Mitauro, Kurapa uye Prognosis
Kenza yeOvarian inoitika kuvasikana vaduku, asi kune nzira dzakasiyana-siyana dzakasiyana nevakadzi vakuru.
Vakadzi vaduku nevakadzi Vakwegura
Kunyange zvazvo kenza yepithelial ovarian ishoma kune vakadzi vasati vava nemakore makumi mana, inogona uye inoitika kuvasikana vaduku. Apo inowanikwa mumakore makumi mana emukadzi, kana asati asvika kwavari, inowanzowanzobatana nezvizvarwa zvenyama ne BRCA1 kana BRCA2 (mazita anoita kuti munhu awedzere ngozi yevhivari uye yekenza yemazamu).
Kunyange pamazera ekutanga, kunyanya kana pane nhoroondo yemhuri yekenza iyi, kunyatsoteerera kumimba nekudzivirira kwepachiviriki kunokosha.
Nhengo Dzose dzeAvarian Cancer muVasikana Vakadzi
Kenza yeOvarian inongova zvirwere zvezvirwere, uye kune vanopfuura 30 vanozivikanwa subtypes. Mhando imwe neimwe inogona kuzvibata nenzira yakasiyana uye inopindura zvakasiyana kune zvirongwa zvekurapa. Kune zvikamu zviviri zvakakura zvekenza yevana vanowanzoitika zvikurukuru kuvakadzi vaduku: girasi rejeresi uye tsvina yepabonde. Heino mhedziso shomanana yega yega:
Germ Cell Tumor
Izvozvo zvinokonzera kubva mumasero ari mumharava ayo anonzi ave mazai uye haashoma, anomiririra 5 muzana chete yevana vose vanopinda mahara. Munenge makumi manomwe ematatu ematumbu aya anoonekwa kare, asi anowanzova nekukura nokukurumidza. Izvi zvipembenene zvinonyanya kuwanika kuvakadzi mumakore avo ekutanga. Idzo huru -mhando dzezvikamu izvi dzinosanganisira:
- dysgerminomas
- endodermal sinus tumors
- immature teratomas
Kumhanyirira mavara -Makondomu aya anowanzobudisa marara-LDH, AFP uye hCG-iyo inogona kuonekwa muropa. Izvi ndizvo zvinyorwa zvinogona kubatsira vanachiremba kuti vasarudze, kunyange vasati vambovhiyiwa, izvo zvingangodaro zviripo. Kana iwe uchiziva hCG, ndechokuti iyo ndiyo hormone yakaongororwa mukudzivirira pamuviri.
Sezvo izvi zvipembenene zvingagadzirisa iyi hormone, uye kubva pane chimwe chezviratidzo zvekenza yevavhesi yakasununguka pamimba, izvi zvinotanga dzimwe nguva dzimwe nguva dzisinganzwisisiki sehutachiwana.
Mishonga - Kuvhiya kunodiwa kuti uone yakanyatsoshandiswa uye kuona kana kenza yakapararira. Vakadzi vakawanda vane hanya kuti kusarudza chirwere sezvinoitwa kurapwa kuchaita kuti vaite. Muzviitiko zvizhinji, zvisinei, inongova imwe chete inofanira kubviswa, saka kubereka kakawanda-kunyange kwete nguva dzose-kunogona kuponeswa. Muchiitiko ichi, imwe yenyuchi, fallopian tube, uye chibereko chinosara panzvimbo, uye pamuviri inowanzoitika kazhinji. Vanowanzova nehanya chaizvo chemotherapy uye saka vanowanzorapwa, kunyanya kana vakawanikwa mumavambo ekutanga. Mushonga we immature teratoma wakanyanya kuoma kupfuura kune imwe mishonga yemajekiseni masero.
Bonde Rokuita Zvepabonde Kutengesa Mishonga
Aya kanzura anotanga mumasero emagetsi anogadzirisa anonyanya kubata mazai emuviri pamwe chete uye anogadzira mahomoni akaita se estrogen, progesterone, uye testosterone. Zvinomirira anenge 6 muzana emakondombera ose ovari uye zvikurukuru anoitika kuvasikana vaduku. Kazhinji, vanowanzove vachikura zvishoma nezvishoma. Iyo huru subtypes ndeyi:
- granulosa stromal cell
- sertoli-Leydig tumors
Granulosa stromal cell tumorum inogona kubudisa hormone inonzi inhibin, iyo inogona kushandiswa sechirwere chechirwere. Kuongororwa kunowanzoitwa mukutanga kwechirwere, uye chimiro che "munhu mukuru" (kazhinji chinowanikwa mune varwere vanopfuura makore makumi mana) hachiwanzoshati. Zvisinei, iyo inonzi "vechidiki" maitiro (mazhinji asi kwete ose anoitika mumakore makumi maviri ekutanga ehupenyu) anowanzowanikwa mumatanho akapfuura. Zvinosuruvarisa, haisi kunyatsoteerera chemotherapy.
Malignant (kenza) Sertoli uye Sertoli-Leydig masero emakumbo hazvisi nyore. Vakawanda vangave vane chirwere chinorwara kana chisingaiti. Iyo yakawanda inowanika mumatanho ekutanga uye inorapwa zvikuru nekuvhiyiwa ndoga.
Sezvo vachibereka yesrogen kana testosterone, zviratidzo zvepakutanga zvinowanzove nezvimwe zvekuita nemahomoni ekuchinja. Zviratidzo izvi zvinogona kusanganisira maziso echiso kukura, izwi rakadzika, uye kutanga kwezera uye / kana nguva dzisina kukodzera.
Genetics uye Hereditary Ovarian Cancer
Sezvakataurwa pamusoro apa, mazita ekuberekwa anoita basa rinokosha kuvamwe vakadzi vanoita kenza yevana vanenge vachiri vaduku. Taura nachiremba wako. Dzidza nezvekodzero yepamuviri uye kenza yemaawa . Kuenzanisa kwemajeni ikozvino kwawanikwa.
Ovarian Cancer uye Fertility
Sezvataurwa pamusoro apa, kuvhiyiwa kunogona kubvumira chimwe chemavha mavari kusara panzvimbo. Zvakakosha kucherechedza kuti kunyange neyvary iripo, chemotherapy dzimwe nguva inokonzera kukanganisa kwemaawa, izvo zvinogara nokusingaperi. Pamberi pekurapwa ita nechokwadi kuti iwe unotora nguva yekutaura nachiremba wako nezvekuchengetedza kubereka kwako musati wasarudzwa nekenza .
Shoko Rinobva
Kanzira chirwere chinotyisa, kunyange kana iwe uine imwe yemakumbo aya, iyo kana akabatwa nokukurumidza anorapwa zvikuru. Bvunza mibvunzo yakawanda. Dzidza nzira yekutsvakurudza kenza yako paIndaneti . Itai kuti mhuri neshamwari vatsigire. Kune nharaunda yakasimba yevechidiki vechidiki vanorwara nekenza vanopinda mumagariro evanhu. Vakawanda kunyange vane blogs umo vanogovera rwendo rwavo rwekenza, saFran Dresher's Cancer Schmancer. Saizvozvowo, pane boka rinoshingaira revechidiki avo vakapukunyuka kanzira dzemarudzi ose anonzi Stupid Cancer: The Voice of Young Adult Cancer.
Hazvina kunaka kutarisana nekenza paunenge uchiri muduku-kana pazera ripi zvaro. Tinofara kuti tiri kudzidza zvakawanda nezvekupona uye nzira dzekubatsira vakadzi (nevarume) kubudirira nguva dzose uye shure kwekurapa kenza. Uye, kana iwe uine mazuva apo iwe unofunga kuti wakarurama, chengetedza mupfungwa kuti zvino zvidzidzo zvinotiudza zvatakafunga nezvazvo kare. Kanzera inoshandura vanhu nenzira dzakanaka , kwete zvakaipa chete!
> Sources:
> Isaacs C, Peshkin B. Kutungamira kwevarwere vane nhaka uye / kana mhuri yemukomana uye kenza yemaawa. Kusvika pari zvino. Updated 07/05/15.
> National Cancer Institute. BRCA1 uye BRCA2: Ngozi yeKenza uye Kuongorora kweGenetic. Yapindurwa 04/15/15.
> National Cancer Institute. Ovarian Germ Cell Tumors Treatment (PDQ). 0212/16.
> Ray-Coquard I, Brown J, Harter P, et al. Gynecologic Cancer InterGroup (GCIG) kubvunzurudza kubvumirano kwechikwata chepabonde chechikadzi chinokanganisa matumbo. International Journal of Gynecologic Cancer . 2014. 24 (9 Kubatsira 3): S42-7.
> Simone C, Markham M, Dizon D. Chemotherapy mune mavharesi emagetsi masimba: Kurongeka kwekuongorora. Gynecologic Oncology . 2016. (Epub mberi kwekudhinda).