He mau nīnau kāu e pili ana i ke kanesa ovarian? E kamaʻilio kākou e pili ana!

Ua lohe paha ʻoe i ke kanesa ovarian. Loaʻa paha i kekahi hoaaloha ou ia mea, a makemake paha ʻoe e ʻike hou aku e pili ana i ia mea. ʻOiai he kumuhana koʻikoʻi ia, e kamaʻilio kākou e pili ana i ia mea ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo. No ka mea, he mea nui loa ka makaʻala i nā mea e like me kēia.

He aha ke kanesa ovarian? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ke kanesa ovarian ka wā e hoʻomaka ai nā cell i loko o kāu ovaries a i ʻole nā ​​​​tubes fallopian e ulu ma ke ʻano ʻē a ma waho o ke kaohi. E noʻonoʻo iā ia e like me nā cell i loko o ko mākou kino e like me nā limahana liʻiliʻi. Hana lākou ma ke ʻano maʻamau a pololei. Akā i loko o ke kanesa, hoʻomaka kekahi o kēia mau cell e "hele pupule," e māhele ana a ulu e like me kā lākou makemake.

He ʻāpana koʻikoʻi loa nā ovaries o ka ʻōnaehana hānau wahine. ʻO lākou nā ʻōpū e hana i nā hua i kou mau makahiki hānau. ʻO ka nui o lākou e like me ka wōnati liʻiliʻi, aia ma nā ʻaoʻao ʻelua o ke pelvis.

ʻO wai ka mea e loaʻa ana i ka maʻi ʻaʻai ovarian?

Hiki i kēia ke hana i kekahi wahine, akā aia kekahi poʻe i kahi pilikia kiʻekiʻe iki. No ka laʻana, ma ʻAmelika Hui Pū ʻIa, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wahine ʻōiwi ʻAmelika a me nā wahine keʻokeʻo ma mua o nā wahine ʻeleʻele, Hispanic, a i ʻole ʻAsia.

ʻO kekahi mea koʻikoʻi , ʻo ia ka nui o ka poʻe o ka lāhui Iudaio Ashkenazi e loaʻa i kahi hoʻololi genetic i kapa ʻia ʻo `BRCA`. Hoʻonui kēia hoʻololi genetic i ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma a me ka maʻi ʻaʻai ovarian.

Ma keʻano holoʻokoʻa, ʻo ka maʻi ʻaʻai ovarian ka mea e pili ana i kahi 1% o nā maʻi kanesa i ʻike hou ʻia. ʻO ka pilikia o ka wahine i ke ola holoʻokoʻa e loaʻa ai ka maʻi ʻaʻai ovarian ma kahi o 1 i loko o 78.

He aha nā hōʻailona o ka maʻi ʻaʻai ovarian? Pehea mākou e ʻike ai?

Eia kekahi mea e hoʻomanaʻo ai. Hiki i ke kanesa ovarian ke pālahalaha i kou ʻōpū me ka ʻole o ka hōʻike ʻana i nā hōʻailona i nā pae mua. ʻO ia ke kumu e paʻakikī ai ke ʻike mua. Eia nō naʻe, inā hoʻomau ʻoe i kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, he mea nui e ʻike i ke kauka no ka ʻōlelo aʻo.

• ʻEha pelvic a ʻōpū paha, ʻehaʻeha, a i ʻole ka manaʻo o ka piha: Manaʻo paha ia e like me kahi mea i paʻa i loko o kou ʻōpū, a i ʻole e like paha me ka pehu ʻana o kou ʻōpū.
• Nā loli i nā ʻano ʻai, ka manaʻo piha ʻana ma hope o ka ʻai iki ʻana, a me ka nalowale o ka makemake: ʻOiai kekahi mea i ʻai maikaʻi ma mua, hiki ke manaʻo piha ma hope o kekahi manawa pōkole. ʻAʻole paha lākou makemake e ʻai.
• Ka hoʻokahe ʻana o ka ʻōpū a i ʻole ke kahe koko ʻana: Pono ʻoe e hopohopo nui inā loaʻa iā ʻoe kēia ʻano kahe koko, ʻoi aku hoʻi ma waho o kāu pōʻaiapuni mahina maʻamau a ma hope paha o ka menopause.
• Nā loli i ka hana o ka ʻōpū:Eia kekahi laʻana, hiki ke kū mai nā hōʻailona hou e like me ka constipation a i ʻole ka diarrhea.
• Hoʻonui ʻia ka nui o ka ʻōpū: Manaʻo e like me ka nui ʻana o kou ʻōpū.
• Mimi pinepine: ʻO ka pono e mimi ma mua o ka maʻamau.

ʻOiai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he maʻi ʻaʻai ovarian kou. Hiki ke hana ʻia e nā pilikia olakino ʻē aʻe. Eia nō naʻe, inā hoʻomau lākou, e ʻimi pono i ke aʻo lapaʻau. ʻO ka wā mua āu e ʻike ai, ʻoi aku ka maʻalahi o ka mālama ʻana.

He aha ke kumu o ka maʻi ʻaʻai ovarian? Aia kekahi mau mea pilikia?

ʻOiaʻiʻo, ʻaʻole i ʻike ʻia ke kumu kikoʻī o ka maʻi ʻaʻai ovarian. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o ka maʻi. E nānā kākou i ko lākou ʻano:

• ʻOi aku ma mua o 60 mau makahiki: Piʻi kēia pilikia me ka makahiki.
• Momona: Inā ʻoi aku ke kaumaha o ke kino ma mua o ka nui i ʻōlelo ʻia.
• Inā ua loaʻa i kekahi o kou ʻohana ka maʻi ʻaʻai ovarian (mōʻaukala ʻohana): ʻO ia hoʻi, inā ua loaʻa i kou makuahine, kaikuahine, a kaikamahine paha ka maʻi, hiki iā ʻoe ke pilikia. Eia kekahi, inā loaʻa iā ʻoe kahi hoʻololi gene i kapa ʻia ʻo `BRCA1` a i ʻole `BRCA2` a i ʻole kahi maʻi i kapa ʻia ʻo Lynch syndrome, ʻoi aku ka kiʻekiʻe o kou pilikia.
• ʻAʻole i hāpai keiki a i ʻole ka hānau keiki ʻana ma hope.
• Loaʻa i kahi maʻi i kapa ʻia ʻo endometriosis.

ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o kēia mau mea pilikia, ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka maʻi ʻaʻai ovarian. Eia nō naʻe, he mea nui e makaʻala i kēia.

Pehea e laha ai ke kanesa ovarian?

Inā pālahalaha ka maʻi ʻaʻai ovarian, hoʻomaka ia ma kou pelvis a pālahalaha i nā lymph nodes, ka peritoneal cavity, nā ʻōpū, ka ʻōpū, ka umauma, a i ʻole ke ake.

Pehea e ʻike ʻia ai ke kanesa ovarian? He aha nā hoʻokolohua e hana ʻia?

ʻOiai nā makahiki o ka noiʻi ʻana, ʻaʻole i hoʻomohala ʻia kahi hoʻāʻo loiloi kūpono no ka ʻike mua ʻana i ka maʻi ʻaʻai ovarian. ʻO ia ke kumu he paʻakikī ke ʻike iā ia i kona mau wā mua.

Inā kānalua ke kauka he maʻi ʻaʻai ovarian kou, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona a laila hana i kahi hoʻokolokolo pelvic . I loko o kēia manawa, e ʻimi lākou i nā ulu kūpono ʻole a i ʻole nā ​​​​​​kikokana i hoʻonui ʻia.

Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua ʻē aʻe:

Nā hoʻokolohua kiʻi

ʻAe kēia iā ʻoe e ʻike i nā mea i loko o ke kino:

• ʻO ke kani ʻana o ka Pelvic ultrasound: Hiki i kēia ke kiʻi i kahi kiʻi maopopo o nā ovaries a me nā wahi a puni.
• ʻIke MRI (Magnetic Resonance Imaging):ʻAe kēia iā ʻoe e kiʻi i nā kiʻi kikoʻī hou aku.
• CT scan (Computed Tomography): Hāʻawi pū kēia i nā kiʻi ʻokiʻoki o ke kino.
• PET scan (Positron Emission Tomography): Kōkua kēia i ka ʻike ʻana i nā wahi o nā hunaola kanesa.

Nā hoʻāʻo koko

Hana pinepine ʻia kahi hoʻāʻo koko i kapa ʻia ʻo CA-125 i kēia hihia. Inā kiʻekiʻe kou pae CA-125, he hōʻailona paha ia o ka maʻi kanesa. Eia naʻe, ʻaʻole kēia he 100% maopopo. Hiki ke maʻamau nā pae CA-125 ʻoiai inā he maʻi kanesa kou, a hiki nō hoʻi ke kiʻekiʻe i nā kūlana ʻē aʻe ʻaʻole he maʻi kanesa. No laila, hoʻohui nā kauka i kēia hoʻāʻo me nā hoʻāʻo ʻē aʻe e hiki ai i kahi hopena.

Loiloi ʻoki kino

I kekahi manawa, ʻike ʻia ke kanesa ovarian i ka wā o ke ʻoki ʻana. ʻO ka maʻamau, inā loaʻa kahi ulu ʻē, hiki ke wehe ʻia i ka wā o ke ʻoki ʻana hoʻokahi.

Laparoscopy

Ma kēia, hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi i loko o kou ʻōpū a hoʻokomo i kahi ʻōmole lahilahi me kahi kāmela (laparoscope) ma loko. Hiki ke hoʻohana ʻia kēia kāmela e ʻike inā aia ke kanesa a me ka mamao o kona laha ʻana, lawe i nā laʻana ʻiʻo (biopsies), a i kekahi manawa wehe i nā cysts ovarian.

He aha nā pae o ka maʻi ʻaʻai ovarian?

ʻO ke kahua o ka maʻi kanesa pehea ka mamao o ka laha ʻana o ke kanesa. He mea nui loa ka ʻike ʻana i kēia no ka hoʻolālā ʻana i ka mālama ʻana. ʻEhā mau kahua nui o ka maʻi kanesa ovarian. ʻO ka haʻahaʻa o ka helu kahua, ʻo ka emi ʻana o ka holomua o ke kanesa. ʻO ke kiʻekiʻe o ka helu, ʻo ka ʻoi aku ka koʻikoʻi o ke kūlana.

• Pae I: Loaʻa i kēia pae nā pae liʻiliʻi (IA, IB, IC). I ka ʻōlelo maʻalahi, ma kēia pae, aia ke kanesa ma hoʻokahi ovary a i ʻole fallopian tube (IA), a i ʻole ma nā ovaries ʻelua a i ʻole nā ​​fallopian tubes ʻelua (IB). Ma ke pae IC, aia ke kanesa ma nā ovaries ʻelua a i ʻole nā ​​​​tubes ʻelua, a ua pālahalaha ma waho o ka ovary (aia paha nā cell i loko o ke kahe i loko o ka lua ʻōpū).
• Pae II: Loaʻa i kēia nā pae liʻiliʻi. Ma IIA, ua pālahalaha ke kanesa mai nā ovaries a i ka uterus. Ma IIB, ua pālahalaha ia i nā ʻōpū ʻē aʻe ma ka ʻāpana pelvic.
• Pae III: Loaʻa i kēia pae ʻekolu mau pae liʻiliʻi (IIIA, IIIB, IIIC). Ma IIIA, ua pālahalaha ke kanesa ma ʻō aku o ka pelvis, i loko o ka ʻōpū (ma kahi ʻē), a i ʻole i nā lymph node. Ma IIIB, ʻo ka puʻupuʻu a hiki i 2 kenimika ka nui, ma ʻō aku o ka pelvis, a i ʻole i nā lymph node. Ma IIIC, ua pālahalaha ke kanesa ma ʻō aku o ka pelvis, a ʻoi aku ka nui o ka puʻupuʻu ma mua o 2 kenimika, a i ʻole i nā lymph node. I kēia manawa, hiki ke hoʻopilikia ʻia nā ʻōpū e like me ke akepaʻa a me ka spleen.
• Pae IV: ʻO kēia ke kahua koʻikoʻi loa. I kēia pae, ua laha ka maʻi ʻaʻai i nā ʻōpū e like me ke akepaʻa a me ka spleen. I ka IVA, aia ia i loko o nā māmā, a i ka IVB, ua laha ia i nā lymph node ma ka ʻūhā a i ʻole ka umauma.

Mai makaʻu e lohe e pili ana i kēia mau pae. E wehewehe kāu kauka i nā mea āpau iā ʻoe.ʻO ka mea nui loa, ʻo ia ke kūkulu i kahi papahana lapaʻau e kūpono iā ʻoe.

Pehea e mālama ʻia ai ka maʻi ʻaʻai ovarian?

ʻO ka pahuhopu nui o ka mālama ʻana i ka maʻi kanesa, ʻo ia ka wehe ʻana i ka nui o nā hunaola kanesa e like me ka hiki, a i ʻole e wehe loa iā lākou. ʻO nā lāʻau lapaʻau nui no ka maʻi kanesa ovarian:

• ʻO ke ʻoki kino: ʻO kēia ka lāʻau lapaʻau nui. ʻO ka maʻamau, pili kēia i ka wehe ʻana i kāu mau kino hānau (ovaries, fallopian tubes, uterus) a me nā kino āpau i laha ai ke kanesa. Hiki i ke kauka lapaʻau ke hana i kahi laparoscopy (kahi ʻoki kino minimally invasive i hana ʻia ma o kekahi mau ʻoki liʻiliʻi i loko o ka ʻōpū) a i ʻole kahi laparotomy (kahi ʻoki kino hāmama i hana ʻia ma o kahi ʻoki nui i loko o ka ʻōpū).
• ʻO Chemotherapy: Hiki ke hana ʻia kēia ma mua a ma hope paha o ke ʻoki kino. ʻO Chemotherapy kahi ʻano lāʻau lapaʻau e kuhikuhi ana a luku i nā hunaola kanesa. Hiki ke hāʻawi ʻia ma ke ʻano intravenous a i ʻole he mau pila i lawe ʻia ma ka waha.
• Lapaʻau i kuhikuhi ʻia: He ʻano lāʻau lapaʻau kēia e ʻike a hoʻouka i nā hunaola kanesa. Hoʻololi kēia i ke ʻano o ka ulu ʻana a me ka māhele ʻana o nā hunaola kanesa.
• Hoʻōla hormone: Hoʻohana kekahi mau maʻi ʻaʻai ovarian i nā hormones e ulu. Ke ālai nei kēia lāʻau i kēlā mau hormones, e hoʻolohi ana a hoʻōki paha i ka ulu ʻana o ke kanesa.
• Lapaʻau radiation: ʻAʻole hoʻohana pinepine ʻia ka lāʻau radiation no ka maʻi ʻaʻai ovarian.

Ma hope o kou mālama ʻia ʻana no ka maʻi ʻaʻai ovarian, makemake kāu kauka e ʻike pinepine iā ʻoe a nānā iā ʻoe. E hoʻomau lākou i nā hoʻokolohua e nānā inā ua hoʻi mai ke kanesa. Pono ʻoe e haʻi i kāu kauka e pili ana i kekahi mau hōʻailona a ʻoluʻolu ʻole paha āu i loaʻa ai i kēia manawa. I kekahi manawa, hiki ke hana ʻia nā hoʻokolohua kiʻi, e like me ka CT scan.

He aha ka mea e manaʻo ai kekahi me ka maʻi ʻaʻai ovarian?

ʻOiai ma hope o ka pau ʻana o ka lāʻau lapaʻau, e ʻike mau kāu kauka iā ʻoe. I loko o kēia mau kipa ʻana, e kamaʻilio lākou e pili ana i kāu mau hōʻailona, ​​​​nā hopohopo, a me nā makaʻu. He mea nui e makaʻala pono i kou kino. Inā manaʻo ʻoe i kekahi mea ʻē, e haʻi i kāu kauka. He mea nui loa ka hahai ʻana ma hope o ka lāʻau lapaʻau.

He aha ka nui o ke ola no ka maʻi ʻaʻai ovarian?

He mea koʻikoʻi kēia. ʻO ka nui o ke ola ʻana no ʻelima mau makahiki no ka maʻi ʻaʻai ovarian ma kahi o 49%. ʻO ia hoʻi, ma kahi o 49% o ka poʻe i ʻike ʻia me ka maʻi ʻaʻai ovarian e ola mau ana i ʻelima mau makahiki ma hope o ka ʻike ʻia ʻana.

Eia nō naʻe, he mea nui e hoʻomanaʻo i kēia: He awelika wale nō kēia mau helu. ʻAʻole lākou e haʻi pololei iā ʻoe i ka lōʻihi o kou ola ʻana a i ʻole ka holomua o kāu lāʻau lapaʻau. He ʻokoʻa nā kānaka a pau.Nui nā kumu e hoʻopilikia i kēia, me ke ʻano o ke kanesa, kona pae, kou olakino holoʻokoʻa, a me kāu pane ʻana i ka lāʻau lapaʻau. Ke hoʻomohala mau ʻia nei nā lāʻau lapaʻau hou. No laila, inā he mau nīnau kāu e pili ana i kēia mau helu helu, e wehe a ʻoiaʻiʻo me kāu kauka.

Hiki ke pale ʻia ke kanesa ovarian?

ʻAʻohe ala e pale loa ai i ka maʻi ʻaʻai ovarian. Eia nō naʻe, ʻo ka ʻike ʻana i kou mōʻaukala ʻohana piliola e hiki ke kōkua iā ʻoe e hoʻomaopopo inā paha ʻoe i ka piʻi ʻana o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai ovarian.

Inā loaʻa iā ʻoe kahi maʻi genetic, e like me ka hoʻololi ʻana o ka gene BRCA, hiki i kāu kauka ke ʻōlelo aku i kahi ʻoki kino e hōʻemi i ka pilikia e wehe i kāu ovaries a me nā fallopian tubes ma mua o ko lākou ulu ʻana i ka maʻi kanesa. Inā ʻaʻole ʻoe maopopo inā he BRCA a i ʻole kekahi hoʻololi ʻana o ka gene ʻē aʻe kāu, e kamaʻilio me kāu kauka e pili ana i ka hoʻāʻo genetic .

Āhea wau e ʻike ai i ke kauka?

Inā hoʻomau ʻoe i nā hōʻailona o ke kanesa ovarian a mākou i kūkākūkā ai ma mua (no ka laʻana, nā puʻupuʻu ʻē, ka ʻeha o ka ʻōpū, ka pehu ʻana), e ʻike pono i ke kauka. Mai hopohopo, akā he mea naʻauao ke nānā ʻia.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Inā ua ʻike ʻia ʻoe he maʻi ʻaʻai ovarian, he mea maʻamau ka loaʻa ʻana o nā nīnau he nui i kou manaʻo. Hiki paha iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me:

• Aia i hea ka puʻupuʻu kanesa?
• Ua pālahalaha anei ke kanesa? Inā pēlā, pehea ka mamao?
• He aha nā lāʻau lapaʻau āu e paipai nei?
• Pehea ka lōʻihi o kaʻu lāʻau lapaʻau?
• E hiki anei iaʻu ke hele i ka hana i ka wā o ka mālama ʻana?
• Aia kekahi mau kumuwaiwai e loaʻa ai ke kōkua me ke kanesa ovarian?

He mea maʻamau ka makaʻu, ke kaumaha, a me ka hoka ke ʻike ʻoe he maʻi kanesa kou. Inā he maʻi kanesa ovarian kou a i ʻole kahi mea aloha, hiki iā ʻoe ke manaʻo mehameha. Akā, ʻaʻole ʻoe mehameha. Hiki i kāu kauka ke kōkua iā ʻoe i kēia manawa paʻakikī. E nīnau e pili ana i nā hui kākoʻo a hui pū me lākou. ʻO ke kamaʻilio ʻana me nā poʻe e hele nei i nā mea like me ʻoe hiki ke kōkua iā ʻoe e hoʻoponopono i kēia mau manaʻo paʻakikī.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea a kākou e hopohopo ai no ke kanesa ovarian. Eia nō naʻe, he mea nui loa ia e makaʻala i ia mea, e makaʻala i nā hōʻailona, ​​a e ʻimi koke i ke kōkua lapaʻau inā pono.

ʻO ʻoe ka mea ʻike maikaʻi loa i kou kino. Inā ʻike ʻoe i kekahi mea ʻē a ʻano ʻē paha, mai hoʻowahāwahā iā ia. E kamaʻilio me ke kauka. ʻO ka wā mua āu e ʻike ai, ʻo ka nui o ka kūleʻa o ka lāʻau lapaʻau. Mai hopohopo, ʻaʻole ʻoe hoʻokahi. E kiʻi i ke kōkua āu e pono ai.

Ka maʻi ʻōpū , Ola Kino Wahine, Nā Hōʻailona Ka maʻi ʻaʻai, Lapaʻau Ka maʻi ʻaʻai, Gene BRCA, CA-125, Gynecology