Kua rerekē haere tō huringa paheketanga? Kāore rānei, kei te rongo noa koe i te pupuhi, i te taumaha i roto i tō puku o raro? I ētahi wā ka whakaaro tātou he mea noa ēnei, engari i tēnei rā kei te kōrero tātou mō tētahi take e āwangawanga ana pea. He mate tēnei e kiia nei ko te Granulosa Cell Tumor (GCT). Kaua e mataku ina rongo koe i tēnei ingoa, he mea nui kia mōhio koe ki tēnei.
He aha te Granulosa Cell Tumor (GCT)?
Ko te Granulosa Cell Tumor (GCT) he momo pukupuku e tupu ana i roto i ngā ovaries o ngā wāhine. E mōhio ana koe, he wāhanga tino nui ngā ovaries o tā tātou pūnaha whakaputa uri wahine. Haunga te whakaputa hua manu, ka whakaputahia hoki e ēnei ovaries ngā homoni wahine e rua e kiia nei ko te estrogen me te progesterone.
Ko te āhuatanga motuhake o ēnei pukupuku GCT he nui rawa te homoni estrogen e whakaputaina ana e rātou. Koinei te take e puta ai ngā huringa me ngā tohu rerekē i roto i te tinana. Ahakoa ka taea e ēnei pukupuku te whanake i ngā tau katoa, ka kitea whānuitia i te taha o te 50 tau te pakeke.
He tino onge te mate GCT. E 5% noa iho o ngā pukupuku whatukuhu katoa e kitea ana i tēnei mate. Engari he mea nui kia mōhio koe ki tēnei mate mō tō hauora.
He pukupuku kino ēnei?
Ae, ko te Granulosa Cell Tumor he momo pukupuku e taka ana ki te kāwai kino . Engari ko te mea nui me maumahara koe i konei ko te nuinga o ēnei pukupuku ka tino puhoi te tipu . Nā tēnei, he nui ake ngā tūponotanga ka kitea i ngā wāhanga tōmua. Mena ka kitea wawe, he tino pai hoki ngā hua o te maimoatanga. Nō reira, kāore he take e manukanuka ai.
He rerekētanga kei waenganui i ngā GCT e puta ana i roto i te hunga kaumātua me te hunga rangatahi?
Āe, he iti noa te rerekētanga. Ko tēnei mate ka kitea nuitia i roto i ngā wāhine kua pakeke. 95% o ngā tūroro i tātaritatia he wāhine kua pakeke ake.
Heoi, ki te puta tēnei pukupuku i roto i tētahi taiohi kei raro iho i te 30 tau te pakeke, tera pea he momo e kiia nei ko te Juvenile GCT . I ētahi wā ka tere ake te tipu o tēnei momo Juvenile GCT i te momo e puta ana i roto i ngā pakeke, ā, tera pea ka nui ake te tūponotanga ka hoki anō i roto i ētahi tau i muri i te maimoatanga.
He aha te take e puta ai he GCT?
Kāore anō kia tino mōhiotia e ngā tohunga te take o tēnei, engari i te nuinga o te wā, ka puta ēnei pukupuku i te whakarerekētanga o tētahi ira e kiia nei ko FOXL2., arā, ka kitea ētahi panonitanga. Ko te mahi matua o tēnei ira he āwhina i te tipu hauora o ngā pūtau granulosa. Nō reira, ina puta he panonitanga i roto i tēnei ira, ka taea e ngā pūtau te tipu rerekē, ka puta he pukupuku pēnei.
Kei a koe anō ēnei tohu?
Ko te tohu matua o te GCT ko te pikinga o ngā taumata o te estrogen i roto i te tinana. Ka rerekē pea ngā tohu e puta mai ana i tēnei i runga i tō tau.
- Tērā pea ka whakaatu te kōtiro i ngā tohu o te pakeketanga i te wā taitamariki.
- I roto i ngā wāhine kua kaumātuatia , he mea noa ngā tohu e whai ake nei.
| Tohu | Whakaahuatanga |
|---|---|
| Te toto koretake | Te toto anō i roto i ngā wāhine kua mutu te paheketanga (i muri i te menopause) te toto kōpū rerekē rānei i roto i ngā wāhine taitamariki. |
| Te pupuhi o te puku | Te whakanui, te pupuhi rānei i te puku o raro. |
| Ngā huringa o te huringa paheketanga | Te mutunga kore o te paheketanga, te mutunga katoa rānei. |
| Mamae o te ū | Te mamae o te ū, te ngawari rānei. |
| Mamae o raro o te puku | Ka puta noa tēnei mēnā ka pakaru te whēwhē, ka puta ai te mamae ohorere, te mamae nui. |
He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?
Ki te kore tēnei āhuatanga e rongoatia i te wā tika, ka piki ake te mōrearea o ētahi atu raruraru hauora i te mea ka noho teitei tonu ngā taumata o te estrogen i roto i te tinana.
| Ngā raruraru pea | Hei whakarāpopototanga... |
|---|---|
| Te Whakarahi o te Endometrial | Te matotoru rerekē o te pakitara o roto o te kōpū. |
| Matepukupuku o te Kōpū | Te pikinga ake o te mōrearea o te whakawhanake i ngā pūtau matepukupuku o te kōpū. |
| Matepukupuku o te ū | Tērā pea ka paku piki ake te mōrearea o te mate pukupuku o te ū. |
| Te kore tamariki | Te pānga ki te kaha ki te whānau tamariki. |
Me pēhea te tautuhi a ngā tākuta i tēnei mate?
Ina kōrero koe ki tō tākuta mō ngā tohu o runga ake nei, ka tirotirohia koe e ia, ka whakahau hoki i ētahi whakamātautau hei whakaū i te mate.
- Whakaahua: Tērā pea ka uru atu ki tēnei he matawai CT , he matawai MRI , he matawai ultrasound transvaginal rānei, arā, he matawai ka mahia mā roto i te tenetene.
- Ngā Whakamātautau Toto: Ka tirohia e ēnei whakamātautau ētahi tohu pukupuku, pērā i te Inhibin, e whakaputaina ana e ngā GCT. Ka tirohia hoki e rātou ētahi atu āhuatanga.
He aha ngā kōwhiringa maimoatanga?
Ko te pokanga te maimoatanga tuatahi me te maimoatanga matua mō te GCT.I konei, ka ngana te taote pokanga ki te tango i te nuinga o te pukupuku me te kore e kino te kiko hauora.
Mena he taitamariki koe, kāore i te whakaaro ki te whānau tamariki, kua mutu rānei te pāheketanga, ka tūtohu pea tō tākuta kia tangohia te oophorectomy , arā, ko te tango i te ovary katoa kei roto te pukupuku. I ētahi wā, ka hiahiatia pea he hysterectomy .
Te whakatau i te wāhanga o te mate pukupuku (te wāhanga)
I muri i te pokanga, ka whakatauhia te "wāhanga" hei tirotiro mēnā kua horapa te mate pukupuku.
- Wāhanga 1: Kua herea te pukupuku ki ngā ovaries, ā, kāore anō kia horapa.
- Ngā Wāhanga 2 ki te 4: Kua horapa te mate pukupuku (kua horapa ki ētahi atu wāhanga o te tinana).
Ko te rongo pai, e 9 o roto i te 10 ngā tūroro GCT ka kitea i te wāhanga 1 , ina noho te mate pukupuku ki ngā ovaries anake. I roto i ēnei āhuatanga, he rawaka pea te pokanga anake.
I runga i te rahi o te puku me te mōrearea o te hokinga mai, ka tūtohutia pea ētahi atu maimoatanga hei tāpiri atu ki te pokanga.
- Te rongoā matū
- Te rongoā homoni
- Te rongoā irahiko
He aha te mea ka tupu i muri i te maimoatanga?
I muri i te tangohanga o te pukupuku, me noho koe i raro i te tirotiro a te rata mō te wā roa, nā te mea ka hoki anō ēnei pukupuku ahakoa kua maha ngā tau . Nō reira, ka tirotirohia koe e tō tākuta i ia wā , i ia wā, kia mōhio ai kāore anō te pukupuku kia hoki mai anō.
- Ngā whakamātautau pelvis
- Ngā whakamātautau toto mō ngā tohu mate pukupuku
- Ka whakamahia ngā mea pēnei i ngā matawai mō tēnei.
Ka taea te ora katoa mai i tēnei mate?
Āe, tino tika. Ka taea te whakaora katoa i te Pūtau Granulosa, ina koa mēnā ka kitea wawe, ā, ka tangohia mā te pokanga.
Ki te kitea te mate pukupuku i muri i tōna horapa ki ētahi atu wāhanga o te tinana, tera pea ka iti ake te tūponotanga o te ora. Koia mātou ka tūtohu kia tere tonu te toro atu ki te tākuta mēnā kei a koe ngā tohu o te GCT.
Karere Tangohia ki te Kāinga
- Ko te Puku Pūtau Granulosa (GCT) he pukupuku matepukupuku onge, he puhoi te tipu, e puta ana i roto i ngā ovaries.
- Ka hua ake te nui rawa o te homoni estrogen i tēnei, ka puta ai ngā tohu pēnei i te toto koretake me te pupuhi.
- Mena kei te toto anō te tangata kua mutu tana huringa paheketanga, kei te pāngia rānei e ētahi atu tohu rerekē, kaua e whakaroa. Tirohia te tākuta tonu.
- Mena ka kitea i ngā wāhanga tōmua, ka taea te whakaora katoa mā te pokanga.
- He mea tino nui te aroturukitanga hauora mō te wā roa, nā te mea ka taea e ēnei pukupuku te hoki mai anō ahakoa kua rongoatia.
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