Chii chinowedzera njodzi yako yekenza yemakemikari?
Muchirwere weEntometrial ndiwo kenza yemuviri weruchivo, endometrium . Iyo ndiyo inowanzojairika yekenza ye uterine yevakadzi. Zvimwe zvinokonzera kenza yemapendometri hazvizivikanwi, asi vanachiremba vakaona huwandu hwezvipingamupinyi zvayo.
Kunyange zvazvo zviitiko zvinogona kukuvadza zvinogona kukonzera mikana yako yekuvandudza kenza yemapendometri, haireve kuti iwe uchaiwana kana kuti yakakonzera kenza.
IAmerican Cancer Society inotaura kuti vakadzi vakawanda vane imwe kana zvimwe zvinowanzoisa mungozi havasati vadzidza chirwere chekupedzisira kwemakemikari, asi vamwe vakadzi vane kenza iyi havana zivo inowanzovhiringidza.
Estrogen May Kuwedzera Dambudziko Rako reKinometric Cancer
Kunyange zvazvo tisingakwanisi kunyatsojekesa chaiyo inokonzera kenza yemapendometri, zvidzidzo zvinoratidza kuti mazinga akareba eesrogen uye nguva yakareba kuine esrogen pamusoro pemakore akawanda angave akabatanidzwa nehutano hwekugadzirisa kenza yemetometri.
Estrogen inonzi hormone inowanzoitika mumayamu, pamwe nehomoni progesterone. Aya mahomoni anotenderera mukati memwedzi. Mukati uye shure mushure mekuguma, muviri unorega kubudisa mahomoni. Izvi ndizvo zvinokonzera migumisiro yekuenda kumwedzi, sekupisa kunopisa, usiku hunoti, uye kuomeswa kwemadzimai .
Zvikonzero zvaungave wakasimudzira maitiro eesrogen kana kutaridzika kwenguva refu:
- Estrogen-Only Hormone Therapy: Kuti kuderedza zvinetso zvinotambudza zvekuguma kwemwedzi, vamwe vakadzi vanorayirwa hormone replacement therapy. Izvi zvinogona kuva yesrogen kana estrogen pamwe ne progestin (a synthetic version ye progesterone), zvichienderana nokuti kana vachiri ivo vane chibereko chavo here kana kuti kwete. Estrogen inogona kukonzera kubatana kwechiberekero kukura (endometrial hyperplasia) kana mukadzi achiripo ane chibereko chake, saka iye achada kutora progestin kuti achirwise. Pane njodzi yekuve nekenza yeukirini kana izvi zvichiitika. Nokudaro, kutora estrogen pasina rubatsiro rweprogestin kana iwe uchiri nechibereko chinogona kuwedzera mungozi yekenza yemakemikari.
- Kuwedzera muviri: Kunyange zvazvo mazai mavari haasisiri kubudisa isrogen mushure mokunge apedza kubuda sezvaaimbova, estrogen inogona kuwanika mumuviri muhutu hwemadii (mafuta). Izvi zvinowanzoitirwa vose vakadzi. Vatsvakurudzi vanotenda kuti nekuti vakadzi vane hutachiwana vane mazamu akawanda, ivo vari pangozi yekuwedzera kenza yemapendometri nekuti vane mazinga akakura eestrogen. Zvinosuruvarisa, vakadzi vanorema uye vanewo kenza yemapendometri vanotambura nehuwandu hwekufa kubva pachirwere. Ramba uchiyeuka kuti vakadzi vane zviyero zvine utano vanogonawo kutapukirwa nekenza yependometri - haisi yega yevakadzi vakanyanya.
- Makore Akawanda Okuenda Kumwedzi: Kutanga kuenda kumwedzi mangwanani kana kutanga kutama kwemwedzi kunowedzerawo njodzi yekenza yepemetrase. Zvakare, estrogen ndiyo chikonzero chekuita izvi kungawedzera ngozi yako. Mumadzimai ekuenda kumwedzi, endometrium inoratidzwa kune estrogen maitiro ose. Kana iwe unowedzera maitiro ako, yakawanda isrogen inotarisa zvakaitika kwauri endometrium.
- PCOS kana kuregererwa kusina kukanganiswa: Vakadzi vanoona zvisina kufanira kuvhara, sevaya vanotambura ne polycystic ovary syndrome (PCOS), vanotarisana nehuwandu hwekenza yemakemikari. Madzimai aya, estrogen iri kubudiswa uye inokurudzira kukura (kuwedzera) kwekugadzirisa kwemagetsi. Zvisinei, kana kuvhuvhuta kusina kuitika, chirongwa chekupedzisira chemakemikari hachina kukanganiswa (sezvinowanzoitika, vakadzi vanoputika) uye inoonekwa kune mamwe esrogen. Chigumisiro chinogona kuva endometrial hyperplasia, iyo inogona kutungamirira kumuchirwere wemapendometri.
- Usambove Uchiri Mimba: Vakadzi vasina kumbobata pamuviri vari pangozi yakawanda, kunyanya avo vanotambura nekushaya vana. Kufunga shure kweiyo ngozi ndeyokuti vakadzi vasina kumbobata pamuviri vanogona kuve nekunyanya kusvitsa, izvo zvinotsanangurwa pamusoro apa.
- Tamoxifen Shandisa: Tamoxifen inonzi adjuvant therapy mishonga inowanzotarisirwa kuvakadzi vane kenza yemazamu. Iyo inosungira kune estrogen receptors mune mamwe matukisi, kudzivirira isrogen kubva pakisunga uye kukurudzira maviri ekukura. Izvi zvinodzivirira isrogen kubva pakuwedzera kukura kwemamwe marudzi ekenza yemazamu. Zvinosuruvarisa, Tamoxifen inogonawo kukurudzira kukura kwe endometrium.
Zvimwe Endometrial Cancer Risk Factors
Estrogen haisi iyo chete inokonzerwa nekenza yemapendometri. Vatsvakurudzi vakaona zvimwe zvirwere zvinokonzera chirwere ichi:
- Chirwere cheshuga: Ongororo inoratidza kuti vakadzi vane chirwere cheshuga vane ngozi yakawanda yekenza yepemetrial. Izvi zvinogona kuva nokuti kuneta uye chirwere cheshuga chakabatana.
- Utano Hwomunhu Pano Nhoroondo yeBeast kana Ovarian Cancer: Vakadzi vane chirwere chemazamu kana chechivharo vane huwandu huri muhutano hwekuita kenza yemapendometri. Zvirwere zvitatu izvi zvinogovana zviitiko zvakafanana.
- Lynch Syndrome: Iyo inozivikanwawo seHNPCC (inonzi inherital nonpolyposis cancer), Lynch syndrome inowanzoita kuti munhu awane kenza yemukenza, kunyanya chirwere chekoloni. Lynch syndrome inonyanya kukanganisa chirwere chekudya, asi inowedzerawo njodzi yeavoan uye chirwere chemapetometri muvakadzi.
> Kwakabva:
> "Endometrial (Uterine) Kanzera," American Cancer Society, 3/17/2015.