Ngaba umjikelo wakho wokuya exesheni ngequbuliso uye waba yinto engahambelaniyo? Okanye ngaba uziva nje uzive uvuvukile, unesiva esinzima esiswini sakho esisezantsi? Ngamanye amaxesha sicinga ukuba ezi zizinto eziqhelekileyo, kodwa namhlanje sithetha ngesizathu esinokuba sixhalabisa kancinci. Esi sisifo esibizwa ngokuba yiGranulosa Cell Tumor (GCT). Musa ukoyika xa usiva eli gama, kubaluleke kakhulu ukuqaphela oku.
Ngamafutshane, yintoni iGranulosa Cell Tumor (GCT)?
I-Granulosa Cell Tumor (GCT) luhlobo lwethumba elikhula kwii-ovari zabasetyhini. Njengoko usazi, ii-ovari ziyinxalenye ebaluleke kakhulu kwinkqubo yethu yokuzala yabasetyhini. Ukongeza ekuveliseni amaqanda, ezi ovari zikwavelisa iihomoni ezimbini zabasetyhini ezibizwa ngokuba yi-estrogen kunye ne-progesterone.
Eyona nto ikhethekileyo ngala mathumba e-GCT kukuba avelisa i-hormone ye-estrogen eninzi kakhulu . Yiyo loo nto kuvela utshintsho kunye neempawu ezahlukeneyo emzimbeni. Nangona la mathumba anokukhula nangaliphi na ixesha, ahlala ebonakala xa emalunga neminyaka engama-50 ubudala.
I-GCT yimeko engaqhelekanga kakhulu. Ibangela i-5% kuphela yazo zonke iithumba zesibeleko. Kodwa kubalulekile ukuyiqonda ngenxa yempilo yakho.
Ngaba ezi zimila zinobungozi?
Ewe, iGranulosa Cell Tumor luhlobo lwethumba oluhlala luwela kudidi olunobungozi . Kodwa eyona nto ibalulekileyo ekufuneka uyikhumbule apha kukuba uninzi lwala mathumba lukhula kancinci kakhulu . Ngenxa yoku, kukho amathuba amaninzi okuwafumana kwasekuqaleni. Ukuba afunyanwa kwangethuba, iziphumo zonyango nazo zilungile kakhulu. Ngoko ke akukho mfuneko yokukhathazeka.
Ngaba kukho umahluko phakathi kwe-GCTs ezikhula kubantu abadala nakubantu abancinci?
Ewe, kukho umahluko omncinci. Le meko ixhaphake kakhulu kubafazi abadala. Ama-95% ezigulana ezifunyanisiweyo ngabafazi abadala abakhule kakuhle.
Nangona kunjalo, ukuba eli thumba likhula kumntu oselula ongaphantsi kweminyaka engama-30 ubudala, lisenokuba luhlobo olubizwa ngokuba yiJuvenile GCT . Ngamanye amaxesha olu hlobo lweJuvenile GCT lunokukhula ngokukhawuleza kunolo lukhula kubantu abadala, kwaye lunokuba nokwenzeka kancinci ukuba luphinde lubuye emva kweminyaka embalwa emva konyango.
Yintoni ebangela ukuba kubekho i-GCT?
Iingcali azikayazi kakuhle into ebangela oku, kodwa uninzi lwexesha, la mathumba abangelwa kukuguquka kwejini ebizwa ngokuba yiFOXL2., oko kukuthi, utshintsho oluthile luyabonakala. Umsebenzi ophambili wale jini kukunceda ukukhula okunempilo kweeseli ze-granulosa. Ngoko ke xa kukho utshintsho kule jini, iiseli zinokukhula ngendlela engaqhelekanga kwaye zenze iithumba ezinje.
Ngaba nawe unazo ezi mpawu?
Uphawu oluphambili lwe-GCT kukunyuka kwamanqanaba e-estrogen emzimbeni. Iimpawu ezibangelwa koku zinokwahluka ngokuxhomekeke kwiminyaka yakho.
- Intombazana encinci inokubonisa iimpawu zokufikisa isencinci.
- Kwabasetyhini abadala , ezi mpawu zilandelayo ziqhelekile.
| Uphawu | Inkcazo |
|---|---|
| Ukopha okungaqhelekanga | Ukopha okuphindaphindiweyo kubafazi abagqibile umjikelo wabo wokuya exesheni (emva kokuya exesheni) okanye ukopha okungaqhelekanga kwesibeleko kubasetyhini abaselula. |
| Ukudumba kwesisu | Ukwanda okanye ukuziva udumbile esiswini esisezantsi. |
| Utshintsho kumjikelo wokuya esikhathini | Ukuyeka ukuya exesheni ngokungacwangciswanga okanye ngokupheleleyo. |
| Intlungu yebele | Intlungu okanye ukuthamba kwamabele. |
| Intlungu yesisu esisezantsi | Oku kwenzeka kuphela xa i-cyst igqabhukile, nto leyo enokubangela intlungu engxamisekileyo neqatha. |
Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?
Ukuba le meko ayinyangwa ngexesha elifanelekileyo, umngcipheko wezinye iingxaki zempilo uyanda njengoko amanqanaba e-estrogen emzimbeni ehlala ephezulu.
| Ingxaki enokwenzeka | Kalula nje... |
|---|---|
| I-Endometrial Hyperplasia | Ukuqina okungaqhelekanga kodonga lwangaphakathi lwesibeleko. |
| Umhlaza wesibeleko | Umngcipheko okhulayo wokuphuhlisa iiseli zomhlaza wesibeleko. |
| Umhlaza webele | Umngcipheko womhlaza webele nawo unokwanda kancinci. |
| Ukungazali | Impembelelo kubuchule bokuba nabantwana. |
Oogqirha bayixilonga njani le sifo?
Xa uxelela ugqirha wakho ngezi mpawu zingasentla, uza kukuhlola aze akuyalele iimvavanyo ezininzi ukuqinisekisa imeko.
- Ukufota: Oku kungabandakanya i-CT scan , i-MRI scan , okanye, ngokwesiqhelo , i-transvaginal ultrasound , esisiskeni esenziwa nge-vaginal.
- Uvavanyo lweGazi: Olu vavanyo lujonga iimpawu ezithile zethumba, ezifana ne -Inhibin, eveliswa yi-GCTs. Lujonga nezinye iimeko.
Ziziphi iindlela zonyango?
Unyango lokuqala noluphambili lwe-GCT lutyando.Apha, ugqirha uzama ukususa ithumba elininzi kangangoko kunokwenzeka ngaphandle kokonakalisa izicwili eziphilileyo.
Ukuba usemncinci, awucebi ukuba nabantwana, okanye sele ugqithile ukuya exesheni, ugqirha wakho unokucebisa ukuba ususwe iqanda lonke eliqulathe ithumba. Kwezinye iimeko, ukususwa kwesibeleko kungafuneka.
Ukuchonga inqanaba lomhlaza (ukubeka izigaba)
Emva kotyando, "inqanaba" limiselwa ukuze kubonwe ukuba umhlaza usasazekile na.
- Inqanaba loku-1: Ithumba lihlala kwii-ovari kwaye alikasasazeki.
- Amanqanaba 2 ukuya ku-4: Umhlaza usasazeke (usuqhelile) uye kwezinye iindawo zomzimba.
Iindaba ezimnandi zezokuba izigulane ezili-9 kwezili-10 ze-GCT zifunyaniswa zikwinqanaba loku-1 , xa umhlaza uphelela kwii-ovari. Kwiimeko ezinjalo, utyando lodwa lunokwanela.
Ngokuxhomekeke kubukhulu bethumba kunye nomngcipheko wokuphinda libuye, ezinye iindlela zonyango zinokucetyiswa ukongeza kutyando.
- Unyango ngamakhemikhali
- Unyango lwehomoni
- Unyango ngemitha
Kwenzeka ntoni emva konyango?
Emva kokuba ithumba lisusiwe, kuya kufuneka ube phantsi kweliso likagqirha ixesha elide, kuba la mathumba anokuphinda abuye ngamanye amaxesha nangona sele kudlule iminyaka . Ke ngoko, ugqirha wakho uya kukujonga rhoqo ukuqinisekisa ukuba ithumba alikabuyi.
- Uvavanyo lwe-pelvic
- Uvavanyo lwegazi lweempawu zomhlaza
- Izinto ezifana neeskeni zisetyenziselwa oku.
Ngaba kunokwenzeka ukuba uphile ngokupheleleyo kule meko?
Ewe, ngokuqinisekileyo. I-Granulosa Cell Tumor inokunyangeka ngokupheleleyo, ingakumbi ukuba ifunyenwe kwangethuba kwaye isuswe ngotyando.
Ukuba umhlaza ufunyenwe emva kokuba usasazeke kwezinye iindawo zomzimba, amathuba okunyangwa angancitshiswa. Yiyo loo nto sicebisa ukuba ukuba uneempawu ze-GCT, bonana nogqirha ngokukhawuleza .
Umyalezo Wokuya Ekhaya
- I-Granulosa Cell Tumor (GCT) sisimila esingaqhelekanga, esikhula kancinci esinomhlaza esikhula kwii-ovari.
- Oku kubangela ukuveliswa kakhulu kwehomoni i-estrogen, nto leyo ebangela iimpawu ezifana nokopha okungaqhelekanga kunye nokudumba.
- Ukuba umntu oye wayeka ukuya exesheni uphinda opha igazi, okanye unezinye iimpawu ezingaqhelekanga, musa ukulibazisa. Bonana nogqirha ngokukhawuleza.
- Ukuba ifunyenwe kwisigaba sokuqala, inokuphiliswa ngokupheleleyo ngotyando.
- Ukubekwa esweni kwezonyango ixesha elide kubaluleke kakhulu, njengoko la mathumba anokuphinda avele nasemva konyango.
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