Chirwere chepachivande ndicho chirwere chakanyanya kufanana nekenza muvarume vane makore gumi nemashanu kusvika ku35 asi inongogumira makumi maviri chete pakati pemararamiro ese muUnited States, inotarisa 0.5% yezvose zvinokonzera kenza mutsva. 8 430 mamiriro matsva akafanirwa kuitika muna 2015. Inowanzotarisa varume pakati pe20 ne40 ne 33 kuva nguva yemakore ekuongororwa. Iyo inowanikwa zvikuru kune ani nani ari pamusoro apa 50.
Iko kune ngozi ye 0.4% yekuve nekenza yepamusoro pamazuva ehupenyu hwose.
Kunyange zvazvo muyero wekenza yemukenza wakapetwa kaviri kubva kuma1970, uwandu hwekufa hwakaderedzwa nehafu yehafu nekuda kwekurapa kwakanaka. Iro inowanzoita hutano hwakanaka nehutano huwandu hunopfuura 95% muhuwandu hwezviitiko.
Izvozvo zvinotarisana neCancerular Cancer
Masero anowanzoenderana nemimwe mitemo. Vanoparadzanisa uye vanokura mune dzimwe nguva, vanofa pavanenge vachifanirwa uye havazopindi dzimba dzakapoteredza kana dzimwe nhengo. Masero eC Cancer akarasikirwa nemutemo uyu uye anokura kunze kwekugadzirisa kuumba tumarara. Aya masero anokwanisa kupinda mumativi ese akakomberedza uye anopararira kune dzimwe nhengo dzomuviri kuburikidza neropa uye lymphatic midziyo.
Kenza yechipupuridzo inobva mumatete, uye inonzi ma testes. Izvo mapepa ane zvose zvekubereka uye endocrine mabasa. Dzinobereka testosterone, hormone inotarisira zvepabonde zvechikadzi zvevanhu, uyewo marudzi, ayo anoita basa rinokosha pakubereka.
Aina
Chirwere chepupuriro chirwere chakasiyana nevakawanda subtypes. Iyo yakawanda, inenge 95%, yekenza yepamusoro inogona kugoverwa mumapoka maviri makuru: seminoma uye nonseminoma. Zvose zviri zviviri zvinonzi sendima masamu. Germ cells anosimudzira masero ekuberekera ari mukati mevanhu, anosanganisira maii masero mumadzimai uye marume muvarume.
Zviratidzo nezviratidzo
Kenza yechipupuridzo inowanzopa sechinhu chisina kurwadza pane imwe yemapule kanowanzoperekedzerwa nekuputika. Zvimwe zviratidzo uye zviratidzo zvinogona kunge zviripo kana kenza yakapararira (metastasized) kune dzimwe nzvimbo. Apo kenza yepamusoro inoparadzira, inowanzobatanidza lymph nodes mune imwe nzvimbo shure kwechirwere chinozivikanwa se retroperitoneum. Mimwe nzvimbo, iyo inogona kubatanidzwa, inosanganisira mapapu, chiropa, uropi, uye mapfupa. Kenza yechipupuriro yakasiyana nedzimwe dzakawanda dzekenza mune iyo iyo kana yakaipararira ichiri kutakura mikana yekurapa nehutano hwakanaka.
Kurapa
Kurapa kunowanzoenderana nehutu hwemhando uye danho. Nhanho yekutanga mune huwandu hwemhosva ndeyekuvhiya kubvisa kenza yekenza mune imwe nzira inozivikanwa seinordical orchiectomy. Izvi zvinogona kuteverwa ne chemotherapy, radiation kana kuti chirwere kubvisa retroperitoneal lymph nodes.
Pasati paine kurapwa, hutachiona hunofanira kufungidzirwa nekuda kwekuda kwekushaya vana.
Kutevera kurapwa, CT maitiro anowanzoitwa pazvikamu zvinotsanangurwa kutsvaga chero kenza yemuviri mune dzimwe nzvimbo kusanganisira retroperitoneal lymph nodes nemapapu. Kunewo maitiro akawanda ehutachiona eropa anosanganisira mamwe enzyme, mapuroteni, uye mahomoni anozivikanwa sechirwere chevarume , izvo zvinogona kuwedzera kana kenza yadzoka.
Kana kudzoka kuchiitika, zvinowanzoita kudaro mukati megore rokutanga kana maviri. Recurrences kupfuura mamwe makore mashanu haashamisi uye vanhu vazhinji vanoonekwa sevanorapwa mushure mekunge apa.
Kana kenza yacho inodzoka, kunyanya kurapwa kunowanzoita chemotherapy. Dzimwe nguva kuvhiyiwa kunoitwa kana kwapararira kune imwe nzvimbo. Nhau inoenda uye mishonga mitsva inogona kushandiswa pane izvo zvinozivikanwa semakiriniki, izvo zvinowanzowanikwa munzvimbo dzinochengetedza dzidzo nedzimwe dzimba huru.
Iyi iri mutungamiri mupfupi uye inotarisirwa kupa ruzivo rwepamusoro pane zvishomanana ndima. Kenza yese yakasiyana uye inoda kutarisirwa nevanyanzvi vane unyanzvi mukuongorora nekurapa kenza yemupesti.
Zvose zvinowanzozivikanwa zvinosanganisira urology, zvekurapa oncology, uye yeavotic oncology.
> Kwakabva:
> National Cancer Institute. "Cancer Stat Facts: Testiscular Cancer."