Types/uterine/patient/endometrial-treatment-pdq

Maganin Ciwon Endometrial (®) –Patient Version

Janar Bayani Game da Ciwon Kanjamau

MAGANAN MAGANA

• Ciwon mara na ƙarshe shine cuta wanda ƙwayoyin cuta masu ɓarna (kansar) suke samuwa a cikin ƙyauren endometrium.

• Kiba da ciwon ciwo na rayuwa na iya ƙara haɗarin cutar kansa ta endometrial.

• Shan tamoxifen don cutar sankarar mama ko shan estrogen shi kadai (ba tare da progesterone ba) na iya kara barazanar kamuwa da cutar kansa ta endometrial.

• Alamomi da alamomin cutar kansa ta endometrial sun hada da zubar jini mara farji mara zafi ko kuma jin zafi a kumatu.

• Ana amfani da gwaje-gwajen da ke nazarin endometrium don ganowa (gano) da kuma gano kansar endometrial.

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

Ciwon mara na ƙarshe shine cuta wanda ƙwayoyin cuta masu ɓarna (kansar) suke samuwa a cikin ƙyauren endometrium.

Endometrium shine rufin mahaifa, rami, sashin gaɓoɓi a ƙashin mace. Mahaifa shine inda tayi tayi girma. A cikin yawancin matan da ba su yi ciki ba, tsawon mahaifa ya kai inci 3. ,Arshen, ƙarshen ƙarshen mahaifa shine wuyan mahaifa, wanda ke haifar da farji.

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.

Cancer na endometrium ya bambanta da cutar kansa na tsokar mahaifa, wanda ake kira sarcoma na mahaifar. Dubi taƙaitaccen akan Maganin Sarcoma na Uterine don ƙarin bayani game da sarcoma mahaifa.

Kiba da ciwon ciwo na rayuwa na iya ƙara haɗarin cutar kansa ta endometrial.

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 tsammanin kuna iya fuskantar haɗarin cutar kansa ta endometrial.

Abubuwan haɗarin haɗari ga ciwon daji na endometrial sun haɗa da masu zuwa:

• Shan maganin maye gurbin hawan estrogen-kawai (HRT) bayan gama al'ada.

• Shan tamoxifen don hana ko magance cutar sankarar mama.

• Kiba

• Samun ciwo na rayuwa.

• Samun ciwon sukari na 2.

• Bayyanar kwayoyin endometrial zuwa estrogen wanda jiki yayi. Wannan na iya haifar da:

• Ba haihuwa.

• Haila tun da wuri.

• Fara fara al'ada bayan shekaru masu zuwa.

• Samun ciwon ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta.

• Samun tarihin iyali na cututtukan endometrial a cikin dangi na digiri na farko (uwa, 'yar'uwa, ko' ya mace).

• Samun wasu halaye na kwayar halitta, kamar su cutar Lynch.

• Samun hyperplasia na endometrial.

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

Shan tamoxifen don cutar sankarar mama ko shan estrogen shi kadai (ba tare da progesterone ba) na iya kara barazanar kamuwa da cutar kansa ta endometrial.

Ciwon daji na ƙarshe zai iya ci gaba a cikin marasa lafiyar kansar nono waɗanda aka kula da su tare da tamoxifen. Mai haƙuri da ke shan wannan magani kuma yana da zubar jini mara kyau ya kamata a yi ta bin diddigin sa da kuma nazarin halittun jikin mutum idan an buƙata. Mata masu shan estrogen (wani hormone wanda zai iya shafar ci gaban wasu cututtukan kansa) suma suna da haɗarin cutar kansa ta endometrial. Shan estrogen hade da progesterone (wani hormone) baya kara wa mace kasadar kamuwa da ciwon daji na endometrial.

Alamomi da alamomin cutar kansa ta endometrial sun hada da zubar jini mara farji mara zafi ko kuma jin zafi a kumatu.

Wadannan da sauran alamu da alamu na iya haifar da cutar kansa ta endometrial ko ta wasu yanayi. Duba tare da likitanka idan kuna da ɗayan masu zuwa:

• Zubar jini na farji ko fitowar maniyyi da ba shi da dangantaka da haila (lokuta).

• Zuban jini ta farji bayan gama jinin al'ada.

• Fitsara mai wuya ko zafi.

• Jin zafi yayin saduwa.

• Jin zafi a cikin yankin pelvic.

Ana amfani da gwaje-gwajen da ke nazarin endometrium don ganowa (gano) da kuma gano kansar endometrial.

Saboda ciwon daji na endometrial yana farawa a cikin mahaifar, ba kasafai yake nuna sakamakon gwajin Pap ba. A saboda wannan dalili, dole ne a cire samfurin ƙarancin mahaifa kuma a bincika shi a ƙarƙashin microscope don neman ƙwayoyin kansa. Ana iya amfani da ɗayan hanyoyin masu zuwa:

• Endometrial biopsy: Cire tsoka daga endometrium (rufin ciki na mahaifa) ta hanyar shigar da siririn bututu mai sassauci ta cikin wuyan mahaifa da cikin mahaifa. Ana amfani da bututun don shafa a hankali dan karamin nama daga endometrium sannan cire samfuran kayan. Kwararren likitan kwalliya yana kallon naman a ƙarƙashin madubin likita don neman ƙwayoyin kansa.

• Dilatation da curettage: Hanya ce don cire samfuran nama daga layin ciki na mahaifa. Mahaifa ya fadada kuma an saka magani mai magani (irin kayan cokali) a cikin mahaifa don cire nama. Ana bincika samfuran nama a ƙarƙashin madubin likita don alamun cuta. Wannan hanyar ana kiranta kuma D&C.

Ragewa da warkarwa (D da C). Ana saka takamaiman tsari a cikin farji don fadada shi don kallon bakin mahaifa (rukunin farko). Ana amfani da dilator don fadada bakin mahaifa (tsakiyar panel). Ana sanya magani a cikin mahaifa zuwa cikin mahaifa don fidda abin da bai dace ba (rukuni na ƙarshe).

• Hysteroscopy: Hanya ce don bincika cikin mahaifa don yankuna masu haɗari. Ana saka hysteroscope ta cikin farji da mahaifar mahaifa a cikin mahaifa. Hysteroscope kayan aiki ne na bakin ciki, mai kama da bututu tare da haske da ruwan tabarau don kallo. Hakanan yana iya samun kayan aiki don cire samfuran nama, waɗanda aka bincika a ƙarƙashin microscope don alamun cutar kansa.

Sauran gwaje-gwajen da hanyoyin da aka yi amfani dasu don tantance kansar endometrial sun haɗa da masu zuwa:

• 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.

• Gwajin duban dan tayi na gwaji: Hanya ce da ake amfani da ita don nazarin farji, mahaifa, tubes, da mafitsara. An saka na'urar daukar hoto ta dan tayi (bincike) a cikin farji kuma ana amfani da ita don tayar da igiyar ruwa mai karfin gaske (duban dan tayi) daga kyallen ciki ko gabobin ciki kuma yayi kuwwa. Eararrawa ta haifar da hoton kayan jikin da ake kira sonogram. Likita na iya gano kumburin ciki ta hanyar duban sonogram.

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).

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

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

• Matakin ciwon daji (ko a cikin endometrium kawai, ya shafi bangon mahaifa, ko ya bazu zuwa wasu wurare a cikin jiki).

• Yadda kwayoyin cutar kansa ke kallon karkashin madubin hangen nesa.

• Ko kwayoyin cutar kansar sun kamu da progesterone.

Yawancin lokaci ana iya warkar da cutar ta endometrial saboda yawanci ana samunta da wuri.

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

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

• Matakin ciwon daji (ko a cikin endometrium kawai, ya shafi bangon mahaifa, ko ya bazu zuwa wasu wurare a cikin jiki).

• Yadda kwayoyin cutar kansa ke kallon karkashin madubin hangen nesa.

• Ko kwayoyin cutar kansar sun kamu da progesterone.

Yawancin lokaci ana iya warkar da cutar ta endometrial saboda yawanci ana samunta da wuri.

Matakan Ciwon ndoman Adam

MAGANAN MAGANA

• Bayan an bincikar kansar endometrial, ana yin gwaje-gwaje don gano ko ƙwayoyin kansa sun bazu cikin mahaifa ko 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 ciwon daji na endometrial:

• Mataki Na

• Mataki na II

• Mataki na III

• Mataki na IV

• Cancerila za a iya haɗa kansar endometriyya don magani kamar haka:

• -Ananan haɗarin ciwon daji na endometrial

• Babban haɗarin ciwon daji na endometrial

Bayan an bincikar kansar endometrial, ana yin gwaje-gwaje don gano ko ƙwayoyin kansa sun bazu cikin mahaifa ko zuwa wasu sassan jiki.

Hanyar da ake amfani da ita don gano ko kansar ta yadu a cikin mahaifar ko kuma 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. Ana amfani da wasu gwaje-gwaje da hanyoyin aiki a cikin aikin tsayarwa. Za'a yi aikin tiyatar mahaifa (aikin da aka cire mahaifarta) yawanci don magance kansar endometrial. Ana ɗaukar samfurin nama daga yankin da ke kusa da mahaifar kuma a bincika a ƙarƙashin madubin likita don alamun kansar don taimakawa gano ko ciwon kansa ya bazu.

Za a iya amfani da waɗannan hanyoyin a cikin tsarin tsayarwa:

• 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.

• 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.

• 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 ): 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).

• PET scan (positron emission tomography scan): Hanya ce don gano ƙwayoyin cuta masu illa a jiki. An sanya ƙwayar glucose mai ƙarancin rediyo (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.

• Lymph node dissection: Tsarin aikin tiyata wanda ake cire ƙwayoyin lymph daga yankin pelvic kuma ana bincika samfurin nama a ƙarƙashin microscope don alamun kansar. Wannan hanya ana kiranta lymphadenectomy.

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 kansar endometrial ta bazu zuwa huhu, ƙwayoyin kansar da ke cikin huhun a zahiri sune ƙwayoyin kansar endometrial. Cutar ita ce kansar endometrial, ba ta huhun huhu ba.

Ana amfani da matakai masu zuwa don ciwon daji na endometrial:

Mataki Na

Mataki na IA da mataki na cutar kanjamau ta endometrial. A mataki na IA, ciwon daji yana cikin ƙarshen jiki kawai ko thanasa da rabi ta cikin myometrium (murfin ƙwayar tsohuwar mahaifa). A cikin matakin IB, ciwon daji ya bazu rabin ko fiye a cikin myometrium.

A mataki na I, ana samun kansa a cikin mahaifa kawai. An rarraba Mataki na I zuwa matakai na IA da IB, dangane da yadda cutar daji ta bazu.

• Mataki IA: Ciwon daji yana cikin ƙarshen endometrium kawai ko ƙasa da rabi ta cikin myometrium (murfin ƙwayar mahaifa).

• Mataki na IB: Ciwon daji ya bazu rabi ko ƙari a cikin myometrium.

Mataki na II

Mataki na II endometrial cancer. Ciwon daji ya yadu zuwa cikin mahaɗin mahaifa, amma bai bazu a wajen mahaifar ba.

A mataki na II, cutar sankara ta bazu cikin kayan mahaɗan mahaifa, amma bai bazu a wajen mahaifar ba.

Mataki na III

A mataki na III, cutar sankara ta bazu bayan mahaifa da mahaifar mahaifa, amma bai bazu bayan ƙashin ƙugu ba. An rarraba mataki na III zuwa matakai IIIA, IIIB, da IIIC, dangane da yadda cutar kansa ta bazu cikin ƙashin ƙugu.

• Mataki IIIA: Ciwon daji ya bazu zuwa layin mahaifar waje da / ko zuwa bututun mahaifa, ƙwai, da jijiyoyin mahaifa.

Mataki IIIA ciwon daji na endometrial. Ciwon daji ya bazu zuwa saman mahaifa da / ko zuwa cikin bututun mahaifa, ƙwai, ko jijiyoyin mahaifa.

• Mataki na IIIB: Ciwon daji ya bazu zuwa cikin farji da / ko zuwa siga (kayan haɗin kai da kitse a kusa da mahaifar).

Mataki IIIB ciwon daji na endometrial. Ciwon daji ya bazu zuwa cikin farji da / ko zuwa ga maɓuɓɓugar jini (kayan haɗin kai da kitse a kusa da mahaifar da mahaifa).

• Mataki na IIIC: Ciwon daji ya bazu zuwa ƙwayoyin lymph a ƙashin ƙugu da / ko kewayen aorta (jijiyoyin jini mafi girma a cikin jiki, wanda ke ɗaukar jini daga zuciya).

Mataki na IIIC ciwon daji na endometrial. Ciwon daji ya bazu zuwa ƙwayoyin lymph a ƙashin ƙugu da / ko kewayen aorta (jijiyoyin jini mafi girma a cikin jiki, wanda ke ɗaukar jini daga zuciya).

Mataki na IV

A mataki na hudu, cutar kansa ta bazu daga ƙashin ƙugu. Mataki na huɗu ya kasu kashi-kashi IVA da IVB, dangane da yadda cutar kansa ta bazu.

• Mataki na IVA: Ciwon daji ya bazu zuwa mafitsara da / ko bangon hanji.

Mataki na IVA ciwon daji na ƙarshe. Ciwon daji ya bazu cikin mafitsara da / ko hanji.

• Mataki na IVB: Ciwon daji ya bazu zuwa wasu sassan jiki fiye da ƙashin ƙugu, gami da ciki da / ko lymph node a cikin gwaiwa.

Mataki na IVB ciwon daji na ƙarshe. Ciwon daji ya bazu zuwa sassan jiki a wajen ƙashin ƙugu, kamar ciki da / ko ƙwayoyin lymph a cikin kumburi.

Cancerila za a iya haɗa kansar endometriyya don magani kamar haka:

-Ananan haɗarin ciwon daji na endometrial

Yawanci ciwan 1 da na 2 yawanci ana ɗauke da ƙananan haɗari. Yawanci basa yadawa zuwa wasu sassan jiki.

Babban haɗarin ciwon daji na endometrial

Hanyoyin ciwayi na 3 ana daukar su masu haɗari. Suna yawan yaduwa zuwa wasu sassan jiki. Mahaifa papillary serous, bayyanannen kwayar halitta, da carcinosarcoma sune nau'ikan nau'ikan nau'ikan cututtukan sankara uku wadanda ake ɗaukar su aji 3.

Maimaita Ciwon daji na Endometrial

Maimaita kansar endometrial ita ce kansar da ta sake dawowa (dawo) bayan an warke ta. Ciwon daji na iya dawowa cikin mahaifa, ƙashin ƙugu, cikin ƙwayoyin lymph a cikin ciki, ko a wasu sassan jiki

Bayanin Zaɓin Jiyya

MAGANAN MAGANA

• Akwai nau'ikan magani daban-daban ga marasa lafiya da ke fama da cutar kansa ta endometrial cancer.

• Ana amfani da nau'i biyar na daidaitaccen magani:

• Tiyata

• Radiation far

• Chemotherapy

• Hormone far

• Ciwon da aka yi niyya

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

• Jiyya don ciwon daji na endometrial na iya haifar da sakamako mai 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 kansa ta endometrial cancer.

Akwai nau'ikan magani daban-daban ga marasa lafiya da ke fama da cutar kansa ta endometrial cancer. Wasu jiyya suna daidaito (magani da ake amfani dashi yanzu), 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 gwaji na asibiti ya nuna cewa sabon magani ya fi magani na yau da kullun, sabon magani na iya zama daidaitaccen magani. 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 amfani da nau'i biyar na daidaitaccen magani:

Tiyata

Yin aikin tiyata (cire cutar kansa a cikin aiki) shine magani mafi mahimmanci don ciwon kansa na endometrial. Ana iya amfani da hanyoyin aikin tiyata masu zuwa:

• Total hysterectomy: Tiyata don cire mahaifa, ciki har da cervix. 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.

• Hanyar salpingo-oophorectomy: Yin tiyata don cire duka ƙwarjiyoyin biyu da na bututun mahaifa.

• Radical hysterectomy: Tiyata don cire mahaifa, wuyan mahaifa, da kuma wani ɓangare na farji. Hakanan za'a iya cire ovaries, tublop fallopian, ko kuma lemph nodes.

• Lymph node dissection: Tsarin aikin tiyata wanda aka cire ƙwayoyin lymph daga yankin pelvic kuma ana bincika samfurin nama a ƙarƙashin microscope don alamun kansar. Wannan hanya ana kiranta lymphadenectomy.

Bayan likita ya cire dukkan cutar daji da za a iya gani a lokacin tiyatar, wasu marasa lafiya za a iya ba su maganin fitila ko kuma maganin hormone bayan 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.

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 ake ba da maganin raɗarar ya dogara da nau'in da matakin cutar kansa. Ana amfani da maganin radiation na waje da na ciki don magance ciwon daji na endometrial, kuma ƙila a iya amfani da shi azaman kwantar da hankali don sauƙaƙe alamomin da haɓaka ƙimar rayuwa.

Chemotherapy

Chemotherapy magani ne na cutar kansa wanda ke amfani da kwayoyi don dakatar da haɓakar ƙwayoyin kansa, ko dai ta hanyar kashe ƙwayoyin ko ta hana ƙwayoyin 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 cutar sankara ta dogara da nau'in da matakin cutar kansa.

Hormone far

Maganin Hormone magani ne na cutar kansa wanda ke kawar da homonomi ko toshe aikin su kuma ya hana ƙwayoyin cutar kansa girma. Hormones abubuwa ne da gland ke yi a jiki kuma suna yawo a cikin jini. Wasu kwayoyin na iya haifar da wasu cututtukan kansa. Idan gwaje-gwaje sun nuna cewa ƙwayoyin cutar kansa suna da wuraren da homonomi zasu iya haɗawa (masu karɓa), ana amfani da ƙwayoyi, tiyata, ko kuma maganin fuka don rage samar da homon ɗin ko toshe su daga aiki.

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 Monoclonal, masu hana mTOR, da masu hana yaduwar siginar nau'ikan nau'ikan magani guda uku ne waɗanda ake amfani dasu don magance cutar kansa ta endometrial.

• Magungunan antibody na Monoclonal magani ne na ciwon daji 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 iya gano abubuwan da ke jikin kwayoyin cutar kansar ko kuma wasu abubuwa na yau da kullun wadanda zasu iya taimakawa kwayoyin halittar 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. Ana amfani da Bevacizumab don magance mataki na III, mataki na huɗu, da maimaita cutar kansa ta ƙarshe.

• masu hana mTOR suna toshe wani furotin da ake kira mTOR, wanda ke taimakawa sarrafa rabe-raben sel. MTOR masu hanawa na iya kiyaye ƙwayoyin kansar daga girma da hana haɓakar sababbin jijiyoyin jini waɗanda ciwace-ciwace ke buƙatar girma. Ana amfani da Everolimus da ridaforalimus don magance mataki na III, mataki na huɗu, da maimaita cutar kansa ta ƙarshe.

• Masu hana siginar sauya sigina suna toshe sakonnin da aka samu daga kwayoyin guda zuwa wani a cikin tantanin halitta. Toshe wadannan siginan na iya kashe kwayoyin cutar kansa. Ana nazarin Metformin don magance mataki na III, mataki na huɗu, da kuma cutar sankara ta ƙarshe.

Ana gwada sababbin nau'ikan magani a gwajin asibiti.

Ana samun bayani game da gwaji na asibiti daga gidan yanar gizon NCI.

Jiyya don ciwon daji na endometrial na iya haifar da sakamako mai 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

• Mataki na 1 da Stage II Ciwon daji na endometrium

• Mataki na III, Mataki na IV, da Ciwon Ciwon ndomarshe na Ciwon Kai

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

Mataki na 1 da Stage II Ciwon daji na endometrium

Cancerananan cututtukan cututtukan endometrial (sa 1 ​​ko 2 na biyu)

Jiyya na ƙananan haɗarin I na kansar endometrial da kuma mataki na II na endometrial cancer na iya haɗa da masu zuwa:

• Yin aikin tiyata (cikakkiyar ƙwayar mahaifa da salpingo-oophorectomy na biyu). Hakanan za'a iya cire ƙwayoyin Lymph a ƙashin ƙugu da ciki kuma a dubasu a ƙarƙashin madubin likita don bincika ƙwayoyin kansa.

• Yin aikin tiyata (jimlar ɗakunan ciki da salpingo-oophorectomy, tare da ko ba tare da cire ƙwayoyin lymph a ƙashin ƙugu da ciki ba) sannan biyewar iska ta ciki. A wasu halaye, ana iya amfani da maganin feshin waje zuwa ƙashin ƙugu a madadin warkar da cikin ciki.

• Radiation far kawai ga marasa lafiya waɗanda ba za su iya yin tiyata ba.

• Gwajin gwaji na sabon tsarin kula da cutar sankara.

Idan ciwon daji ya bazu zuwa cikin mahaifa, za a iya aiwatar da ciwon huhu tare da salpingo-oophorectomy mai sassaucin ra'ayi.

Babban haɗarin ciwon daji na endometrial (aji 3)

Jiyya na matakin haɗari mai haɗari na I endometrial cancer da mataki na II endometrial cancer na iya haɗa da masu zuwa:

• Yin aikin tiyata (cututtukan mahaifa masu tsattsauran ra'ayi da salpingo-oophorectomy na biyu). Hakanan za'a iya cire ƙwayoyin Lymph a ƙashin ƙugu da ciki kuma a dubasu a ƙarƙashin madubin likita don bincika ƙwayoyin kansa.

• Yin aikin tiyata (tsattsauran tiyata da salpingo-oophorectomy) wanda ke bi da cutar sankara da wani lokacin har ila yau.

• Gwajin gwaji na sabon tsarin kula da 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.

Mataki na III, Mataki na IV, da Ciwon Ciwon ndomarshe na Ciwon Kai

Jiyya na mataki na uku na cututtukan endometrial, mataki na huɗu na cututtukan endometrial, da maimaita kansar endometrial na iya haɗa da masu zuwa:

• Yin aikin tiyata (tsattsauran kwayar halitta da kuma cire ƙwayoyin lymph a ƙashin ƙugu don haka ana iya dubansu a ƙarƙashin madubin likita don bincika ƙwayoyin kansa) tare da adjuvant chemotherapy da / ko radiation radiation.

• Chemotherapy da maganin cikin gida da na waje don marasa lafiya waɗanda ba za su iya yin tiyata ba.

• Maganin Hormone ga marasa lafiya waɗanda ba za su iya yin tiyata ba ko jinyar radiation.

• Anyi niyya tare da masu hana mTOR (everolimus ko ridaforolimus) ko kwayar cutar monoclonal (bevacizumab).

• Gwajin gwaji na sabon tsarin kulawa wanda zai iya haɗawa da hadewar ƙwayar cuta, maganin magancewa, kamar mai hana mTOR (everolimus) ko mai hana siginar juzu'i (metformin), da / ko maganin hormone, ga marasa lafiya da ci gaba ko maimaita cutar kansa ta ƙarshe.

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 Ciwon ndoman Adam

Don ƙarin bayani daga Cibiyar Cancer ta cerasa game da cututtukan endometrial, duba mai zuwa:

• Shafin Gida na Mahaifa

• Rigakafin Ciwon Kanjamau

• Ndomaddamar da Cancer na Endometrial

• Maganin Hormone don Ciwon Nono

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