Khansa endometrial

khansa Endometrial ndi zambiri chotupa matenda amene amapezeka anthu wamkazi. The khalidwe la zaka matenda - postmenopausal (zaka 60-70).

khansa Endometrial akuyamba kukula pa M'kati mwa chiberekero. Dongosololi angatengere mbali ulusi akulu. Mu milandu, chotupacho wotchedwa sarcoma. Kudziwa mtundu wa khansa akhoza kukhala bata pa siteji koyamba za chitukuko. mbali khalidwe ndi sarcoma ukazi magazi kuchokera zikuchitika mu intervals pakati nthawi kapena pambuyo kusintha. khansa endometrial mu magawo oyambirira chitukuko pafupifupi nthawi zonse bwinobwino ankachitira mwa kuchotsa opaleshoni ya maselo chotupa. Komabe, nthawi zina (kumera mwa ziwalo pafupi kapena maonekedwe a metastases lakutali) Izi n'zimene timaona zambiri kamodzikamodzi.

Ndithu nthawi yaitali chitukuko likukhudza khansa endometrial. Zizindikiro za matenda kuoneka itangoyamba oyambirira. Zikuphatikizapo magazi kuchokera nyini komwe kumachitika pa nthawi pakati nthawi. Zizindikiro zina za matendawa ndi monga kupweteka m'mimba, kwambiri kuwonda, matenda kagayidwe kachakudya. Zotuluka ku maliseche kwa mkazi akhoza kukhala yochitidwa kapena pinki mtundu.

Pakali pano, palibe chiphunzitso kotsimikizika, zimene zimasonyeza limagwirira wa chitukuko cha khansa. Kuzindikiritsidwa zimene zingapangitse zingapo, monga kusintha mu ndende mahomoni kugonana (esitirojeni ndi progesterone), masinthidwe chibadwa. Chifukwa choyamba angatchedwe mwachangu. Izi zikutsimikiziridwa ndi kuphunzira, malinga ndi zomwe kuchuluka misinkhu esitirojeni yotithandiza endometrial kukula ndondomeko, amene kumaonjezera ngozi ya alibe khansa. timadzi Izi chinawonjezeka ndi zinthu zotsatirazi:

- nthawi yaitali ndi osasamba msambo,

- kusapezeka kwa mimba,

- onenepa,

- shuga,

- kulandira mankhwala (tamoxifen, timadzi analogues)

- yamchiberekero khansa, khansa ya m'matumbo, m'mawere.

khansa Endometrial akhoza kumva ndi magazi, yomwe ndi chotsatira chake cha imfa aakulu magazi. Iye wophatikidwa ndi zizindikiro wamba: kufupika kwa mpweya, kutopa. zosokonezeka mankhwala ikuchitika molumikizana ndi matenda chachikulu.

Kwa matenda a khansa endometrial ndi biopsy ntchito Pap. Ndondomeko yoyamba amalola kupeza nyemba ziwalo minofu, amene amaganiziridwa ndondomeko neoplastic. Pap kuipitsa mbiri ndi njira mosamala, monga timatha kuti achotse matenda ena - khansa ya khomo pachibelekeropo. Mu nkhani ya osakwanira zambiri zili curettage biopsy njira ntchito, chomwe poyamba mu nyini ya chida wapadera, umene zochotsa gawo ndiyopangidwa ndi wosanjikiza endometrial. Kenako nkhaniyi zakonzedwa chopaka, amene kufufuza simungathe kutiona. Kuti mwachindunji kudziwa udindo wa ultrasound m'chiuno umagwiritsidwa, yomwe ikuchitika mwa kuyambitsa mu nyini ya kachipangizo wapadera.

Pankhani ya matsimikizidwe a khansa endometrial khansa chithandizo ndiyo kugwiritsira cheza mankhwala mankhwala m'thupi kapena mankhwala amphamvu. opaleshoni imachitika pa ndalama chidwi chotupa. Zingakhale kwathunthu ndi subtotal. Njira yoyamba ndi yokhudza kuchotsa lonse chiberekero ndi lymph mfundo, yomwe ili pafupi. Pamene subtotal ntchito kuti apulumutsidwe thupi mbali kuti si chidwi ndi khansa.

Kupewa matenda a khansa ya endometrium ndi kuwonongedwa kwa zinthu zinanso. Pamafunikanso progesterone phwando kulera.