuisa marara kumarara kana kupedza masero ekenza. Radiation therapy inoshanda nekukuvadza DNA chekenza yesero, zvichiita kuti isakwanise kuwedzera. Kunyange zvazvo rheinheti yehutachiona inogona kukanganisa masero ane utano ari pedyo, masero emukenza anonyanya kunetseka uye anowanzofa paanoitwa. Masero anopa utano akaparara panguva yemazuva ano anononoka uye anowanzokwanisika kugadzirisa zvakakwana.
Chemotherapy inogonawo kugadziriswa kurapa chirwere chehupombwe mune vamwe vakadzi. Chemotherapy zvinoshanda nekubvisa nokukurumidza kuwedzera kenza masero. Zvisinei, kune mamwe masero ane hutano mumuviri anowedzera nokukurumidza, zvakadai sesvudzi follicle cells. Zvinosuruvarisa kuti, mishonga yemakemikrasi yakawanda inogona kusakwanisa kuona masero maviri, anorwisa masero anokonzera uye kukonzera migumisiro yakaipa , yakadai sekushaya bvudzi .
Kudzivirira
Nemhaka yokuti hatizivi chaicho chinokonzera uterine kenza, kudzivirira kunogona kuoma.
Isu tinoziva kuti utachiona husati hwavapo husati hwawedzera hutachiwana hwehutachiona sarcoma, asi hahufaniri kudziviswa nekuda kwekuberekwa kwekenza yekudzivirira.
Sezvo tichiziva zvakawanda pamusoro pezvinoita kuti kuwedzere mukana wekenza yepemetrase, nzira dzokuderedza njodzi dzakawanda. Kushandiswa kwenguva refu kwekudzivirira kubata pamuviri uye kuchengetedza uremu hune utano ndiyo nzira mbiri dzekuderedza dambudziko rako rekuita kenza yemapendometri. Nokuti chirwere chekupedzisira chemakemikari chinoshandiswa neestrogen, kushandisa hormone replacement therapy munguva yekuguma kwemazuva iyo ine progestin pamwe nes estrogen inogona kuderedza ngozi yemukadzi. Izvi zvakasiyana-siyana zvehutoni zvinokonzera migumisiro, zvisinei, uye hazvisi zvevanhu vose.
Kunyangwe nekenza yemapendometri, haukwanisi kudzivisa njodzi dzakadai sekare tamoxifen inoshandisa kurapa kenza yemvere. Chiremba kana murwere haazomboregi kushandiswa kwe tamoxifen zvichienderana nenjodzi shoma yekuve nekenza yemapendometri munguva yemberi. Ngozi inongopfuuridza zvikwereti.
> Sources:
> America Cancer Society. Chii chinonzi Uterine Sarcoma? Bhuku Rinonyanya Kuitwa Muna June 2006.
> National Cancer Institute. Uterine Sarcoma. 26 June 2008.