Kenza yeOvarian

Zvemukati

• Zviratidzo zvecancer ovarian
• Zvinokonzera cancer ovarian
• Mhando dzekenza yeovarian
• Epithelial carcinoma yeiyo ovari
• Majini
• Zviitiko zvinosunganidzwa nekuwedzera kupona
• Kenza yemukenza yesero yeovary
• Stromal cell kenza yeovary
• Kurapa kwecancer ovarian
• Kuvhiya
• Yakavandudzwa ovarian cancer cancer
• Chemotherapy
• Kurapa kwezviratidzo
• Kuongorora chirwere chegomarara
• Biopsy
• Kufungidzira bvunzo
• Kuongorora metastasis
• Kenza yeovarian njodzi njodzi
• Matanho ekenza yemazai
• Ovarian kenza kupona mitengo
• Kenza yeovarian inogona kudzivirirwa?
• Ovarian kenza kufungidzira
• Ovarian kenza ribhoni
• Ovarian kenza nhamba

Gomarara reOvarian

Mazai aya madiki, nhengo dzakaumbwa nemaarimondi dziri kudivi reropa. Mazai anogadzirwa mumazai. Kenza yeOvarian inogona kuitika munzvimbo dzakasiyana dzakasiyana dzeovari.

Gomarara reOvarian rinogona kutanga muchibereko chechivharo, stromal, kana epithelial masero. Makemikari masero ndiwo masero anova mazai. Masero eStromal ndiwo anoumba ovary. Epithelial maseru ndiwo ekunze evhavha.

IAmerican Cancer Society inofungidzira kuti vanhu mazana maviri nemazana maviri nemakumi mana nemazana mana vachabatwa chirwere chegomarara rezvipembenene muUnited States muna2018, uye vanhu vanosvika zviuru gumi nemazana manomwe nezviuru makumi manomwe vachabatwa nemhando iyi yegomarara muna2018. Inenge hafu yezviitiko zvese inoitika kuvakadzi vanopfuura makore makumi matanhatu nematatu.

Zviratidzo zvecancer ovarian

Yekutanga nhanho ovarian kenza inogona kunge isina chero zviratidzo. Izvo zvinogona kuita kuti zvive zvakaoma kwazvo kuona. Zvisinei, zvimwe zviratidzo zvinogona kusanganisira:

• kugara uchiputika
• kukurumidza kunzwa kuguta kana uchidya
• kunetseka kudya
• inowanzoitika, inoda kukurumidza kuita weti
• kurwadziwa kana kusagadzikana mudumbu kana chiuno

Zviratidzo izvi zvinongoerekana zvaitika. Ivo vanonzwa vakasiyana neyakajairika kugaya kana kusagadzikana kwekuenda kumwedzi. Naivowo havaendi. Dzidza zvakawanda nezvekuti zviratidzo zvekutanga zvecancer ovarian zvinganzwa sei uye zvaunofanirwa kuita kana iwe uchifunga kuti unogona kunge uine iri kenza.

Zvimwe zviratidzo zvecancer ovarian zvinogona kusanganisira:

• kurwadziwa kwepashure
• kurwadziwa panguva yekusangana
• kuvimbiswa
• kugaya
• kuneta
• shanduko yekuenda kumwedzi
• kurema kuwedzera
• kuonda
• kubuda ropa muchikadzi
• acne
• kurwadziwa shure kunowedzera

Kana iwe uine izvi zviratidzo kwenguva yakareba kupfuura vhiki mbiri, iwe unofanirwa kutsvaga kurapwa.

Zvinokonzera cancer ovarian

Vatsvakurudzi havasati vanzwisisa kuti chii chinokonzera kenza yeovari kuumba. Zvinhu zvakasiyana zvine njodzi zvinogona kuwedzera mikana yemukadzi yekukudziridza rudzi urwu rwegomarara, asi kuva nezviitiko zvengozi hazvireve kuti uchaita gomarara. Verenga nezve yega yega njodzi njodzi uye basa rayo mukumisikidza njodzi yako kune ovarian cancer.

Cancer inoumba apo masero mumuviri anotanga kukura uye kuwanda zvisina kujairika. Vatsvagiri vanoongorora kenza yeovari vari kuyedza kuona kuti ndeapi magene ekuchinja anokonzera gomarara.

Shanduko idzi dzinogona kugarwa nhaka kubva kumubereki kana dzinogona zvakare kuwanikwa. Ndokunge, zvinoitika panguva yehupenyu hwako.

Mhando dzekenza yeovarian

Epithelial carcinoma yeiyo ovari

Epithelial cell carcinoma ndiyo yakajairika mhando yekenza yeovarian. Inoita 85 kusvika 89 muzana yemakenza eovarian. Ichowo chechina chinonyanya kukonzera kenza kufa mumadzimai.

Rudzi urwu kazhinji haruna zviratidzo mumatanho ekutanga. Vanhu vazhinji havana kuongororwa kusvikira vari mumatanho epamusoro echirwere.

Majini

Rudzi urwu rwegomarara reovari rinogona kumhanya mumhuri uye rakajairika kune vakadzi vane nhoroondo yemhuri ye:

• gomarara reovari uye kenza yemazamu
• kenza yeovarian isina gomarara repazamu
• gomarara remazai uye gomarara rekoloni

Vakadzi vane vaviri kana anopfuura ekutanga-degree hama, senge mubereki, munin'ina, kana mwana, vane kenza yeovari ndivo vari panjodzi huru. Nekudaro, kuve nechero imwe yekutanga-degree hama nekenza ovari inowedzera njodzi. Iyo "kenza yemazamu majini" BRCA1 uye BRCA2 inosanganisirwa nenjodzi yekenza yeovari.

Zviitiko zvinosunganidzwa nekuwedzera kupona

Zvinhu zvakati wandei zvinosanganiswa nekuwedzera kupona mumadzimai ane epithelial carcinoma yeovary:

• kugamuchira kuongororwa padanho rekutanga
• kuva zera diki
• kuva nebundu rakanyatsosiyaniswa, kana maseru ekenza ayo achiri akafanana nemaseru ane hutano
• kuva nebundu diki panguva yekubviswa
• kuva negomarara rinokonzerwa nema BRCA1 nema BRCA2 majini

Kenza yemukenza yesero yeovary

"Germ cancer kenza yeovary" izita rinotsanangura mhando dzakasiyana dzekenza. Kanzera idzi dzinokura kubva mumasero anogadzira mazai. Zvinowanzoitika mumadzimai madiki nevechiri kuyaruka uye zvinowanzoitika kune vakadzi vane makore makumi maviri.

Iyi kanzira inogona kuve yakakura, uye inowanzo kukura nekukurumidza. Dzimwe nguva, mamota anogadzira chorionic gonadotropin (HCG). Izvi zvinogona kukonzera manyepo-akanaka nhumbu bvunzo.

Kenza yemaseru yekenza inowanzo kurapwa. Kuvhiya ndiyo yekutanga-kurapwa kurapwa. Chemotherapy mushure mekuvhiyiwa inokurudzirwa kwazvo.

Stromal cell kenza yeovary

Stromal maseru kenza anokura kubva kumasero emazai. Mamwe emasero aya anoburitsa mahormone eovarian anosanganisira estrogen, progesterone, uye testosterone.

Stromal maseru kenza emazai ari mashoma uye anokura zvishoma nezvishoma. Ivo vanoisa estrogen uye testosterone. Kuwedzera testosterone kunogona kukonzera acne uye kumeso kwebvudzi kukura. Kuwanda kwesrogen kunogona kukonzera kubuda kwechibereko muchibereko. Zviratidzo izvi zvinogona kunyatso kuoneka.

Izvi zvinoita kuti stromal cell kenza inyanye kuongororwa kuti ichiri pekutanga nhanho. Vanhu vane stromal cell cancer kazhinji vane maonero akanaka. Rudzi urwu rwegomarara runogoneswa nekuvhiyiwa.

Kurapa kwecancer ovarian

Kurapa kwecancer ovarian kunoenderana nerudzi, danho, uye kana iwe uchida kuve nevana mune ramangwana.

Kuvhiya

Kuvhiya kunogona kuitwa kusimbisa kuongororwa, kuona danho rekenza, uye zvinogona kubvisa kenza.

Munguva yekuvhiyiwa, chiremba wako anovhiya anoedza kubvisa zvese nyama zvine cancer. Vanogona zvakare kutora biopsy kuti vaone kana gomarara rapararira. Kuwanda kwekuvhiyiwa kunogona kuvimba nekuti iwe unoda kuve nepamuviri mune ramangwana.

Kana iwe uchida kuve nepamuviri mune ramangwana uye uine danho rekutanga kenza, kuvhiyiwa kunogona kusanganisira:

• kubviswa kweovary ine cancer uye biopsy yeimwe ovary
• kubviswa kwemafuta enyama, kana omentum yakasungirirwa kune dzimwe nhengo dzemudumbu
• kubviswa kwemimba uye pelvic lymph node
• biopsies emamwe matukisi uye kuunganidzwa kwemvura mukati medumbu

Yakavandudzwa ovarian cancer cancer

Kuvhiya kwakanyanyisa kana usingade kuita vana. Iwe zvakare ungangoda kumwe kuvhiyiwa kana uine danho rechipiri, rechitatu, kana rechina. Kubviswa kwakazara kwenzvimbo dzese dzine chekuita nekenza kunogona kukutadzisa kubva kuve nepamuviri mune ramangwana. Izvi zvinosanganisira:

• kubviswa kwechibereko
• kubviswa kwemaviri emazai uye fallopian machubhu
• kubviswa kweiyo omentum
• kubviswa kwakawanda nyama ine kenza maseru sezvinobvira
• biopsies echinhu chero chipi zvacho chingave chiri chegomarara

Chemotherapy

Kuvhiya kunowanzo teedzerwa nekemotherapy. Mishonga inogona kupihwa mukati mekubaya kana kuburikidza nedumbu. Izvi zvinonzi kurapwa kwemukati. Zvimwe zvinokanganisa chemotherapy zvinogona kusanganisira:

• kusvotwa
• kurutsa
• kurasikirwa nevhudzi
• kuneta
• matambudziko ekurara

Kurapa kwezviratidzo

Kunyange chiremba wako achigadzirira kurapa kana kubvisa kenza, ungangoda kumwe kurapwa kwezviratidzo zviri kukonzerwa nekenza. Marwadzo haana kujairika nekenza yemazai.

Bundu iri rinogona kumanikidza nhengo dziri padyo, mhasuru, tsinga, uye mapfupa. Iyo yakakura kenza, iyo inowedzera kurwadziwa kurwadziwa kungave.

Marwadzo anogona zvakare kuve mhedzisiro yekurapa. Chemotherapy, radiation, uye kuvhiyiwa zvinogona kukusiya iwe mukurwadziwa uye kusagadzikana. Taura nachiremba wako nezvenzira dzaunokwanisa kubata marwadzo ekenza yeovari.

Kuongorora chirwere chegomarara

Kuongorora chirwere chegomarara kunotanga nenhoroondo yezvokurapa uye kuongorora kwemuviri. Iko kuongorora kwepanyama kunofanira kusanganisira kuongorora kwepilvic uye rectal. Imwe kana yakawanda kuongororwa kweropa kunogona zvakare kushandiswa kuongorora mamiriro aya.

Ongororo yegore negore yep smear haina kuona cancer yegomarara. Miedzo inogona kushandiswa kuongorora kenza yeovarian inosanganisira:

• huwandu hweropa hwakakwana
• bvunzo yekenza antigen 125 mazinga, ayo anogona kukwidziridzwa kana uine kenza yeovari
• bvunzo yeHCG mazinga, ayo anogona kukwidziridzwa kana iwe uine hutachiona hweseru bundu
• bvunzo yealpha-fetoprotein, iyo inogona kuburitswa nejemusi maseru mamota
• bvunzo ye lactate dehydrogenase mazinga, ayo anogona kukwidziridzwa kana uine hutachiona hweserura bundu
• muyedzo weiybinin, estrogen, uye testosterone mazinga, ayo anogona kukwidziridzwa kana iwe uine stromal cell tumarara
• chiropa chinoshanda bvunzo kuti uone kana gomarara rapararira
• itsvo basa rekuyedza kuona kana gomarara rakatadzisa weti yako kuyerera kana kupararira kune dundira neitsvo

Zvimwe zvidzidzo zvekuongorora zvinogona zvakare kushandiswa kutarisa zviratidzo zvecancer ovarian:

Biopsy

Biopsy yakakosha kuti uone kana gomarara riripo. Munguva yekuita, sampuro diki yetishu inotorwa kubva mumazai ekutsvaga masero ekenza.

Izvi zvinogona kuitwa netsono inotungamirirwa neCT scan kana ne ultrasound. Izvo zvinogona zvakare kuitwa kuburikidza ne laparoscope. Kana mvura iri mudumbu iripo, sampuro inogona kuongororwa masero ekenza.

Kufungidzira bvunzo

Kune akatiwandei emhando dzekufungidzira bvunzo dzinogona kutsvaga shanduko mumazai uye dzimwe nhengo dzinokonzerwa nekenza. Izvi zvinosanganisira CT scan, MRI, uye PET scan.

Kuongorora metastasis

Kana chiremba wako achifungidzira cancer yechibereko, vanogona kuraira kumwe kuyedzwa kuti vaone kana gomarara rapararira kune dzimwe nhengo. Iyi bvunzo inogona kusanganisira zvinotevera:

• Kuongorora urinal kunogona kuitwa kutsvaga zviratidzo zvehutachiona kana ropa murini. Izvi zvinogona kuitika kana kenza ikapararira ichienda kune dundira neitsvo.
• X-ray yechipfuva inogona kuitwa kuti uone kana mamota apararira kumapapu.
• Barium enema inogona kuitwa kuti uone kana bundu rapararira kune colon kana rectum.

Nguva dzose ovarian cancer cancer kuongororwa haina kukurudzirwa. Parizvino, nyanzvi dzekurapa dzinotenda kuti vanodzoka mhedzisiro yakawandisa. Nekudaro, kana iwe uine nhoroondo yemhuri yezamu, ovari, fallopian chubhu, kana peritoneal cancer, ungangoda kuyedzwa kumwe kuchinjika kwemajini uye kugara uchiongorora. Sarudza kana ovarian cancer cancer screenings yakakunakira iwe.

Kenza yeovarian njodzi njodzi

Kunyange chikonzero chekenza yeovarian chisingazivikanwe, vatsvagiridzi vakaona njodzi dzinoverengeka dzinogona kuwedzera njodzi yako yekukudziridza rudzi urwu rwegomarara. Zvinosanganisira:

• Genetics: Kana iwe uine nhoroondo yemhuri yeovarian, zamu, fallopian chubhu, kana colorectal kenza, njodzi dzako dzekukudziridza ovarian cancer yakakwira. Izvi zvinodaro nekuti vatsvagiridzi vaona mamwe majini ekuchinja anokonzera cancer aya. Vanogona kupfuudzwa kubva kumubereki kuenda kumwana.
• Nhoroondo yekurapa kwega: Kana iwe uine nhoroondo yako wega yekenza yemazamu, njodzi yako yekenza yeovarian yakakwira. Zvimwechetezvo, kana iwe uchinge waonekwa uine mamwe mamiriro ehurongwa hwekubereka, mikana yako yekukura kweiyo ovarian cancer yakakwira. Aya mamiriro anosanganisira polycystic ovary syndrome uye endometriosis, pakati pevamwe.
• Nhoroondo yekubereka: Vakadzi vanoshandisa kudzora kubata vane mukana wakaderera wecancer ovarian, asi vakadzi vanoshandisa mishonga yekubereka vanogona kuve nenjodzi yakakwira. Saizvozvowo, vakadzi vakave nepamuviri uye kuyamwisa vacheche vavo vanogona kuva nenjodzi yakaderera, asi vakadzi vasina kumbove nepamuviri vari pangozi yakawedzerwa.
• Zera: Gomarara reOvarian rinowanzoitika kune vakadzi vakuru; haiwanzo kuongororwa muvakadzi vari pasi pemakore makumi mana. Muchokwadi, iwe unowanzoonekwa uine kenza yemazai mushure mekuguma kuenda kumwedzi.
• Dzinza: Vakadzi vasiri veSpanish vachena vane mukana wakanyanya wecancer ovarian. Ivo vanoteverwa nevakadzi veSpanish nevakadzi vatema.
• Saizi yemuviri: Vakadzi vane huwandu hwemuviri hunopfuura makumi matatu vane njodzi yakakwira yegomarara reovari.

Matanho ekenza yemazai

Chikamu checancer ovarian chinotariswa nezvinhu zvitatu:

• kukura kwebundu
• kunyangwe iro bundu rakapinda matishu mukati meiyo ovary kana ari pedyo matishu
• kunyangwe kenza yapararira kune dzimwe nzvimbo dzomuviri

Kana izvi zvinhu zvikazivikanwa, kenza yeovary inoiswa maererano nezvinotevera zvinotevera:

• Girafu 1 gomarara rakavharirwa kune rimwe kana maviri maevhari.
• Girafu 2 gomarara rakavharirwa muchiuno.
• Gomarara reStage 3 rapararira mudumbu.
• Gomarara rechikamu chechina rakapararira kunze kwedumbu kana kune dzimwe nhengo dzakasimba.

Mukati medanho rega rega mune zvakatsiviwa. Izvi zvinotsanangudza chiremba wako zvishoma nezve kenza yako. Semuenzaniso, nhanho 1A kenza yeovarian igomarara iro rakakurira muovary imwe chete. Stage 1B kenza iri mukati mairi mavari. Chikamu chega chega chegomarara chine chirevo chaicho uye neakasiyana maonero.

Ovarian kenza kupona mitengo

Kupona kwemitengo chiratidzo chekuti vangani vanhu vane mhando imwechete yekenza vapenyu mushure menguva yakati rebei. Zvizhinji zvekupona mwero zvinoenderana nemakore mashanu. Kunyange nhamba idzi dzisingakuudze kuti ungararama kwenguva yakareba sei, dzinopa zano rekuti kurapwa kwakabudirira kune imwe mhando yekenza.

Kune ese marudzi ekenza yeovarian, makore mashanu ekupona mwero i47 muzana. Nekudaro, kana kenza yeovari ikawanikwa ikarapwa isati yapararira kunze kwemazai, makore mashanu ekupona chikamu che92 muzana.

Nekudaro, isingasviki kota imwe chete, gumi muzana, yegomarara rese rema ovari rinowanikwa panguva ino yekutanga. Dzidza zvakawanda nezve maonero emunhu mumwe nemumwe uye nhanho yekenza yeovarian.

Kenza yeovarian inogona kudzivirirwa?

Gomarara reOvarian kashoma kuratidza zviratidzo mumatanho ekutanga. Nekuda kweizvozvo, hazviwanzo kuwanikwa kusvikira yafambira mberi kusvika pamatanho epamberi. Ikozvino hapana nzira yekudzivirira gomarara reovari, asi vanachiremba vanoziva zvezvinhu zvinoderedza njodzi yako yekuva nekenza yemazai.

Izvi zvinhu zvinosanganisira:

• kunwa mapiritsi ekudzivirira kubata pamuviri
• kubereka
• kuyamwisa
• tubal ligation (inozivikanwawo se "kutora machubhu ako akasungirirwa")
• hysterectomy

Tubal ligation uye hysterectomy inofanirwa kuitirwa chete nekuda kwezvikonzero zvekurapa. Kune vamwe, chikonzero chekurapa chakakodzera chingave chiri kudzora njodzi yako yekenza yeovarian. Zvisinei, iwe nachiremba wako munofanira kutanga mataura dzimwe nzira dzekudzivirira.

Iwe unofanirwa kutaura nachiremba wako nezve kutanga kuongororwa kwecancer ovarian kana uine nhoroondo yemhuri yacho. Kunyatsochinja kwemajini kunogona kukuisa panjodzi yekenza yeovarian gare gare. Kuziva kana uine izvi shanduko kunogona kubatsira iwe uye chiremba wako kugara wakangwarira shanduko.

Ovarian kenza kufungidzira

Kufungidzira kwevanhu vanoonekwa kuti vane chirwere chegomarara kunoenderana nekuti kenza iri mberi zvakadii kana yawanikwa uye marapirwo anoshanda sei. Pakutanga nhanho yegomarara ine fungidziro iri nani pane kunonoka cancer cancer.

Nekudaro, chete zvikamu gumi neshanu muzana zvemakenza eovarian anowanikwa mune yekutanga nhanho. Vanopfuura makumi masere muzana evakadzi vane gomarara reovari vanoonekwa kana kenza iri padanho repamberi.

Ovarian kenza ribhoni

Gunyana ndiMwedzi Ovarian Cancer Kuzivisa Mwedzi. Munguva ino yegore, iwe unogona kucherechedza vanhu vazhinji vakapfeka teal, iyo yepamutemo ruvara rweiyo ovari kenza yekuziva kufamba. Teal ribhoni chiratidzo checancer ovarian kuziva.

Ovarian kenza nhamba

Kunyange maovari anogona kunge ari nhengo imwe chete, anopfuura makumi matatu marudzi ekenza yemazai aripo. Ivo vanopatsanurwa nerudzi rwechitokisi uko kenza inotangira, pamwe nedanho rekenza.

Rudzi rwakakurumbira rwecancer ovarian ndeye epithelial tumors. Kupfuura 85 muzana yekenza yeovari inotanga kukura mumasero ari kuisa chikamu chekunze chemazai.

Gomarara reOvarian rinosvika pechishanu pakati pekufa kwekenza muvakadzi veAmerica. Inokonzera kufa kwakawanda kupfuura chero imwe kenza yechikadzi yekubereka.

Mumwe chete muvakadzi makumi manomwe nevasere anozoonekwa aine chirwere chegomarara muhupenyu hwavo.

Vakadzi vechikuru vanowanzoonekwa vaine chirwere checancer ovarian. Ivhareji zera reiyo ovarian cancer cancer ndeye makore makumi matatu nematatu.

Chegumi chete muzana muzana yemakenza emazai anowanikwa mune yekutanga nhanho.

Vakadzi vane chirwere chegomarara chinoonekwa mune yekutanga nhanho vane makore mashanu- kupona kwe92 muzana. Kune ese marudzi uye zvikamu zvecancer, makore mashanu-ehukama hwehukama hwehukama i47 muzana.

Mu2018, 22,240 ichaonekwa iine cancer yeovari. Mumwezve 14,070 achafa nemhando iyi yekenza.

Nekutenda, iyo American Cancer Society inoti mwero uyo vakadzi vanoonekwa kuti vane rudzi urwu rwegomarara wave uchiderera mumakumi maviri emakore apfuura. Dzidza zvakawanda nezve kuti ndiani angangoonekwa aine chirwere checancer yechibereko, kurapwa kwakabudirira, uye nezvimwe.