Iintlobo, unyango kunye nokuhlaziya
Umhlaza we-Ovarian uvela kubasetyhini abaselula, kodwa kukho iindlela ezininzi ezahlukileyo kubasetyhini abadala.
Abasetyhini abaselula kunye nabafazi abakhulileyo
Nangona isifo somhlaza we-ovarian epithelial sichaphazelekayo kwabasetyhini abangaphantsi kweminyaka engama-40 ubudala, kunokukwenza kwaye kwenzeke kubasetyhini abaselula. Xa kufumaneka kwi-40s yomfazi, okanye ngaphambi kokufika kubo, ngokuqhelekileyo ixhomekeke kwizinto ezizuze ifa kunye ne-BRCA1 okanye i-BRCA2 (iigeni ezandisa kakhulu umngcipheko womdlavuza we-ovari kunye nesifuba).
Kwimihla yangaphambili, ngokukodwa xa kukho imbali yentsapho yale mdlavuza, ukunyamekela ingqalelo impawu ezisisigxina kunye nesisu .
Iintlobo eziqhelekileyo zeKhansela ye-Ovarian kwaBasetyhini abaselula
Umdlavuza we-Ovarian ngokwenene uyimpawu yezifo, kwaye kunama-subtypes angama-30 ayaziwa. Uhlobo ngalunye luyakwazi ukuziphatha ngendlela eyahlukileyo kwaye luphendule ngokwahlukileyo kwizicwangciso zonyango. Kukho iindidi ezibini zesifo somhlaza we-ovari esenzeka ikakhulukazi kwabasetyhini abasebancinci: i-germ cell and cord-stordal tumors. Nantsi umboniso omfutshane ngamnye:
Ijeremini Iintsholongwane
Ezi zithandana zivela kwiiseli kwi-ovary ezenzelwe ukuba ngamaqanda kwaye zincinci, zimelela kuphela iipesenti ezi-5 zazo zonke i-cancer. Phantse iipesenti ezingama-70 zala mathambo zixilongwa kwangaphambili, kodwa zivame ukuba zikhula ngokukhawuleza. Ezi zicubu zininzi zifumaneka kubasetyhini kwiminyaka yabo-20. Iinqununu eziphambili kweli candelo ziquka:
- dysgerminomas
- izidumbu ze sinus endodermal
- matatomas a
Abaxhasi be-tumor -Le mibhobho kaninzi ivelisa iimpawu ze-tumor-LDH, AFP kunye ne-hCG-ezinokulinganiswa kwigazi. Lezi zikhokelo ezinokuthi zincede oogqirha baqaphele, nangaphambi kokuhlinzwa, oko kuthethwa yiyo. Ukuba uqaphela i-hCG, kuba kuba i-hormone evivinywa kwiimvavanyo zokukhulelwa.
Ekubeni ezi zicubu ziyakwazi ukukhupha le hormone, kwaye ekubeni enye yeempawu zesifo somhlaza se-ovariy isisu esiswini, izi zihlamba ziqala ngezinye iinkcukacha zingabonakaliswa kakubi njengokuba ukhulelwe.
Unyango - Utyando luyadingeka ukuchonga i-subtype eyiyo kwaye ubone ukuba umhlaza usasazeke. Abasetyhini abaninzi banenkxalabo yokuba ukhetho lokuhlinzwa njengonyango luya kuthintela ukuzala kwabo. Kwiimeko ezininzi, ke, kufuneka i-ovary eyodwa isuswe, ngoko kuvelisa-nangona kunjalo akunakunceda. Kule meko, enye i-ovary, i-fallopian tube, kunye ne-uterus ishiywe endaweni, kwaye ukukhulelwa kungenzeka ngokuqhelekileyo. Bavame ukukhathazeka kakhulu kwi-chemotherapy kwaye ngenxa yoko bahlala bephilisa, ngakumbi xa befunyenwe kumanyathelo okuqala. Unyango lwe-teratoma engakafaneli luyinkimbinkimbi ngakumbi kunezinye izilwanyana zesifo segciwane.
I-Cord yoSondo i-Stromal Tumors
Ezi khansela ziqala kwiiseli ezixhumeneyo ezinokubamba ii-ovari kunye kunye nokuvelisa ama-hormone njenge-estrogen, i-progesterone kunye ne-testosterone. Zimele malunga neepesenti ezingama-6 zazo zonke ii-cancer ze-ovari kwaye zivela kubasetyhini abaselula. Ngokuqhelekileyo, bavame ukukhula ngokukhawuleza. Amacandelo amancinci angundoqo:
- isisele segranulosa
- izicubu ze-sertoli-Leydig
I-Granulosa i-tumor cell tumors ingenza i-hormone ebizwa ngokuba yi- inhibin, engasetyenziselwa njenge-marker marker. I-Diagnosis ivame ukuyenza kwinqanaba elisisigxina sesifo, kwaye ifom "abadala" (ngokuqhelekileyo ifunyenwe kwizigulane ezingaphezu kweminyaka engama-40) ngokuqhelekileyo ayinamandla. Nangona kunjalo, ifom ebizwa ngokuba "yintsholongwane" (ininzi kodwa ayikho yonke imeko ephakamileyo kwiminyaka yokuqala engama-20 yobomi) iyafumaneka rhoqo kwiinqanaba eziphambili. Ngelishwa, ayiphendule kakhulu kwi-chemotherapy.
I-Malignant (umdlavuza) I-Sertoli kunye ne-Sertoli-Leydig iisilini ze-cell tumors are rare. Uninzi lwabantu abanomdlavuza okanye abanomdla. Uninzi lwafunyanwa kwinqanaba lokuqala kwaye luyanyangeka kakhulu ngokuhlinzwa kuphela.
Ekubeni zivelisa i-estrogen okanye i-testosterone, iimpawu zokuqala zidla into enokuyenza ngokutshintsha kwe-hormonal. Ezi zimpawu zingabandakanya ukukhula koboya beenwele, ilizwi eliphantsi, kunye nosuku oluqala ukukhulelwa kunye / okanye ixesha elingavamile.
I-Genetics neHereditary Ovarian Cancer
Njengoko kuphawuliwe ngasentla, i-genetics idlala indima ebalulekileyo kubafazi abathile abahlakulela umdlavuza we-ovariyomncinci. Thetha nogqirha wakho. Funda malunga nesifo somhlaza kunye ne-ovarian umdlavuza . Ukuvavanya kwe-Genetic kuyafumaneka.
I-Ovarian Cancer kunye neNzala
Njengoko kuphawuliwe ngasentla, ukuhlinzwa kungavumela enye yeeyunithi ukuba ishiywe endaweni. Kubalulekile ukuba uqaphele ukuba nangona i-ovary present, i-chemotherapy ngamanye amaxesha ingabangela ukungaphumeleli kwe-ovari, okusisigxina. Ngaphambi kokonyango qiniseka ukuba uthathe ixesha lokuthetha nodokotela wakho ngokulondoloza ukuzala kwakho ngaphambi kokuba unyango lomhlaza .
ILizwi
I-Cancer iyisifo esinoyikisayo, nokuba unesinye sezi zicubu, ezinokuthi xa ubanjwe kusenokwenzeka kuncinci. Buza imibuzo eninzi. Funda indlela yokuphanda umdlavuza wakho kwi-intanethi . Fumana kwiintsapho kunye nabahlobo ukuxhaswa. Kukho uluntu oluqinileyo lwabasindileyo abasakhulayo abanomdlavuza wesibeleko abasebenza kakhulu kwimidiya yoluntu. Abaninzi banokuba neeblogi apho baxelela khona uhambo lwabo lomhlaza, njengoFran Dresher's Cancer Schmancer. Ngokufanayo, kukho iqela elichaphazelekayo labantu abatsha abaye basinda kumdlavuza weentlobo zonke ezibizwa ngokuba yiSpidpid Cancer: Izwi leCancer Adult Young.
Akukufanelekile ukuba ujamelane nomhlaza xa uselula-okanye nangayiphi na iminyaka. Ngombulelo sifunda ngakumbi malunga nokusinda kunye neendlela zokuncedisa abafazi (kunye namadoda) bekhula rhoqo nangemva kwonyango lomhlaza. Kwaye, ukuba unayo iintsuku xa uzive ulungile, qhubeka ukhumbula ukuba izifundo ngoku zisitshela oko sasizicingile ngaphambili. I-cancer iyatshintsha abantu ngeendlela ezilungileyo , kungekhona nje into embi!
> Imithombo:
> Isaacs C, Peshkin B. Ukulawulwa kwezigulane ezinomhlaza kunye / okanye intsapho yomhlaza kunye nomhlaza wesibeleko. Isemgangathweno. Updated 07/05/15.
> INational Cancer Institute. I-BRCA1 ne-BRCA2: Ingozi yeCcercer and Testing Genetic. Updated 04/15/15.
> INational Cancer Institute. I-Ovarian Germ I-Treatment Tumors Treatment (PDQ). 0212/16.
> Ray-Coquard I, Brown J, uHarter P, et al. Ukuhlaziywa kwengxoxo ye-Gynecologic Cancer InterGroup (GCIG) ye-tumors ye-ovarian cord stromal tumors. I-International Journal yeGynecologic Cancer . 2014. 24 (9 I-Suppl 3): S42-7.
> Simone C, Markham M, Dizon D. Chemotherapy kwiimvumba zentsholongwane yentsholongwane ye-ovari: Ukuphononongwa ngokuchanekileyo. Gynecologic Oncology . 2016. (Epub ngaphambi kokuprinta).