Uvavanyo olubandakanya ingozi ye-Malignancy Index ekuhlalutheni iMastic Masses
Ukuba ugqirha wakho ufumana ubunzima be-ovarian emva kokujonga i-ultrasound, okanye uvalelwa omnye kumvavanyo, yintoni amathuba okufunyanwa ngumhlaza wesi-ovari?
Ungazi njani ukuba iMisa Yakho ye-Ovarian i-Ovarian Cancer?
Ukuba unomthwalo kwindawo apho amaqanda akho ahlala khona, usenokuba ukwesaba ngaphezu kokudideka. Yintoni enokuba nayo?
Unokuba uvakalelwa ngakumbi ukothuka njengoko uqaphela ugqirha wakho engazi ukuba ubunzima bakho buba nomhlaza okanye hayi. Ngaba akafanele azi? Ngaba kukho into engakutshiyo kuyo?
Ukucima enye yeloyiko lwakho, kuyaqheleka ukuba oogqirha badibaniswe ngumbumba we-pelvic kummandla wee-ovari (obizwa ngokuba yi "adnexal mass" ukuba uyaliva eli gama.)
Ngethuba elifanayo ukuba oogqirha abanakho ukucinga ukuba ubunzima be-adnexal kwi-pelvis yakho ingaba ngumhlaza, ithuba lokuba "liphosakeleyo" -ukusebenza ngaphambi kokufumana ingcamango engcono-kuyafana ngokubhekiselele. yokuhlinzwa ngokungonelanga ukuba ngaba unomdlavuza, kwaye umngcipheko wokuhlinzwa okungadingekile kunye nokukwazi ukuxhatshazwa kunye nokuhlinzwa xa ungenomdlavuza.
Usemngciphekweni weCancer Cancer?
Sineengcamango yokuba ngubani osemngciphekweni womhlaza we-ovari, kodwa oku kukhankanywe ngokukodwa ukuze ungagxothisi umngcipheko wakho wokuba umhlaza wesibeleko ukuba ungenayo nayiphi na ingozi.
Kukho isizathu sokuba umdlavuza we-ovarie uqulethe umbulali ongenalwazi . Ngokuqhelekileyo kubangela iimpawu ezimbalwa kude kube lula umhlaza, kwaye nabani na, kungakhathaliseki ukuba yintoni ingozi, bangasengozini yokuphuhlisa eso sifo.
Ukuba u-postmenopausal, usemngciphekweni ophezulu. Uninzi lwee-ovarian cancers zenzeka kubasetyhini abadala (nangona kungenzeka kubasetyhini abaselula okanye kubantwana.) Ngaloo xesha, izihlwele ze-adnexal kubasetyhini abancinci ziqhelekileyo kwaye zivame ukuza zihambe.
Iziqhelo ziqhelekile ngaphambi kokumisa umyeni, kanti ubunzima obonakala kwindoda engumama-postoproducative ayinakukwazi ukuhamba yedwa. Gcinani engqondweni, nangona kunjalo, ukuba nangona usuphelile umva, unokuba nobunzima obunomdlavuza.
Iimpawu zesifo somhlaza we-ovari zingabandakanya ukubhubhisa kunye nokuzuza ubunzima, intlungu ngexesha lokuziphatha, okanye utshintsho kwimikhwa yenyama. Izinto ezinobungozi ziquka ukukhuluphala, inzala yentsapho yebele, i-ovarian, okanye umdlavuza wekolon, kunye nokusetyenziswa kwangaphambili kwezidakamizwa zokuzala okanye i-hormone yokuguqula imithi. (Funda kabanzi malunga nomhlaza wesifuba somhlaza wesifo se-ovarian link ).
Kubaluleka kokwazi ukuba i-Mass isifo se-Ovarian
Ngokuqinisekileyo kubalulekile ukwazi ukuba ubuninzi bobunzima bomzimba bakho bunomdlavuza. Kodwa ngomhlaza wesifo se-ovary ngokukodwa, ukwazi ukuba umdlavuza ungabikho okanye ubangabalulekanga kubaluleke kakhulu kunezinye iindiza ezinomdlavuza.
Ukuba utyando luya kwenziwa kwi-ovarian umdlavuza, ugqirha kufuneka ulungele inkqubo emide ukuba kuyimfuneko. Ukuhlinzwa ngokucophelela kunokuba nefuthe ngqo kwi-survival. Ngexesha elifanayo, uphando oluye lwafumanisa ukuba utyando olunzima ( ukuhlinzwa ngokutsha kwe-cancer ye-ovarian ) kunokusondeza kangcono xa kwenziwa ngcali kwi-ovarian umdlavuza (nge-gynecologic oncologists) kwiziko elenza umthamo omkhulu waloo misebenzi, kunokuba abanezintlu zezilwanyana ezenza amancinci.
Kuqhelekile kakhulu ukuba ugqirha uqaphele ukuba umdlavuza ovayo oya kufuna ukuba utyando olude kwaye olude lukhona kuphela emva kokuhlinzwa.
Izindlela ezisetyenzisiweyo zokuQinisekisa ingozi yokugula (Ukuhlukanisa uBenign kwiMastic Ovarian Masses)
Njengoko kubaluleke kakhulu ukuzama ukuhlukanisa i-ovarian cancers evela kwezinye izilwanyana ze-ovari ngaphambi kokuhlinzwa, uvavanyo lwango-2016 lwalufuna ukuvavanya izixhobo esinazo njengamanje, kwaye sijonge ukukwazi ukuhlukanisa i-cancer ukusuka kubantu abangaba nomhlaza.
Kunceda ukuqaphela amagama ambalwa xa ukhangela iziphumo zezifundo.
Ukuqonda ubukhulu isilinganiselo esetyenziswayo ukubonisa ukuba uphumelele kangakanani uvavanyo ekufumaneni umhlaza; ukuba kaninzi kangakanani ukuchonga ngokuchanekileyo abo bantu abanesifo. Ngokomzekelo, uvavanyo kunye novelwano lwama-90 ekhulwini luya kukwazi ukufumana i-90 kwi-100 ye-cancer.
Kubalulekile ukuba ungagqithisi ngokugqithiseleyo iimeko, njengoko ukuxilongwa ngokugqithiseleyo kunokukhokelela ekutyatheni okungadingekile kunye nonyango. Okucacileyo kukuvavanya okunceda ukucacisa ukuba ngokuqhelekileyo ukuxilongwa ngokugqithiseleyo kungenzeka njani ngovavanyo. Ubunzima bubuza umbuzo othi, "Kangaphi na, xa umntu engenawo isifo, ngaba uvavanyo luya kuba lubi?"
Iimvavanyo zangoku ezingasetyenziselwa ukuvavanya ubunzima be-ovari ziquka:
- Uvavanyo oluphantsi
- Imithetho elula - Uhlalutyo lwe-Ovarian International Tumor Analysis (IOTA) imithetho elula ye-ultrasound
- I-LR2 - IOTA yokuguqula imodeli 2
- Ingozi ye-Malignancy Index (RMI)
Itheyibhile elandelayo ibonisa iziphumo ezithelekisa ezi meko ezine ezibandakanya ukuqonda kwabo kunye neenkcukacha ezithile.
Ukuvavanya ukuVavanya ithuba lokuba iMisa i-Ovarian Cancer
| Vavanyo | Ukuqonda | Ecacileyo |
| Uvavanyo oluphantsi | 93 ekhulwini | 89 ekhulwini |
| Imigaqo elula * | 93 ekhulwini | 80 ekhulwini |
| LR2 * | 93 ekhulwini | 84 ekhulwini |
| Ingozi ye-Malignancy Index | 75 ekhulwini | 92 ekhulwini |
* I-International I-Ovarian Tumor Analysis (IOTA) imithetho elula e-ultrasound (imithetho elula) kunye ne-IOTA yokuguqula imodeli 2 (LR2)
Isiphetho sezifundo zakutshanje kukuba ukuhlanganiswa kovavanyo oluzimeleyo kunye nemithetho elula kunokunika uqikelelo olulungileyo malunga nokuba ubuninzi bobunzima be-ovarian ngumhlaza.
Umngcipheko we-Malignancy Index ye-Cancer ka-Ovarian
Oogqirha abaninzi basebenzisa ingozi ye-Malignancy Index (RMI) nokuba yedwa okanye idibaniswe "nokuhlolwa okuzithobayo" kunye neziphumo ze-ultrasound zokunceda ukuhlenga ama-ovarian. Kukho iinguqulelo ezininzi ze-RMI, kwaye bonke baqikelele ingozi ye- malignanc y (ubuncipheko bokuthi ubunzima bunomdlavuza). Olu hlobo luye lwavavanywa ngamaxesha amaninzi ngabaphandi abahlukeneyo kwiminyaka.
Kukho izinto ezintathu ezisetyenzisiweyo xa kuqwalaselwa i-RMI. Ezi ziquka:
- Ubudala
- Umgangatho we-CA-125 , uphawu lwe-tumor (Funda kabanzi malunga nabaxhamli be-tumor kunye nomhlaza we-ovari .)
- Amanqaku e-Ultrasound - I-ultrasound ibheka iziphumo ezininzi ezibandakanya ukubonakala ngokubanzi kobunzima, nokuba i-cystic okanye iqinile, kunye nobukho beentlupheko (imiba yobunzima obuhlukaniswe ngamabhanki). Elinye iphuzu linikezelwe nganye kwezi zinto zilandelayo: i-cyst multilocular (uhlobo olufana neqoqo lamagilebhisi amakhulu), indawo eziqinileyo, ubungqina bokusasazeka (i-metastases), ukungenaqhelo kwamanzi okungaqhelekanga ( ascites ), okanye iindawo eziphakathi kwama-ovari. (Funda kabanzi malunga nokuqonda i-ovarian ultrasound yakho .)
Umngcipheko weMalignancy Formula yeCarbovine
Ukuba unomdla wokufumana ubugcisa, umgaqo osisiseko kumngcipheko we-illusion index (RMI) ngu:
- RMI = U x M x serum level CA-125
U umele umlinganiselo we-ultrasound, ukusuka ku-0 ukuya ku-5. M ngumlinganiselo wokumiswa komntu apho i-1 yabelwe abo ba-foremenopausal, kwaye i-3 yabelwe abo baxhomekeke kwi-post-menopausal. Inqaku lokugqibela lixabiso lenani lezinga lakho le-CA-125; ixabiso elingama-35 okanye eliphantsi lijongwa njengesiqhelo. Ukwandisa u-U, M kunye ne-CA-125 ukufumana i-RMI.
Ukuqonda Umngcipheko Wakho Wokuhlambalaza (RMI) Amanqaku - Kuthetha ukuthini?
I-RMI amanqaku angaphezulu kwama-200, kubalwa kule fashoni, ithathwa njengolusiso. Ukuba lidlula i-250, ithuba lokuba into enayo ngumhlaza kakhulu. Nangona kunjalo, igama eliphambili "lihle." Khumbulani ukuba le ngcaciso inceda ukuhlenga izinto, kodwa ayiyi kungqina enye indlela okanye enye ukuba ingaba unayo umhlaza ngokuqinisekileyo. Ngokomzekelo, ukuba uneminyaka engaphantsi kwama-50 kwaye ube ne-endometriosis, okanye unezinye izizathu ze-CA-125 ukuba ziphakanyiswe, i-RMI inokuphakama ngamanga. Ngoko ke, ungeke ube nomhlaza. Ngakolunye uhlangothi, ezinye iintsholongwane azivelisi i-CA-125, ngoko i-RMI ingahle ibe yinyani.
Amanyathelo alandelayo ekuphononongeni i-Ovarian Cancer
Ugqirha wakho angasebenzisa enye okanye ngaphezulu kweemvavanyo apha ngasentla ukuze azame kwaye anike ithuba lokuba ubunzima bakho be-ovari bunomdlavuza. Ukumisela oku kwangaphambili kunokukunceda ukuba uyazi ukuba ingaba i-oncologist ye-gynecologist ifanele ibe yindlela yokuhlinzwa. Ubungakanani bakho ubunzima bokuba nomhlaza, kubaluleke kakhulu oku kuya kuba.
Ukulinganiselwa kwee-Ovarian Mass Assessment Techniques
Kubalulekile ukuba uqaphele ukuba kukho ukulinganiselwa kwimivavanyo engcono kakhulu esetyenziselwa ukuqikelela ukuba ingaba umhlaza wesi-ovari ungabikho. Wena kunye nogqirha wakho kuya kufuneka ukuba udibanise neziphumo zolu vavanyo kunye nolunye ulwazi, njengempawu zethu kunye nayiphi na ingozi enomdlavuza we-ovari. Ngamanye amazwi, kubalulekile ukujonga kuwe njengomntu, kunokuba kukho na manani athile xa usenza isigqibo malunga namanyathelo alandelayo ekuvavanyeni kwonyango.
Ukunyamezela ukuba Unayo iMisa ye-Ovarian
Kubalulekile ukuba ube nengxoxo epheleleyo kunye nogqirha wakho ukuba unesisindo se-ovari. Ngokusekelwe kwimiphumo ephuculweyo phakathi kwabo banomdlavuza womhlaza we-ovari apho i- oncologist ye-gynecologic ikhona, kunye neziphumo ezingcono kumaziko awenza ngaphezulu kwezi nkqubo, uluvo lwesibini kunye ne-gynecologic oncologist lunokuba luzilumko kungakhathaliseki ukuba ziphi iziphumo okanye ingozi.
Thatha ixesha lokufunda malunga nemeko yakho. Cela kwaye wamukele inkxaso evela kulabo abakujikelezile. Umngcipheko wokufa kwesifo somhlaza we-ovari usuphezulu kakhulu, kwaye ukuba ngummeli wakho ekunyamekeleni yinto enye ongayenza yona enokukwazi ukuphucula umphumo wakho.
Imithombo:
Kaijser, J., Bourne, T., Valentin, L. et al. Ukuphucula amacebo okuHlola i-Ovarian Cancer: Isishwankathelo soHlolo lwe-Ovarian Tumor Analysis (IOTA) Izifundo. I-ultrasound kwi-Obstetrics ne-Gynecology . 2013. 41 (1): 9-20.
Minig, L., Padilla-Iserte, P., kunye noC. C.errero. Ukubaluleka kweGynecologic Oncologists ukubonelela ngeNqanaba eliphezulu leNkcazo kwaBasetyhini ngeGenecological Cancer. Imida kwi-Oncology . 2015. 5: 308.
Meys, E., Kaijser, J., Kruitwagen, R. et al. UkuHlola okuNgcono kwiModeli ye-ultrasound yokujonga i-Ovarian Cancer: Uhlolo lokuHlola kunye no-Meta-Analysis. I-European Journal yeCarcer . 2016. 58: 17-29.
Stuart, G., Kithener, H., Bacon, M. et al. 2010 I-Gynecologic Cancer InterGroup (GCIG) Ingxelo yeSivumelwaniso kwiimvavanyo zeZliniki kwi-Ovarian Cancer: ingxelo evela kwiNgqungquthela yokuQiniswa kweCancer ye-Ovarian Cancer. I-International Journal yeGynecologic Cancer . 2011. 21 (4): 750-5.