Kufotokozera kosavuta kwa Granulosa Cell Tumor (GCT), mtundu wa chotupa chomwe chimayamba m'mazira obereketsa.

Kodi msambo wanu wayamba kusakhazikika mwadzidzidzi? Kapena mumangomva kutupa m'mimba mwanu? Nthawi zina timaganiza kuti izi ndi zinthu zachilendo, koma lero tikulankhula za chifukwa chomwe chingakhale chodetsa nkhawa pang'ono. Uwu ndi matenda otchedwa Granulosa Cell Tumor (GCT). Musachite mantha mukamva dzinali, ndikofunikira kwambiri kudziwa izi.

Mwachidule, kodi Granulosa Cell Tumor (GCT) ndi chiyani?

Granulosa Cell Tumor (GCT) ndi mtundu wa chotupa chomwe chimayamba m'mazira a akazi. Monga mukudziwa, mazira ndi gawo lofunika kwambiri la njira yathu yoberekera ya akazi. Kuwonjezera pa kupanga mazira, mazira awa amapanganso mahomoni awiri achikazi otchedwa estrogen ndi progesterone.

Chofunika kwambiri pa zotupa za GCT izi ndichakuti zimapanga mahomoni ochulukirapo a estrogen . Ichi ndichifukwa chake kusintha ndi zizindikiro zosiyanasiyana zimawonekera m'thupi. Ngakhale kuti zotupazi zimatha kukula pa msinkhu uliwonse, nthawi zambiri zimawoneka pafupifupi zaka 50.

Kodi zotupa izi ndi zotupa?

Inde, Granulosa Cell Tumor ndi mtundu wa chotupa chomwe nthawi zambiri chimakhala m'gulu la matenda oopsa . Koma chofunika kwambiri chomwe muyenera kukumbukira apa ndichakuti chotupachi chimakula pang'onopang'ono . Chifukwa cha izi, pali mwayi wochuluka wochizindikira pachiyambi. Ngati chapezeka msanga, zotsatira za chithandizo zimakhala zabwino kwambiri. Choncho palibe chifukwa chodera nkhawa.

Kodi pali kusiyana pakati pa GCTs zomwe zimachitika mwa okalamba ndi achinyamata?

Inde, pali kusiyana pang'ono. Vutoli limapezeka kwambiri mwa akazi okalamba. 95% ya odwala omwe apezeka ndi akazi okalamba omwe ali ndi thanzi labwino.

Komabe, ngati chotupachi chikayamba mwa wachinyamata wosakwana zaka 30, chingakhale mtundu wotchedwa Juvenile GCT . Nthawi zina mtundu uwu wa Juvenile GCT ungakule mofulumira pang'ono kuposa mtundu womwe umayamba mwa akuluakulu, ndipo ukhoza kubwereranso pang'ono patatha zaka zingapo kuchokera pamene chithandizo chaperekedwa.

Kodi n’chiyani chimayambitsa GCT?

Akatswiri sakudziwabe chomwe chimayambitsa izi, koma nthawi zambiri, zotupa izi zimachitika chifukwa cha kusintha kwa majini otchedwa FOXL2., ndiko kuti, kusintha kwina kumaoneka. Ntchito yayikulu ya jini iyi ndikuthandiza kukula bwino kwa maselo a granulosa. Chifukwa chake pakakhala kusintha kwa jini iyi, maselo amatha kukula modabwitsa ndikupanga zotupa ngati izi.

Kodi inunso muli ndi zizindikiro izi?

Chizindikiro chachikulu cha GCT ndi kuwonjezeka kwa estrogen m'thupi. Zizindikiro zomwe zimabwera chifukwa cha izi zimatha kusiyana malinga ndi zaka zanu.

• Mtsikana wamng'ono angasonyeze zizindikiro za kutha msinkhu ali wamng'ono.
• Kwa akazi okalamba , zizindikiro zotsatirazi ndizofala.

Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?

Ngati vutoli silichiritsidwa pa nthawi yake, chiopsezo cha mavuto ena azaumoyo chimawonjezeka pamene milingo ya estrogen m'thupi ikupitirira kukhala yokwera.

Kodi madokotala amazindikira bwanji matendawa?

Mukauza dokotala wanu za zizindikiro zomwe zili pamwambapa, adzakuyesani ndikuyitanitsa mayeso angapo kuti atsimikizire vutoli.

• Kujambula: Izi zitha kuphatikizapo CT scan , MRI scan , kapena, nthawi zambiri , transvaginal ultrasound , yomwe ndi scan yomwe imachitidwa kudzera mu nyini.
• Kuyezetsa Magazi: Kuyezetsa kumeneku kumayesa zizindikiro zina za chotupa, monga Inhibin, yomwe imapangidwa ndi GCTs. Kumayesanso matenda ena.

Kodi njira zochiritsira ndi ziti?

Chithandizo choyamba komanso chachikulu cha GCT ndi opaleshoni.Apa, dokotala wa opaleshoni amayesa kuchotsa chotupacho mokwanira popanda kuwononga minofu yathanzi.

Ngati muli aang'ono, simukukonzekera kukhala ndi ana, kapena mwafika nthawi yopuma, dokotala wanu angakulangizeni kuti muchotsedwe mazira , zomwe zimaphatikizapo kuchotsa dzira lonse lomwe lili ndi chotupacho. Nthawi zina, opaleshoni ya chiberekero ingafunikenso.

Kudziwa siteji ya khansa (magawo)

Pambuyo pa opaleshoni, "siteji" imatsimikiziridwa kuti ione ngati khansa yafalikira.

• Gawo 1: Chotupacho chimangopezeka m'mazira obereketsa ndipo sichinafalikire.
• Gawo 2 mpaka 4: Khansa yafalikira (yafalikira) ku ziwalo zina za thupi.

Kutengera kukula kwa chotupacho komanso chiopsezo choti chingabwererenso, mankhwala ena angalimbikitsidwe kuwonjezera pa opaleshoni.

• Mankhwala a Chemotherapy
• Chithandizo cha mahomoni
• Chithandizo cha radiation

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Pambuyo pochotsa chotupacho, muyenera kukhala pansi pa utsogoleri wa dokotala kwa nthawi yayitali, chifukwa nthawi zina zotupazi zimatha kubwereranso ngakhale patatha zaka zambiri . Chifukwa chake, dokotala wanu adzakuyang'anirani nthawi ndi nthawi kuti atsimikizire kuti chotupacho sichinabwererenso.

• Mayeso a m'chiuno
• Kuyezetsa magazi kwa zizindikiro za khansa
• Zinthu monga ma scan zimagwiritsidwa ntchito pa izi.

Kodi n'zotheka kuchira kwathunthu ku vutoli?

Inde, ndithudi. Chotupa cha Granulosa Cell chingachiritsidwe kwathunthu, makamaka ngati chapezeka msanga ndikuchotsedwa opaleshoni.

Ngati khansa yapezeka itafalikira mbali zina za thupi, mwayi wochira ungachepe. Ichi ndichifukwa chake tikukulangizani kuti ngati muli ndi zizindikiro za GCT, pitani kwa dokotala nthawi yomweyo .