Ngatidzidzei nezvegomarara risinganzwisisike rine chekuita nepamuviri? (Choriocarcinoma)

Wakambonzwa nezvezita rekuti Choriocarcinoma here? Iri ringave izwi idzva kwauri. Iri igomarara risingawanzoitiki uye rakakomba. Asi usazvidya moyo, ngatitaurei nezvazvo zvakadzama. Dambudziko iri rinowanzobatanidzwa nepamuviri. Saka, zvakakosha kuziva izvi.

Chii chinonzi Choriocarcinoma?

Zvichitaurwa zviri nyore, choriocarcinoma rudzi rwegomarara rinoumbwa muchibereko chako kana maovari uye rinogona kupararira nekukurumidza. Kune mhando mbiri huru dzegomarara iri zvakare.

Rudzi rwechoriocarcinoma runonyanya kuitika panguva yekuzvitakura runonzi Gestational Choriocarcinoma . Iri ndereboka rinonzi Gestational Trophoblastic Disease (GTD). GTD chirwere chegomarara chinokura mumasero anobva muplacenta panguva yekuzvitakura. Sezvamunoziva, placenta ndiyo chikamu chakakosha chemuviri chinopa okisijeni nekudya kumwana kuburikidza nerukuvhute.

Choriocarcinoma inonyanya kuonekwa muvakadzi vakambova nepamuviri wemolar . Pamuviri wemolar chirwere chekuti molar hydatidiform mole inokura muchibereko panzvimbo pemwana ari mudumbu nekuda kwekukanganisika kwezai nembeu. Inogonawo kuitika mushure mekusununguka , kupfupfudzika kwemimba, kana kutozvara mwana zvakajairika.

Chinhu chine njodzi huru pamusoro pegomarara iri ndechekuti rinogona kupararira nekukurumidza kune dzimwe nhengo dzemuviri. Semuenzaniso:

• Mapapu
• Rutivi rwetsandanyama dzechibereko
• Manodhi elymph
• Chiropa kana itsvo
• Uropi
• Mitsipa yeropa

Asi mashoko akanaka ndeekuti kazhinji, chirwere ichi chechoriocarcinoma chinogona kurapwa zvizere ne chemotherapy .

Ndeapi marudzi echoriocarcinoma?

Sezvatakambotaura, kune mhando mbiri dze choriocarcinoma:

1. Gestational Choriocarcinoma: Iyi ndiyo mhando inonyanya kuwanikwa. Inogona kukura panguva yekuzvitakura kana nguva pfupi mushure mekuzvitakura.

2. Choriocarcinoma isiri yepamuviri: Izvi zvinogona kukanganisa varume nevakadzi. Imhando yegomarara remasero emudumbu. Muvakadzi, rinogona kuitika mumazai kana mudumbu, asi harina chekuita neplacenta. Muvarume, rinogona kuitika mumachende.

Chirwere ichi chakajairika zvakadii?

Gestational Choriocarcinoma (GCT) inoumba vanhu vanosvika 5% yezvirwere zveGTD. Kunyangwe munyika yakaita seUnited States, vanhu vanosvika 0.1% yekuzvitakura kwese. Saka, funga izvi: GCT haiwanzoitiki. Inowanikwa pavanhu vanosvika 7 pavanhu 100,000 vane pamuviri muUnited States. Izvi zvinoreva kuti chirwere ichi hachiwanzoitiki muSri Lanka zvakare.

Ndezvipi zviratidzo zveChoriocarcinoma?

Munhu ane choriocarcinoma, kunyanya uyo achangobva pamuviri, anogona kuona zviratidzo zvakaita se:

• Kubuda ropa zvisina kujairika kwechikadzi
• Kurwadziwa kwechiuno

Kana gomarara rikapararira kune dzimwe nhengo dzemuviri, zvimwe zviratidzo zvinogona kuitika, zvakaita se:

• Kana ikapararira kumapapu: kukosora, kuoma kufema.
• Kana ikapararira ichienda kunhengo yemukadzi: kubuda ropa rakawanda, kubuda ropa zvisina kujairika, uye mapundu enhengo yemukadzi.
• Kana ikapararira kuuropi: Kubatwa nepfungwa dzakaipa, musoro.
• Kana ikapararira ichienda kuitsvo kana chiropa: kurwadziwa mudumbu.

Ndezvipi zvikonzero zveizvi?

Choriocarcinoma inoitika kana masero anoumba placenta (anonzi trophoblasts) aita kenza. Inogona kukura pakutanga kwepamuviri kana kuti gare gare. Vanhu vanosvika 50% vanowana choriocarcinoma vakambova nepamuviri wemolar. Kubata pamuviri kwemolar kunoitika kana saga rakazara nemvura richikura mukati mechibereko panzvimbo pemwana ari mudumbu.

Muchirwere chechoriocarcinoma chisiri chepamuviri, masero ari mumazai, machende, kana muchibereko anotanga kugadzira hormone inonzi human chorionic gonadotropin (hCG) . Kana akatariswa nemaikorosikopu, masero aya anotaridzika akafanana nemasero etrophoblast.

Gestational Choriocarcinoma inokura nekukurumidza sei?

Hapana nguva yakatarwa yekuti izvi zviitike. Zvinogona kuoneka mwedzi kana makore mushure mekubata pamuviri. Zvisinei, inoonekwa semhando yegomarara rinopararira nekukurumidza uye rinotyisa.

Ndezvipi zvinhu zvinokonzera njodzi yechirwere ichi?

Munhu wese akambova nepamuviri (kungave kuburikidza nekubuda kwepamuviri, pamuviri we ectopic, kubvisa pamuviri, kana kusununguka kwakajairika) anogona kuva ne choriocarcinoma. Zvisinei, uri panjodzi huru kana wakambova nepamuviri we molar.

Zvimwe zvinhu zvinokonzera njodzi ndeizvi:

• Kuva nemakore ari pasi pemakumi maviri kana kupfuura makumi mana panguva yekuzvitakura.

Ndezvipi zvinetso zvechirwere ichi?

Choriocarcinoma inogona kuuraya kana ikasarapwa, sezvo rudzi urwu rwekenza runopararira nekukurumidza.Asi nekurapwa, vanhu vazhinji vanogona kurerukirwa kana kupora zvachose. Sezvakaita kune dzimwe kenza, mhedzisiro yakanaka inowanikwa kana ikaonekwa uye ikarapwa nekukurumidza.

Ko chirwere cheChoriocarcinoma chinoonekwa sei?

Chiremba anoshandisa bvunzo idzi kuongorora choriocarcinoma:

• Kuongororwa kwechiuno kana kuongororwa kwemuviri kunoitwa kuti vaone kana paine mapundu.
• Kuongororwa ropa kunoitwa kuti vaone huwandu hwe hCG (human chorionic gonadotropin). Vanhu vane choriocarcinoma vane huwandu hwakawanda hwe hCG.
• Kuongororwa kweropa kuti zvionekwe mashandiro echiropa neitsvo.
• Kuverengwa Kweropa Rakazara (CBC).
• Ultrasound yechiuno.
• Kuongororwa kweCT (Computed Tomography - CT scan).
• Kuongororwa kweMRI (Magnetic Resonance Imaging - MRI).
• X-ray yechipfuva.

Kuongororwa uku kunogona kubatsirawo chiremba kuziva kana kenza yapararira.

Ko choriocarcinoma inorapwa sei?

Vanachiremba vanorapa choriocarcinoma zvichienderana nedanho rayo. Danho regomarara iri ndiro nzira iyo chiremba anoronga kenza, zvichienderana nezvinhu zvakaita sehukuru hwegomarara uye kana rakapararira kunze kwechibereko. Hutano hwako hwese uye zvaunofarira zvinotariswawo paunenge uchigadzira hurongwa hwekurapa.

Mushonga mukuru wekurapa choriocarcinoma ichemotherapy. Chemotherapy imhando yemushonga unouraya masero ekenza.

Vamwe vanhu vangada kubviswa chibereko, kurapwa nemwaranzi, kana musanganiswa wemishonga iyi.

Mushure mekurapwa, chiremba wako acharamba achikutarisa kana paine kudzoka kwechirwere (ongororo dzekutevera).

Ko kenza yechoriocarcinoma inogona kurapwa here?

Ehe, choriocarcinoma inogona kurapwa. Inowanzo poreswa ne chemotherapy. Kana ikabatwa nekukurumidza, isati yapararira kune dzimwe nhengo dzemuviri, mikana yekurapwa yakakura zvikuru.

Kuporesa kunogona kuoma zvishoma mune izvi zviitiko:

• Kana wakambopiwa chemotherapy asi ikakundikana.
• Kana chirwere ichi chikaitika mushure mekubata pamuviri kwenguva yakazara kana kusununguka.
• Kana huwandu hwe hCG hwakakura kupfuura 40,000 mIU/ml (milli-international units pa milliliter) usati watanga kurapwa. (hCG ihormone inogadzirwa ne placenta panguva yekuzvitakura).
• Kana wakava nezviratidzo kwemwedzi inopfuura mina usati watanga kurapwa kana kuti wakanga uine pamuviri.

Ko choriocarcinoma inogona kudzivirirwa here?

Kwete, choriocarcinoma haigone kudzivirirwa. Zvisinei , kana wakambova nepamuviri pakaoma, zvakakosha kutaura nachiremba wako nezvenjodzi yako ye choriocarcinoma.

Unogona kurarama kwenguva yakareba sei uine Choriocarcinoma?

Chirwere chechoriocarcinoma chiri kutanga chine tarisiro yakanaka. Huwandu hwevanhu vane chirwere chechoriocarcinoma chine njodzi shoma hunosvika 100%. Huwandu hwevanhu vane chirwere chechoriocarcinoma chine njodzi huru i94%.

Choriocarcinoma isiri yepamuviri (rudzi rusina hukama nepamuviri/nyama yechibereko) ine fungidziro yakaipa zvishoma. Hainyanyi kubatwa nemakemikari zvakanyanya, zvichireva kuti chemotherapy inogona kusashanda zvakanyanya mukuuraya masero ekenza.

Ko chirwere cheChoriocarcinoma cheDanho rechina chinogona kurapwa here?

Danho rechina rechoriocarcinoma zvinoreva kuti kenza yapararira kune dzimwe nhengo dzemuviri wako, dzakadai seuropi hwako kana chiropa. Vanachiremba vako vachataura newe nezveizvi. Zvisinei , pane mukana wekuti chirwere ichi chichapera.

Ndingakwanisa here kuva nemumwe mwana kana ndiine choriocarcinoma?

Pamwe. Vanhu vazhinji vakakwanisa kuva nevana zvakare mushure mekurapwa kwechoriocarcinoma. Zvinoenderana nekuongororwa kwawakaitwa. Kana uchida kuva nevana, taura nachiremba wako nezvazvo. Vanogona kukupa mushonga wakanakisisa.

Ndinofanira kuona chiremba rini?

Kana uchibuda ropa zvisina kujairika kana kurwadziwa kwepazasi pedumbu, kunyanya kana wakambova nepamuviri pemuromo, iva nechokwadi chekuona chiremba.

Choriocarcinoma igomarara risingawanzoitiki asi rakakomba. Zvakajairika kunzwa kushushikana kana wabatwa nechirwere chakadai. Zvisinei, fungidziro yekuti uchabatwa nechoriocarcinoma inowanzova yakanaka. Taura nachiremba wako nezvechero zvinokunetsa kana mibvunzo yaungave nayo. Varipo kuti vapindure mibvunzo yako uye vakupe kurapwa kwakanakisisa.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

• Choriocarcinoma igomarara risingawanzoitiki uye rinopararira nekukurumidza rinogona kusanganiswa nepamuviri.
• Avo vakambova nepamuviri une matadza vari panjodzi huru.
• Ziva zviratidzo zvakaita sekubuda ropa zvisina kujairika muchizvaro uye kurwadziwa kwepazasi pedumbu.
• Mamiriro ezvinhu ayaKazhinji inogona kurapwa ne chemotherapy.
• Kuonekwa nekukurumidza uye kurapwa kwakakosha zvikuru.
• Kana muine kusava nechokwadi kana zviratidzo, tsvagai rubatsiro rwechiremba nekukasika. Musazvidya mwoyo, vanachiremba vakagadzirira kukubatsirai.

Choriocarcinoma , kenza, pamuviri, placenta, chemotherapy, pamuviri wemolar, hCG