Yog tias koj pom tias koj ntshav me ntsis tom qab koj lub hlis tas lawm, uas yog, tom qab koj lub sijhawm tas lawm, koj xav li cas? Ib txhia neeg xav tias, "Kuv tsis paub tias nws puas tau pib dua." Tab sis hom ntshav tsis zoo li no, tshwj xeeb tshaj yog tom qab koj lub sijhawm tas lawm, yeej tsis yog ib yam dab tsi uas yuav tsum tsis quav ntsej. Vim tias, nws tuaj yeem yog ib qho tsos mob tseem ceeb ntawm mob qog noj ntshav hauv tsev menyuam. Yog li hnub no, cia peb tham txog mob qog noj ntshav hauv tsev menyuam, nws cov tsos mob, leej twg muaj feem yuav mob ntau dua, thiab muaj kev kho mob dab tsi rau nws. Tsis txhob ntshai, qhov tseem ceeb tshaj plaws yog kom paub txog qhov no.
Hais yooj yim xwb, mob qog nqaij hlav hauv tsev menyuam yog dab tsi?
Kab mob qog nqaij hlav hauv tsev menyuam yog ib lub npe uas feem ntau siv rau kab mob qog nqaij hlav uas tshwm sim hauv tsev menyuam. Tab sis muaj ob hom kab mob tseem ceeb. Xav txog koj lub tsev menyuam zoo li lub tsev me me.
1. Mob qog nqaij hlav ntawm lub tsev menyuam: Qhov no yog hom mob uas feem ntau pom. Lub txheej ntawm lub tsev menyuam hu ua endometrium, uas zoo li daim ntawv ntsa . Lub txheej no raug tshem tawm thaum lub sijhawm muaj hli. Qhov no yog endometrium. Qhov no yog hom mob qog nqaij hlav uas tshwm sim thaum cov hlwb ntawm endometrium faib tsis zoo thiab dhau los ua mob qog nqaij hlav. Hom no suav txog 95% ntawm cov mob qog nqaij hlav ntawm lub tsev menyuam. Yog vim li ntawd peb feem ntau hu qhov no ua "mob qog nqaij hlav ntawm lub tsev menyuam" hauv kev sib tham.
2. Mob qog nqaij hlav hauv tsev menyuam: Qhov no tsis tshua muaj. Nws yog ib qho mob qog nqaij hlav uas tshwm sim hauv cov leeg nqaij (myometrium) ntawm lub tsev menyuam, uas yog daim ntaub ntawm lub tsev menyuam. Qhov no yog ib qho mob tsis tshua muaj.
Lub tsev menyuam yog ib qho tseem ceeb heev hauv lub cev poj niam lub cev xeeb tub. Thaum ib tug menyuam xeeb tub, tus menyuam loj hlob hauv lub tsev menyuam. Sab saud ntawm lub tsev menyuam hu ua lub cev lossis lub cev. Hauv qab nws yog lub qhov ncauj tsev menyuam. Mob qog nqaij hlav ntawm lub qhov ncauj tsev menyuam yog ib hom mob qog nqaij hlav txawv ntawm mob qog nqaij hlav ntawm lub tsev menyuam. Peb yuav tham txog qhov ntawd tom qab.
Cov tsos mob ntawm tus mob qog noj ntshav no yog dab tsi? Kuv yuav paub nws li cas?
Cov tsos mob ntawm mob qog noj ntshav hauv tsev menyuam zoo ib yam li lwm yam kab mob ntawm lub cev yug me nyuam. Yog li ntawd, yog tias koj pom muaj dab tsi txawv txawv, nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham tam sim ntawd . Kev kuaj mob kom raug yog tib txoj hauv kev kom tau txais kev kho mob zoo.
Koj tuaj yeem nkag siab meej txog cov tsos mob no los ntawm lub rooj hauv qab no.
| Cov tsos mob | Cov ntaub ntawv ntxiv |
|---|---|
| Kev los ntshav tsis zoo li qub | Qhov no yog cov tsos mob tseem ceeb thiab feem ntau tshwm sim . Nws suav nrog kev los ntshav ntawm cov hnub nyoog ua ntej lub sijhawm tas sij hawm, lossis cov xim av tom qab lub sijhawm tas sij hawm. |
| Mob plab qis | Mob los yog tsis xis nyob uas tshwm sim hauv qab lub pob tw, uas yog, nyob rau hauv thaj chaw ntawm lub duav. |
| Cov kua tawm ntawm qhov chaw mos tsis zoo | Tom qab lub sijhawm tas lawm, cov kua dej tawm ntawm qhov chaw mos yuav dawb los yog dej. |
| Kev los ntshav ntau tom qab muaj hnub nyoog 40 xyoo | Ib tug neeg hnub nyoog tshaj 40 xyoo muaj lub caij hli ntev heev, hnyav heev, lossis ntau zaus. |
Qhov tseem ceeb tshaj plaws yog, yog tias koj muaj kev los ntshav tom qab koj lub cev tas, tsis txhob xav tias qhov no yog ib txwm muaj. Nrhiav kev pab kho mob tam sim ntawd.
Vim li cas tus mob qog noj ntshav no thiaj li loj hlob tuaj? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Qhov ua rau mob qog nqaij hlav hauv tsev menyuam tseem tsis tau pom tseeb. Qhov uas tshwm sim yog vim qee qhov laj thawj, cov cell hauv tsev menyuam hloov pauv (hloov pauv) thiab pib loj hlob tsis tuaj yeem tswj tau. Peb hu cov cell uas tsim ua li no ua qog.
Txawm li cas los xij, muaj ntau yam uas ua rau muaj feem yuav mob qog noj ntshav no. Feem ntau ntawm cov no yog cuam tshuam nrog qhov sib npaug ntawm ob hom tshuaj hormones hauv peb lub cev, estrogen thiab progesterone.
Tej yam uas ua rau muaj kev pheej hmoo ntau ntxiv
- Hnub nyoog: Qhov kev pheej hmoo ntawm mob qog noj ntshav hauv tsev menyuam yuav nce ntxiv thaum muaj hnub nyoog. Feem ntau ntawm cov neeg mob raug kuaj pom tom qab hnub nyoog 50 xyoo.
- Kev rog dhau heev: Qhov no yog ib qho tseem ceeb uas ua rau muaj kev pheej hmoo. Cov nqaij rog hauv lub cev hloov qee cov tshuaj hormones mus ua estrogen. Thaum cov rog nce ntxiv, cov tshuaj estrogen nce ntxiv, ua rau muaj kev pheej hmoo ntawm mob qog noj ntshav ntau ntxiv.
- Kab mob ntshav qab zib: Muaj kev sib txuas ntawm kab mob ntshav qab zib thiab kev rog dhau. Qee qhov kev tshawb fawb kuj tau qhia txog kev sib txuas ncaj qha ntawm kab mob ntshav qab zib thiab mob qog nqaij hlav hauv tsev menyuam.
- Kab mob zes qe menyuam polycystic (PCOS):Qhov kev pheej hmoo kuj tseem yuav nce ntxiv vim yog qhov tsis sib npaug ntawm cov tshuaj hormones hauv cov poj niam uas muaj PCOS.
- Keeb kwm ntawm kev muaj hli thiab kev yug me nyuam:
- Thaum tseem hluas thiab laus zuj zus: Yog tias koj pib muaj hli ua ntej hnub nyoog 12 xyoos, koj qhov kev pheej hmoo yuav nce ntxiv vim tias lub tsev menyuam raug rau cov tshuaj hormones estrogen ntev dua.
- Lub caij nyoog laus lig: Tsis tas li ntawd, yog tias lub caij nyoog laus tshwm sim tom qab hnub nyoog 50 xyoo, ces lub sijhawm raug tshuaj estrogen kuj ntev dua.
- Tsis tau cev xeeb tub: Cov poj niam uas tsis tau muaj menyuam muaj feem yuav mob hnyav dua li cov uas tau muaj.
- Keeb kwm tsev neeg muaj mob qog noj ntshav: Ib txhia neeg tau txais kev pheej hmoo ntawm kev mob qog noj ntshav los ntawm noob caj noob ces. Cov neeg uas muaj mob qog noj ntshav hu ua Lynch Syndrome muaj kev pheej hmoo ntau dua ntawm kev mob qog noj ntshav hauv tsev menyuam thiab lwm yam mob qog noj ntshav (tshwj xeeb tshaj yog mob qog noj ntshav hauv plab hnyuv).
- Qee txoj kev kho mob:
- Kev kho mob estrogen hormone (ERT): Kev noj tshuaj estrogen ib leeg yam tsis muaj cov tshuaj hormone progesterone rau cov tsos mob menopausal ua rau muaj kev pheej hmoo ntau ntxiv.
- Kev Siv Tamoxifen: Cov tshuaj no, siv los kho mob qog noj ntshav hauv lub mis, tuaj yeem ua haujlwm zoo li estrogen hauv lub tsev menyuam thiab ua rau muaj kev pheej hmoo ntawm mob qog noj ntshav.
- Kev kho mob hluav taws xob rau thaj chaw ntawm lub duav: Yog tias koj tau txais kev kho mob hluav taws xob rau thaj chaw ntawm lub duav rau lwm yam mob qog noj ntshav, cov cell yuav raug puas tsuaj thiab tej zaum yuav muaj kev pheej hmoo ntawm kev mob qog noj ntshav lwm yam.
Tus kws kho mob kuaj mob li cas?
Yog koj muaj cov tsos mob txawv txawv, koj tus kws kho mob yuav nug koj txog koj cov tsos mob thiab koj tsev neeg keeb kwm muaj mob ua ntej. Tom qab ntawd lawv yuav kuaj lub cev thiab kuaj lub plab mog.
Tom qab ntawd, ib lossis ntau qhov kev kuaj mob hauv qab no yuav ua tau los xyuas kom meej tias muaj tus kab mob:
- Kev Siv Ultrasound Transvaginal: Qhov no suav nrog kev ntxig ib lub cuab yeej scanning tshwj xeeb rau hauv qhov chaw mos kom thaij duab meej ntawm lub tsev menyuam thiab endometrium. Qhov no tuaj yeem pab txiav txim siab seb endometrium puas tuab dhau.
- Kev kuaj mob endometrial biopsy: Qhov no yog qhov kev kuaj tseem ceeb uas siv los lees paub qhov kev kuaj mob. Ib lub raj nyias nyias, yoog tau raug xa mus rau hauv lub qhov ncauj tsev menyuam thiab ib daim ntaub me me raug coj los ntawm endometrium. Tej zaum koj yuav xav tsis thoob tias qhov no puas yuav mob. Txawm hais tias nws yuav tsis xis nyob me ntsis, nws yog ib qho kev ua haujlwm sai. Tom qab ntawd cov ntaub so ntswg raug xa mus rau chav kuaj mob kom kuaj xyuas cov hlwb qog noj ntshav.
- Kev kuaj lub tsev menyuam hauv plab (hysteroscopy): Yuav muab ib lub raj nyias nyias uas muaj lub koob yees duab thiab lub teeb (hysteroscope) tso rau hauv lub tsev menyuam los ntawm qhov chaw mos mus rau hauv lub tsev menyuam kom kuaj sab hauv. Kuj tseem yuav tau kuaj lub biopsy thaum lub sijhawm no.
- D&C (Kev nthuav thiab Curettage):Qhov no yog ib qho txheej txheem nyuaj me ntsis dua li kev kuaj mob biopsy. Nws ua tiav hauv chav phais mob hauv qab tshuaj loog. Lub qhov ncauj tsev menyuam tau nthuav dav, thiab cov ntaub so ntswg raug khawb los ntawm phab ntsa sab hauv ntawm lub tsev menyuam thiab xa mus kuaj.
Nco ntsoov tias, kev kuaj Pap tsis tuaj yeem kuaj pom mob qog nqaij hlav ntawm lub tsev menyuam. Nws tsuas yog kuaj xyuas seb puas muaj mob qog nqaij hlav ntawm lub tsev menyuam xwb.
Yog tias mob qog noj ntshav raug kuaj pom tseeb lawm, yuav muaj dab tsi tshwm sim tom ntej?
Yog tias kuaj pom tias muaj mob qog noj ntshav lawm, cov kws kho mob mam li saib seb hom mob qog noj ntshav thiab theem twg. Qhov no tseem ceeb heev rau kev npaj kho mob.
- Hom:
- Hom 1: Cov no tsis yog cov kab mob ua phem heev. Lawv kis qeeb qeeb.
- Hom 2: Cov no muaj kab mob hnyav dua. Lawv tuaj yeem kis tau sai thiab xav tau kev kho mob hnyav dua.
- Theem: Tus mob qog noj ntshav raug faib ua pawg los ntawm theem I mus rau IV nyob ntawm seb nws kis mus rau qhov twg.
| Theem Mob Cancer | Kev piav qhia |
|---|---|
| Theem I | Tus mob cancer tsuas yog nyob rau hauv lub tsev menyuam xwb. |
| Theem II | Tus mob qog nqaij hlav tau kis mus rau lub qhov ncauj tsev menyuam. |
| Theem III | Tus mob qog noj ntshav tau kis mus rau qhov chaw mos, zes qe menyuam, thiab/lossis cov qog ntshav hauv lub cev. |
| Theem IV | Tus mob qog noj ntshav tau kis mus rau cov kabmob uas nyob deb ntawm lub zais zis lossis lub tsev menyuam. |
Cov kev kho mob rau mob qog noj ntshav hauv tsev menyuam yog dab tsi?
Kev kho mob uas koj tau txais nyob ntawm hom mob qog noj ntshav, nws theem, thiab koj txoj kev noj qab haus huv tag nrho.
- Kev Phais Mob: Qhov no yog kev kho mob tseem ceeb. Feem ntau, yuav tsum tau phais hysterectomy . Qhov no yuav tsum tau tshem tag nrho lub tsev menyuam thiab lub qhov ncauj tsev menyuam. Feem ntau yuav tsum tau phais salpingo-oophorectomy (SOO) thiab phais cov qog ntshav kom pom tias mob qog noj ntshav puas tau kis mus rau lwm qhov.
- Kev Kho Mob Hluav Taws Xob: Kev siv cov hluav taws xob muaj zog heev los tua cov hlwb qog noj ntshav. Qhov no yog siv los tua cov hlwb uas tseem tshuav tom qab phais lossis thaum phais tsis tau.
- Kev Kho Mob Qog Noj Ntshav: Muab cov tshuaj muaj zog rau lub cev uas tua cov hlwb qog noj ntshav. Cov no tuaj yeem muab los ntawm kev txhaj tshuaj lossis ua cov tshuaj ntsiav.
- Kev Kho Mob Hormone: Muab cov tshuaj uas thaiv cov tshuaj hormones uas xav tau rau kev loj hlob ntawm cov qog nqaij hlav.
- Kev Kho Mob Targeted: Muab cov tshuaj uas tsom mus rau qhov tsis muaj zog tshwj xeeb hauv cov hlwb qog noj ntshav thiab nres lawv txoj kev loj hlob.
- Kev Kho Mob Tiv Thaiv Kab Mob: Txhawb kom peb lub cev tiv thaiv kab mob kom tawm tsam cov hlwb qog noj ntshav.
Kab mob no puas kho tau tag nrho?
Yog. Qhov no yog xov xwm zoo tshaj plaws. Mob qog noj ntshav hauv tsev menyuam, tshwj xeeb tshaj yog mob qog noj ntshav hauv tsev menyuam, tuaj yeem kuaj pom thaum ntxov heev . Qhov no yog vim tias cov tsos mob pom tseeb yog los ntshav tsis zoo.
Yog tias kuaj pom tus mob qog noj ntshav thaum ntxov, ua ntej nws kis mus rau sab nraud ntawm lub tsev menyuam, qhov muaj feem yuav kho tau tag nrho yog siab heev (ntau dua 95%), txawm tias phais tshem lub tsev menyuam tawm los xij.
Tiam sis yog tias tus kab mob tsis raug kuaj pom thiab kis mus rau lwm qhov ntawm lub cev (metastasis), tus nqi kho mob yuav txo qis. Yog vim li ntawd peb thiaj hais tias kev kuaj pom thaum ntxov cawm tau txoj sia .
Kuv ua tau dab tsi los tiv thaiv kab mob qog noj ntshav?
Feem ntau, mob qog nqaij hlav hauv tsev menyuam tsis tuaj yeem tiv thaiv tau tag nrho. Tab sis muaj qee yam uas koj tuaj yeem ua tau los txo koj qhov kev pheej hmoo:
- Tswj koj qhov hnyav kom noj qab nyob zoo: Vim tias kev rog dhau yog ib qho tseem ceeb uas ua rau muaj kev pheej hmoo, tswj koj qhov hnyav los ntawm kev tawm dag zog kom zoo thiab noj zaub mov kom zoo.
- Kev Tswj Kab Mob Ntshav Qab Zib: Yog tias koj muaj kab mob ntshav qab zib, tswj nws kom zoo.
- Ceev faj nrog kev siv cov tshuaj hormones: Yog tias koj noj tshuaj hormones, nrog koj tus kws kho mob tham txog nws thiab xav txog kev kho mob uas muaj estrogen thiab progesterone.
Yog tias koj muaj feem yuav mob qog noj ntshav ntau (piv txwv li Lynch syndrome), nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham txog qhov no thiab ua qhov kev kuaj mob kom raug .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov tsos mob tseem ceeb ntawm mob qog noj ntshav hauv tsev menyuam yog los ntshav tsis zoo li qub . Tsis txhob tso tseg kev los ntshav, tshwj xeeb tshaj yog tom qab lub sijhawm tas lawm.
- Kab mob qog noj ntshav no kho tau zoo tag nrho yog tias kuaj pom thaum ntxov . Yog li ntawd, tsis txhob ntshai, thiab nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob.
- Kev rog dhau thiab ntshav qab zib uas tsis tswj tau ua rau muaj feem mob qog noj ntshav hauv tsev menyuam ntau ntxiv. Nws yog ib qho tseem ceeb kom ua neej noj qab nyob zoo.
- Kev kuaj Pap tsis tuaj yeem kuaj pom mob qog nqaij hlav hauv tsev menyuam. Nws yog kev kuaj mob qog nqaij hlav hauv tsev menyuam.
- Cov kev xaiv kho mob nyob ntawm seb koj tus mob qog noj ntshav hom twg thiab theem twg. Koj tus kws kho mob yuav muab txoj kev npaj kho mob uas zoo tshaj plaws rau koj.
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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