Ke manaʻo nei ʻoe i kekahi manawa ua piha kou ʻōpū, a i ʻole pinepine ʻoe e ʻeha iki ma kou ʻōpū haʻahaʻa? Manaʻo paha ʻoe he mea maʻamau ia, a he pilikia paha ia no ka ʻai ʻana. Akā, ʻaʻole pono e hoʻowahāwahā ʻia kēia mau hōʻailona liʻiliʻi, ʻoiai hoʻi e like me nā wāhine. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano maʻi kanesa i lohe ʻole ʻia e ka poʻe he nui, akā he mea nui loa ia no ke olakino o nā wāhine. ʻO ia ka maʻi kanesa o ka ʻōpū fallopian.
I ka ʻōlelo maʻalahi, he aha ke Kanesa Tube Fallopian?
ʻAe, e hoʻomaka kākou ma ka hoʻomaka. ʻO nā Tubes Fallopian he ʻelua mau ʻōmole lahilahi loa e lawe ana i nā hua mai kā mākou ovaries a i ka uterus. I ka ʻōlelo maʻalahi, ʻo lākou ka ʻāpana koʻikoʻi o ke kaʻina hana kahi e hui ai ka hua me ka sperm e hana i pēpē. No laila hoʻomaka kēia maʻi kanesa i loko o nā pūnaewele i loko o kēia mau tubes fallopian.
ʻO ka hapa nui o ka manawa, hoʻomaka kēia maʻi kanesa i loko o nā ʻiʻo e uhi ana i nā ʻōpū fallopian. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻiʻo epithelial. ʻO ka mea kupanaha, ʻo ke ʻano o ka hana ʻana o kēia maʻi kanesa, ke ʻano o kona laha ʻana, a me ke ʻano o kā mākou mālama ʻana ua like loa ia me ke kanesa ovarian. ʻO ia ke kumu e mālama ai nā kauka a mālama i nā maʻi kanesa ʻelua ma ke ʻano like.
ʻO ka pilikia nui me kēia maʻi kanesa, ʻaʻole ia e hōʻike i nā hōʻailona i nā pae mua a pālahalaha koke . Akā ʻo ka nūhou maikaʻi, inā ʻike pololei ʻia i nā pae mua a hiki ke wehe loa ʻia nā hunaola kanesa ma o ke ʻoki ʻana, he maʻi hiki ke ho'ōla piha ʻia . Akā i ka manawa e ʻike ʻia ai, ua pālahalaha mua ke kanesa, e paʻakikī iki ai ka mālama ʻana.
Pehea ka maʻamau o kēia maʻi kanesa?
No ka manawa lōʻihi, ua manaʻo nā kauka he ʻano maʻi ʻaʻai wahine ka maʻi ʻaʻai tuba fallopian. Ma kahi o 1% wale nō o nā maʻi ʻaʻai wahine āpau e hoʻomaka ana i loko o nā pūnaewele o nā tuba fallopian.
Akā, ua ʻike ʻia e kahi noiʻi hou ʻo ka hapa nui o nā ʻano maʻi kanesa a mākou e kapa pinepine ai he maʻi kanesa ovarian, i kapa ʻia he maʻi kanesa ovarian epithelial, hoʻomaka maoli ia ma nā ʻōpū fallopian. ʻO ke kikoʻī, hoʻomaka ia ma ka fimbriae, nā wēlau kahi e komo ai kahi hua manu i loko o ka ʻōpū fallopian mai ka ovary. A laila pālahalaha ia i ka ʻili o ka ovary a i nā ʻāpana ʻē aʻe o ka pelvis a me ka ʻōpū.
He aha nā hōʻailona e pono ai mākou e makaʻala?
ʻO ka pilikia nui me kēia maʻi kanesa, ʻo ia ka paʻakikī o ka ʻike ʻana i nā hōʻailona i nā pae mua a ke nānā ʻole nei mākou iā lākou, me ka manaʻo he mea maʻamau lākou. ʻAʻole paha ʻoe e ʻike i kekahi mau loli nui a hiki i ka laha ʻana o ke kanesa ma loko o ka ʻōpū. Akā, he mea nui loa ia e ʻike kākou i kēia mau hōʻailona.
E hoʻomanaʻo, ʻaʻole nā kānaka a pau me kēia mau hōʻailona i loaʻa i ka maʻi kanesa. Akā inā hoʻomau lākou, e ʻike pono i kāu kauka no ka ʻōlelo aʻo.
E nānā kākou i kēia mau hōʻailona ma ka papa ma lalo nei.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha Pelvic a i ʻole ka manaʻo ʻana i kahi puʻupuʻu | ʻEha mau a i ʻole he puʻupuʻu ma ka ʻāpana pelvic. |
| ʻEha ka ʻōpū, ka pehu ʻana, a i ʻole ka piha | ʻO ka pehu ʻana, kahi manaʻo o ka piha me ke kumu ʻole. Manaʻo ka nui o nā wahine he mea maʻamau kēia. |
| Ka nalowale ʻana o ka makemake a i ʻole ka piha koke ʻana | Ka nalowale ʻana o ka makemake e ʻai, ka māʻona ʻoiai ma hope o ka ʻai iki ʻana, a me ka luaʻi. |
| Hoʻololi i nā hana halepaku | Nā kūlana e like me ka constipation a i ʻole ka diarrhea. |
| Pono pinepine e mimi | Pono e mimi pinepine ma mua o ka maʻamau. |
| ʻO ka menstruation maʻamau ʻole a i ʻole ke kahe koko ma hope o ka menopause | ʻO nā pōʻaiapuni menstruation kūpono ʻole a i ʻole ke kahe hou ʻana o ke koko i loko o kahi wahine i pau ka menstruation (menopausal). He hōʻailona kēia e pono ai ka nānā pono ʻana. |
| Ka hoʻokahe ʻana o ka ʻōpū maʻamau ʻole | He kahe wai a koko paha o ka ʻōpū. |
Inā he moʻolelo ko kekahi o kou ʻohana no ka maʻi kanesa, a inā he mau kumu pilikia ʻē aʻe kāu, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka ʻoiai inā ʻike ʻoe i kahi loli liʻiliʻi e like me kēia.
He aha nā kumu a me nā kumu pilikia no kēia maʻi kanesa?
ʻAʻole i loaʻa i nā kānaka noiʻi ke kumu kikoʻī o kēia maʻi kanesa. Akā, ua ʻike mākou ma kahi o 90% o kēia maʻi kanesa e ulu ana mai nā pūnaewele glandular e laina ana i ke kino, ʻo ia hoʻi nā "pūnaewele epithelial" a mākou i kamaʻilio ai ma mua. ʻO ia ke ʻano like o nā pūnaewele e hana ana i ka maʻi kanesa ovarian. No kēia kumu, ua kapa pinepine ʻia nā maʻi kanesa o ka fallopian tube a me nā ovarian he "mau puʻupuʻu serous kiʻekiʻe." ʻO ia hoʻi, he mau maʻi kanesa ulu wikiwiki loa kēia.
Nā mea e hoʻonui ai i ka pilikia
Aia kekahi mau kumu e hoʻonui ai i kou pilikia o ka loaʻa ʻana o kēia maʻi kanesa. E nānā inā loaʻa iā ʻoe kekahi o kēia mau mea.
- Makahiki: ʻOi aku ma mua o ka hapalua o ka poʻe i loaʻa i ka maʻi ʻaʻai fallopian tube a i ʻole ovarian ma mua o 63 mau makahiki. ʻO ke ʻano kēia e piʻi aʻe ka pilikia me ka makahiki.
- Moʻolelo ʻohana: Inā ua loaʻa kekahi o kou mau hoahānau pili koko (makuahine, kaikuahine, kaikamahine) i ka maʻi ʻaʻai umauma, ka maʻi ʻaʻai ovarian, a i ʻole ka maʻi ʻaʻai fallopian tube, ʻoi aku ka nui o kou pilikia.
- Nā hoʻololi hoʻoilina: ʻO nā loli (nā hoʻololi) i loko o ka gene e pili ana i ka maʻi umauma (BRCA) e hoʻonui nui i ka pilikia o kēia maʻi kanesa.
- Nā kūlana olakino ʻē aʻe: ʻO nā kūlana hoʻoilina e like me Lynch syndrome a me Peutz-Jeghers syndrome, a me kahi kūlana i kapa ʻia ʻo endometriosis, hiki ke hoʻonui i ka pilikia.
- Moʻolelo hāpai keiki: ʻOi aku ka kiʻekiʻe o ka pilikia no ka poʻe i hāpai ʻole a me ka poʻe i hānau i kā lākou keiki mua ma hope o 35 mau makahiki.
- Ka mōʻaukala o ke kaʻina hana menstrual: ʻO ka loaʻa ʻana o kou wā mua ma mua o 12 mau makahiki a me ka menopause ma hope o 51 mau makahiki he mau mea pilikia nō hoʻi.
- Momona: ʻO kahi helu helu kino (BMI) ma luna o 30, ʻoiai inā he momona ʻoe i ka wā ʻōpiopio, hiki ke hoʻonui i kou pilikia.
Pehea e ʻike ai nā kauka i kēia maʻi?
E like me kā mākou i ʻōlelo ai ma mua, ʻaʻohe hōʻailona i nā pae mua, no laila ua ʻike pinepine ʻia ka maʻi ke pālahalaha iki. Loaʻa paha iā ʻoe kahi puʻupuʻu i ka wā o ka hoʻokolokolo pelvic i ka wā e hana ai kāu kauka i kahi nānā maʻamau.
Ma hope o ka kū ʻana o ke kānalua, e kauoha ke kauka i kekahi mau hoʻokolohua e noiʻi hou aku i ke kūlana.
1. Nā hoʻāʻo koko:ʻO ka hoʻāʻo koko CA-125 ke ana i ka pae o kahi protein i kapa ʻia ʻo cancer antigen 125 i loko o ke koko. Hiki ke kiʻekiʻe kēia pae i kekahi kanaka me ka maʻi ʻaʻai fallopian tube. Eia nō naʻe, he mea nui e hoʻomanaʻo e hiki ke kiʻekiʻe kēia pae no nā kumu ʻē aʻe ma mua o ke kanesa.
2. Nā hoʻāʻo kiʻi: Hiki i nā scan e like me `(Transvaginal ultrasound)`, `(CT scan)`, `(MRI)` a i ʻole `(PET scan)` ke hana i nā kiʻi maopopo o nā fallopian tubes a me nā ovaries. Hiki i kēia ke kōkua i ka ʻike inā he mau cysts a i ʻole nā puʻupuʻu.
Eia nō naʻe, ʻaʻole hiki i kēia mau hoʻokolohua wale nō ke hōʻoia 100% he maʻi kanesa ia. No ka ʻike maopopo ʻana i ka maʻi, pono e lawe ʻia kahi hāpana ʻiʻo a nānā ʻia ma lalo o kahi microscope. ʻO nā ʻano hana i hoʻohana ʻia no kēia:
- ʻO ke ʻoki ʻana: He hana ʻoki e nānā pono ana i nā ʻōpū e ʻike inā he ʻiʻo kānalua. Pili kēia i ka lawe ʻana i nā laʻana o nā ʻōpū fallopian, nā ovaries, a me nā lymph nodes kokoke a hoʻouna iā lākou i kahi lab no ka hoʻāʻo ʻana. Hiki ke hana ʻia kēia ʻoki hāmama (laparotomy) a i ʻole ma o nā ʻoki liʻiliʻi me ka hoʻohana ʻana i kahi kāmela (laparoscopy).
- Biopsy: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi puʻupuʻu kānalua me ka hoʻohana ʻana i ka nila a nānā ʻia.
Pehea e hoʻoholo ʻia ai ke kahua o ka maʻi kanesa?
Ke hōʻoia ʻia ka maʻi kanesa, ʻo ka mea nui aʻe e hiki mai ana, ʻo ia ke hoʻoholo i kona "kahua". I ka ʻōlelo maʻalahi, ʻo ia ka ʻike ʻana i ka mamao o ka laha ʻana o ke kanesa (metastasized). He mea nui kēia no ka hoʻolālā ʻana i ka mālama ʻana a me ka loaʻa ʻana o kahi manaʻo no ke ala e hiki mai ana o ka maʻi.
| Kahua o ke kanesa | Manaʻo |
|---|---|
| Pae 1 | Ua kaupalena ʻia ke kanesa i hoʻokahi a i ʻole nā ʻōpū fallopian ʻelua. |
| Pae 2 | Ua pālahalaha ke kanesa i nā ʻiʻo ʻē aʻe kokoke i ka pelvis ma waho aʻe o nā ʻōpū fallopian. |
| Pae 3 | Ua pālahalaha ke kanesa ma waho o ke pelvis, i nā lymph nodes, a i ʻole nā kikowaena kokoke. |
| Pae 4 | Ua pālahalaha ke kanesa i nā ʻōpū mamao aku, e like me ke akepaʻa, nā māmā, a i ʻole ka lolo. |
He aha nā lāʻau lapaʻau?
ʻO ke ʻano o ka lāʻau lapaʻau āu e loaʻa ai e hilinaʻi ʻia ma nā kumu he nui, me ke kahua o ke kanesa a me kou olakino holoʻokoʻa. Na kāu kauka e hoʻomohala i kahi hoʻolālā lapaʻau kūpono loa iā ʻoe.
- ʻO ke ʻoki kino: ʻO ke ʻoki kino ka lāʻau lapaʻau mua pinepine. Pili kēia i ka wehe ʻana i ka ʻōpū (hysterectomy), nā ʻōpū fallopian ʻelua (salpingectomy), a me nā ovaries ʻelua (oophorectomy). Ma muli o ka mamao o ka laha ʻana o ke kanesa, pono paha e wehe ʻia nā ʻiʻo kokoke ʻē aʻe. I kekahi mau wahine ʻōpio hānau keiki, inā ʻike mua ʻia ke kanesa, ʻo ka puʻupuʻu kanesa wale nō e wehe ʻia, e mālama ana i nā kino hānau.
- Kemoterapi: He mau lāʻau ikaika kēia i hāʻawi ʻia e pepehi i nā hunaola kanesa. Hāʻawi ʻia kēia lāʻau lapaʻau e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana, a i ʻole e pepehi i nā hunaola kanesa e koe paha ma hope o ke ʻoki ʻana.
- Lapaʻau i kuhikuhi ʻia: He ʻano lapaʻau hou kēia. Hoʻohana ia i nā lāʻau lapaʻau e kuhikuhi ana i nā molekala kikoʻī e pono ai no ka ulu ʻana o nā hunaola kanesa, me ka ʻole o ka hōʻeha ʻana i nā hunaola olakino e like me ka chemotherapy maʻamau. Hiki i kēia ʻano lapaʻau ke holomua loa, ʻoiai no ka poʻe me ka mutation gene `(BRCA)`.
- Immunotherapy: ʻO kēia ka hoʻoulu ʻana i ka ʻōnaehana pale ponoʻī o ko mākou kino, e hāʻawi ana iā ia i ka ikaika e hakakā i nā hunaola kanesa.
- Mālama Palliative: He kuhi hewa maʻamau kēia. ʻAʻole wale ka mālama palliative no ka poʻe i hiki ʻole ke ho'ōla ʻia ko lākou maʻi. E pili ana i ka hoʻokele ʻana i nā hopena ʻaoʻao o ka mālama ʻana i ka maʻi kanesa, e like me ka ʻeha a me ka nausea, a me ke kōkua ʻana i ka mālama ʻana i kahi ola maikaʻi. Hiki ke hāʻawi ʻia kēia mālama i kēlā me kēia pae o ka maʻi kanesa.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka mālama ʻana, ma kahi o 80% o nā maʻi e hele i ka "remission", kahi kūlana kahi ʻaʻohe hōʻailona o ke kanesa. Eia nō naʻe, aia kahi pilikia o ka "hoʻi hou ʻana mai o ke kanesa".
- ʻO nā maʻi kanesa i ʻike ʻia i ka wā mua loa, ʻo ka nui o ka hoʻi hou ʻana ma kahi o 25%.
- Hiki i nā maʻi kanesa i ka pae holomua ke hele hou mai a hiki i ka 80% o nā hihia.
No laila, ʻoiai ma hope o ka lāʻau lapaʻau, he mea nui e ʻike i ke kauka i ka manawa i hoʻonohonoho ʻia a hana i nā hoʻokolohua.He mea nui loa kēia, ʻoiai hoʻi i loko o nā makahiki ʻelima mua.
Nā helu ola
Mai hopohopo i kēia mau helu helu. He mau awelika wale nō kēia ma muli o ka ʻikepili mai nā tausani o nā maʻi. Hiki ke ʻokoʻa loa kou kūlana, ʻoi aku ka maikaʻi. ʻO kēia wale nō ke hoʻomaopopo i ke koʻikoʻi o ka maʻi.
- Inā ua kaupalena ʻia ke kanesa i nā ʻōpū fallopian (kūloko): ʻO ka helu ola 5 makahiki he 94%.
- Inā ua pālahalaha aku i nā ʻōpū kokoke (Regional): ʻO 53% ka nui o ke ola ʻana no 5 makahiki.
- Inā ua pālahalaha aku i nā ʻōpū mamao loa (Mamao): ʻO 44% ka nui o ke ola ʻana no 5 makahiki.
Aia kekahi mau ala e pale aku ai iā ʻoe iho mai kēia maʻi kanesa?
ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia.
Inā ua loaʻa i kekahi o kou ʻohana ka maʻi ʻaʻai umauma, ovarian, a i ʻole ka maʻi ʻaʻai fallopian tube, makemake paha ʻoe e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kahi hoʻāʻo genetic no ka gene BRCA. Inā ua ʻike ʻia ʻoe me ka mutation, makemake paha ʻoe e kūkākūkā me kāu kauka i ka hiki ke loaʻa i kahi prophylactic salpingo-oophorectomy (ka wehe ʻoki ʻana i nā ovaries a me nā fallopian tubes) ma ke ʻano he hana pale ma hope o kou loaʻa ʻana o nā keiki. Hiki i kēia ke hōʻemi i kou pilikia o ka maʻi ʻaʻai ma kahi o 96%.
Eia kekahi, hiki i kēia mau mea ke kōkua i ka hoʻemi ʻana i ka pilikia:
- ʻAi ʻana i ka meaʻai olakino maikaʻi a me ka noho hana ikaika.
- Ka mālama ʻana i kahi kaumaha olakino e kūpono iā ʻoe.
- Hoʻōki a hōʻemi paha i ka puhipaka a me ka hoʻohana ʻana i ka waiʻona.
- Inā hiki, e hānai i kāu mau keiki me ka waiū umauma.
- Ke hoʻohana nei i nā ʻano hana hoʻomalu hānau hormonal, e like me nā pila hoʻomalu hānau (akā inā he hoʻololi ʻana o ka gene BRCA kou, e kamaʻilio me kāu kauka e pili ana inā kūpono kēia iā ʻoe).
Leka Lawe-Home
- He maʻi laha wikiwiki ka maʻi ʻaʻai ʻōpū Fallopian ʻaʻole ia e hōʻike i kekahi mau hōʻailona i nā pae mua. No laila, pono mākou e makaʻala mau i ko mākou kino.
- Inā hoʻomau ʻoe i ka ʻike ʻana i nā hōʻailona i like me ka mea maʻamau, e like me ka ʻeha o ka ʻōpū ma lalo, ka pehu ʻana, a me ka nalowale o ka makemake, mai hoʻowahāwahā iā lākou.
- E makaʻala i ka mōʻaukala maʻi kanesa o kou ʻohana. Hiki iā ia ke kōkua iā ʻoe e hoʻomaopopo i kou pilikia.
- Hiki i ka ʻike mua ʻana ke ho'ōla loa i kēia maʻi kanesa. No laila, inā he kānalua kou, e ʻike koke i ke kauka.
- Mai makaʻu i kēia maʻi. Me ka ʻike kūpono a me ka mālama lapaʻau kūpono, hiki iā ʻoe ke kū i kēia pilikia.
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