Ua ʻike anei ʻoe i ke kanesa o ka ʻōpū? E kamaʻilio maʻalahi kākou e pili ana!

I nā manawa he nui, hopohopo iki kā mākou mau wāhine ke ʻike lākou i ke kahe koko kūpono ʻole mai ko lākou ʻōpū, ʻeā? ʻOi loa ma hope o ka menopause, ʻo ia hoʻi, ma hope o ka pau ʻana o ka menstruation mahina . I kekahi manawa hiki i kēia ke lilo i hōʻailona o ka maʻi ʻōpū. Akā, mai hopohopo koke. ʻAʻole ʻo nā kahe koko a pau ke ʻano o ka maʻi ʻaʻai. Eia nō naʻe, he mea nui loa ia no kākou a pau e makaʻala i ia mau mea. No ka mea, inā ʻike mua ʻia, ʻoi aku ka maʻalahi o ka mālama ʻana.

He aha ke kanesa o ka ʻōpū? I ka ʻōlelo maʻalahi...

He huaʻōlelo laulā ka "ʻaʻai ʻōpū". Pili ia i ke kanesa e ulu ana i loko o kou ʻōpū. ʻElua ʻano nui:

1. Ka maʻi ʻaʻai Endometrial: ʻO kēia ke ʻano maʻamau. Hoʻomohala kēia maʻi ʻaʻai i loko o ka ʻili o loko o ka ʻōpū, i kapa ʻia ʻo ka endometrium . ʻO kēia ke ʻano maʻamau o ka maʻi ʻaʻai i loko o kā mākou ʻōnaehana hānau wahine.

2. Uterine Sarcoma: He mea kākaʻikahi kēia. Hoʻomohala ia i loko o ka paia ʻiʻo o ka uterus, i kapa ʻia ʻo ka myometrium .

I ka ʻōlelo maʻalahi, ma kahi o 95% o nā maʻi ʻaʻai ʻōpū e pili ana i ke ʻano o ke kanesa endometrial i ʻōlelo mua ʻia. No laila, ʻo ka hapa nui o ka manawa, ke ʻōlelo ka poʻe "ka maʻi ʻaʻai ʻōpū," ke kamaʻilio nei lākou e pili ana i ke kanesa endometrial.

He aha ka ʻōpū a me ka endometrium? He aha kā lāua hana?

E like me kou ʻike, he ʻōkana koʻikoʻi loa ka ʻōpū i loko o ka ʻōnaehana hānau wahine. Ke hāpai ʻia kahi pēpē, ulu ka fetus i loko o kēia ʻōpū no kekahi mau mahina. Ua kapa ʻia ka ʻaoʻao o luna o ka ʻōpū ʻo "kino" a i ʻole "corpus". Ma lalo o ka ʻōpū ʻo ia ka cervix . ʻO kēia cervix ka mea e hoʻopili ai i ka ʻōpū i ka vagina. ʻO ke kanesa ʻōpū a mākou e kamaʻilio nei ma ʻaneʻi, ʻo ia ke kanesa e ulu ana i loko o ke kino o ka ʻōpū. He ʻano kanesa ʻokoʻa ka kanesa cervical.

I kēia manawa, ʻo ka endometrium ka papa o loko loa o ka ʻōpū. He mea kūikawā loa kēia. No ka mea, loli kēia endometrium me kāu pōʻaiapuni menstrual mahina. Hana ʻia kēia ma lalo o ka mana o ʻelua mau hormones i kapa ʻia ʻo estrogen a me progesterone . Hoʻomānoanoa kēia mau hormones i ka endometrium i hiki ai ke hāpai i kahi pēpē. Akā inā ʻaʻole hāpai, hoʻemi ke kino i ka hana ʻana o ka progesterone. A laila ua hoʻokahe ʻia kēlā membrane endometrial mānoanoa. ʻO ia ka mea a mākou e kapa nei he menstruation, a i ʻole nā ​​​​​​menstruations.

Pehea ka maʻamau o ke kanesa o ka ʻōpū?

Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ʻo ke kanesa endometrial ka maʻi kanesa maʻamau o ka ʻōnaehana hānau wahine. He mea maʻamau loa ia ma hope o ka menopause . Ua ʻōlelo ʻia ma kahi o 3 o 100 mau wahine e loaʻa i kēia maʻi kanesa i ko lākou ola.

He aha nā hōʻailona o ke kanesa ʻōpū? Pehea ʻoe e ʻike ai iā lākou?

ʻO kēia ka ʻāpana koʻikoʻi loa. Hiki i nā hōʻailona o ke kanesa ʻōpū ke like i kekahi manawa me nā hōʻailona o nā kūlana maʻamau ʻē aʻe. Hiki nō hoʻi ke huikau me nā maʻi ʻē aʻe o ka ʻōnaehana hānau. No laila , inā he kahe koko ʻē kou, a inā he ʻeha a ʻeha paha kou ma kou ʻōpū haʻahaʻa, e ʻike pono i ke kauka a kamaʻilio e pili ana. ʻO ka loaʻa ʻana o kahi hōʻailona pololei ka mea nui loa. A laila wale nō hiki iā ʻoe ke mālama pono ʻia.

Eia kekahi o nā hōʻailona e ʻike ʻia i ka maʻi ʻaʻai endometrial a i ʻole ka sarcoma uterine:

• Ma mua o ka menopause, ʻo ia hoʻi, inā ʻoe e loaʻa mau ana i kou wā mahina, hiki mai ke kahe ʻana o ke koko ma waena o ʻelua mau pōʻaiapuni menstrual. E noʻonoʻo, pau kou wā a kahe hou ke koko i kekahi mau lā ma hope.
• Ma hope o ka menopause, ʻo ia hoʻi, ma hope o ka pau ʻana o nā wā o ka mahina, hiki ke kahe ke koko o ka ʻōpū a i ʻole nā ​​kiko. ʻAʻole pono e hoʻowahāwahā iki ʻia kēia.
• ʻEha o ka ʻōpū lalo, ʻo ia hoʻi, ka ʻeha a i ʻole ka ʻehaʻeha ma ka ʻāpana pelvic, ma lalo o ka ʻōpū .
• Inā ʻoe he postmenopausal, hiki iā ʻoe ke ʻike i kahi kahe ʻana o ka vaginal i keʻokeʻo a moakaka paha .
• Inā ʻoe ma luna o 40 mau makahiki, he lōʻihi, kaumaha, a pinepine paha ke kahe koko ʻana o ka ʻōpū.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​e ʻoluʻolu e ʻimi i ke kōkua lapaʻau.

No ke aha e kū mai ai kēia maʻi ʻaʻai ʻōpū? He aha ke kumu?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā kānaka noiʻi ke kumu o ka maʻi ʻaʻai uterine. Eia nō naʻe, loaʻa kekahi mau loli (mutation) i loko o nā pūnaewele o ka uterus. Hoʻomaka kēia mau pūnaewele i hoʻololi ʻia e ulu a māhele koke me ka ʻole o ke kaohi. ʻO kēia ka manawa e hoʻokumu ai i kahi puʻupuʻu .

Eia nō naʻe, aia kekahi mau mea pilikia e hoʻonui ai i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai ʻōpū. Inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i nā ala e pale ai i kou olakino.

He aha nā kumu pilikia no ka maʻi ʻaʻai ʻōpū?

Aia kekahi mau kumu pilikia no ka hoʻomohala ʻana i ka maʻi ʻaʻai endometrial. Pili ka nui o kēia mau mea i nā hormones estrogen a me progesterone a mākou i kūkākūkā ai ma mua.ʻO Progesterone ) e pili ana me kahi kaulike ʻole o ʻelua mau hormones. No ka laʻana, ʻo ka momona , kahi kūlana i kapa ʻia ʻo Polycystic Ovarian Syndrome (PCOS) , a i ʻole ka lawe ʻana i ka estrogen wale nō me ka ʻole o ka progesterone (estrogen kūʻē ʻole) hiki ke hoʻopilikia i kēia. Eia kekahi, ʻo nā kūlana genetic i pili ʻole i nā hormones, e like me Lynch syndrome, hiki ke hoʻonui i ka pilikia.

E nānā kākou i kēia mau mea pilikia ma kekahi mau kikoʻī:

Makahiki, nohona, a me ka mōʻaukala ʻohana

• Makahiki: Piʻi ka pilikia o ka loaʻa ʻana o ke kanesa ʻōpū i kou wā ʻelemakule. ʻIke ʻia ka hapa nui o nā hihia o kēia kanesa ma hope o 50 mau makahiki.
• ʻO ka ʻai momona i nā holoholona: ʻO ka ʻai momona i nā holoholona ke hoʻonui i ka pilikia o ka loaʻa ʻana o kekahi mau ʻano maʻi kanesa . ʻO ke kanesa ʻōpū kekahi o lākou. He kiʻekiʻe nō hoʻi nā calorie i nā meaʻai momona. Hiki i kēia ke alakaʻi i ka momona.
• Moʻolelo ʻohana: Hoʻoilina kekahi poʻe i nā kūlana genetic e hoʻonui ai i ko lākou pilikia o ka maʻi kanesa. ʻO kahi laʻana ʻo Lynch syndrome , a i ʻole hereditary nonpolyposis colorectal cancer (HNPCC) . ʻOi aku ka nui o ka pilikia o kēia poʻe i ka loaʻa ʻana o ka maʻi kanesa endometrial a me nā ʻano maʻi kanesa ʻē aʻe.

Nā kūlana olakino ʻē aʻe

• Maʻi diabetes: Hoʻopili pinepine ʻia kēia maʻi me ka momona. He mea pilikia ka momona no ka maʻi kanesa. Eia nō naʻe, hōʻike kekahi mau noiʻi aia kahi pilina pololei ma waena o ka maʻi diabetes a me ke kanesa ʻōpū.
• Momona: Hoʻololi ʻia kekahi mau hormones i estrogen e ka ʻiʻo momona. Hoʻonui kēia i ka pilikia o ka maʻi ʻaʻai uterine. ʻO ka nui o nā ʻiʻo momona, ʻoi aku ka nui o ka hopena ma nā pae estrogen.
• Nā maʻi ovarian: ʻO kekahi mau wahine me nā puʻupuʻu ovarian he kiʻekiʻe ko lākou estrogen a me nā pae progesterone haʻahaʻa. Hiki i kēia mau loli hormonal ke hoʻonui i ka pilikia o ka maʻi ʻaʻai uterine.

ʻO ke kaʻina hana menstrual a me ka mōʻaukala hānau hou

• ʻO ka wā hoʻomaka o ka menstruation: Inā ua hoʻomaka ʻoe i ka menstruation ma mua o 12 mau makahiki, hiki ke hoʻonui iki ʻia kou pilikia o ka maʻi ʻaʻai uterine. ʻO kēia no ka mea ua hōʻike ʻia kou uterus i ka hormone estrogen no kahi manawa lōʻihi.
• Ka hoʻopau hope ʻana o ka wahine: Eia kekahi, inā e hana ka menopause ma hope o 50 mau makahiki, piʻi pū ka pilikia ma laila. ʻO ke kumu like me ma mua, ua hōʻike ʻia ka ʻōpū i ka estrogen no kahi manawa lōʻihi.
• Ka lōʻihi o ka wā menstruation: ʻOi aku ka nui o ka helu o nā makahiki o ka menstruation ma mua o ka makahiki i hoʻomaka ai a me ka pau ʻana o ka menstruation.
• ʻAʻole hāpai: ʻOi aku ka nui o ka pilikia o nā wahine i loaʻa ʻole nā ​​​​keiki i kēia maʻi kanesa.

Ka mālama mua ʻana no nā maʻi ʻē aʻe

• ʻO ka radiation therapy ma mua i ka ʻāpana pelvic: Inā ua loaʻa iā ʻoe ka radiation therapy i ka ʻāpana pelvic ma ke ʻano he lāʻau lapaʻau no kekahi maʻi kanesa ʻē aʻe, hiki iā ia ke hōʻino i ka DNA o nā cell. Hiki i kēia hōʻino ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i kahi ʻano lua o ka maʻi kanesa.
• Lapaʻau Hoʻololi Estrogen (ERT): Lawe kekahi poʻe i ka lāʻau estrogen e hōʻemi i nā hōʻailona o ka menopause. ʻO ka lawe ʻana i ka estrogen wale nō (ERT) me ka ʻole o ka progesterone e hoʻonui i ka pilikia o ka maʻi ʻaʻai uterine.
• Ka hoʻohana ʻana o Tamoxifen: Lawe kekahi poʻe i kēia lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau no ka maʻi ʻaʻai umauma. Hana ia e like me ka estrogen i loko o ka ʻōpū a hiki ke hoʻonui i ka pilikia o ka maʻi ʻaʻai ʻōpū.

He mea nui: 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 ʻōpū. Pēlā nō, hiki i kekahi me ka ʻole o kekahi o kēia mau mea pilikia ke loaʻa i kēia maʻi ʻaʻai. He mea nui e ʻike i kēia mau mea i hiki ai iā mākou ke mālama pono i ko mākou olakino.

He aha nā pilikia o ka maʻi ʻaʻai endometrial?

ʻO ka pilikia ʻino loa o ka maʻi ʻaʻai endometrial ka make . Eia nō naʻe, inā ʻike mua kāu kauka i kēia maʻi ʻaʻai, maikaʻi loa ka manawa e hoʻōla ai.

ʻO nā pilikia ʻē aʻe e hiki ke ʻike ʻia:

• Anemia - ʻO ke ʻano kēia ka emi ʻana o ke kahe koko i loko o ke kino.
• Ke pālahalaha ʻana o ke kanesa i nā ʻāpana ʻē aʻe o ke kino (metastasizing) .
• ʻAʻole pane maikaʻi ke kino i ka lāʻau lapaʻau.

Pehea e ʻike ai inā loaʻa iā ʻoe ka maʻi ʻaʻai uterine? (Diagnosis)

Inā manaʻo ʻoe he mau hōʻailona kou e hiki ke lilo i ka maʻi ʻōpū, e kamaʻilio koke me ke kauka. E hana kāu kauka i kēia mau mea:

• E nīnau e pili ana i kāu mau hōʻailona, ​​​​nā kumu pilikia, a me ka mōʻaukala olakino ʻohana .
• Hana ʻia kahi hoʻokolohua kino .
• Hana ʻia kahi hoʻokolokolo pelvic .

He aha nā hoʻokolohua e hoʻohana ʻia e ʻike ai i ka maʻi ʻaʻai uterine?

Hiki i kāu kauka ke hana i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua e hōʻoia inā he maʻi ʻōpū kou:

• Nā hoʻāʻo koko:
• Hoʻāʻo CA-125: Ke ana kēia i kahi protein i kapa ʻia ʻo CA-125. Hiki i nā pae kiʻekiʻe o CA-125 ke hōʻike i ke alo o ka maʻi kanesa i loko o ke kino.
• Nā hoʻāʻo kiʻi:
• CT scan: Lawe kēia i kahi moʻo o nā kiʻi kikoʻī o loko o ke kino.
• Nā scan MRI: Hoʻohana kēia i nā nalu lekiō a me kahi magnet ikaika e hana i nā kiʻi.
• ʻO ka ultrasound transvaginal: Ma kēia, hoʻokomo ʻia kahi probe kūikawā (he mea poepoe a laumania) ma o ka vagina a lawe ʻia nā kiʻi o ka uterus.
• Nā hoʻokolohua ʻē aʻe:
• ʻO ka biopsy Endometrial: Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi a palupalu ma o ka cervix i loko o ka uterus a lawe i kahi hāpana liʻiliʻi o ka ʻiʻo mai ka endometrium. Hiki ke hana pinepine ʻia kēia ma kahi hoʻonohonoho outpatient.
• Hysteroscopy: Pili kēia i ka hoʻokomo ʻana i kahi ʻōmole lōʻihi a lahilahi i kapa ʻia he hysteroscope ma o ka vagina a me ka cervix i loko o ka uterus. Loaʻa i kēia mea hana haiki kahi kukui a me ke kāmela ma luna, e ʻae ana i ka ʻike maopopo ʻana o loko o ka uterus.
• Dilation and Curettage (D&C): He hana paʻakikī iki kēia no ka wehe ʻana i nā ʻiʻo uterine. Hana ʻia ia i loko o kahi lumi hana.

Inā loaʻa iā ʻoe kahi D&C a i ʻole biopsy a lawe ʻia kahi hāpana ʻiʻo, e hoʻouna ke kauka i ka hāpana i kahi lab, kahi e nānā ai kahi pathologist i ka ʻiʻo e ʻike inā he maʻi kanesa.

He mea nui: ʻAʻole hiki i ka hoʻāʻo Pap ke ʻike i ke kanesa o ka ʻāʻī. Hoʻohana ʻia ka hoʻāʻo Pap no ka ʻike ʻana i ke kanesa o ka ʻāʻī.

He aha hou aʻe e hiki ke aʻo ʻia mai kahi maʻi ʻaʻai endometrial?

Inā ʻike kāu kauka iā ʻoe me ka maʻi ʻaʻai endometrial, pono lākou e ʻike i kona ʻano. ʻO ka ʻike ʻana i ke ʻano o ka maʻi ʻaʻai e kōkua iā ʻoe e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa.

• ʻAno 1 ka maʻi ʻaʻai endometrial: ʻAʻole ikaika kēia mau mea, ʻo ia hoʻi, ʻaʻole lākou e laha koke i nā ʻiʻo ʻē aʻe.
• ʻAno 2 ka maʻi ʻaʻai endometrial: ʻOi aku ka ikaika o kēia mau mea. ʻOi aku ka nui o ko lākou laha ʻana ma waho o ka ʻōpū. No laila, pono paha lākou i ka mālama ʻana i ʻoi aku ka ikaika.

E hoʻoholo pū ke kauka i ke kahua o ke kanesa. Ua hoʻokaʻawale ʻia ke kanesa ʻōpū ma ke ʻano he kahua I a hiki i ka IV.

• Pae I: ʻAʻole i pālahalaha ke kanesa ma waho o ka ʻōpū.
• Pae II: Ua pālahalaha ke kanesa i ka cervix.
• Pae III: Ua pālahalaha ke kanesa i ka vagina, ovaries, a me/a i ʻole nā ​​​​​​lymp nodes.
• Pae IV: Ua pālahalaha ke kanesa i nā ʻōpū ʻē aʻe ma waho aʻe o ka ʻōpū mimi a i ʻole ka uterus.

I kekahi manawa, ʻaʻole ʻike ʻia ke kahua kikoʻī o ke kanesa a hiki i ka wā ma hope o ke ʻoki ʻana e wehe i ke kanesa.

He aha nā lāʻau lapaʻau no ka maʻi ʻaʻai ʻōpū?

He nui nā wāhine me ke kanesa endometrial e pono ai ke ʻoki kino. ʻO ka hoʻolālā lapaʻau āu e loaʻa ai e hilinaʻi ia i ke ʻano o ke kanesa a me kou olakino holoʻokoʻa. ʻO nā ʻano lapaʻau ʻē aʻe e hāʻawi ʻia paha iā ʻoe:

• Chemotherapy: Hoʻohana i nā lāʻau lapaʻau ikaika e luku i nā hunaola kanesa.
• Hoʻōla radiation:Hoʻokomo ʻia nā kukuna radiation i kuhikuhi ʻia e luku i nā hunaola kanesa.
• Lapaʻau Hormone: Hāʻawi ʻia a ālai ʻia paha nā hormones e mālama i ka maʻi kanesa.
• Immunotherapy: Kōkua i kāu ʻōnaehana pale ponoʻī e hakakā i ka maʻi kanesa.
• Lapaʻau i hoʻolālā ʻia: Hoʻohana ʻia nā lāʻau lapaʻau e hoʻolālā i nā hunaola kanesa kikoʻī a kāohi iā lākou mai ka hoʻonui ʻana.

Ke hoʻomau nei nā mea noiʻi i ke aʻo ʻana i nā ʻano ʻē aʻe e mālama ai i ka maʻi ʻaʻai endometrial.

Pehea ke ʻano o ke ʻoki kino no ka maʻi ʻaʻai ʻōpū?

I ka hapanui o nā hihia, ʻo ke ʻoki kino ke ʻano mua o ka mālama ʻana no ka maʻi ʻaʻai endometrial. ʻO ka hapa nui, e loaʻa iā ʻoe kahi hysterectomy , ʻo ia hoʻi ke ʻoki kino e wehe ai i ka ʻōpū a me ka cervix. ʻEhā ʻano hysterectomies:

• ʻO ka hysterectomy ʻōpū holoʻokoʻa: Hana ke kauka lapaʻau i kahi ʻoki i loko o kou ʻōpū a wehe i kāu uterus.
• ʻO ka hysterectomy vaginal: Hoʻopau ke kauka lapaʻau i ka ʻōpū ma o ka vagina.
• ʻO ka hysterectomy radical: Inā ua pālahalaha ke kanesa i ka cervix, pono paha ʻoe i kahi hysterectomy radical. Wehe ke kauka ʻoki i ka uterus a me nā ʻiʻo a puni ka uterus. Wehe pū ʻo ia i ka ʻaoʻao o luna o ka vagina ma ka ʻaoʻao o ka cervix.
• Hysterectomy minimally invasive: Wehe ke kauka lapaʻau i ka ʻōpū ma o kekahi mau ʻoki liʻiliʻi. Hiki ke hana ʻia kēia ma ke ʻano laparoscopic a i ʻole robotically.

I ka wā e hana ai i kahi hysterectomy, hana pinepine nā kauka lapaʻau i ʻelua mau kaʻina hana ʻē aʻe:

• ʻO ka salpingo-oophorectomy bilateral (BSO): Ua wehe ʻia kāu mau ovaries a me nā fallopian tubes. Pono ka nui o ka poʻe i kēia hana hou e hōʻoia i ka wehe loa ʻia ʻana o ke kanesa.
• ʻO ka wehe ʻana o nā lymph node/lymphadenectomy: Wehe ʻia nā lymph node e ʻike ai inā ua pālahalaha ke kanesa.

Pono anei iaʻu e wehe i kaʻu mau ovaries?

He nui nā wāhine me ke kanesa ʻōpū e wehe ʻia ko lākou mau ovaries. Akā i ka wā e wehe ʻia ai nā ovaries, hele ʻoe i ka menopause inā ʻaʻole ʻoe i hele i ka menopause. Inā ʻoe ma lalo o 45 a premenopausal, e kamaʻilio me kāu hui lapaʻau e pili ana i ka hiki iā ʻoe ke mālama i kāu mau ovaries.

He aha kāu e manaʻo ai ma hope o ka hysterectomy?

Eia nā hopena ʻaoʻao hiki ke hana ʻia e ke ʻoki ʻana i ka maʻi ʻōpū:

• ʻAʻole hānau keiki: ʻO ia hoʻi ka hiki ʻole ke loaʻa keiki.
• ʻO ka menopause (inā ʻoe he premenopausal a ua wehe ʻia kāu mau ovaries) a me kāna mau hōʻailona, ​​​​no ka laʻana, ka maloʻo o ka vaginal a me ka hou ʻana i ka pō.

Pehea e mālama ʻia ai ka sarcoma uterine?

I ka hapanui o nā hihia, ʻike nā kauka lapaʻau, hoʻonohonoho, a mālama i ka sarcoma uterine ma ke kaʻina hana like. Ua like nā koho lapaʻau me nā mea no ka maʻi ʻaʻai endometrial. Loaʻa paha iā ʻoe kahi hysterectomy, a me kahi BSO, kahi e wehe ai i nā ovaries a me nā fallopian tubes.

Hiki ke pale ʻia ke kanesa o ka ʻōpū?

I ka hapanui o nā hihia, ʻaʻole hiki ke pale ʻia ke kanesa o ka ʻōpū. Akā hiki iā ʻoe ke hana i nā mea e hōʻemi ai i kou pilikia:

• Ke kāohi nei i ka maʻi diabetes.
• Mālama ʻoe i ke kaumaha o ke kino olakino .
• E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i nā ʻano hana hoʻomalu hānau hormonal i hoʻokumu ʻia ma ka progesterone a i ʻole loaʻa iā lākou ka estrogen a me ka progesterone . Hiki i kēia mau lāʻau lapaʻau ke hāʻawi i kekahi pale ʻana i ka maʻi ʻaʻai uterine.

Ke hoʻonui nei anei ka lāʻau hoʻololi estrogen (ERT) i koʻu loaʻa ʻana i ka maʻi ʻōpū?

Inā ʻoe e noʻonoʻo ana e lawe i ka ERT, e kamaʻilio me kāu kauka. Hiki iā ʻoe ke kūkākūkā pū i kou pilikia o ka maʻi ʻaʻai a hana i ka hoʻoholo maikaʻi loa nāu.

Aia kekahi hoʻāʻo nānā no ka maʻi ʻaʻai ʻōpū?

ʻAʻole, ʻaʻohe hoʻāʻo maʻamau e like me ia. ʻAʻole ʻōlelo pinepine nā kauka i ka nānā mau ʻana no ka poʻe i loaʻa ʻole nā ​​​​hōʻailona. Akā inā he pilikia nui ʻoe, makemake paha ʻoe e hana pēlā. Inā he pilikia nui ʻoe, e kamaʻilio me kāu kauka e pili ana i ka nānā mau ʻia no ka maʻi ʻaʻai cervical.

He aha ka nui o ke ola no ka poʻe me ka maʻi ʻaʻai ʻōpū?

ʻO ka helu ola ʻelima makahiki no ka maʻi ʻaʻai endometrial he 81%. ʻO ke ʻano kēia he 81 mai loko mai o 100 mau wahine i ʻike ʻia me ka maʻi e ola mau ana ma hope o ʻelima mau makahiki. ʻOi aku ka kiʻekiʻe o kēia helu inā ʻaʻole i laha ka maʻi ʻaʻai ma waho o ka ʻōpū. A laila piʻi ka helu ola i 95%. Ke hoʻomaikaʻi ʻia nā lāʻau lapaʻau, piʻi pū ka helu ola. He make wale nō ka maʻi ʻaʻai ʻōpū inā laha ia me ka ʻike ʻole ʻia. Inā laha ka maʻi ʻaʻai ma waho o ka ʻōpū i nā ʻāpana ʻē aʻe o ke kino, hāʻule ka helu ola i 17%. ʻO ka ʻike mua ʻana a me ka mālama mua ʻana nā kī i ka hoʻōla maikaʻi.

Hiki ke ho'ōla loa ʻia ke kanesa o ka ʻōpū?

ʻO ka mea pōmaikaʻi, ʻike pinepine ʻia ka maʻi ʻaʻai endometrial i ka wā mua. ʻO kēia no ka mea he nui ka poʻe e hōʻike wale ana i ke kahe koko ʻokoʻa i kā lākou mau kauka. Inā ʻike koke ʻia ka maʻi ʻaʻai, ma mua o ka laha ʻana i nā ʻōpū ʻē aʻe, hiki ke ho'ōla ʻia ma ka wehe ʻana i ka ʻōpū.

Āhea ʻoe e ʻike ai i ke kauka?

E kamaʻilio me kāu kauka e pili ana i kekahi kahe koko ʻē a i ʻole ka ʻike ʻana i nā kiko. Inā he moʻolelo ʻohana kou no ka maʻi ʻaʻai endometrial (genetics), e kamaʻilio me kāu kauka e pili ana i ka nānā ʻia ʻana i kēlā me kēia makahiki. Pono paha ʻoe e loaʻa i kahi biopsy endometrial i kēlā me kēia makahiki e hoʻomaka ana i ka makahiki 35.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Inā ua ʻike ʻia ʻoe me ka maʻi ʻaʻai uterine, e nīnau i kāu kauka e pili ana i kēia mau mea:

• He aha ke kahua o koʻu maʻi kanesa?
• He aha nā koho lapaʻau maikaʻi loa noʻu?
• E pono anei iaʻu ma mua o hoʻokahi lāʻau lapaʻau?
• Aia kekahi mau hoʻokolohua lapaʻau e hiki iaʻu ke komo?
• He aha ka pahuhopu o ka lāʻau lapaʻau?
• He aha kaʻu e manaʻo ai ma hope o ka lāʻau lapaʻau?
• E hoʻi hou mai anei ke kanesa?
• Aia anei au i ka piʻi ʻana o ka pilikia o ka loaʻa ʻana o nā maʻi ʻaʻai ʻē aʻe?

Pehea e pono ai iaʻu ke mālama iaʻu iho ma hope o ka mālama ʻana i ka maʻi ʻaʻai uterine?

Ma hope o kou hoʻopau ʻana i ka lāʻau lapaʻau, e haʻi aku kāu hui lapaʻau iā ʻoe e pili ana i kāu mau kipa hahai . He mea nui loa ka hele ʻana i kēia mau manawa. I ka wā o kahi manawa hahai, e hana kāu kauka i kahi hoʻokolokolo pelvic. E nīnau pū ʻo ia e pili ana i kāu mau hōʻailona. ʻO ka pahuhopu ka hōʻoia ʻana ʻaʻole e hoʻi hou mai ka maʻi kanesa a ke ola maikaʻi nei ʻoe ma hope o ka lāʻau lapaʻau.

Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i nā ala e ola ai i ke ola olakino ma hope o ke kanesa. ʻO nā mea e like me ka ʻai pono ʻana, ka hiamoe lawa, a me ka hoʻoikaika kino e hiki ke kōkua iā ʻoe e noho olakino.

He aha nā hōʻailona hōʻailona o ke kanesa o ka ʻōpū?

E haʻi i kāu kauka e pili ana i kekahi kahe koko kūpono ʻole. ʻO ke kahe koko kūpono ʻole ke ʻano o ke kahe koko ma waena o nā wā inā ʻoe e hoʻomau nei i ka menstruation, a i ʻole ka ʻike ʻana a i ʻole ka ʻike ʻana inā ʻoe he postmenopausal. ʻO ke kahe koko kūpono ʻole kahi hōʻailona o kekahi mau maʻi, me ke kanesa endometrial.

Ke laha koke nei ka maʻi ʻaʻai ʻōpū?

ʻAʻole laha koke ke kanesa ʻano 1, ke ʻano maʻamau,. Hiki i ke kanesa ʻano 2 ke laha koke, no laila pono paha ka lāʻau lapaʻau ʻoi aku ka ikaika.

I ka makahiki hea ka mea maʻamau i ka maʻi kanesa endometrial?

ʻO ka maʻi ʻaʻai endometrial ka mea maʻamau i waena o nā wahine i hala i ka menopause. ʻO ka awelika o ka makahiki menopause ma kahi o 51 mau makahiki.

I ka hōʻuluʻulu manaʻo, nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, no laila mai nā mea a mākou i kamaʻilio ai, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ke ʻano o ka maʻi ʻōpū, ʻoiai ke kanesa endometrial. E hoʻomanaʻo, ʻo ke kanesa uterine ke ʻano maʻamau o ka maʻi ʻōpū i loko o ka ʻōnaehana hānau wahine. Ua kapa pinepine ʻia ʻo ia he kanesa endometrial.

ʻO ka mea nui, ʻo ia ka makaʻala i nā hōʻailona. ʻOiai inā e kahe ana ke koko ma waena o nā pōʻaiapuni menstrual a i ʻole ke kahe ʻana o ke koko ma hope o ka menopause, mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau.

Inā ʻike mua ʻia, hiki ke ho'ōla nui ʻia ke kanesa ʻōpū. Hiki i ka wehe ʻana i ka ʻōpū ke kāohi i kēia maʻi. No laila, mai makaʻu, a inā he kānalua kou, e ʻike i ke kauka a kamaʻilio e pili ana. He mea nui loa kou olakino iā ʻoe.

ʻO ke Kanesa ʻōpū, Kanesa Endometrial, Kanesa ʻōpū, Kanesa Endometrial, Ola Kino Wahine, Nā Hōʻailona Kanesa, Lapaʻau Kanesa