Mhando yeOvarian Germ Cell Malignancy
Kana iwe wakamboudzwa kuti une immature teratoma, iwe unogona kunge wakatya zvikuru. Hazvirevi izvi chete zvinoreva kenza, asi izvi zvinowanzowanikwa kana vanhu vachiri vaduku zvikuru.
Ndeupi chaiwo rudzi urwu rwechirwere chetachiona, uye rinorapwa sei?
Overview
Immature teratomas yakagadzirwa nematukisi akafanana neaya anowanikwa mumukomana. Ndivo vanonyangadza vakoma vezvakawanda zvakakura mumasikirati e-cystic teratomas kana kuti dermoid cysts .
Apo matatomasi asina kufanira anowanikwa pamwe chete nemamwe tumakumbo emasero egiramu , anobva atumidzwa kuti "akavhenganiswa nemasero emakumbo."
Yakachena yakawanda teratoma inonyanya kushamisika uye inomiririra anenge 1 muzana yemakondani ose ovari-asi mukati memishonga yegemukari tumoror, iyo ndiyo yechipiri inowanzovhiringidza.
Zera revakadzikadzi vane Immature Teratomas
Madzimai ari pasi pemakore makumi maviri emakore, matumire aya anomiririra 10 muzana kusvika 20 muzana yezvose zvinokanganisa mavari. Inenge hafu yezvinhu zvose zvisingasviki matatomas zvinogona kuitika kunyange kare, pakati pemakore gumi kusvika ku20. Hazviwanzoitiki kuitika mumashurepopopokadzikadzi.
Kurapa
Kurapa kwekusava nematatoma isina kufanira kunosanganisira kuvhima uye chemotherapy, Varwere vane chirwere chechigarire Ia bhoteri 1 immature teratoma vanowanzorapwa nekuvhiyiwa voga nokuti chirevo chinonyanya kunaka. Apo chikamu chemuviri wacho chinopfuurira kusvika 2 kana 3, kana danho rinopfuura kupfuura Ia, chemotherapy inowanzokurudzirwa.
Chikamu chetematata isina kutaridzika chinoreva chiyero chezvipembenene zvine mishonga isina mushure (iyo inoratidzika seyomuviri wemukomana). Somuenzaniso, maererano neAmerica Cancer Society, chikamu 1 immature teratoma inosanganisira zvizhinji zvisingave zvekenza, uye nzvimbo shomanana dzemawere ane kenza, zvinogona kuonekwa pasi pe microscope.
Nharaunda yematatoma isina kufanana inoreva kuti yakareba sei-chikwata ini chiremera chinoreva kuti kukura kwayo kunongoperera mavhavha.
Kurapa Kwokuvhiya
Mumadzimai ane makore ekuberekwa anoda kuchengetedza kubereka, kubviswa kwechirwere chekuvhara uye chirongwa chokuvhiya kunogona kuitwa, zvichisiya chibereko uye imwe yerari chete. Izvi zvinogona kuitwa nokuti imwe yenyuchi haifaniri kubatanidzwa, asi kugadzirwa kunenge kuchiri kudiwa kuti kuve nechokwadi kuti kenza haina kupararira.
Apo inopararira, inowanzoita saizvozvo seye epithelial cancer yevari-mukati uye kumativi ose nhengo mukati me peritoneal cavity. Pashoma pacho, inogona kupararira kune lymph nodes , uye inoshandiswa kumera kunzvimbo dzakadai semapapu nechiropa kuburikidza neropa.
Chemotherapy
Sezvo ichi chiri chirwere chisingawanzoitiki, tsvakurudzo shoma shoma inowanikwa inoenzaniswa nezvatinazvo zvekanyanya kanowanzoitwa epithelial ovarian cancers. Idzo dzidzo dzakapedzwa, zvisinei, zvinoratidza kuti yakanakisisa chemotherapy inobatanidza ndeye BEP uye VAC regimens.
Iyo mishonga chaiyo yezvibatanidza izvi ndeye (BEP):
- bleomycin
- etoposide
- cisplatin
uye (VAC):
- vincristine
- Adriamycin
- cyclophosphamide
Zvakawanda zvehutano pamusoro peswere ichi zvinobva pane zvakaitika kune varume vane chirwere chekenza-asi zvakadaro , Gynecologic Oncology Group (GOG) yakabudisa mashoma mashoma machiratidzo.
Panguva ino, chirongwa che BEP ndiyo inotanga kurapwa maitiro akawanda, asi mutemo weVAC unogonawo kushandiswa, kunyanya kana pane kudzokorora.
Kutevera-Kutevera Mushure Mokurapa
Kutevera-shure mushure mekurapwa kwema immatatatatata inowanzotarisirwa pamakiriniki ekuongorora, zviratidzo, uye zvigadzirwa zvekufungidzira seCAT scan. Izvi zvinorevei kuti chiremba wako angarayira kuongorora kana iwe uine zviratidzo zvitsva kana chimwe chinhu chinonzwika pamubvunzo. Kubva ikozvino, zviratidzo zvekugara zvisingagamuchirwi, uye hapana mavhesi anovimbika anovimbika.
Prognosis
Chikamu chechirwere ndechimwe chinhu chinonyanya kukosha chirevo chepakutanga-chirwere chepachirwere-chirevo chinoreva munhu mukana wekudzikinura.
Mune mamwe mazwi, kunyange kana matafura asingasviki ari mune zvakataurwa zvakanyanya, chikoro chakakosha zvikuru (kutora ose kenza inooneka inogona kubviswa chirwere).
Munharaunda yose, makore mashanu ekupona kwechikwata chechirwere chinenge 82 kubva muzana uye anodonha kusvika anenge 30 muzana kana girasi rezvirwere zvitatu zviripo. Makore mashanu ekupona kwechirongwa chepakati 1 chirwere chiri 90 kubva kune 95 kubva muzana, pazvakaitika zvishoma zvishoma zvishoma nezvishoma zvinoshandiswa kuti zvive Gwaro 3.
Kutsungirira Kuziva
Kuongororwa kwekenza kunotyisa panguva imwe chete yaunenge uchidanwa kuzoita zvisarudzo zvikuru pamusoro pehutano hwako kana hwemwana wako. Heano mamwe mazano anobatsira kukutungamirira munguva ino yakaoma:
- Bvunza mibvunzo yakawanda.
- Funga kuwana pfungwa dzechipiri.
- Dzidza zvose zvaunokwanisa pamusoro pekuongorora kwako- zvinoratidzika kuva nezvibatsiro izvo kwete kungoita kuti iwe uzive asi zvinogona kukukanganisa kufungidzira zvakare.
- Kumbira chiremba wako pamusoro pemakiriniki ekuedzwa.
- Dzidza chii chingaitwa kuchengetedza kubereka nekenza .
Sezvo ichi chiri chirwere chisingawanzoiti, iwe unenge usina boka rinotsigira munharaunda yako, asi musha wekenza yemuInternet inogona kukubvumira kutaura kune vamwe vakawanda vari kutarisana nechirwere ichi chisingawanzo.
Ramba uchifunga kuti kurapwa kwekenza kunovandudzika (nhamba nhamba dzinotiudza kuti munhu akaita zvakadini munguva yakapfuura, zvichida vasati vasvika mishonga mitsva). Dzidza nzira yekuzvimiririra iwe kana mwana wako sechirwere chekenza kuitira kuti unzwe uine simba mune rwendo rwako.
Sources:
> Alwazzan AB, Popwich S, Dean E, Robinson C, Lotocki R, Altman AD. Pure Immat Teratoma yeOvary muVanhu Vakuru: Kubata Kwemakore makumi matatu Kubatana Kwenharaunda Yakawanda Yokuchengetedza. Int J Gynecol Cancer . 2015 Nov; 25 (9): 1616-22.
> America Cancer Society. (2/2016). Kurapa kweGermany Cell Mishonga yeOvary.
National Cancer Institute. (2/2016). Ovarian Germ Cell Tumors Treatment - Health Professional Version.