Uhlobo lwe-Ovarian Germ Cell Malignancy
Uma utshelwe ukuthi une-teratoma encane, cishe usaba kakhulu. Lokhu akusho nje umdlavuza kuphela, kepha lezi zicubu zivame ukutholakala lapho abantu besemncane kakhulu.
Iyini ngempela lolu hlobo lwe-germ cell tumor, futhi liphathwa kanjani?
Sibutsetelo
I-tatatomas esheshayo yenziwe ngamathishu afana nalawo atholakala embungwini. Ziyizizukulwane ezibulalayo ze- cystic teratomas ezivuthiwe kakhulu noma ama-cymotic dermoid .
Lapho i-teratomas ekhulile ihlangene nezinye izicubu zegciwane lesigciwane , kuthiwa kuthiwa "izixube ezixubile zegciwane lesigciwane."
I-teratoma ehlanzekile engavamile yinto engavamile kakhulu futhi imelela cishe amaphesenti angu-1 azo zonke izinhlobo zomdlavuza we-ovarian-kodwa ngaphakathi kweqembu le-tumor cell tumor, yiyona eyesibili inhlamba evamile kakhulu.
Ubudala Besifazane Abasebenzisa I-Teratomas Ematasa
Kulaba besifazane abaneminyaka engaphansi kwengu-20 ubudala, lezi zicubu zimelela amaphesenti angu-10 kuya kumaphesenti angu-20 kuwo wonke ama-ovarian malignancies. Cishe isigamu sazo zonke i-teratomas ezingakaze zenzeke ngisho nangaphambilini, phakathi kweminyaka engama-10 kuya kwengu-20. Ngokuvamile akwenzeki kwabesifazane be-postmenopausal .
Ukwelapha
Ukwelashwa kwe-teratoma encane kuhlanganisa kokubili ukuhlinzwa kanye nokwelashwa kwamakhemikhali, Iziguli ezinezigaba ze-grade 1 ze-teratoma ezingakazalwa zivame ukuphathwa ngokuhlinzwa kuphela ngoba ukubikezela okuhle kakhulu. Uma ibanga le-tumor liqhubekela phambili ku-2 noma ku-3, noma isigaba sidlula ngaphezu kwe-Ia, i- chemotherapy ivame ukuphakanyiswa.
Ibanga le-teratoma elikhulile libhekisela kubuningi bezicubu eziqukethe izakhi zangasese ezingamanzi (ezibukeka njengezitho zangasese). Ngokwesibonelo, ngokusho kwe-American Cancer Society, i-teratoma engama-grade engama-1 iqukethe izicubu eziningi ezingenayo umdlavuza, kanti kuphela izindawo ezimbalwa zezicubu zomdlavuza, ezingabonwa ngaphansi kwe-microscope.
Isiteji se-teratoma esilula sibhekisela ekutheni sisakaze kangakanani-isiteji sithumba sisho ukuthi ukukhula kwawo kunomkhawulo kuma-ovari.
Ukwelapha Okuhlinzekwayo
Ebesifazane abaneminyaka engama-20 ubudala abafisa ukugcina inzalo, ukususwa kwe-ovary nokubandakanya ukuhlinzwa kungenziwa, kusale isisu nesinye i-ovary yedwa. Lokhu kungenziwa ngoba enye i-ovary ayifuni ukuhileleka, kepha isiteji sisadingeka ukuqinisekisa ukuthi umdlavuza awusakazeki.
Uma lisakazeka, ngokuvamile lenza kanjalo nomdlavuza we-ovarian epithelial-ngaphakathi nangaphansi kwezitho ngaphakathi kwendawo ye-peritoneal. Ngokuvamile, ingase isakaze kuma- lymph nodes , futhi ifinyelele ezindaweni ezikude njengamaphaphu nesibindi ngokusebenzisa igazi.
I-Chemotherapy
Njengoba lokhu kuyisimungulu esingajwayelekile, idatha encane yokucwaninga itholakala uma kuqhathaniswa nalokho esinakho nge-cancer e-epithelial ovarian ejwayelekile kakhulu. Lezo zifundo eziphelile, noma kunjalo, zisho ukuthi ukuhlanganiswa okungcono kakhulu kwe-chemotherapy yi-BEP kanye ne-VAC regimens.
Imithi ethize kulezi zinhlanganisela yiyo (BEP):
- i-bleomycin
- i-etoposide
- i-cisplatin
futhi (VAC):
- i-vincristine
- I-Adriamycin
- i-cyclophosphamide
Ulwazi oluthe xaxa ngalesi sifo luvela ekuhlangenwe nakho kweziguli zesilisa ezine- cancer yomzimba-kodwa-ke, iGynecologic Oncology Group (GOG) inyathelise izivivinyo ezimbalwa ezincane ezihlukahlukene.
Ngalesi sikhathi, uhlelo lwe-BEP yilona ukwelashwa kokuqala oluphakanyisiwe, kodwa uhlelo lweVAC lungasetshenziswa futhi ikakhulukazi uma kukhona ukuphindaphindiwe.
Ukulandelela Ngemva Kwokwelashwa
Ukulandela emva kokwelapha kwe-teratoma engakavame kuvame ukuhlolwa emitholampilo, izimpawu, namathuluzi wokucabanga njengendlela yokuhlola i-CAT. Lokhu kusho ukuthi udokotela wakho angalawula ukuskena uma unezimpawu ezintsha noma into ezwayo ekuhlolweni. Kusukela manje, izikrini zesikhathi esijwayelekile azikhuthazwa, futhi azikho izimbonakaliso ezinokwethenjelwa ezidumile.
Isibikezelo
Ibanga le-tumor yiyona nto ebaluleke kunazo zonke ekuchazeni isifo-ukubikezela kubhekisela ithuba lomuntu lokubuyiselwa.
Ngamanye amazwi, noma ngabe i-teratoma encane isesimweni esiphakeme, ibanga libaluleke kakhulu (ukucabanga ukuthi yonke umdlavuza obonakalayo ungasuswa ngokuhlinzwa).
Kuzo zonke izigaba, ukusinda kweminyaka engu-5 ebangeni lesi-1 kungamaphesenti angama-82 futhi kwehla kumaphesenti angaba ngu-30 uma ibanga lesi-3 likhona. Inani leminyaka emihlanu yokusinda kwesigaba sesifo sesisifo sesisifo samaphesenti angama-90 kuya kuma-95, kanti isisindo esasisimweni sokusinda samaconsi sibe ngamaphesenti angaba ngu-50 nomdlavuza weBanga 1 kuya ku-2 kanye namaphesenti angama-25 noma ngaphansi uma kutholakala ukuthi izidumbu ziba yiBanga lesi-3.
Ukubhekana Nokuthola Ukuxilongwa
Ukuxilongwa komdlavuza kuyesabisa ngesikhathi esifanayo lapho ubizwa khona ukuba wenze izinqumo ezinkulu mayelana nempilo yakho noma yengane yakho. Nawa amanye amathiphu okusiza ukukuqondisa ngalesi sikhathi esinzima:
- Buza imibuzo eminingi.
- Cabanga ngokuthola imibono yesibili.
- Funda konke ongakwenza mayelana nokuxilongwa kwakho- kubonakala sengathi kunezinzuzo ezingagcini nje ukukwaziswa kodwa zingathinta ukubikezelwa.
- Buza udokotela wakho mayelana nokuhlolwa kwemitholampilo.
- Funda ukuthi yini engenziwa ukuze kugcinwe ukwanda nomdlavuza .
Njengoba lokhu kuyisifo esingavamile, cishe awunayo iqembu lokusekela emphakathini wakho, kodwa imiphakathi yomdlavuza e-intanethi ingavame ukuvumela ukuthi ukhulume nabanye abaningi ababhekene nesifo esifanayo esingavamile.
Khumbula ukuthi ukwelashwa komdlavuza kuyathuthuka (izibalo ziyizinombolo ezisitshela indlela umuntu akwenze ngayo esikhathini esidlule, mhlawumbe ngaphambi kokwelapha okusha). Funda ukuthi ungazivikela kanjani noma ingane yakho njengesiguli somdlavuza ukuze ukwazi ukuzizwa unikwe amandla ohambweni lwakho.
Imithombo:
> Alwazzan AB, uPopwich S, uDean E, uRobinson C, Lotocki R, Altman AD. I-Teratoma Enembile Yase-Ovary Kubantu Abadala: Ukuhlangenwe Konyaka Eminyaka Ema-30 Yesikhungo Sezinsizakalo Zomhlaba Oyingqayizivele. I-Int J Gynecol Cancer . 2015 Nov; 25 (9): 1616-22.
> I-American Cancer Society. (2/2016). Ukwelapha I-Germ Cell Amathumba E-Ovary.
I-National Cancer Institute. (2/2016). I-Ovarian Germ Cell Treatment Tumors - I-Health Professional Version.