E mōhio ana koe ki te Uterine Sarcoma? Me kōrero taipitopito tātou mō tēnei!

Kua rongo pea koe i te mate pukupuku o te kōpū. Engari e mōhio ana koe he aha te ingoa o tēnei momo mate pukupuku ko te Uterine Sarcoma? He ahua onge, engari he mea nui kia mōhio koe ki tēnei. Nā te mea, ki te kitea wawe, ka māmā ake te rongoā , ā, he mea pai tonu te tiaki i tō tātou hauora. Nō reira, me kōrero tātou mō tēnei mea i roto i te huarahi māmā e mārama ai koe.

He aha te Uterine Sarcoma?

I te whakarapopototanga, ka whanake tēnei sarcoma uterine i roto i te paparanga uaua o tō kōpū, e kiia nei ko te "Myometrium". Ko te nuinga o ngā matepukupuku kōpū ka whanake i roto i te arai o roto o te kōpū, e kiia nei ko te "Endometrium". Ka kiia ēnei e mātou ko ngā "matepukupuku Endometrial" ko ngā "Carcinomas" rānei. Heoi, he iti ake te kitea o tēnei momo "Sarcomas". Tērā atu anō ētahi momo "Sarcoma" onge ka tīmata i roto i ngā pūtau tautoko o te arai uterine.

Kia pēhea te kino o tēnei?

Ina hoki, ka tere ake te tipu me te horapa o te sarcoma uterine i te mate pukupuku endometrial noa. Heoi, ehara i te mea he rite te kino o ngā sarcoma uterine katoa. Ma tō tākuta e whakatau te kino o te sarcoma i runga i ngā āhuatanga pēnei i te wāhi kei reira me te momo sarcoma.

Ka tirohia hoki e te tākuta te taumata o te mate pukupuku kia kite ai mēnā kua horapa ('te whakatau i te taumata') .

He aha te Whakatakotoranga Matepukupuku?

Ina ako tātou mō te mate pukupuku, ko tētahi o ngā mea tino mataku kei a tātou ko te horapa ki ētahi atu wāhanga o te tinana (kua horapa). Nō reira, hei kimi i te tawhiti o te horapa o te mate pukupuku, ka hoatu e ngā tākuta he tau (mai i te I ki te IV). Ko te teitei ake o te tau, ko te nui ake o te horapa o te mate pukupuku i roto i te tinana . Ka kiia tēnei pūnaha whakarōpūtanga ko te "whakatakotoranga". Ka whakamahia e ngā tākuta ēnei mōhiohio hei whakamahere maimoatanga.

He aha ngā wāhanga o te sarcoma uterine?

E whā ngā wāhanga matua o te sarcoma uterine:

• Wāhanga I: Kei roto anake i te kōpū te mate pukupuku.
• Wāhanga II: Kua horapa te mate pukupuku ki waho o te kōpū ki roto i te hope.
• Wāhanga III: Kua horapa te mate pukupuku ki ngā wāhi o te puku i waho o te kōhao hope, hei tauira, ki ngā kōpū lymph.
• Wāhanga IV: Kua horapa te mate pukupuku ki ngā wāhi tawhiti i waho o te puku, kua horapa rānei ki te pūkahukahu, ki te tō rānei.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?

I te nuinga o te wā, ka puta te sarcoma uterine i roto i te hunga neke atu i te 40 tau te pakeke. Heoi, kua pūrongohia ka pā tēnei mate ki te hunga 20 tau te pakeke. Ko te tau toharite mō te tātaritanga he tata ki te 60 tau te pakeke.

He aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te sarcoma uterine?

Tērā pea ētahi āhuatanga ka whakanui ake i tō tupono ki te pāngia e te sarcoma uterine. Me titiro tātou ki ēnei āhuatanga:

• Irahiko pelvic: Mena kua whiwhi koe i te maimoatanga irahiko ki tō rohe pelvic i mua, tera pea ka piki ake te tūponotanga o te whakawhanake i te sarcoma uterine. Heoi, kāore tēnei e tino tupu pinepine. Heoi, ka puta i waenga i te 5 me te 25 tau i muri i te maimoatanga irahiko.
• Te whakamahinga o te Tamoxifen: Mena ka whakamahia te rongoā "Tamoxifen" mō te mate pukupuku o te ū mō te wā roa (e rima tau, neke atu rānei), ka piki ake hoki te mōrearea o te whakawhanake i te sarcoma uterine.
• Ira: Mā te whai ira e puta ai te retinoblastoma, he mate pukupuku kanohi, ka piki ake te mōrearea ki te whakawhanake i ētahi momo sarcoma uterine.

Ko tētahi atu mea, ahakoa kāore anō kia taea e ngā kairangahau te rapu i te tino take, kua kitea e rātou e rua te nui ake o te tūponotanga o ngā wāhine mangu ki te pāngia e te mate i ngā wāhine mā .

He pēhea te noa o te sarcoma uterine?

He momo mate pukupuku tino onge tēnei. E 3% ki te 7% noa iho o ngā mate pukupuku kōpū katoa e pāngia ana. Ko te tikanga, ehara i te mea e pā ki te katoa.

He aha ngā tohu? Me pēhea te mōhio ki a rātou?

Ko ngā tohu matua o te sarcoma uterine ka rite ki ngā tohu o te mate pukupuku endometrial me ngā pukupuku kore-mate pukupuku pērā i te fibroids. Nō reira, ki te pāngia koe e tētahi o ēnei tohu, he mea nui kia tirohia koe e te tākuta.

Anei aua āhuatanga:

• He toto tara rerekē kāore e pā ana ki te paheketanga, e puta ana rānei i muri i te paheketanga.
• He toto i puta mai i te tara, me te haunga kino hoki.
• Te rongo i tētahi puranga/pūpū i roto i te tara, i te kōhao hope rānei.
• Te ahua o te kī, te ahua o te taimaha i roto i te puku.
• Mamae o te hope.
• Te hiahia kia mimi pinepine.
• Te mate kōroke.

Whakaarohia, kua mutu te paheketanga o tētahi tangata ko Nimali tōna ingoa mō ngā marama, engari ka tīmata anō te toto. Tērā pea he taumaha noa iho tōna puku, ā, e hiahia ana ia ki te mimi pinepine. Ki te pāngia koe e tēnei āhuatanga, kaua e ngākau mārie, me te whakaaro, 'He mea noa pea tēnei.'

I ētahi wā, kāore pea e puta ngā tohu o te sarcoma uterine kia tino horapa rā anō. He tino onge te kitenga o te hunga kāore he tohu.

He aha te take o te sarcoma uterine?

Ko te sarcoma uterine e puta mai ana i ngā pūtau rerekē (ngā pūtau kino) e wehewehe ana, e horapa ana puta noa i te tinana. Ko te nuinga o ēnei pūtau ka hangaia i roto i te pakitara uaua o te kōpū, e kiia nei ko te "Myometrium".

Kāore anō kia mōhiotia e ngā kaipūtaiao te tino pūtake o te sarcoma uterine, engari kei te haere tonu ngā rangahau ki ngā huarahi hei tātaritanga, hei rongoā, hei ārai hoki.

Me pēhea te tautuhi i tēnei mate? (Tautuhinga)

Ki te whakapae tō tākuta kei a koe te sarcoma uterine, ka tirohia tuatahitia koe e ia, ā, ka pātai atu mō tō hītori hauora. Kātahi ka whakahaerehia e ia he whakamātautau pelvis, ka tirohia tō tara, te cervix, te kōpū, ngā ngongo fallopian, ngā ovaries, me te rectum. Hei tirotiro i ēnei whekau, ka whakaurua e te tākuta tētahi, e rua rānei ngā maihao kua mau ki te karapu ki roto i tō tara me te rectum hei rapu i tētahi mea rerekē. Tērā pea ka whakamahia e ia tētahi taputapu e kiia nei ko te speculum hei tirotiro i roto i tō tara.

Hei tāpiri, ka taea e te tākuta te whakahaere i ēnei whakamātautau:

• Te ine-orooro transvaginal: Ka taea e tēnei te tango pikitia o ngā kiko ngohengohe o tō pūnaha whakaputa uri, tae atu ki ngā whekau. Ka whakauruhia he ine-orooro motuhake kia 2-3 inihi te hohonu ki roto i te tenetene, ā, ka tirohia te kōpū me ngā ovaries. I ētahi wā, ka ōrite te āhua o te sarcoma uterine me te fibroids i runga i te ine-orooro.
• Ko te koiora endometrial: I roto i tēnei, ka tangohia e te tākuta he tauira kiko iti mai i te arai o roto o te kōpū ka tukuna ki te taiwhanga.

Ko te huarahi anake hei whakaū pono mēnā kei a koe te sarcoma uterine ko te tirotiro i ngā pūtau i tangohia mai i te koiora, i muri rānei i te tangohanga o te kōpū i raro i te karuārai.

Kia kitea tō mate pukupuku i te sarcoma uterine, me whai whakamātautau anō koe hei whakatau i te taumata tuturu o te mate pukupuku (te whakatau i te taumata). Mā ngā whakamātautau pēnei i te MRI (Magnetic Resonance Imaging), te CT (Computed Tomography), te PET (Positron Emission Tomography), me te X-ray o te uma ka āwhina i te whakatau mēnā kua horapa tō mate pukupuku ki ētahi atu wāhanga o tō tinana.

Tērā pea ka tukuna koe e tō tākuta ki tētahi tākuta matepukupuku wahine, ka taea e ia te āwhina i a koe ki te tautuhi me te maimoatanga.

He aha ngā maimoatanga? (Te maimoatanga)

Ka whakamahia pea e tō tākuta tētahi, ētahi rānei o ngā tikanga e whai ake nei hei rongoā i te sarcoma uterine: te pokanga, te rongoā irahiko, te rongoā chemotherapy, me te rongoā homoni.

Pokanga

Ko te pokanga hei tango i te matepukupuku te maimoatanga matua i te nuinga o te wā. Tērā pea ka tangohia e te taote pokanga te matepukupuku anake. Tērā pea ka mahia e ia tētahi, ētahi rānei o ngā pokanga e whai ake nei hei tango i ngā kiko me ngā whekau e pāngia ana:

• Te tango i te kōpū me te cervix: Te tango i tō kōpū me tō cervix (e kiia ana i ētahi wā ko te "tango katoa"). Tērā pea ka whakahaerehia e tō tākuta he pokanga iti rawa te whakaekenga mā te whakamahi i tētahi taputapu e kiia nei ko te "laparoscope" hei tango i te kōpū.
• Te tango i te kōpū katoa me te salpingo-oophorectomy: Te tango i te kōpū, tetahi, e rua rānei o ngā ovaries, me tetahi, e rua rānei ngā ngongo fallopian.
• Te tango i te kōpū, te kaki o te kōpū, ngā ngongo fallopian e rua, me ētahi kiko e karapoti ana, tae atu ki tētahi wāhanga o te tenetene.
• Lymphadenectomy: Te tango i ngā kōpū lymph me te whakamātautau i a rātou mō ngā pūtau matepukupuku.
• Laparotomy: Ka tapahia te puku hei tirotiro mēnā kua horapa te mate pukupuku. I ētahi wā, ka tangohia pea ētahi atu okana e pāngia ana e te mate pukupuku.

Te Whakaora Irahiko

Ko te rongoā irahiko he maimoatanga mate pukupuku e whakamahi ana i ngā hihi-X kaha-teitei hei whakangaro i ngā pūtau mate pukupuku , me te whakaiti i te kino ki ngā pūtau hauora. Ka taea te hoatu rongoā irahiko ki roto (ā-roto) ki waho rānei (ki waho). Ka taea te whakamahi i ngā tikanga e rua mō te sarcoma uterine.

Ko ētahi o ngā pānga taha o te rongoā irahiko ko:

• Te ngenge.
• Te korere.
• Whakapairuaki me te ruaki.
• Ngā huringa kiri.
• Te mumura o te pūkahukahu.
• Te pupuhi o ngā waewae (Edema).

Te rongoā matū

Ko te chemotherapy he maimoatanga e whakamahi ana i ngā rongoā hei patu, hei whakaroa rānei i te tipu o ngā pūtau matepukupuku e tere wehewehe ana. He maha ngā wā ka hoatuhia ēnei rongoā mā roto i te uaua. Ka pā mai pea ngā pānga kino kino. I ētahi wā ka hoatu ngātahitia te radiation therapy me te chemotherapy.

Ko ētahi o ngā pānga taha o te chemotherapy ko:

• Whakapairuaki me te ruaki.
• Te ngaro o te makawe.
• Te ngaronga o te hiahia kai.
• Te iti o te tatau toto.
• Ngenge.

Te Whakaora Hormone

Ko ngā homoni he matū e hangaia ana e ō tātou tinana hei whakahaere i ētahi mahi. Hei tauira, ko te testosterone me te estrogen. I ētahi wā, ka āwhina ngā homoni i te tipu o te mate pukupuku.

Ko te mahi a te rongoā homoni mā te aukati i te mahi a ngā homoni me te whakahaere i te tipu o te mate pukupuku. Ko ngā homoni pēnei i te `(Progestins)`, `(Gonadotropin-releasing hormone agonists)`, me `(Aromatase inhibitors)` ka whakamahia hei rongoā i te sarcoma uterine.

Ka taea te ārai i te sarcoma uterine? (Ārai)

Ina hoki, kāore anō kia mōhiotia me pēhea te ārai i te sarcoma uterine. Heoi, e mōhio ana mātou ki ngā āhuatanga mōrearea, pērā i te rongoā irahiko ki te pelvis me te tango tamoxifen mō te mate pukupuku ū. I te nuinga o te wā, he nui ake ngā painga o ēnei maimoatanga i ngā mōrearea o te whakawhanake i te sarcoma uterine, inā koa he mate onge.

Mena kei te rongoatia koe mō te mate pukupuku, kōrero ki tō tākuta mō ngā mōrearea e pā ana ki a koe, me te paunatia hoki ngā painga me ngā huakore o ngā kōwhiringa maimoatanga e wātea ana.

Kei te pēhea te āhua i muri i te maimoatanga? (Te matapae)

He uaua ake te rongoā i te sarcoma uterine i ērā atu mate pukupuku uterine, ā, ko tōna āhua ka pā ki te momo pukupuku kei a koe, te nui o te mate pukupuku (te rerekē o ngā pūtau pukupuku ina tirohia i raro i te karuārai), me te whānui o tōna horapa i roto i tō tinana. Kōrero ki tō tākuta mō te āhua ka pā ki tō mate.

I muri i te maimoatanga, whakaritea he haerenga tirotiro auau ki tō tākuta. Mena ka pāngia koe e te sarcoma uterine, tera pea ka nui ake te tūponotanga ki te pāngia koe e ētahi atu momo mate pukupuku.

Ka taea te whakaora katoa i te sarcoma uterine?

Ae, ka taea te rongoā i te sarcoma uterine, inā koa he iti te taumata (he āhua rerekē ngā pūtau) ā, kāore anō kia horapa ki waho o te kōpū. I ētahi wā, me whakamahi pea ētahi atu maimoatanga, pērā i te chemotherapy me te radiation therapy, hei whakangaro katoa i ngā pūtau matepukupuku.

Kia pēhea te roa ka taea e koe te ora me tēnei mate?

Kāore he huarahi e taea ai te kī tika i te roa o te oranga o te tangata whai mate pukupuku uterine. Ka whakawhirinaki tō putanga ki ngā āhuatanga maha, tae atu ki te momo mate pukupuku kei a koe, te whānui o tōna horapa, tō tau, tō hauora whānui, me te urupare a tō tinana ki te maimoatanga.

E ai ki te National Cancer Institute, ko te reiti oranga mō te sarcoma uterine i roto i ngā tau e rima i muri i te tautuhi i waenga i te 41% me te 95%, i runga i te momo sarcoma me te whānuitanga o te horapa.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina rongo koe i tētahi mea pēnei, he mea noa te maha o ngā pātai kei roto i tō hinengaro. Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• Kia pēhea te auau o ngā whakamātautau whai muri me ngā tikanga whakaahua e hiahiatia ana?
• He aha ngā āhuatanga e rapuhia ana e aua whakamātautau tāpiri?
• He aha ngā tohu hei whakaatu kua hoki mai taku mate pukupuku?
• He aha ngā tikanga me whai e au i ia rā kia noho hauora ai?
• Me pēhea te whakawhitiwhiti kōrero me te whakahou i ngā mōhiohio e pā ana ki taku mahere maimoatanga e taku tīma hauora?
• He aha te pānga o te momo sarcoma uterine kei a au ki aku whiringa maimoatanga me te matapae?

Ko te mea nui: Kāore koe i te mokemoke! (Karere hei kawe ki te kāinga)

Ki te mea kua tāpaetia koe he mate pukupuku tōu, he mea tino nui kia mārama koe kāore koe i te mokemoke.Pātai atu ki tō tākuta mō ngā rōpū tautoko mō te hunga e pāngia ana e te mate pukupuku kōpū me te hunga e rongoatia ana. Ka taea hoki e koe te rapu atu i ētahi atu kōrero mō rātou mā roto i tō peka ā-rohe o tētahi whakahaere pēnei i te American Cancer Society. Tērā pea ka taea e tō tākuta te tuku atu i a koe ki tētahi kaimahi hapori, ki tētahi tohunga hauora hinengaro rānei, hei āwhina i a koe ki te whakatau i te ahotea o te mōhio kei a koe te mate pukupuku .

Ngā kōrero poto hei maumahara:

• He mate onge engari he kino te mate uterine sarcoma.
• He mea nui kia mōhio ki ngā tohu, kaua hoki e warewarehia .
• Ki te ruarua koe, me toro atu ki te tākuta tonu.
• He maimoatanga kei reira, nō reira kia mau te tumanako.
• He tokomaha ngā tāngata hei āwhina, hei tautoko i a koe i tēnei haerenga.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Te Matepukupuku o te Kōpū, Te Matepukupuku o te Kōpū, Te Hauora o ngā Wahine, Ngā Tohumate o te Matepukupuku, Te Maimoatanga o te Matepukupuku, Te Whānautanga