Kuenda kwako kumwedzi kwava kusingaenderane here? Kana kuti unongonzwa kuzvimba, kunzwa kurema mudumbu rako rezasi here? Dzimwe nguva tinofunga kuti izvi zvinhu zvakajairika, asi nhasi tiri kutaura nezvechikonzero chingave chinonetsa zvishoma. Ichi chirwere chinonzi Granulosa Cell Tumor (GCT). Usatye paunonzwa zita iri, zvakakosha kuti uzive izvi.
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Zvichitaurwa zviri nyore, chii chinonzi Granulosa Cell Tumor (GCT)?
Granulosa Cell Tumor (GCT) imhando yebundu rinokura mumazai evakadzi. Sezvamunoziva, mazai chikamu chakakosha kwazvo chemuviri wedu wekubereka wevakadzi. Pamusoro pekugadzira mazai, mazai aya anogadzirawo mahormone maviri evakadzi anonzi estrogen neprogesterone.
Chinhu chakakosha pakukura kwematumbu aya eGCT ndechekuti anogadzira huwandu hwakawanda hwehormone inonzi estrogen . Ndosaka shanduko dzakasiyana siyana nezviratidzo zvichionekwa mumuviri. Kunyangwe matumbu aya achigona kukura chero pazera ripi zvaro, anowanzoonekwa pazera remakore makumi mashanu.
GCT chirwere chisingawanzoitiki. Chinongokonzera 5% chete yemabundu ese emumazai. Asi zvakakosha kuti uzive nezvazvo nekuda kwehutano hwako.
Matumbu aya ane njodzi here?
Ehe, Granulosa Cell Tumor rudzi rwegomarara rinowanzo kuwira muchikamu chegomarara . Asi chinhu chakakosha chaunofanira kuyeuka pano ndechekuti mazhinji emagomarara aya anokura zvishoma nezvishoma . Nekuda kweizvi, pane mikana yakawanda yekuaona pakutanga. Kana akaonekwa nekukurumidza, mhedzisiro yekurapwa yakanakawo. Saka hapana chikonzero chekunetseka.
Pane musiyano here pakati peGCTs dzinokura muvanhu vakuru nevechidiki?
Ehe, pane musiyano mudiki. Dambudziko iri rinowanzoonekwa mumadzimai akura. 95% yevarwere vanoonekwa vari vakadzi vakura zvakanaka.
Zvisinei, kana bundu iri rikaitika mumunhu wechidiki ari pasi pemakore makumi matatu, rinogona kunge riri rudzi runonzi Juvenile GCT . Dzimwe nguva rudzi urwu rweJuvenile GCT runogona kukura nekukurumidza kupfuura rudzi rwunowanikwa muvanhu vakuru, uye runogona kudzoka zvishoma makore mashoma mushure mekurapwa.
Chii chinokonzera kuti GCT iumbwe?
Nyanzvi hadzisati dzaziva kuti chii chinokonzera izvi, asi kazhinji, mabundu aya anokonzerwa nekuchinja kwemajini anonzi FOXL2., kureva kuti, pane shanduko inoonekwa. Basa guru rejini iri nderekubatsira kukura kwakanaka kwemasero egranulosa. Saka kana paine shanduko mujini iri, masero anogona kukura zvisina kujairika uye kugadzira bundu rakadai.
Unewo zviratidzo izvi here?
Chiratidzo chikuru cheGCT kuwedzera kwemazinga eestrogen mumuviri. Zviratidzo zvinokonzerwa neizvi zvinogona kusiyana zvichienderana nezera rako.
- Musikana mudiki anogona kuratidza zviratidzo zvekuyaruka achiri mudiki.
- Muvakadzi vakuru , zviratidzo zvinotevera zvinowanzoonekwa.
| Chiratidzo | Tsananguro |
|---|---|
| Kubuda ropa kusingawanzoitiki | Kubuda ropa kunowanzoitika kuvakadzi vanenge vapedza mwedzi (vapedza kuenda kumwedzi) kana kubuda ropa kusingawanzoitiki muchibereko kuvakadzi vechidiki. |
| Kuzvimba mudumbu | Kukura kana kunzwa kuzvimba mudumbu repazasi. |
| Kuchinja kwekuenda kumwedzi | Kurega kuenda kumwedzi zvisina kurongeka kana kuti zvachose. |
| Kurwadziwa kwezamu | Kurwadziwa kana kurwadza kwemazamu. |
| Kurwadziwa kwedumbu rezasi | Izvi zvinowanzoitika chete kana cyst ikaputika, izvo zvinogona kukonzera kurwadziwa kwakakomba kamwe kamwe. |
Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?
Kana chirwere ichi chikasarapwa nenguva, njodzi yemamwe matambudziko ehutano inowedzera sezvo huwandu hweestrogen mumuviri hunoramba hwakakwira.
| Dambudziko rinogona kuitika | Zvichitaurwa zviri nyore... |
|---|---|
| Hyperplasia yeEndometrial | Kukora kusina kujairika kwemadziro emukati mechibereko. |
| Kenza yechibereko | Kuwanda kwenjodzi yekuva nemasero ekenza yemuchibereko. |
| Kenza yemazamu | Njodzi yekubatwa nekenza yemazamu inogonawo kuwedzera zvishoma. |
| Kusabereka | Kukanganisa kugona kwekuva nevana. |
Vanachiremba vanoongorora sei chirwere ichi?
Kana ukaudza chiremba wako nezvezviratidzo zviri pamusoro apa, achakuongorora uye achakubvunza kuti chirwere chacho chakamira sei.
- Kufungidzira: Izvi zvinogona kusanganisira CT scan , MRI scan , kana, kazhinji , transvaginal ultrasound , inova scan inoitirwa kuburikidza nepanhengo yemukadzi.
- Kuongororwa kweRopa: Kuongororwa uku kunoongorora zvimwe zviratidzo zvegomarara, zvakaita seInhibin, iyo inogadzirwa neGCTs. Kunoongororawo zvimwe zvirwere.
Ndezvipi zvingasarudzwa pakurapa?
Kurapa kwekutanga uye kukuru kweGCT kuvhiyiwa.Pano, chiremba anoedza kubvisa bundu rakawanda sezvinobvira pasina kukuvadza nyama ine hutano.
Kana uri mudiki, usingaronge kuva nevana, kana kuti wasvika panguva yekupedza kuenda kumwedzi, chiremba wako anogona kukurudzira kuti ubviswe oophorectomy , iyo inosanganisira kubvisa ovary yese ine bundu. Mune zvimwe zviitiko, kubviswa kwechibereko kunogonawo kudiwa.
Kuziva danho regomarara (staging)
Mushure mekuvhiyiwa, "danho" rinoonekwa kuti kenza yapararira here.
- Danho rekutanga: Bundu iri rakangogara mumazai echibereko uye harina kupararira.
- Matanho 2 kusvika 4: Kenza yapararira ) kune dzimwe nhengo dzemuviri.
Mashoko akanaka ndeekuti varwere vapfumbamwe pagumi veGCT vanoonekwa vari padanho rekutanga , apo kenza iri mumazai chete. Muzviitiko zvakadaro, kuvhiyiwa chete kunogona kukwana.
Zvichienderana nehukuru hwebundu uye njodzi yekudzokerazve kwaro, mamwe marapirwo anogona kukurudzirwa kuwedzera pakuvhiyiwa.
- Kurapwa nemakemikari
- Kurapa kwemahormone
- Kurapa nemwaranzi
Chii chinoitika mushure mekurapwa?
Kana bundu rabviswa, uchafanirwa kugara pasi pekutarisirwa nachiremba kwenguva yakareba, sezvo bundu iri rinogona kudzokazve kunyangwe mushure memakore . Saka, chiremba wako achakutarisa nguva nenguva kuti ave nechokwadi chekuti bundu harina kudzoka.
- Kuongororwa kwechiuno
- Kuongororwa kweropa kwezviratidzo zvegomarara
- Zvinhu zvakaita sekuskena zvinoshandiswa pane izvi.
Zvinokwanisika here kupora zvachose kubva mudambudziko iri?
Ehe, zvechokwadi. Gomarara reGranulosa Cell rinogona kurapwa zvachose, kunyanya kana rikaonekwa nekukurumidza uye rabviswa nekuvhiyiwa.
Kana gomarara rikaonekwa mushure mekunge rapararira kune dzimwe nhengo dzemuviri, mikana yekurapwa inogona kudzikira. Ndosaka tichikurudzira kuti kana uine zviratidzo zveGCT, enda kuna chiremba nekukurumidza .
Mharidzo Yekuenda Nayo Kumba
- Granulosa Cell Tumor (GCT) igomarara risingawanzoitiki, rinowanzo kura zvishoma nezvishoma rinoumbwa mumazai.
- Izvi zvinokonzera kugadzirwa kwakanyanya kwehomoni inonzi estrogen, iyo inokonzera zviratidzo zvakaita sekubuda ropa zvisina kurongeka uye kuzvimba.
- Kana munhu ane mwedzi wakamira kubuda ropa zvakare, kana kuti aine zvimwe zviratidzo zvisingawanzoitiki, usanonoka. Enda kuna chiremba nekukasika.
- Kana zvikaonekwa pakutanga, zvinogona kurapwa zvachose nekuvhiyiwa.
- Kuongororwa kwenguva refu kwechiremba kwakakosha zvikuru, sezvo mamota aya anogona kudzoka zvakare kunyangwe mushure mekurapwa.
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