Kodi pali vuto ndi machende? Tiyeni tikambirane za Embryonal Carcinoma

Kodi mwaona kusintha pang'ono m'chibelekero chanu, kapena chotupa chosazolowereka kapena kutupa? Mwinanso mwamva kulemera pang'ono kapena kusasangalala. Si bwino kunyalanyaza zinthu izi, eti? Chifukwa izi zitha kukhala zizindikiro za matenda omwe nthawi zina sitimalankhula zambiri, koma ndikofunikira kwambiri kudziwa. Tikambirana za vuto lotere lero.

Kodi Embryonal Carcinoma ndi chiyani?

Mwachidule, Embryonal Carcinoma ndi mtundu wa khansa yomwe imayamba m'machende, yomwe imakhala yoopsa pang'ono ndipo imafalikira mofulumira. Imatchedwa chotupa cha maselo a germ cell. Tsopano mwina mukudabwa kuti maselo a germ awa ndi ati. Maselo a germ, nthawi zambiri, ndi maselo oyambirira omwe akuyenera kukhala maselo a umuna okhwima mokwanira. Komabe, pankhani iyi ya Embryonal Carcinoma, maselo a germ awa amayamba kugawikana ndikuchulukana mwachangu kwambiri popanda kulamulira. Pankhaniyi, chotupa choipa chimapangika mkati mwa chestle yanu.

Madokotala amaika khansa ya m'mimbayi m'gulu la khansa ya maselo osabereka. Tsopano mwina mukudabwa kuti khansa ya maselo osabereka ndi chiyani . Mwachidule, pali mtundu wina wa khansa ya maselo otchedwa seminoma. Komabe, khansa ya m'mimba iyi (embryonal carcinomas ndi chitsanzo cha izi) imakula mofulumira ndipo imafalikira mwachangu ku ziwalo zina za thupi.

Kodi vutoli ndi lofala bwanji?

Kodi Embryonal Carcinoma ndi yofala bwanji? Ndipotu, mukaganizira khansa zonse zomwe zimapezeka m'machende, izi sizimafala kwambiri. Izi zikutanthauza kuti, iyi si matenda omwe amakhudza aliyense. Pa milandu ya khansa ya machende yomwe yapezeka, zotupa za maselo a germ, pure embryonal carcinomas, zomwe ndi Embryonal Carcinoma yokha, zimawoneka pang'ono kwambiri, pafupifupi awiri pa zana (%2).

Komabe, ndikofunikira kudziwa izi. Pafupifupi 85 peresenti (85%) ya zotupa za maselo osakanikirana omwe amapezeka m'machende amatha kukhala ndi khansa ya m'mimba. Zotupa za maselo osakanikirana ndi zotupa zomwe zimachokera ku mitundu yosiyanasiyana ya zotupa zomwe sizili za seminoma.

Kawirikawiri, vutoli, lotchedwa Embryonal Carcinoma, limayambanso m'ziwalo zina mwa akazi, monga mazira. Embryonal carcinoma, yomwe imayamba m'mazira, ndi mtundu wosowa kwambiri wa chotupa cha maselo a ovarian. Kaya chimayambira kuti, khansa yamtunduwu ikukula ndikufalikira mwachangu.

Kodi zizindikiro za Embryonal Carcinoma ndi ziti?

Chabwino, tsopano tiyeni tiwone zizindikiro zomwe zikupezeka mu mkhalidwe uwu wa Embryonal Carcinoma. Ngati muli ndi chilichonse mwa izi, ndi bwino kupeza upangiri wa dokotala nthawi yomweyo.

• Kumva ngati chimodzi mwa machende anu chatupa.
• Chotupa kapena chotupa chomwe chimamveka chovuta kuchikhudza m'chitumbuwa, kaya chikumva kupweteka kapena ayi.
• Kumva kulemera ndi kusasangalala m'thumba la mimba.

Kuwonjezera pa zizindikiro izi, ngati khansa yafalikira kupitirira testis, kutanthauza kuti, ku ziwalo zina za thupi, zizindikiro zina zingawonekere.

• Kupweteka kwa msana.
• Kupweteka kwa m'mbali mwa ntchafu.
• Kuvuta kupuma (kupuma movutikira).
• Kutsokomola, nthawi zina kutsokomola magazi (hemoptysis).

Ngati mukuona chinthu chonga ichi, kodi simuyenera kupita kwa dokotala nthawi yomweyo?

Nchifukwa chiyani Embryonal Carcinoma imayamba?

Khansa ya m'mimba imayamba pamene maselo a tizilombo omwe tatchula kale ayamba kugawikana mofulumira ndikuchulukana mosalamulirika. Pakapita nthawi, maselowa amalumikizana ndikupanga chotupa. Khansa zimenezi nthawi zambiri zimakula mofulumira ndipo zimafalikira kupitirira testis.

Komabe, madokotala sakudziwabe chifukwa chake maselo a majeremusi amenewa amayamba kuchita zinthu molakwika poyamba. Komabe, amakhulupirira kuti maselo a majeremusi olakwikawa amapangidwa tikadali m'mimba, kutanthauza kuti, panthawi ya kukula kwa mwana wosabadwayo.

Ndani ali pachiwopsezo chachikulu cha vutoli? (Zinthu Zoopsa)

Chabwino, kodi ndi zinthu ziti zomwe zimayambitsa matendawa otchedwa Embryonal Carcinoma? Tiyeni tiwone.

• Zaka: Matendawa nthawi zambiri amapezeka mwa achinyamata azaka zapakati pa 25 ndi 35 .
• Mtundu: Zotupa za maselo a testicular zimapezeka kwambiri pakati pa amuna oyera omwe si a ku Spain omwe amakhala ku United States ndi ku Europe.
• Mbiri ya banja: Ngati wina m'banja mwanu, monga bambo kapena mchimwene wanu, wakhala ndi khansa yamtunduwu ya maselo a kachilombo, inunso mungakhale pachiwopsezo chowonjezeka pang'ono.
• Matenda ena: Mwachitsanzo, anthu omwe ali ndi matenda monga cryptorchidism ndi Klinefelter syndrome akhoza kukhala pachiwopsezo chachikulu.

Kodi Embryonal Carcinoma imapezeka bwanji?

Mukapita kukaonana ndi dokotala, iye adzakufunsani kaye za zizindikiro zanu komanso ngati pali aliyense m'banja mwanu amene wakhala ndi matendawa. Kenako, adzakuyang'anirani kuti aone ngati pali zotupa kapena kutupa m'matumbo anu. Adzayang'ananso ngati pali zotupa m'mimba mwanu. Izi zili choncho chifukwa zotupa m'matumbo zimatha kukhala chizindikiro chakuti khansa yafalikira.

Kuphatikiza apo, mayeso otsatirawa amachitika kuti adziwe matendawa molondola:

• Mayeso ojambulira: Kuyeza koyamba kwa machende onse awiri ndi ultrasound. Ngati izi zikusonyeza zizindikiro za khansa, scan ya CT (computed tomography scan), X-ray, kapena MRI (magnetic resonance imaging) ikhoza kuchitidwa kuti ione momwe khansayo yafalikira m'thupi.
• Kuyesa zizindikiro za chotupa m'magazi: Izi zimaphatikizapo kutenga chitsanzo cha magazi anu ndikuyang'ana zizindikiro zina za chotupa zomwe zimagwirizana ndi khansa ya ma testicular. Zitsanzo zikuphatikizapo alpha-fetoprotein (AFP) ndi human chorionic gonadotropin (HCG). Izi nthawi zina zimatha kuwoneka m'magazi ndi khansa ya m'mimba, koma osati nthawi zonse.
• Kuchotsa machende onse a khansa m'makoswe ndi kuchotsedwa kwa machende: Izi zimaphatikizapo kuchotsa machende onse a khansa ndikuwunika maselo ake pansi pa maikulosikopu. Apa ndi pamene n'zotheka kutsimikizira ngati ndi khansa ya m'mimba. Nthawi zambiri, kuchotsedwa kwa machende kumatenga kachidutswa kakang'ono ka minofu. Komabe, pankhani ya khansa ya m'machende, ngati kachidutswa kakang'ono kotere katengedwa, machende onse amachotsedwa chifukwa maselo a khansa amatha kufalikira.

Magawo a Khansa ya M'mimba

Mukapezeka ndi matendawa, dokotala wanu adzadziwanso za gawo la khansa yanu. Umu ndi momwe khansa yafalikira komanso kuopsa kwake. Gawo la khansa yanu ndilo chizindikiro chabwino kwambiri cha ngati mudzachiritsidwa kapena ayi. Khansa ya m'mimba yomwe ili kumayambiriro kwake nthawi zambiri imatha kuchiritsidwa kwathunthu. Komabe, chifukwa imafalikira mofulumira kwambiri, pafupifupi 40 peresenti (40%) ya khansa imakhala itafalikira kale (yomwe yafalikira) kumadera akutali a thupi pofika nthawi yomwe madokotala amaipeza.

Magawo akuluakulu a Embryonal Carcinoma ndi awa:

• Gawo Loyamba: Khansa ili m'chibelekero chanu chokha.
• Gawo Lachiwiri: Khansa yafalikira ku ma lymph nodes omwe ali kumbuyo kwa mimba yanu (retroperitoneum).
• Gawo Lachitatu:Khansa yafalikira kupitirira ma lymph nodes mu retroperitoneum, kapena ku ziwalo zakutali m'thupi. Khansa ya m'mimba nthawi zambiri imafalikira mpaka m'mapapo. Komabe, imathanso kufalikira ku chiwindi, ubongo, kapena mafupa.

Kodi mankhwala ochizira izi ndi otani?

Mankhwala akuluakulu a khansa ya m'mimba ndi opaleshoni yochotsa khansa ndi chemotherapy. Chithandizo chomwe mumalandira chimadalira zinthu zambiri, monga gawo la khansa yanu, thanzi lanu lonse, komanso mtundu wa chithandizo chomwe mumakonda.

Pali njira zingapo zazikulu zochizira:

• Kuchotsa chotupa cha m'mimba mwa bere (radical inguinal orchiectomy): Mu njira imeneyi, dokotala wanu amachotsa kwathunthu machende anu a khansa. Mitsempha yamagazi yozungulira ndi minofu ya lymph imatsekedwa kuti khansa isafalikire.
• Kuduladula kwa ma lymph node a retroperitoneal (RPLND): Ngati khansa ya m'mimba yafalikira ku ma lymph node kumbuyo kwa mimba yanu, kapena ngati pali chiopsezo chofalikira, dokotala wanu angachotsenso ma lymph node amenewo mwa opaleshoni.
• Chemotherapy: Khansa ya m'mimba nthawi zambiri imayankha bwino chemotherapy. Izi zimaphatikizapo kupatsa thupi lanu mankhwala omwe angaphe maselo a khansa. Mukachita opaleshoni, mungapatsidwe chemotherapy kuti muphe maselo ena onse a khansa. Nthawi zina, pazochitika zapamwamba pomwe khansa yafalikira kwambiri, madokotala amasankha kukupatsani chemotherapy musanachite opaleshoni.

Kodi moyo udzakhala bwanji ndi vutoli? (Outlook)

Gawo la khansa limakhudza kwambiri momwe mudzatha kuchira (kuzindikira matenda / malingaliro). Kafukufuku waposachedwapa wasonyeza kuti anthu oposa 98% (98%) omwe adalandira chithandizo cha khansa ya Gawo I anali amoyo patatha zaka zisanu. Pafupifupi 80% (80%) ya anthu omwe ali ndi Gate III Embryonal Carcinoma anali amoyo patatha zaka zisanu.

Kumbukirani, ngakhale mutalandira chithandizo chabwino, madokotala adzapitiriza kukuyang'anirani chifukwa khansayo ikhoza kubwereranso.

Pankhani ya khansa ya m'mimba, ngati khansayo yangofika pa chidendene, pali mwayi wa 20% (20%) wobwereranso. Komabe, ngati khansayo yafalikira mpaka pa scrotum kapena lymph nodes, mwayi wobwereranso ukhoza kukhala woposa 50% (50%).

Kodi Embryonal Carcinoma ingapewedwe?

kunena zowona,Palibe njira yopewera khansa ya m'mimba kuti isakule. Komabe, chinthu chabwino kwambiri chomwe mungachite ndikuwonana ndi dokotala mukangowona kusintha kulikonse m'matumbo anu. Si kusintha kulikonse komwe kumakhala khansa, koma ndikofunikira kudziwa bwino.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi chithandizochi, lankhulani ndi dokotala wanu za iwo. Mwachitsanzo, anthu ambiri amaopa kuchotsedwa kwa tchire, poganiza kuti zingakhudze moyo wawo wogonana komanso kuthekera kwawo kukhala ndi ana. Koma zoona zake n'zakuti, tchire lotsalalo limapanga testosterone yokwanira, yomwe ndi yofunika kwambiri m'thupi lanu. Chifukwa chake simudzakhala ndi vuto lililonse pogonana kapena kutulutsa umuna. Mwina mudzatha kukhala ndi ana.

Ngati mukuda nkhawa ndi maonekedwe anu, mutha kupezanso chogwirira cha dzira. Komanso, ngati mukufuna kusunga chonde chanu, mutha kulankhula ndi dokotala wanu za kusunga umuna .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, musaiwale kufunsa mafunso ngati awa:

• Kodi khansa yanga ili pamlingo wotani?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Kodi ndi zotsatira zotani zomwe ndingayembekezere nditalandira chithandizo?
• Kodi pali mwayi wotani woti khansa iyi idzachira kwathunthu ndi chithandizo?
• Kodi ndiyenera kusunga umuna wanga ndisanayambe chithandizo?

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Khansa ya m'mimba ndi khansa ya m'ma testicular yomwe ikukula mofulumira komanso yoopsa, koma nthawi zambiri imachira bwino ngati ipezeka msanga. Dokotala wanu adzakupatsani malangizo a chithandizo choyenera kwa inu, kutengera gawo la khansa yanu.

Choncho, ngati muwona china chake chachilendo kapena chosiyana m'machende anu, musachedwe ndipo pitani kwa dokotala nthawi yomweyo kuti akaonedwe. Umenewo ndiye thandizo lalikulu lomwe mungadzichitire nokha. Musadandaule, pali njira zothetsera mavuto onse.

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