Chiberekero cha sarcoma

Uterine sarcoma ndi khansa yosawerengeka ya chiberekero (chiberekero). Sizofanana ndi khansa ya endometrial, khansa yodziwika kwambiri yomwe imayamba m'mbali mwa chiberekero. Uterine sarcoma nthawi zambiri imayamba mu minofu pansi pake.

Zomwe zimayambitsa sizikudziwika. Koma pali zifukwa zina zowopsa:

• Mankhwala am'mbuyomu a radiation. Azimayi ochepa amakhala ndi uterine sarcoma zaka 5 mpaka 25 atalandira mankhwala a radiation kwa khansa ina ya m'chiuno.
• Chithandizo cham'mbuyomu kapena chamakono cha tamoxifen cha khansa ya m'mawere.
• Mpikisano. Amayi aku Africa aku America ali pachiwopsezo chowirikiza kawiri chomwe azungu azungu kapena aku Asia amakhala nacho.
• Chibadwa. Jini yofananira yomwe imayambitsa khansa yamaso yotchedwa retinoblastoma imawonjezeranso chiopsezo cha uterine sarcoma.
• Amayi omwe sanakhalepo ndi pakati.

Chizindikiro chofala kwambiri cha uterine sarcoma ndikutuluka magazi mutatha kusamba. Lolani wothandizira zaumoyo wanu adziwe posachedwa momwe mungathere:

• Kutaya magazi kulikonse komwe sikuli kusamba kwanu
• Kutaya magazi kulikonse komwe kumachitika atatha kusamba

Kutheka, kutuluka magazi sikudzakhala kwa khansa. Koma nthawi zonse muyenera kumuuza omwe amakupatsani za magazi osazolowereka.

Zizindikiro zina zotheka za uterine sarcoma ndi izi:

• Kutulutsa kumaliseche komwe sikumakhala bwino ndi maantibayotiki ndipo kumachitika popanda magazi
• Unyinji kapena chotupa kumaliseche kapena pachiberekero
• Kukodza pafupipafupi

Zizindikiro zina za uterine sarcoma ndizofanana ndi za fibroids. Njira yokhayo yodziwira kusiyana pakati pa sarcoma ndi fibroids ndi kuyesa, monga biopsy ya minofu yotengedwa m'chiberekero.

Wothandizira anu atenga mbiri yanu yazachipatala. Muyeneranso kuyezetsa thupi komanso kuyeza m'chiuno. Mayesero ena atha kuphatikizira:

• Endometrial biopsy kuti atole zitsanzo za minofu kuti ayang'ane zizindikiro za khansa
• Kuchepetsa ndi kuchiritsa (D & C) kuti atolere maselo kuchokera pachiberekero kuti ayang'ane khansa

Kuyesa kuyesa ndikofunikira kuti mupange chithunzi cha ziwalo zanu zoberekera. Ultrasound pamatenda nthawi zambiri amachitika koyamba. Komabe, nthawi zambiri sichitha kusiyanitsa pakati pa fibroid ndi sarcoma. Kuwonanso kwa MRI m'chiuno kungafunikirenso.

Biopsy yogwiritsa ntchito ultrasound kapena MRI yotsogolera singano itha kugwiritsidwa ntchito kuti ipangitse matendawa.

Ngati wothandizira wanu akupeza zizindikiro za khansa, mayesero ena amafunika kuti athetse khansa. Kuyesaku kukuwonetsa kuchuluka kwa khansa. Awonetsanso ngati wafalikira mbali zina za thupi lanu.

Opaleshoni ndiyo njira yodziwika bwino yothandizira khansa ya m'mimba. Opaleshoni itha kugwiritsidwa ntchito pozindikira, kukula, ndikuchiza uterine sarcoma nthawi imodzi.Pambuyo pa opaleshoni, khansayo idzayesedwa mu labu kuti iwone momwe yayendera.

Kutengera zotsatira, mungafunike chithandizo chama radiation kapena chemotherapy kuti muphe maselo aliwonse a khansa omwe atsala.

Muthanso kukhala ndi mankhwala amtundu wamatenda ena omwe amayankha mahomoni.

Kwa khansa yayikulu yomwe yafalikira kunja kwa mafupa a chiuno, mungafune kulowa nawo mayeso azachipatala a khansa ya uterine.

Ndi khansa yomwe yabwerera, ma radiation atha kugwiritsidwa ntchito pochizira. Chisamaliro chothandizira chimatanthawuza kuthetsa zizindikiro ndikusintha moyo wa munthu.

Khansa imakhudza momwe mumadzionera nokha komanso moyo wanu. Mutha kuchepetsa nkhawa zamankhwala ndikulowa nawo gulu lothandizira khansa. Kugawana ndi ena omwe akumanapo ndi mavuto omwewo kumatha kukuthandizani kuti musamve nokha.

Funsani omwe akukuthandizani kapena ogwira ntchito kuchipatala kuti akuthandizeni kupeza gulu lothandizira anthu omwe apezeka ndi khansa ya uterine.

Kulosera kwanu kumadalira mtundu ndi gawo la uterine sarcoma yomwe mudali nayo mukamachiritsidwa. Kwa khansa yomwe sinafalikire, anthu osachepera 2 mwa anthu atatu aliwonse alibe khansa pambuyo pazaka zisanu. Chiwerengerocho chimatsika khansa ikayamba kufalikira ndikukhala kovuta kuchiza.

Uterine sarcoma nthawi zambiri sapezeka msanga, chifukwa chake, kudwala kwake kumakhala kovuta. Wothandizira anu akhoza kukuthandizani kumvetsetsa malingaliro a mtundu wanu wa khansa.

Zovuta zingaphatikizepo:

• Phokoso (chibowo) la chiberekero limatha kuchitika mu D ndi C kapena kumapeto kwa biopsy
• Zovuta za opaleshoni, radiation, ndi chemotherapy

Onani omwe akukuthandizani ngati muli ndi zizindikilo zilizonse za khansa ya m'mimba.

Chifukwa chifukwa chake sichikudziwika, palibe njira yoletsera sarcoma ya uterine. Ngati mwalandira mankhwala a radiation m'chiuno mwanu kapena mwatenga tamoxifen ya khansa ya m'mawere, funsani omwe akukuthandizani kangati kuti mufufuzidwe kangati pazovuta zomwe zingachitike.

Leiomyosarcoma; Endometrial stromal sarcoma; Ma sarcomas osadziwika; Khansa ya chiberekero - sarcoma; Chosasiyanitsa chiberekero sarcoma; Zilonda zosakanikirana zotupa za Müllerian; Adenosarcoma - chiberekero

[Adasankhidwa] Boggess JF, Kilgore JE, Tran AQ. Khansara ya chiberekero. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 85.

[Adasankhidwa] Howitt BE, Nucci MR, Quade BJ. Zotupa za chiberekero cha mesenchymal. Mu: Crum CP, Nucci MR, Howitt BE, Granter SR, Parast MM, Boyd TK, olemba. Kuzindikira Gynecologic ndi Obstetric Pathology. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 20.

Tsamba la National Cancer Institute. Chithandizo cha chiberekero cha sarcoma (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/uterine/hp/uterine-sarcoma-kuchiza-pdq. Idasinthidwa pa Disembala 19, 2019. Idapezeka pa Okutobala 19, 2020.