Ke ʻike nei ʻoe i kekahi manawa i ke kahe koko ʻano ʻē i nā manawa ʻē aʻe, ʻaʻole i kou wā? A i ʻole ke manaʻo pinepine nei ʻoe i nā mea e like me ka ʻōpū piha a i ʻole ka ʻeha o ka ʻōpū lalo? He mea maʻalahi ke hoʻokuke aku i kēia mau mea e like me ka mea maʻamau. Eia nō naʻe, i kekahi manawa hiki i kēia ke lilo i mau hōʻailona o ka 'Uterine Sarcoma', kahi ʻano maʻi kanesa kakaʻikahi akā koʻikoʻi e kū mai ana i loko o ka ʻōpū. Mai makaʻu ke lohe ʻoe i kēia inoa. ʻO ka mea nui loa, ʻo ia ka makaʻala. E kamaʻilio kākou e pili ana i kēia me ka maopopo a me ka maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka Uterine Sarcoma?
ʻO ka Uterine Sarcoma kahi ʻano maʻi kanesa e kū mai ana i loko o ka ʻōpū. Eia nō naʻe, he ʻokoʻa iki kēia mai ke ʻano o ka maʻi kanesa ʻōpū a mākou e lohe pinepine ai. ʻO ka maʻamau, ʻo ka hapa nui o nā maʻi kanesa ʻōpū e kū mai ana i loko o ka ʻili o loko o ka ʻōpū (endometrium). Kāhea mākou i kēia mau Carcinomas .
Akā, ʻo Sarcoma kahi ʻano maʻi kanesa e ulu ana ma ka papa ʻiʻo o ka ʻōpū (myometrium) a i ʻole ka ʻiʻo pili i loko o ka paia ʻōpū. E noʻonoʻo e like me ko mākou kino i hana ʻia me nā ʻāpana like ʻole. ʻO Sarcoma kahi ʻano maʻi kanesa e hoʻomaka ana ma nā ʻiʻo pili e like me ka ʻiʻo, ka iwi, a me ka momona.
He mea kākaʻikahi loa kēia ʻano sarcoma uterine. He 2% a 5% wale nō ia o nā maʻi ʻaʻai uterine āpau. ʻOiai he mea kākaʻikahi, hiki i kekahi o kēia ke ulu a laha koke, no laila he mea nui e makaʻala iā lākou.
He aha nā ʻano nui o ka sarcoma uterine?
Aia kekahi mau ʻano nui o kēia maʻi kanesa. ʻOkoʻa ke ʻano o kēlā me kēia, ʻo ia hoʻi ka wikiwiki o kona ulu ʻana a me kona laha ʻana. E nānā kākou i nā ʻano nui.
| ʻAno maʻi kanesa | He wehewehe maʻalahi |
|---|---|
| ʻO ka Leiomyosarcoma Uterine (LMS) | ʻO kēia ke ʻano maʻamau o ka sarcoma uterine. Kū mai ia mai ka papa ʻiʻo o ka uterus. ʻOi aku ka ʻino o kēia ʻano, ʻo ia hoʻi, ʻoi aku ka nui o ka ulu ʻana a me ka laha koke ʻana. |
| ʻO ka Endometrial Stromal Sarcoma (ESS) | Hoʻomaka ia i loko o nā ʻiʻo hoʻopili e uhi ana i ka uhi o loko o ka ʻōpū (endometrium). ʻElua ʻano o kēia, ʻo ke ʻano haʻahaʻa a me ke ʻano kiʻekiʻe. He maʻalahi ke mālama ʻia ke ʻano haʻahaʻa. |
| ʻO ka Uterine Sarcoma i hoʻokaʻawale ʻole ʻia (UUS) | Hiki i kēia ke hoʻomaka ma ka papa ʻiʻo o ka ʻōpū a i ʻole ma ka ʻili. He ʻano ʻino loa kēia e ulu a laha koke. |
| ʻO ka Adenosarcoma o ka ʻōpū | Loaʻa i kēia ʻano kahi hui ʻana o nā pūnaewele glandular maʻamau a me nā pūnaewele kanesa. ʻO kēia ke ʻano sarcoma uterine i maʻamau ʻole. He maʻi kanesa haʻahaʻa ia. |
Pehea e ʻike ai i nā pae o ka maʻi kanesa?
E like me nā maʻi kanesa āpau, ua hoʻoholo ʻia ke kahua e ka mamao o ka laha ʻana o ke kanesa i loko o ke kino. He mea nui loa kēia no ka hoʻolālā ʻana i ka mālama ʻana. I ka pōkole, eia nā kahua nui ʻehā:
| Kahua | Manaʻo |
|---|---|
| Kahua I | Aia ke kanesa i loko o ka ʻōpū wale nō. |
| Pae II | Ua pālahalaha ke kanesa ma waho o ka ʻōpū, akā i nā wahi ʻē aʻe o loko o ka pelvis. |
| Pae III | Ua pālahalaha ke kanesa i nā wahi ma waho o ka ʻōpū a me ke pelvis. |
| Pae IV | Ua pālahalaha ke kanesa i nā ʻōpū mamao ma waho o ka ʻōpū, a i ʻole i ka ʻōpū mimi a i ʻole ka rectum. |
ʻOiai ke kani maʻalahi nei kēia, hiki ke paʻakikī iki ka ʻike ʻana i nā pae o ka maʻi kanesa. E wehewehe kāu kauka iā ʻoe i kahi pae kikoʻī, e like me ke kahua IB a i ʻole IIIA . No laila he mea nui e hoʻolohe pono a hoʻomaopopo iā ia.
He aha nā hōʻailona o kēia maʻi?
Hiki i nā hōʻailona o kēia maʻi ke like me nā maʻi gynecological ʻē aʻe, no laila he mea nui loa ia e ʻike i kēia mau mea.
- Ke kahe koko ʻana o ka ʻōpū maʻamau ʻole: Ke kahe koko e kū mai ana ma hope o ka menopause, ke kahe koko e kū mai ana ma waena o nā wā, a i ʻole ke kaumaha ma mua o ke kahe koko ʻana o ka menstrual maʻamau.
- Ke kahe ʻana o ka ʻōpū ma ke ʻano ʻē: He kahe i loaʻa kahi ʻala pilau a i ʻole i hui pū ʻia me ke koko.
- Ke ʻeha nei ma ka ʻōpū lalo a i ʻole ka ʻāpana pelvic .
- Manaʻo o ka piha a i ʻole ke kaumaha i loko o ka ʻōpū.
- Ka hopu ʻana i kahi mea e like me ka puʻupuʻu ma ka ʻāpana pelvic .
- Ka pono pinepine e mimi .
- Ka paʻa ʻana o ka ʻōpū .
ʻO ka pilikia nui ma ʻaneʻi, ʻo ia ka like pinepine o kēia mau hōʻailona me nā maʻi ʻaʻai ʻōpū ʻē aʻe a me nā puʻupuʻu ʻaʻole maʻi e like me fibroids . ʻO ia ke kumu e ʻōlelo nei mākou inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ʻaʻole ʻoe e hoʻowahāwahā iā lākou a ʻike koke i ke kauka.
I kekahi manawa, ʻaʻole paha e hōʻike ka maʻi i kekahi mau hōʻailona a hiki i ka wā e holomua iki ai. ʻO ia ka mea weliweli loa.
No ke aha e ulu ai kēia ʻano maʻi kanesa? He aha nā kumu pilikia?
I ka ʻōlelo maʻalahi, ua hoʻokumu ʻia kēia maʻi kanesa e kekahi mau loli (nā hoʻololi genetic) i loko o ka DNA o nā cell i loko o ka ʻiʻo a i ʻole ka ʻiʻo pili o ka uterus. ʻO kēia mau loli ke kumu o ka ulu ʻana o nā cell me ke kāohi ʻole ʻia.
ʻAʻole maopopo i nā kānaka ʻepekema ke kumu o kēia mau loli DNA, akā ua ʻike lākou i kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka maʻi.
Nā mea e hoʻonui ai i ka pilikia
- ʻIke Hoʻoilina: ʻO ka loaʻa ʻana o ka gene e hoʻoulu ai i ka retinoblastoma , kahi maʻi ʻaʻai o ka maka, e hoʻonui i ka pilikia o ka hoʻomohala ʻana i kēia ʻano sarcoma. Pili pū ia me kahi maʻi hoʻoilina laha ʻole i kapa ʻia ʻo Hereditary Leiomyomatosis a me Renal Cell Cancer (HLRCC) .
- Ma hope o ka loaʻa ʻana o ka pelvic radiation therapy: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 i ka sarcoma ke ulu pinepine. Eia nō naʻe, hana pinepine kēia ma waena o 5 a me 25 mau makahiki ma hope o ka lāʻau lapaʻau.
- Tamoxifen: ʻO ka hoʻohana lōʻihi ʻana i ka lāʻau Tamoxifen no ka maʻi ʻaʻai umauma e hoʻonui iki i kēia pilikia.
Ua ʻike ʻia ma ka noiʻi ʻana he ʻelua ka nui o ka loaʻa ʻana o kēia maʻi kanesa i nā wāhine ʻeleʻele ma mua o nā wāhine keʻokeʻo, akā, ʻaʻole i ʻike ʻia ke kumu pololei.
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka me nā hōʻailona i ʻōlelo ʻia ma luna, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila, e hana lākou i kahi hoʻokolokolo kino a me kahi hoʻokolokolo pelvic.
Eia kekahi, hiki ke hana ʻia kekahi mau hoʻokolohua e hōʻoia i ka maʻi:
- ʻO ka Ultrasound Transvaginal: Ma kēia, hoʻokomo ʻia kahi hāmeʻa scan liʻiliʻi kūikawā (transducer) ma o ka vagina e nānā i ka ʻōpū a me nā ovaries.
- Pelvic MRI: He hoʻāʻo kēia e hoʻohana ana i kahi magnet ikaika a me nā nalu lekiō e hana i nā kiʻi maopopo loa a kikoʻī o ka ʻāpana pelvic.
- ʻO ka Biopsy Endometrial: Ma kēia, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka uhi o ka ʻōpū a nānā ʻia.
ʻO kahi pathologist , he loea i ka hoʻokolokolo ʻana i nā ʻiʻo, e nānā i ka hāpana ʻiʻo i lawe ʻia ma kēia ʻano ma lalo o kahi microscope e hōʻoia i ka 100% inā he maʻi ʻaʻai ia a he aha ke ʻano.
Ke hōʻoia ʻia ka maʻi kanesa, pono paha nā hoʻokolohua hou aʻe, e like me ke kahua, e ʻike i ka mamao o kona laha ʻana. E kuhikuhi ʻia paha ʻoe i kahi kauka maʻi gynecological.
He aha nā koho lapaʻau?
ʻO ke ʻoki kino ka lāʻau lapaʻau nui a maʻamau no kēia maʻi. Me ka nānā ʻole i ke ʻano a me ke kahua o ke kanesa, ʻo ka mea mua e noʻonoʻo ai, ʻo ia ka wehe ʻana i ke kanesa ma o ke ʻoki kino.
| ʻAno o ke ʻoki kino | He aha ka mea i hana ʻia? |
|---|---|
| Hoʻopau ʻia ka hysterectomy | Ka wehe ʻana i ka ʻōpū a me ke cervix. |
| ʻO ka hysterectomy holoʻokoʻa me ka salpingo-oophorectomy | Ka wehe ʻana i ka ʻōpū, hoʻokahi a i ʻole nā ovaries ʻelua, a me hoʻokahi a i ʻole nā fallopian tubes ʻelua. |
| ʻO ka hysterectomy radical | Ka wehe ʻana i ka ʻōpū, ka cervix, nā ʻōpū fallopian ʻelua, a me kekahi mau ʻiʻo a puni (me kahi ʻāpana o ka vagina). |
| Hoʻopau ʻia ka lymphadenectomy | Ka wehe ʻana i nā lymph nodes kahi i pālahalaha ai ke kanesa. |
Ma waho aʻe o ke ʻoki kino ...
Ma hope o ke ʻoki ʻana, a i ʻole ma kekahi mau hihia ma waho aʻe o ke ʻoki ʻana, e ʻōlelo ʻia paha nā lāʻau ʻē aʻe.
- Chemotherapy: Ke hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa.
- Hoʻōla hormone: No ka mea he maʻalahi kekahi ʻano sarcoma i nā hormones, hāʻawi ʻia nā lāʻau lapaʻau e kāohi i ko lākou ulu ʻana.
- Radiation therapy: ʻO ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa.
- Lapaʻau i hoʻolālā ʻia: Ke hāʻawi ʻana i nā lāʻau lapaʻau e hoʻolālā ana i nā nāwaliwali kikoʻī i nā hunaola kanesa.
Hiki i kēia mau lāʻau lapaʻau āpau ke loaʻa kekahi mau hopena ʻaoʻao. Akā, mai hopohopo. E wehewehe kāu hui lapaʻau i ka hoʻolālā lapaʻau maikaʻi loa nāu, me nā pono a me nā pōʻino āpau.
Hiki ke ho'ōla loa ʻia kēia maʻi?
ʻAe, hiki ke ho'ōla loa ʻia kēia maʻi. ʻOiai inā he haʻahaʻa ke ʻano o ke kanesa a ʻaʻole i pālahalaha ma waho o ka ʻōpū (inā ʻike ʻia i ka wā mua), kiʻekiʻe loa ka manawa e ho'ōla ʻia ai.
ʻO ka prognosis o ka maʻi e pili ana i kekahi mau kumu:
- Ke ʻano o ke kanesa (e.g., LMS a i ʻole ESS).
- Ka Papa Maʻi ʻAʻai - Pili kēia i ke ʻano ʻino o nā hunaola maʻi ʻaʻai ma lalo o ka microscope.
- Pehea ka mamao o ka laha ʻana o ke kanesa i loko o ke kino (Stage).
- Kou olakino holoʻokoʻa.
ʻO ka mea nui loa, ʻo kāu kauka wale nō ke hāʻawi iā ʻoe i ka ʻike pololei loa e pili ana i kou kūlana. No laila, mai hopohopo i nā helu ola i loaʻa ma ka pūnaewele. He awelika wale nō kēia mau helu no kahi hui nui o ka poʻe, a pili paha iā ʻoe iho.
ʻO ka makaʻu āu e manaʻo ai ke ʻike ʻoe he maʻi kanesa kou...
He mea maʻamau ka makaʻu, ka haʻalulu, a me ke kaumaha ke lohe ʻoe e pili ana i kahi maʻi ʻaʻai laha ʻole e like me kēia. Hiki ke kaumaha ke loaʻa koke iā ʻoe nā huaʻōlelo hou a me nā ʻike e komo mai ana i loko o kou poʻo.
Akā e hoʻomanaʻo, ʻaʻole nā helu helu kāu moʻolelo. Aia kāu hui lapaʻau me ʻoe i kēlā me kēia ʻanuʻu o ke ala. E kamaʻilio me lākou e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. E hana pū lākou me ʻoe e hoʻomohala i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe. E kamaʻilio me kou ʻohana a me kou mau hoaaloha e pili ana i kēia. ʻO kā lākou kākoʻo he kumu ikaika nui ia i kēia manawa.
Leka Lawe-Home
- ʻO ka Uterine Sarcoma kahi ʻano maʻi kanesa kakaikahi akā koʻikoʻi e kū ana i loko o ka ʻōpū.
- Mai hoʻowahāwahā i nā hōʻailona e like me ke kahe koko ʻokoʻa o ka ʻōpū, ka ʻeha o ka ʻōpū ma lalo, a i ʻole kahi puʻupuʻu. E ʻike koke i ke kauka.
- Ua hōʻoia paʻa ʻia ka maʻi ma ka nānā ʻana i kahi ʻāpana ʻiʻo (biopsy).
- ʻOkoʻa nā koho lapaʻau mai kēlā me kēia mea maʻi a i kēia mea maʻi, ʻo ke ʻoki ʻana ke kumu nui o ka lapaʻau. Inā ʻike mua ʻia, hiki ke ho'ōla loa ʻia.
- Mai makaʻu i ka ʻike lehulehu a me nā helu helu ma ka pūnaewele, a e kamaʻilio ākea me kāu kauka e pili ana i kou kūlana.
- He mea nui loa ke kākoʻo o ka hui lapaʻau a me kāu poʻe aloha i kēia huakaʻi.
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