Une bundu risinganzwisisike pamuviri wako here? Ringava bundu remasero ehutachiona here? Ngatikurukurei!

Wakambonzwa nezve 'Germ Cell Tumor' here? Pamwe zita racho rinonzwika serinotyisa, asi usazvidya mwoyo. Nhasi tichataura nezvazvo nenzira iri nyore yaunogona kunzwisisa. Nekuti zvakakosha zvikuru kuziva zvinhu izvi, kunyanya sezvo dzimwe nguva zvinogona kukura muvana vadiki nevakuru vechidiki.

Ndezvipi zvironda zvemasero ehutachiona izvi?

Zvichitaurwa zviri nyore, bundu remasero embeu ibundu rinobuda mumasero edu ekubereka, rinonzi 'masero embeu'. Izwi rekuti "mbeu" rinoreva "kumera" kana "kukura." Zvino, mumusikana, masero aya embeu anozova 'mazai'. Mumukomana, aya anozova 'mbeu'. Saka, mabundu aya emasero embeu anowanzo buda munzvimbo dzinogadzirwa mazai, kureva 'mazai', uye uko kunogadzirwa mbeu, kureva 'machende'.

Zvisinei, dzimwe nguva mabundu aya anogona kukura mune dzimwe nzvimbo dzemuviri kunze kwemaovari nematesticles. Semuenzaniso, anogona kukura munzvimbo dzakadai sedumbu, chipfuva, pasi pemusana, pfupa remuswe, uye uropi. Mabundu anokura mune dzimwe nzvimbo dzakadai anonzi extragonadal tumors . Kureva kuti, mabundu anokura kunze kwegland rekubereka.

Chinonyanya kukosha ndechekuti, mabundu aya emasero ehutachiona anonyanya kuonekwa muvana vadiki, vechidiki, uye vechidiki .

Pane mhando dzematumbu emasero ehutachiona here?

Ehe, kune mhando mbiri dzemabundu emasero embeu. Mamwe anogona kuva akaipa , zvichireva kuti ane kenza. Imwe mhando haina njodzi . Mhando dzese dzemabundu dzinogona kukura zvakakura. Zvisinei, mabundu emasero embeu embeu embeu chete ndiwo anogona kupararira kune dzimwe nhengo dzemuviri. Kana akapararira (akapararira), anogona kukuvadza nhengo dzedu dzemukati uye akaoma kurapa.

Ngationei kuti ndeapi marudzi makuru emabundu emasero ehutachiona:

Teratoma

Michero iyi yakasiyana zvikuru. Michero iyi inogona kunge iine matishu akaita semazino, bvudzi, tsandanyama, nemapfupa. Funga nezvayo semuchero wakagadzirwa nezvinhu zvakasiyana-siyana. Izvi zvinogona kuva 'zvakakura' kana 'zvisina kukura'.

• Matumbu erudzi rwema teratomas , dzimwe nguva anonzi dermoid cysts , ndiwo mhando yebundu remasero ehutachiona rinowanzoonekwa mumazai. Kazhinji, haasi kenza.
• Materatoma asati akura anowanzova kenza, uye anokura nekukurumidza.

Matumbu eYolk Sac kana kuti Endodermal Sinus Tumors

Mbeu idzi dzine masero akafanana chaizvo nemasero ari mudumbu riri kukura.Izvi zvine kenza uye zvinogona kupararira nekukurumidza kuma lymph nodes nedzimwe nhengo dzemuviri. Matumbu emudumbu ndiwo mhando yegomarara remasero ekenza rinowanzoonekwa muvana vadiki.

Germinoma

Iyi imhando yegomarara zvakare. Rinogona kukura mumazai kana mumachende. Zvisinei, rinowanzo kuwanikwa muuropi nemumusana (central nervous system). Parinokura mumazai, rinonzi dysgerminoma , uye parinokura mumachende, rinonzi seminoma .

Kansa yeEmbryonal Cell

Iri igomarara remasero egomarara risingawanzoitiki. Dzimwe nguva rinogona kuitika roga, asi kazhinji rinoonekwa pamwe chete nemamwe marudzi emagomarara, zvichigadzira gomarara remasero egomarara rakasanganiswa .

Polyembryoma

Mabundu aya ane zvikamu zvakafanana nematumbu emwana ari mudumbu. Aya mabundu ekenza asingawanzoitiki, anokura nekukurumidza. Anowanzo umbwa pamwe chete nemamwe mabundu emasero ehutachiona.

Kansa yeChoriocarcinoma

Mabundu aya anoumbwa nemasero anoumba placenta panguva yekuzvitakura. Sezvamungangoziva, placenta ndiyo nhengo inobatsira amai nemwana kuchinjana zvinovaka muviri. Choriocarcinoma ibundu remasero ekenza risingawanzoitiki. Kunyangwe richigona kukura mumazai kana mumachende, rinowanzo kukura muchibereko. Chinonyanya kukosha ndechekuti rinogona kupararira kumwana ari mudumbu nekuna amai.

Matumbu emasero akasiyana-siyana

Aya mabundu anoumbwa kana mhando mbiri kana kupfuura dzemabundu emasero ekenza akabatana. Kutaura zvazviri, mabundu mazhinji emasero emasero ekenza anosanganiswa seizvi.

Ndeupi musiyano uripo pakati pematumbu e seminoma nee non-seminoma?

Matumbu emasero emumatumbu kuvarume, kunyanya kenza yematesticular, akakamurwa kuita mhando mbiri: seminomas ne non-seminomas . Ose ari maviri matumbu ekenza.

• MaSeminoma: Aya anowanzo kukura nekupararira zvishoma nezvishoma kupfuura asiri maSeminoma.
• MaNon-seminomas: Aya anokura uye anopararira nekukurumidza kupfuura ma seminomas. Matumbu emudumbu, embryonal cell carcinomas, choriocarcinomas, uye teratomas ndeemuboka iri rema non-seminomas.

Matumbu aya emasero ehutachiona akajairika zvakadii?

Matumbu emasero erudzi rwegerm haawanzo kuwanikwa muvana vadiki. Anokonzera 3.5% yekenza dzese muvana. Zvisinei, anowanzoonekwa muvechidiki nevechidiki. Matumbu emasero erudzi rwegerm anokonzera 13.9% yekenza dzese muvanhu vane makore ari pakati pe15 ne19.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

Kunyangwe munhu wese achigona kuva negomarara mumasero ehutachiona,Vacheche, vana vadiki, vechidiki, nevechidiki ndivo vanonyanya kubatwa nechirwere ichi. Kuwanda kwezvirwere izvi kunosiyana nezera. Semuenzaniso, zvinowanzoonekwa kubva paucheche kusvika pazera remakore mana, zvobva zvadzikira zvishoma, zvozowedzera zvakare panguva yekuyaruka.

• Matumbu emasero embeu: Aya anonyanya kuwanikwa muvasikana vari pakati pemakore gumi nemana. Zvisinei, anogonawo kukura muvanhu vari mumakore avo ekuma20 ne30. Teratoma yakakura (kazhinji isiri kenza) ndiyo mhando yebundu remasero embeu inowanzoonekwa.
• Matumbu emasero emumatesticular: Rudzi urwu rwunokonzera 75% yekenza yematesticular muvana, uye 90% yekenza dzese dzematesticular. Anonyanya kuwanikwa muvana vari pasi pemakore mana uye muvarume vari pakati pemakore gumi nemashanu kusvika makumi matatu nemashanu.
• Matumbu emasero ekunze kwegomarara: Matumbu aya anokonzera 40% kusvika 50% yematumbu ese emasero egomarara anowanikwa muvana vari pasi pemakore mana ekuberekwa. Zvisinei, anogonawo kuitika kuvana nevachiri kuyaruka. Muvacheche nevana vadiki, anowanikwa zvakanyanya mu sacrum kana coccyx. Muvechiri kuyaruka nevechiri kuyaruka, anowanikwa zvakanyanya mu mediastinum.
• Matumbu emasero europi: Kunyange zvazvo aya asingawanzoitiki, anowanzoonekwa muvanhu vane makore ari pakati pe11 ne30.

Ndezvipi zviratidzo zvegomarara remasero emukenza?

Zviratidzo zvegomarara iri zvinosiyana zvichienderana nehukuru hwegomarara uye nzvimbo yaro pamuviri.

Zviratidzo zvema cysts emu ovarian

Mabundu emasero emumajini anokura mumazai haawanzo kukonzera zviratidzo. Semuenzaniso, teratoma yakakura inogona kusakonzera zviratidzo kusvika yakura zvakakwana kukonzera kurwadziwa mudumbu. Inowanzoonekwa panguva yekuongorora kwe ultrasound kuti ione chikonzero chekurwadziwa mudumbu rezasi.

Zviratidzo zvinogona kunge zvakaita seizvi:

• Kusagadzikana kana kurwadziwa mudumbu repazasi.
• Kunzwa bundu rinorwadza muchibereko.
• Kuzvimba, kuzvimba.
• Marwadzo emudumbu (senge appendicitis ).
• Kubuda ropa zvisina kurongeka kwechikadzi.
• Kusvotwa.

Zviratidzo zvema cysts ematesticular

Zviratidzo zvemabundu emasero emumatumbu zvinobuda mumatumbu zvakafanana nezviratidzo zvegomarara rematumbu.

Hunhu hwacho ndehwekuti:

• Bundu rakaomarara, rakaoma riri mutsvo rinokura zvishoma nezvishoma (ringave rinorwadza kana kuti risingarwadzi).
• Kunzwa kurwadziwa kana kurema mudumbu.
• Kurwadziwa kwemudumbu kana kurwadziwa kwemuhuno.
• Chimiro chisina kujairika chetsvimbo.
• Kurwadziwa kwemusana.

Zviratidzo zvemamota ari kuitika kune dzimwe nzvimbo (extragonadal)

Bundu riri mumagaro emwana wako kana pakati pechipfuva chakeKana iripo, inogona kunge iri teratoma. Zvimwe zviratidzo zvinosiyana zvichienderana nenzvimbo yebundu.

• Kuoma kufema (kana zvichikonzerwa nemapapu).
• Kushaya simba mumakumbo (kana ari kumusana wepazasi).
• Kuomerwa nekuita weti nekuita tsvina (kana dambudziko racho riine chekuita nechiuno).
• Mwana ane kuzvimba uye kurwadziwa kwakanyanya kana kushoma mudumbu.

Mamwe mabundu emasero ehutachiona anoburitsa mahormone ekubereka. Izvi zvinogona kukonzera kuti vana varatidze zviratidzo zvekuyaruka vachiri vadiki kana kuti vakure zvisina kujairika pabonde. Vasikana vanogona kukura mazamu, bvudzi repanhengo dzavo, uye kutanga kwemwedzi. Vakomana vanogona kukura mazamu (gynecomastia).

Chii chinokonzera bundu iri remasero ehutachiona?

Kazhinji, masero aya anoumbwa sezvo mwana ari mudumbu anokura. Masero aya anobva atamira kumazai emwana ari mudumbu kana machende, uko anozova masero ezai kana masero embeu.

Asi, mumabundu emasero embeu, masero aya haakure zvizere kuita mazai kana mbeu yemurume. Asi, masero aya embeu anopatsanuka zvisina kujairika uye anoumba mabundu mumazai kana mumachende. Mumabundu ekunze kwegonadal atakataura nezvawo kare, masero aya embeu anoenda kunzvimbo dzisinganzwisisike mumuviri - nzvimbo dzakadai sechipfuva, uropi, dumbu, pasi pemusana, magaro - uye anoumba mabundu ipapo.

Kutaura zvazviri, vaongorori havasati vawana chikonzero chaicho nei masero aya ehutachiona achiita seizvi.

Ndezvipi zvinhu zvinokonzera njodzi?

Unogona kuva negomarara remasero ehutachiona kana mumwe munhu mumhuri mako akambova naro, kana kuti kana uine zvimwe zvirwere.

Aya ndiwo mamiriro ezvinhu akadai:

• Kusabatwa nemachende asina kusimba ( cryptorchidism ).
• Chirwere chinonzi Turner syndrome .
• Chirwere chinonzi Klinefelter syndrome .

Aya ndiwo majini kana kukura kwemwana izvo vanachiremba vanoona.

Matumbu emasero ehutachiona anoonekwa sei? (Kuongororwa)

Chiremba wako achatanga akuongorora muviri wako uye obvunza nezvezviratidzo zvako. Zvadaro, vanogona kuita imwe kana kupfuura yeongororo dzinotevera kuti vaone kana uine bundu remasero ehutachiona:

• CT scan: Izvi zvinosanganisira kutora mifananidzo yakawanda yeX-ray yemukati memuviri wako uye kushandisa komputa kugadzira mufananidzo wemapfupa nenyama dzakapfava une mativi matatu (`3D`). CT scan yechipfuva, dumbu, kana chiuno inogona kubatsira kuona bundu.
• MRI: Izvi zvinoshandisa magineti nemasaisai eredhiyo kugadzira mufananidzo wepakombiyuta wemapfupa nenyama dzakapfava dzemuviri. Kufanana neCT scan, MRI inogona kuratidza nzvimbo yebundu.
• Ultrasound:Izvi zvinoshandisa mafungu eruzha kugadzira mifananidzo yemukati memuviri. Ultrasound inoratidza kuti bundu rakawanda sei uye kuti mvura yakawanda sei ('cystic'). Ruzivo urwu runobatsira kuona kana bundu iri bundu remasero emushonga kana kuti mvura chete ('cyst').
• Kuongororwa kwePET: Izvi zvinoshandisa kemikari yakakosha ('tracer') kuti iwane nzvimbo dzemasero ekenza mumuviri. Kuongororwa kwePET kunogonawo kuona kana kenza yapararira.
• Kuskena mapfupa: Izvi zvinosanganisira kubaya dhayi chaiyo mumuviri, zvichiita kuti ipinde mumapfupa, uye wozotora mifananidzo yeX-ray. Dhayi iyi inobatsira kuratidza kusarongeka uye inogona kubatsira kuona kana bundu rapararira kumapfupa.
• Kuongororwa kweropa: Chiremba wako anogona kutora sampuro yeropa kuti aone huwandu hwemamwe ma enzymes, mapuroteni, kana mahormone muropa rako. Huwandu hwakawanda hwezvinhu zvakaita se human chorionic gonadotropin (hCG) , alpha-fetoprotein (AFP) , uye lactate dehydrogenase zvinogona kuva chiratidzo chemamwe marudzi ematumbu emasero ehutachiona.
• Kuongororwa kwemuviri: Izvi zvinosanganisira kutora chidimbu chidiki chenyama kubva mubundu wochitumira kurabhoritari kuti chiongororwe. Chiremba wezvirwere , chiremba ane hunyanzvi mukuongorora masero, achaongorora sampuli yacho nemaikorosikopu kuti aone kana iri bundu remasero ehutachiona.

Zvakakosha: Kana bundu rako richigona kunge rine kenza, chiremba wako anogona kusarudza kubvisa nhengo yese. Semuenzaniso, nzira yakajairika yekuongorora kenza yematesticular ndeyekubvisa testicle yese ( radical inguinal orchiectomy ). Kubvisa testicle kunobvumira chiremba wako kuongorora nyama uye kuita oparesheni sekurapa.

Matumbu emasero ehutachiona anorapwa sei?

Kune nzira dzakasiyana-siyana dzekurapa. Chiremba wako ndiye achasarudza mushonga wakanakisisa zvichienderana nerudzi, saizi, nzvimbo yebundu, uye hutano hwako hwese.

• Kuvhiyiwa: Kuvhiyiwa ndiko kurapwa kukuru kwebundu remasero ehutachiona. Kana bundu remazai riri muchibereko, bundu chete ndiro rinogona kubviswa ( ovarian cystectomy ), kana kuti ovary yese ne fallopian tube zvinogona kubviswa ( salpingo-oophorectomy ). Kana kenza yemazai iri muchibereko, bundu rine bundu racho rinobviswa.
• Kurapa nemakemikari: Izvi zvinosanganisira kukupa mishonga yekuuraya masero ekenza kana kumisa kupatsanuka. Kana chiremba wako asingakwanise kubvisa bundu racho zvakachengeteka, kana kuti rakapararira kune dzimwe nhengo dzemuviri wako, unogona kupihwa chemotherapy. Mushure mekuvhiyiwa, chemotherapy inopihwawo kuuraya chero masero ekenza angasara, kunyangwe asina kuonekwa paskeni. Kurapa nemakemikari kunoshandiswa kune mhando zhinji dzemabundu emasero ekenza.Nzira yekurapa inobudirira zvikuru.
• Kurapa nemwaranzi: Izvi zvinosanganisira kushandisa maX-ray ane simba guru kuparadza masero ekenza. Mamwe marudzi emagomarara emasero ehutachiona anopindura zvakanaka nemwaranzi.

Gomarara remasero ehutachiona rinogona kurapwa zvizere here?

Kufanotaura, kana kuti tariro yekurapwa, kwemabundu mazhinji emasero ehutachiona kwakanaka kwazvo. Chirwere ichi chinowanzo poreswa kana bundu racho rikabviswa zvachose. Semuenzaniso, kenza yemazamu ine mwero wekurarama we95% mushure mekurapwa. Mabundu emasero ehutachiona eovary ane mwero wekurarama we93%. Mabundu emasero ehutachiona muvana ane mwero wekurapwa uri pakati pe82% ne90%.

Zvisinei, mhinduro idzi dzinoenderana nezvinhu zvakati wandei zvakanangana newe. Izvi zvinosanganisira:

• zera rako.
• Rudzi rwegomarara remasero ebhakitiriya.
• Nzvimbo uye saizi yebundu.
• Kureba kwegomarara kwapararira.
• Mhinduro yebundu pakurapwa.

Saka, zvakakosha zvikuru kutaura nachiremba wako nezvekuti kuongororwa kwako kuchakanganisa sei mhedzisiro yako.

Mibvunzo inokosha yekubvunza chiremba wako

Unogona kubvunza mibvunzo iyi kuti unzwisise zviri nani chirwere chako:

• Bundu rangu rine kenza here (rinokuvadza)?
• Bundu rangu rinokura nekukurumidza (rinorwisa) zvakadii?
• Ko gomarara rapararira here?
• Ndeapi marapirwo amunokurudzira?
• Ndezvipi zvingakonzera migumisiro yekurapwa?
• Ndezvipi zvingangoitika zvine chekuita nesarudzo yega yega yekurapa?
• Ndedzipi bvunzo dzandinofanira kuita kuti ndione kushanda kwekurapa?
• Kangani pandinofanira kuuya kuzoongororwa kuti ndione kana bundu rangu/mhinduro yaro pakurapwa?

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Gomarara remasero embeu igomarara rinobuda mumasero ekubereka. Chiremba wako anogona kukutsanangurira kuti kuongororwa uku kuchakanganisa sei iwe kana mwana wako. Gomarara remasero embeu rakaoma kunzwisisa. Zviratidzo zvako uye fungidziro yako zvinoenderana nezvinhu zvakawanda, zvese izvo chiremba wako achakurukura newe.

Mashoko akanaka ndeekuti bundu remasero ehutachiona mazhinji rinopindura zvakanaka pakurapwa. Sezvakaita chero bundu ripi zvaro (kunyanya bundu rekenza), kana ukangoerekana waona chirwere chacho wotanga kurapwa, ndipo pachava nemhedzisiro yakanaka. Saka, kana uine bundu risingawanzoitiki, kuzvimba, kana kurwadziwa, kuchenjera kutsvaga mazano echiremba pane kuregeredza.

Mabundu emasero ejena , kenza, teratoma, bundu remudumbu reyellow, germinoma, kenza yemuchibereko, kenza yematesticular