Uhlobo lwe-Ovarian Germ Cell Malignancy
Ukuba uxelelwe ukuba unesitata esilula, mhlawumbi unokwesaba kakhulu. Oku akuthethi nje kuphela umhlaza, kodwa ezi zicubu zifumaneka xa abantu beselula kakhulu.
Yiyiphi na le nxalenye yesifo segciwane lesigulo, kunye nendlela yokuphathwa ngayo?
Sibanzi
Iitatomas ezingapheli zenziwe ngamathambo afana nalawo atholakala embindi. Ngabo bazala ababulalayo be- cystic teratomas okanye i-dermoid cysts .
Xa i-teratomas ekhulayo ihlangene kunye nezinye izilonda ze-germ cells , zibizwa ngokuba "zixutywe kwiimvumba zentsholongwane yegciwane."
I-teratoma engatshatanga yinto engaqhelekanga kwaye ibonisa malunga neepesenti eziyi-1 yazo zonke i-ovarian cancer-kodwa ngaphakathi kweqela le-germ tumorum, yinto yesibini exhaphakileyo.
Ubudala beTyhini ngeTatomas esingaqhelekanga
Kubasetyhini abangaphantsi kweminyaka engama-20 ubudala, ezi zihlamba zimelela iipesenti ezili-10 ukuya kuma-20 eepesenti yazo zonke izigulana. Phantse isiqingatha sazo zonke iitatomas ezingafanga ziyakwenzeka nangaphambili, phakathi kweminyaka eyi-10 ukuya kwe-20. Akunakwenzeka ukuba kubakho abasetyhini abasemva .
Unyango
Unyango lwe-teratoma engumntu oquka ukuhlinzwa kunye ne-chemotherapy, Izigulane ezineesigaba se-Ia ibanga 1 i-teratoma engaphanga ihlala iphathwa ngokuhlinzwa kuphela. Xa ibanga le-tumor liqhubela phambili ukuya ku-2 okanye kwi-3, okanye isigaba sidlulela ngaphaya kwe-Ia, i- chemotherapy idla ngokucetyiswayo.
Ibanga le-teratoma elincinci libhekiselele kwinani leethambo eziqulethe izinto ezingamanzi ezinobumba (obonakala ngathi zizitho zomntwana). Ngokomzekelo, ngokwe-American Cancer Society, i-tata 1 ye-teratoma engumntwana iqukethe isisifo esingumdlavuza, kwaye iindawo ezimbalwa zezicubu zomhlaza, ezingabonwa phantsi kwe-microscope.
Isigaba se-teratoma esingaqhelekanga sibhekisela ekude kwande kangakanani-isigaba i-tumor ithetha ukuba ukukhula kwayo kugcinwe kuma-ovari.
Utyando loPhando
Kwiminyaka engabantwana ababelethayo abanqwenela ukugcina inzala, ukususwa kwe-ovary kunye ne-staging yogurt kungenziwa, ukushiya isisu kunye nezinye i-ovary yedwa. Oku kunokwenziwa ngenxa yokuba enye i-ovary ayibandakanyekanga, kodwa isiteji sisadingeka ukuqinisekisa ukuba umhlaza awusasazekanga.
Xa isasazeka, ngokuqhelekileyo yenza njalo njengomdlavuza we-ovarian epithelial-ngaphakathi nakwii-organ ngaphakathi kwipaki ye-peritoneal. Ngokuqhelekanga, kunokusasazeka kwii- lymph nodes , kunye nokuqhelana neziqhelo kwiindawo ezikude ezifana nemiphunga kunye nesibindi ngegazi.
Chemotherapy
Ekubeni le ngxwaba engavamile, idatha encinci yocwaningo ifumaneka xa kuthelekiswa nento esinayo kwi-cancer ye-ovarian e-epithelial. Ezi zifundo zigqityiweyo, nangona kunjalo, zibonisa ukuba ukuhlanganiswa kwe-chemotherapy engcono kakhulu yi-BEP kunye ne-VAC regimens.
Amachiza athile kula mahlanganisi (BEP):
- bleomycin
- etoposide
- cisplatin
kunye (VAC):
- vincristine
- Adriamycin
- cyclophosphamide
Uninzi lwengcaciso malunga nesi sifo luvela kumava kwizigulane zesilisa ezinomdlavuza we-testicular-kodwa ke, iGynecologic Oncology Group (GOG) iye yapapasha iimbalwa ezimbalwa ezincinci.
Ngeli xesha, i-regimen ye-BEP yonyango lokuqala lokunyangwa kwimeko ezininzi, kodwa i-regimen ye-VAC ingasetyenziselwa, ingakumbi xa kukho ukuphindaphinda.
Ukulandelwa Emva kokunyanga
Ukulandelelana emva kokuba unyango lwe-teratoma engumntu oqhelekileyo ngokuqhelekileyo kusekelwe kwiimvavanyo zonyango, iimpawu, kunye nezixhobo zokucinga ezifana ne-CAT scan. Kuthetha ukuthini ukuba ugqirha wakho unokuyalela ukuba uhlalutye ukuba unempawu ezintsha okanye into evezwe xa uhlolwa. Ukususela ngoku, izicatshulwa eziqhelekileyo azikhuthazwayo, kwaye akukho ziphathamandla eziphathekayo ezinokuthenjwa.
Prognosis
Ibakala le-tumor yinto ebaluleke kakhulu yokuchazwa kwezifo kwisifo-isalathiso sibhekisela kwithuba lomntu lokubuyisela.
Ngamanye amagama, nangona i-teratoma engumntu osekuqaleni, ibakala libaluleke kakhulu (ukuthatha yonke umdlavuza obonakalayo ungasuswa).
Kuzo zonke izigaba, ukusinda kweminyaka emihlanu yesiganeko sesiganeko sesingama-82 ekhulwini kunye nehla ukuya kuma-30 ekhulwini xa isifo sesigaba sesi-3 sibakho. Iminyaka emihlanu yokusinda kwinqanaba lesi sifo i-90% ukuya kuma-95 ekhulwini, ngelixa isigaba esiphambili sokusinda sihlahla ukuya kuma-50 ekhulwini kunye nomhlaza weBakala 1 ukuya kwe-2 kunye nama-25 ekhulwini okanye ngaphantsi xa iifom zifunyanwa zibe yiBanga lesi-3.
Ukujamelana nokuxilongwa
Ukuxilongwa komhlaza kunesantya ngexesha elifanayo lokuba ubizwa ukuba wenze izigqibo ezinkulu malunga neyakho okanye impilo yengane yakho. Nazi ezinye iingcebiso zokukunceda ekukhokeleni kweli xesha elinzima:
- Buza imibuzo eninzi.
- Cinga ukufumana iingcamango zesibini.
- Funda konke onakho malunga nokuxilongwa kwakho-oku kubonakala kunenzuzo engagcini nje ukukwazisa kodwa ingachaphazela ukuxela.
- Buza ugqirha wakho malunga novavanyo lweeklinikhi.
- Funda into enokuyenza ukuze kugcinwe ukuzala ngomhlaza .
Ekubeni lesi sihlamba esingavamile, mhlawumbi unalo iqela lokuxhasa kuluntu lwakho, kodwa imimandla yomdlavuza ekhompyutheni inokukuvumela ukuba uthethe nabanye abaninzi abajongene nesifo esifanayo.
Hlalani nikhumbule ukuba unyango luya kuphucula (amanani manani asitshela indlela umntu akwenze ngayo ngaphambili, mhlawumbi ngaphambi kokuba unyango olutsha lufumaneke). Funda indlela yokuzixhasa wena okanye umntwana wakho njengomhlaza wesigulane ukuze ukwazi ukuziva unamandla ekuhambeni kwakho.
Imithombo:
> Alwazzan AB, uPopwich S, Dean E, uRobinson C, uLotocki R, Altman AD. I-Teratoma engasetyenzisiweyo ye-Ovary kuBantu abadala: I-Thirty-year Experience of One Careth Care Centre. Int J Gynecol Cancer . 2015 Nov; 25 (9): 1616-22.
> I-American Cancer Society. (2/2016). Unyango lweJiggli I-Cell Tumors ye-Ovary.
National Cancer Institute. (2/2016). I-Ovarian Germ I-Treatment Tumors Treatment - I-Health Professional Version.