Choriocarcinoma

Choriocarcinoma igomarara rinokurumidza kukura rinoitika muchibereko chemukadzi (chibereko). Iwo maseru asina kujairika anotanga munyama inowanzo kuve iyo placenta. Iyi inhengo inokura panguva yekuzvitakura kufudza fetus.

Choriocarcinoma rudzi rwegestational trophoblastic chirwere.

Choriocarcinoma kenza isingawanzoitika inoitika seyakajairika nhumbu. Mwana anogona kana kusakwanisa kukura mumhando iyi yepamuviri.

Iyo kenza inogona zvakare kuitika mushure mekuzvitakura kwepamuviri. Asi inowanzoitika ine yakazara hydatidiform mole. Uku kukura kunoitika mukati mechibereko pakutanga kwepamuviri. Iyo isina kujairika nyama kubva kumo mole inogona kuramba ichikura kunyangwe mushure mekuyedza kubviswa, uye inogona kuita cancer. Inenge hafu yevakadzi vese vane choriocarcinoma vane hydatidiform mole, kana nhumbu yekuzvimba.

Choriocarcinomas inogona zvakare kuitika mushure mekutanga kubata nhumbu kusingaenderere (kupererwa nepamuviri). Izvo zvinogona zvakare kuitika mushure meectopic nhumbu kana bonde genital.

Chiratidzo chinogona kunge chisina kujairika kana chisina kujairika kubuda ropa mumukadzi mumukadzi achangobva kuve ne hydatidiform mole kana nhumbu.

Zvimwe zviratidzo zvinogona kusanganisira:

• Kubuda kweropa zvisina kujairika
• Marwadzo, ayo anogona kunge achibatanidzwa nekubuda ropa, kana nekuda kwekuwedzera kwemazai ayo anowanzoitika nechoriocarcinoma

Bvunzo yekuzvitakura ichave yakanaka, kunyangwe kana usiri nepamuviri. Iyo nhumbu yekudzivirira (HCG) nhanho ichave yakakwira.

Kuongorora kwepamuviri kunogona kuwana chibereko chakawedzerwa uye maovari.

Kuongororwa kweropa kunogona kuitwa kunosanganisira:

• Yakawandisa serum HCG
• Yakazara kuverenga ropa
• Itsvo basa rekuyedza
• Chiropa basa bvunzo

Kufungidzira bvunzo dzinogona kuitwa dzinosanganisira:

• CT scan
• MRI
• Pelvic ultrasound
• Chest x-ray

Iwe unofanirwa kunyatso kuongororwa mushure me hydatidiform mole kana pakupera kwekubata. Kutanga kuongororwa kwechoriocarcinoma kunogona kugadzirisa mhedzisiro.

Mushure mekunge waonekwa, nhoroondo yekungwarira uye bvunzo zvichaitwa kuti uve nechokwadi chekuti gomarara harina kupararira kune dzimwe nhengo. Chemotherapy ndiyo mhando huru yekurapa.

Hysterectomy kubvisa chibereko uye kurapwa kwemwaranzi hakuwanzo kudikanwa.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Vanhukadzi vazhinji vane gomarara risina kupararira vanogona kurapwa uye vachiri kugona kuita vana. Choriocarcinoma inogona kudzoka mukati memwedzi mishoma kusvika kumakore matatu mushure mekurapwa.

Mamiriro acho akaoma kurapa kana gomarara rapararira uye chimwe kana zvimwe zvinotevera zvinotevera kuitika:

• Zvirwere zvinopararira kuchiropa kana muuropi
• Iyo nhumbu mahormone (HCG) danho rakakwira kupfuura makumi mana emamirioni / mL apo kurapwa kunotanga
• Cancer inodzoka mushure mekuita chemotherapy
• Zviratidzo kana nhumbu zvakaitika kweinopfuura mwedzi mina kurapwa kusati kwatanga
• Choriocarcinoma yakaitika mushure mekuzvitakura kwakakonzera kuberekwa kwemwana

Vakadzi vazhinji (vangangoita 70%) vane maonero asina kunaka pakutanga vanoenda mukuregererwa (nyika isina chirwere).

Shevedza musangano pamwe nemupi wako wezvehutano kana iwe ukaita zviratidzo mukati megore rimwe mushure me hydatidiform mole kana nhumbu.

Chorioblastoma; Trophoblastic bundu; Chorioepithelioma; Gestational trophoblastic neoplasia; Gomarara - choriocarcinoma

National Cancer Institute webhusaiti. Gestational trophoblastic chirwere kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/cancertopics/pdq/treatment/gestationaltrophoblastic/HealthProfessional. Yakagadziridzwa Zvita 17, 2019. Yakasvika June 25, 2020.

Salani R, Bixel K, Copeland LJ. Zvirwere zvakaipa uye nhumbu. Mune: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2021: chits. 55.