Umhlaza we-Ovarian ubizwa ngokuthi "umbulali ongenangqondo" kuba kukho kuthiwa zimbalwa iimpawu kunye neempawu kwizigaba zokuqala zesifo. Ngoku kutshanje, abaphandi baye bafumanisa ukuba abafazi basoloko beba neempawu, ezifana nokuqhaqha kwesisu, ukuvakalelwa ngokukhawuleza xa besidla, ubuhlungu be-pelvic, kunye nokuvama kwe-urinary, kodwa ngokuqhelekileyo zikhohlisayo, zicaca kwaye zichithwa kalula ngenxa yento enye .
Ukufumana uluvo lwezokwelapha malunga nayiphi na impawu kubalulekile ukubamba umdlavuza we-ovarian kusasa ngenxa yokuba, ngelanga, akukho vavanyo lokuhlolwa kwesifo ngeli xesha kwaye amaninzi amaninzi atholakala kwizigaba zazo eziphambili.
Iimpawu zokuqala zeSigaba
Xa ekwaziswa ngesifo somhlaza we-ovarian kunye nokubuza malunga nembali yeempawu ezihambelanayo, abaninzi abafazi bajonga emva kwaye bayaqonda ukuba babenempawu ezinjalo ngexesha elithile-bekungabonakaliyo okanye bumnene ukuba bathethe ingxoxo nodokotela.
Abaphandi baye baqaphela ukuba iimpawu ezine, ngokukodwa, zinokuthi zibekho kwiinqanaba zokuqala zesifo. Ukuba ufumana enye yale nto, thetha nogqirha wakho.
Ibhulozo lomzimba
Uninzi lwabantu lubona ukuqhaqha kwesisu kunye nokuvuvukala ngezinye izihlandlo, ngokukodwa kwixesha eliphambili okanye emva kokutya isidlo esikhulu. Kodwa ukubetha okuqhubekayo kukubonakalisa isilumkiso somhlaza we-ovari. Iqondo lokubetha lingahluka ukusuka kumnxeba ukuya kunzima, kodwa ngokuphindaphindiweyo lwenzeka rhoqo imihla kwaye lunokudlula ixesha.
Ukunyanzeliswa okulula kunokuba kukho.
Ekubeni le mpawu ifihlakele, qwa lasela ukuba iimpahla zakho ziziva zixakekile emlonyeni wakho, nangona ungakhange ufumane ubunzima. Thatha isikrini kwisibuko. Ungeke uzive uvalwe kodwa qaphela ukubhula okubonakalayo kwisibuko. Amanye amabhinqa ahlakulela amanqaku amanqaku, ngokukodwa ukuba akakaze akhulelwe.
Uninzi lwexesha, ukuqhaqhawula umhlaza wesiqanda se-ovarian kugxothwa njengento enxulumene nobudala, ukuphuma kwesisu, okanye ukufumana amakhilogremu ambalwa. Ukuvakalelwa kwebhanki ngaphezu kweentsuku okanye ezibini kuyisizathu sokukhathazeka.
Ubuhlungu bePelvic okanye uxinzelelo
Ubuhlungu be-pelvic obuvakalelwa njengezintlu zesikhombisa nazo ziqhelekile ekuqaleni komhlaza wesi-ovari. Njengoko ngokuqhaqhaqhaqhaqhaqha, amaninzi amabhinqa aqheleke azintlungu zeplavic ngamanye amaxesha, ngakumbi ngamaxesha abo. Kodwa ukuba intlungu ye-pelvic eqhubekayo, ingakumbi ukuba ihamba neengxaki zengcinezelo ye-pelvic, isizathu sokubona ugqirha wakho. Intlungu inokuthi ibe yindawo ecaleni, kodwa inokutshatyalaliswa kwaye ivelele yonke i-pelvis yakho.
Ukuziva ngokukhawuleza ngokutya
Abantu abaninzi abanomdlavuza we-ovarian wokuqala baziva beziva beza ngokukhawuleza emva kokutya ukutya okuqhelekileyo kunokuba bekunjalo ngaphambili. Basenokuqhubeka nokuvakalelwa phakathi kokutya. Oku kungenakuhamba kunye negesi kunye nokunyanzelisa. Ukulahlekelwa kwesisindo kufana neengxaki zomhlaza we-ovarian eziphambili kodwa kungabonakalisa uphawu olusondeleyo kule ngqiqo yokuzaliseka kwisigcawu somzimba okanye esiswini.
Ukuvama kweeUriyo
Ukuba ugqithise ngokuphindaphindiweyo okanye uzive uvakalelwa ngokukhawuleza xa kufuneka uhambe ungase ufike kusenjenjalo ngomhlaza we-ovari.
Oku kungabandakanywa nje kuphela uxinzelelo kwi-bladder kwi-tumor kodwa kunye nezinguqu ze-hormone ezibangelwa ziimvumi. Abanye besetyhini banomuvo onamandla wokuvuthwa, kodwa xa behleli phantsi bayaqonda ukuba akudingeki ukuba bahambe.
Iimpawu zoHlelo oluPhezulu
Kukho ezinye iimpawu ezifunyenwe ngumhlaza we-ovari, kodwa ezininzi zezi zinto zenzeka kuphela emva kokuba i-tumor ifinyelele kwisigaba esiphambili. Kwakhona, kukho izizathu ezininzi zezi zinto, kwaye kubalulekile ukubona ugqirha wakho ukucacisa isizathu.
Iinguqu kwiimpawu zobomi
Esi sibonakaliso esibaluleke kakhulu ukuba siqaphele (somhlaza wesifo se-colon). Imikhwa yenguqu yamathumbu ingabandakanywa kokubambisana kunye nohudo.
Xa i-tumor ibeka uxinzelelo kwi-bhowel, izitenki zinokuba zincinci. Kwimigangatho emva yesifo somhlaza we-ovari, iimvumba kwisibilini kunye nasesisu esisenokubangela ukuba kubekho umqobo. Iimpawu zelo qho ziquka ukuxhalaba nokunyanzelisa ubuhlungu besisu, ukuhlanza, kunye nesifo sohudo.
Ubuhlungu Ngeentlobano zesini
Ubuhlungu ngexesha lokulala , elibizwa nangokuthi i-dyspareunia, lingaba nomhlaza wesifo se-ovari kodwa kwakhona luphawu oluqhelekileyo lwezinye iimeko ezinjengezifo eziphambene ne-pelvic. Le ntlungu idla ngokuvakalelwa kwelinye icala ngaphezu komnye kodwa ingafakwa jikelele. Ubunzima obufana neenkampu zesikhombisa nako ukuqala ngesondo kwaye uqhubeke ixesha elithile emva koko. Akukona nje kuphela ukuba lo mqondiso ungumqondiso wokulumkisa weemeko ezininzi, kodwa kungabangela ubunzima beemvakalelo kunye nolwalamano. Thetha nogqirha wakho ukuba uyaphawula nayiphi na into engeyiyo ngexesha okanye emva kwesondo.
Umqolo obuhlungu
Ubunzima buya kwenzeka kumqolo osezantsi okanye kwicala lomhlaba (kwicala lomzimba, malunga nentshontsho yembambo kunye ne-hip) kwaye uzive ufana neentlungu zokuya esikhathini okanye izigaba zokuqala zabasebenzi. I-backache engaphantsi engabandakanyekanga kwimisebenzi efana nokuphakamisa okunzima kubalulekile ukuphawula.
Ukungafihleki kwesisindo sokuPhepha kwesisindo okanye ukuThola umthamo
Xa ufumana ubunzima bobunzima, kudla ngokukhawuleza ngokukhawuleza ngenxa yokuqokelelwa komzimba kwisisu (kunye ne-ascites, echazwe ngezantsi).
Ukulahlekelwa kwesisindo kunokwenzeka ngenxa yokudibanisa izizathu, kubandakanywa ukuva kokuqala nokuphelelwa kwesidlo. Ngomdlavuza ophezulu, umdlavuza wesifo somhlaza- isifo sokulahleka kwesisindo, ukulahlekelwa kwesisindo somzimba kunye nokulahlekelwa yidlo-kungase kudlalwe.
Ukulahleka kobunzima obungenasiseko kuchazwa njengelahleko ye-5 ekhulwini okanye ubuninzi besisindo somzimba kwisithuba seenyanga ezintandathu ukuya kwezi-12. Umzekelo wokulahlekelwa kwesisindo esingachangekiyo uya kuba ngumfazi wesilidi engama-150 ukulahlekelwa ngamaphilisi angama-7.5 kwisithuba seenyanga ezintandathu ngaphandle kokutshintsha kwindlela yokutya okanye ukusetyenziswa kwemigangatho.
Ukulahleka kwesisindo esingenalutho kufuneka kuhlale kuhlolwe, njengoko kukho ezinye iimeko ezinzulu ezingabangela ukuba le mpawu ibe ngaphezu komhlaza we-ovari. Uphando lufumene ukuba ngaphezu kweyesithathu sabantu abafumana ukulahlekelwa kwesisindo esingalindelekanga banomdla ongaphantsi kwesimo esithile.
Iqoqo leFluid kwiisisu (Ascites)
Enye ifomu yokuvuvuka kwesisu ingafumaneka kwizigaba eziphambili ze-ovarian umdlavuza. Ngeemitha zesisu ukuya kwisisu esiswini kunye nesibindi, ubuninzi bomnatha bunokuqokelela kunye nokufuna amanzi. Oku kubhekiselwa njenge- ascites . Ama-Ascite angakhokelela ekuphefumlweni okufutshane ukuba umbane uqhube phezulu phezulu kwimipompo.
Ukukhathala
Ukukhathala ngumqondiso wesifo oqhelekileyo kodwa ungabonakalisa uphawu lweemeko ezahlukeneyo zonyango. Ukukhathala obonwe nomhlaza kunzima ukuhluka kwixhala eliqhelekileyo; ayiphenduli ubusuku obuhle bokulala okanye ikomityi yekhofi. Njengoko umdlavuza we-ovariya uyaqhubeka, iiseli zeomhlaza ziyancintisana neeseli ezinempilo zamandla, ezikhokelela ekukhathala.
I-Germ Cell kunye neStromal Cell Tumors
Izilonda zesisu zegilane kunye neentambo zesondo ezixhambileyo, iintlobo zeengqimba ze-ovaries eziqhelekileyo zifumaneka kubasetyhini abasebancinci, zinokuba neempawu ezichazwe ngasentla kodwa zinokuba neempawu ezongezelelweyo. Ezinye zezi ziquka:
Masculinization
Iimvumi ezivelisa i-hormone zamadoda ezinokubangela i-masculinezation, ngeempawu ezifana nokunciphisa izwi kunye nokukhula kweenwele zendoda. Ezi zimpawu zifumaneka rhoqo kwi-subtype ye-tumors e-stromal ovarian ebizwa ngokuba yi- Sertoli-Leydig cell tumors .
Ukukhutshwa kweVaginal okanye ukuhlamba
Ukukhutshwa kwamagciwane (okucacileyo, okuluphuzi, okanye okwegazi) kunye / okanye ukuphuma kwegazi elifanayo kwithuba eliya kwenzeka kwakhona. Iimpawu zokuphalaza ngaphambi kokuhamba kwinyanga (yokuqala ngethuba), emva kokumisa umva, okanye umjikelo phakathi kwowesifazane ozala ubudala kufuneka kuhanjiswe ngugqirha njengokuba kukho izizathu ezininzi. Ukuphuma kwintsholongwane engokwemvelo kuyimpawu eziqhelekileyo zezidumbu zeseli ezincinci kwaye zidibene ne-estrogen eyabhalwa yi-tumors.
Ukuguquka kwangaphambili
Ukuqala kokusasazeka (kusengaphambili) kusenokubangelwa ngenxa yezidumbu ze-estrogen kwaye ngokuqhelekileyo kubonakala kwintsholongwane yegciwane lesisu kunye nesisu se-cell stromal. Iimpawu zingabandakanya ukuphuhliswa kwebele kwasekuqaleni, ukuphuhliswa kweenwele ze-pubic, okanye i-early ments kumantombazana.
Ubuhlungu obukhulu bePelvic
Ubuhlungu obukhulu beentlungu kunye neengcinezelo ziqhelekileyo iimpawu zesifo somhlaza we-ovari, kodwa intlungu enzima inokumisela i-tumor ye-ovari ngendlela eyahlukileyo. Izicubu ze-Ovari, ngakumbi i-gel cell kunye ne-stromal cell tumors, zingabangela ukuba i-ovary ijikeleze nge-tube fallopian (torsion). Xa oko kwenzeka, imithwalo yegazi ehambisa igazi kwi-ovary inokunqunyulwa, kwaye ukungabikho kwegazi kunokubangela intlungu ebuhlungu, ukuphuma kwegazi kunye nokusuleleka sulela.
IMisa yePelvic
Okuqhelekileyo kwintsholongwane yegciwane kunye neendumbu zesisu ezincinci kumantombazana kunye nabasetyhini abaselula, ubunzima be-pelvic ngezinye izihlandlo bangabonakalisa uphawu lokuqala lomhlaza. Izicubu ze-ovari (njengama-cyst) ngamanye amaxesha ziba zikhulu kakhulu ngaphambi kokuba zibangele iimpawu ezininzi.
Iingxaki
Ukongeza kwiimpawu ezingasentla, umhlaza we-ovari ngamanye amaxesha ungakhokelela kwiinkathazo, ngokuqhelekileyo ngenxa yeemastastases kwisisu nangomaphaphu. Gcina ukhumbule ukuba abantu abaninzi banabantu abambalwa, ukuba zikhona, kwezi zixazululo. Sekunjalo, kubalulekile ukuba uqaphele ezinye zeendlela kwaye ujonge unyango ukuba unayo nayiphi na impawu. Ezinye zezi ziquka:
Ukuvalwa komzimba
Ngelishwa, ukuvinjelwa kwemizimba kungabikho kokubili ngenxa yemetastases kwisisu nangentsimbi, kunye nokunamathela (izicubu ezinobumba) ezenziwe emva kokuhlinzwa kwesisu okanye isisu (kuquka utyando lomhlaza we-ovarian). Lezi zicubu ezibomvu zingakhokelela kwiikinks kunye neengcambu kwi-intlanzi, ebangela ukuba kube nzima.
Iimpawu zivame ukuquka intlungu, isisu esiswini kunye nokuhlanza. Kufuneka ukuba utyando lukhuphe ukususwa kweengxenye ezichaphazelekayo zamathumbu. Xa oku kwenzekayo, ityhubhu yesisu okanye i-nasogastric tube itholakala rhoqo xa isondeza ngelixa isilwane siphucula.
I-Stomas (i-Ileostomy neColostomy)
Ukuba umathumbu awukwazi ukuphinda uthintele emva kokuhlinzwa ngenxa yesithintelo esincinci okanye esikhulu samathumbu, ukuphela kwesibilini kungaboniswa kwesikhumba mhlawumbi okwethutyana (kunye nokuphindaphinda kwakhona) okanye ngamanye amaxesha ngokusisigxina. Xa i-intestine encinci ibandakanyekile, le stoma (ukuxhamla kwesisu emlonyeni wamanzi) kuthiwa yi-ileostomy, kwaye xa iquka i-colon, i-colostomy.
I-Perforated Colon
Umhlaza we-ovariya uqala ukuhlalisa udonga lwamathumbu kwaye ukhule. Iimfucu zingenza buthathaka, zibeka isigaba segciwane lesilonda esisenza ukuba izilwanyana zingene emzimbeni kwaye zibangele isifo (peritonitis). Kufuneka ukuba utyando lugqithise indawo yokugula.
Ukuvalwa kwe-Ureter / Urinary Storage
I-ovarian cancers ingasasazeka kwi-pelvis, ikhusele iibhubhu ezihamba zisuka kwiintliziyo ukuya kwi-bladder (ireters). Ukuba zombini ureters zivaliwe, ukuveliswa komchamo kuya kuhla. Ukuba kuphela urereter uvaliwe, akukho mpawu okanye akukho intlungu enzima, kuxhomekeke kwindawo yokucinywa. Ukubekwa kwe-stent ukubamba i-ureter evulekile kungadingeka ukulungisa ukucinywa.
Pleural Effusion
Ngeemastastas ukuya kumaphaphu okanye kwindawo yesifuba, i-fluid ingakha phakathi kweembrane ezihamba emiphakeni (i- pleura ). Ngamanye amaxesha lo mkhuhlane uqulethe iiseli zesifo somhlaza kwaye ubizwa ngokuba yi- effusion ephilileyo .
Inqubo ebizwa ngokuba yi-thoracentesis (ukubeka inaliti ngesikhumba esikhwameni kwisigxina sesigxina) ingasetyenziselwa ukucoca amanzi. Iimpawu eziqhelekileyo zisoloko ziphindwe ngumdlavuza kwaye, ukuba oko kwenzeka, i-stent ingafakwa ukuba ivumele ukuqhubela amanzi; njengenye indlela, imichiza inokufakwa phakathi kweendwangu zokubangela ukuba iimbumba zidibene kunye ukuze umbane ongeke uwakhiwe ( pleurodesis ).
I-Bone Pain
Iintlungu zethambo ezinxulumene namathambo e-boneastas zinokuba nzima, kodwa kukho iindlela ezininzi ezinokuquka iziyobisi eziguqula amathambo kunye neyeza lokuncedisa i-radiation ezinokukunceda.
Nini ukubona iDokotela
Ukuhlaziywa kweengxelo ze-2016 ezifumene ukuba iimpawu ezinobunzima bokubonisa umdlavuza we-ovari ziquka ubuninzi besisu, ukuxinwa kwesisu (okanye ukunyuka kwesisu), isisu esiswini okanye intlungu, isisu esiswini okanye i-pelvic bloating, kunye nokulahleka kwesidlo.
Okokuthi, khumbula ukuba iimpawu zokuqala zomhlaza we-ovari, xa zikhona, zihlala zingacacanga kwaye zifihlakeleyo, kwaye kunye nganye kwezi zibonakaliso, zivame ukunye nezinye, izimo ezinobungozi ezingabangela ukuba kubekho. Nantoni na ebonakala ingenakulungile kwaye ihlala ngaphezu kweentsuku ezimbalwa, ngakumbi ukuba iyafana noko ubona ngasentla, kufuneka uxoxe.
Ukuba uvavanyo lwakho luqhelekile, kodwa umzimba wakho usakutshela ukuba into ephosakeleyo, phulaphula. Ukulandela kwakhona okanye ukufumana umbono wesibini. Umhlaza we-Ovarian ungomnye weekresela ezinokuphiliswa okanye ubuncinci unyango ukuvumela ithuba eliphantsi kakhulu lokubuyela xa lifunyenwe kumanyathelo alo okuqala.
> Imithombo:
> Ebell, M., Culp, M., kunye noT. Radke. UkuHlola okuHlolo kweMpawu zoLwazi lweCancer Cancer. Umbhalo waseMelika weMithi yokuPhusela . 2016. 50 (3): 384-394.
> INational Cancer Institute. I-Ovarian Epithelial, iTallopian Tube, kunye ne-Primary Peritoneal Cancer Treatment (PDQ). Ukuhlaziywa 01/19/18. https://www.cancer.gov/types/ovarian/hp/ovarian-epithelial-treatment-pdq