Ese uzi indwara ya Uterine Sarcoma? Reka tubiganireho birambuye!

Ushobora kuba warigeze kumva kanseri yo mu mura. Ariko se uzi neza ubwoko bw'iyi kanseri bwitwa Uterine Sarcoma? Ni gake cyane, ariko ni ngombwa kuyimenya. Kuko, iyo ibonetse hakiri kare, biroroha kuyivura , kandi ni byiza kwita ku buzima bwacu. Reka tubiganireho mu buryo bworoshye ushobora gusobanukirwa.

Sarcoma yo mu nda ni iki?

Mu magambo make, iyi sarcoma yo mu nda ikura mu gice cy'imitsi ya nyababyeyi yawe, yitwa "Myometrium". Kanseri nyinshi zo mu nda zikura mu gice cy'imbere cya nyababyeyi, cyitwa "Endometrium". Izi tuzita "kanseri zo mu nda" cyangwa "Kansinoma". Ariko, ubwo bwoko bwa "Sarcoma" ntibukunze kugaragara cyane . Hariho n'ubundi bwoko budasanzwe bwa "Sarcoma" butangirira mu turemangingo tw'uruti rw'inda.

Ibi bishobora kuba bibi gute?

Mu by’ukuri, sarcoma yo mu mura ishobora gukura no gukwirakwira vuba kurusha kanseri isanzwe yo mu mura. Ariko, si sarcoma zose zo mu mura ziba zikomeye kimwe. Muganga wawe azagena uburemere bwa sarcoma ashingiye ku bintu nk'aho iherereye n'ubwoko bwa sarcoma.

Nanone, muganga azasuzuma aho kanseri igeze kugira ngo arebe niba yarakwirakwiriye (`staging`) .

Gupima kanseri ni iki?

Iyo tumenye ibya kanseri, kimwe mu bintu bidutera ubwoba cyane ni ukumenya niba yarakwirakwiriye mu bindi bice by'umubiri (metastasized). Rero, kugira ngo bamenye aho kanseri yakwirakwiriye, abaganga batanga umubare (kuva kuri I kugeza kuri IV). Uko umubare uba munini, ni ko kanseri ikwirakwira mu mubiri . Ubu buryo bwo gushyira mu byiciro bwitwa "staging." Abaganga bakoresha aya makuru mu gutegura uburyo bwo kuvura.

Ni ibihe byiciro bya sarcoma yo mu mura?

Hari ibyiciro bine by'ingenzi bya nyababyeyi ya sarcoma:

• Icyiciro cya mbere: Kanseri iba mu mura gusa.
• Icyiciro cya Kabiri: Kanseri yakwirakwiriye hanze y'umura ikagera mu kibuno.
• Icyiciro cya gatatu: Kanseri yakwirakwiriye mu bice by'inda bitari mu kibuno, urugero, no mu duce tw'imitsi.
• Icyiciro cya kane: Kanseri yakwirakwiriye mu bice bya kure hanze y'inda, cyangwa yakwirakwiriye mu ruhago cyangwa mu nda.

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?

Akenshi, sarcoma yo mu mura ikunze kugaragara ku bantu barengeje imyaka 40. Ariko, byatangajwe ko iyi ndwara ishobora kugaragara ku bantu bafite imyaka 20. Impuzandengo y'imyaka yo kurwara ni hafi imyaka 60.

Ni ibihe bintu bishobora gutera indwara ya nyababyeyi yitwa "uterine sarcoma"?

Hari ibintu bimwe na bimwe bishobora kongera ibyago byo kurwara nyababyeyi ya sarcoma. Reka turebe ibyo ari byo:

• Imirasire y'inyuma: Niba warigeze kuvurwa imirasire mu gice cy'ikibuno cyawe, bishobora kongera gato ibyago byo kurwara sarcoma yo mu mura. Ariko, ibi ntibikunze kubaho cyane. Ariko, akenshi bibaho hagati y'imyaka 5 na 25 nyuma yo kuvurwa imirasire.
• Gukoresha Tamoxifen: Iyo umuti witwa "Tamoxifen" ukoreshejwe igihe kirekire ku ndwara ya kanseri y'ibere (imyaka itanu cyangwa irenga), byongera ibyago byo kurwara indwara ya nyababyeyi yitwa "uterine sarcoma".
• Genetike: Kugira gene itera retinoblastoma, kanseri y'amaso, byongera ibyago byo kurwara ubwoko bumwe na bumwe bwa nyababyeyi.

Ikindi kintu ni uko, nubwo abashakashatsi bataramenya impamvu nyayo, basanze abagore b'abirabura bafite amahirwe akubye kabiri yo kurwara iyi ndwara ugereranyije n'abagore b'abazungu .

Sarcoma yo mu mura ikunze kugaragara gute?

Mu by’ukuri iyi ni kanseri idakunze kugaragara cyane . Ifata hagati ya 3% na 7% gusa bya kanseri zose zo mu mura. Ibyo bivuze ko atari ikintu kibaho kuri buri wese.

Ibimenyetso ni ibihe? Ubimenya ute?

Ibimenyetso by'ingenzi bya nyababyeyi bishobora gusa n'ibya kanseri y'inkondo y'umura ndetse n'ibibyimba bitari kanseri nka fibroids. Kubwibyo, niba ufite kimwe muri ibi bimenyetso, ni ngombwa kujya kwa muganga kugira ngo agusuzume.

Dore ibyo bintu:

• Kuva amaraso mu gitsina kudasanzwe kudafite aho bihuriye n'imihango cyangwa bibaho nyuma yo gucura.
• Amasohoro yo mu gitsina arimo amaraso n'impumuro mbi.
• Kumva ikintu kibyimba mu gitsina cyangwa mu kibuno.
• Kumva wuzuye, kumva uremereye mu nda.
• Kubabara mu gituza.
• Gukenera kunyara kenshi.
• Kwihagarika impatwe.

Tekereza, umuntu witwa Nimali yamaze amezi menshi ahagaritse imihango, ariko akongera kuva amaraso mu buryo butunguranye. Cyangwa wenda yumva afite ikibazo gikomeye mu nda, kandi yumva akeneye kunyara kenshi. Niba ufite ikintu nk'iki, ntucike intege, wibwira uti 'Ibi bigomba kuba ari ibisanzwe.'

Hari igihe sarcoma yo mu mura ishobora kutagaragaza ibimenyetso kugeza igihe igeze kure. Ni gake cyane, hari abantu badafite ibimenyetso na gato.

Ni iki gitera sarcoma yo mu mura?

Sarcoma yo mu mura iterwa n'uturemangingo tudasanzwe (uturemangingo twangiza) twigabanya kandi tugakwirakwira mu mubiri wose. Utu turemangingo twibasira cyane cyane urukuta rw'imitsi ya nyababyeyi, rwitwa "Myometrium".

Abahanga mu bya siyansi ntibaramenya impamvu nyayo itera sarcoma yo mu mura, ariko ubushakashatsi burakomeje ku buryo bwo kuyisuzuma, kuyivura no kuyikumira.

Ni gute wasuzuma iyi ndwara? (Isuzuma)

Niba umuganga wawe akeka ko ufite sarcoma yo mu kibuno, abanza kugusuzuma umubiri akakubaza amateka y'ubuzima bwawe. Hanyuma, azakora isuzuma ry'ikibuno, rizasuzuma imyanya ndangagitsina yawe, inkondo y'umura, umura, imiyoboro y'inda, intanga ngabo, n'umura. Kugira ngo asuzume izi ngingo, umuganga azashyira urutoki rumwe cyangwa ebyiri zifite uturindantoki mu gituba cyawe no mu mura kugira ngo arebe ikintu kidasanzwe. Ashobora kandi gukoresha igikoresho cyitwa speculum kugira ngo arebe imbere mu gituba cyawe.

Byongeye kandi, muganga ashobora kandi gukora ibi bizamini:

• Ultrasound ya Transvaginal: Iyi ishobora gufata amafoto y'ingingo zoroshye z'imikorere y'imyororokere yawe, harimo n'ingingo. Transducer yihariye ishyirwa mu gitsina hagati ya santimetero 2-3 hanyuma igasuzuma nyababyeyi n'intanga ngore. Hari igihe sarcoma yo mu mura na fibroids bishobora kumera kimwe kuri ultrasound.
• Isuzuma rya endometrial: Muri ibi, muganga afata icyitegererezo cy'uturemangingo duto mu gice cy'imbere cy'umura akacyohereza muri laboratwari.

Uburyo bwonyine bwo kwemeza neza niba ufite sarcoma yo mu mura ni ugusuzuma uturemangingo twafashwe muri biopsy cyangwa nyuma yo kubagwa hifashishijwe mikorosikopi.

Iyo umaze gupimwa indwara ya nyababyeyi, uzakenera gukora ibindi bipimo kugira ngo umenye neza aho kanseri igeze (staging). Ibipimo nka MRI (Magnetic Resonance Imaging), CT (Computed Tomography), PET (Positron Emission Tomography), na X-ray yo mu gituza bishobora gufasha kumenya niba kanseri yawe yarakwirakwiriye mu bindi bice by'umubiri wawe.

Muganga wawe ashobora kukwohereza kwa muganga w’indwara za kanseri z’abagore, ushobora kugufasha gusuzuma no kuvura.

Ni ubuhe buryo bwo kuvura? (Ubuvuzi)

Muganga wawe ashobora gukoresha bumwe cyangwa bwinshi muri ubu buryo bukurikira mu kuvura sarcoma yo mu mura: kubaga, kuvurwa hakoreshejwe imirasire, imiti igabanya ubukana, no kuvurwa hakoreshejwe imisemburo.

Kubaga

Kubaga kugira ngo bakureho kanseri akenshi ni bwo buryo bw'ingenzi bwo kuvura. Umuganga ashobora gukuraho kanseri gusa. Cyangwa, ashobora gukora kimwe cyangwa byinshi muri ibi bikurikira kugira ngo akureho ingingo n'ibihimba byangiritse:

• Gukuramo nyababyeyi: Gukuraho nyababyeyi yawe n'inkondo y'umura (rimwe na rimwe byitwa "gukuramo nyababyeyi yose"). Muganga wawe ashobora kandi kubaga nyababyeyi mu buryo budakabije akoresheje igikoresho cyitwa "laparoscope" kugira ngo akuremo nyababyeyi.
• Gukuraho burundu igitsina hakoreshejwe salpingo-oophorectomy: Gukuraho nyababyeyi, intanga imwe cyangwa zombi, hamwe n'umuyoboro umwe cyangwa yombi y'inda.
• Gukuraho igitsina cy'umugore (Radical hysterectomy): Gukuraho nyababyeyi, inkondo y'umura, imiyoboro yombi y'inda, n'inyama zimwe na zimwe zikikije, harimo n'igice cy'igitsina gore.
• Gukuraho imiyoboro ya lymphadenectomy: Gukuraho imiyoboro ya lymph nodes no kuyipima kugira ngo harebwe niba hari uturemangingo twa kanseri.
• Laparotomy: Baca igisebe mu nda kugira ngo barebe niba kanseri yakwirakwiriye. Hari ubwo izindi ngingo zafashwe na kanseri nazo zishobora gukurwaho.

Ubuvuzi bushingiye ku mirasire

Ubuvuzi bushingiye ku mirasire ni uburyo bwo kuvura kanseri bukoresha imirasire ya X ifite ingufu nyinshi kugira ngo isenye uturemangingo twa kanseri ariko kandi bugabanye kwangirika kw'uturemangingo tuzima. Ubuvuzi bushingiye ku mirasire bushobora gutangwa haba imbere (imbere) cyangwa hanze (inyuma). Ubwo buryo bwombi bushobora gukoreshwa mu kuvura sarcoma yo mu mura.

Zimwe mu ngaruka mbi zo gukoresha imirasire ni izi:

• Umunaniro.
• Impiswi.
• Isesemi no kuruka.
• Impinduka z'uruhu.
• Kubyimba k'uruhago.
• Kubyimba amaguru (Edema).

Ubuvuzi bwa Chimiotherapie

Chimiotherapie ni uburyo bwo kuvura bukoresha imiti kugira ngo bwice cyangwa bugabanye gukura kw'uturemangingo twa kanseri twigabanya vuba. Iyi miti ikunze gutangwa mu mitsi. Ibi bishobora guteza ingaruka mbi zikomeye. Hari igihe ubuvuzi bushingiye ku mirasire na chimiotherapie bishobora gutangwa hamwe.

Zimwe mu ngaruka mbi za chemotherapy ni:

• Isesemi no kuruka.
• Gutakaza umusatsi.
• Kubura ubushake bwo kurya.
• Umubare w'amaraso make.
• Ndananiwe.

Ubuvuzi bw'imisemburo

Imisemburo ni ibintu umubiri wacu ukora kugira ngo ugenzure imikorere imwe n'imwe. Urugero, harimo testosterone na estrogen. Hari igihe imisemburo ifasha kanseri gukura.

Ubuvuzi bw'imisemburo bukora mu guhagarika imikorere y'imisemburo no kugenzura ikura rya kanseri. Imisemburo nka `(Progestins)`, `(Gonadotropin-releasing hormone agonists)`, na `(Aromatase inhibitors)` ikoreshwa mu kuvura sarcoma yo mu kibuno.

Ese sarcoma yo mu mura ishobora kwirindwa? (Kwirinda)

Mu by’ukuri, ntabwo turamenya uburyo bwo kwirinda indwara ya nyababyeyi. Ariko, tuzi ibintu bishobora gutera ibyago, nko kuvura indwara ya radiation mu kibuno no gufata tamoxifen ku ndwara ya kanseri y’ibere. Akenshi, inyungu z’ubu buryo bwo kuvura ziruta ibyago byo kurwara nyababyeyi, cyane cyane ko ari indwara idakunze kugaragara.

Niba urimo kuvurwa kanseri, ganira na muganga wawe ku ngaruka zishobora kubaho kandi urebe ibyiza n'ibibi by'uburyo bwo kuvura buhari.

Ingeso imeze ite nyuma yo kuvurwa? (Ibisobanuro)

Sarcoma yo mu mura iragoye gato kuyivura kurusha izindi kanseri zo mu mura, kandi uko ikwirakwira biterwa n'ubwoko bw'ikibyimba ufite, urugero rwa kanseri (uburyo uturemangingo twa kanseri tuba tudasanzwe iyo turebewe kuri mikorosikopi), n'uburyo imaze gukwirakwira mu mubiri wawe. Vugana na muganga wawe ku bijyanye n'uko ikwirakwira ry'indwara yawe rihagaze.

Nyuma yo kuvurwa, teganya gahunda yo kujya kwa muganga wawe kenshi. Niba urwaye indwara ya nyababyeyi yitwa "uterine sarcoma", ushobora no kuba ufite ibyago byinshi byo kurwara izindi kanseri.

Ese sarcoma yo mu mura ishobora gukira burundu?

Yego, sarcoma yo mu mura ishobora gukira, cyane cyane iyo ari yo yo hasi (uturemangingo tuba tudasanzwe) kandi itarakwirakwira hanze ya nyababyeyi. Hari ubwo hakenerwa ubundi buryo bwo kuvura, nka chimiotherapie na radiation therapy, kugira ngo hashenywe burundu uturemangingo twa kanseri.

Ushobora kumarana igihe kingana iki n'iyi ndwara?

Nta buryo bwo kumenya neza igihe umuntu urwaye sarcoma yo mu mura azamara. Ingaruka zawe ziterwa n'ibintu byinshi, harimo ubwoko bwa sarcoma ufite, aho yakwirakwiriye, imyaka yawe, ubuzima bwawe muri rusange, n'uko umubiri wawe witabira kuvurwa.

Nk’uko Ikigo cy’Igihugu gishinzwe kurwanya kanseri kibitangaza, igipimo cy’imyaka itanu cyo kubaho kwa sarcoma yo mu mura nyuma yo kuyisuzuma kiri hagati ya 41% na 95%, bitewe n’ubwoko bwa sarcoma n’urugero yakwirakwiriyemo.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo wumvise ibintu nk'ibi, ni ibisanzwe kugira ibibazo byinshi mu mutwe wawe. Dore bimwe mu bibazo ushobora kubaza muganga wawe:

• Ni kangahe nzakenera gukora ibizamini byo gukurikirana no gukoresha amashusho?
• Ibyo bizamini by'inyongera bireba iki?
• Ni ibihe bimenyetso bishobora kwerekana niba kanseri yanjye yagarutse?
• Ni izihe ngeso nkwiye gukurikiza buri munsi kugira ngo nkomeze kugira ubuzima bwiza?
• Ni gute itsinda ryanjye ry'abaganga ritangaza kandi rikongera amakuru ajyanye na gahunda yanjye yo kuvurwa?
• Ni gute ubwoko bwa sarcoma yo mu mura mfite bugira ingaruka ku buryo bwo kuvurwa no ku isuzuma ry’uko indwara ihagaze?

Icy'ingenzi kurusha ibindi: Ntabwo uri wenyine! (Ubutumwa bwo kujyana mu rugo)

Niba usanzwe urwaye kanseri, ni ngombwa cyane kumva ko utari wenyine.Baza muganga wawe ibyerekeye amatsinda yo gufasha abantu barwaye kanseri y'umura n'abavurwa. Ushobora kandi kumenya byinshi kuri bo unyuze mu ishami ry'umuryango utuyemo nka American Cancer Society. Muganga wawe ashobora kandi kukwereka umukozi ushinzwe imibereho myiza y'abaturage cyangwa inzobere mu buzima bwo mu mutwe kugira ngo agufashe guhangana n'umuhangayiko uterwa no kumenya ko urwaye kanseri .

Ingingo ngufi zo kwibuka:

• Sarcoma yo mu mura ni indwara idasanzwe ariko ikomeye .
• Ni ngombwa cyane kumenya ibimenyetso no kubyirengagiza .
• Niba ufite gushidikanya, hita ubonana na muganga.
• Hariho uburyo bwo kuvura, bityo komeza kugira icyizere.
• Hari abantu benshi bo kugufasha no kugushyigikira muri uru rugendo.

Ndizera ko aya makuru azaba ingirakamaro kuri wewe. Komeza ugire ubuzima bwiza!

Sarcoma yo mu mura, Kanseri yo mu mura, Ubuzima bw'abagore, Ibimenyetso bya Kanseri, Uburyo bwo kuvura kanseri, Ubuvuzi bw'abagore