Kodi mukudziwa za Uterine Sarcoma? Tiyeni tikambirane mwatsatanetsatane!

Mwina mwamvapo za khansa ya m'chiberekero. Koma kodi mukudziwa bwino lomwe mtundu uwu wa khansa umatchedwa Uterine Sarcoma? Ndi wosowa pang'ono, koma ndikofunikira kudziwa za khansayo. Chifukwa, ngati yapezeka msanga, imakhala yosavuta kuchiza , ndipo nthawi zonse ndi bwino kusamalira thanzi lathu. Chifukwa chake, tiyeni tikambirane za khansayo m'njira yosavuta yomwe mungamvetse.

Kodi Sarcoma ya Uterine ndi chiyani?

Mwachidule, sarcoma iyi ya uterine imakula mu minofu ya chiberekero chanu, yotchedwa ``Myometrium``. Khansa zambiri za uterine zimakula mkati mwa chiberekero, chotchedwa ``Endometrium``. Timazitcha ``Khansa za Endometrial`` kapena ``Carcinomas``. Komabe, mtundu uwu wa ``Sarcomas`` siwofala kwambiri . Palinso mitundu ina yosowa ya ``Sarcoma`` yomwe imayamba m'maselo othandizira a chiberekero.

Kodi izi zingakhale zoyipa bwanji?

Ndipotu, matenda a m'mimba otchedwa uterine sarcoma amatha kukula ndikufalikira mofulumira kuposa khansa ya m'mimba ya endometrial. Komabe, si matenda onse a m'mimba otchedwa uterine sarcoma omwe ndi oopsa mofanana. Dokotala wanu adzadziwa momwe matendawa alili oopsa potengera zinthu monga komwe ali komanso mtundu wa matendawa.

Komanso, dokotala adzayang'ana gawo la khansa kuti aone ngati yafalikira (`staging`) .

Kodi Kukonza Khansa N'chiyani?

Tikamaphunzira za khansa, mantha akulu omwe timakhala nawo ndi akuti kaya yafalikira ku ziwalo zina za thupi (yomwe yafalikira). Chifukwa chake, kuti adziwe momwe khansa yafalikira, madokotala amapereka nambala (kuyambira I mpaka IV). Chiwerengerocho chikakhala chachikulu, khansa imafalikira kwambiri m'thupi . Dongosolo logawa anthu m'magululi limatchedwa "staging." Madokotala amagwiritsa ntchito izi pokonzekera chithandizo.

Kodi magawo a sarcoma ya uterine ndi ati?

Pali magawo anayi akuluakulu a uterine sarcoma:

• Gawo Loyamba: Khansa ili m'chiberekero chokha.
• Gawo Lachiwiri: Khansa yafalikira kunja kwa chiberekero kupita m'chiuno.
• Gawo Lachitatu: Khansa yafalikira kumadera a m'mimba kunja kwa chiuno, mwachitsanzo, mpaka ku ma lymph nodes.
• Gawo Lachinayi: Khansa yafalikira kumadera akutali kunja kwa mimba, kapena yafalikira ku chikhodzodzo kapena m'matumbo.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Kawirikawiri, matenda a uterine sarcoma amakula mwa anthu azaka zopitirira 40. Komabe, zanenedwa kuti vutoli limatha kuchitika mwa anthu azaka zapakati pa 20. Avereji ya zaka zomwe munthu amadwala matendawa ndi pafupifupi zaka 60.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a uterine sarcoma?

Zinthu zina zingakulitse chiopsezo chanu chokhala ndi uterine sarcoma. Tiyeni tiwone zomwe zili:

• Kuwala kwa m'chiuno: Ngati mudalandirapo chithandizo cha radiation m'chiuno mwanu, kungawonjezere pang'ono chiopsezo chanu chokhala ndi uterine sarcoma. Komabe, izi sizichitika kawirikawiri. Komabe, nthawi zambiri zimachitika pakati pa zaka 5 ndi 25 mutalandira chithandizo cha radiation.
• Kugwiritsa ntchito Tamoxifen: Ngati mankhwala a ``Tamoxifen`` agwiritsidwa ntchito pa khansa ya m'mawere kwa nthawi yayitali (zaka zisanu kapena kuposerapo), amawonjezeranso chiopsezo chotenga matenda a uterine sarcoma.
• Majini: Kukhala ndi jini yomwe imayambitsa retinoblastoma, khansa ya maso, kumawonjezeranso chiopsezo chotenga mitundu ina ya sarcoma ya uterine.

Chinanso n'chakuti, ngakhale ofufuza sakudziwa chomwe chimayambitsa matendawa, apeza kuti akazi akuda ali ndi mwayi wochuluka wopeza matendawa kuposa akazi oyera .

Kodi sarcoma ya uterine ndi yofala bwanji?

Iyi ndi khansa yosowa kwambiri . Imakhala pakati pa 3% ndi 7% yokha ya khansa zonse za m'chiberekero. Izi zikutanthauza kuti si chinthu chomwe chimachitikira aliyense.

Kodi zizindikiro zake ndi ziti? Kodi mumazizindikira bwanji?

Zizindikiro zazikulu za uterine sarcoma zitha kukhala zofanana ndi za khansa ya endometrial ndi zotupa zomwe sizili khansa monga fibroids. Chifukwa chake, ngati muli ndi zizindikiro izi, ndikofunikira kupita kwa dokotala kuti akakufufuzeni.

Nazi zinthu izi:

• Kutuluka magazi m'mimba mwa munthu wosadziwa bwino ntchito komwe sikukhudzana ndi kusamba kapena komwe kumachitika munthu akamaliza kusamba.
• Kutuluka magazi m'mimba ndi fungo loipa.
• Kumva kukhuthala/kutupa mu nyini kapena m'chiuno.
• Kumva kukhuta, kumva kulemera m'mimba.
• Kupweteka m'chiuno.
• Kufunika kukodza pafupipafupi.
• Kudzimbidwa.

Tangoganizirani, munthu wina dzina lake Nimali wasiya kusamba kwa miyezi ingapo, koma mwadzidzidzi wayambanso kutuluka magazi. Kapena mwina akungomva kupweteka m'mimba mwake, ndipo akumva ngati akufunika kukodza pafupipafupi. Ngati muli ndi vuto ngati ili, musataye mtima, kuganiza kuti, 'Izi ziyenera kuti ndi zachilendo.'

Nthawi zina, sarcoma ya m'chiberekero singasonyeze zizindikiro mpaka itakula kwambiri. Nthawi zambiri, pamakhala anthu omwe alibe zizindikiro konse.

Kodi n’chiyani chimayambitsa matenda a uterine sarcoma?

Matenda a m'chiberekero otchedwa uterine sarcoma amayamba chifukwa cha maselo osazolowereka (maselo oopsa) omwe amagawikana ndikufalikira m'thupi lonse. Maselo amenewa amapangika makamaka mu khoma la minofu ya chiberekero, lotchedwa ``Myometrium``.

Asayansi sakudziwabe chomwe chimayambitsa matenda a uterine sarcoma, koma kafukufuku akupitilizabe pa njira zodziwira, kuchiza, komanso kupewa matendawa.

Kodi mungazindikire bwanji matendawa? (Kuzindikira)

Ngati dokotala wanu akukayikira kuti muli ndi sarcoma ya uterine, choyamba adzakuyesani mwakuthupi ndikukufunsani za mbiri yanu yachipatala. Kenako, adzakuyesani m'chiuno, komwe kudzayesani nyini yanu, khomo lachiberekero, chiberekero, machubu a fallopian, mazira, ndi rectum. Kuti ayese ziwalo izi, dokotalayo adzayika chala chimodzi kapena ziwiri zokhala ndi magolovesi mu nyini yanu ndi rectum kuti aone chilichonse chachilendo. Angagwiritsenso ntchito chipangizo chotchedwa speculum kuti ayang'ane mkati mwa nyini yanu.

Komanso, dokotala akhoza kuchita mayeso awa:

• Ultrasound ya transvaginal: Izi zitha kujambula zithunzi za minofu yofewa ya ziwalo zanu zoberekera, kuphatikizapo ziwalo. Transducer yapadera imayikidwa pafupifupi mainchesi 2-3 mu nyini ndikuwunika chiberekero ndi mazira. Nthawi zina uterine sarcoma ndi fibroids zimatha kuwoneka chimodzimodzi pa ultrasound.
• Kufufuza kwa endometrial biopsy: Pa izi, dokotala amatenga kachidutswa kakang'ono ka minofu kuchokera mkati mwa chiberekero ndikutumiza ku labotale.

Njira yokhayo yotsimikizira ngati muli ndi sarcoma ya uterine kapena ayi ndikuwunika maselo omwe atengedwa kuchokera ku biopsy kapena pambuyo pa hysterectomy pansi pa maikulosikopu.

Mukapezeka ndi khansa ya m'chiberekero, muyenera kuyesedwanso kuti mudziwe gawo lenileni la khansa (staging). Mayeso monga MRI (Magnetic Resonance Imaging), CT (Computed Tomography), PET (Positron Emission Tomography), ndi X-ray pachifuwa angathandize kudziwa ngati khansa yanu yafalikira mbali zina za thupi lanu.

Dokotala wanu angakutumizireni kwa dokotala wa khansa ya amayi, yemwe angakuthandizeni kuzindikira matendawa komanso kuchiza.

Kodi mankhwala ndi otani? (Chithandizo)

Dokotala wanu angagwiritse ntchito njira imodzi kapena zingapo zotsatirazi pochiza sarcoma ya uterine: opaleshoni, chithandizo cha radiation, chemotherapy, ndi chithandizo cha mahomoni.

Opaleshoni

Opaleshoni yochotsa khansa nthawi zambiri ndiyo njira yaikulu yochizira. Dokotala angachotse khansa yokha. Kapena, angachite opaleshoni imodzi kapena zingapo mwa zotsatirazi kuti achotse minofu ndi ziwalo zomwe zakhudzidwa:

• Kuchotsa chiberekero: Kuchotsa chiberekero chanu ndi khomo lachiberekero (nthawi zina kumatchedwa "kuchotsa chiberekero kwathunthu"). Dokotala wanu angachitenso opaleshoni yochepa kwambiri pogwiritsa ntchito chipangizo chotchedwa "laparoscope" kuti achotse chiberekero.
• Kuchotsa chiberekero chonse ndi salpingo-oophorectomy: Kuchotsa chiberekero, mazira amodzi kapena onse awiri, ndi payipi imodzi kapena zonse ziwiri za fallopian.
• Kuchotsa ziwalo za m'chiberekero mwachisawawa: Kuchotsa chiberekero, khomo lachiberekero, machubu onse a fallopian, ndi minofu ina yozungulira, kuphatikizapo gawo la nyini.
• Kuchotsa ma lymph nodes ndikuwayesa kuti awone ngati ali ndi khansa.
• Laparotomy: Kuduladula m'mimba kumachitidwa kuti muwone ngati khansa yafalikira. Nthawi zina, ziwalo zina zomwe zakhudzidwa ndi khansayo zingachotsedwenso.

Chithandizo cha X-ray

Chithandizo cha khansa pogwiritsa ntchito X-ray yamphamvu kwambiri kuti iwononge maselo a khansa komanso kuchepetsa kuwonongeka kwa maselo athanzi. Chithandizo cha khansa pogwiritsa ntchito X-ray chingaperekedwe mkati (mkati) kapena kunja (kunja). Njira zonsezi zingagwiritsidwe ntchito pa sarcoma ya chiberekero.

Zina mwa zotsatirapo zoyipa za chithandizo cha radiation ndi izi:

• Kutopa.
• Kutsegula m'mimba.
• Kusanza ndi kusanza.
• Kusintha kwa khungu.
• Kutupa kwa chikhodzodzo.
• Kutupa kwa miyendo (Edema).

Mankhwala a Chemotherapy

Chemotherapy ndi mankhwala omwe amagwiritsa ntchito mankhwala ophera kapena kuchepetsa kukula kwa maselo a khansa omwe amagawanitsa mofulumira. Mankhwalawa nthawi zambiri amaperekedwa kudzera m'mitsempha. Izi zingayambitse mavuto aakulu. Nthawi zina chithandizo cha radiation ndi chemotherapy zimatha kuperekedwa pamodzi.

Zina mwa zotsatirapo zoyipa za chemotherapy ndi izi:

• Kusanza ndi kusanza.
• Kutaya tsitsi.
• Kusowa chilakolako.
• Kuchuluka kwa magazi m'thupi.
• Wotopa.

Chithandizo cha Mahomoni

Mahomoni ndi zinthu zomwe matupi athu amapanga kuti azilamulira ntchito zina. Zitsanzo ndi monga testosterone ndi estrogen. Nthawi zina, mahomoni amathandiza khansa kukula.

Mankhwala a mahomoni amagwira ntchito poletsa kugwira ntchito kwa mahomoni ndikuwongolera kukula kwa khansa. Ma mahomoni monga `(Progestins)`, `(Gonadotropin-releasing hormone agonists)`, ndi `(Aromatase inhibitors)` amagwiritsidwa ntchito pochiza matenda a m'mimba otchedwa uterine sarcoma.

Kodi sarcoma ya m'mimba ingapewedwe? (Kupewa)

Ndipotu, sitikudziwa momwe tingapewere matenda a uterine sarcoma. Komabe, tikudziwa zinthu zomwe zingatiopseze, monga chithandizo cha radiation ku pelvis ndi kumwa tamoxifen chifukwa cha khansa ya m'mawere. Nthawi zambiri, ubwino wa mankhwalawa umaposa zoopsa za matenda a uterine sarcoma, makamaka popeza ndi matenda osowa.

Ngati mukulandira chithandizo chilichonse cha khansa, lankhulani ndi dokotala wanu za zoopsa zomwe zingachitike ndipo ganizirani zabwino ndi zoyipa za njira zochiritsira zomwe zilipo.

Kodi vuto limakhala bwanji mutalandira chithandizo? (Zomwe zimachitika)

Matenda a chiberekero otchedwa cerine sarcoma ndi ovuta pang'ono kuchiza kuposa khansa zina za m'chiberekero, ndipo matenda ake amadalira mtundu wa chotupa chomwe muli nacho, kuchuluka kwa khansa (momwe maselo a khansa alili osazolowereka akamawonedwa ndi maikulosikopu), komanso momwe afalikira m'thupi lanu. Lankhulani ndi dokotala wanu za matenda anu.

Mukalandira chithandizo, konzani nthawi zonse kuti mukaonane ndi dokotala wanu. Ngati mutakhala ndi matenda a m'mimba otchedwa uterine sarcoma, mungakhalenso pachiwopsezo chachikulu chotenga mitundu ina ya khansa.

Kodi sarcoma ya m'chiberekero ingachiritsidwe kwathunthu?

Inde, sarcoma ya m'chiberekero imatha kuchiritsidwa, makamaka ngati ili yotsika kwambiri (maselo ndi osazolowereka pang'ono) ndipo sinafalikire kunja kwa chiberekero. Nthawi zina, mankhwala ena, monga chemotherapy ndi radiation therapy, angafunike kuti awononge maselo a khansa kwathunthu.

Kodi mungakhale ndi matendawa kwa nthawi yayitali bwanji?

Palibe njira yodziwira nthawi yeniyeni yomwe munthu amene ali ndi sarcoma ya uterine adzakhala ndi moyo. Zotsatira zake zimadalira zinthu zambiri, kuphatikizapo mtundu wa sarcoma yomwe muli nayo, momwe yafalikira, zaka zanu, thanzi lanu lonse, komanso momwe thupi lanu limayankhira chithandizo.

Malinga ndi National Cancer Institute, kuchuluka kwa zaka zisanu zomwe munthu amakhala ndi sarcoma ya uterine atapezeka ndi matendawa kumasiyana pakati pa 41% ndi 95%, kutengera mtundu wa sarcoma komanso kufalikira kwake.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukamva za chinthu chonga ichi, ndi zachilendo kukhala ndi mafunso ambiri m'maganizo mwanu. Nazi mafunso ena omwe mungafunse dokotala wanu:

• Kodi ndiyenera kuchita mayeso otsatira ndi njira zojambulira zithunzi kangati?
• Kodi mayeso enawo akuyang'ana chiyani?
• Kodi ndi zizindikiro ziti zomwe zingadziwitse ngati khansa yanga yabwerera?
• Ndi zizolowezi ziti zomwe ndiyenera kutsatira tsiku ndi tsiku kuti ndikhale ndi thanzi labwino?
• Kodi gulu langa lachipatala limalankhulana bwanji ndikusinthira bwanji zambiri zokhudza dongosolo langa la chithandizo?
• Kodi mtundu wa sarcoma ya uterine yomwe ndili nayo imakhudza bwanji njira zanga zamankhwala ndi momwe ndingadziwire matenda?

Chofunika kwambiri: Simuli nokha! (Uthenga Wopita Nawo Kunyumba)

Ngati mwapezeka ndi khansa, ndikofunikira kwambiri kumvetsetsa kuti simuli nokha.Funsani dokotala wanu za magulu othandizira anthu omwe ali ndi khansa ya m'chiberekero ndi omwe akulandira chithandizo. Muthanso kudziwa zambiri za iwo kudzera m'bungwe lanu lapafupi monga American Cancer Society. Dokotala wanu akhozanso kukutsogolerani kwa katswiri wazaumoyo kapena katswiri wazaumoyo kuti akuthandizeni kuthana ndi nkhawa yodziwa kuti muli ndi khansa .

Mfundo zazifupi zoti muzikumbukire:

• Sarcoma ya m'mimba ndi matenda osowa koma oopsa .
• Ndikofunikira kwambiri kudziwa zizindikiro zake ndi kuzinyalanyaza .
• Ngati mukukayikira, pitani kwa dokotala nthawi yomweyo.
• Pali mankhwala, choncho khalani ndi chiyembekezo.
• Pali anthu ambiri oti akuthandizeni ndi kukuthandizani paulendowu.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Sarcoma ya Uterine , Khansa ya Uterine, Thanzi la Akazi, Zizindikiro za Khansa, Chithandizo cha Khansa, Matenda a Ziwalo za Akazi