Nau'in / gestational-trophoblastic / haƙuri / gtd-treatment-pdq
Abubuwan da ke ciki
- 1 Maganin Cututtukan Trophoblastic na Gestational (®) –Shafin haƙuri
- 1.1 Janar Bayani Game da Cutar Trophoblastic Cutar
- 1.2 Matakai na orsanƙarar Trophoblastic Testhoblastic da Neoplasia
- 1.3 Maimaitawa da Tsayayyar Tsarin haihuwa na Trophoblastic Neoplasia
- 1.4 Bayanin Zaɓin Jiyya
- 1.5 Zaɓuɓɓukan Jiyya don Cututtukan Trophoblastic na Gestational
- 1.6 Don Moreara Koyo Game da Cututtukan Trophoblastic na Juna Biyu
- 1.7 Game da Wannan Taƙaitaccen
Maganin Cututtukan Trophoblastic na Gestational (®) –Shafin haƙuri
Janar Bayani Game da Cutar Trophoblastic Cutar
MAGANAN MAGANA
- Cutar cututtukan ciki na gestational (GTD) wani rukuni ne na cututtukan da ba safai ake samunsu ba wanda ƙwayoyin halittar kwayar halitta da yawa ba sa girma a cikin mahaifa bayan ɗaukar ciki.
- Hydatidiform mole (HM) shine mafi yawan nau'ikan GTD.
- Neoplasia na gestational trophoblastic neoplasia (GTN) wani nau'in cututtukan ciki ne na gestational (GTD) wanda kusan kullun mugu ne.
- Yanda yake mamaye mutane
- Choriocarcinomas
- Orsanƙara mai cike da ruwa-wuri
- Epithelioid cututtukan ƙwayar cuta
- Shekaru da juna biyun da suka gabata sun shafi haɗarin GTD.
- Alamomin GTD sun hada da zubar jini mara kyau da na mahaifa wanda ya fi girma girma.
- Ana amfani da gwaje-gwajen da ke bincikar mahaifa don ganowa (gano) da kuma gano cututtukan cututtukan ciki na ciki.
- Wasu dalilai suna tasiri hangen nesa (damar dawowa) da zaɓuɓɓukan magani.
Cutar cututtukan ciki na gestational (GTD) wani rukuni ne na cututtukan da ba safai ake samunsu ba wanda ƙwayoyin halittar kwayar halitta da yawa ba sa girma a cikin mahaifa bayan ɗaukar ciki.
A cikin cututtukan cututtukan ciki na ciki (GTD), ƙari yana tasowa a cikin mahaifa daga nama wanda ke samuwa bayan ɗaukar ciki (haɗuwar maniyyi da kwai). Wannan nama an yi shi ne da ƙwayoyin trophoblast kuma yawanci yana kewaye da ƙwai ne da ke cikin mahaifa. Kwayoyin Trophoblast suna taimakawa haɗa ƙwai da aka haɗata zuwa bangon mahaifa kuma su zama ɓangare na mahaifa (kwayar da ke isar da abinci daga uwa zuwa ɗan tayi).
Wani lokaci akan samu matsala game da haduwar kwan da kuma kwayar halittar. Maimakon lafiyayyen tayi tayi girma, ciwace ciwace. Har sai akwai alamu ko alamomin ciwan, ciki zai zama kamar al'ada ce ta al'ada.
Yawancin GTD ba su da kyau (ba ciwon daji ba) kuma ba sa yaduwa, amma wasu nau'ikan sun zama m (ciwon daji) kuma suna yaɗuwa zuwa kayan da ke kusa ko sassan jiki masu nisa.
Cutar cututtukan ciki na ciki (GTD) babban lokaci ne wanda ya haɗa da nau'ikan cuta:
- Hydatidiform Moles (HM)
- Kammala HM.
- M HM.
- Neoplasia na Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Jari
- Yanda yake mamaye mutane.
- Choriocarcinomas.
- Tumanƙara mai raɗaɗi a cikin mahaifa (PSTT; ƙwarai da gaske).
- Epithelioid trophoblastic marurai (ETT; har ma da ƙari).
Hydatidiform mole (HM) shine mafi yawan nau'ikan GTD.
HMs ciwace-ciwacen da ke girma a hankali wanda yayi kama da jakar ruwa. Ana kiran HM mai ciki na ciki. Ba a san dalilin sanadin ɓarna ba.
HMs na iya zama cikakke ko sashi:
- Cikakken HM yana samuwa lokacinda maniyyi ya hadu da kwan wanda baya dauke da mahaifar ta DNA. Kwai yana da DNA daga mahaifinsa kuma kwayoyin halittar da ake son su zama mahaifa mahaukaci ne.
- HM wani bangare ne lokacinda maniyyi ya hadu da kwai kuma akwai nau'ikan DNA guda biyu daga mahaifinsa a kwai mai haduwa. Wani sashi ne daga cikin tayin da sel wadanda aka so zama mahaifa ba mahaukaci ba.
Yawancin ƙwayoyin hydatidiform ba su da kyau, amma wani lokacin sukan zama cutar kansa. Samun ɗaya ko fiye daga cikin abubuwan haɗarin masu zuwa yana ƙara haɗarin kasancewar kwayar halitta ta hydatidiform zata zama kansa:
- Ciki kafin shekara 20 ko bayan shekaru 35.
- Babban matakin beta na chorionic gonadotropin na mutum (β-hCG), sinadarin hormone da jiki yayi yayin daukar ciki.
- Babban ƙari a cikin mahaifa.
- Kwancen kwan mace ya fi santimita 6 girma.
- Hawan jini lokacin daukar ciki.
- An glandon thyroid gland (ƙarin hormone thyroid aka yi).
- Tsananin jiri da amai yayin ciki.
- Kwayoyin Trophoblastic a cikin jini, wanda na iya toshe ƙananan hanyoyin jini.
- Matsaloli masu tsanani na daskarewar jini wanda HM ya haifar.
Neoplasia na gestational trophoblastic neoplasia (GTN) wani nau'in cututtukan ciki ne na gestational (GTD) wanda kusan kullun mugu ne.
Neoplasia na Gestational trophoblastic neoplasia (GTN) ya haɗa da masu zuwa:
Yanda yake mamaye mutane
Lesunƙan da ke mamayewa sun haɗa da ƙwayoyin trophoblast waɗanda suke girma zuwa cikin ƙwayar tsokar mahaifa. Yankunan da ke mamayewa sun fi girma da yaduwa fiye da kwayar halittar hydatidiform. Ba da daɗewa ba, HM cikakke ko na ƙarshe zai iya zama ƙwayar cuta. Wani lokaci kwayar cuta mai lalacewa zata ɓace ba tare da magani ba.
Choriocarcinomas
A choriocarcinoma wani mummunan ƙwayar cuta ne wanda ke fitowa daga ƙwayoyin trophoblast kuma ya bazu zuwa ɓangaren tsoka na mahaifa da magudanan jini na kusa. Hakanan yana iya yaduwa zuwa wasu sassan jiki, kamar kwakwalwa, huhu, hanta, koda, saifa, hanji, ƙugu, ko farji. Cutar choriocarcinoma na iya kasancewa a cikin matan da suka sami wani daga wadannan:
- Cutar ciki, musamman tare da cikakkiyar kwayar halitta.
- Ciki na al'ada.
- Tubal ciki (kwan mahaifa da aka saka a cikin bututun mahaifa maimakon mahaifa).
- Zubewar ciki.
Orsanƙara mai cike da ruwa-wuri
Ciwon tarin-mahaifa mai cike da ruwa (PSTT) wani nau'in nau'ikan nau'ikan neoplasia mai saurin haihuwa wanda yake samarda inda mahaifa ke manne da mahaifa Ciwan yana fitowa daga ƙwayoyin trophoblast kuma ya bazu cikin tsokar mahaifa da cikin jijiyoyin jini. Hakanan yana iya yaduwa zuwa huhu, ƙashin ƙugu, ko ƙugiyoyin lymph. PSTT yana girma a hankali sosai kuma alamu ko alamomi na iya bayyana watanni ko shekaru bayan samun ciki na al'ada.
Epithelioid cututtukan ƙwayar cuta
Ciwon daji na epithelioid trophoblastic (ETT) wani nau'in nau'in nau'in nau'in nau'in nau'in kwayar halitta ne wanda zai iya zama mara kyau ko mara kyau. Lokacin da ciwon ya zama mummunan, yana iya yadawa zuwa huhu.
Shekaru da juna biyun da suka gabata sun shafi haɗarin GTD.
Duk wani abu da zai kara maka hadarin kamuwa da cuta to ana kiran sa mai hadari. Samun haɗari ba ya nufin cewa za ku kamu da cutar kansa; ba tare da haɗarin abubuwan haɗari ba yana nufin cewa ba zaku sami cutar kansa ba. Yi magana da likitanka idan kuna tunanin kuna cikin haɗari. Abubuwan haɗari ga GTD sun haɗa da masu zuwa:
- Yin ciki lokacin da kake ƙasa da shekaru 20 ko sama da shekaru 35.
- Samun tarihin mutum na kwayar halittar hydatidiform.
Alamomin GTD sun hada da zubar jini mara kyau da na mahaifa wanda ya fi girma girma.
Waɗannan da sauran alamomi da alamomin na iya haifar da cutar gyambon ciki ko wasu yanayi. Duba tare da likitanka idan kuna da ɗayan masu zuwa:
- Zuban jini na farji wanda ba shi da alaƙa da haila.
- Mahaifa wacce ta fi girma fiye da tsammani yayin daukar ciki.
- Jin zafi ko matsin lamba a ƙashin ƙugu.
- Tsananin jiri da amai yayin ciki.
- Hawan jini tare da ciwon kai da kumburin ƙafa da hannaye a farkon ciki.
- Zuban jini na farji wanda ke ci gaba fiye da yadda aka saba bayan haihuwa.
- Gajiya, rashin numfashi, jiri, da saurin bugun zuciya ko rashin daidaito sakamakon rashin jini.
GTD wani lokacin yakan haifar da matsalar ciwon thyroid. Alamomi da alamomin alaƙa da ƙyamar thyroid sun hada da masu zuwa:
- Bugun zuciya ko sauri.
- Kinarfin fata.
- Gumi.
- Yawaitar hanji.
- Rashin bacci.
- Jin damuwa ko damuwa.
- Rage nauyi.
Ana amfani da gwaje-gwajen da ke bincikar mahaifa don ganowa (gano) da kuma gano cututtukan cututtukan ciki na ciki.
Za a iya amfani da waɗannan gwaje-gwajen da hanyoyin:
- Jarabawa ta jiki da tarihi: Jarabawa ce ta jiki don bincika alamomin lafiya gaba ɗaya, gami da bincika alamun cuta, kamar kumburi ko wani abu da kamar baƙon abu. Za a kuma ɗauki tarihin al'adun lafiyar marasa lafiya da cututtukan da suka gabata da magunguna.
- Jarrabawar Pelvic: Nazarin farji, mahaifar mahaifa, mahaifa, tublop fallopian, ovaries, da dubura. Ana saka takamaiman tsari a cikin farjin kuma likita ko nas sun kalli farji da bakin mahaifa don alamun cuta. Yawancin lokaci ana yin gwajin Pap ne na mahaifar mahaifa. Likita ko nas din ma suna sanya yatsun hannu guda daya zuwa biyu masu hannu, cikin safofin hannu a cikin farjin ta kuma sanya dayan hannun a kan ƙananan ciki don jin girman, sura, da matsayin mahaifa da ƙwai. Likita ko nas ma suna saka mai yatsa, mai yatsan hannu a cikin duburar don jin kumburi ko wuraren da ba na al'ada ba.
- Nazarin duban dan tayi na ƙashin ƙugu: Hanya ce wacce ake ɗaga sauti mai ƙarfi (duban dan tayi) daga kayan ciki ko gabobi a ƙashin ƙugu kuma suna yin kuwwa. Eararrawa ta haifar da hoton kayan jikin da ake kira sonogram. Wani lokaci za a yi amfani da duban dan tayi (TVUS). Don TVUS, ana saka na'urar daukar hoto ta dan tayi (bincike) a cikin farji don yin sonogram.
- Nazarin ilimin sunadarai na jini: Hanya ce wacce ake bincikar samfurin jini don auna adadin wasu abubuwa da aka saki a cikin jini ta gabobi da kayan aiki a jiki. Adadin abu na yau da kullun (mafi girma ko ƙasa da al'ada) na iya zama alamar cuta. Ana kuma gwada jini don duba hanta, koda, da ɓacin kashi.
- Gwajin alamar cutar tumo: Hanya ce wacce ake bincikar jini don auna adadin wasu abubuwan da gabobi, kyallen takarda, ko ƙwayoyin ƙari suke yi a jiki. Wasu abubuwa suna da alaƙa da takamaiman nau'ikan cutar daji idan aka same su cikin ƙaruwa a cikin jiki. Wadannan ana kiran su alamun tumor. Ga GTD, ana bincikar jini don matakin beta ɗan adam chorionic gonadotropin (β-hCG), hormone da jiki ke yi yayin daukar ciki. β-hCG a cikin jinin macen da ba ta da ciki na iya zama alamar GTD.
- Yin fitsari : Gwaji ne dan duba kalar fitsari da abinda yake ciki, kamar su suga, furotin, jini, kwayoyin cuta, da kuma matakin β-hCG.
Wasu dalilai suna tasiri hangen nesa (damar dawowa) da zaɓuɓɓukan magani.
Yawancin cututtukan cututtukan ciki na ciki ana iya warkewa. Jiyya da hangen nesa sun dogara da masu zuwa:
- Nau'in GTD.
- Ko kumburin ya yaɗu zuwa mahaifar mahaifa, ƙugiyar limfam, ko sassan jiki masu nisa.
- Yawan ciwan ciki da inda suke a jiki.
- Girman mafi girma ƙari.
- Matsayin β-hCG a cikin jini.
- Yaya aka gano kumburin bayan fara ciki.
- Ko GTD ya faru ne bayan ciki na ciki, ɓarna, ko ciki na al'ada.
- Maganin da ya gabata game da neoplasia na haihuwa.
Zaɓuɓɓukan jiyya suma sun dogara ne akan ko matar tana son yin ciki a nan gaba.
Matakai na orsanƙarar Trophoblastic Testhoblastic da Neoplasia
MAGANAN MAGANA
- Bayan an gano cutar neoplasia ta ciki, ana yin gwaji don gano ko cutar daji ta bazu daga inda ta fara zuwa sauran sassan jiki.
- Akwai hanyoyi uku da kansar ke yaduwa a jiki.
- Ciwon daji na iya yaduwa daga inda ya fara zuwa sauran sassan jiki.
- Babu wani tsarin tsarkewa don ƙwayoyin hydatidiform.
- Ana amfani da matakai masu zuwa don GTN:
- Mataki Na
- Mataki na II
- Mataki na III
- Mataki na IV
- Maganin cutar neoplasia mai ciki ta dogara ne akan nau'in cuta, mataki, ko ƙungiyar haɗari.
Bayan an gano cutar neoplasia ta ciki, ana yin gwaji don gano ko cutar daji ta bazu daga inda ta fara zuwa sauran sassan jiki.
Hanyar da ake amfani da ita don gano iyawa ko yaduwar cutar kansa ana kiranta staging, Bayanin da aka tattara daga tsarin harka yana taimakawa wajen tantance matakin cutar. Ga GTN, mataki shine ɗayan abubuwan da ake amfani dasu don shirya magani.
Za a iya yin gwaje-gwaje da hanyoyin da za a bi don taimakawa wajen gano matakin cutar:
- Kirjin x-ray: X-ray na gabobin da kasusuwa a cikin kirji. X-ray wani katako ne na katako wanda zai iya ratsa jiki zuwa fim, yana yin hotunan wurare a cikin jiki.
- CT scan (CAT scan): Hanya ce da ke yin jerin hotuna dalla-dalla na wurare a cikin jiki, waɗanda aka ɗauka daga kusurwa daban-daban. Ana yin hotunan ne ta wata kwamfuta da aka haɗa ta da na'urar da ke ɗauke da x-ray. Ana iya yin allurar fenti a cikin jijiya ko haɗiye don taimakawa gabobin ko kyallen takarda su fito fili karara. Wannan hanya ana kiranta yanayin ƙididdigar lissafi, ƙirar kwamfuta, ko ƙirar ƙwaƙwalwar ajiyar kwamfuta.
- MRI (hoton maganadisu ) tare da gadolinium: Hanya ce da ke amfani da maganadisu, raƙuman rediyo, da kwamfuta don yin jerin hotuna dalla-dalla na wurare a cikin jiki, kamar ƙwaƙwalwa da laka. Wani sinadari da ake kira gadolinium ne a cikin jijiya. Gadolinium yana tattarawa a kusa da ƙwayoyin cutar kansa don haka sun ƙara haske a hoton. Wannan hanya ana kiranta kuma ana kiranta hoton maganadisu na maganadisu (NMRI).
- Lumbar puncture: Hanyar da ake amfani da ita don tara ruwa mai ruɓar ciki (CSF) daga sashin kashin baya Ana yin wannan ta sanya allura tsakanin ƙasusuwa biyu a cikin kashin baya da kuma cikin CSF a kewayen ƙashin baya da cire samfurin ruwan. Ana bincikar samfurin CSF a ƙarƙashin microscope don alamun da ke nuna cewa ciwon daji ya bazu zuwa kwakwalwa da laka. Wannan hanyar ana kiranta LP ko taɓar kashin baya.
Akwai hanyoyi uku da kansar ke yaduwa a jiki.
Ciwon daji na iya yadawa ta hanyar nama, tsarin lymph, da jini:
- Nama. Ciwon daji yana yaduwa daga inda ya fara ta girma zuwa yankuna na kusa.
- Tsarin Lymph. Ciwon daji yana yaduwa daga inda ya faro ta hanyar shiga cikin ƙwayoyin cuta. Ciwon daji yana bi ta cikin jirgin ruwan lymph zuwa wasu sassan jiki.
- Jini. Ciwon daji yana yaduwa daga inda ya fara ta hanyar shiga cikin jini. Ciwon daji yana bi ta hanyoyin jini zuwa wasu sassan jiki.
Ciwon daji na iya yaduwa daga inda ya fara zuwa sauran sassan jiki.
Lokacin da cutar daji ta bazu zuwa wani sashin jiki, akan kira shi metastasis. Kwayoyin sankara suna ɓata daga inda suka fara (asalin ƙwayar cuta) kuma suna tafiya ta cikin tsarin lymph ko jini.
- Tsarin Lymph. Ciwon daji ya shiga cikin tsarin laminin, ya ratsa ta cikin jiragen ruwan lymph, kuma ya samar da ƙari (metastatic tumo) a wani ɓangaren jiki.
- Jini. Ciwon kansa ya shiga cikin jini, ya bi ta hanyoyin jini, ya samar da ƙari (ƙwayar metastatic) a wani ɓangaren jiki.
Ciwon ƙwayar ƙwayar ƙwayar cuta shine irin ciwon daji kamar asalin farko. Misali, idan choriocarcinoma ta bazu zuwa huhu, ƙwayoyin kansar da ke cikin huhun ainihin ƙwayoyin choriocarcinoma ne. Cutar ita ce choriocarcinoma mai lalacewa, ba kansar huhu ba.
Babu wani tsarin tsarkewa don ƙwayoyin hydatidiform.
Ana samun ƙwayoyin Hydatidiform (HM) a cikin mahaifa kawai kuma basa yaɗuwa zuwa wasu sassan jiki.
Ana amfani da matakai masu zuwa don GTN:
Mataki Na
A matakin I, kumburin yana cikin mahaifa ne kawai.
Mataki na II
A mataki na II, ciwon daji ya bazu a wajen mahaifar mahaifa zuwa kwayayen kwanar mahaifa, farji, da / ko jijiyoyin da ke tallafawa mahaifa.
Mataki na III
A mataki na III, cutar kansa ta bazu zuwa huhu.
Mataki na IV
A mataki na huɗu, cutar daji ta bazu zuwa ɓangarorin jiki masu nisa banda huhu.
Maganin cutar neoplasia mai ciki ta dogara ne akan nau'in cuta, mataki, ko ƙungiyar haɗari.
Ana kula da lalatattun ƙwayoyi da choriocarcinomas dangane da ƙungiyoyin haɗari. Matakan ƙwayar cuta ko ƙwayar cuta shine ɗayan abubuwan da ake amfani dasu don ƙayyade ƙungiyar haɗari. Sauran dalilai sun haɗa da masu zuwa:
- Shekarun mara lafiya lokacin da aka gano cutar.
- Ko GTN ya faru ne bayan da cikin ya baci, ɓarin ciki, ko cikin al'ada.
- Yaya aka gano kumburin bayan fara ciki.
- Matsayin beta ɗan adam chorionic gonadotropin (β-hCG) a cikin jini.
- Girman mafi girma ƙari.
- Inda kumburin ya yadu zuwa kuma yawan ciwan a jiki.
- Da yawa magungunan ƙwayoyi na jiyyar cutar sankara da aka kula da su (don ciwace-ciwacen maimaitawa ko tsayayya).
Akwai ƙungiyoyin haɗari guda biyu don ɓarna da ƙwayoyin cuta da ƙwayoyin cuta: ƙananan haɗari da haɗari mai girma. Marasa lafiya da ke da ƙananan haɗari galibi suna karɓar magani kaɗan fiye da marasa lafiya da ke da haɗarin haɗari.
Magungunan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa (PSTT) da magungunan epithelioid trophoblastic tumor (ETT) sun dogara da matakin cutar.
Maimaitawa da Tsayayyar Tsarin haihuwa na Trophoblastic Neoplasia
Maimaita cutar cikin haihuwa neoplasia (GTN) ita ce cutar daji da ta sake dawowa (dawo) bayan an warke ta. Ciwon kansa na iya dawowa cikin mahaifa ko kuma a wasu sassan jiki.
Neoplasia na glandon ciki wanda baya amsa magani ana kiran shi GTN mai tsayayya.
Bayanin Zaɓin Jiyya
MAGANAN MAGANA
- Akwai nau'ikan magani iri daban-daban ga marasa lafiya masu cutar ciki.
- Ana amfani da nau'i uku na daidaitaccen magani:
- Tiyata
- Chemotherapy
- Radiation far
- Ana gwada sababbin nau'ikan magani a gwajin asibiti.
- Jiyya don cututtukan cututtukan ciki na ciki na iya haifar da illa.
- Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.
- Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.
- Ana iya buƙatar gwaje-gwaje na gaba.
Akwai nau'ikan magani iri daban-daban ga marasa lafiya masu cutar ciki.
Akwai nau'ikan magani daban-daban ga marasa lafiya masu cutar ciki. Wasu jiyya suna daidaito (magani da ake amfani dashi yanzu), kuma wasu ana gwada su a gwajin asibiti. Kafin fara magani, marasa lafiya na iya son yin tunani game da shiga cikin gwajin asibiti. Gwajin gwajin magani shine binciken bincike wanda aka tsara don taimakawa inganta ingantattun jiyya na yanzu ko samun bayanai game da sababbin jiyya ga marasa lafiya da ciwon daji. Lokacin da gwaji na asibiti ya nuna cewa sabon magani ya fi magani na yau da kullun, sabon magani na iya zama daidaitaccen magani.
Gwajin gwaji na gudana a sassa da yawa na ƙasar. Ana samun bayani game da gwajin gwaji na ci gaba daga gidan yanar gizon NCI. Zaɓin mafi dacewa maganin cutar kansa shine yanke shawara wanda ya dace da haƙuri, iyali, da ƙungiyar kiwon lafiya.
Ana amfani da nau'i uku na daidaitaccen magani:
Tiyata
Dikita na iya cire kansar ta amfani da ɗayan ayyuka masu zuwa:
- Rushewa da warkarwa (D&C) tare da fitarwa ta tsotsa: Hanyar tiyata don cire ƙyamar mahaukaci da sassan ɓangaren ciki na mahaifa. Bakin mahaifar ya fadada kuma an cire kayan da ke cikin mahaifa da karamar na'ura mai kama da yanayi. Sannan a hankali a goge bangon mahaifa a hankali tare da maganin warkewa (irin kayan aiki na cokali) don cire duk wani abu da zai rage cikin mahaifar. Ana iya amfani da wannan hanyar don ɗaukar ciki na yara.
- Hysterectomy: Tiyata don cire mahaifa, da kuma wani lokacin mahaifa. Idan an fitar da mahaifa da mahaifar mahaifa ta cikin farji, ana kiran aikin tiyatar farji. Idan an fitar da mahaifa da mahaifar mahaifa ta hanyar babban yanki (yankewa) a cikin ciki, ana kiran aikin da aikin duka hysterectomy na ciki. Idan an fitar da mahaifa da mahaifar mahaifa ta wani karamin yanki (yankewa) a cikin ciki ta amfani da laparoscope, ana kiran aikin da ake kira duka laparoscopic hysterectomy.
Bayan likita ya cire duk cutar daji da za a iya gani a lokacin tiyatar, wasu marasa lafiya za a iya ba su maganin ƙwaƙwalwar bayan an yi musu tiyata don kashe duk ƙwayoyin cutar kansa da suka rage. Maganin da ake bayarwa bayan tiyatar, don rage haɗarin kamuwa da cutar kansa zai dawo, ana kiran sa adjuvant therapy.
Chemotherapy
Chemotherapy magani ne na cutar kansa wanda ke amfani da magunguna don dakatar da haɓakar ƙwayoyin kansa, ko dai ta hanyar kashe ƙwayoyin ko ta hana su rarraba. Lokacin da ake shan chemotherapy ta baki ko allura a cikin jijiya ko tsoka, magungunan suna shiga cikin jini kuma zasu iya kaiwa ga kwayoyin cutar kansa a cikin jiki duka (systemotherapy chemotherapy). Lokacin da aka sanya chemotherapy kai tsaye zuwa cikin ruwa mai ruɓaɓɓen ciki, gaɓoɓi, ko rami na jiki kamar ciki, magungunan yawanci suna shafar ƙwayoyin kansa ne a waɗancan yankuna. Hanyar da ake ba da magani ya dogara da nau'in da matakin cutar kansa, ko kuma ƙwayar tana da haɗari ko haɗari.
Haɗaɗɗiyar cutar sanadiyyar magani magani ne ta amfani da fiye da ɗaya maganin ƙwayar cutar kansa.
Duba Magungunan da aka Amince dasu don Cutar Trophoblastic Cena don ƙarin bayani.
Radiation far
Radiation therapy magani ne na cutar kansa wanda yake amfani da hasken rana mai ƙarfi ko wasu nau'ikan radiation don kashe ƙwayoyin kansa ko hana su girma. Akwai nau'o'in maganin radiation guda biyu:
- Magungunan radiation na waje yana amfani da inji a waje don aika radiation zuwa ga cutar kansa.
- Magungunan radiation na ciki yana amfani da abu mai tasirin rediyo wanda aka rufe a cikin allurai, tsaba, wayoyi, ko catheters waɗanda aka sanya kai tsaye zuwa ko kusa da ciwon daji.
Hanyar da aka ba da maganin ta radiation ya dogara da nau'in cututtukan cututtukan ciki na ciki da ake kula da su. Ana amfani da maganin radiation na waje don magance cututtukan cututtukan ciki na ciki.
Ana gwada sababbin nau'ikan magani a gwajin asibiti.
Ana samun bayani game da gwajin gwaji na ci gaba daga gidan yanar gizon NCI.
Jiyya don cututtukan cututtukan ciki na ciki na iya haifar da illa.
Don bayani game da illolin da cutar ta kansar ta haifar, duba shafin mu na Side Side.
Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.
Ga wasu marasa lafiya, shiga cikin gwaji na asibiti na iya zama mafi kyawun zaɓin magani. Gwajin gwaji wani bangare ne na aikin binciken cutar kansa. Ana yin gwaje-gwajen asibiti don gano ko sabbin maganin cutar daji suna da lafiya da tasiri ko kuma sun fi magani na yau da kullun.
Yawancin yau da kullun na yau da kullun don cutar kansa sun dogara ne akan gwajin asibiti na farko. Marasa lafiya da ke cikin gwaji na asibiti na iya karɓar daidaitaccen magani ko kuma su kasance cikin farkon waɗanda za su karɓi sabon magani.
Marasa lafiya da ke shiga cikin gwaji na asibiti suma suna taimakawa inganta hanyar da za a bi da kansar a nan gaba. Koda lokacin gwajin asibiti bai haifar da sababbin magunguna ba, sau da yawa sukan amsa mahimman tambayoyi kuma suna taimakawa ci gaba da bincike gaba.
Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.
Wasu gwaji na asibiti kawai sun haɗa da marasa lafiya waɗanda ba su sami magani ba tukuna. Sauran gwaje-gwajen suna gwada jiyya ga marasa lafiya waɗanda cutar kansa ba ta samu sauki ba. Hakanan akwai gwaji na asibiti da ke gwada sabbin hanyoyin dakatar da cutar kansa daga sake dawowa (dawowa) ko rage tasirin maganin kansar.
Gwajin gwaji na gudana a sassa da yawa na ƙasar. Bayani game da gwajin asibiti wanda NCI ke tallafawa ana iya samun shi akan shafin binciken gwaji na NCI. Ana iya samun gwajin gwaji na asibiti wanda wasu kungiyoyi ke tallafawa akan gidan yanar gizon ClinicalTrials.gov.
Ana iya buƙatar gwaje-gwaje na gaba.
Za a iya maimaita wasu gwaje-gwajen da aka yi don gano cutar kansa ko don gano matakin cutar kansa. Za a maimaita wasu gwaje-gwaje don ganin yadda magani ke aiki. Shawarwari game da ci gaba, canji, ko dakatar da magani na iya dogara ne da sakamakon waɗannan gwaje-gwajen.
Wasu daga cikin gwaje-gwajen za a ci gaba da yi daga lokaci zuwa lokaci bayan an gama jiyya. Sakamakon waɗannan gwaje-gwajen na iya nuna idan yanayin ku ya canza ko kuma idan kansar ta sake dawowa (dawo). Wadannan gwaje-gwajen wasu lokuta ana kiran su gwaje-gwaje na gaba ko dubawa.
Matakan jini na betaadr chorionic gonadotropin (β-hCG) za'a duba su har zuwa watanni 6 bayan an gama jiyya. Wannan saboda matakin β-hCG wanda ya fi yadda yake al'ada na iya nufin cewa ƙari bai amsa magani ba ko kuma ya zama kansa.
Zaɓuɓɓukan Jiyya don Cututtukan Trophoblastic na Gestational
A Wannan Sashin
- Hydatidiform Moles
- Neoplasia na Tsarin Trophoblastic
- Neoplasia mai riskananan haɗarin Trophoblastic
- Neoplasia mai haɗarin Metastatic Gestational Trophoblastic
- Tsarin Tashin Toshe-Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Jiki
- Maimaitawa ko Tsayayyar Tsarin haihuwa na Trophoblastic Neoplasia
Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.
Hydatidiform Moles
Jiyya na kwayar halittar hydatidiform na iya haɗawa da waɗannan masu zuwa:
- Yin aikin tiyata (Dilatation da curettage tare da kwashe ruwa) don cire kumburin.
Bayan tiyata, ana yin gwajin jini na ɗan adam chorionic gonadotropin (β-hCG) kowane mako har sai matakin β-hCG ya dawo daidai. Har ila yau, marasa lafiya suna da likitan likita masu zuwa kowane wata har zuwa watanni 6. Idan matakin β-hCG bai koma yadda yake ba ko ya karu, yana iya nufin ba a cire kwayar halittar hydatidiform gaba daya kuma ta zama kansar. Ciki yana sa matakan β-hCG su karu, don haka likitanku zai nemi ku da ku yi ciki har sai an gama bin baiti.
Don cutar da ta rage bayan tiyata, magani yawanci magani ne.
Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.
' Gestational Trophoblastic Neoplasia
Neoplasia mai riskananan haɗarin Trophoblastic
Jiyya na ƙananan haɗarin haihuwa neoplasia (GTN) (ƙwayar cuta ko ƙwayar cuta) na iya haɗawa da masu zuwa:
- Chemotherapy tare da ɗaya ko fiye da magungunan ciwon daji. Ana ba da magani har zuwa matakin beta na chorionic gonadotropin (β-hCG) na al'ada ne aƙalla makonni 3 bayan jiyya ya ƙare.
Idan matakin β-hCG a cikin jini bai koma yadda yake ba ko ƙari ya bazu zuwa ɓangarorin jiki masu nisa, ana ba da hanyoyin maganin ƙera ƙwayoyin cuta da aka yi amfani da su don haɗarin haɗarin GTN
Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.
Neoplasia mai haɗarin Metastatic Gestational Trophoblastic
Jiyya na haɗarin haɗari mai haɗari mai haɗari mai haɗari neoplasia (ƙwayar cuta ko ƙwayar choriocarcinoma) na iya haɗa da masu zuwa:
- Hade chemotherapy.
- Intrathecal chemotherapy da raɗaɗɗen radiyo ga kwakwalwa (don cutar kansa da ta bazu zuwa huhu, don kiyaye ta daga yaɗuwa zuwa kwakwalwa).
- Magungunan ƙwayar cuta mai ƙoshin lafiya ko intrathecal chemotherapy da / ko maganin radiation zuwa kwakwalwa (don ciwon daji wanda ya bazu zuwa ƙwaƙwalwa).
Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.
Tsarin Tashin Toshe-Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Tsarin Jiki
Jiyya na matakan I mai cike da ciki mai cike da ciki da ƙari na ƙari na iya haɗa da masu zuwa:
- Tiyata don cire mahaifa
Jiyya na ciwan II na mahaifa mai yaduwar ciki tare da cututtukan tumatir na ƙwallon ƙafa na iya haɗa da masu zuwa:
- Yin aikin tiyata don cire kumburin, wanda zai iya biyo bayan haɗuwa da cutar sankara.
Jiyya na mataki na III da na huɗu na mahaifa masu yaduwar ciki da cututtukan tumatir na ƙwallon ƙafa na iya haɗa da mai zuwa:
- Hade chemotherapy.
- Yin tiyata don cire kansar da ta bazu zuwa wasu wurare, kamar huhu ko ciki.
Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.
Maimaitawa ko Tsayayyar Tsarin haihuwa na Trophoblastic Neoplasia
Jiyya na ƙari ko tsayayyar cutar tumbi mai haɗari na iya haɗawa da masu zuwa:
- Chemotherapy tare da ɗaya ko fiye da magungunan ƙwayar cuta don ciwace-ciwacen da aka bi da su a baya tare da tiyata.
- Hade chemotherapy don ciwace-ciwacen da aka kula da su a baya tare da chemotherapy.
- Yin aikin tiyata don ciwace-ciwacen da ba su amsa cutar sankara.
Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.
Don Moreara Koyo Game da Cututtukan Trophoblastic na Juna Biyu
Don ƙarin bayani daga Cibiyar Ciwon Nationalwayar Ciwon aboutasa game da cututtukan ciki na gland da na neoplasia, duba mai zuwa:
- Shafin Gida na Cutar Trophoblastic
- An Amince da Magungunan don Cutar Trophoblastic
- Ciwon daji na Metastatic
Don cikakkun bayanai game da cutar kansa da sauran albarkatu daga Cibiyar Cancer ta Kasa, duba mai zuwa:
- Game da Ciwon daji
- Tsayawa
- Chemotherapy da ku: Tallafi ga Mutanen da ke Ciwon daji
- Radiation Far da Kai: Taimako ga Mutane Tare da Ciwon daji
- Yin fama da Ciwon daji
- Tambayoyi don Tambayar Doctor game da Ciwon daji
- Don Tsira da Kulawa
Game da Wannan Taƙaitaccen
Game da
Tambayar Bayanin Likita () ita ce Cibiyar Ba da Cutar Cancer ta Kasa (NCI's) cikakkun bayanai game da cutar kansa. Bayanan ya ƙunshi taƙaitaccen sabon bayanin da aka wallafa game da rigakafin cutar kansa, ganowa, halittar jini, magani, kulawa mai ba da taimako, da ƙarin magani da madadin magani. Yawancin taƙaitawa sun zo iri biyu. Sigogin kwararrun likitocin suna da cikakkun bayanan da aka rubuta cikin yaren fasaha. An rubuta sigar masu haƙuri cikin sauƙin fahimta, ba fasaha ba. Dukansu nau'ikan suna da bayanan cutar kansa wanda yake daidai kuma yana zamani kuma yawancin sigar ana samun su a cikin Sifaniyanci.
sabis ne na NCI. NCI wani ɓangare ne na Cibiyoyin Kiwon Lafiya na (asa (NIH). NIH ita ce cibiyar gwamnatin tarayya ta nazarin kimiyyar ilimin halittu. Marididdigar sun dogara ne akan nazarin zaman kansu na wallafe-wallafen likita. Ba bayanan siyasa bane na NCI ko NIH.
Dalilin Wannan Takaitawa
Wannan taƙaitaccen bayanin kansar yana da bayanai na yau da kullun game da maganin cututtukan ciki. Ana nufin sanar da taimakawa marasa lafiya, iyalai, da masu kulawa. Ba ta ba da ka'idoji ko shawarwari na yau da kullun don yanke shawara game da kiwon lafiya.
Masu bita da Sabuntawa
Ungiyoyin Edita suna rubuta taƙaitaccen bayanin kansar kuma kiyaye su har zuwa yau. Wadannan kwamitocin sun kunshi kwararru a fannin kula da cutar kansa da sauran fannoni masu nasaba da cutar kansa. Ana nazarin taƙaitawa akai-akai kuma ana yin canje-canje lokacin da akwai sabon bayani. Kwanan wata a kan kowane taƙaitawa ("An sabunta") shine kwanan watan canji mafi kwanan nan.
Bayanin da ke cikin wannan taƙaitaccen bayanin haƙuri an ɗauke shi ne daga sigar ƙwararrun masu kiwon lafiya, wanda ake dubawa akai-akai kuma aka sabunta shi kamar yadda ake buƙata, ta Hukumar Kula da Kula da Kula da Kula da Kula da Balagaggun Matasa ta .
Bayanin Gwajin Clinical
Gwajin gwaji shine binciken don amsa tambayar kimiyya, kamar ko magani ɗaya ya fi wani kyau. Gwaje-gwaje sun dogara da karatun da suka gabata da abin da aka koya a cikin dakin gwaje-gwaje. Kowace gwaji na amsa wasu tambayoyin kimiyya don neman sababbin hanyoyi mafi kyau don taimakawa masu cutar kansa. Yayin gwajin gwaji na asibiti, ana tattara bayanai game da tasirin sabon magani da yadda yake aiki. Idan gwaji na asibiti ya nuna cewa sabon magani ya fi wanda ake amfani da shi yanzu, sabon magani na iya zama "daidaito." Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti. Wasu gwaji na asibiti ana buɗe su ne kawai ga marasa lafiyar da basu fara magani ba.
Ana iya samun gwaji na asibiti akan layi a gidan yanar gizon NCI. Don ƙarin bayani, kira Sabis ɗin Ba da Bayani na Ciwon (CIS), cibiyar tuntuɓar NCI, a 1-800-4-CANCER (1-800-422-6237).
Izinin Amfani da Wannan Takaitaccen bayani
alamar kasuwanci ce mai rijista. Ana iya amfani da abubuwan cikin takaddun kyauta azaman rubutu. Ba za a iya gano shi azaman bayanin bayanin cutar kansa na NCI ba sai dai idan an nuna duka taƙaitaccen kuma ana sabunta shi akai-akai. Koyaya, za a ba wa mai amfani damar rubuta jumla kamar “taƙaitaccen bayani game da cutar kansa na na NCI game da rigakafin cutar sankarar mama yana faɗar da haɗarin ta wannan hanyar: [hada da taƙaitaccen bayanin).”
Hanya mafi kyau don faɗi wannan taƙaitawar ita ce:
Ana amfani da hotuna a cikin wannan taƙaitawar tare da izinin marubucin (s), mai zane, da / ko mawallafin don amfani a cikin taƙaitawar kawai. Idan kuna son amfani da hoto daga taƙaitaccen bayanin kuma baku amfani da taƙaitawar duka, dole ne ku sami izini daga mai shi. Ba za a iya ba shi ta Cibiyar Cancer ta .asa ba. Bayani game da amfani da hotunan a cikin wannan taƙaitaccen bayani, tare da sauran hotunan da yawa da suka shafi ciwon daji ana iya samun su a cikin Visuals Online. Visuals Online tarin hotuna ne sama da 3,000 na kimiyya.
Bayanin doka
Ba za a yi amfani da bayanin a cikin waɗannan taƙaitawar don yanke shawara game da sake biyan inshora ba. Ana samun ƙarin bayani kan ɗaukar inshora akan Cancer.gov akan Manajan Kula da Cancer page.
Saduwa da Mu
Za a iya samun ƙarin bayani game da tuntuɓarmu ko karɓar taimako tare da gidan yanar gizon Cancer.gov akan Shafin Tuntube Mu don Taimako. Hakanan ana iya gabatar da tambayoyi ga Cancer.gov ta hanyar E-mail ɗin Mu na gidan yanar gizon
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