Loaʻa iā ʻoe nā puʻupuʻu e like me kēia i loko o kāu mau ovaries? (Ovarian Germ Cell Tumors) E kamaʻilio kākou e pili ana i kēia!

Ua lohe paha ʻoe he ʻano puʻupuʻu like ʻole e ulu ana i loko o nā ovaries? ʻAʻole weliweli kekahi o lākou, akā he mea e hopohopo ai kekahi o lākou. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu kūikawā e ulu ana i loko o nā ovaries o nā wahine. Ua kapa ʻia kēia mau mea ʻo 'Ovarian Germ Cell Tumors'. ʻOiai he paʻakikī iki ka inoa, e hoʻomaopopo maʻalahi kākou.

He aha kēia mau 'Ovarian Germ Cell Tumors' e kū mai ana i loko o nā ovaries?

I ka ʻōlelo maʻalahi, ulu kēia ʻano puʻupuʻu mai nā cell germ i loko o nā ovaries o ka wahine. E like me kou ʻike, ʻo nā ovaries ʻelua o nā ʻōkana koʻikoʻi loa i ka ʻōnaehana hānau wahine. ʻO kēia nā mea e hana i nā hua i kou mau makahiki hānau. No laila, ʻo nā cell germ i loko o kēia mau ovaries nā mea e lilo i hua ma hope. Eia naʻe, i kekahi manawa, hui pū kekahi o kēia mau cell a hana i kahi puʻupuʻu maʻamau ʻole. ʻO ia ka mea a mākou e kapa nei he 'germ cell tumors'.

ʻO ka hapa nui o ka manawa, ulu kēia mau cysts ma hoʻokahi ovary wale nō, akā he mea kākaʻikahi loa, hiki ke ʻike ʻia ma nā ovaries ʻelua.

ʻO ka mea nui, ʻo ka hapa nui o kēia mau puʻupuʻu germ cell he benign . ʻO ia hoʻi, ʻaʻole lākou he maʻi kanesa. Eia naʻe, he kakaikahi loa, hiki iā lākou ke lilo i malignant . Inā hana ʻia kēlā, hiki i kēia mau puʻupuʻu ke pālahalaha a hōʻino i nā ʻiʻo olakino. ʻO kēia mau puʻupuʻu germ cell cancerous he ʻano maʻi kanesa ovarian kakaikahi loa.

Aia kekahi mau ʻano o kēia mau 'tumors germ cell'?

ʻAe, aia nā ʻano like ʻole o kēia mau nati. E nānā kākou i nā ʻano nui i ʻike ʻia:

• ʻO ka teratoma makua (dermoid cyst): ʻO kēia ke ʻano maʻamau a maikaʻi ʻole o ka puʻupuʻu germ cell. Loaʻa pinepine lākou i nā poʻe i ko lākou mau makahiki ʻōpio, iwakālua, a kanakolu paha. I kekahi manawa ua kapa ʻia lākou he teratoma no ka mea hiki iā lākou ke loaʻa ka lauoho a i ʻole nā ​​​​niho. Akā, mai hopohopo, ʻaʻole lākou he maʻi kanesa.
• ʻO Dysgerminoma: ʻO kēia ke ʻano maʻamau o ka puʻupuʻu germ cell malignant . Eia nō naʻe, ua ʻōlelo ʻia he 70% o kēia mau mea ʻaʻole hoʻouka kaua. He hiki ke mālama ʻia hoʻi lākou. Hoʻomohala pinepine lākou i nā poʻe i ko lākou mau makahiki iwakālua a me kanakolu.
• Teratoma ʻōpiopio: He ʻano puʻupuʻu kanesa (malignant) kēia e ulu lohi ana . Hiki iā ia ke laha mai ka ovary i nā ʻāpana ʻē aʻe o ke kino (metastasis). Loaʻa pinepine ia i nā poʻe he 20 mau makahiki a ʻoi aʻe paha.
• ʻO nā puʻupuʻu yolk sac (ʻike ʻia hoʻi he mau puʻupuʻu sinus endodermal): He mau mea ʻino hoʻi kēia.He ʻano puʻupuʻu. Ulu koke kēia mau mea a laha koke. ʻOi aku ka maʻamau o lākou i ka poʻe he 20 makahiki a ʻoi aku paha. Hiki nō hoʻi iā lākou ke loaʻa i nā keiki ʻōpio i hoʻomaka ʻole i ka menstruation (ma kahi o 40%).
• Nā puʻupuʻu cell germ i kāwili ʻia: He mau puʻupuʻu ʻino kēia. Loaʻa paha iā lākou kekahi a ʻoi aku paha nā ʻano puʻupuʻu ʻē aʻe. ʻO ka hapa pinepine, he hui pū ʻana lākou o ka dysgerminoma a me nā puʻupuʻu yolk sac.

Ma waho aʻe o kēia mau ʻano nui, aia kekahi mau ʻano ʻē aʻe he kakaikahi loa o nā ʻōʻō cell germ:

• ʻO ka maʻi ʻōpū
• ʻO ke kanikoma kōrio
• Polyembryoma

Pehea ka maʻamau o kēia ʻano?

ʻO nā ʻōhū ovarian germ cell ka ʻano maʻamau o ka ʻōhū i nā wahine o ka makahiki hānau a me ka ʻōpio. No ka laʻana, 70% o nā ʻōhū ovarian i nā wahine ma waena o 10 a me 30 mau makahiki o kēia ʻano. Eia nō naʻe, ʻaʻole lākou i maʻamau i nā wahine ma luna o 40 mau makahiki.

ʻO ka nūhou maikaʻi, ma kahi o 95% o kēia mau puʻupuʻu germ cell he mau teratoma maikaʻi ʻole, makua . ʻO nā puʻupuʻu germ cell no 2% a 3% wale nō o nā maʻi ʻaʻai ovarian.

He aha nā hōʻailona? Pehea ʻoe e ʻike ai?

Hiki ke paʻakikī ke ʻike i kēia mau puʻupuʻu germ cell i nā pae mua. ʻAʻole paha e hōʻike nā puʻupuʻu maikaʻi i kekahi mau hōʻailona a hiki i ko lākou nui ʻana. ʻAʻole paha e hōʻike nā puʻupuʻu ʻino i nā hōʻailona a hiki i ka laha ʻana o ke kanesa.

No laila, he mea nui e hoʻolohe i kēia mau hōʻailona:

• ʻEha ʻōpū, ʻoluʻolu ʻole, a ʻeha paha ke kaomi ʻia. (Hiki i kēia ke hoʻomaka koke a koʻikoʻi.)
• ʻŌpū piha, i kekahi manawa ʻo ka ʻōpū wale nō e nui ana aʻo nā ʻāpana ʻē aʻe o ke kino e lahilahi ana.
• Nā loli i ka hana o ka ʻōpū , e like me ka maʻi pākī a i ʻole ka paʻa ʻana o ka ʻōpū.
• Nā loli i nā ʻano ʻai , e like me ka nalowale o ka makemake.
• ʻO ke kahe koko ʻana o ka ʻōpū ma ke ʻano kūpono ʻole , ʻo ia hoʻi ke kahe ʻana o ke koko ma waho o ka menstruation a ma hope paha o ka menopause.

Hiki i kēia mau nati ke hana i kekahi mau hormones, hiki ke hoʻololi i kou kino. Eia kekahi laʻana:

• Nā hōʻailona o ka hāpai mua ʻana e like me ka luhi, ka nausea, a me ka ʻeha o ka umauma.
• ʻŌpiopio mua , akā he mea kakaikahi loa kēia.

No ke aha i hoʻokumu ʻia ai kēia mau 'tumors germ cell'?

Hoʻokumu ʻia nā ʻōhū ovarian germ cell e nā mutations i loko o nā hunaola wahine, a i ʻole nā ​​hunaola hānau , e hui pū ana e hana i kahi ʻōhū. Ke noiʻi nei nā loea i ke kumu o kēia hana a me wai ka mea i ʻoi aku ka nui o ka loaʻa ʻana iā lākou.

ʻOiai hiki ke ulu kēia mau cysts i loko o kekahi me nā ovaries, ʻike pinepine ʻia lākou i nā wahine o ka makahiki hānau a me nā ʻōpio.

He aha nā pilikia e hiki ai i kēia ke hana?

He mea nui loa ka lāʻau lapaʻau no ka mea, ʻoiai inā he ʻano maikaʻi ʻole kahi puʻupuʻu, hiki iā ia ke poha a i ʻole ke kumu o ka ovarian torsion . ʻO ka nui o ka puʻupuʻu, ʻo ka nui aʻe o ka hiki ke hana ʻia kēia.

Hiki i ka wehe ʻana i ka puʻupuʻu ke pale i kēia mau pilikia.

Pehea e ʻike ai nā kauka i kēia?

Ma hope o ka nīnau ʻana e pili ana i kāu mau hōʻailona, ​​e hana kāu kauka i kekahi mau hoʻokolohua. ʻO ka mea nui loa o kēia mau mea he hoʻokolohua pelvic e nānā i nā puʻupuʻu a i ʻole nā ​​​​​​mea ʻē aʻe i loko o kou ʻōpū, pelvis, a me ka vagina. Pono paha ʻoe e loaʻa nā scans a me nā hoʻokolohua koko.

• Nā hoʻāʻo kiʻi: Inā kānalua ʻia kahi puʻupuʻu ovarian germ cell, e hana mua nā kauka i kahi ultrasound transvaginal . Hiki i kēia ke nānā i loko o kou ʻōpū e ʻike inā he mau puʻupuʻu. Eia kekahi, hiki ke hana ʻia kahi CT scan (Computed Tomography - CT scan) a i ʻole MRI (Magnetic Resonance Imaging - MRI) e kōkua i ka ʻike ʻana i ke kūlana. Hiki i kēia mau scan ke hōʻike i nā kikoʻī ma mua o ka ultrasound.
• Nā hoʻāʻo koko: Loaʻa paha iā ʻoe kahi hoʻāʻo koko i kapa ʻia he hoʻāʻo hōʻailona tumo serum . Nānā kēia i nā pae o kekahi mau mea i loko o kou kino. ʻO nā pae kiʻekiʻe o nā mea e like me ka alpha-fetoprotein (AFP) , lactate dehydrogenase (LDH) , a i ʻole human chorionic gonadotropin (HCG) i loko o ke koko hiki ke lilo i hōʻailona o nā ʻōpū ovarian germ cell.

I mea e hana ai i kahi hōʻailona pololei, pono ke kauka e wehe i ka puʻupuʻu a i ʻole ka ovary holoʻokoʻa i hoʻopilikia ʻia no ka hoʻokolokolo ʻana. ʻO kahi pathologist , he kauka loea i ka nānā ʻana i nā ʻiʻo, e nānā i kēia mau cell i loko o kahi lab e hoʻoholo ai i ke ʻano o ka puʻupuʻu a inā he malignant a benign paha.

Inā he maʻi kanesa ia, he aha kona mau 'paepae'?

Inā he ʻino kahi puʻupuʻu, e hoʻokaʻawale nā ​​kauka i ke kanesa ma ke ʻano he ʻāpana o ka hōʻailona. Ua kapa ʻia kēia ʻo ke kahua . E hoʻohana lākou i nā scan e like me ka CT scan a i ʻole PET scan (positron emission tomography scan) e ana i ka nui o ka puʻupuʻu a ʻike pono i kona wahi. E kōkua kēia ʻike i kāu kauka e hoʻoholo i ke ʻano o ka lāʻau lapaʻau āu e pono ai a me nā hopena o ka lāʻau lapaʻau.

Ma keʻano laulā, ʻo ka haʻahaʻa o ke 'kahua', ʻo ka nui aʻe o ka manawa e ho'ōla ai i ka maʻi kanesa.

ʻO nā pae o nā ʻōʻō germ cell ovarian cancerous penei:

• Pae 1: Aia ke kanesa i loko o kāu ovaries wale nō.
• Pae 2: Ua pālahalaha ke kanesa i nā ʻiʻo ʻē aʻe i loko o kou pelvis, e like me nā ʻōpū fallopian a i ʻole ka uterus.
• Pae 3: Ua pālahalaha ke kanesa i nā lymph nodes a i ʻole ka uhi o kou mau ʻōpū pelvic a i ʻole ka ʻōpū ( peritoneum ), akā ʻaʻole i pālahalaha ma waho o ka ʻōpū.
• Pae 4 (maʻi kanesa metastatic): Ua pālahalaha ke kanesa i kou akepaʻa a i ʻole ka spleen, a i ʻole i nā ʻiʻo a me nā ʻōpū ma waho o kou ʻōpū, e like me kou mau māmā.

He aha nā lāʻau lapaʻau no kēia?

Hiki ke mālama ʻia a ho'ōla ʻia ka hapa nui o nā puʻupuʻu germ cell. ʻO ka hoʻolālā lapaʻau āu e loaʻa ai e hilinaʻi ʻia i ka nui o ka puʻupuʻu a inā he malignant (pōʻino) a benign paha (benign).

Eia nō naʻe, inā ʻoe he makahiki hānau, e hoʻāʻo kāu kauka e mālama i kāu ovaries i ka mea hiki ke mālama i kou momona.

Ka mālama ʻana i nā ʻōpū ovarian germ cell benign

E wehe ʻoki nā kauka i nā puʻupuʻu maikaʻi ʻole. I kekahi manawa, pono e wehe ʻia ka ovary holoʻokoʻa ( oophorectomy ) a i ʻole kekahi hapa o ka ovary ( ovarian cystectomy ) e wehe loa i ka puʻupuʻu. Hiki iā lākou ke paipai i ke ʻoki hāmama ( laparotomy ) a i ʻole kahi ʻano ʻoki liʻiliʻi e hoʻohana ana i nā ʻoki liʻiliʻi ( laparoscopy ).

He mea kākaʻikahi loa ka ulu hou ʻana o nā puʻupuʻu maikaʻi ʻole ma hope o ka wehe ʻia ʻana.

Ka mālama ʻana i nā ʻōʻō cell germ ovarian malignant

Aia ka lāʻau lapaʻau i ke ʻano o ka puʻupuʻu a me ke kahua o ke kanesa. ʻO nā lāʻau lapaʻau maʻamau:

• ʻO ke ʻoki kino: Hiki i kāu kauka ke ʻōlelo aku e wehe i kekahi a i ʻole ʻelua o kāu mau ovaries a i ʻole nā ​​​​tubes fallopian ( oophorectomy ). Inā ua pālahalaha ke kanesa ma waho o nā ovaries a me nā fallopian tubes, hiki iā ʻoe ke loaʻa i kahi hysterectomy piha, kahi e wehe ai i kou uterus a me ka cervix .
• Kemoterapia: I ka chemotherapy, hāʻawi kāu kauka iā ʻoe i ka lāʻau lapaʻau i loko o kou mau aa, ma o ka hoʻokomo ʻana . Hoʻopau nā lāʻau lapaʻau Kemoterapia i nā hunaola kanesa a hoʻōki iā lākou mai ka hoʻonui ʻana. Hiki iā ʻoe ke loaʻa i ka chemotherapy no kekahi mau pule a i ʻole mau mahina.

Pehea ke kūlana ma hope o ka mālama ʻana? (Outlook)

MaikaʻiHe maikaʻi loa nā hopena o ka mālama ʻana no nā ʻōpū germ cell ovarian. ʻAʻole hoʻi hou kēia mau ʻōpū benign ma hope o ka wehe ʻana.

ʻOkoʻa nā hopena o nā ʻōpū germ cell malignant ma muli o ke ʻano o ka ʻōpū a me ke kahua o ke kanesa. Hoʻoholo nā kauka Oncology i kēia ma ka helu ʻana i ka nui o ka poʻe me kahi kanesa kikoʻī e ola ana i ʻelima mau makahiki ma hope o ka hōʻoia ʻana. Ua kapa ʻia kēia ʻo ka helu ola ʻelima makahiki.

Eia kekahi laʻana, inā ʻaʻole i pālahalaha ke kanesa ma waho o nā ovaries, ʻo ka nui o ke ola ma waena o 94% a me 98%. No nā kanesa i pālahalaha ma waho o ke kahua mua, ʻo ka nui o ke ola ʻelima makahiki ma kahi o 73%. I loko o kēia manawa, e nānā pono kāu kauka iā ʻoe a mālama iā ʻoe inā hoʻi hou ke kanesa.

Hiki ke ho'ōla loa ʻia kēia 'maʻi ʻaʻai germ cell'?

Aia nō hoʻi ia i ke ʻano a me ke kahua o ka puʻupuʻu. No ka laʻana, hiki ke mālama ʻia ka dysgerminoma mua me ka chemotherapy, me ka helu ho'ōla kokoke i 100%. ʻO nā ʻano koʻikoʻi, e like me nā puʻupuʻu yolk sac, ʻaʻole paha e hiki ke ho'ōla loa ʻia, akā hiki i ka lāʻau ke kāohi i ka ulu ʻana o ka puʻupuʻu a me ka laha ʻana o ke kanesa.

Hiki i kāu kauka ke wehewehe iā ʻoe i ka nānā ʻana (me ka hiki ke ho'ōla ʻia) no ka maʻi ʻaʻai o ka ovarian germ cell, ma muli o kāu hōʻailona.

Aia kekahi ala e pale aku ai i kēia mau mea mai ka hana ʻana?

ʻAʻole hiki ke pale ʻia nā puʻupuʻu cell germ. Eia nō naʻe, hiki iā ʻoe ke kōkua i kāu kauka e nānā i kou olakino a loiloi i kou pilikia maʻi kanesa ma ka hele ʻana i nā nānā maʻamau .

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe a i ʻole kāu keiki nā hōʻailona o kahi puʻupuʻu ovarian germ cell , e ʻike koke i ke kauka . Ulu koke kekahi mau puʻupuʻu germ cell. ʻO ka ʻike ʻana iā lākou i ka wā mua a me ka loaʻa ʻana o ka lāʻau i ka wā hikiwawe hiki ke hoʻonui nui i kou manawa e hoʻōla ai.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Inā ʻike ʻoe he puʻupuʻu ovarian germ cell kou, eia kekahi mau nīnau e nīnau aku ai i kāu kauka:

• He ʻino a maikaʻi ʻole paha kēia puʻupuʻu?
• He aha nā hoʻokolohua ʻē aʻe e pono iaʻu e hana e hoʻoholo ai i ke ʻano o ka lāʻau e pono ai iaʻu?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• He aha kaʻu e manaʻo ai ma hope o ka lāʻau lapaʻau?
• E hoʻopilikia anei kaʻu hōʻailona a i ʻole ka lāʻau lapaʻau i koʻu hiki ke loaʻa kahi keiki?

E lawe i ka leka i ka home

Inā loaʻa iā ʻoe a i kāu keiki paha nā hōʻailona o kahi puʻupuʻu ovarian germ cell , e ʻike koke aku i ke kauka.. ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau mea he mea weliweli (benign). Hiki i ke ʻoki kino ke pale i nā pilikia e like me ka haki ʻana a i ʻole ka torsion o kahi puʻupuʻu nui. I ka manawa kākaʻikahi, inā he malignant kahi puʻupuʻu, hiki i ka ʻike mua a me ka mālama ʻana ke hoʻonui nui i kou manawa e hoʻōla ai. ʻOiai inā ʻaʻohe ou hōʻailona, ​​​​e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o nā nānā maʻamau e nānā i kou olakino hānau a me nā ʻōpū.

ʻO nā cysts ovarian, nā puʻupuʻu germ cell, ka maʻi ʻaʻai ovarian, ke olakino wahine, teratoma, dysgerminoma, nā hōʻailona o ka maʻi ʻaʻai