ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ke kanesa uterine

He aha kou manaʻo inā ʻike ʻoe i kahi kahe koko liʻiliʻi ma hope o ka pau ʻana o kou wā, ʻo ia hoʻi, ma hope o ka menopause? Manaʻo kekahi poʻe, "ʻAʻole au i ʻike inā ua hoʻomaka hou." Akā, ʻo kēia ʻano kahe koko maʻamau ʻole, ʻoi aku hoʻi ma hope o ka menopause, ʻaʻole loa ia he mea e hoʻowahāwahā ʻia. No ka mea, hiki ke lilo i hōʻailona nui o ka maʻi ʻaʻai uterine. No laila i kēia lā, e kamaʻilio kākou e pili ana i ka maʻi ʻaʻai uterine, kona mau hōʻailona, ​​​​ʻo wai ka mea i ʻoi aku ka pilikia, a me nā lāʻau lapaʻau i loaʻa no ia. Mai makaʻu, ʻo ka mea nui loa ka makaʻala i kēia.

I ka ʻōlelo maʻalahi, he aha ka maʻi ʻaʻai uterine?

ʻO ke kanesa ʻōpū kahi inoa maʻamau no ke kanesa e kū mai ana i loko o ka ʻōpū. Akā aia ʻelua ʻano nui. E noʻonoʻo i kou ʻōpū e like me kahi hale liʻiliʻi.

1. Ka maʻi ʻaʻai Endometrial: ʻO kēia ke ʻano maʻamau. Ua kapa ʻia ka uhi o ka uterus ʻo ka endometrium, ʻo ia hoʻi ke kiʻi pepa paia . Hoʻokahe ʻia kēia uhi i ka wā o ka menstruation. ʻO kēia ka endometrium. ʻO kēia ke ʻano o ka maʻi ʻaʻai e kū mai ana i ka wā e māhele like ʻole ai nā cell o ka endometrium a lilo i kanesa. ʻO kēia ʻano ka 95% o nā maʻi ʻaʻai uterine. ʻO ia ke kumu e kapa pinepine ai mākou i kēia he "maʻi ʻaʻai uterine" i ke kamaʻilio ʻana.

2. Uterine Sarcoma: He mea kākaʻikahi loa kēia. He maʻi ʻaʻai ia e ulu ana ma ka papa ʻiʻo (myometrium) o ka uterus, ʻo ia ka uhi o ka uterus. He maʻi kākaʻikahi loa kēia.

He ʻōkana koʻikoʻi loa ka ʻōpū i loko o ka ʻōnaehana hānau wahine. Ke hāpai ʻia kahi pēpē, ulu ka pēpē i loko o ka ʻōpū. Ua kapa ʻia ka ʻaoʻao o luna o ka ʻōpū ʻo ke kino a i ʻole ke kino o ka ʻōpū. Ma lalo iho ka cervix. He ʻano ʻokoʻa ka maʻi ʻaʻai cervical mai ka maʻi ʻaʻai uterine. E kamaʻilio mākou e pili ana i kēlā ma hope.

He aha nā hōʻailona o kēia maʻi kanesa? Pehea e ʻike ai au iā ia?

Hiki ke like nā hōʻailona o ke kanesa ʻōpū me nā maʻi ʻē aʻe o ka ʻōnaehana hānau. No laila, inā ʻike ʻoe i kekahi mea ʻē, he mea nui e kamaʻilio koke me kāu kauka . ʻO ka ʻike pololei wale nō ke ala e loaʻa ai ka lāʻau kūpono.

Hiki iā ʻoe ke hoʻomaopopo maopopo i kēia mau hōʻailona mai ka papa ma lalo nei.

No ke aha e ulu ai kēia maʻi kanesa? He aha nā kumu pilikia?

ʻAʻole i ʻike ʻia ke kumu kikoʻī o ke kanesa ʻōpū. ʻO ka mea e hana ʻia ana, no kekahi kumu, loli nā pūnaewele i loko o ka ʻōpū (mutation) a hoʻomaka e ulu me ke kāohi ʻole ʻia. Kāhea mākou i kahi puʻu o nā pūnaewele e hana ʻia ma kēia ʻano he puʻupuʻu.

Eia nō naʻe, aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa. ʻO ka hapa nui o kēia mau mea e pili ana i ke kaulike o nā hormones ʻelua i loko o ko mākou kino, ʻo ka estrogen a me ka progesterone.

Nā mea e hoʻonui ai i ka pilikia

• Makahiki: Piʻi ka pilikia o ka maʻi ʻaʻai ʻōpū me ka makahiki. ʻIke ʻia ka hapa nui o nā hihia ma hope o 50 mau makahiki.
• Momona: He kumu pilikia nui kēia. Hoʻololi ka ʻiʻo momona i loko o ke kino i kekahi mau hormones i estrogen. I ka piʻi ʻana o ka momona, piʻi aʻe nā pae estrogen, e hoʻonui ana i ka pilikia o ka maʻi kanesa.
• Maʻi diabetes: Aia kahi pilina ma waena o ka maʻi diabetes a me ka momona. Ua hōʻike pū kekahi mau noiʻi i kahi pilina pololei ma waena o ka maʻi diabetes a me ke kanesa ʻōpū.
• ʻO ka maʻi ovarian polycystic (PCOS):Hiki ke hoʻonui ʻia ka pilikia ma muli o nā hemahema hormonal i nā wahine me PCOS.
• Ka mōʻaukala o ka menstruation a me ka hānau keiki:
• ʻŌpio mua: Inā ua hoʻomaka ʻoe i ka menstruation ma mua o 12 mau makahiki, piʻi aʻe kou pilikia no ka mea ua hōʻike ʻia ka ʻōpū i ka hormone estrogen no kahi manawa lōʻihi.
• Ka menopause hope: Eia kekahi, inā hana ka menopause ma hope o 50 mau makahiki, a laila ʻoi aku ka lōʻihi o ka manawa o ka hōʻike ʻana i ka estrogen.
• ʻAʻole loa e hāpai: ʻOi aku ka nui o ka pilikia o nā wahine i loaʻa ʻole nā ​​​​keiki ma mua o ka poʻe i loaʻa.
• Moʻolelo ʻohana o ke kanesa: Hoʻoilina kekahi poʻe i kahi pilikia genetic no ke kanesa. ʻO ka poʻe me kahi maʻi genetic i kapa ʻia ʻo Lynch Syndrome he nui ka pilikia o ka loaʻa ʻana o ke kanesa uterine a me nā ʻano kanesa ʻē aʻe (ʻoi aku ka maʻi colon).
• ʻO kekahi mau ʻano lapaʻau:
• Lapaʻau hormone Estrogen (ERT): ʻO ka lawe ʻana i ka estrogen wale nō me ka ʻole o ka hormone progesterone no nā hōʻailona menopausal e hoʻonui i ka pilikia.
• Ka hoʻohana ʻana iā Tamoxifen: ʻO kēia lāʻau lapaʻau, i hoʻohana ʻia ma ke ʻano he lāʻau lapaʻau no ka maʻi kanesa o ka umauma, hiki ke hana e like me ka estrogen i loko o ka ʻōpū a hoʻonui i ka pilikia o ka maʻi kanesa.
• ʻO ka radiation therapy i ka ʻāpana pelvic: Inā ua loaʻa iā ʻoe ka radiation therapy i ka ʻāpana pelvic no kekahi maʻi kanesa ʻē aʻe, ua hōʻino ʻia paha nā cell a aia paha kahi pilikia o ka hoʻomohala ʻana i kahi maʻi kanesa ʻē aʻe.

Pehea e ʻike ai ke kauka i kēia maʻi?

Inā loaʻa iā ʻoe nā hōʻailona ʻē, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala ʻohana o nā maʻi. A laila e hana lākou i kahi hoʻokolokolo kino a me kahi hoʻokolokolo pelvic.

A laila, hiki ke hana ʻia hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe e hōʻoia i ka hōʻailona:

• ʻO ka Ultrasound Transvaginal: Pili kēia i ke kau ʻana i kahi mea nānā kūikawā i loko o ka vagina e lawe i nā kiʻi maopopo o ka uterus a me ka endometrium. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā mānoanoa loa ka endometrium.
• ʻO ka Biopsy Endometrial: ʻO kēia ka hoʻāʻo nui i hoʻohana ʻia e hōʻoia i ka hōʻailona. Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu ma o ka cervix i loko o ka uterus a lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka endometrium. E noʻonoʻo paha ʻoe inā he ʻeha kēia. ʻOiai he mea ʻoluʻolu ʻole paha, he hana wikiwiki ia. A laila hoʻouna ʻia ka ʻiʻo i kahi lab e hoʻāʻo ʻia no nā cell cancer.
• Hysteroscopy: Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela a me ke kukui (hysteroscope) ma o ka vagina i loko o ka uterus e nānā i loko. Hiki ke lawe ʻia kahi biopsy i kēia manawa.
• D&C (Dilation a me Curettage):He hana paʻakikī iki kēia ma mua o ka biopsy. Hana ʻia ia ma kahi lumi hana ma lalo o ka anesthesia. Hoʻonui ʻia ka cervix, a ʻānai ʻia nā ʻiʻo mai ka paia o loko o ka uterus a hoʻouna ʻia no ka nānā ʻana.

Inā ua hōʻoia ʻia ka maʻi kanesa, he aha ka mea e hiki mai ana?

Inā ua hōʻoia ʻia ke kanesa, e nānā hou nā kauka i ke ʻano a me ke kahua o ke kanesa. He mea nui loa kēia no ka hoʻolālā ʻana i ka mālama ʻana.

• ʻAno:
• ʻAno 1: ʻAʻole ikaika loa kēia. Hoʻolaha mālie lākou.
• ʻAno 2: ʻOi aku ka ikaika o kēia mau mea. Hiki iā lākou ke laha koke a koi aku i ka mālama ʻana i ʻoi aku ka ikaika.

• Pae: Ua hoʻokaʻawale ʻia ke kanesa mai ke kahua I a i ka IV ma muli o ka nui o kona laha ʻana.

He aha nā lāʻau lapaʻau no ka maʻi ʻaʻai ʻōpū?

ʻO ke ʻano o ka lāʻau lapaʻau āu e loaʻa ai ma muli o ke ʻano o ka maʻi kanesa, kona pae, a me kou olakino holoʻokoʻa.

• ʻO ke ʻoki kino: ʻO kēia ka lāʻau lapaʻau nui. ʻO ka hapa pinepine, hana ʻia kahi hysterectomy . Pili kēia i ka wehe piha ʻana o ka ʻōpū a me ka cervix. Hoʻopili pinepine ʻia kēia me ka salpingo-oophorectomy (SOO) a me ka dissection lymph node e ʻike ai inā ua pālahalaha ke kanesa.
• Lapaʻau Kukui: ʻO ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana ʻia kēia e luku i nā hunaola i koe ma hope o ke ʻoki ʻana a i ʻole i nā hihia kahi hiki ʻole ai ke ʻoki ʻana.
• Kemoterapi: Ke hāʻawi ʻana i ke kino i nā lāʻau ikaika e pepehi ai i nā hunaola kanesa. Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he inikini a i ʻole he mau pila.
• Lapaʻau Hormone: Ke hāʻawi ʻana i nā lāʻau lapaʻau e ālai ai i nā hormones e pono ai no ka ulu ʻana o nā cell cancer.
• Lapaʻau i Kūkuhi ʻia: Ke hāʻawi ʻana i nā lāʻau lapaʻau e kuhikuhi ana i nā nāwaliwali kikoʻī i nā hunaola kanesa a hoʻōki i ko lākou ulu ʻana.
• Immunotherapy: Hoʻoulu i ka ʻōnaehana pale ponoʻī o ko mākou kino e hakakā i nā hunaola kanesa.

Hiki ke ho'ōla loa ʻia kēia maʻi?

ʻAe. ʻO kēia ka nūhou maikaʻi loa. Hiki ke ʻike mua ʻia ke kanesa o ka ʻōpū, ʻoiai ke kanesa endometrial. ʻO kēia no ka mea ʻo ka hōʻailona maopopo, ʻo ia ke kahe koko kūpono ʻole.

Akā inā ʻaʻole i ʻike ʻia ka maʻi a laha i nā ʻāpana ʻē aʻe o ke kino (metastasis), e emi ana ka nui o ka ho'ōla ʻana. ʻO ia ke kumu a mākou e ʻōlelo nei he hoʻōla ke ola i ka ʻike mua ʻana .

He aha kaʻu e hana ai e pale aku i ka maʻi kanesa?

I ka hapanui o nā hihia, ʻaʻole hiki ke pale piha ʻia ka maʻi ʻaʻai ʻōpū. Akā aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

• E mālama i ke kaumaha olakino: ʻOiai ʻo ka momona kekahi kumu nui o ka pilikia, e kaohi i ke kaumaha o kou kino ma o ka hoʻoikaika kino kūpono a me ka ʻai kaulike.
• Ka mālama ʻana i ka maʻi diabetes: Inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi pono iā ia.
• E makaʻala i ka hoʻohana ʻana i ka hormone: Inā ʻoe e lawe nei i ka lāʻau lapaʻau hormone, e kamaʻilio me kāu kauka e pili ana i ia mea a e noʻonoʻo i nā lāʻau lapaʻau e loaʻa ana ka estrogen a me ka progesterone.

Inā he kiʻekiʻe kou pilikia o ka maʻi kanesa (e like me Lynch syndrome), he mea nui loa e kamaʻilio me kāu kauka e pili ana i ia mea a hana i nā hoʻokolohua kūpono .