Ua lohe paha ʻoe i ka inoa ʻo Choriocarcinoma? He huaʻōlelo hou paha kēia nou. He maʻi kanesa laha ʻole kēia a he ʻano koʻikoʻi hoʻi. Akā, mai hopohopo, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī. Hoʻopili pinepine ʻia kēia ʻano me ka hāpai ʻana. No laila, he mea nui loa ka makaʻala i kēia.
He aha ka Choriocarcinoma?
I ka ʻōlelo maʻalahi, ʻo ka choriocarcinoma kahi ʻano maʻi kanesa e hana ʻia i loko o kou ʻōpū a i ʻole nā ovaries a hiki ke laha koke. Aia kekahi ʻano nui ʻelua o kēia.
ʻO ke ʻano choriocarcinoma maʻamau e kū mai ana i ka wā hāpai ua kapa ʻia ʻo Gestational Choriocarcinoma . No loko kēia o kahi hui i kapa ʻia ʻo Gestational Trophoblastic Disease (GTD). He maʻi kanesa ka GTD e ulu ana i loko o nā pūnaewele i hoʻomaka mai ka placenta i ka wā hāpai. E like me kou ʻike, ʻo ka placenta ka ʻāpana koʻikoʻi o ke kino e hāʻawi ana i ka oxygen a me ka meaʻai i ka pēpē ma o ke kaula umbilical.
ʻIke pinepine ʻia ka Choriocarcinoma i nā wahine i loaʻa i ka hāpai molar . ʻO ka hāpai molar kahi kūlana kahi e ulu ai kahi mole hydatidiform i loko o ka ʻōpū ma kahi o kahi fetus ma muli o kahi kīnā i ka hoʻoulu ʻana o ka hua manu a me ka sperm. Hiki nō hoʻi ke hana ma hope o ka hāpai ectopic , ka hāʻule ʻana o ka hāpai keiki, a i ʻole ka hānau maʻamau.
ʻO ka mea weliweli loa e pili ana i kēia maʻi kanesa, ʻo ia ka hiki ke laha koke i nā ʻāpana ʻē aʻe o ke kino. Eia kekahi laʻana:
- Nā māmā
- Papa ʻiʻo o ka ʻōpū
- Nā kikowaena lymph
- Ake a i ʻole nā puʻupaʻa
- lolo
- Nā kīʻaha koko
Akā ʻo ka nūhou maikaʻi , i ka hapanui o nā hihia, hiki ke ho'ōla loa ʻia kēia maʻi choriocarcinoma me ka chemotherapy .
He aha nā ʻano o ka choriocarcinoma?
E like me kā mākou i ʻōlelo ai ma mua, aia ʻelua ʻano o choriocarcinoma:
1. Gestational Choriocarcinoma: ʻO kēia ke ʻano maʻamau. Hiki ke ulu aʻe i ka wā hāpai a i ʻole ma hope koke iho o ka hāpai ʻana.
2. Choriocarcinoma ʻAʻole Hānau: Hiki i kēia ke hoʻopilikia i nā kāne a me nā wahine. He ʻano puʻupuʻu cell germ ia. I nā wahine, hiki ke loaʻa i loko o nā ovaries a i ʻole ka uhi ʻōpū, akā ʻaʻole pili ia i ka placenta. I nā kāne, hiki ke loaʻa i loko o nā testicles.
Pehea ka maʻamau o kēia maʻi?
ʻO ka Gestational Choriocarcinoma (GCT) ka mea e pili ana i kahi 5% o nā hihia GTD. ʻOiai ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, loaʻa nā hihia GTD ma kahi o 0.1% o nā hāpai āpau. No laila, e noʻonoʻo i kēia: ʻoi aku ka kakaikahi o ka GCT. Loaʻa ia ma lalo o 7 o 100,000 mau hāpai ma ʻAmelika Hui Pū ʻIa. ʻO ke ʻano kēia he maʻi kakaikahi loa ia ma Sri Lanka.
He aha nā hōʻailona o ka Choriocarcinoma?
ʻO ke kanaka me ka choriocarcinoma, ʻoiai ka mea i hāpai hou nei, hiki ke loaʻa nā hōʻailona e like me:
- Ke kahe koko ʻana o ka ʻōpū ma ke ʻano kūpono ʻole
- ʻEha Pelvic
Inā pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe, e like me:
- Inā pālahalaha ia i nā māmā: ʻū, pilikia ka hanu ʻana.
- Inā pālahalaha ia i ka vagina: ke kahe koko nui, ka wai kahe kūpono ʻole, a me nā puʻupuʻu vaginal.
- Inā pālahalaha ia i ka lolo: Nā ʻūlū, nā ʻeha poʻo.
- Inā pālahalaha ia i nā puʻupaʻa a i ʻole ke akepaʻa: ʻeha ʻōpū.
He aha nā kumu no kēia?
Hiki mai ka Choriocarcinoma i ka wā e lilo ai nā pūnaewele e hana ana i ka placenta (i kapa ʻia ʻo trophoblasts) i maʻi kanesa. Hiki iā ia ke ulu i ka wā hāpai mua a ma hope paha. Ma kahi o 50% o ka poʻe i loaʻa i ka choriocarcinoma ua loaʻa iā lākou kahi hāpai molar ma mua. ʻO ka hāpai molar ka wā e ulu ai kahi ʻeke piha i ka wai i loko o ka uterus ma kahi o kahi fetus.
I loko o ka choriocarcinoma non-gestational, hoʻomaka nā pūnaewele i loko o nā ovaries, testicles, a i ʻole uterus e hana i kahi hormone i kapa ʻia ʻo human chorionic gonadotropin (hCG) . Ke nānā ʻia ma lalo o kahi microscope, ua like kēia mau pūnaewele me nā pūnaewele trophoblast.
Pehea ka wikiwiki o ka ulu ʻana o ka choriocarcinoma gestational?
ʻAʻohe manawa kikoʻī no kēia e ulu ai. Hiki ke ʻike ʻia i nā mahina a i ʻole nā makahiki ma hope o ka hāpai ʻana. Eia nō naʻe, ua manaʻo ʻia he ʻano maʻi kanesa wikiwiki loa ia e laha ana.
He aha nā kumu pilikia no kēia maʻi?
Hiki i kekahi mea i hāpai (inā ma o ka hāʻule ʻana o ka manawa, ka hāpai ʻana o ka ectopic, ka hoʻopau ʻana i ka hāpai ʻana, a i ʻole ka hānau maʻamau) ke loaʻa i ka choriocarcinoma. Eia nō naʻe, ʻoi aku kou pilikia inā ua loaʻa iā ʻoe ka hāpai molar.
ʻO nā kumu pilikia ʻē aʻe:
- Ma lalo o 20 mau makahiki a ʻoi aku paha ma mua o 40 mau makahiki i ka wā hāpai.
He aha nā pilikia o kēia maʻi?
Hiki i ka Choriocarcinoma ke make inā ʻaʻole mālama ʻia, no ka mea, ua pālahalaha koke kēia ʻano maʻi kanesa.Akā me ka mālama ʻana, hiki i nā poʻe he nui ke hoʻokō i ke kala ʻana a i ʻole ka ho'ōla piha ʻana. E like me nā maʻi kanesa ʻē aʻe, loaʻa nā hopena maikaʻi loa ke ʻike ʻia a mālama ʻia i ka wā mua.
Pehea e ʻike ʻia ai ka Choriocarcinoma?
Hoʻohana ke kauka i kēia mau hoʻokolohua e ʻike i ka choriocarcinoma:
- Hana ʻia kahi hoʻokolohua pelvic a i ʻole ka hoʻokolohua kino e nānā ai i kekahi mau puʻupuʻu.
- Hana ʻia kahi hoʻāʻo koko e nānā i ka pae o ka hCG (human chorionic gonadotropin). Loaʻa i ka poʻe me ka choriocarcinoma nā pae hCG kiʻekiʻe loa.
- Nā hoʻāʻo koko e nānā i ka hana o ke akepaʻa a me nā puʻupaʻa.
- Helu Koko Piha (CBC).
- ʻO ke kani ultrasound o ka pelvis.
- CT scan (Computed Tomography - CT scan).
- ʻO ke kiʻi MRI (Magnetic Resonance Imaging - MRI).
- X-ray umauma.
Hiki i kēia mau hoʻokolohua ke kōkua i ke kauka e ʻike inā ua pālahalaha ke kanesa.
Pehea e mālama ʻia ai ka Choriocarcinoma?
Hoʻōla nā kauka i ka choriocarcinoma ma muli o kona pae. ʻO ke pae o ke kanesa ke ʻano o ka hoʻokaʻawale ʻana o ke kauka i ke kanesa, ma muli o nā mea e like me ka nui o ka puʻupuʻu a inā ua pālahalaha ma waho o ka ʻōpū. Hoʻoholo ʻia kou olakino holoʻokoʻa a me kāu mau makemake pilikino i ka wā e hoʻomohala ai i kahi hoʻolālā lapaʻau.
ʻO ke chemotherapy ka lāʻau lapaʻau nui no ka choriocarcinoma. ʻO ka Chemotherapy kahi ʻano lāʻau lapaʻau e pepehi i nā hunaola kanesa.
Pono paha kekahi poʻe i kahi hysterectomy, radiation therapy, a i ʻole ka hui pū ʻana o kēia mau lāʻau lapaʻau.
Ma hope o ka lāʻau lapaʻau, e hoʻomau kāu kauka e nānā iā ʻoe no kekahi mau hana hou (nā hoʻokolohua hahai).
Hiki ke ho'ōla ʻia ke kanesa choriocarcinoma?
ʻAe, hiki ke ho'ōla ʻia ka choriocarcinoma. Hiki ke ho'ōla ʻia me ka chemotherapy. Inā ʻike mua ʻia, ma mua o ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino, ʻoi aku ka kiʻekiʻe o ka manawa e ho'ōla ʻia ai.
Hiki ke paʻakikī iki ka ho'ōla ʻana i kēia mau hihia:
- Inā ua loaʻa iā ʻoe ka chemotherapy ma mua a ua hāʻule.
- Inā ulu kēia maʻi ma hope o ka hāpai ʻana a i ʻole ka hānau keiki piha.
- Inā ʻoi aku ka nui o ka hCG ma mua o 40,000 mIU/ml (milli-international units per milliliter) ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau. (ʻo ka hCG kahi hormone i hana ʻia e ka placenta i ka wā hāpai).
- Inā he mau hōʻailona kou no ʻehā mahina ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau a inā paha ua hāpai ʻoe.
Hiki ke pale ʻia ke choriocarcinoma?
ʻAʻole, ʻaʻole hiki ke pale ʻia ka choriocarcinoma. Eia nō naʻe , inā ua loaʻa iā ʻoe kahi hāpai molar, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i kou pilikia o ka choriocarcinoma.
ʻEhia ka lōʻihi e hiki ai iā ʻoe ke ola me ka Choriocarcinoma?
He maikaʻi ka nānā ʻana o ka Choriocarcinoma i kona wā mua. ʻO ka nui o ke ola no ka poʻe me ka choriocarcinoma gestational haʻahaʻa ka pilikia he kokoke i 100%. ʻO ka nui o ke ola no ka poʻe me ka choriocarcinoma gestational kiʻekiʻe ka pilikia he 94%.
ʻOi aku ka maikaʻi ʻole o ka prognosis o ka choriocarcinoma non-gestational (ʻo ke ʻano i pili ʻole i kahi hāpai maʻamau/ʻiʻo placental ma mua). ʻAʻole hoʻi i emi ka chemosensitive i ka chemotherapy, ʻo ia hoʻi, ʻaʻole paha e like ka maikaʻi o ka chemotherapy i ka pepehi ʻana i nā hunaola kanesa.
Hiki ke ho'ōla ʻia ke kahua 4 choriocarcinoma?
ʻO ke ʻano o ka choriocarcinoma pae 4, ua laha ka maʻi kanesa i nā ʻāpana ʻē aʻe o kou kino, e like me kou lolo a i ʻole ke akepaʻa. E kamaʻilio kāu mau kauka me ʻoe e pili ana i kēia. Eia nō naʻe , aia nō ka manawa e hoʻomaha ai ka maʻi.
Hiki iaʻu ke loaʻa kahi pēpē ʻē aʻe inā loaʻa iaʻu ka choriocarcinoma?
Malia paha. Ua hiki i ka poʻe he nui ke loaʻa hou nā keiki ma hope o ka mālama ʻana no ka choriocarcinoma. Aia ia i kāu hōʻailona. Inā makemake ʻoe e loaʻa nā keiki, e kamaʻilio me kāu kauka e pili ana i ia mea. A laila hiki iā lākou ke hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa.
Āhea wau e ʻike ai i ke kauka?
Inā he kahe koko ʻē kou ma ka ʻōpū a i ʻole ka ʻeha o ka ʻōpū ma lalo, ʻoiai inā ua hāpai mua ʻoe i ka molar, e ʻike pono i ke kauka.
He maʻi kanesa laha ʻole ka Choriocarcinoma akā he maʻi koʻikoʻi. He mea maʻamau ke kaumaha ke loaʻa iā ʻoe kahi hōʻailona e like me kēia. Eia nō naʻe, maikaʻi loa ka wānana no ka choriocarcinoma. E kamaʻilio me kāu kauka e pili ana i nā hopohopo a i ʻole nā nīnau āu e loaʻa ai. Aia lākou ma laila e pane i kāu mau nīnau a hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa.
Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
- He maʻi ʻaʻai laha ʻole ka Choriocarcinoma a hiki ke pili i ka hāpai ʻana.
- ʻOi aku ka nui o ka pilikia o ka poʻe i loaʻa i ka hāpai molar .
- E makaʻala i nā hōʻailona e like me ke kahe koko ʻokoʻa o ka ʻōpū a me ka ʻeha o ka ʻōpū lalo.
- ʻO kēia kūlanaHiki ke ho'ōla ʻia me ka chemotherapy i ka hapa nui.
- He mea nui loa ka ʻike mua ʻana a me ka mālama ʻana.
- Inā he kānalua a he mau hōʻailona paha kāu, e ʻimi koke i ke kōkua lapaʻau. Mai hopohopo, ua mākaukau nā kauka e kōkua iā ʻoe.
ʻO Choriocarcinoma, maʻi ʻaʻai, hāpai keiki, placenta, chemotherapy, hāpai keiki molar, hCG
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