Koj puas tau hnov txog lub npe Choriocarcinoma? Qhov no tej zaum yuav yog ib lo lus tshiab rau koj. Qhov no yog ib hom mob qog nqaij hlav uas tsis tshua muaj thiab loj heev. Tab sis tsis txhob txhawj, cia peb tham txog nws kom meej. Tus mob no feem ntau cuam tshuam nrog kev cev xeeb tub. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.
Choriocarcinoma yog dab tsi?
Hais yooj yim xwb, choriocarcinoma yog ib hom mob qog noj ntshav uas tsim nyob rau hauv koj lub tsev menyuam lossis zes qe menyuam thiab tuaj yeem kis tau sai heev. Muaj ob hom tseem ceeb ntawm qhov no thiab.
Hom mob choriocarcinoma uas tshwm sim ntau tshaj plaws thaum cev xeeb tub hu ua Gestational Choriocarcinoma . Qhov no yog ib pawg hu ua Gestational Trophoblastic Disease (GTD). GTD yog ib yam mob qog nqaij hlav uas tshwm sim hauv cov hlwb uas pib los ntawm lub placenta thaum cev xeeb tub. Raws li koj paub, lub placenta yog qhov tseem ceeb tshaj plaws ntawm lub cev uas muab oxygen thiab khoom noj rau tus menyuam los ntawm txoj hlab ntaws.
Feem ntau pom muaj mob Choriocarcinoma rau cov poj niam uas cev xeeb tub molar . Mob molar cev xeeb tub yog ib qho mob uas cov hydatidiform mole loj hlob hauv lub tsev menyuam es tsis yog tus menyuam hauv plab vim muaj qhov tsis zoo ntawm kev sib xyaw ntawm cov qe thiab phev. Nws kuj tseem tuaj yeem tshwm sim tom qab cev xeeb tub ectopic , kev rho menyuam, lossis txawm tias yug menyuam ib txwm.
Qhov txaus ntshai tshaj plaws txog tus mob qog noj ntshav no yog tias nws tuaj yeem kis mus rau lwm qhov ntawm lub cev sai heev. Piv txwv li:
- Lub ntsws
- Cov leeg nqaij ntawm lub tsev menyuam
- Cov qog ntshav
- Siab los yog raum
- Lub hlwb
- Cov hlab ntsha
Tab sis qhov xov xwm zoo yog tias feem ntau, tus mob choriocarcinoma no tuaj yeem kho tau tag nrho nrog kev kho mob chemotherapy .
Muaj hom mob choriocarcinoma dab tsi?
Raws li peb tau hais ua ntej lawm, muaj ob hom choriocarcinoma:
1. Gestational Choriocarcinoma: Qhov no yog hom mob qog nqaij hlav uas pom ntau tshaj plaws. Nws tuaj yeem tshwm sim thaum cev xeeb tub lossis tom qab cev xeeb tub tsis ntev.
2. Mob qog nqaij hlav Choriocarcinoma uas tsis yog thaum cev xeeb tub: Qhov no tuaj yeem cuam tshuam rau txiv neej thiab poj niam. Nws yog ib hom qog nqaij hlav ntawm cov noob qes. Rau cov poj niam, nws tuaj yeem tshwm sim hauv zes qe menyuam lossis hauv lub tsev menyuam, tab sis nws tsis muaj feem cuam tshuam nrog lub placenta. Rau cov txiv neej, nws tuaj yeem tshwm sim hauv noob qes.
Kab mob no feem ntau tshwm sim li cas?
Gestational Choriocarcinoma (GCT) suav txog li 5% ntawm cov neeg mob GTD. Txawm tias nyob hauv lub tebchaws zoo li Tebchaws Meskas, cov neeg mob GTD tshwm sim hauv kwv yees li 0.1% ntawm tag nrho cov cev xeeb tub. Yog li, xav txog qhov no: GCT tsis tshua muaj. Nws tshwm sim hauv tsawg dua 7 ntawm 100,000 cev xeeb tub hauv Tebchaws Meskas. Qhov no txhais tau tias nws yog ib qho mob tsis tshua muaj nyob hauv Sri Lanka thiab.
Cov tsos mob ntawm Choriocarcinoma yog dab tsi?
Ib tug neeg uas muaj mob choriocarcinoma, tshwj xeeb tshaj yog ib tug neeg uas nyuam qhuav cev xeeb tub, yuav muaj cov tsos mob xws li:
- Kev los ntshav ntawm qhov chaw mos tsis tu ncua
- Mob plab mog
Yog tias mob qog nqaij hlav kis mus rau lwm qhov ntawm lub cev, lwm cov tsos mob yuav tshwm sim, xws li:
- Yog tias nws kis mus rau lub ntsws: hnoos, ua pa nyuaj.
- Yog tias nws kis mus rau qhov chaw mos: los ntshav ntau, cov kua tawm tsis zoo, thiab cov qog hauv qhov chaw mos.
- Yog nws kis mus rau lub hlwb: Qaug dab peg, mob taub hau.
- Yog nws kis mus rau lub raum lossis siab: mob plab.
Vim li cas ho ua li no?
Choriocarcinoma tshwm sim thaum cov hlwb uas tsim lub placenta (hu ua trophoblasts) dhau los ua mob qog noj ntshav. Nws tuaj yeem tshwm sim thaum ntxov cev xeeb tub lossis tom qab. Kwv yees li 50% ntawm cov neeg uas muaj choriocarcinoma tau muaj cev xeeb tub molar yav dhau los. Cev xeeb tub molar yog thaum lub hnab ntim kua dej tshwm sim hauv lub tsev menyuam es tsis yog tus menyuam hauv plab.
Hauv cov mob choriocarcinoma uas tsis yog thaum cev xeeb tub, cov qe menyuam hauv zes qe menyuam, noob qes, lossis lub tsev menyuam pib tsim cov tshuaj hormones hu ua human chorionic gonadotropin (hCG) . Thaum saib hauv qab lub tshuab microscope, cov qe menyuam no zoo ib yam li cov qe menyuam trophoblast.
Gestational Choriocarcinoma loj hlob sai npaum li cas?
Tsis muaj lub sijhawm tshwj xeeb rau qhov no tshwm sim. Nws tuaj yeem tshwm sim ntau lub hlis lossis txawm tias ntau xyoo tom qab cev xeeb tub. Txawm li cas los xij, nws suav hais tias yog ib hom mob qog noj ntshav uas kis tau sai heev thiab hnyav heev.
Cov yam ua rau muaj tus mob no yog dab tsi?
Txhua tus neeg uas tau cev xeeb tub (txawm yog los ntawm kev rho menyuam, cev xeeb tub ectopic, kev tso tseg cev xeeb tub, lossis kev yug menyuam ib txwm) tuaj yeem mob choriocarcinoma. Txawm li cas los xij, koj muaj kev pheej hmoo siab dua yog tias koj tau cev xeeb tub molar.
Lwm yam uas ua rau muaj kev pheej hmoo yog:
- Muaj hnub nyoog qis dua 20 xyoo lossis tshaj 40 xyoo thaum cev xeeb tub.
Cov teeb meem ntawm tus mob no yog dab tsi?
Choriocarcinoma tuaj yeem ua rau tuag taus yog tias tsis kho, vim tias hom mob qog noj ntshav no kis tau sai heev.Tiam sis nrog kev kho mob, ntau tus neeg tuaj yeem ua tiav kev zam txim lossis kho tau tag nrho. Ib yam li lwm yam mob qog noj ntshav, cov txiaj ntsig zoo tshaj plaws yog ua tiav thaum kuaj pom thiab kho thaum ntxov.
Yuav kuaj mob Choriocarcinoma li cas?
Tus kws kho mob siv cov kev kuaj no los kuaj mob choriocarcinoma:
- Yuav kuaj mob plab mog los yog kuaj lub cev kom paub seb puas muaj qog.
- Yuav kuaj ntshav seb puas muaj hCG (human chorionic gonadotropin). Cov neeg uas muaj choriocarcinoma muaj hCG ntau heev.
- Kev kuaj ntshav los xyuas seb daim siab thiab lub raum ua haujlwm li cas.
- Kev suav cov ntshav tag nrho (CBC).
- Ultrasound ntawm lub plab mog.
- Kev thaij duab CT (Computed Tomography - CT scan).
- Kev Siv Tshuaj MRI (Magnetic Resonance Imaging - MRI).
- X-ray hauv siab.
Cov kev kuaj no kuj tseem tuaj yeem pab tus kws kho mob nrhiav seb tus mob qog noj ntshav puas tau kis mus rau lwm tus.
Yuav kho tus mob Choriocarcinoma li cas?
Cov kws kho mob kho mob choriocarcinoma raws li nws theem. Theem ntawm tus mob qog noj ntshav yog li cas tus kws kho mob faib tus mob qog noj ntshav, raws li cov yam xws li qhov loj ntawm lub qog thiab seb nws puas tau kis mus rau sab nraud ntawm lub tsev menyuam. Koj txoj kev noj qab haus huv tag nrho thiab koj tus kheej nyiam kuj raug xav txog thaum tsim txoj kev npaj kho mob.
Txoj kev kho mob tseem ceeb rau choriocarcinoma yog chemotherapy. Chemotherapy yog ib hom tshuaj uas tua cov hlwb qog noj ntshav.
Tej tus neeg yuav xav tau kev phais tshem lub tsev menyuam, kev kho mob hluav taws xob, lossis kev kho ua ke ntawm cov kev kho mob no.
Tom qab kho tas, koj tus kws kho mob yuav txuas ntxiv mus xyuas koj seb puas muaj qhov rov tshwm sim dua (kev kuaj mob tom qab).
Puas kho tau mob qog nqaij hlav choriocarcinoma?
Yog, mob choriocarcinoma kho tau. Feem ntau nws kho tau los ntawm kev siv tshuaj chemotherapy. Yog tias nws raug kuaj pom thaum ntxov, ua ntej nws kis mus rau lwm qhov ntawm lub cev, qhov muaj feem yuav kho tau zoo dua.
Kev kho mob yuav nyuaj me ntsis rau cov xwm txheej no:
- Yog tias koj tau txais kev kho mob chemotherapy ua ntej thiab nws tsis ua haujlwm.
- Yog tias tus kab mob no tshwm sim tom qab cev xeeb tub lossis yug menyuam puv sijhawm.
- Yog tias qib hCG ntau dua 40,000 mIU/ml (milli-international units per milliliter) ua ntej pib kho mob. (hCG yog ib yam tshuaj hormones uas lub placenta tsim tawm thaum cev xeeb tub).
- Yog tias koj muaj cov tsos mob ntau tshaj plaub lub hlis ua ntej pib kho mob lossis yog tias koj cev xeeb tub.
Puas tiv thaiv tau tus mob choriocarcinoma?
Tsis yog, choriocarcinoma tsis tuaj yeem tiv thaiv tau. Txawm li cas los xij , yog tias koj tau cev xeeb tub molar, nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog koj tus kws kho mob txog koj qhov kev pheej hmoo ntawm choriocarcinoma.
Koj tuaj yeem nyob nrog Choriocarcinoma tau ntev npaum li cas?
Choriocarcinoma thaum ntxov muaj kev cia siab zoo. Tus nqi ciaj sia rau cov neeg uas muaj tus kab mob choriocarcinoma thaum cev xeeb tub uas muaj kev pheej hmoo tsawg yog yuav luag 100%. Tus nqi ciaj sia rau cov neeg uas muaj tus kab mob choriocarcinoma thaum cev xeeb tub uas muaj kev pheej hmoo siab yog 94%.
Mob qog nqaij hlav tsis yog thaum cev xeeb tub (hom uas tsis muaj feem cuam tshuam nrog kev cev xeeb tub tsis zoo/cov nqaij mos hauv plab yav dhau los) muaj qhov kev kwv yees tsis zoo me ntsis. Nws kuj tsis tshua muaj kev cuam tshuam rau cov tshuaj chemotherapy, uas txhais tau tias cov tshuaj chemotherapy yuav tsis zoo rau kev tua cov hlwb qog nqaij hlav.
Puas kho tau Choriocarcinoma theem 4?
Theem 4 choriocarcinoma txhais tau hais tias tus mob qog noj ntshav tau kis mus rau lwm qhov ntawm koj lub cev, xws li koj lub hlwb lossis siab. Koj cov kws kho mob yuav nrog koj tham txog qhov no. Txawm li cas los xij , tseem muaj lub sijhawm uas tus kab mob yuav ploj mus.
Kuv puas muaj peev xwm muaj lwm tus menyuam yog tias kuv muaj choriocarcinoma?
Tej zaum. Muaj ntau tus neeg tau muaj peev xwm rov qab muaj menyuam tom qab kho mob choriocarcinoma. Nws nyob ntawm seb koj kuaj mob li cas. Yog tias koj xav muaj menyuam, nrog koj tus kws kho mob tham txog qhov ntawd. Tom qab ntawd lawv tuaj yeem muab kev kho mob zoo tshaj plaws rau koj.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj muaj ntshav tawm ntawm qhov chaw mos lossis mob plab qis, tshwj xeeb tshaj yog tias koj tau cev xeeb tub molar ua ntej, nco ntsoov mus ntsib kws kho mob.
Choriocarcinoma yog ib hom mob qog nqaij hlav uas tsis tshua muaj tab sis loj heev. Nws yog ib qho ib txwm muaj uas koj yuav ntxhov siab thaum koj tau txais kev kuaj mob zoo li no. Txawm li cas los xij, qhov kev kwv yees rau choriocarcinoma feem ntau zoo heev. Tham nrog koj tus kws kho mob txog txhua yam kev txhawj xeeb lossis cov lus nug uas koj muaj. Lawv nyob ntawd los teb koj cov lus nug thiab muab kev kho mob zoo tshaj plaws rau koj.
Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)
- Choriocarcinoma yog ib hom mob qog noj ntshav uas tsis tshua muaj thiab kis tau sai uas tuaj yeem cuam tshuam nrog kev cev xeeb tub.
- Cov neeg uas tau cev xeeb tub molar muaj feem yuav muaj kev pheej hmoo ntau dua.
- Ceev faj txog cov tsos mob xws li los ntshav ntawm qhov chaw mos thiab mob plab qis.
- Qhov xwm txheej noFeem ntau nws kho tau los ntawm kev siv tshuaj chemotherapy.
- Kev kuaj pom thiab kho thaum ntxov yog qhov tseem ceeb heev.
- Yog koj muaj lus nug lossis muaj tej yam tsos mob, nrhiav kev pab kho mob tam sim ntawd. Tsis txhob txhawj, cov kws kho mob yeej npaj txhij pab koj.
Choriocarcinoma , mob qog noj ntshav, cev xeeb tub, placenta, chemotherapy, cev xeeb tub molar, hCG
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus