Pane dambudziko here nemachende? Ngatitaurei nezve Embryonal Carcinoma

Wakaona shanduko diki mutsvo yako munguva pfupi yapfuura here, kana kuti bundu risingawanzoitiki kana kuzvimba? Ungave wakanzwawo kurema kana kusagadzikana zvishoma. Hazvina kunaka kuregeredza zvinhu izvi, handiti? Nekuti izvi zvinogona kuva zviratidzo zvechirwere chatisingataure zvakawanda nezvazvo, asi zvakakosha kuziva nezvazvo. Tichataura nezvechirwere chakadaro nhasi.

Chii chinonzi Embryonal Carcinoma?

Zvichitaurwa zviri nyore, Embryonal Carcinoma rudzi rwegomarara rinokura mumachende, iro rinonyanya kutyisa uye rinopararira nekukurumidza. Rinonzi germ cell bundu. Iye zvino ungave uchishamisika kuti masero aya egomarara chii. Majenereta masero, kazhinji, ndiwo masero ekutanga anofanirwa kuva masero embeu akakura zvizere. Zvisinei, munyaya iyi yeEmbryonal Carcinoma, masero aya egomarara anotanga kupatsanurana nekuwanda nekukurumidza pasina kudzora. Muchiitiko ichi, bundu rinouraya rinoumba mukati mechende rako.

Vanachiremba vanoisa macarcinoma aya emucheche muboka rematumbu asiri emucheche. Iye zvino ungave uchishamisika kuti macarcinoma asiri emucheche chii . Zvichitaurwa zviri nyore, kune rumwe rudzi rwekenza yemasero emucheche inonzi seminomas. Zvisinei, aya macarcinoma asiri emucheche (embryonal carcinomas muenzaniso weizvi) anokura nekukurumidza uye anopararira nekukurumidza kune dzimwe nhengo dzemuviri.

Dambudziko iri rakajairika zvakadii?

Kanzera yemudumbu inowanikwa kakawanda sei? Kutaura zvazviri, kana uchifunga nezvekenza dzese dzinowanikwa mumachende, idzi hadzinyanyi kuwanda. Kureva kuti, ichi hachisi chirwere chinokanganisa munhu wese. Panyaya dzekenza yemachende dzakaonekwa, germ cell tumors, pure embryonal carcinomas, idzo dziri Embryonal Carcinoma chete, dzinoonekwa muhuwandu hushoma, hunenge huviri muzana (%2).

Zvisinei, zvakakosha kuziva izvi. Zvinenge 85 muzana (85%) yemabundu emasero akasiyana-siyana anoitika mumachende anogona kunge aine embryonal carcinoma. Mabundu emasero akasiyana-siyana emachende ibundu rinokura kubva mukubatanidzwa kwemarudzi akasiyana-siyana emabundu asiri e seminoma.

Kashoma, chirwere ichi, chinonzi Embryonal Carcinoma, chinogona kutangawo mune dzimwe nhengo dzemuviri dzevakadzi, dzakadai semaovari. Embryonal carcinoma, iyo inokura mumaovari, imhando isingawanzoitiki yegomarara remasero emumaovari. Pasinei nekuti rinotangira kupi, rudzi urwu rwegomarara runogona kukura nekupararira nekukurumidza.

Ndezvipi zviratidzo zveEmbryonal Carcinoma?

Zvakanaka, ngationei kuti zviratidzo zvipi zviripo muchirwere ichi cheEmbryonal Carcinoma. Kana uine chimwe cheizvi, zvakanaka kutsvaga rubatsiro rwechiremba nekukasika.

• Kunzwa sekuti rimwe remachende ako razvimba.
• Bundu kana kuti bundu rinonzwa rakaoma kubata mutsvo, riine kurwadziwa kana kuti risina.
• Kunzwa kurema uye kusagadzikana mudumbu.

Pamusoro pezviratidzo izvi, kana kenza yapararira kupfuura testisle, kureva kuti, kune dzimwe nhengo dzemuviri, zvimwe zviratidzo zvinogona kuoneka. Izvi ndeizvi:

• Kurwadziwa kwemusana wakaderera.
• Kurwadziwa kwepahuro.
• Kutadza kufema zvakanaka (dyspnea).
• Kukosora, dzimwe nguva kukosora ropa (hemoptysis).

Kana ukaona chimwe chinhu chakadai, haufaniri kunoona chiremba nekukurumidza here?

Sei Embryonal Carcinoma ichikura?

Kansa yemudumbu inotanga kana masero embeu ataurwa pamusoro apa atanga kupatsanurana nekukurumidza uye kuwanda zvisingadzoreki. Nekufamba kwenguva, masero aya anobatana kuti agadzire bundu. Magomarara aya anowanzo kukura nekukurumidza uye anopararira kupfuura testis.

Zvisinei, vanachiremba havasati vaziva kuti sei masero aya ehutachiona achitanga kuita izvi zvisina kujairika pakutanga. Zvisinei, vanotenda kuti masero aya ehutachiona asina kujairika anoumbwa tichiri mudumbu, ndiko kuti, panguva yekukura kwemwana ari mudumbu.

Ndiani ari panjodzi huru yechirwere ichi? (Zvinhu Zvinokonzera Njodzi)

Saka, ndezvipi zvinhu zvinokonzera chirwere ichi chinonzi Embryonal Carcinoma? Ngationei.

• Zera: Chirwere ichi chinowanzoonekwa muvechidiki vane makore ari pakati pe25 ne35 .
• Rudzi: Matumbu emasero emumatesticular anonyanya kuwanikwa pakati pevarume vachena vasiri vekuHispanic vanogara muUnited States neEurope.
• Nhoroondo yemhuri: Kana mumwe munhu wemumhuri yako, akadai sababa kana mukoma, akambova nekenza yerudzi urwu, unogona kunge uri panjodzi yakawedzera zvishoma.
• Zvimwe zvirwere: Semuenzaniso, vanhu vane zvirwere zvakaita se undescended testicles (cryptorchidism) uye Klinefelter syndrome vanogona kunge vari panjodzi yakakura.

Kansa yemudumbu inoonekwa sei?

Paunoenda kunoona chiremba, iye achatanga nekukubvunza nezvezviratidzo zvako uye kana paine munhu mumhuri yako akamborwara nechirwere ichi. Zvadaro, vachakuongorora kuti vaone kana paine mapundu kana kuzvimba mumachende ako. Vachaongororawo kana paine mapundu emudumbu mako akazvimba. Izvi zvinodaro nekuti mapundu emudumbu anogona kuva chiratidzo chekuti kenza yapararira.

Uye zvakare, bvunzo dzinotevera dzinoitwa kuti dziongorore chirwere ichi nemazvo:

• Kuongororwa kwemifananidzo: Kuongororwa kwemachende ese ari maviri kazhinji ndiko kwekutanga. Kana izvi zvikaratidza zviratidzo zvegomarara, kuongororwa kweCT (computed tomography scan), X-ray, kana MRI (magnetic resonance imaging) kunogona kuitwa kuti kuonekwe kuti gomarara racho rapararira kusvika papi mumuviri.
• Kuongororwa kwezviratidzo zvegomarara remuropa: Izvi zvinosanganisira kutora sampuro yeropa rako uye kutsvaga zvimwe zviratidzo zvegomarara zvine chekuita negomarara rematesticular. Mienzaniso inosanganisira alpha-fetoprotein (AFP) uye human chorionic gonadotropin (HCG). Izvi dzimwe nguva zvinogona kuonekwa muropa rine embryonal carcinoma, asi kwete nguva dzose.
• Kuvhiyiwa kweInguinal orchiectomy uye biopsy: Izvi zvinosanganisira kubviswa kwechende rese rine kenza uye kuongorora masero aro pasi pemaikorosikopu. Apa ndipo pazvinogoneka kuona kana iri embryonal carcinoma. Kazhinji, biopsy inotora chidimbu chidiki chenyama chete. Zvisinei, kana iri kenza yematesticular, kana chidimbu chidiki chakadaro chikatorwa, chende rese rinobviswa nekuti masero ekenza anogona kupararira.

Matanho eEmbryonal Carcinoma

Kana waonekwa kuti une chirwere, chiremba wako ndiye anoonawo kuti kenza yako yapararira zvakadii. Apa ndipo payapararira gomarara uye kuti rakakomba zvakadii. Danho regomarara rako ndiro rinofanotaura kuti ucharapwa here kana kuti kwete. Kansa yemudumbu iri padanho rayo rekutanga inogona kupora zvachose. Zvisinei, nekuti inopararira nekukurumidza, inenge 40 muzana (40%) yegomarara inenge yatopararira (yakaita semetastasized) kunzvimbo dziri kure dzemuviri panguva iyo vanachiremba vanoiongorora.

Matanho makuru eEmbryonal Carcinoma ndeaya:

• Danho rekutanga: Kenza iri mudumbu rako chete.
• Danho rechipiri: Kenza yapararira kusvika kuma lymph nodes ari kuseri kwedumbu rako (retroperitoneum).
• Danho rechitatu:Kenza iyi yakapararira kupfuura lymph nodes iri mu retroperitoneum, kana kunhengo dziri kure mumuviri. Kanza yemudumbu inowanzopararira ichienda kumapapu. Zvisinei, inogonawo kupararira kuchiropa, muuropi, kana mumapfupa.

Ndezvipi zvinorapwa izvi?

Mishonga mikuru yekurapa kenza yemudumbu ndeyekuvhiyiwa kubvisa kenza uye chemotherapy. Kurapwa kwaunowana kunoenderana nezvinhu zvakawanda, zvakaita sedanho rekenza yako, hutano hwako, uye rudzi rwekurapwa kwaunoda.

Kune nzira dzinoverengeka huru dzekurapa:

• Kuvhiyiwa kwegomarara regumbo: Mukuita uku, chiremba wako anobvisa machende ako egomarara zvachose. Mitsipa yeropa yakakomberedza nematishu elymph zvinovharwa kuti kenza isapararire.
• Kubviswa kwema lymph node emudumbu (RPLND): Kana carcinoma yemudumbu yakapararira kusvika kuma lymph nodes ari kumashure kwedumbu rako, kana paine njodzi yekupararira, chiremba wako anogonawo kubvisa ma lymph nodes iwayo nekuvhiyiwa.
• Kurapa nemakemikari: Kansa yemudumbu inowanzo pindura zvakanaka pakurapa nemakemikari. Izvi zvinosanganisira kupa muviri wako mishonga inogona kuuraya masero ekenza. Mushure mekuvhiyiwa, unogona kupiwa mishonga yekuuraya masero ekenza asara. Dzimwe nguva, muzviitiko zvepamusoro apo kenza yapararira kure, vanachiremba vanosarudza kukupa mishonga yemakemikari usati wavhiyiwa.

Hupenyu huchava sei nemamiriro ezvinhu aya? (Outlook)

Danho regomarara rine simba guru pakuti uchakwanisa sei kupora (kufanotaura / maonero). Ongororo ichangobva kuitwa yakaratidza kuti vanhu vanopfuura 98% (98%) vakarapwa gomarara redanho rekutanga vachiri vapenyu mushure memakore mashanu. Vanhu vanosvika 80% (80%) vane gomarara redanho rechitatu remudumbu vachiri vapenyu mushure memakore mashanu.

Yeuka, kunyangwe ukabvuma kurapwa zvakanaka, vanachiremba vacharamba vachikutarisa nekuti kenza inogona kudzoka.

Kana gomarara remudumbu richinge rabuda, kana gomarara iri rakangogara mudumbu, pane mukana we20% (20%) wekudzoka. Zvisinei, kana gomarara racho rapararira kusvika kumachubhu kana kumalymph nodes, mukana wekudzokazve unogona kupfuura 50% (50%).

Kansa yemudumbu inogona kudzivirirwa here?

kutaura chokwadi,Hapana nzira yekudzivirira kukura kwekenza yemucheche. Zvisinei, chinhu chakanakisa chaungaita ndechekuona chiremba nekukurumidza paunoona shanduko mumachende ako. Haasi ese shanduko ikenza, asi zvakakosha kuziva chokwadi.

Ndinozvitarisira sei?

Kana muine mibvunzo kana zvinokunetsai nezvekurapa uku, taurai nachiremba wenyu nezvazvo. Semuenzaniso, vanhu vazhinji vanotya kubviswa machende, vachifunga kuti zvichakanganisa hupenyu hwavo hwepabonde uye kugona kwavo kuva nevana. Asi muchokwadi, machende asara anoburitsa testosterone yakakwana, iyo inokosha mumuviri wenyu. Saka hamuzove nematambudziko ekuita zvepabonde kana kuburitsa urume. Pamwe muchakwanisa kuva nevana.

Kana uchinetseka nezvechitarisiko chako, unogona zvakare kuwana testis yekugadzirwa. Uyewo, kana uchida kuchengetedza kubereka kwako, unogona kutaura nachiremba wako nezvekuchengetedza mbeu .

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Paunoona chiremba wako, usakanganwa kubvunza mibvunzo yakaita seiyi:

• Kenza yangu iri padanho ripi?
• Ndedzipi nzira dzekurapa dzandinadzo?
• Ndezvipi zvandingatarisira mushure mekurapwa?
• Mikana ipi iripo yekuti kenza iyi ipere zvachose nekurapwa?
• Ndinofanira here kuchengeta mbeu yangu ndisati ndatanga kurapwa?

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Kansa yemudumbu imhando yegomarara remazamu rinokurumidza kukura uye rinokurumidza kukura, asi rinowanzo pindura zvakanaka pakurapwa kwakadai sekuvhiyiwa uye chemotherapy. Rinonyanya kurapika kana rikaonekwa nekukurumidza. Chiremba wako achakupa mazano ekurapa kwakakodzera iwe, zvichienderana nedanho regomarara rako.

Saka, kana ukaona chimwe chinhu chisina kujairika kana chakasiyana mumachende ako, usanonoka uye enda kuna chiremba nekukasika kuti anoongororwa. Ndiro rubatsiro rukuru rwaunogona kuzviitira iwe pachako. Usazvidya moyo, kune mhinduro dzezvese.

` carcinoma yemudumbu, kenza yematesticular, bundu remasero emudumbu, kenza yematesticular, zviratidzo zvekenza, kurapwa kwekenza, hutano hwevarume