Uterine sarcoma: zizindikiro, zithunzi, zizindikiro, matenda, mankhwala ndi madokotala ananena zawo za moyo

Mmodzi wa matenda ambiri sioneka mu akazi imatengedwa sarcoma uterine. Moyo kulosera mmene matenda imasiyana malingana siteji ya ndondomeko pathological. Komabe, nthawi zambiri zokhumudwitsa. Zisanu chaka kupulumuka mu siteji koyamba ndi 47% milandu onse. Pa kudziwika khansa mogwirizana wachinayi - 10 okha%. Kulankhula za mphamvu zabwino Sikuti ngakhale ndi matenda oyambirira ndi mankhwalawa.

Kufotokozera za matenda

uterine sarcoma - ochepa chabe koma sioneka kudwala. Neoplasm aumbike ku maselo undifferentiated kapena endometrial myometrium. Oncological matenda akazi a misinkhu yonse, kuphatikizapo asungwana aang'ono. Umaonekanso mwa magazi ozungulira, kupweteka m'mimba, ambiri malaise. Kaposi n'zovuta oterewa mu magawo oyambirira chitukuko. Anafunsa za wolakwayo zonse zimadalira siteji ya ndondomeko pathological, m'badwo wodwalayo ndi ukupeza. mtundu uliwonse wa matenda yodziwika ndi digiri yapamwamba ya chotupa chija. Choncho, amakhala ovuta kuchiza kwake.

Mitundu ya sarcomas uterine

Malinga ndi kutanthauzira maselo zilonda secrete mitundu matenda otsatirawa:

• Leiomyosarcoma - ndi chotupa kwambiri mwamakani kuti angafikire awiri a masentimita 5 aumbike mwapadera mu zimakhala zofewa wa myometrium ya ..
• Endometrial stromal sarcoma akufotokozera mu dongosolo thandizo connective la chiberekero, ali osowa kwambiri (yekha 1% milandu onse a zotupa zilonda). Kuzindikiritsidwa magulu awiri a zotupa: khalidwe osauka ndi undifferentiated. Mbali yoyamba, chotupacho pafupifupi abwino moyo, akuchita pang'onopang'ono. Undifferentiated chotupa limodzi chodwaladwala, kumene munthu amasonyeza mwa chikhalidwe cha odwala.
• Carcinosarcoma aumbike mwa endometrium lapansi.

Anthu ambiri kusokoneza matenda awiri: sarcoma uterine ndi khansa. Ndipotu ndi matenda osiyana kwambiri. zotupa khansa kupangidwa kwa maselo zaminyewa, ndi sarcomas bwanji zimakhala kokha connective.

Chimayambitsa khansa

Uterine Sarcoma amatanthauza pathologies etiology zovuta. Asayansi atapereka Mabaibulo angapo kufotokoza magwero ake. Ambiri a iwo amaganiza kuti matenda akufotokozera mchikakamizo cha gulu lonse la zinthu. Izi zikhoza kukhala kulephera dongosolo m'thupi kapena angapo zoopsa uterine thupi zinalephereka opaleshoni m'mimba, mimba kapena phukusi ina.

matendawa amapezeka ndi maziko a chitukuko yoopsa. Palibe chinthu zochepa oopsa kukula nthenda ya minofu endometrial. Kukhala kudwala nthawi zina kuchititsa machiritso pachithunzichi wa polyp kuchotsa danga kapena splicing formations angapo. matenda Neuroendocrine - ichi ndi chifukwa china sarcoma. A mbali yofunika kwambiri zinthu zinanso zapatsidwa kwa zizolowezi zoipa, kumwa mankhwala osokoneza bongo. Madokotala ayenera kukadziwitsa ndi kutha mwadzidzidzi wa ovulation.

Amene ali pa chiopsezo?

Gynecologists akuyesera kulabadira akazi kupewa sarcoma, chifukwa kwathunthu kuchiza kudwala zingakhale yosowa kwambiri. Mu malo oyamba izo zikusonyeza amene ali m'gulu la magulu otchedwa chiopsezo. Awa ndi akazi:

• kudwala polycystic n'kuwasanganiza (matenda amakwiya ndi vutoli m'thupi);
• Cancer akudwala zotupa bere;
• konse atabereka;
• opulumuka Patapita kusintha (kusintha pambuyo zaka 50 kudziko lina).

A udindo waukulu pankhaniyi wa kutengera za kumtundu. Thanzi, ndi chidwi akulimbikitsidwa kutsatira akazi patapita zaka 40, ndi achibale amene anawapeza matenda neoplastic, kuphatikizapo sarcoma uterine.

Zizindikiro ndi zizindikiro za matenda

Amangonena kuti chete sarcoma kudwala chifukwa zizindikiro zake akuoneka pa siteji koyamba palibe chitukuko. Akazi sali mofulumira pofuna thandizo kwa dokotala, powona kuwonongeka chifukwa maganizo kapena matenda zochepa kwambiri. Ngakhale kenako magawo sarcoma mwina kuwonetsera zizindikiro khalidwe, kupitiriza kuwonjezera kukula kapena masquerade monga leiomyoma.

Monga matenda ili m'kati, ndipo malinga ndi kutanthauzira za ndondomeko pathological amalembedwa kusokoneza kuzungulira kusamba. Akazi amadandaula ululu pamimba m'munsi, kumaliseche katundu ku fungo zosauma. Komanso, chilakolako Mwamsanga, khungu zimatengera pa kulocha chikasu. mayesero magazi zimasonyeza bwinobwino kusintha.

mawonetseredwe mochedwa sarcoma patsogolo kwa magazi m'thupi, kufooka ndi ascites zonse. Chifukwa metastasis m'mapapo anayamba pleurisy ndi chiwindi - matenda a chikasu ndiyo. The malowedwe a maselo zilonda mu ndime msana limodzi ndi ululu zigawo zosiyanasiyana.

Kawirikawiri kufufuza matenda ncholinga popewa madokotala anandipeza "uterine sarcoma." Osonyeza chiyambi cha ndondomeko pathological, kungakhale chosowacho. Chotero chongochitika imatengedwa bwino, kuyambira mankhwala panthawi yake nthawi kumawonjezera mwayi wa ziyende bwino. Gynecologists nthawi zonse kukumbutsidwa kufunika Kupenda nthawi ya akazi patapita zaka 40, makamaka pamaso pa isanayambike kusintha.

yachitika sarcoma

Matendawa ali ndi makhalidwe chitukuko pang'onopang'ono.

• Pa siteji koyamba sarcoma ndi ting'onoting'ono chotupa. Zingakhale zochepa kapena mucosal minofu wosanjikiza.
• Mu gawo lachiwiri chotupa umakhala kukula, koma kunja kwa thupi la chiberekero atatulukamo. Komanso, pali kusalola tsankho la thupi.
• Mu gawo lachitatu chotupa Chimakula mu uterine thupi, koma amakhala mu malo m'chiuno. Nthawi zina pali metastasis kuti thumba losunga mazira, dera mwanabele. Apa wa matenda uterine sarcoma akuyamba kumawonetsera zizindikiro khalidwe ngati iwo anali atasowa kwa mfundo imeneyi.
• Mbali wachinayi - m'nyengo azingokhala chotupa ndi metastasis mapangidwe. zotupa Secondary ntchito kwa dongosolo lililonse la ziwalo, okhudza mapapo ndi mafupa.

njira matenda

Funsani sarcoma mu magawo oyambirira zimavuta chifukwa cha kusowa waledzera. Pa upo koyamba pa gynecologist limafulatira mbiri ndi deta ofanana pa zochitika za pathologies oncological mu achibale. Matenda mupeza kusintha mu coloration chiberekero, kudziwa zizindikiro za zotupa. Kenako, chiwerengero akapatsidwa ndi hardware zasayansi mayesero (magazi, CT, Kujambula, ultrasound hysteroscopy ndi ziwalo).

Masiyanidwe matenda a sarcoma uterine kumatha matenda ndi ofanana chithunzi matenda. Zikuphatikizapo zotupa yamchiberekero, chosaopsa ziwalo zoberekera, ndi tizilombo ting'onoting'ono endometrial. Chitsimikizo cha matenda okhazikika N'zosatheka biopsy a. Pa njirayi, mu m'galasi chotupa minofu kuphunzira.

Metastases mu Kaposi

metastases Neoplasm akhoza dissipate pamodzi ndi magazi, ndi kukula mu ziwalo pafupi. Kodi ndondomeko ya kufalitsa maselo zilonda? Sarcoma chitaya particles ake mu magazi, kumene kudutsa machitidwe kupuma ndi chigoba cha maliseche kunja. Pankhaniyi nthawi zambiri zimakhudza kugonjetsedwa kumanzere m'mapapo. maselo zilonda zambiri umalowa mu epididymis. Vuto kawirikawiri akupezeka matenda 'endometrial uterine sarcoma. " Metastases mofulumira amasamukira thupi lonse, ndipo tingayambe imfa oyambirira.

chithandizo

Mu zochiritsira amagwiritsa ntchito njira zosiyanasiyana zochizira wa sarcoma uterine. Odwala ambiri ndi kuphatikiza kupereka njira monga opaleshoni chemoradiotherapy. opaleshoni imagwiridwa yekha mu magawo yoyamba ya ndondomeko matenda. Timatha kudziwa siteji ya matenda, ndi kukhala ndi kuchotsa neoplasm. Voliyumu ya alowererepo zimadalira chotupa malo ndi kukula kwake. Mu nkhani zabwino, kuchotsa chiberekero ndi zokhudzana, ndi pa zikachitika - matupi onse okhudzana. Pamene Zikavuta chimodzi chokha alowererepo opaleshoni sadzakhala okwanira. Monga ku funso mankhwala dzuwa, lero ndi imodzi mwa njira zothandiza kwambiri kulamulira uterine matenda sarcoma. Mapa Pankhaniyi zingakhale zokhumudwitsa. Iwo Kwalamulidwa kupha maselo a khansa anabalalika.

Morning

chithandizo cha mankhwala sarcomas uterine idzagwiritsa ntchito anthracyclines ( "Idarubicin," "Doskorubitsin", "Epirubicin"). Izi otchedwa antitumor mankhwala. Tsopano akatswiri zikukangalika kuphunzira mphamvu ya "ifosfamide" wa mankhwala, ntchito yake monotherapy ndi osakaniza ndi mankhwala ena. Morning mphamvu zabwino zimawonedwa 30% odwala.

Kugwiritsa ntchito mankhwala amaphatikizidwa ndi mogwira mtima kwambiri, koma angapo mavuto. mphamvu zabwino zimawonedwa ku kuphatikiza mankhwala, "docetaxel" ndi "gemcitabine". Nthawi zambiri reused ku maliseche.

mankhwala Kodi ena ntchito matenda a "sarcoma uterine?" Timadzi chithandizo yilungamitsidwa kokha pamene digiri otsika a chotupa chija neoplasm.

kaonedwe

ndi madokotala ananena zawo za uterine sarcoma ali chiyani? Photos cha odwala amene anapulumuka matenda sioneka zimene zimalimbikitsa chiyembekezo. Komabe, nthawi zambiri zotsatira za kudwala chowawa, mkulu Mwina wa kumwa. Kodi kuwirikiza kawiri izi?

Ndi matenda yake ya chotupa ndi ntchito Mwina zisadzachitikenso ndi 65%. Mu nkhani ya sarcomas mu magawo kutsogoloku mwayi wa kachiwiri chitukuko cha ndondomeko pathologic ndi 90%. Monga ulamuliro, wodwalayo kupulumuka nthawi pambuyo opaleshoni zaka 2. Ziwerengero imasonyeza kuti zaka zisanu atafa chithandizo cha sarcoma zimawonedwa okha 40% ya milandu.

Malinga siteji ya matenda, chitsanzo zikhoza kukhala motere:

• gawo loyamba - 47%;
• gawo lachiwiri - 44%;
• gawo lachitatu - 40%;
• Chinthu chachinayi - 10%.

Komabe, izi deta chabe pa kafukufuku amene asayansi analemba milandu ndi zotsatira zabwino mankhwala a matenda uterine sarcoma. Kodi odwala ambiri amakhala ndi matenda amenewa ndi zovuta kunena. Poyankha funso limeneli m'pofunika kudziwa siteji ya matenda, mankhwala ikuchitika, milandu kumwa. Yodziwika ndi yabwino pa sarcomas okhawo, fibromatous kupangidwa kwa mfundo. Ndipo mu nkhani iyi, amafuna matenda yake ndi mankhwala.

zodzitetezera

Momwe mungapewere chitukuko cha matenda oopsa? Choyamba, akatswiri amalangiza pachaka mayeso m'chiuno. M'pofunikanso kutsatira mankhwala a dokotala zochizira matenda "mkazi", makamaka zokhudzana ndi matenda m'thupi. A udindo wapadera mu kupewa mimba wapatsidwa nkhani. Madokotala sali amalangiza kuzengereza kulera mwana. Ngati pa zifukwa zina simukufuna kuyesa udindo wa mayi, muyenera kugwiritsa ntchito njira zolera ndi kuteteza mimba. Osanenapo zakudya yoyenera. The zakudya ayenera zigwirizana makamaka a zipatso ndi ndiwo zamasamba. chiwerengero cha mafuta a nyama ndi bwino kuchepetsa. Kusiya zizolowezi zoipa, nthawi yambiri panja ndi masewera olimbitsa thupi.

Pomaliza

Chidwi asayansi ndi madokotala ena amakopeka matenda amenewa kawirikawiri, monga sarcoma uterine. Moyo madokotala ananena zawo n'zosatheka kuneneratu pamene matenda izi. Ngakhale sarcoma ndi matenda osowa, ndi mndandanda wa malignancies aukali. Ngakhale yake ndi woyenera chithandizo chiyembekezo mphamvu zabwino Sikuti. Kudwala angayambe akazi a misinkhu yonse. Pamene zizindikiro atypical ndi matenda ayenera kukaonana ndi dokotala. Ngakhale tizipima bwino chaka. Khalani wathanzi!