Abesifazane abaningi bakhathazeka ngokukhula komdlavuza we-ovarian, njengamanje njengesizathu esiyisihlanu esiholela ekufeni okuhlobene nomdlavuza kwabesifazane. Noma kunjalo, kunezinye izinto ongayenza ukuze uzivimbele, noma okungenani unciphise ingozi yokuthuthukisa lesi sifo. Ukugcina isisindo esinempilo, ukugwema i-talc kumikhiqizo yokunakekelwa komuntu siqu, ucabangela izingozi uma ukhetha izindlela zokulawula ukuzalwa noma i-hormone esikhundleni, futhi ucabangela ukuhlinzeka uma unengozi enkulu kakhulu, zonke izinketho.
Ukuthola le kansela ngokushesha (ukutholakala kokuqala) kuyinselele kakhulu, njengoba okwamanje asikho imikhawulo yokuhlola ekhona.
Kunezincazelo eziningana ezibalulekile nokwahlukana okwenziwe ngaphambi kokukhuluma ngezinyathelo ezithile abesifazane abangathatha ukuze banciphise ithuba lokufa ngenxa yomdlavuza we-ovarian. Lokhu kufaka:
Ukuvimbela Ukutholakala Ngaphambi Kokuqala (Ukuhlola)
Uma sikhuluma ngomdlavuza "ukuvimbela," kunezinkinga ezimbili ezihlukene. Ukuvimbela noma ukunciphisa ingozi kubhekisela ezintweni abesifazane abangakwenza ukuze banciphise ithuba lokuthola umdlavuza we-ovarian endaweni yokuqala. Ukutholakala kokuqala, ngokuphambene, kubhekisela ekutholeni umdlavuza we-ovarian osuvele ukhona ngangokunokwenzeka. Iningi lokuhlola ukuhlolwa komdlavuza empeleni ukuhlolwa kokuqala, kanti ngenkathi kunganciphisi ingozi yokuthola isifo, kunganciphisa amathuba okufa ngalolo sifo.
Izingozi ezingenakuvikelwa ezingenakunqandwa (Izingozi ezingaguquki)
Ukuvimbela, noma okungenani ukunciphisa ingozi yakho iqala ukwazi izici zakho ezingozini zomdlavuza we-ovarian . Kulezi zici eziyingozi, kungenzeka ukuthi ezinye zingashintshwa noma zishintshwe, kuyilapho abanye kuncane ongakwenza (isibonelo, awukwazi ukushintsha iminyaka yakho). Ukuqonda kokubili, noma kunjalo, kubalulekile.
Ungakwazi ukwenza izinguquko zokuphila ukuze ushintshe ezinye izinto eziyingozi, kodwa ukuqaphela lokho okungenakuguqulwa kungakukhumbuza ukuba uqaphele izimpawu zokuqala zesifo ukuze ufune usizo lwezokwelapha ngokushesha ngangokunokwenzeka uma zenzeka.
Ukuhlola nge-Diagnosis
Izivivinyo zokuhlola (njenge-ultrasound transvaginal) uma ziyalwe, zenzelwe ukuthi zenziwe kubantu abangenayo izimpawu zesifo. Ukubheka umdlavuza webele kungenza kube lula ukuqonda. Amamograms for screening ukuhlolwa komdlavuza wenziwa abesifazane abakwazi ngokuphelele. Uma owesifazane enezibonakaliso, ezifana nesilonda sesifuba, ezinye izivivinyo zivame ukudingwa futhi i-mammogram yedwa ayikwazi ukukhipha umdlavuza. Ngokufanayo, uma owesifazane enezibonakaliso zomdlavuza we-ovari, ukuhlolwa kokuhlolwa (okwenziwa ngezinye izikhathi) kungase kungenele ukulawula umdlavuza.
Ukuvimbela (Ukunciphisa Ingozi): Izisombululo Zengozi Ezingaguquguqukayo
Izimbangela eziningi eziyingozi zomdlavuza we-ovarian zihleliwe. Awukwazi ukushintsha iminyaka owawuyiyo ngenkathi uqala isikhathi sakho, isibonelo. Kodwa kukhona izinto ongayenza. Njengoba umdlavuza we-ovarian ubhekwa ngokuthi "i-multifactorial," okusho ukuthi izinqubo eziningana zivame ukusebenza ndawonye ukuze zikhulise noma zinciphise ingozi yalezi zomshukela, okwenza ngisho nezinguquko ezincane ngezinye izikhathi kungenza umehluko omkhulu ukuthi umuntu unomdlavuza.
Yini ongayenza ukuze unciphise ingozi yakho?
Londoloza isisindo esinempilo
Ukuthola nokulondoloza isisindo esinempilo (inamba yomzimba phakathi kuka-19 no-25) umqondo omuhle ukuthi awukhathazekile yini ngomdlavuza we-ovari. Ukuqhathanisa ngokweqile noma ukukhululeka kunandisa ingozi yezinhlobo ezithile (kodwa hhayi zonke) zomdlavuza we-ovari, ikakhulukazi kulabo besifazane abanesandulela ngculazi. Uma ukunciphisa imisindo kungenakwenzeka, khumbula ukuthi akudingeki ufinyelele isisindo sakho esihle ukunciphisa ingozi yakho. Ukulahlekelwa amapremu angu-5 kuya kwamakhilogremu angu-10 kuyasiza uma ukhuluphele kakhulu.
Gwema i-Talc kumikhiqizo yokunakekela yomuntu siqu
I-Talc e-spyys ye-feminine ethulile kanye ne-powders ihlotshaniswa nokuthuthukiswa komdlavuza we-ovarian.
Ngenkathi i-talc engeyona into enkulu engozini yomdlavuza we-ovari, yinto elula ukugwema kalula.
Khetha Ukulawula Ukuzalwa Kwakho Ngokucophelela
Ezinye izindlela zokuvimbela ukubeletha zinganciphisa ingozi yomdlavuza we-ovarian, kodwa ukuxoxa ngokucophelela kuzo zonke izingozi kanye nezinzuzo kubalulekile uma ubheka lokhu kukhetha ngokuhambisana nokuvimbela umdlavuza.
Abesifazane abasebenzisa izisu zokubeletha ngomlomo (amaphilisi okulawula ukuzalwa) banengozi encane yokuthuthukisa umdlavuza we-ovarian. Ukuze uqonde lokhu, kuyasiza ukucabanga nge-ovulation. Uma iqanda likhishwa e-ovary libe yikhubhu eliyi-fallopian, indawo yokuvuvukala nokuhlukumezeka kudalwa. Kucatshangwa ukuthi ukuvuvukala okunjengale kungaba nengxenye ekuthuthukiseni umdlavuza. I-oral contraceptive (i-"pilisi") igwema ukuvota. Ngokuvamile, iphilisi inganciphisa ingozi yomdlavuza we-ovarian kuze kube ngamaphesenti angu-50, kuye ngokuthi usetshenziswa isikhathi eside kangakanani. Ngaphezu kwalokho, ukunciphisa ubungozi kubonakala kuqhubeka iminyaka engama-30.
Lokhu kuncishiswa komdlavuza we-ovaria, noma kunjalo, kumele kulinganiswe nezinye izinzuzo noma imiphumela emibi. Abantu abasebenzisa amaphilisi okulawula ukubeletha cishe banokuthuthukisa ama-clots wegazi, ikakhulukazi uma bebhema. Ukusetshenziswa kwemithi yokubeletha ngomlomo kwandisa ingozi yomdlavuza webele ngesilinganiso esincane, ikakhulu kulabo abanengozi enkulu yalesi sifo.
Ukudubula kwe-Depoprovera (isibhamu esinikezwe kanye nezinyanga ezintathu zokulawula ukubeletha) sine-progesterone kodwa hhayi isrogen, futhi kubonakala kunciphisa ingozi yomdlavuza we-ovarian. Ngenkathi i-Depoprovera ingase ingathathi ingozi yomdlavuza webele wephilisi yokulawula ukuzalwa, kukhona nezinye imiphumela emibi yeDepo-Provera , njengokuzuza kwesisindo.
I-tubal ligation yindlela yokulawula ukuzalwa okubeka ingozi yomdlavuza we-ovarian kakhulu, ngokunciphisa amaphesenti angu-70 e-epithelial ovarian cancers (uhlobo oluvame kakhulu). Noma kunjalo, lokhu kuhlanganisa nenqubo yokuhlinzeka futhi kufanele kubhekwe njengokungaphenduki. Lokhu kuxoxwa ngokuqhubekayo ngaphansi kokuthi "ukuhlinzwa" ngezansi.
Cabanga ngokubeletha izingane zakho
Njengengozi yomdlavuza wesifuba, ukuncelisa kunganciphisa ingozi yokuthuthukisa umdlavuza we-ovarian. Ukubeletha (okuncane okungenani isikhathi sokubeletha) kuvimbela ukuvuthwa.
Khetha ukwelashwa kwe-hormone esikhundleni sokuhlakanipha
Uma ucabangela ukusetshenziswa kwe-hormone replacement therapy (i-HRT), kunezinkinga eziningi okufanele uzicabangele ngokungeziwe emngceleni we-ovarian. Lokho kusho ukuthi kubalulekile ukuthi abesifazane baqonde ukuthi labo abathatha i-estrogen-kuphela kuphela i- hormone le-substitution therapy isikhathi eside, banomngcipheko ophezulu wokuthuthukisa umdlavuza we-ovariya kunabesifazane abathatha ama-estrogen kanye namalungiselelo e-progesterone.
Hlanganisa Ukuphila Kwakho
I-Turmeric iyisithako esivamile ku-curry nama-mustard (obhekene nombala ophuzi) kanye nengxenye ye-turmeric okuthiwa i-curcumin itholakale ukuthi inezakhiwo ezinamandla ze-anticancer. Abacwaningi baqala ukuphawula ukuthi izifo zomdlavuza we-ovariya eJapane ziphansi kakhulu, kuyilapho ukusetshenziswa kwethiya lase-Ukon (eliqukethe i-turmeric) liphakeme. Ucwaningo oluqhubekayo olubhekene namaseli omdlavuza we-ovarian ebhodini lathola ukuthi i-turmeric yakhuthaza ukufa kwe-cell program (i-apoptosis) emaqenjini omdlavuza we-ovarian kodwa hhayi amangqamuzana avamile. Asazi ukuthi noma yiziphi izifundo ezenziwe ebhodini ezokwazi ukuhumusha emiphumeleni yabantu, futhi kusenesikhathi kakhulu ukukhuluma ngokungeza isengezo kumkhuba wakho wansuku zonke. Kodwa uma ujabulela i-curry ne-mustard, ukujabulela lokhu njengengxenye ejwayelekile yokudla kwakho kungase kungalimazi.
Uma Umoya, Phuma
Ukubhema kwandisa ingozi yelinye uhlobo lomdlavuza we-ovarian, izicubu ze-mucinous epithelial, kodwa kunezizathu eziningi zokuyeka namuhla.
Ukuhlinzwa
Kunezinhlobo ezimbalwa zokuhlinzwa eziyaziwa ukunciphisa ingozi yomdlavuza we-ovarian, nakuba izinkomba zalezi zindlela zokuhlinzwa ziyahlukahluka.
- I-tubal ligation : Ngenxa yezizathu esingacacisanga kahle, ukubhebhetheka kwe-tubal ("ukuhlanganisa izilimo eziyizigaxa") kunganciphisa ingozi yomdlavuza we-ovarian kuze kube ngamaphesenti angu-70, kuye ngokuthi unyaka wenziwa ngawo. I-tubal ligation ivame ukwenza njengendlela yokulawula ukubeletha, kepha uma kunikezwa lokhu kunciphisa, labo abanengozi enkulu yokuthuthukisa umdlavuza we-ovari bangafisa ukucabangela le ndlela yokulawula ukubeletha uma sekuqedile ukuba nezingane.
- I-Salpingo-Oophorectomy : Ukwelashwa okujwayelekile kokunciphisa ingozi yomdlavuza we-ovarian kubantu abasengozini (njenge-BRCA gene mutations) yi-salpingo-oophorectomy. Lokhu kuhlinzekwa kuhilela ukukhipha kokubili ama-ovari nama-tublopian tubes, futhi kungenziwa njalo ngokuhlinzwa okuncane okungenasisindo (ngezingcingo ezincane ezimbalwa esiswini nasesiphumeleni esisetshenziselwa ukususa izicubu). Ukususa lezi zicubu kunganciphisa ingozi yokuba nomdlavuza we-ovarian phakathi kwamaphesenti angu-75 no-90%. Abanye abantu bayamangala ukuthi lokhu kuhlinzwa akuqedi ngokuphelele ingozi, kodwa ezinye ze-ovarian kansa zivela ezinkalweni ezizungezile izitho zangasese nezitho zangasese (i-peritoneum) kunama-ovari noma ama-tubespian tubes ngokwabo.
- I-hysterectomy ne-salpingectomy: Abaningi besifazane bane-hysterectomy (ukususwa kwesibeletho) ngezimo ezihlukahlukene, kodwa bakhethe ukugcina ama-ovari. Lokhu kuyiqiniso ikakhulu uma owesifazane esemncane, futhi angaba nemiphumela emibi kakhulu ehlobene nokuntuleka kwe-estrogen okukhiqizwa ama-ovari. Kodwa odokotela abaningi manje bancoma ukukhipha amashubhu we-fallopian kanye nesisu sokunciphisa ingozi yomdlavuza we-ovarian.
Ukutholwa Kokuqala
Ngesikhathi samanje, asinaso ukuhlolwa kokuhlolwa kwesifo somdlavuza we-ovarian, kungaba labo abanengozi enkulu noma labo abanengozini ephakeme. Kulesi silungiselelo, ukukhuluma nodokotela wakho mayelana nezimo zakho ezingozini, futhi ufune ukunakekelwa okusheshayo uma unesifo, kubalulekile uma abantu bezokwazi ukuthola lezi zomshukela ngesikhathi sokuqala.
Umdlavuza we-Ovarian ungase utholakale ngezinye izikhathi ngokomzimba, nakuba singenayo ubufakazi bokuthi lokhu kunciphisa izinga lokufa lesi sifo. Kunezinye izimo zezokwelapha, noma kunjalo, ukuthi iziphi izivivinyo zemizimba yezinkinga ezijwayelekile zisiza.
Njengoba kuxoxwe kwesinye isihloko, asinaso ubufakazi bokuthi izivivinyo ezinye odokotela ziyala ukuba abesifazane abengozi kakhulu (njengama-ultrasound angenawo kanye nokuhlolwa kwegazi kwe-CA-125) banciphisa ingozi yokufa ngesifo. Kodwa kubalulekile ukuthi uqaphele ukuthi lezi zibalo zisekelwe "kokujwayelekile" okutholakele kwenani elikhulu labesifazane. Wonke owesifazane uhlukile. Wena nodokotela wakho ungase ube nomuzwa wokuthi isu lokuhlola libalulekile linikezwe ingozi yakho, futhi ngokuqinisekile kungase kube yinzuzo ezingeni ngalinye. Iphuzu elibaluleke kunazo zonke ukuba ngummeli wakho siqu futhi uqiniseke ukuthi uqonda kahle noma yikuphi ukuvivinya kokutholwa kokuqala udokotela wakho atusa.
> Imithombo:
> I-American Cancer Society. Ingabe Isisindo Somzimba Sithinta Ingozi Ye-Cancer? . Kubuyekezwe 01/04/18.
> I-American College yezidakamizwa namaGynecologists. I-Committee Opinion. I-Salpingectomy ye-Ovarian Cancer Prevention. 01/2015.
> National Cancer Institute. Izinguquko ze-BRCA: Ingozi yeCanscer and Testing Genetics. Kubuyekezwe 01/30/18.
> National Cancer Institute. I-Ovarian Epithelial, I-Tube yama-Fallopian, ne-Primary Peritoneal Cancer Treatment (PDQ) -Health Professional Version. Kubuyekezwe 01/19/18.
> Seo, J., Kim, B., Dhanasekaran, D., Tsang, B., no-Y. Ingoma. I-Curcumin Ikhupha I-Apoptosis Ngokuvimbela I-Sarco / I-Endoplasmic Reticulum Ca2 + I-ATPase Umsebenzi Kumaseli E-Cancer Ovari. Izincwadi Zomdlavuza . 2016. 371 (1): 30-7.