Ua ʻike anei ʻoe i ka Uterine Sarcoma? E kamaʻilio kākou e pili ana i ia mea me nā kikoʻī!

Ua lohe paha ʻoe i ke kanesa ʻōpū. Akā, ua ʻike maopopo anei ʻoe i ke ʻano o kēia ʻano kanesa i kapa ʻia ʻo Uterine Sarcoma? He mea kākaʻikahi iki ia, akā he mea nui e ʻike e pili ana i ia mea. No ka mea, inā ʻike mua ʻia, ʻoi aku ka maʻalahi o ka mālama ʻana , a he mea maikaʻi mau ka mālama ʻana i ko kākou olakino. No laila, e kamaʻilio kākou e pili ana i ia mea ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ka Uterine Sarcoma?

I ka ʻōlelo maʻalahi, ulu kēia sarcoma uterine i loko o ka papa ʻiʻo o kou uterus, i kapa ʻia ʻo "Myometrium". Hoʻomohala ka hapa nui o nā maʻi ʻaʻai uterine i loko o ka ʻili o loko o ka uterus, i kapa ʻia ʻo "Endometrium". Kāhea mākou i kēia mau "maʻi ʻaʻai Endometrial" a i ʻole "Carcinomas". Eia naʻe, ʻoi aku ka liʻiliʻi o kēia ʻano "Sarcomas". Aia kekahi mau ʻano kakaikahi ʻē aʻe o "Sarcoma" e hoʻomaka ana i loko o nā pūnaewele kākoʻo o ka ʻili uterine.

Pehea ka ʻino o kēia?

ʻO kaʻoiaʻiʻo, hiki i ka sarcoma uterine ke ulu a pālahalaha wikiwiki aʻe ma mua o ke kanesa endometrial maʻamau. Eia naʻe, ʻaʻole like ke koʻikoʻi o nā sarcoma uterine āpau. E hoʻoholo kāu kauka i ke koʻikoʻi o ka sarcoma ma muli o nā mea e like me kahi e loaʻa ai a me ke ʻano o ka sarcoma.

Eia kekahi, e nānā ke kauka i ke kahua o ke kanesa e ʻike inā ua pālahalaha ('staging') .

He aha ke Kaʻina Hana o ke Kanesa?

Ke aʻo mākou e pili ana i ka maʻi kanesa, ʻo kekahi o nā makaʻu nui a mākou, ʻo ia ka laha ʻana i nā ʻāpana ʻē aʻe o ke kino (metastasized). No laila, no ka ʻike ʻana i ka mamao o ka laha ʻana o ke kanesa, hāʻawi nā kauka i kahi helu (mai I a IV). ʻO ke kiʻekiʻe o ka helu, ʻo ka nui o ka laha ʻana o ke kanesa i loko o ke kino . Ua kapa ʻia kēia ʻōnaehana hoʻokaʻawale ʻana he "staging." Hoʻohana nā kauka i kēia ʻike e hoʻolālā i ka mālama ʻana.

He aha nā pae o ka sarcoma uterine?

ʻEhā mau pae nui o ka sarcoma uterine:

• Pae I: Aia ke kanesa ma ka ʻōpū wale nō.
• Pae II: Ua pālahalaha ke kanesa ma waho o ka ʻōpū a i loko o ke pelvis.
• Pae III: Ua pālahalaha ke kanesa i nā wahi o ka ʻōpū ma waho o ka lua pelvic, no ka laʻana, i nā lymph nodes.
• Pae IV: Ua pālahalaha ke kanesa i nā wahi mamao ma waho o ka ʻōpū, a ua pālahalaha paha i ka ʻōpū mimi a i ʻole ka rectum.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

ʻO ka hapa pinepine, ulu ka sarcoma uterine i nā poʻe ma luna o 40 mau makahiki. Eia nō naʻe, ua hōʻike ʻia hiki ke loaʻa kēia ʻano maʻi i nā poʻe ʻōpio e like me 20 mau makahiki. ʻO ka awelika o ka makahiki o ka ʻike ʻia ʻana ma kahi o 60 mau makahiki.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka sarcoma uterine?

Hiki i kekahi mau kumu ke hoʻonui i kou pilikia o ka loaʻa ʻana o ka sarcoma uterine. E nānā kākou i ke ʻano o lākou:

• Ka radiation Pelvic: Inā ua loaʻa iā ʻoe ka lāʻau radiation ma mua i kou wahi pelvic, hiki ke hoʻonui iki i kou pilikia o ka loaʻa ʻana o ka sarcoma uterine. Eia naʻe, ʻaʻole pinepine kēia. Eia nō naʻe, hana pinepine ia ma waena o 5 a me 25 mau makahiki ma hope o ka lāʻau radiation.
• Ka hoʻohana ʻana o Tamoxifen: Inā hoʻohana ʻia ka lāʻau lapaʻau "Tamoxifen" no ka maʻi ʻaʻai umauma no ka manawa lōʻihi (ʻelima mau makahiki a ʻoi aku paha), hoʻonui pū ia i ka pilikia o ka loaʻa ʻana o ka sarcoma uterine.
• ʻO ka Genetics: ʻO ka loaʻa ʻana o kahi gene e hoʻoulu ai i ka retinoblastoma, kahi maʻi ʻaʻai maka, hoʻonui pū i ka pilikia o ka hoʻomohala ʻana i kekahi ʻano sarcoma uterine.

ʻO kekahi mea ʻē aʻe, ʻoiai ʻaʻole hiki i nā mea noiʻi ke ʻike i ke kumu pololei, ua ʻike lākou he ʻelua ka nui o ka loaʻa ʻana o ka maʻi i nā wahine ʻeleʻele ma mua o nā wahine keʻokeʻo .

Pehea ka maʻamau o ka sarcoma uterine?

He ʻano maʻi kanesa laha ʻole kēia. Ma waena o 3% a me 7% wale nō o nā maʻi kanesa āpau o ka ʻōpū. ʻO ia hoʻi, ʻaʻole ia he mea e hiki mai ana i nā kānaka a pau.

He aha nā hōʻailona? Pehea ʻoe e ʻike ai iā lākou?

Hiki ke like nā hōʻailona nui o ka sarcoma uterine me nā hōʻailona o ke kanesa endometrial a me nā puʻupuʻu non-cancerous e like me fibroids. No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui e ʻike i ke kauka no ka nānā ʻana.

Eia kēlā mau hiʻohiʻona:

• ʻO ke kahe koko ʻano ʻē ʻole i pili ʻole i ka menstruation a i ʻole e hana ma hope o ka menopause.
• Ka hoʻokahe ʻana o ka ʻōpū me ke koko a me kahi ʻala pilau.
• Ke manaʻo nei i kahi puʻu/pūʻolo i loko o ka vagina a i ʻole ka lua pelvic.
• Manaʻo piha, manaʻo kaumaha i loko o ka ʻōpū.
• ʻEha pelvis.
• Pono e mimi pinepine.
• Ka paʻa ʻana o ka ʻōpū.

E noʻonoʻo, ua pau ka menstruation o kekahi kanaka i kapa ʻia ʻo Nimali no nā mahina, akā ua hoʻomaka hou ke kahe koko. A i ʻole he manaʻo kaumaha paha kona i loko o kona ʻōpū, a manaʻo ʻo ia e pono ʻo ia e mimi pinepine. Inā loaʻa iā ʻoe kekahi mea e like me kēia, mai hoʻokuʻu, me ka manaʻo, 'He mea maʻamau paha kēia.'

I kekahi manawa, ʻaʻole paha e hōʻike ka sarcoma uterine i nā hōʻailona a hiki i ka wā e holomua ai. He mea kākaʻikahi loa, aia kekahi poʻe i loaʻa ʻole nā ​​​​hōʻailona.

He aha ke kumu o ka sarcoma uterine?

Hoʻokumu ʻia ka sarcoma uterine e nā pūnaewele ʻano ʻē (nā pūnaewele ʻino) e māhelehele a laha ana ma ke kino holoʻokoʻa. Hoʻokumu nui ʻia kēia mau pūnaewele ma ka paia ʻiʻo o ka ʻōpū, i kapa ʻia ʻo "Myometrium".

ʻAʻole maopopo i ka poʻe ʻepekema ke kumu pololei o ka sarcoma uterine, akā ke hoʻomau nei ka noiʻi ʻana i nā ala e ʻike ai, mālama ai, a pale aku ai.

Pehea e ʻike ai i kēia maʻi? (Diagnosis)

Inā kānalua kāu kauka he sarcoma uterine kou, e nānā mua ʻo ia iā ʻoe ma ke kino a nīnau e pili ana i kāu mōʻaukala olakino. A laila, e hana ʻo ia i kahi hoʻokolokolo pelvic, kahi e nānā ai i kou vagina, cervix, uterus, fallopian tubes, ovaries, a me ka rectum. No ka nānā ʻana i kēia mau ʻōpū, e hoʻokomo ke kauka i hoʻokahi a ʻelua paha mau manamana lima i loko o kou vagina a me ka rectum e nānā i kekahi mea ʻē. Hiki iā ia ke hoʻohana i kahi mea i kapa ʻia he speculum e nānā i loko o kou vagina.

Eia kekahi, hiki i ke kauka ke hana i kēia mau hoʻokolohua:

• ʻO ka ultrasound transvaginal: Hiki i kēia ke kiʻi i nā kiʻi o nā ʻiʻo palupalu o kāu ʻōnaehana hānau, me nā kino. Hoʻokomo ʻia kahi transducer kūikawā ma kahi o 2-3 ʻīniha i loko o ka vagina a nānā i ka uterus a me nā ovaries. I kekahi manawa hiki ke like ke ʻano o ka sarcoma uterine a me nā fibroids ma kahi ultrasound.
• ʻO ka biopsy Endometrial: Ma kēia, lawe ke kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka ʻaoʻao o loko o ka ʻōpū a hoʻouna iā ia i ka hale hana.

ʻO ke ala wale nō e hōʻoia pono ai inā he sarcoma uterine kou a ʻaʻole paha, ʻo ia ke nānā i nā pūnaewele i lawe ʻia mai kahi biopsy a ma hope o ka hysterectomy ma lalo o kahi microscope.

Ke ʻike ʻia ʻoe me ka sarcoma uterine, pono ʻoe e hana i nā hoʻokolohua hou aʻe e hoʻoholo ai i ke kahua kikoʻī o ke kanesa (staging). Hiki i nā hoʻokolohua e like me ka MRI (Magnetic Resonance Imaging) scan, CT (Computed Tomography) scan, PET (Positron Emission Tomography) scan, a me ka X-ray umauma ke kōkua i ka hoʻoholo ʻana inā ua pālahalaha kou kanesa i nā ʻāpana ʻē aʻe o kou kino.

Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi oncologist gynecological, hiki iā ia ke kōkua me ka hōʻoia a me ka mālama ʻana.

He aha nā lāʻau lapaʻau? (Lāʻau lapaʻau)

Hiki i kāu kauka ke hoʻohana i hoʻokahi a ʻoi aku paha o kēia mau ʻano hana e mālama ai i ka sarcoma uterine: ʻoki kino, radiation therapy, chemotherapy, a me ka hormone therapy.

ʻoki kino

ʻO ke ʻoki ʻana e wehe i ke kanesa ka lāʻau lapaʻau nui pinepine. Hiki i ke kauka ke wehe wale i ke kanesa. A i ʻole, hiki iā ia ke hana i hoʻokahi a ʻoi aku paha o nā ʻoki ʻana e wehe i nā ʻiʻo a me nā ʻōpū i hoʻopilikia ʻia:

• Hysterectomy: Ka wehe ʻana i kou ʻōpū a me ka cervix (i kekahi manawa i kapa ʻia ʻo "hysterectomy holoʻokoʻa"). Hiki i kāu kauka ke hana i ke ʻoki kino minimally invasive me ka hoʻohana ʻana i kahi mea i kapa ʻia ʻo "laparoscope" e wehe i ka ʻōpū.
• ʻO ka hysterectomy holoʻokoʻa me ka salpingo-oophorectomy: 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.
• Lymphadenectomy: Ka wehe ʻana i nā lymph nodes a me ka hoʻāʻo ʻana iā lākou no nā cell cancer.
• Laparotomy: Hana ʻia kahi ʻoki ma ka ʻōpū e nānā i ka laha ʻana o ke kanesa. I kekahi mau hihia, hiki ke wehe ʻia nā ʻōpū ʻē aʻe i hoʻopilikia ʻia e ke kanesa.

Hoʻōla Pāhawewe

ʻO ka radiation therapy kahi lāʻau lapaʻau maʻi kanesa e hoʻohana ana i nā kukuna X-ikehu kiʻekiʻe e luku i nā hunaola kanesa me ka hoʻēmi ʻana i ka hōʻino ʻana i nā hunaola olakino. Hiki ke hāʻawi ʻia ka radiation therapy ma loko (kūloko) a i waho paha (waho). Hiki ke hoʻohana ʻia nā ʻano ʻelua no ka sarcoma uterine.

ʻO kekahi o nā hopena ʻaoʻao o ka radiation therapy:

• Luhi.
• Ka maʻi pākī.
• Ka luaʻi a me ka luaʻi.
• Nā loli ʻili.
• Ka mumū o ka ʻōpū mimi.
• Ka pehu ʻana o nā wāwae (Edema).

Kemoterapia

ʻO ka Chemotherapy kahi lāʻau lapaʻau e hoʻohana ana i nā lāʻau lapaʻau e pepehi a hoʻolohi paha i ka ulu ʻana o nā hunaola kanesa e māhele wikiwiki ana. Hāʻawi pinepine ʻia kēia mau lāʻau lapaʻau ma ke ʻano intravenous. Hiki i kēia ke hana i nā hopena ʻaoʻao koʻikoʻi. I kekahi manawa hiki ke hāʻawi pū ʻia ka radiation therapy a me ka chemotherapy.

ʻO kekahi o nā hopena ʻaoʻao o ka chemotherapy:

• Ka luaʻi a me ka luaʻi.
• Ka nalowale o ka lauoho.
• Ka nalowale o ka makemake.
• Ka helu koko haʻahaʻa.
• Luhi.

Hoʻōla Hormone

ʻO nā hormones nā mea a ko mākou kino e hana ai e kāohi i kekahi mau hana. ʻO nā laʻana e komo pū me ka testosterone a me ka estrogen. I kekahi manawa, kōkua nā hormones i ka ulu ʻana o ka maʻi kanesa.

Hana ka lāʻau lapaʻau hormone ma ka hoʻōki ʻana i ka hana o nā hormones a me ke kāohi ʻana i ka ulu ʻana o ka maʻi kanesa. Hoʻohana ʻia nā hormones e like me `(Progestins)`, `(Gonadotropin-releasing hormone agonists)`, a me `(Aromatase inhibitors)` e mālama i ka sarcoma uterine.

Hiki ke pale ʻia ka sarcoma uterine? (Kāohi ʻana)

ʻO kaʻoiaʻiʻo, ʻaʻole mākou i ʻike pehea e pale aku ai i ka sarcoma uterine. Eia nō naʻe, ʻike mākou e pili ana i nā mea pilikia, e like me ka radiation therapy i ka pelvis a me ka lawe ʻana i ka tamoxifen no ka maʻi ʻaʻai umauma. I ka hapanui o nā hihia, ʻoi aku ka maikaʻi o nā pono o kēia mau lāʻau ma mua o nā pilikia o ka ulu ʻana o ka sarcoma uterine, ʻoiai he maʻi laha ʻole ia.

Inā ʻoe e hana nei i kekahi lāʻau lapaʻau no ka maʻi kanesa, e kamaʻilio me kāu kauka e pili ana i nā pilikia e pili ana a kaupaona i nā pono a me nā pōʻino o nā koho lapaʻau i loaʻa.

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

ʻOi aku ka paʻakikī o ka mālama ʻana i ka sarcoma uterine ma mua o nā maʻi ʻaʻai uterine ʻē aʻe, a ʻo kona prognosis e pili ana i ke ʻano o ka puʻupuʻu āu i loaʻa ai, ke ʻano o ke kanesa (pehea ka ʻano ʻē o nā hunaola kanesa ke nānā ʻia ma lalo o ka microscope), a me ka mamao o kona laha ʻana i loko o kou kino. E kamaʻilio me kāu kauka e pili ana i ka prognosis no kou kūlana.

Ma hope o ka lāʻau lapaʻau, e hoʻonohonoho i nā kipa hahai maʻamau me kāu kauka. Inā loaʻa iā ʻoe ka sarcoma uterine, hiki paha iā ʻoe ke piʻi aʻe ka pilikia o ka loaʻa ʻana o kekahi mau ʻano maʻi ʻē aʻe.

Hiki ke ho'ōla loa ʻia ka sarcoma uterine?

ʻAe, hiki ke ho'ōla ʻia ka sarcoma uterine, ʻoiai inā he haʻahaʻa kona ʻano (he ʻano ʻē iki nā cell) a ʻaʻole i pālahalaha ma waho o ka uterus. I kekahi mau hihia, pono paha nā lāʻau lapaʻau hou aʻe, e like me ka chemotherapy a me ka radiation therapy, e hoʻopau loa i nā cell cancer.

Pehea ka lōʻihi e hiki ai iā ʻoe ke ola me kēia maʻi?

ʻAʻohe ala e ʻōlelo pololei ai i ka lōʻihi o ke ola ʻana o kekahi me ka sarcoma uterine. Aia kou hopena i nā kumu he nui, me ke ʻano o ka sarcoma āu, pehea ka mamao o kona laha ʻana, kou mau makahiki, kou olakino laulā, a pehea e pane ai kou kino i ka lāʻau lapaʻau.

Wahi a ka National Cancer Institute, ʻo ka nui o ke ola ʻelima makahiki no ka sarcoma uterine ma hope o ka ʻike ʻana he ʻokoʻa ma waena o 41% a me 95%, ma muli o ke ʻano o ka sarcoma a me ka nui o ka laha ʻana.

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

Ke lohe ʻoe i kahi mea e like me kēia, he mea maʻamau ka loaʻa ʻana o nā nīnau he nui i loko o kou manaʻo. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• ʻEhia mau manawa e pono ai iaʻu e hana i nā hoʻokolohua hahai a me nā kaʻina hana kiʻi?
• He aha nā mea e nānā ʻia e kēlā mau hoʻokolohua hou?
• He aha nā hōʻailona e hiki ai ke haʻi inā ua hoʻi mai koʻu maʻi kanesa?
• He aha nā hana maʻamau e pono iaʻu e hahai i kēlā me kēia lā e noho olakino ai?
• Pehea e kamaʻilio ai kaʻu hui lapaʻau a hōʻano hou i ka ʻike e pili ana i kaʻu hoʻolālā lapaʻau?
• Pehea ka hopena o ke ʻano o ka sarcoma uterine i kaʻu mau koho lapaʻau a me ka prognosis?

ʻO ka mea nui loa: ʻAʻole ʻoe hoʻokahi! (Leka Lawe-Home)

Inā ua ʻike ʻia ʻoe he maʻi kanesa, he mea nui loa ia e hoʻomaopopo ʻaʻole ʻoe hoʻokahi.E nīnau i kāu kauka e pili ana i nā hui kākoʻo no ka poʻe me ke kanesa ʻōpū a me ka poʻe e mālama ʻia ana. Hiki iā ʻoe ke ʻike hou aʻe e pili ana iā lākou ma o kāu mokuna kūloko o kahi hui e like me ka American Cancer Society. Hiki paha i kāu kauka ke kuhikuhi iā ʻoe i kahi limahana hana kaiaulu a i ʻole loea olakino noʻonoʻo e kōkua iā ʻoe e hoʻoponopono i ke kaumaha o ka ʻike ʻana he maʻi kanesa kou.

Nā mea pōkole e hoʻomanaʻo ai:

• He maʻi laha ʻole akā he maʻi koʻikoʻi ka uterine sarcoma.
• He mea nui loa ia e ʻike i nā hōʻailona a ʻaʻole hoʻi e hoʻowahāwahā iā lākou .
• Inā kānalua, e ʻike koke i ke kauka.
• Aia nā lāʻau lapaʻau, no laila e noho me ka manaʻolana.
• Nui ka poʻe e kōkua a kākoʻo iā ʻoe ma kēia huakaʻi.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

ʻO ka Sarcoma Uterine, Kanesa Uterine, Ola Kino Wahine, Nā Hōʻailona Kanesa, Lāʻau Kanesa, Gynecology