Vakadzi vazhinji vanonetseka nezvekuwedzera kenza yeAvari, sezvo ikozvino ndiyo yechishanu inokonzera kukonzera kufa nekenza kune vakadzi. Asi, kune zvimwe zvinhu zvaungaita kuti udzivise, kana kuti kuderedza dambudziko rako rekuwedzera chirwere chacho. Kuramba uine hutano hwakanaka, kudzivirira tareki mumishandiro ekuzvitarisira, uchifunga nezvengozi kana ukasarudza nzira yekudzivirira kuberekwa kana mahomoni panzvimbo, uye uchiona kuvhiyiwa kana uine dambudziko rakanyanya, zvose zvingasarudzwa.
Kuwana aya kanzura nokukurumidza sezvinobvira (kutanga kugona) kwakaoma zvikuru, sezvo isu hatina mazano ekuongorora anowanikwa panguva ino.
Kune tsanangudzo dzakawanda dzinokosha uye zvakasiyana-siyana kuita musati wataura nezvemaitiro chaiwo vakadzi vanogona kutora kuti vaderedze mukana wavo wekufa nekenza yevana. Izvi zvinosanganisira:
Kudzivirira vs Kutanga Kuongorora (Kuongorora)
Apo patinotaura nezvekenza "kudzivirira," pane nyaya mbiri dzakasiyana. Kudzivirira kana kuderedza njodzi kunoreva zvinhu izvo vakadzi vanogona kuita kuti vaderedze mikana yavo yokuwana kenza yevana vanopinda muropa pakutanga. Kutanga kuonekwa, zvakasiyana, kunoreva kuwana kenza yemuviri inenge yasvika pakarepo. Kuwanda kwekenza kuongorora kuongororwa kuripo kuedza kuongororwa, uye pavanenge vasingaderedzeri njodzi yekuwana chirwere, vanogona kuderedza mukana wekuti iwe uchafa kubva pane chirwere ichocho.
Kudzivirirwa Nezvisina Kuzvidzivirira Zviitiko Zvengozi (Zviitiko Zvinogona Kuchinja)
Kudzivirira, kana kuderedza kuderedza ngozi yako inotanga nokuziva njodzi yako yekenza yevana . Pamatambudziko aya, pane zvimwe zvinogona kuchinjwa kana kushandurwa, asi pamwe nevamwe pane zvishoma iwe unogona kuita (somuenzaniso, haugoni kuchinja makore ako). Kunzwisisa kwezvinhu zvose, zvisinei, zvinokosha.
Iwe unogona kukwanisa kuchinja mararamiro ekuti iwe uchinje dzimwe njodzi, asi kuva nekuziva kwezvinhu zvisingagoni kuchinjwa zvinogona kukuyeuchidza kuti uzive zviratidzo zvekutanga zvechirwere kuitira kuti iwe utsvake kurapwa nokukurumidza kana zvichibvira kana zvinoitika.
Kuongorora vs Kuona
Kuongorora zvirwere (zvakadai se-transvaginal ultrasounds) kana zvakarayirwa, zvinoreva kuti zviitwe kune vanhu vasina zviratidzo zvehosha. Kutarisa pamuviri wekamu kunogona kuita kuti izvi zvive nyore kunzwisisa. Mammograms ekuongororwa kwekenza yemazamu inowanikwa kuvadzimai avo vanonyatsosarudzwa. Kana mukadzi ane zviratidzo, zvakadai sezamu bundu, mamwe mimwe miedzo inowanzodiwa uye mammogram oga haagoni kubvisa kenza. Saizvozvowo, kana mukadzi ane zviratidzo zvekenza yevana, kuongorora kuongorora (izvo dzimwe nguva kushandiswa) zvingasave zvakakwana kutonga kunze kwekenza.
Kudzivirira (Kuderedza Dambudziko): Zviitiko Zvinokonzerwa Nengozi
Zvakawanda zvezvipingamupinyi zvinokonzerwa nekenza yevana vanokonzerwa. Iwe haugone kuchinja iyo yawakave iwe pawakava nenguva yako yokutanga, somuenzaniso. Asi pane zvimwe zvinhu zvaunogona kuita. Sezvo kenza yeAvari inofungidzirwa se "multitifactorial," zvinoreva kuti michina yakawanda inoshanda pamwe chete kuti irere kana kuderedza dambudziko reyikenza iyi, zvichiita kunyange kuchinja kuduku dzimwe nguva kunogona kuchinja mutsauko kana munhu achikura nekenza.
Chii chaungaita kuti uderedze njodzi yako?
Ramba Uine Utano Hwakanaka
Kuwana nekuchengetedza uremu hune hutano (muviri wehutano hunenge pakati pe19 ne25) chinhu chakanaka kana iwe unofunganya nezvekenza yevana. Kunyanya kuwandisa kana kuwedzera kunowedzera njodzi yeimwe (asi kwete yose) yemhando yekenza yevana, kunyanya iyo iri mumadzimai ekutanga. Kana kurasikirwa kwemazwi kusingakwanisi, gara uchiyeuka kuti haufaniri kusvika kune chairo chakakosha kuti uderedze ngozi yako. Kurasikirwa mapaundi 5 chete kusvika pa 10 pounds kunobatsira kana iwe uwandisa.
Dzivisa Tare muHwokuchengetedzwa Kwemunhu
Talc muzvinyorwa zviduku zvinosvibisa uye zvigadziri zvinosanganiswa nekugadzirwa kwekenza yevana.
Nepo tarec isiri iyo yakaipisisa mungozi yekenza yevana, ndiyo imwe inonyatsodzivirirwa.
Sarudza Kuberekwa Kwako Kuberekwa Zvakanaka
Dzimwe nzira dzokudzivirira kuberekwa dzinogona kuderedza dambudziko rekenza yevana, asi kunyatsokurukurirana pamusoro pezvipingamupinyi uye zvikomborero zvakakosha kana iwe uri kutarisa izvi zvisarudzo pamwe chete nekudzivirira kenza.
Vakadzi vanotora chirongwa chekubata pamuviri (kuberekwa kwepiritsi) vane njodzi yakaderera yokuva nekenza yevana. Kuti uchinzwisise izvi, zvinobatsira kufunga nezvekuvhara. Apo dhe rinosunungurwa kubva kumapapiro kuenda kune fallopian tube, nzvimbo yekuvhiringidza uye kushungurudzika kunogadzirwa. Zvinofungidzirwa kuti kuputika kwakafanana neizvi kunogona kuita basa mukusimudzira kenza. Muchiedza chemuviri (iyo "piritsi") inhibit ovulation. Pasi rose, mapiritsi anogona kuderedza dambudziko rekenza yevana mavari kusvika pa50 kubva muzana, zvichienderana nekushandiswa kwacho kwenguva yakareba sei. Mukuwedzera, kuderedzwa uku kwengozi kunoratidzika kusvika kune makore makumi matatu.
Izvi zvinoderedza kenza yemaawa, asi, inofanira kuyerwa nezvimwe zvikomborero kana migumisiro. Vanhu vanotora mapiritsi ekuberekwa vanowanzoita kuti vateerere ropa, kunyanya kana vakasvuta. Kushandiswa kwemakwenzi ekudzivirira pamuviri kunowedzerawo njodzi yekenza yemazamu kudiki kadiki, kunyanya kune avo vane ngozi yakawanda yechirwere ichi.
The Depoprovera kupfura (kupfura kwakapiwa kamwe chete mwedzi mitatu yekuberekwa kwekamuviri) kune progesterone asi kwete estrogen, uye inoitawo kuderedza kenza yemukenza yevana. Kunyange zvazvo Depoprovera inogona kutakura chirwere chepachifu chemuzamu chekubatana kwepiritsi yemapiritsi, kune zvimwe zvinokonzerwa neDepo-Provera , zvakadai sekuwedzera kuwedzera.
Tubal ligation ndiyo nzira yekudzivirira inoberekwa iyo inoderedza ngozi yekenza yevana vanonyanya kunyanya, uye kusvika kusvika makumi manomwe kubva muzana muchetere epistlial ovarian (iyo yakawanda kupfuura yose). Asi, izvi zvinosanganisira chirongwa chekuvhiya uye chinofanira kuonekwa sechisingabvumirwi. Izvi zvinokurukurwa zvakare pasi pe "kuvhiyiwa" pasi apa.
Funga Kuberekera Vana Vako
Kungofanana nehutachiwana hwepabonde, kuyamwisa kunogona kuderedza dambudziko rako rekuita kenza yemuvha. Kuyamwisa (kunyanya nguva yakazara nguva yekuyamwisa) kunowanzovhara mavhiri.
Sarudza Kuchinja KweHormone Nokuchenjera
Kana uri kutarisa kushandiswa kweHodmone replacement therapy (HRT), pane nyaya dzakawanda dzinofungidzirwa mukuwedzera kune ngozi yekenza yevana. Izvo zvakati, zvakakosha kuti vakadzi vanzwisise kuti avo vanotora estrogen-chete hormone replacement therapy kwenguva yakareba, vane ngozi yakakura yekuva nekenza yevavarian kupfuura vakadzi vanotora pamwe neserogen uye progesterone kugadzirira.
Kunongedza Upenyu Hwako
Dumbu rinowanzosanganiswa mu curry uye masayadhi (anotaridzirwa nemucheka wakaoma) uye chikamu chetumerica chinonzi curcumin chakawanikwa chiine simba rine simba rekuita zvekare. Vatsvakurudzi vekutanga vakaona kuti chiitiko chekenza yemuviri muJapan yakaderera zvikuru, asi kushandiswa kweiUkon chai (iyo ine turmeric) yakakwirira. Zvimwe zvidzidzo zvakatarisa masero emukenza mavari murabhu yakawanikwa kuti turmeric yakagadziriswa programmed cell death (apoptosis) mumasero emukenza ovarian asi kwete masero mashoma. Hatizivi kana imwe yezvidzidzo zvakaitwa murabhu ingashandura kune zvinokonzerwa nevanhu, uye yakakurumidza kusvika kutaura pamusoro pekuwedzera kuwedzera kune zvaunogara uchiita. Asi kana iwe unonakidzwa nemakwenzi nemasitadhi, kufarira izvi sechikamu chekudya kwako nguva dzose hakugoni kukuvadza.
Kana Iwe Kusvuta, Rega
Kusvuta kunowedzera ngozi yemhando imwe yekenza yevana, mucinous epithelial tumors, asi pane zvikonzero zvizhinji zvekusiya nhasi.
Surgery
Kune marudzi mashomanana ekuvhiya anozivikanwa kuderedza dambudziko rekenza yevana, asi zviratidzo zvekuvhiya uku zvinokasiyana.
- Tubal ligation : Pamusana pezvikonzero zvatisinganzwisisi zvakajeka, tubal ligation ("kubatanidza tubes") inogona kuderedza dambudziko rekenza yevarivha kusvika makumi manomwe kubva muzana, zvichienderana nezera rairi kuitwa naro. A tubal ligation inowanzoitwa sechimiro chekudzivirira kuberekwa, asi ichipiwa ichi kuderedzwa, avo vane ngozi yakawanda yekuva nekenza yevarivha vangada kufungisisa nzira iyi yekudzivirira kuberekwa kana ichinge yapedza kuva nevana.
- Salpingo-Oophorectomy : Kurapa kwakakwana kwekenza yevana vanopinda mutsauko kune vanhu vari pangozi (yakadai neBBRCA gene mutations) ndiyo salpingo-oophorectomy. Kuvhiyiwa kunosanganisira kubvisa mavari maviri uye fallopian tubes, uye zvinowanzoitwa nekuvhiya kusinganzwisisiki (nechinguva chiduku chekufungidzirwa mudumbu uye purojekiti inoshandiswa kubvisa mhuka). Kubvisa maitiro aya kunogona kuderedza njodzi yekuve nekenza yevana mavari pakati pe75 muzana uye 90 muzana. Vamwe vanhu vanoshamisika kuti kurapwa uku hakubvisi zvachose njodzi, asi mamwe maitiro evhavari anowanikwa mumamaberere akakomberedza mimba uye mapevic (the peritoneum) pane pane mazai kana mawere mawere.
- Hysterectomy uye salpingectomy: Vakadzi vazhinji vane hysterectomy (kubviswa kwechibereko) kune zvakasiyana-siyana, asi sarudza kuchengeta mavha mavari. Izvi zvinonyanya kuitika kana mukadzi ari muduku, uye anogona kuva nemigumisiro yakawanda yakabatana nekushayikwa kweesrogen yakagadzirwa nemashizha. Vanachiremba vazhinji, zvisinei, ikozvino vari kurumbidza kubviswa kweiyo fallopian tubes pamwechete nechibereko chekuderedza dambudziko rekenza yevana.
Kutanga Kuongorora
Panguva yazvino, hatina kuongorora kuongorora kenza yevana, kana avo vane njodzi yepamusoro kana avo vane ngozi yakakwirira. Munharaunda iyi, kutaura nechiremba wako nezvehutano hwako, uye kutsvaga kurapwa nokukurumidza kana iwe uine zviratidzo, zvinokosha kana vanhu vachiwana makondombera acho mukutanga.
Kenza yeOvarian dzimwe nguva inogona kuonekwa pane chiitiko chemuviri, kunyange isu tisina humwe uchapupu hwokuti izvi zvinoderedza kuwedzera kwekufa kubva muchirwere. Kune dzimwe mamiriro ezvehutano, zvisinei, izvo zviito zvekuongorora maitiro ezvinyorwa zvinobatsira.
Sezvakakurukurwa mune imwe nyaya, hatina humwe uchapupu hwokuti miedzo vamwe vanachiremba vanoronga vakadzi vane ngozi yakawanda (yakadai se-transvaginal ultrasound uye CA-125 kuongororwa ropa) kunoderedza ngozi yekufa nechirwere. Asi zvakakosha kucherechedza kuti idzi idzi nhamba dzinotarirwa ne "chiyero" zvakawanikwa zvevakadzi vakawanda. Mukadzi wese akasiyana. Iwe uye chiremba wako unganzwa kuti urongwa hwekuongorora hunokosha hwakapiwa njodzi yako, uye zvechokwadi inogona kuva yekubatsira pane mumwe munhu. Pfungwa inonyanya kukosha ndeyokuve iwe mumutsigiri wako uye ona kuti iwe unonzwisisa zvakajeka kuongororwa kwakaitwa kare chiremba wako anokurudzira.
> Sources:
> America Cancer Society. Chiremera Chemuviri Chinokanganisa Ngozi yeKenza Here? . Updated 01/04/18.
> American College yeVadzidzi uye Gynecologists. Komiti yeMagetsi. Salpingectomy yeOvarian Cancer Prevention. 01/2015.
> National Cancer Institute. BRCA Kuchinja-chinja: Cancer Risk uye Genetic Testing. Updated 01/30/18.
> National Cancer Institute. Ovarian Epithelial, Fallopian Tube, uye Primary Peritoneal Cancer Treatment (PDQ) -Health Professional Version. Updated 01/19/18.
> Seo, J., Kim, B., Dhanasekaran, D., Tsang, B., uye Y. Rwiyo. Curcumin Induces Apoptosis neInhibiting Sarco / Endoplasmic Reticulum Ca2 + ATPase Chiitiko muAvarian Cancer Cells. Cancer Tsamba . 2016. 371 (1): 30-7.