Nau'o'in / ovarian / haƙuri / ovarian-epithelial-treatment-pdq

Ovarian Epithelial, Fallopian Tube, da Primary Peritoneal Cancer Version

Janar Bayani Game da Ovarian Epithelial, Fallopian Tube, da Primary Peritoneal Cancer

MAGANAN MAGANA

• Cutar sankarar mahaifa, cutar sankaran mahaifa, da kansar peritoneal na farko sune cututtuka wanda ƙwayoyin cuta masu kamari (cancer) ke kasancewa a cikin kayan jikinsu wanda ke rufe ƙwan ciki ko rufin bututun fallopian ko peritoneum.

• Cutar sankarar mahaifa, cutar sankarar mahaifa, da cutar sankara ta farko a cikin nau'in nama kuma ana bi da su iri ɗaya.

• Matan da ke da tarihin iyali na cutar sankarar jakar kwai suna cikin haɗarin kamuwa da cutar sankarar jakar kwai.

• Wasu cututtukan ovaries, bututun mahaifa, da ƙananan cututtukan cikin jiki suna haifar da maye gurbi na gado (canje-canje).

• Mata da ke da haɗarin cutar sankarar kwan mace na iya yin la'akari da tiyata don rage haɗarin.

• Alamomi da alamomi na kwayayen kwan mace, ko cikin mahaifa, ko kuma kansar mafitsara sun hada da ciwo ko kumburin ciki.

• Ana amfani da gwaje-gwajen da ke bincikar kwayayen da ke cikin kwalliya don gano (gano), gano asali, da kuma yin kwai a jikin mahaifa, bututun fallopian, da kuma sankara.

• Wasu dalilai suna shafar zaɓuɓɓukan magani da hangen nesa (damar dawowa).

Cutar sankarar mahaifa, cutar sankaran mahaifa, da kansar peritoneal na farko sune cututtuka wanda ƙwayoyin cuta masu kamari (cancer) ke kasancewa a cikin kayan jikinsu wanda ke rufe ƙwan ciki ko rufin bututun fallopian ko peritoneum.

Ovaries wasu gabobi ne guda biyu a cikin tsarin haihuwar mace. Suna cikin ƙashin ƙugu, ɗaya a kowane gefen mahaifa (rami, ɓangaren jikin pear inda ɗan tayi ya girma). Kowane kwayayen kwatankwacin girman almond. Ovaries suna yin ƙwai da homonan mata (sunadarai masu kula da yadda wasu ƙwayoyin halitta ko sassan jikin suke aiki).

Falan bututun fallopia wasu dogaye ne, siriri, ɗayan a kowane gefen mahaifa. Qwai na bi daga ovaries, ta cikin bututun mahaifa, zuwa mahaifa. Ciwon kansa wani lokaci yakan fara ne a ƙarshen bututun mahaifa a kusa da ƙwai sannan ya bazu zuwa ƙwan.

Peritoneum shine nama wanda yake layin bangon ciki kuma ya rufe gabobin ciki. Cutar sankarar jiki ta farko ita ce kansar da ke samuwa a cikin ramin kuma ba ta yaduwa daga can ba daga wani sashin jiki. Ciwon kansa wani lokacin yakan fara a cikin rami sannan ya bazu zuwa ƙwai.

Anatomy na tsarin haihuwa na mata. Gabobin da ke cikin tsarin haihuwar mace sun hada da mahaifa, ovaries, fallopian tubes, cervix, da kuma farji. Mahaifa yana da murfin murfin waje wanda ake kira myometrium da kuma rufin ciki wanda ake kira endometrium.

Cutar sankarar jakar kwai irin ta daji ce wacce ke shafar kwan mace. Duba taƙaitattun magungunan masu zuwa don bayani game da wasu nau'ikan ciwan ƙwayar mace:

• Ovarian Germ Kwayoyin Halitta

• Vananan umananan Owayar Tashin Ovarian

• Cancers na Musamman na Kula da Yara (cutar sankarar jakar kwai a cikin yara)

Cutar sankarar mahaifa, cutar sankarar mahaifa, da cutar sankara ta farko a cikin nau'in nama kuma ana bi da su iri ɗaya.

Matan da ke da tarihin iyali na cutar sankarar jakar kwai suna cikin haɗarin kamuwa da cutar sankarar jakar kwai.

Duk wani abu da zai kara muku damar kamuwa da cuta to ana kiransa 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 iya fuskantar haɗarin cutar sankarar jakar kwai.

Abubuwan haɗarin haɗarin cutar sankarar kwan mace sun haɗa da masu zuwa:

• Tarihin iyali na cutar sankarar jakar kwai a cikin dangi na digiri na farko (uwa, diya, ko 'yar'uwarta).

• Canje-canjen gado a cikin kwayoyin BRCA1 ko BRCA2.

• Sauran yanayin gado, kamar su cututtukan sankara ba tare da gado ba (HNPCC; ana kuma kiranta ciwon Lynch).

• Ciwon mara.

• Magungunan hawan postmenopausal.

• Kiba

• Tsawon tsayi

Yawan tsufa shine babban haɗarin haɗari ga yawancin cutar kansa. Samun damar kamuwa da cutar kansa yana ƙaruwa yayin da kuka tsufa.

Wasu cututtukan ovaries, bututun mahaifa, da ƙananan cututtukan cikin jiki suna haifar da maye gurbi na gado (canje-canje).

Kwayoyin halittar da ke cikin kwayoyin halitta suna dauke da bayanan gado da ake samu daga iyayen mutum. Cutar sankarar kwan mace da ke gado ta kai kusan kashi 20 cikin 100 na duk cututtukan da suka shafi cutar sankarar jakar kwai. Akwai hanyoyi guda uku masu gado: cutar sankarar jakar kwai kadai, cutar sankarar kwan mace da ta nono, da cutar sankarar kwan mace da ta hanji.

Hakanan cutar sankarar bututun Fallopian da kansar hanji kuma na iya haifar da wasu maye gurbi na gado.

Akwai gwaje-gwajen da zasu iya gano maye gurbi. Waɗannan gwaje-gwajen kwayoyin ana yin su ne a wasu lokuta ga membobin iyalai masu haɗarin cutar kansa. Duba taƙaitawar mai zuwa don ƙarin bayani:

• Ovarian, Fallopian Tube, da Rigakafin Ciwon cerancin Farko

• Genetics na nono da cututtukan mata (don ƙwararrun kiwon lafiya)

Mata da ke da haɗarin cutar sankarar kwan mace na iya yin la'akari da tiyata don rage haɗarin.

Wasu matan da ke da haɗarin kamuwa da cutar sankarar jakar kwai na iya zaɓar samun raɗaɗin haɗarin oophorectomy (cire ƙwayoyin ƙwai masu lafiya don cutar kansa ba za ta iya girma a cikinsu ba). A cikin mata masu haɗarin gaske, wannan aikin an nuna ya rage haɗarin cutar sankarar jakar kwai. (Duba taƙaitaccen bayanin akan Ovarian, Fallopian Tube, da kuma Rigakafin Ciwon cerancin Firamare don ƙarin bayani.)

Alamomi da alamomi na kwayayen kwan mace, ko cikin mahaifa, ko kuma kansar mafitsara sun hada da ciwo ko kumburin ciki.

Ovaria, bututun mahaifa, ko kansar rashi na iya haifar da alamun farko. Lokacin da alamu ko alamomi suka bayyana, cutar kansar tana ci gaba sosai. Alamomi da cututtuka na iya haɗa da mai zuwa:

• Jin zafi, kumburi, ko jin matsin lamba a cikin ciki ko ƙashin ƙugu.

• Zubar jini na farji mai nauyi ko mara tsari, musamman bayan gama al'ada.

• Fitarwar farji mai haske, fari, ko launi mai jini.

• Wani dunkule a yankin pelvic.

• Matsalolin ciki, kamar gas, kumburin ciki, ko maƙarƙashiya.

Wadannan alamomi da alamomin na iya haifar da wasu yanayi ba ta hanyar kwayayen kwan mace ba, ko ta tarko, ko kuma sankara. Idan alamu ko alamomin suka tsananta ko kuma basu tafi da kansu ba, sai a duba likitanka domin a gano duk wata matsala a magance ta da wuri-wuri.

Ana amfani da gwaje-gwajen da ke bincikar kwayayen da ke cikin kwalliya don gano (gano), gano asali, da kuma yin kwai a jikin mahaifa, bututun fallopian, da kuma sankara.

Za a iya amfani da gwaje-gwaje da hanyoyin da za a iya amfani da su don ganowa, gano asali, da kuma matakin kwai, fallopian tube, da kuma cutar sankara:

• 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.

Jarrabawar Pelvic. Likita ko nas suna shigar da yatsun hannu ɗaya ko biyu, safofin hannu na hannu a cikin farjin kuma ɗayan hannun yana danna ƙananan ciki. Ana yin wannan don jin girman, sura, da matsayin mahaifa da kwai. Haka nan farjin, mahaifa, bututun mahaifa, da dubura suma ana duba su.

• CA 125 gwaji: Gwajin da ke auna matakin CA 125 a cikin jini. CA 125 wani abu ne da ƙwayoyin halitta suka saki zuwa cikin jini. CAara matakin CA 125 na iya zama alamar cutar kansa ko wani yanayin kamar endometriosis.

• Gwajin duban dan tayi: Hanya ce wacce ake fitar da igiyar ruwa mai karfi (duban dan tayi) daga kyallen ciki ko gabobin ciki, kuma suna yin kuwwa. Eararrawa ta haifar da hoton kayan jikin da ake kira sonogram. Ana iya buga hoton don a kalleshi daga baya.

Ciki duban dan tayi. Ana wucewa da na'urar daukar hoto ta dan tayi ta hanyar komputa a saman ciki. Mai fassarar dan tayi tayi amfani da raƙuman ruwa daga gabobin ciki da kyallen takarda don yin kuwwa wanda ya samar da sonogram (hoton kwamfuta).

Wasu marasa lafiya na iya samun duban dan tayi.

Transvaginal duban dan tayi. An saka na'urar duban dan tayi wanda aka hada ta da kwamfuta a cikin farji kuma a hankali ana motsa shi don nuna gabobi daban-daban. Binciken yana haifar da raƙuman sauti daga gabobin ciki da kyallen takarda don yin amo wanda ya samar da sonogram (hoton kwamfuta).

• 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.

• PET scan (positron emission tomography scan): Hanya ce don gano ƙwayoyin cuta masu illa a jiki. Ana shigar da ƙaramin ƙaramin ƙwayar glucose (sukari) a cikin jijiya. Na'urar daukar hoton PET tana juyawa a jiki kuma tana yin hoto inda ake amfani da glucose a jiki. Kwayoyin cuta masu illa suna nuna haske a hoton saboda suna aiki kuma suna ɗaukar glucose fiye da ƙwayoyin al'ada.

• MRI (hoton maganadisu ): Hanya ce wacce ke amfani da maganadisu, raƙuman rediyo, da kuma kwamfuta don yin jerin hotuna dalla-dalla na wurare a cikin jiki. Wannan hanya ana kiranta kuma ana kiranta hoton maganadisu na maganadisu (NMRI).

• Kirjin x-ray: X-ray na gabobin da kasusuwa a cikin kirji. X-ray wani irin katako ne na katako wanda zai iya ratsa jiki zuwa fim, yana yin hoton wurare a cikin jiki.

• Biopsy: Cirewar ƙwayoyin halitta ko kyallen takarda don a iya kallon su ta hanyar microscope ta hanyar masanin ilimin ɗan adam don bincika alamun kansar. Naman yawanci ana cire shi yayin aikin tiyata don cire kumburin.

• Wasu dalilai suna shafar zaɓuɓɓukan magani da hangen nesa (damar dawowa).

Halin hangen nesa (damar dawowa) da zaɓuɓɓukan magani sun dogara da masu zuwa:

• Nau'in cutar sankarar jakar kwai da yawan cutar kansa.

• Mataki da darajan cutar kansa.

• Ko mai haƙuri yana da ƙarin ruwa a ciki wanda ke haifar da kumburi.

• Ko za a iya cire duk ƙwayar cutar ta hanyar tiyata.

• Ko akwai canje-canje a cikin kwayoyin BRCA1 ko BRCA2.

• Mai haƙuri da shekaru da kuma general kiwon lafiya.

• Ko dai an gano cutar kansa ko kuma ta sake dawowa (dawo).

Matakai na Ovarian Epithelial, Fallopian Tube, da Primary Peritoneal Cancer

MAGANAN MAGANA

• Bayan an gano kwayar kwai, ta mahaifa, ko kansar bayan gida, ana yin gwaje-gwaje don gano ko kwayoyin cutar kansa sun bazu a cikin kwayayen ko kuma zuwa wasu sassan jiki.

• Akwai hanyoyi uku da kansar ke yaduwa a jiki.

• Ciwon daji na iya yaduwa daga inda ya fara zuwa sauran sassan jiki.

• Ana amfani da matakai masu zuwa don epithelial na ovarian, fallopian tube, da kuma cutar sankara ta farko:

• Mataki Na

• Mataki na II

• Mataki na III

• Mataki na IV

• An haɗu da epithelial na ovarian, bututun fallopian, da ƙananan cututtukan cikin gida don magani azaman farkon ko cutar kansa.

Bayan an gano kwayar kwai, ta mahaifa, ko kansar bayan gida, ana yin gwaje-gwaje don gano ko kwayoyin cutar kansa sun bazu a cikin kwayayen ko kuma zuwa wasu sassan jiki.

Hanyar da ake amfani da ita don gano ko cutar kansa ta bazu a cikin gaɓa ko zuwa wasu sassan jiki ana kiranta staging. Bayanin da aka tattara daga tsarin daukar matakan tantance matakin cutar. Yana da mahimmanci a san matakin don shirya magani. Sakamakon gwaje-gwajen da aka yi amfani da su don gano kansar galibi ana amfani da shi don ƙaddamar da cutar. (Dubi Babban Bayanin Bayani don gwaje-gwaje da hanyoyin da aka yi amfani dasu don tantancewa da aiwatar da kwayayen mahaifa, bututun mahaifa, da cutar sankara.)

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 kwayar cutar sankarar mahaifa ta bazu zuwa huhu, ƙwayoyin kansar da ke cikin huhun a zahiri sune ƙwayoyin cutar kansa na ƙwai. Cutar ita ce cututtukan daji na kwayar halitta, ba kansar huhu ba.

Ana amfani da matakai masu zuwa don epithelial na ovarian, fallopian tube, da kuma cutar sankara ta farko:

Mataki Na

A cikin mataki na IA, ana samun kansar a cikin ƙwayar kwaya ɗaya ko ta ɓarna. A mataki na IB, ana samun kansa a cikin ƙwayayen ovaries ko na fallopian tubes. A cikin mataki na IC, ana samun kansar a cikin ɗayan ko duka biyu na kwayayen mahaifa ko kuma fallopian tubes kuma ɗayan waɗannan masu zuwa gaskiya ne: (a) kwantena (murfin waje) na ƙwai ya fashe, (b) ana kuma samun ciwon daji a saman waje na daya ko duka ovaries ko tublop fallopian, ko (c) kwayoyin kansar ana samunsu a cikin pelit peritoneum.

A mataki na I, ana samun cutar kansa a ɗayan ɗayan biyu ko duka biyu na kwayayen mahaifa. Stage I ya kasu kashi-kashi IA, stage IB, and stage IC.

• Mataki na IA: Ana samun sankara a cikin kwaya ɗaya ko ta mahaifa.

• Stage IB: Ana samun sankara a cikin duka kwayayen ko na mahaifa.

• Mataki na IC: Ana samun ciwon daji a cikin ɗayan ko duka biyu na kwayayen mahaifa ko fallopian tubes kuma ɗayan masu zuwa gaskiya ne:

• Ana kuma samun ciwon daji a saman farfajiyar ovaries ko ta mahaifa; ko

• kwantena (murfin waje) na fashewar kwan kwan (ya buɗe) kafin ko yayin tiyata; ko

• ana samun kwayoyin cutar daji a cikin ruwan kogon jikin mutum (ramin jikin da ke dauke da mafi yawan gabobin cikin ciki) ko kuma a wajen wankan kogon (kayan da ke rufin kogon).

Mataki na II

A mataki na IIA, ana samun ciwon daji a ɗayan ɗayan biyu ko biyu na mahaifa kuma ya bazu zuwa mahaifa da / ko fallopian tubes da / ko kwayayen. A mataki na IIB, ana samun ciwon daji a ɗayan ɗayan biyu ko biyu na mahaifa ko fallopian tubes kuma ya bazu zuwa cikin hanji. A cikin cututtukan cikin gida na farko, ana samun ciwon daji a cikin ƙashin ƙugu kuma bai bazu daga can ba daga wani ɓangaren jiki.

A mataki na II, ana samun kansar a cikin ɗayan ko duka biyu na kwayayen mahaifa ko fallopian tubes kuma ya bazu zuwa wasu yankuna na ƙashin ƙugu, ko kuma ana samun cutar kansa ta cikin ƙashin ƙugu. Matakan II na kwayar halittar mace da na mahaifa ta kasu kashi biyu zuwa kashi na IIA da na IIB.

• Mataki na IIA: Ciwon daji ya bazu daga inda ya fara samuwa zuwa mahaifa da / ko fallopian tubes da / ko ovaries.

• Mataki na IIB: Ciwon daji ya yaɗu daga kwayayen oval ko fallopian zuwa ga gabobi a cikin ramin kogin (sararin da ke ƙunshe da gabobin ciki).

Ana auna girman girman tumo a santimita (cm) ko inci. Kayan abinci na yau da kullun waɗanda za'a iya amfani dasu don nuna girman ƙari a cm sun haɗa da: pea (cm 1), gyada (2 cm), innabi (3 cm), gyada (4 cm), lemun tsami (5 cm ko 2 inci), kwai (6 cm), peach (7 cm), da ɗan itacen inabi (inci 10 ko inci 4).

Mataki na III

A mataki na III, ana samun cutar kansa a ɗayan ɗayan ko duka biyu na kwayayen mahaifa, ko kuma ita ce cutar daji ta farko, kuma ta bazu a ƙashin ƙashin ƙugu zuwa wasu ɓangarorin ciki da / ko zuwa lymph nodes. Mataki na III ya kasu kashi biyu zuwa mataki na IIIA, mataki na IIIB, da kuma mataki na IIIC.

• A cikin mataki na IIIA, ɗayan masu zuwa gaskiya ne:

• Ciwon daji ya yadu zuwa ƙwayoyin lymph a cikin yankin waje ko bayan peritoneum kawai; ko

• Kwayoyin cutar daji da za'a iya gani kawai tare da madubin hangen nesa sun bazu zuwa saman peritoneum a wajen ƙashin ƙugu. Cancer na iya yaduwa zuwa ƙwayoyin lymph na kusa.

A cikin mataki na IIIA, ana samun kansar a cikin ɗayan ko duka biyu na kwayayen mahaifa ko kuma fallopian tubes kuma (a) ciwon daji ya bazu zuwa ƙwayoyin lymph a cikin yankin waje ko bayan peritoneum kawai, ko (b) ƙwayoyin kansar da za a iya gani kawai tare da microscope yada zuwa omentum. Cancer na iya yaduwa zuwa ƙwayoyin lymph na kusa.

• Mataki na IIIB: Ciwon daji ya bazu zuwa cikin kogin da ke wajen ƙashin ƙugu kuma ciwon daji a cikin ramin ya fi santimita 2 ko ƙarami. Ciwon daji na iya yaduwa zuwa ƙwayoyin lymph a bayan peritoneum.

A cikin mataki na IIIB, ana samun kansar a cikin ɗayan ko duka biyu na kwayayen mahaifa ko fallopian tubes kuma ya bazu zuwa omentum, kuma cutar kansa a cikin omentum tana da inci 2 ko ƙarami. Ciwon daji na iya yaduwa zuwa ƙwayoyin lymph a bayan peritoneum.

• Mataki na IIIC: Ciwon daji ya bazu zuwa cikin kogin da ke wajen ƙashin ƙugu kuma ciwon daji a cikin ramin ya fi santimita 2 girma. Ciwon daji na iya yaduwa zuwa ƙwayoyin lymph a bayan peritoneum ko zuwa saman hanta ko baƙin ciki.

A cikin mataki na IIIC, ana samun cutar kansa a ɗayan ɗayan ko duka biyu na kwayayen mahaifa kuma ya bazu zuwa omentum, kuma cutar kansa a cikin omentum ta fi girma fiye da santimita 2. Ciwon daji na iya yaduwa zuwa ƙwayoyin lymph a bayan peritoneum ko zuwa saman hanta ko baƙin ciki.

Mataki na IV

A mataki na huɗu, cutar daji ta bazu zuwa cikin ciki zuwa wasu sassan jiki. A cikin mataki na IVA, ana samun ƙwayoyin kansa a cikin ƙarin ruwa wanda ke tarawa a cikin huhu. A cikin mataki na IVB, ciwon daji ya bazu zuwa gaɓoɓi da kyallen takarda a wajen ciki, gami da huhu, hanta, ƙashi, da lymph nodes a cikin makwancin gwaiwa.

A mataki na huɗu, cutar daji ta bazu zuwa cikin ciki zuwa wasu sassan jiki. An rarraba mataki na IV zuwa mataki na IVA da mataki na IVB.

• Mataki na IVA: Ana samun ƙwayoyin sankara a cikin ƙarin ruwa wanda ke tarawa a cikin huhu.

• Mataki na IVB: Ciwon daji ya bazu zuwa gaɓoɓi da kyallen takarda a wajen ciki, gami da ƙwayoyin lymph a cikin makwancin ciki.

An haɗu da epithelial na ovarian, bututun fallopian, da ƙananan cututtukan cikin gida don magani azaman farkon ko cutar kansa.

Mataki na I ovarian epithelial da cututtukan bututu fallopian ana kula dasu kamar farkon cutar kansa.

Matakai na II, III, da na epithelial na ovarian, fallopian tube, da ƙananan cututtukan cututtukan fata ana kula dasu azaman cututtukan ci gaba.

Maimaitawa ko Ci gaba na Ovarian Epithelial, Fallopian Tube, da Primary Peritoneal Cancer

Sake dawo da cutar sankarar mahaifa, cutar sankarar mahaifa, ko cutar daji ta farko ita ce cutar daji da ta sake dawowa (bayan dawowa) bayan an warke ta. Ciwon daji na yau da kullun shine cutar kansa wanda baya barin magani.

Bayanin Zaɓin Jiyya

MAGANAN MAGANA

• Akwai nau'ikan magani daban-daban ga marasa lafiya da ke fama da cutar sankarar jakar kwai.

• Ana amfani da nau'i uku na daidaitaccen magani.

• Tiyata

• Chemotherapy

• Ciwon da aka yi niyya

• Ana gwada sababbin nau'ikan magani a gwajin asibiti.

• Radiation far

• Immunotherapy

• Jiyya ga epithelial na kwayayen ciki, fallopian tube, da kuma cutar sankara na farko 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 daban-daban ga marasa lafiya da ke fama da cutar sankarar jakar kwai.

Akwai nau'ikan magani daban-daban ga marasa lafiya da ke fama da cutar sankarar jakar kwai. Wasu jiyya suna daidaitacce, kuma wasu ana gwada su a 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 gwajin asibiti ya nuna cewa sabon magani ya fi magani wanda a yanzu ake amfani dashi azaman magani na yau da kullun, sabon magani na iya zama daidaitaccen magani. Marasa lafiya tare da kowane mataki na cutar sankarar jakar kwai na iya son yin tunani game da shiga cikin gwajin asibiti. Wasu gwaji na asibiti ana buɗe su ne kawai ga marasa lafiyar da basu fara magani ba.

Ana amfani da nau'i uku na daidaitaccen magani.

Tiyata

Yawancin marasa lafiya suna da tiyata don cire mafi yawan kumburi kamar yadda zai yiwu. Daban-daban na tiyata na iya haɗawa da:

• Hysterectomy: Tiyata don cire mahaifa da, wani lokacin, mahaifar mahaifa. Lokacin da mahaifar kawai aka cire, ana kiranta da juzu'in mahaifa. Lokacin da aka cire mahaifa da mahaifar mahaifa, ana kiranta da cikakkiyar 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.

Ciwon mahaifa. Ana cire mahaifar ta hanyar fida tare da ko ba tare da sauran gabobi ko kyallen takarda ba. A cikin duka aikin cirewar mahaifa, an cire mahaifa da mahaifar mahaifa. A cikin duka cysterectomy tare da salpingo-oophorectomy, (a) an cire mahaifa da daya (unilateral) ovary da fallopian tube; ko (b) mahaifa da duka biyun (biyun) ovaries da fallopian tubes an cire su. A cikin tsattsauran mahaifa, mahaifa, mahaifar mahaifa, duka kwai, duka biyun fallopian, da kayan dake kusa. Ana aiwatar da waɗannan hanyoyin ta amfani da raunin ƙananan ƙyama ko ragi a tsaye.

• Tsarin salpingo-oophorectomy na musamman: Tsarin tiyata ne don cire kwaya daya da mahaifa daya.

• Bilaping na salpingo-oophorectomy: Tsarin tiyata ne don cire duka kwayayen biyu da duka biyun fallopian.

• Omentectomy: Tsarin tiyata don cire omentum (nama a cikin peritoneum wanda ya ƙunshi jijiyoyin jini, jijiyoyi, lymph, da lymph nodes).

• Lymph node biopsy: Cire duka ko ɓangaren kumburin lymph. Kwararren likitan kwalliya yana kallon narkar da kwayar lymph a karkashin madubin likita don duba kwayoyin cutar kansa.

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.

Wani nau'ikan maganin yankin da ake amfani da shi don magance cutar sankarar jakar kwai shine intraperitoneal (IP). A cikin IP chemotherapy, ana ɗaukar magungunan antiancer kai tsaye zuwa cikin ramin kogin (sararin da ke ƙunshe da gabobin ciki) ta cikin bakin ciki.

Hyperthermic intraperitoneal chemotherapy (HIPEC) magani ne da ake amfani dashi yayin aikin tiyata wanda ake nazarin kansar mahaifa. Bayan likita mai fiɗa ya cire abin da ke cikin kumburi kamar yadda ya kamata, ana aika dimi da jiyyar cutar kai tsaye zuwa cikin ramin kogin.

Jiyya tare da magani fiye da ɗaya na maganin sankarau ana kiransa hadewar ƙwayar cuta.

Hanyar da ake ba da cutar sankara ta dogara da nau'in da matakin cutar kansa.

Dubi Magungunan da aka Amince da Ovarian, Fallopian Tube, ko Primary Peritoneal Cancer don ƙarin bayani.

Ciwon da aka yi niyya

Targeted therapy wani nau'in magani ne wanda yake amfani da magunguna ko wasu abubuwa don ganowa da afkawa takamaiman ƙwayoyin cutar kansa ba tare da cutar ƙwayoyin halitta ba.

Magungunan rigakafi na Monoclonal wani nau'in magani ne da aka yi niyya wanda ke amfani da kwayar cutar da aka yi a cikin dakin gwaje-gwaje, daga nau'in kwayar halitta guda ɗaya. Wadannan kwayoyin cuta na jikin mutum na iya gano abubuwan da ke jikin kwayoyin cutar kansar ko kuma wasu abubuwa na yau da kullun wadanda zasu iya taimakawa kwayoyin cutar kansa. Kwayoyin rigakafin suna haɗuwa da abubuwan kuma suna kashe ƙwayoyin cutar kansa, toshe haɓakar su, ko kiyaye su daga yaɗuwa. Ana ba da ƙwayoyin cuta na Monoclonal ta hanyar jiko. Ana iya amfani da su su kaɗai ko ɗaukar ƙwayoyi, gubobi, ko kayan aikin rediyo kai tsaye zuwa ƙwayoyin kansa.

Bevacizumab magani ne na monoclonal wanda za'a iya amfani dashi tare da chemotherapy don magance cutar sankarar mahaifa, cutar sankarar mahaifa, ko cutar sankara ta farko wacce ta sake dawowa (dawo).

Poly (ADP-ribose) masu hana polymerase (masu hana PARP) su ne magungunan maganin da aka yi niyya wanda ke toshe DNA kuma zai iya sa ƙwayoyin kansar su mutu. Olaparib, rucaparib, da niraparib sune masu hanawa na PARP wanda za'a iya amfani dasu don magance ciwan daji na gaba. Hakanan ana iya amfani da Rucaparib don maganin ci gaba don magance cutar sankarar mahaifa, cutar sankarar mahaifa, ko cutar sankara ta farko wacce ta sake dawowa. Veliparib shine mai hana PARP wanda ake nazarin sa don magance ci gaban cutar sankarar jakar kwai.

Magungunan maganin angiogenesis sune magungunan ƙwayoyi waɗanda zasu iya hana haɓakar sabbin jijiyoyin jini waɗanda ciwace-ciwacen daji ke buƙatar girma kuma na iya kashe ƙwayoyin kansa. Cediranib shine mai hana angiogenesis wanda ake nazarinsa a cikin maganin sankarar jakar kwai.

Dubi Magungunan da aka Amince da Ovarian, Fallopian Tube, ko Primary Peritoneal Cancer don ƙarin bayani.

Ana gwada sababbin nau'ikan magani a gwajin asibiti.

Wannan ɓangaren taƙaitaccen bayani yana bayanin jiyya waɗanda ake nazarin su a gwajin asibiti. Yana iya ba ambaci kowane sabon magani ana nazarin. Ana samun bayani game da gwaji na asibiti daga gidan yanar gizon NCI.

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. Wasu mata suna karɓar magani da ake kira intraperitoneal radiation therapy, wanda ake saka ruwan rediyo a ciki kai tsaye ta cikin catheter. Ana nazarin ilimin cututtukan radiation na Intraperitoneal don magance ci gaba da ciwon sankarar ovarian mace.

Immunotherapy

Immunotherapy magani ne wanda ke amfani da garkuwar jikin mara lafiya don yaƙar kansa. Abubuwan da jiki ya yi ko aka yi a dakin gwaje-gwaje ana amfani da su don haɓaka, kai tsaye, ko maido da kariya ta jiki daga cutar kansa. Wannan nau'in maganin cutar kansa ana kiransa biotherapy ko immunotherapy.

Maganin riga-kafi magani ne na ciwon daji wanda ke amfani da wani abu ko rukuni na abubuwa don haɓaka ƙwayoyin cuta don gano ƙwayar cuta da kashe shi. Ana nazarin maganin alurar riga kafi don magance ciwon daji na ƙwarjin ƙwai.

Jiyya ga epithelial na kwayayen ciki, fallopian tube, da kuma cutar sankara na farko 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.

Zaɓuɓɓukan Jiyya ta Mataki

A Wannan Sashin

• Farkon Ovarian Epithelial da Fallopian Cancer

• Ci gaba na Epithelial na Ovarian, Fallopian Tube, da kuma Ciwon Magunguna na Farko

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Farkon Ovarian Epithelial da Fallopian Cancer

Jiyya na farkon cutar sankarar mahaifa ko cutar sankarar mahaifa na iya haɗa da masu zuwa:

• Hysterectomy, salpingo-oophorectomy, da octectomy. Ana cire ƙwayoyin Lymph da sauran kyallen takarda a ƙashin ƙugu da cikin kuma ana bincika su ta ƙarƙashin microscope don ƙwayoyin kansa. Ana iya ba da magani don yin magani bayan tiyata.

• Za a iya yin salpingo-oophorectomy na musamman a cikin wasu mata da ke son haihuwa. Ana iya ba da magani don yin magani bayan tiyata.

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.

Ci gaba na Epithelial na Ovarian, Fallopian Tube, da kuma Ciwon Magunguna na Farko

Jiyya na ci gaba da cutar sankarar mahaifa, cutar sankarar mahaifa, ko ƙananan cututtukan daji na iya haɗa da masu zuwa:

• Hysterectomy, salpingo-oophorectomy, da octectomy. Ana cire ƙwayoyin Lymph da sauran kyallen takarda a ƙashin ƙugu da cikin kuma ana bincika su ta ƙarƙashin microscope don neman ƙwayoyin kansa. Yin tiyata yana biye da ɗayan masu zuwa:

• Ciwon jiyyar cutar sankara.

• Intraperitoneal jiyyar cutar sankara.

• Chemotherapy da farfado da niyya (bevacizumab).

• Chemotherapy da farfado da niyya tare da mai hana polyme (ADP-ribose) polymerase (PARP).

• Chemotherapy ya biyo baya ta tiyata (mai yuwuwa bi ta hanyar intraperitoneal chemotherapy).

• Chemotherapy kadai ga marasa lafiya waɗanda ba za su iya yin tiyata ba.

• Gwajin gwaji na maganin farfadowa tare da mai hana mai PARP (olaparib, rucaparib, niraparib, ko veliparib).

• Gwajin gwaji na maganin cutar sankara a cikin jiki (HIPEC) yayin aikin tiyata.

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.

Zaɓuɓɓukan Jiyya don Maimaitawa ko Ci gaba na Ovarian Epithelial, Fallopian Tube, da Primary Peritoneal Cancer

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Jiyya na cututtukan cututtukan mahaifa na mace-mace, cutar sankarar mahaifa, ko cutar sankara ta farko na iya haɗawa da masu zuwa:

• Chemotherapy ta amfani da guda ɗaya ko fiye da magungunan ciwon daji.

• Farwa da aka yi niyya tare da mai hana polyme (ADP-ribose) polymerase (PARP) (olaparib, rucaparib, niraparib, ko cediranib) tare da ko ba tare da ilimin kimiya ba.

• Chemotherapy da / ko niyya far (bevacizumab).

• Gwajin gwaji na maganin cutar sankara a cikin jiki (HIPEC) yayin aikin tiyata.

• Gwajin gwaji na sabon magani.

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 Epithelial na Ovarian, Fallopian Tube, da Ciwon ceran Ciki

Don ƙarin bayani daga Cibiyar Cancer ta aboutasa game da epithelial na kwayayen haihuwa, bututun mahaifa, da kuma cutar sankara ta farko, duba mai zuwa:

• Ovarian, Fallopian Tube, da Gidan Shafin Farko na Ciwon Cancer

• Ovarian, Fallopian Tube, da Rigakafin Ciwon cerancin Farko

• Ovarian, Fallopian Tube, da kuma Kula da Ciwon Kanjamau na Farko

• Cancers na Musamman na Kula da Yara

• Magunguna da aka Amince da Ovarian, Fallopian Tube, ko Primary Peritoneal Cancer

• Magungunan Ciwon Cutar da Aka Yi niyya

• BRCA maye gurbi: Hadarin Ciwon daji da Gwajin Halitta

• Gwajin Halitta don Ciwon Cutar Cancer na Cancer

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