Uterine sarcoma

Uterine sarcoma kenza isingawanzoitika yechibereko (chibereko). Izvo hazvina kufanana nekenza yemendometri, gomarara rakajairika iro rinotanga mumutsara wechibereko. Uterine sarcoma kazhinji inotanga mumhasuru pasi peiyo lining.

Chikonzero chaicho hachizivikanwe. Asi pane zvimwe zvinhu zvine njodzi.

• Kurapa kwemazuva ekupedzisira. Vakadzi vashoma vanoita uterine sarcoma makore mashanu kusvika makumi maviri nemashanu mushure mekunge vaine radiation radiation yeimwe gomarara repamuviri.
• Yapfuura kana yazvino kurapwa ne tamoxifen yekenza yemazamu.
• Race. Vakadzi vemuAfrica veAmerica vane njodzi yakapetwa kaviri pane vakadzi vachena kana veAsia.
• Genetics. Iyo imwechete isina kujairika geni inokonzeresa kenza yemaziso inonzi retinoblastoma inowedzerawo njodzi yehutachiona sarcoma.
• Vakadzi vasina kumbove nepamuviri.

Chiratidzo chinowanzozivikanwa chechibereko sarcoma kubuda ropa mushure mekuguma kuenda kumwedzi. Rega mupi wako wehutano azive nekukurumidza iwe zvaunogona nezve:

• Chero kubuda ropa uko kusiri chikamu chekuenda kwako kumwedzi
• Chero kubuda ropa kunoitika mushure mekuguma kuenda kumwedzi

Zvingangodaro, kubuda ropa hakuzove kunobva kugomarara. Asi iwe unofanirwa kugara uchiudza mupi wako nezve kujairika kubuda ropa.

Zvimwe zvinogona kuitika zveutterine sarcoma zvinosanganisira:

• Vaginal kubuda izvo zvisingaite zvirinani nemishonga inorwisa mabhakitiriya uye zvinogona kuitika pasina kubuda ropa
• Hunyama kana bundu mukati memukadzi kana chibereko
• Kuva neweti kakawanda

Zvimwe zvezviratidzo zvehutachiona sarcoma zvakafanana neaya eiyo fibroids. Iyo chete nzira yekuudza mutsauko pakati pe sarcoma ne fibroids ndeye bvunzo, senge biopsy yetishu yakatorwa muchibereko.

Mupiki wako anotora nhoroondo yako yekurapa. Iwe zvakare uchave nemuviri bvunzo uye wepilvic bvunzo. Mimwe bvunzo inogona kusanganisira:

• Endometrial biopsy kuunganidza sampuro yetishu kutarisa zviratidzo zvecancer
• Kuwedzera uye mushonga (D & C) kuunganidza masero kubva muchibereko kutsvaga gomarara

Kufungidzira bvunzo kunodiwa kugadzira pikicha yenhengo dzako dzekubereka. Ultrasound yepelvis inowanzoitwa kutanga. Asi, kazhinji haigone kutaura mutsauko pakati pefibroid uye sarcoma. MRI scan yepelvis inogona kudiwa zvakare.

Bhiopsy inoshandisa ultrasound kana MRI kutungamira tsono inogona kushandiswa kugadzira chirwere.

Kana wako mupi achiwana zviratidzo zvegomarara, mimwe miedzo inodiwa yekumisa cancer. Iyi bvunzo inoratidza kuti gomarara rakawanda sei. Vanozoratidza zvakare kana yakapararira kune dzimwe nhengo dzomuviri wako.

Kuvhiya ndiyo inonyanya kurapwa kurapwa kwecancer yechibereko. Kuvhiya kunogona kushandiswa kuongorora, danho, uye kurapwa uterine sarcoma zvese panguva imwe chete.Mushure mekuvhiyiwa, gomarara rinozoongororwa murabhoritari kuti rione kukura kwaro.

Zvichienderana nezvakabuda, ungangoda radiation radiation kana chemotherapy kuuraya chero gomarara maseru akasara.

Iwe zvakare unogona kuve nehomoni yekurapa kune mamwe marudzi emamota anopindura kumahormone.

Kune kenza yepamberi yakapararira kunze kwechiuno, ungangoda kujoina kiriniki yekuyedzwa yekenza yemukomana.

Nekenza yakadzoka, radiation inogona kushandiswa pakurapa kurapa. Kuchengetedza kwekuchengetedza kunoitirwa kurerutsa zviratidzo uye kugadzirisa hupenyu hwemunhu.

Gomarara rinobata manzwiro aunoita pamusoro pako neupenyu hwako. Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zviitiko zvakafanana nematambudziko zvinogona kukubatsira kuti unzwe kushoma.

Kumbira mupi wako kana vashandi vepachipatara chekurapa gomarara kuti vakubatsire iwe kuwana boka rekutsigira vanhu vakawanikwa vaine gomarara reutachiona.

Kufungidzira kwako kunoenderana nerudzi uye nhanho yehutachiona sarcoma yawaive nayo pakurapwa. Kune kenza isina kupararira, vangangoita vaviri pavanhu vatatu vese havana gomarara mushure memakore mashanu. Nhamba inodonha kana gomarara ratanga kupararira uye zvobva zvava zvakaoma kurapa.

Uterine sarcoma haiwanzo kuwanikwa kutanga, saka, kufungidzira kwakashata. Wako mupi anogona kukubatsira kuti unzwisise maonero erudzi rwako rwegomarara.

Zvinetso zvinogona kusanganisira:

• Iyo yekuzadza (gomba) yechibereko inogona kuitika panguva yeD uye C kana endometrial biopsy
• Matambudziko kubva pakuvhiya, radiation, uye chemotherapy

Ona mupi wako kana iwe uine chero zviratidzo zvekenza yechibereko.

Nekuti chikonzero hachizivikanwe, hapana nzira yekudzivirira uterine sarcoma. Kana iwe uine radiation radiation munzvimbo yako yepelvic kana wakatora tamoxifen yekenza yemazamu, bvunza mupi wako kuti kangani kaunofanirwa kuongororwa kuti zvingangoita matambudziko.

Leiomyosarcoma; Endometrial stromal sarcoma; Undifferentiated sarcomas; Kenza yechibereko - sarcoma; Undifferentiated uterine sarcoma; Yakashata yakavhenganiswa mammllerian tumors; Adenosarcoma - uterine

Boggess JF, Kilgore JE, Tran AQ. Kenza yechibereko. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 85.

Howitt IVA, Nucci MR, Quade BJ. Uterine mesenchymal mamota. Mu: Crum CP, Nucci MR, Howitt BE, Granter SR, Parast MM, Boyd TK, eds. Kuongorora Gynecologic uye Obstetric Pathology. 3rd ed. Philadelphia, PA: Elsevier; 2018: chitsiko 20.

National Cancer Institute webhusaiti. Uterine sarcoma kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/uterine/hp/uterine-sarcoma-treatment-pdq. Yakagadziridzwa Zvita 19, 2019. Yakasvika Gumiguru 19, 2020.