Ovarian Cancer Kurapa Sarudzo

Zvemukati

• Kuvhiya kenza yeovarian
• Chemotherapy yekenza yeovarian
• Kune epithelial ovarian kenza
• Yecancer ovarian inotanga mumajemusi maseru
• Yecancer ovarian inotanga mumasero akasimba
• Mimwe yakajairwa chemotherapy kurapwa
• Radiation yekenza yeovarian
• Hormone kurapa kune ovarian cancer
• Targeted Therapy yekenza yeovarian
• Kliniki miedzo yekenza yeovarian
• Anowirirana ekurapa ekenza yeovarian
• Outlook

Kugadzira chirongwa chekurapa

Kune nzira dzakawanda dzekusvika pakurapwa kwecancer ovarian. Kune vakadzi vazhinji, zvinoreva kuvhiyiwa. Izvi zvinowanzo kusanganiswa ne chemotherapy, hormone therapy, kana kurapwa kwakanangwa.

Zvimwe zvinhu zvinobatsira kutungamira kurapwa ndezvi:

• yako chaiyo mhando yekenza yemazai
• danho rako pakuongororwa
• kunyangwe uri pre- kana postmenopausal
• kana uchironga kuita vana

Verenga pamusoro kuti udzidze zvakawanda nezve ovhari kenza kurapwa uye izvo zvavanosanganisa.

Kuvhiya kenza yeovarian

Nzira dzekuvhiya dzinoenderana nekuti gomarara rako rapararira zvakadii.

Kune yekutanga-nhanho ovarian cancer, zvinogona kuitisa kuchengetedza kubereka. Zvakakosha kutaurirana nachiremba wako usati wavhiyiwa.

Kana gomarara rikawanikwa mune ovary imwe chete, chiremba wako anogona kuribvisa pamwe nekubvisa giropopu chubhu iyo yakabatana nayo. Ucharamba uchibuda uye kuenda kumwedzi nekuda kweiyo ovary yako yasara, kuchengetedza sarudzo yako kuti ubate pamuviri.

Kana gomarara rikawanikwa mune ese mavha mavari, ese mairi mavari uye ese ari maviri fallopian machubhu anogona kubviswa. Izvi zvinokonzeresa kuenda kumwedzi. Zviratidzo zvinogona kusanganisira kupisa kunopisa, kudikitira usiku, uye kuoma kwechikadzi. Chiremba wako anogona zvakare kukuraira iwe kuti chibereko chako chibviswe.

Muchikamu chepakutanga-gomarara reovarian, kuvhiya kushoma-kunoparadza kweparoscopic kunogona kunge kuri sarudzo. Izvi zvinoitwa nevhidhiyo kamera uye yakareba, matete matete akaiswa kuburikidza netudiki diki.

Kune yakanyanya kukura kenza yeovari, kuvhura mudumbu kuvhiya kunodiwa.

Maitiro anonzi debulking cytoreductive kuvhiya anoshandiswa kurapa nhanho yechina ovari kenza. Inosanganisira kubviswa kwemazai ako uye fallopian machubhu, pamwe nedzimwe nhengo dzakabatwa. Izvi zvinogona kusanganisira:

• chibereko nemuromo wechibereko
• pelvic lymph nodes
• nyama inovhara ura hwako uye nhengo dzepazasi dzemimba
• chikamu che diaphragm yako
• ura
• chirwatata
• chiropa

Kana iwe uine fluid mukati memudumbu mako kana pelvis, inogona kubviswa uye kuongororwa nekenza maseru zvakare.

Chemotherapy yekenza yeovarian

Chemotherapy rudzi rwehurongwa hwekurapa. Iyi mishonga ine simba inofamba nemuviri wako wese kutsvaga nekuparadza cancer maseru. Iyo inoshandiswa pamberi pekuvhiya kudzikamisa mamota kana mushure mekuvhiyiwa kuuraya chero akasara maseru ekenza.

Iyi mishonga inogona kupihwa nemutsinga (IV) kana nemuromo. Inogona zvakare kuiswa jekiseni mukati medumbu rako.

Kune epithelial ovarian kenza

Epithelial ovarian cancer inotanga mumasero pane yekunze lining yemazai ako. Kurapa kazhinji kunosanganisira angangoita maviri IV mishonga. Vanopihwa katatu kana katanhatu, kazhinji mavhiki matatu kana mana akasiyana. Iyo yakasarudzika zvinodhaka kusanganisa ndeye cisplatin kana carboplatin pamwe paclitaxel (Taxol) kana docetaxel (Taxotere).

Yecancer ovarian inotanga mumajemusi maseru

Dzimwe nguva gomarara remazai rinotanga mumasero ako ehutachiona. Aya ndiwo masero anozopedzisira aumba mazai. Musanganiswa wemishonga unoshandiswa kutakura utachiona hwemaseru cisplatin (Platinol), etoposide, uye bleomycin.

Yecancer ovarian inotanga mumasero akasimba

Gomarara reOvarian rinogona zvakare kutanga mumasero e stromal. Aya ndiwo maseru anoburitsa mahormone uye anobatanidza matomu eovarian. Musanganiswa wezvinodhaka uyu ungangodaro wakashandiswa kumwe chetemumu maseru mamota.

Mimwe yakajairwa chemotherapy kurapwa

Mamwe makemotherapies ekenza yemazai ndeaya:

• albumin-yakasungwa paclitaxel (Abraxane)
• altretamine (Hexalen)
• capecitabine (Xeloda)
• cyclophosphamide (Cytoxan)
• gemcitabine (Gemzar)
• ifosfamide (Ifex)
• irinotecan (Camptosar)
• liposomal doxorubicin (Doxil)
• melphalan (Alkeran)
• pemetrexed (Alimta)
• topotecan (Hycamtin)
• vinblastine (Velban)
• vinorelbine (Navelbine)

Zvimwe zvinokanganisa zvinosiyana zvichienderana nedosi uye kusanganiswa kwemishonga. Zvinogona kusanganisira:

• kusvotwa uye kurutsa
• kurasikirwa nenzara
• kuneta
• kurasikirwa nevhudzi
• maronda emumuromo kana maronda anobuda ropa
• njodzi yepamusoro yehutachiona
• kubuda ropa kana kupwanya

Mazhinji emhedzisiro iyi ndeechinguvana. Chiremba wako anogona kubatsira kudzikamisa. Mimwe mhedzisiro, senge kukuvara kweitsvo, inogona kuve yakanyanya uye inogara kwenguva refu. Kunyangwe iwe uchine imwe yemazai ako, chemotherapy inogona kutungamira mukutanga kuenda kumwedzi.

Radiation yekenza yeovarian

Radiation kurapwa kwakanangwa kunoshandisa mwenje ine simba-refu kuparadza mamota. Inogona kununurwa kunze kana mukati.

Radiation haisiyo yekutanga kurapwa kweiyo ovarian cancer. Asi dzimwe nguva inogona kushandiswa:

• kubatsira kubata kudiki, kunoitika munzvimbo
• kurerutsa marwadzo kubva mumatumbu akakura asingagadzirike nemakemikari
• seimwe sarudzo kana iwe usingakwanise kutsungirira chemotherapy

Usati warapwa kwekutanga, uchazoda chirongwa chekuronga kuti uone chinzvimbo chako chaicho. Chinangwa ndechekurova bundu uku uchidzikisira kukuvara kwenyama yakanaka. Pini nyora nyora dzimwe nguva dzinoshandiswa kuratidza zvachose ganda rako.

Kunyatsoteerera kunobhadharwa pakuisa pese pese. Kunyangwe izvo zvinogona kutora chinguva, iko kurapa chaiko kunongotora maminetsi mashoma. Radiation haina kurwadza, asi inoda kuti iwe ugare wakanyarara. Mishonga inopihwa mazuva mashanu pasvondo kwemavhiki matatu kusvika mashanu.

Mhedzisiro inowanzo gadzirisa kana kurapwa kwapera asi kunogona kusanganisira:

• tsvuku, yakatsamwa ganda
• kuneta
• manyoka
• kugara uchiita weti

Hormone kurapa kune ovarian cancer

Epithelial ovarian kenza haigone kurapwa nehomoni yekurapa. Inowanzo shandiswa kune stromal cancer.

Luteinizing-hormone-inosunungura mahormoni agonists anoshandiswa kudzikisa kugadzirwa kweestrogen mune vakadzi ve premenopausal. Maviri eaya igoserelin (Zoladex) uye leuprolide (Lupron). Vanopihwa jekiseni imwe neimwe kusvika kumwedzi mitatu. Iyi mishonga inogona kukonzera zviratidzo zvekuguma kuenda kumwedzi. Kana ikatorwa kwemakore, ivo vanogona kunetesa mapfupa ako uye kukonzera osteoporosis.

Estrogen inogona kusimudzira bundu kukura. Mushonga unonzi tamoxifen unochengeta estrogen kubva mukukurudzira kukura. Ichi chinodhaka chinogona zvakare kukonzera zviratidzo zvekuguma kuenda kumwedzi.

Vakadzi vane postmenopausal vanogona kutora aromatase inhibitors, senge anastrozole (Arimidex), exemestane (Aromasin), uye letrozole (Femara). Ivo vanovhara enzyme inoshandura mamwe mahormone kuita estrogen. Iyi mishonga yemuromo inotorwa kamwe chete pazuva. Zvimwe zvinokanganisa zvinosanganisira:

• kupisa kunopisa
• musana uye kurwadziwa kwemhasuru
• kuonda kwemapfupa ako

Targeted Therapy yekenza yeovarian

Mishonga yakanangwa inowana uye inoshandura hunhu chaihwo hwecancer masero asingawanikwe mune maseru ane hutano. Ivo vanoita zvishoma kukuvadza kune hutano hutano pane chemotherapy kana ekunze ekurapa radiation.

Tumota dzinoda tsinga dzeropa kukura nekupararira. Mushonga weIV unonzi bevacizumab (Avastin) wakagadzirirwa kumisa mamota kubva pakuumba tsinga dzeropa itsva. Inopiwa mavhiki maviri kusvika matatu oga oga.

Zvidzidzo zvinoratidza kuti bevacizumab inogona kudzikira mamota kana kunonoka epithelial ovarian kenza kufambira mberi. Zvimwe zvinokanganisa zvinosanganisira:

• BP
• yakadzika chena masero eropa kuverenga
• manyoka

Poly (ADP-ribose) polymerase (PARP) inhibitors mishonga yemumuromo. Izvo zvinoshandiswa kana kenza yeovari ichibatanidzwa BRCA majini kuchinja.

Maviri eaya, olaparib (Lynparza) uye rucaparib (Rubraca), inogona kushandiswa kune yekupedzisira-nhanho ovarian cancer mushure mekuedza chemotherapy. Olaparib inoshandiswawo kurapa kenza yemukaka inowanzoitika mune vakadzi vane kana vasina BRCA kuchinja.

Imwe PARP inhibitor, niraparib (Zejula), inogona kupihwa vakadzi vane chirwere checancer chinowanzoitika, uine kana usina BRCA kuchinja, mushure mekuedza chemotherapy.

Mhedzisiro yemhedzisiro yemishonga iyi inogona kusanganisira:

• kusvotwa
• kupererwa neropa
• tsandanyama uye kurwadza kwemajoini

Kliniki miedzo yekenza yeovarian

Kliniki miedzo inofanidza kurapwa kwakajairika pamwe nehunyanzvi hutsva hwokurapa husati hwatenderwa kuti ushandiswe zvakanyanya Kliniki miedzo inogona kusanganisira vanhu vane chero nhanho yekenza.

Bvunza wako oncologist kana kiriniki kuyedzwa iri sarudzo yakanaka kwauri. Iwe unogona zvakare kushanyira iyo yekutsvaga dhatabhesi kuClinicalTrials.gov kuti uwane rumwe ruzivo.

Anowirirana ekurapa ekenza yeovarian

Iwe unogona kuona zvichibatsira kuwedzera kenza yako nekuchengetedzwa kwekuwedzera. Vamwe vanhu vanoona vachiwedzera hunhu hwehupenyu. Zvimwe zvaunogona kufunga ndeizvi:

• Aromatherapy. Mafuta akakosha anogona kugadzirisa mamiriro ako uye kudzikisira kushushikana.
• Kufungisisa. Nzira dzekuzorora dzinogona kubatsira kudzikamisa marwadzo uye kugadzirisa kurara.
• Massage kurapa. Uku kurapwa kwekurapa kwemuviri wako kunogona kubatsira kudzikisira kushushikana uye kurerutsa kushushikana uye kurwadziwa.
• Tai chi uye yoga. Nonaerobic pfungwa-yemuviri maitiro anoshandisa kufamba, kufungisisa, uye kufema kunogona kusimudzira yako yakazara pfungwa yekugara zvakanaka.
• Art kurapa uye mimhanzi kurapa. Nzvimbo dzekusika dzinogona kukubatsira iwe kubata nemanzwiro ezvekenza uye kurapwa.
• Kugadzirira. Iyi fomu yemushonga wechiChinese umo tsono dzakaiswa zvine hungwaru dzinogona kubvisa marwadzo uye zvimwe zviratidzo.

Tarisa nachiremba wako usati waedza matsva ekurapa, kunyanya chikafu kana mishonga yekuwedzera. Izvi zvinogona kusangana nemishonga yako kana kukonzera mamwe matambudziko.

Iwe unogona zvakare kuda kutaurirana nachiremba anonyaradza. Aya mazvikokota anoshanda pamwe neako oncology timu kupa chiratidzo chiratidzo uye nekuvandudza hupenyu hwehupenyu.

Outlook

Iyo yese yemakore mashanu emakore akapona mwero wecancer ovarian i45 muzana.

Kupona kwehuwandu kunosiyana zvichienderana nechero mhando yekenza, nhanho pakuongororwa, uye zera. Semuenzaniso, kana gomarara rikabatwa risati rapararira kunze kwemazai ako, huwandu hwekupona i92 muzana.

Zvakare, zviverengero zvekupona hazvisanganise nezviitiko zvichangobva kuitika, apo marapirwo matsva angave akashandiswa

Chiremba wako achakupa zano rezvaunotarisira zvichibva pane zvakatarwa nezvehurongwa hwako hwekurapwa uye hwekurapa.