Unoziva nezve Fallopian Tube Cancer here? Ngatitaurei nezvazvo!

Dzimwe nguva unonzwa sekuti dumbu rako razara here, kana kuti unowanzonzwa kurwadziwa zvishoma mudumbu rako rezasi? Ungafunga kuti zvakajairika, kana kuti pamwe idambudziko rekugaya chikafu. Asi zviratidzo zvidiki izvi, kunyanya sevakadzi, hazvifanirwe kufuratirwa. Nhasi tichataura nezverudzi rwekenza iyo vanhu vazhinji vasati vanzwa nezvayo, asi yakakosha zvikuru kuhutano hwevakadzi. Iyoyo ikenza yemuchubhu yefallopian.

Zvichitaurwa zviri nyore, chii chinonzi Fallopian Tube Cancer?

Zvakanaka, ngatitangei pakutanga. Matubhu eFallopian matubhu maviri matete anotakura mazai kubva kumazai edu kuenda kuchibereko. Zvichitaurwa zviri nyore, ndiwo chikamu chakakosha chemaitiro apo zai rinosangana nembeu kuti riumbe mwana. Saka kenza iyi inotanga mumasero ari mukati mematubhu aya efallopian.

Kazhinji, kenza iyi inotanga munyama iri muchubhu dzefallopian. Mukurapa, tinoidaidza kuti epithelial tissue. Zvinoshamisa kuti maitiro ekenza iyi, kupararira kwayo, uye nzira yatinoibata nayo zvakafanana nekenza yemuzai. Ndosaka vanachiremba vachirapa uye vachirapa kenza dzese nenzira imwechete.

Dambudziko guru rine gomarara iri nderekuti hariratidzi zviratidzo pakutanga uye rinopararira nekukurumidza . Asi mashoko akanaka ndeekuti kana rikaonekwa nemazvo pakutanga uye masero egomarara anogona kubviswa zvachose kuburikidza nekuvhiyiwa, chirwere chinorapika zvachose . Asi panguva yaro, gomarara racho rinenge ratopararira, zvichiita kuti rive rakaoma kurapa.

Gomarara iri rakajairika zvakadii?

Kwenguva yakareba, vanachiremba vaifunga kuti kenza yemuchubhu yefallopian yaive mhando isingawanzoitiki yekenza yevakadzi. Inenge 1% chete yekenza dzese dzevakadzi inotangira mumasero echubhu yefallopian.

Asi tsvakiridzo itsva yakawana kuti mhando zhinji dzegomarara dzatinowanzodaidza kuti ovarian cancer, inonzi epithelial ovarian cancer, dzinotangira mumatubhu efallopian. Zvikuru sei, inotangira mufimbriae, magumo apo zai rinopinda mutubhu refallopian richibva muovary. Rinozopararira pamusoro petubhu refallopian uye kune dzimwe nzvimbo dzepelvis nedumbu.

Ndezvipi zviratidzo zvatinofanira kutarisa?

Dambudziko guru rine kenza iyi nderekuti zviratidzo zvinonetsa kuona pakutanga uye tinowanzozvifuratira, tichifunga kuti zvakajairika. Ungasaona shanduko huru kusvika kenza yapararira mudumbu rese. Asi zvakakosha kuti tizive nezvezviratidzo izvi.

Ngationei kuti zviratidzo izvi zviri patafura iri pazasi.

Kana mumwe munhu mumhuri mako aine nhoroondo yekenza, kana kuti une zvimwe zvinhu zvinogona kukonzera njodzi, zvakanaka kuti uone chiremba kunyangwe ukaona shanduko diki yakaita seiyi.

Ndezvipi zvikonzero uye zvinhu zvinokonzera gomarara iri?

Vaongorori havasati vawana chikonzero chaicho chegomarara iri. Asi tinoziva kuti 90% yegomarara iri inobva mumasero eglandular ari munhengo, "masero eepithelial" atakataura nezvawo kare. Aya ndiwo marudzi akafanana emasero anoumba gomarara remaovari. Nekuda kweizvi, gomarara remachubhu efallopian neovarian rinowanzonzi "matumbu emhando yepamusoro." Izvi zvinoreva kuti aya magomarara ari kukura nekukurumidza .

Zvinhu zvinowedzera njodzi

Pane zvinhu zvakawanda zvinowedzera njodzi yako yekubata gomarara iri. Tarisa kana uine chimwe cheizvi.

• Zera: Vanhu vanopfuura hafu vanobatwa nekenza yemuchubhu yefallopian kana ovarian vane makore anopfuura 63. Izvi zvinoreva kuti njodzi yacho inowedzera nekukura.
• Nhoroondo yemhuri: Kana mumwe wehama dzako dzepedyo (amai, hanzvadzi, mwanasikana) akambova nekenza yemazamu, kenza yemazai, kana kenza yemuchubhu yefallopian, njodzi yako yakakura.
• Kuchinja kwemajini: Kuchinja kwemajini (mutations) mumajini ane chekuita nekenza yemazamu (BRCA) kunowedzera zvakanyanya njodzi yekenza iyi.
• Mamwe matambudziko ehutano: Matambudziko ekuberekwa akafanana neLynch syndrome nePeutz-Jeghers syndrome, pamwe nechirwere chinonzi endometriosis, zvinogonawo kuwedzera njodzi.
• Nhoroondo yekubata pamuviri: Njodzi yacho yakakwira zvishoma kune avo vasina kumbobvira vabata pamuviri uye avo vakabereka mwana wavo wekutanga mushure memakore makumi matatu nemashanu.
• Nhoroondo yemwedzi: Kuva nemwedzi wako wekutanga usati wasvitsa makore 12 uye kuenda kumwedzi mushure memakore 51 zvimwe zvezvinhu zvinogona kukonzera njodzi.
• Kufuta: Kuwanda kwemuviri (BMI) kwevanhu vanopfuura makore makumi matatu, kunyanya kana wakafuta uri mudiki, kunogona kuwedzera njodzi yako.

Vanachiremba vanoongorora sei chirwere ichi?

Sezvatakambotaura, hapana zviratidzo pakutanga, saka chirwere ichi chinowanzoonekwa kana chapararira zvishoma. Pamwe une bundu rakawanikwa panguva yekuongororwa kwechiuno apo chiremba wako anokuongorora nguva dzose.

Kana paine fungidziro, chiremba acharaira bvunzo dzinoverengeka kuti aongorore mamiriro acho ezvinhu.

1. Kuongororwa kweropa:Kuongororwa kweropa kweCA-125 kunoyera huwandu hwepuroteni inonzi cancer antigen 125 muropa. Huremu uhwu hunogona kukwira kune munhu ane kenza ye fallopian tube. Zvisinei, zvakakosha kuyeuka kuti huwandu uhwu hunogonawo kukwira nekuda kwezvimwe zvikonzero zvisiri kenza.

2. Kuongororwa kwemifananidzo: Kuongororwa kwakadai se `(Transvaginal ultrasound)`, `(CT scan)`, `(MRI)` kana `(PET scan)` kunogona kuburitsa mifananidzo yakajeka yemachubhu efallopian nemaovari. Izvi zvinogona kubatsira kuona kana paine ma cysts kana mapundu.

Zvisinei, bvunzo idzi dzoga hadzigone kusimbisa 100% kuti igomarara. Kuti chirwere ichi chionekwe zvechokwadi, sampuli yenyama inofanira kutorwa yoongororwa pasi pemaikorosikopu. Nzira dzinoshandiswa pakuita izvi ndeidzi:

• Kuvhiya kwekuongorora: Kuvhiya kunoongorora nhengo dzemuviri zvakananga kuti uone kana paine nyama inofungirwa. Izvi zvinosanganisira kutora sampuli dzemachubhu efallopian, maovari, uye ma lymph nodes ari pedyo woatumira ku lab kuti aongororwe. Kuvhiya uku kunogona kuitwa kwakavhurika (laparotomy) kana kuburikidza nekucheka kudiki uchishandisa kamera (laparoscopy).
• Kuongororwa kwemuviri: Kanyama kadiki kanobviswa kubva mubundu rinofungidzirwa uchishandisa tsono uye kanoongororwa.

Kuongororwa kwechirwere chegomarara kunoonekwa sei?

Kana kenza yangosimbiswa, chinhu chinotevera chakakosha ndechekuona "danho" rayo. Zvichitaurwa zviri nyore, kutsvaga kuti kenza yapararira kusvika papi (metastasized). Izvi zvakakosha pakuronga kurapwa uye kuwana pfungwa yeramangwana rechirwere.

Ndezvipi zviri kurapwa?

Kurapwa kwauchaitwa kunoenderana nezvinhu zvakawanda, kusanganisira danho regomarara uye hutano hwako hwese. Chiremba wako achagadzira hurongwa hwekurapa hwakakunakira.

• Kuvhiyiwa: Kuvhiyiwa kazhinji ndiko kurapwa kwekutanga. Izvi zvinosanganisira kubviswa kwechibereko (hysterectomy), machubhu ese efallopian (salpingectomy), uye maovari ese (oophorectomy). Zvichienderana nekuti kenza yapararira kusvika papi, mamwe matishu ari pedyo angangodawo kubviswa. Mune vamwe vakadzi vadiki, vanobereka vana, kana kenza ikaonekwa nekukurumidza, bundu rekenza chete ndiro rinobviswa, zvichichengetedza nhengo dzekubereka.
• Kurapa nemakemikari: Iyi mishonga ine simba inopihwa kuuraya masero ekenza. Kurapa uku kunopihwa kuderedza bundu risati ravhiyiwa, kana kuuraya chero masero ekenza angasara mushure mekuvhiyiwa.
• Kurapa kwakanangana: Iyi inzira itsva yekurapa. Inoshandisa mishonga inotarisa mamorekuru chaiwo akakosha pakukura kwemasero ekenza, pasina kukuvadza masero ane hutano senge chemotherapy yenguva dzose. Nzira iyi yekurapa inogona kubudirira zvikuru, kunyanya kune vanhu vane `(BRCA)` gene mutation.
• Kurapa nekudzivirira muviri: Izvi zvinosanganisira kukurudzira masoja emuviri wedu, zvichiupa simba rekurwisa masero ekenza.
• Kutarisirwa kwevanorwara negomarara: Uku kufungidzira kusina kunaka kwakajairika. Kutarisirwa kwevanorwara negomarara hakusi kweavo vane chirwere chisingarapiki chete. Kunoda kugadzirisa migumisiro yekurapwa negomarara, senge kurwadziwa nekurutsa, uye kubatsira kuchengetedza hupenyu hwakanaka. Kutarisirwa uku kunogona kupihwa chero padanho regomarara.

Chii chinoitika mushure mekurapwa?

Mushure mekurapwa, varwere vanosvika 80% vanopinda mu "remission" (kuregeredzwa kwechirwere), mamiriro asina zviratidzo zvekenza. Zvisinei, pane njodzi yekuti kenza "idzokorore" zvakare.

• Kenza dzinoonekwa pakutanga dzine mwero wekudzoka kwechirwere ichi weinenge 25%.
• Gomarara rinopararira uye riri padanho repamusoro rinogona kudzoka muzviitiko zvinosvika 80%.

Saka, kunyangwe mushure mekurapwa, zvakakosha kuona chiremba panguva yakatarwa uye kuongororwa.Izvi zvakakosha zvikuru, kunyanya mukati memakore mashanu ekutanga.

Mitengo Yekupona

Usavhunduke nenhamba idzi. Idzi ingori avhareji yakavakirwa padata kubva kuzviuru zvevarwere. Mamiriro ako ezvinhu anogona kunge akasiyana zvakanyanya, zviri nani. Izvi zvinongoitirwa kuti unzwisise kuoma kwechirwere.

• Kana kenza yakangogumira mumachubhu e fallopian (emunharaunda): Mwero wekurarama kwemakore mashanu i94%.
• Kana yapararira kunhengo dziri pedyo (dzenharaunda): mwero wekurarama kwemakore mashanu i53%.
• Kana yapararira kunhengo dziri kure (Kure): Mwero wekurarama kwemakore mashanu i44%.

Pane nzira dzekuzvidzivirira kubva kugomarara iri here?

Kunyange zvazvo zvisingagone kudzivirirwa zvachose, pane zvinhu zvakati wandei zvatinogona kuita kuderedza njodzi yacho.

Kana mumwe munhu mumhuri mako akambova nekenza yemazamu, ovarian, kana fallopian tube, ungada kutaura nachiremba wako nezvekuongororwa kwemajini eBRCA gene. Kana ukaonekwa uine mutation, ungada kukurukura nachiremba wako nezve mukana wekuva ne prophylactic salpingo-oophorectomy (kuvhiyiwa kubviswa kwemaovarian nema fallopian tubes) senzira yekudzivirira mushure mekunge wava nevana. Izvi zvinogona kuderedza njodzi yako yekenza neinenge 96%.

Uye zvakare, zvinhu izvi zvinogona kubatsira kuderedza njodzi:

• Kudya chikafu chine hutano uye kuramba uchiita maekisesaizi.
• Kuramba uine huremu hwakanaka hunokunakira.
• Rega kana kuderedza kusvuta nekushandisa doro.
• Kana zvichibvira, nyatsoyamwisa vana vako.
• Kushandisa nzira dzekudzivirira pamuviri dzine mahormone, dzakadai semapiritsi ekudzivirira pamuviri (asi kana uine BRCA gene mutation, taura nachiremba wako kuti izvi zvakakunakira here).