Miedzo Inosanganisira Dambudziko reMalignancy Index Kuongorora Mavhisi Ovarian
Kana chiremba wako akawana mashoma ovarian mushure mekutarisa i-ultrasound, kana kuti anonzwa mumwe pane kuongorora, ndeipi mikana yokuti izvo zvakawanikwa ndeyekenza yevana?
Unogona Sei Kuziva kana yako yeOvarian Mass is Ovarian Cancer?
Kana uine uwandu munharaunda mavari mavari mavari, unogona kunge uchinzwa uchitya kuwedzera pane zvakanyanya kuvhiringidzika. Chii chingave icho?
Iwe unogona kunge unotonyanya kutya kana uchiona chiremba wako asinganyatsozivi kana huwandu hwako hunogona kuva nekenza kana kwete. Haafaniri kuziva here? Pane chimwe chinhu chaasina kukuudza here?
Kuti ujekese chimwe chekutya kwako zvakadaro, zvakajairika kuti vanachiremba vavhiringidzike nehutambo hwepachivi munharaunda yeivoes (inonzi "adnexal mass" kana iwe ukanzwa izwi iroro.)
Panguva imwe chete iyo vanachiremba vangave vasina ruzivo kana adnexal mass mumapapiro enyu angave ane kenza, mukana wokuti "wakaipa" -kuita usati wawana pfungwa iri nani- yakakodzana. zvekuvhiyiwa zvisina kukodzera kana iwe unotova nekenza zvechokwadi, uye ingozi yekuvhiyiwa zvisina kufanira uye iyo inogona kukanganisa nekuvhiya iyo kana iwe usina kenza.
Uri Kungozi yeOvarian Cancer?
Isu tine pfungwa yekuti ndiani ari pangozi yekenza yevana, asi izvi zvinotaurwa zvakanyanya kuitira kuti usabvisa ngozi yako yekenza yemaawa kana iwe uine mungozi.
Pane chikonzero chokuti kenza yemaawa inenge yakagadzirirwa muurayi anyerere . Inowanzokonzera zviratidzo zvishomanana kusvikira kenza yakanyanyisa, uye chero ani zvake, pasinei nemungozi, anogona kunge ari pangozi yekuvandudza chirwere chacho.
Kana iwe uri postmenopausal, iwe uri pangozi yakanyanya. Kazhinji mavari evanhu vane hutano anowanikwa kuvakadzi vakwegura (kunyange zvazvo zvichigona kuitika kuvasikana vaduku kana kunyange vana.) Panguva imwe chete, adnexal masses mumadzimai madzimai anowanzosvika uye anoenda.
Nyemba dzinowanzosati dzasvika pakuguma kwemazuva, asi uwandu hunoonekwa mumashure evakadzi-menopausal hahukwanisi kubuda uri woga. Ramba uchifunga mupfungwa dzako, kuti kunyange kana iwe wapedza kuenda kumwedzi, iwe unogona kunge uine huwandu husina kenza.
Zviratidzo zvekenza yemuviri zvinogona kusanganisira kubvisa uye kuwedzera kuwanda, kurwadziwa panguva yepabonde, kana kuchinja mumararamiro. Zvinokonzera njodzi zvinosanganisira kurema, kuva nemhuri yehutano, mazamu, kana kenza yekoloni, uye kushandiswa kwekutanga kwemishonga inobereka kana hormone inoshandiswa kurapwa. (Dzidza zvakawanda nezvekenza yemazamu ovarian inosangana nekenza .)
Kukosha kwekuziva kana Misa inonzi Ovarian Cancer
Zvechokwadi zvakakosha kuziva kana kana kwete mashoma iwe une kenza yehutano hwako hwepfungwa. Asi nekenza yepamusoro-soro kunyanya, kuziva kana kana kwete kenza kunogona kuvepo kunokosha kune dzimwe dzakawanda zvekenza.
Kana kuvhiyiwa kuchaitwa nokuda kwekenza yevana, chirwere chinodhaka chinoda kugadzirira kwenguva yakareba kana zvichidikanwa. Kuvhiyiwa kwakanyatsonaka kunogona kuchinja zvakananga kupona. Panguva imwecheteyo, zvidzidzo zvakaona kuti kuvhiyiwa kwakaoma ( chirwere chekuroreduction chirwere chekenza chemavhisi ) chinonyatsoratidza kufanana kana chakaitwa nevanyanzvi mukenza yevarivha (ne gynecologic oncologists) mune imwe nzvimbo iyo inoita huwandu hwekuvhiya uku, kwete nehuwandu gynecologists vanoita zvishomanana zvekuvhiya uku.
Icho chichiri chakajairika zvikuru kuti chiremba chiremba aone kuti kenza yemuviri inoda kuti chirwere chisina kujeka uye kwenguva refu chiripo kunze kwekunge chirwere chakatangwa.
Nzira Dzakashandiswa Kusarudza Dambudziko reMalignancy (Kuparadzanisa Bheni kubva kuMarignant Ovarian Masses)
Sezvo zvakakosha zvikuru kuedza kusiyanisa makondombera ovarian kubva kune mamwe mashizha ovarian asati avhiyiwa, chidzidzo che 2016 chakatsvaga kuongorora zvishandiso zvatiri kuita iye zvino, uye tarisa kukwanisa kwavo kuparadzanisa kanzira kubva kuvanhu vasiri kenza.
Zvinobatsira kuziva nezvemashoko mashomanana pakutarisa mhinduro idzi.
Kunzwisisika isiri iyo inoshandiswa kuratidza kuti kubudirira kwemuedzo ndekuwana kenza; kuti yakawanda sei inogona kunyatsoziva vanhu avo vane chirwere. Somuenzaniso, muedzo nekunzwisisika kwe 90 muzana ingakwanisa kuwana makumi mapfumbamwe kubva muzana kanzira.
Zvakakosha kuti tisapfuure-kuongorora zvirwere zvakare, sezvo kunyanya kuongororwa kunogona kutungamirira pakuvhiyiwa zvisina kufanira uye kurapwa. Kunyanya kuongorora ndiko kunobatsira kutsanangura kuti kazhinji kunyanya kuongororwa kunogona kuitika sei nekuedzwa. Nyaya inobvunza mubvunzo uyu, "Kakawanda sei, kana munhu asina chirwere ichi, chirwere chacho chichava chakaipa here?"
Ikozvino miedzo inogona kushandiswa kuongororesa mazai ovarianosanganisira:
- Kuongorora kwakananga
- Mitemo iri nyore - International Ovarian Tumor Analysis (IOTA) mitemo ye-ultrasound-based rules
- LR2 - IOTA yekutenderera mafungiro emufananidzo 2
- Ngozi yeMalignancy Index (RMI)
Itafura inotevera inoratidza mitsara inoenzanisa zviyero izvi zvinosanganisira kushushikana kwavo uye zvimwe zvikamu.
Miedzo yekuongorora kukosha kwekuti Misa iOvarian Cancer
| Test | Kunzwisisa | Kunyatsoziva |
| Kuongorora kwakananga | 93 muzana | 89 muzana |
| Simple Rules * | 93 muzana | 80 muzana |
| LR2 * | 93 muzana | 84 muzana |
| Dambudziko reMalignancy Index | 75 muzana | 92 muzana |
* International Ovarian Tumor Analysis (IOTA) mitemo ye-ultrasound-based (mitemo iri nyore) uye IOTA yekutenderera mafungiro emufananidzo 2 (LR2)
Mhedziso yeongororo ichangobva kuitika ndeyokuti kuwirirana kwekuongorora kwekuzviisa pasi pamwe nemitemo iri nyore kungapa huwandu hwakanakisisa hwekuti kana kwete chekuvhara mazai kanhaini.
Dambudziko reMalignancy Index yeOvarian Cancer
Vanachiremba vazhinji vanoshandisa Dambudziko reMalignancy Index (RMI) kana roga kana kuti pamwe chete ne "kuongorora kwekuzviisa pasi" uye kuwanikwa kwechidimbu kuti ubatsire kubudisa mashizha evanhu. Iko kune mazana emashanduro eMMI, uye ose anofanotaura nezvehutachiona hwekuvhiringidza y (pangozi kuti uwandu hunouraya). Iyi shanduro yakaedzwa kakawanda nevanotsvakurudza vakasiyana-siyana mumakore.
Pane zvinhu zvitatu zvikuru zvinoshandiswa pakusarudza RMI. Izvi zvinosanganisira:
- Age
- Nhamba yeCA-125 , chiremera chekudzivirira (Dzidza zvakawanda pamusoro pezvirwere zvechirwere uye kenza yemuvha .)
- Ultrasound score - Ultrasound inotsvaga zvitsva zvizhinji zvinosanganisira kuonekwa kwemazana, kana iri cystic kana yakasimba, uye kuvapo kwezvinyorwa (nzvimbo dzehukuru dzinopatsanurwa nemakumbo). Imwe pfungwa inopiwa chimwe nechimwe cheizvi zvinotevera: a multilocular cyst (yakadai sesumbu remazambiringa makuru), nzvimbo dzakasimba, uchapupu hwekupararira (metastases), kusinganzwisisiki kwemvura ( ascites ), kana masasa pamashizha maviri. (Dzidza zvakawanda pamusoro pekunzwisisa mavari ovarian ultrasound .)
Dambudziko reMalignancy Formula yeOvarian Cancer
Kana iwe uchida kuwana teknolojia, chirevo chekuda kwehuwandu hwekushaya malignancy index (RMI) ndechekuti:
- RMI = U x M x serum CA-125
U inomiririra chikwangwani ches ultrasound, kubva pa3 kusvika ku5M. M isimboti yekuenda kumwedzi apo 1 inopiwa kune avo vari premenopausal, uye 3 inopiwa kune avo vari post-menopausal. Chinhu chekupedzisira ndicho kukosha kwenhamba yezera rako CA-125; kukosha kwe 35 kana kuti kwakadzika kunonzi kwakanaka. Iwe unongowedzera huwandu hweU, M uye CA-125 kuti uwane RMI.
Kunzwisisa Dambudziko Rako reMarignancy (RMI) Chikamu - Chinorevei?
An RMI inorema kupfuura makumi maviri, yakaverengwa mumutambo uyu, inonzi inoshushikana. Kana ichipfuura 250, mukana wekuti iwe unayo chirwere chepamusoro. Zvisinei, shoko guru nderokuti "mukana." Yeuka kuti ino rondedzero inobatsira kuronga zvinhu, asi haisi kuratidzira imwe nzira kana imwe kana iwe unenge usina kenza zvechokwadi. Somuenzaniso, kana uri pasi pemakumi mashanu uye une endometriosis, kana kuti une zvimwe zvikonzero zveA CA-125 kuti iwedzere, RMI inogona kunge yakanyengera. Saka, iwe unogona kunge usina kenza. Kune rumwe rutivi, mamwe kanzira haigoni kubudisa CA-125, saka RMI inogona kunge yakaderera pasi.
Nhanho Dzinotevera Mukuongorora Zvingangobvira Ovarian Cancer
Chiremba wako angashandisa imwe kana mimwe miedzo iri pamusoro apa kuti uedze uye uone mukana wekuti mazamu ako ari kenza. Kusarudza izvi zvisati zvaitika kunogona kukubatsira kuziva kana gynecologic oncologist inofanirwa kuwanika pakuvhiya kwako. Kunyanya kuwanda kwako kuve nekenza, zvinokosha zvikuru izvi zvichava.
Kukanganisa kweMiitiro yeOvarian Mass Assessment
Zvakakosha kucherechedza kuti kune zvikwereti kunyange kunyange zvakanakisisa zvedzidzo zvinoshandiswa kufanotaura kana kanhi yekenza yevana inenge iripo here. Iwe uye chiremba wako uchada kusanganisa migumisiro yeiyi ipi yekuedzwa iyi nedzimwe ruzivo, zvakadai semararamiro edu uye chero mungozi yaunayo yekenza yevana. Mune mamwe mazwi, zvakakosha kuti titarise iwe semunhu, panzvimbo pane nhamba ipi neipi paunosarudza pamatanho anotevera mukuongorora mukurapwa ..
Kubata Kana Iwe Uine Mhosva yeOvarian Mass
Zvakakosha kuti uve nehurukuro yakakwana nachiremba wako kana iwe uine ovarian mass. Kubva pane zvakagadziriswa kubva kune avo vane chirwere chekenza chekuvhara mahara mune gynecologic oncologist chiripo, pamwe nemigumisiro iri nani mune zvivako zvinowedzera huzhinji hwezvinhu izvi, pfungwa yechipiri ne gynecologic oncologist inogona kuva yakachenjera pasinei nemigumisiro yedzipi zvayo kana ngozi.
Tora nguva yekudzidza nezvehutano hwako. Kumbira uye kubvuma kutsigirwa kubva kune avo vanokupoteredza. Ngozi yekufa nekenza yemahara inenge ichikwirira kwazvo, uye kuva iwe mumutsigiri wako pane zvaunotarisira chinhu chimwe chete iwe unogona kuzviita iwe unogona kugadzirisa zvaunoguma.
Sources:
Kaijser, J., Bourne, T., Valentin, L. et al. Kuvandudza Nzira dzeKutsvaga Kushandiswa kweAvarian Cancer: A Mhedziso yeInternational Ovarian Tumor Analysis (IOTA) Studies. Ultrasound in Obstetrics uye Gynecology . 2013. 41 (1): 9-20.
Minig, L., Padilla-Iserte, P., uye C. Zoerrero. Kukosha kweGynecologic Oncologist Kupa Hunhu Hwepamusoro Kune Vakadzi neGynecological Cancer. Mitsva muOnology . 2015. 5: 308.
Meys, E., Kaijser, J., Kruitwagen, R. et al. Kuongorora Pasi Panoenderana neAppsound Models kuti Uongorore Hondo yeOvarian: Ongororo Yakarongeka uye Meta-Kuongorora. European Journal of Cancer . 2016. 58: 17-29.
Stuart, G., Kithener, H., Bacon, M. et al. 2010 Gynecologic Cancer InterGroup (GCIG) Gwaro rekubvumirana pamusoro peKliniki Mitsva muAvarian Cancer: inobva musangano wechina weOvary Ovarian Cancer Consensus. International Journal of Gynecologic Cancer . 2011. 21 (4): 750-5.