Tiyeni tiphunzire za khansa yachilendo yokhudzana ndi mimba? (Choriocarcinoma)

Kodi mudamvapo za dzina lakuti Choriocarcinoma? Limeneli likhoza kukhala dzina latsopano kwa inu. Ili ndi khansa yosowa kwambiri komanso yoopsa pang'ono. Koma musadandaule, tiyeni tikambirane mwatsatanetsatane. Vutoli nthawi zambiri limagwirizanitsidwa ndi mimba. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.

Kodi Choriocarcinoma ndi chiyani?

Mwachidule, choriocarcinoma ndi mtundu wa khansa womwe umayamba m'chiberekero kapena m'mazira ndipo umafalikira mofulumira kwambiri. Palinso mitundu iwiri ikuluikulu ya khansa imeneyi.

Mtundu wofala kwambiri wa choriocarcinoma womwe umapezeka panthawi ya mimba umatchedwa Gestational Choriocarcinoma . Uwu ndi wa gulu lotchedwa Gestational Trophoblastic Disease (GTD). GTD ndi matenda a khansa omwe amakula m'maselo omwe amachokera ku placenta panthawi ya mimba. Monga mukudziwa, placenta ndiye gawo lofunika kwambiri la thupi lomwe limapereka mpweya ndi zakudya kwa mwana kudzera mu umbilical cord.

Choriocarcinoma imapezeka kwambiri mwa akazi omwe adatenga mimba ya molar . Mimba ya molar ndi vuto lomwe hydatidiform mole imakula m'chiberekero m'malo mwa mwana wosabadwayo chifukwa cha vuto la umuna ndi dzira. Zitha kuchitikanso pambuyo pa mimba yotuluka m'mimba , kutayika kwa mimba, kapena kubereka bwino.

Choopsa kwambiri pa khansa iyi ndichakuti imatha kufalikira mwachangu kwambiri ku ziwalo zina za thupi. Mwachitsanzo:

• Mapapu
• Minofu ya chiberekero
• Ma lymph nodes
• Chiwindi kapena impso
• Ubongo
• Mitsempha ya magazi

Koma nkhani yabwino ndi yakuti nthawi zambiri, vuto la choriocarcinoma limeneli limatha kuchiritsidwa kwathunthu ndi mankhwala a chemotherapy .

Kodi mitundu ya choriocarcinoma ndi iti?

Monga tanenera kale, pali mitundu iwiri ya choriocarcinoma:

1. Gestational Choriocarcinoma: Mtundu uwu ndi wofala kwambiri. Umatha kufalikira panthawi ya mimba kapena nthawi yochepa mimba itatha.

2. Choriocarcinoma yosakhudzana ndi mimba: Izi zitha kukhudza amuna ndi akazi. Ndi mtundu wa chotupa cha maselo a germ. Mwa akazi, zimatha kuchitika m'mazira kapena m'kati mwa chiberekero, koma sizikugwirizana ndi placenta. Mwa amuna, zimatha kuchitika m'machende.

Kodi matendawa ndi ofala bwanji?

Gestational Choriocarcinoma (GCT) ndi yomwe imayambitsa pafupifupi 5% ya milandu ya GTD. Ngakhale m'dziko ngati United States, milandu ya GTD imachitika pafupifupi 0.1% ya mimba zonse. Choncho, taganizirani izi: GCT ndi yosowa kwambiri. Imapezeka pa mimba zosakwana 7 pa mimba 100,000 ku United States. Izi zikutanthauza kuti ndi vuto losowa kwambiri ku Sri Lanka.

Kodi zizindikiro za choriocarcinoma ndi ziti?

Munthu amene ali ndi choriocarcinoma, makamaka amene wangotenga mimba kumene, akhoza kukhala ndi zizindikiro monga:

• Kutuluka magazi kosakhazikika m'mimba
• Kupweteka m'chiuno

Ngati khansa yafalikira ku ziwalo zina za thupi, zizindikiro zina zingaoneke, monga:

• Ngati yafalikira mpaka m'mapapo: chifuwa, kuvutika kupuma.
• Ngati yafalikira ku nyini: kutuluka magazi ambiri, kutuluka magazi kosazolowereka, ndi ziphuphu za ku nyini.
• Ngati yafalikira ku ubongo: Kukomoka, mutu.
• Ngati yafalikira ku impso kapena chiwindi: kupweteka m'mimba.

Kodi zifukwa zake ndi ziti?

Choriocarcinoma imachitika pamene maselo omwe amapanga placenta (otchedwa trophoblasts) amakhala khansa. Imatha kukula msanga mimba ikatha. Pafupifupi 50% ya anthu omwe ali ndi choriocarcinoma adakhalapo ndi mimba ya molar. Mimba ya molar imachitika pamene thumba lodzaza ndi madzi limakula mkati mwa chiberekero m'malo mwa mwana wosabadwayo.

Mu choriocarcinoma yopanda mimba, maselo m'mazira obereketsa, machende, kapena chiberekero amayamba kupanga mahomoni otchedwa human chorionic gonadotropin (hCG) . Akayang'aniridwa ndi maikulosikopu, maselowa amafanana ndi maselo a trophoblast.

Kodi khansa ya m'mawere ya Gestational Choriocarcinoma imakula mofulumira bwanji?

Palibe nthawi yeniyeni yodziwira kuti izi zichitike. Zingawonekere miyezi ingapo kapena zaka pambuyo pa mimba. Komabe, zimaonedwa kuti ndi khansa yofala kwambiri komanso yoopsa.

Kodi ndi zinthu ziti zomwe zimayambitsa vutoli?

Aliyense amene wakhala ndi pakati (kaya kudzera mu kupita padera, mimba yotuluka m'mimba, kuchotsa mimba, kapena kubereka bwino) akhoza kukhala ndi choriocarcinoma. Komabe, muli pachiopsezo chachikulu ngati mwakhala ndi mimba yotuluka m'mimba.

Zina mwa zinthu zomwe zingakubweretsereni chiopsezo ndi izi:

• Kukhala ndi zaka zosakwana 20 kapena kupitirira 40 panthawi ya mimba.

Kodi mavuto a vutoli ndi otani?

Choriocarcinoma imatha kupha ngati sichitha kuchiritsidwa, chifukwa mtundu uwu wa khansa umafalikira mofulumira kwambiri.Koma ndi chithandizo, anthu ambiri amatha kuchira kapena kuchira kwathunthu. Monga momwe zilili ndi khansa zina, zotsatira zabwino kwambiri zimapezeka zikapezeka ndikuchiritsidwa msanga.

Kodi choriocarcinoma imapezeka bwanji?

Dokotala amagwiritsa ntchito mayeso awa kuti adziwe choriocarcinoma:

• Kuyezetsa m'chiuno kapena thupi kumachitika kuti aone ngati pali zotupa zilizonse.
• Kuyezetsa magazi kumachitika kuti aone kuchuluka kwa hCG (human chorionic gonadotropin). Anthu omwe ali ndi choriocarcinoma amakhala ndi kuchuluka kwa hCG kwambiri.
• Kuyezetsa magazi kuti muwone momwe chiwindi ndi impso zimagwirira ntchito.
• Kuchuluka kwa Magazi Okwanira (CBC).
• Ultrasound ya m'chiuno.
• Kujambula kwa CT (Computed Tomography - Kujambula kwa CT).
• Kujambula kwa MRI (Maginito Oona Maonekedwe a Maginito - MRI).
• X-ray ya pachifuwa.

Mayeso amenewa angathandizenso dokotala kudziwa ngati khansa yafalikira.

Kodi choriocarcinoma imachiritsidwa bwanji?

Madokotala amachiza choriocarcinoma kutengera siteji yake. Gawo la khansa ndi momwe dokotala amagawira khansa, kutengera zinthu monga kukula kwa chotupacho komanso ngati chafalikira kunja kwa chiberekero. Thanzi lanu lonse komanso zomwe mumakonda zimaganiziridwanso popanga dongosolo la chithandizo.

Chithandizo chachikulu cha choriocarcinoma ndi chemotherapy. Chemotherapy ndi mtundu wa mankhwala omwe amapha maselo a khansa.

Anthu ena angafunike kuchotsedwa kwa chiberekero, kuthandizidwa ndi radiation, kapena kuphatikiza mitundu yonse ya mankhwala awa.

Pambuyo pa chithandizo, dokotala wanu adzapitiriza kukuyang'anirani ngati mwabwereranso (mayeso otsatira).

Kodi khansa ya choriocarcinoma ingachiritsidwe?

Inde, choriocarcinoma imatha kuchiritsidwa. Nthawi zambiri imatha kuchiritsidwa ndi mankhwala a chemotherapy. Ngati yapezeka msanga, isanafalikire mbali zina za thupi, mwayi wochira umakhala wokwera kwambiri.

Kuchiritsa kungakhale kovuta pang'ono pazochitika izi:

• Ngati munalandirapo mankhwala a chemotherapy kale koma sanagwire ntchito.
• Ngati matendawa ayamba pambuyo pa mimba yonse kapena kubereka.
• Ngati mulingo wa hCG uli woposa 40,000 mIU/ml (mili-mayunitsi apadziko lonse pa milliliter) musanayambe chithandizo. (hCG ndi mahomoni opangidwa ndi placenta panthawi ya mimba).
• Ngati munali ndi zizindikiro kwa miyezi yoposa inayi musanayambe kulandira chithandizo kapena ngati munali ndi pakati.

Kodi choriocarcinoma ingapewedwe?

Ayi, choriocarcinoma singapewedwe. Komabe , ngati mwakhala ndi mimba ya molar, ndikofunikira kwambiri kulankhula ndi dokotala wanu za chiopsezo chanu cha choriocarcinoma.

Kodi mungakhale ndi moyo wautali bwanji ndi Choriocarcinoma?

Choriocarcinoma ikayamba ili ndi chiyembekezo chabwino. Chiŵerengero cha anthu omwe ali ndi choriocarcinoma ya mimba yomwe ili pachiwopsezo chochepa ndi pafupifupi 100%. Chiŵerengero cha anthu omwe ali ndi choriocarcinoma ya mimba yomwe ili pachiwopsezo chachikulu ndi 94%.

Choriocarcinoma yosakhudzana ndi mimba (mtundu womwe sukugwirizana ndi mimba/minofu ya placenta yomwe inalipo kale) ili ndi vuto loipa pang'ono. Komanso siikhudzidwa kwambiri ndi mankhwala a chemotherapy, zomwe zikutanthauza kuti mankhwala a chemotherapy sangakhale othandiza kwambiri popha maselo a khansa.

Kodi Choriocarcinoma ya Gawo 4 ingachiritsidwe?

Gawo lachinayi la choriocarcinoma limatanthauza kuti khansa yafalikira ku ziwalo zina za thupi lanu, monga ubongo wanu kapena chiwindi. Madokotala anu adzakambirana nanu za izi. Komabe , pali mwayi woti matendawa atha.

Kodi ndingakhale ndi mwana wina ngati ndili ndi choriocarcinoma?

Mwina. Anthu ambiri atha kukhalanso ndi ana atalandira chithandizo cha choriocarcinoma. Zimatengera momwe mwadziwira. Ngati mukufuna kukhala ndi ana, lankhulani ndi dokotala wanu za izi. Kenako angakupatseni chithandizo chabwino kwambiri.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi magazi osadziwika bwino m'mimba mwanu kapena kupweteka m'mimba, makamaka ngati munali ndi mimba ya m'mimba, onetsetsani kuti mwaonana ndi dokotala.

Khansa ya Choriocarcinoma ndi khansa yosowa koma yoopsa. Ndizachibadwa kumva kupsinjika maganizo mukalandira matenda ngati amenewa. Komabe, nthawi zambiri zizindikiro za khansa ya choriocarcinoma zimakhala zabwino kwambiri. Lankhulani ndi dokotala wanu za nkhawa kapena mafunso aliwonse omwe mungakhale nawo. Alipo kuti ayankhe mafunso anu ndikukupatsani chithandizo chabwino kwambiri.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

• Choriocarcinoma ndi khansa yosowa kwambiri komanso yofalikira mofulumira yomwe ingagwirizane ndi mimba.
• Anthu omwe adatenga mimba molar ali pachiwopsezo chachikulu.
• Dziwani zizindikiro monga kutuluka magazi m'mimba modabwitsa komanso kupweteka m'mimba.
• Mkhalidwe uwuKawirikawiri imatha kuchiritsidwa ndi chemotherapy.
• Kuzindikira msanga ndi kulandira chithandizo n'kofunika kwambiri.
• Ngati muli ndi kukayikira kapena zizindikiro zilizonse, funsani upangiri wa dokotala nthawi yomweyo. Musadandaule, madokotala ali okonzeka kukuthandizani.

Choriocarcinoma , khansa, mimba, placenta, chemotherapy, mimba ya molar, hCG