Mitundu / chiberekero / wodwala / uterine-sarcoma-treatment-pdq

Chithandizo cha Uterine Sarcoma (®) -Patient Version

Zambiri Zokhudza Uterine Sarcoma

MFUNDO ZOFUNIKA

• Uterine sarcoma ndi matenda omwe ma cell owopsa (khansa) amapangika m'minyewa ya chiberekero kapena ziwalo zina zomwe zimathandizira chiberekero.

• Chithandizo cham'mbuyomu chothandizidwa ndi cheza m'chiuno chimatha kuwonjezera chiopsezo cha uterine sarcoma.

• Zizindikiro za uterine sarcoma zimaphatikizapo kutuluka magazi kwachilendo.

• Kuyesa komwe kumayang'ana chiberekero kumagwiritsidwa ntchito kuzindikira (kupeza) ndikuzindikira uterine sarcoma.

• Zinthu zina zimakhudzanso madandaulo (mwayi wochira) ndi njira zamankhwala.

Uterine sarcoma ndi matenda omwe ma cell owopsa (khansa) amapangika m'minyewa ya chiberekero kapena ziwalo zina zomwe zimathandizira chiberekero.

Chiberekero ndi gawo la ziwalo zoberekera zazimayi. Chiberekero ndi chiwalo choboola, chowoneka ngati peyala m'chiuno, momwe mwana amakula. Khomo lachiberekero lili kumapeto, kopapatiza kwa chiberekero, ndipo limatsogolera kumaliseche.

Kutengera kwa ziwalo zoberekera zazimayi. Ziwalo zam'mimba zoberekera zazimayi zimaphatikizapo chiberekero, thumba losunga mazira, timachubu, ziwalo zoberekera, ndi nyini. Chiberekero chimakhala ndi chingwe chakunja chotchedwa myometrium komanso mkati mwake chotchedwa endometrium.

Uterine sarcoma ndi khansa yosawerengeka kwambiri yomwe imapangidwa mu minofu ya chiberekero kapena m'matumba omwe amathandizira chiberekero. (Zambiri zamtundu wina wa sarcomas zitha kupezeka pachidule cha pa Adult Soft Tissue Sarcoma Treatment.) Uterine sarcoma ndiyosiyana ndi khansa ya endometrium, matenda omwe ma cell a khansa amayamba kukula mkati mwa chiberekero. (Onani chidule cha pa Chithandizo cha Khansa ya Endometrial kuti mumve zambiri).

Chithandizo cham'mbuyomu chothandizidwa ndi cheza m'chiuno chimatha kuwonjezera chiopsezo cha uterine sarcoma.

Chilichonse chomwe chimakulitsa chiopsezo chotenga matenda chimatchedwa chiopsezo. Kukhala ndi chiwopsezo sikutanthauza kuti udzakhala ndi khansa; kusakhala ndi zoopsa sikutanthauza kuti simudzakhala ndi khansa. Lankhulani ndi dokotala ngati mukuganiza kuti mutha kukhala pachiwopsezo. Zowopsa za uterine sarcoma ndi izi:

• Chithandizo cham'mbuyomu chothandizidwa ndi cheza cham'chiuno.

• Kuchiza ndi tamoxifen ya khansa ya m'mawere. Ngati mukumwa mankhwalawa, muzichita mayeso m'chiuno chaka chilichonse ndipo mufotokozereni magazi aliwonse akumaliseche (kupatula kutaya msambo) mwachangu.

Zizindikiro za uterine sarcoma zimaphatikizapo kutuluka magazi kwachilendo.

Kutuluka magazi mosazolowereka kumaliseche ndi zizindikilo zina zimatha kuyambitsidwa ndi uterine sarcoma kapena zina. Funsani dokotala ngati muli ndi izi:

• Kutaya magazi komwe sikuli gawo la msambo.

• Magazi pambuyo kusamba.

• Unyinji mu nyini.

• Zowawa kapena kumverera kwodzaza m'mimba.

• Kukodza pafupipafupi.

Kuyesa komwe kumayang'ana chiberekero kumagwiritsidwa ntchito kuzindikira (kupeza) ndikuzindikira uterine sarcoma.

Mayeso ndi njira zotsatirazi zitha kugwiritsidwa ntchito:

• Kuwunika kwakuthupi ndi mbiri: Kuyesedwa kwa thupi kuti muwone zizindikiritso zaumoyo, kuphatikiza kuyang'ana ngati pali matenda, monga zotupa kapena china chilichonse chomwe chikuwoneka chachilendo. Mbiri yokhudzana ndi thanzi la wodwalayo komanso matenda am'mbuyomu komanso chithandizo chamankhwala adzachitidwanso.

• Kuyezetsa magazi: Kuyesa kumaliseche, khomo pachibelekeropo, chiberekero, machubu, mazira, ndi thumbo. A speculum amalowetsedwa mumaliseche ndipo dokotala kapena namwino amayang'ana kumaliseche ndi chiberekero ngati ali ndi matenda. Kuyezetsa magazi kwa khomo pachibelekeropo kumachitika nthawi zambiri. Dotolo kapena namwino amalowetsanso chala chimodzi kapena ziwiri zopaka mafuta, zokutira zanja lamanja kumaliseche ndikuyika dzanja linalo pamimba pamunsi kuti mumve kukula, mawonekedwe, ndi malo oberekera komanso thumba losunga mazira. Dotolo kapena namwino amalowetsanso chala chopaka mafuta, chopukutira mu rectum kuti amve ziphuphu kapena malo abwinobwino.

Kuyesa kwapelvic. Dokotala kapena namwino amalowetsa chala chimodzi kapena ziwiri zopaka mafuta, zokutidwa ndi dzanja limodzi kumaliseche ndikudina pamimba pamunsi ndi dzanja linalo. Izi zachitika kuti mumve kukula, mawonekedwe, ndi mawonekedwe a chiberekero ndi thumba losunga mazira. Nyini, khomo pachibelekeropo, machubu opatsira mazira oyenda, ndi thumbo timayang'ananso.

• Kuyesedwa kwa pap: Njira yosonkhanitsira maselo kumtunda kwa khomo pachibelekeropo ndi kumaliseche. Chidutswa cha thonje, burashi, kapena ndodo yaying'ono yamatabwa imagwiritsidwa ntchito kupeputsa bwino ma cell kuchokera pachibelekero ndi kumaliseche. Maselo amayang'aniridwa ndi microscope kuti adziwe ngati ali achilendo. Njirayi imatchedwanso Pap smear. Chifukwa uterine sarcoma imayamba mkati mwa chiberekero, khansara iyi sitha kuwonekera pa mayeso a Pap.

Kuyesa kwa pap. A speculum amalowetsedwa mumaliseche kuti afutukule. Kenako, burashi imalowetsedwa kumaliseche kuti itenge ma cell kuchokera pachibelekeropo. Maselo amayang'aniridwa ndi microscope ngati ali ndi matenda.

• Transvaginal ultrasound test: Njira yogwiritsira ntchito nyini, chiberekero, machubu, ndi chikhodzodzo. Chotulutsa ma ultrasound (kafukufuku) chimalowetsedwa kumaliseche ndipo chimagwiritsa ntchito mafunde amphamvu kwambiri (ultrasound) pamatumba amkati kapena ziwalo ndikupanga mawonekedwe. Zolembawo amapanga chithunzi cha matupi amthupi otchedwa sonogram. Dokotala amatha kuzindikira zotupa poyang'ana pa sonogram.

Kutuluka kwa ultrasound. Pulojekiti ya ultrasound yolumikizidwa ndi kompyuta imayikidwa mu nyini ndipo imasunthidwa modekha kuti iwonetse ziwalo zosiyanasiyana. Kafukufukuyu amatulutsa mafunde am'mimba ndi ziwalo zamkati kuti apange ma echo omwe amapanga sonogram (chithunzi cha pakompyuta).

• Kuchepetsa ndi kuchiritsa: Njira yochotsera zitsanzo zamkati mwa chiberekero. Khomo lachiberekero limakhuthala ndipo mankhwala olumikizira kupangira (chida chooneka ngati supuni) amalowetsedwa m'chiberekero kuti muchotse minofu. Zoyeserera za minofu zimayang'aniridwa ndi microscope ngati pali matenda. Njirayi imatchedwanso D&C.

Kuchulukana ndi machiritso (D ndi C). A speculum amalowetsedwa mumaliseche kuti afutukule kuti ayang'ane khomo lachiberekero (gulu loyamba). Chopukutira chimagwiritsidwa ntchito kukulitsa chiberekero (chapakati). Therttte imayikidwa kudzera pachibelekeropo kulowa m'chiberekero kuti muchotse minofu yachilendo (gawo lomaliza).

• Endometrial biopsy: Kuchotsa minofu ku endometrium (mkatikati mwa chiberekero) poyika chubu locheperako, losinthasintha kudzera pachibelekero mpaka m'chiberekero. Chubu chimagwiritsidwa ntchito kupukuta pang'ono pang'ono minofu kuchokera ku endometrium ndikuchotsa zitsanzozo. Wodwala amayang'ana minofu pansi pa microscope kuti ayang'ane maselo a khansa.

Zinthu zina zimakhudzanso madandaulo (mwayi wochira) ndi njira zamankhwala.

Kulosera (mwayi wochira) ndi njira zamankhwala zimadalira izi:

• Gawo la khansa.

• Mtundu ndi kukula kwa chotupacho.

• Thanzi labwino la wodwalayo.

• Kaya khansa yapezeka kumene kapena yabwereranso (bwererani).

Magawo a Uterine Sarcoma

MFUNDO ZOFUNIKA

• Uterine sarcoma atapezeka, amayesedwa kuti apeze ngati maselo a khansa afalikira mkati mwa chiberekero kapena mbali zina za thupi.

• Uterine sarcoma imapezeka, kuyikidwa, ndikuchiritsidwa opaleshoni yomweyo.

• Pali njira zitatu zomwe khansa imafalikira mthupi.

• Khansa imatha kufalikira pomwe idayamba kupita mbali zina za thupi.

• Magawo otsatirawa amagwiritsidwa ntchito pa uterine sarcoma:

• Gawo I

• Gawo II

• Gawo III

• Gawo IV

Uterine sarcoma atapezeka, amayesedwa kuti apeze ngati maselo a khansa afalikira mkati mwa chiberekero kapena mbali zina za thupi.

Njira yomwe imagwiritsidwa ntchito pofufuza ngati khansa yafalikira mkati mwa chiberekero kapena mbali zina za thupi imatchedwa staging. Zomwe amapeza kuchokera pakukonzekera zimatsimikizira gawo la matendawa. Ndikofunikira kudziwa siteji kuti mukonzekere chithandizo. Njira zotsatirazi zitha kugwiritsidwa ntchito pokonza:

• Kafukufuku wamagazi: Njira yoyeserera magazi kuti ayese kuchuluka kwa zinthu zina zomwe zimatulutsidwa m'magazi ndi ziwalo ndi minyewa mthupi. Kuchuluka kwazinthu zosazolowereka (zakumwamba kapena zochepa) kungakhale chizindikiro cha matenda.

• CA 125 kuyesa: Kuyesa komwe kumayeza mulingo wa CA 125 m'magazi. CA 125 ndi chinthu chomwe chimatulutsidwa ndimaselo m'magazi. Kuchuluka kwa CA 125 nthawi zina kumakhala chizindikiro cha khansa kapena vuto lina.

• X-ray pachifuwa : X-ray ya ziwalo ndi mafupa mkati mwa chifuwa. X-ray ndi mtundu wa mphamvu yamphamvu yomwe imatha kupyola thupi ndikupita mufilimu, ndikupanga chithunzi cha madera omwe ali mthupi.

• Transvaginal ultrasound test: Njira yogwiritsira ntchito nyini, chiberekero, machubu, ndi chikhodzodzo. Chotulutsa ma ultrasound (kafukufuku) chimalowetsedwa kumaliseche ndipo chimagwiritsa ntchito mafunde amphamvu kwambiri (ultrasound) pamatumba amkati kapena ziwalo ndikupanga mawonekedwe. Zolembawo amapanga chithunzi cha matupi amthupi otchedwa sonogram. Dokotala amatha kuzindikira zotupa poyang'ana pa sonogram.

Kutuluka kwa ultrasound. Pulojekiti ya ultrasound yolumikizidwa ndi kompyuta imayikidwa mu nyini ndipo imasunthidwa modekha kuti iwonetse ziwalo zosiyanasiyana. Kafukufukuyu amatulutsa mafunde am'mimba ndi ziwalo zamkati kuti apange ma echo omwe amapanga sonogram (chithunzi cha pakompyuta).

• CT scan (CAT scan): Njira yomwe imapanga zithunzi zingapo zamkati mwa thupi, monga pamimba ndi m'chiuno, zojambulidwa mosiyanasiyana. Zithunzizo zimapangidwa ndi kompyuta yolumikizidwa ndi makina a x-ray. Utoto ukhoza kulowetsedwa mumtsempha kapena kumeza kuti ziwalo kapena ziwalozo ziwoneke bwino. Njirayi imatchedwanso computed tomography, kompyuta tomography, kapena kompyuta axial tomography.

• Cystoscopy: Njira yoyang'ana mkati mwa chikhodzodzo ndi urethra kuti muwone ngati pali zovuta zina. Cystoscope imayikidwa kudzera mu urethra kupita mu chikhodzodzo. Cystoscope ndi chida chopyapyala, chokhala ngati chubu chokhala ndi kuwala ndi mandala owonera. Ikhozanso kukhala ndi chida chothandizira kuchotsa minofu, yomwe imayang'aniridwa ndi microscope ngati ili ndi khansa.

Zojambulajambula. Chombo chotchedwa cystoscope (chida chopyapyala, chokhala ngati chubu chokhala ndi kuwala ndi mandala owonera) chimayikidwa kudzera mu mtsempha kulowa mu chikhodzodzo. Madzi amagwiritsidwa ntchito kudzaza chikhodzodzo. Dokotala amayang'ana chithunzi cha khoma lamkati la chikhodzodzo pamakina owonera makompyuta.

Uterine sarcoma imapezeka, kuyikidwa, ndikuchiritsidwa opaleshoni yomweyo.

Opaleshoni imagwiritsidwa ntchito pozindikira, kukula, ndikuchiza uterine sarcoma. Pakati pa opaleshoniyi, adotolo amachotsa khansa yambiri momwe angathere. Njira zotsatirazi zitha kugwiritsidwa ntchito pozindikira, kukula, ndikuchiza uterine sarcoma:

• Laparotomy: Njira yochitira opareshoni yomwe imadulidwa pakhoma pamimba kuti ayang'ane mkati mwa mimba ngati muli ndi matenda. Kukula kwa katemera kumadalira chifukwa chomwe laparotomy ikuchitidwira. Nthawi zina ziwalo zimachotsedwa kapena zitsanzo za minofu zimatengedwa ndikufufuzidwa pa microscope ngati pali matenda.

• Kusamba m'mimba ndi m'chiuno: Njira yomwe madzi amchere amaikidwa m'mimba ndi m'chiuno. Pakapita kanthawi kochepa, madzimadzi amachotsedwa ndikuwonedwa pansi pa microscope kuti aone ngati ali ndi khansa.

• Chiwombankhanga chonse cha m'mimba: Njira yochotsera chiberekero ndi khomo pachibelekeropo kudzera pobowola pamimba.

Kutsekemera. Chiberekero chimachotsedwa mwa opaleshoni kapena popanda ziwalo zina kapena zotupa. Chiberekero chonse, chiberekero ndi khomo pachibelekeropo zimachotsedwa. Mchiberekero chonse chokhala ndi salpingo-oophorectomy, (a) chiberekero kuphatikiza chubu chimodzi (chimodzi) chokhala ndi mazira ndi mazira chimachotsedwa; kapena (b) chiberekero kuphatikiza tinthu tambirimbiri tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono tating'onoting'ono timatulutsidwa. Mu hysterectomy yowopsa, chiberekero, khomo pachibelekeropo, mazira onse awiri, machubu, komanso minofu yoyandikana nayo imachotsedwa. Njirazi zimagwiritsidwa ntchito podula pang'ono kapena kuwongolera mozungulira.

• Bilateral salpingo-oophorectomy: Opaleshoni yochotsa thumba losunga mazira onse komanso machubu oyambira.

• Lymphadenectomy: Njira yochitira opaleshoni yomwe ma lymph node amachotsedwa ndikuyang'aniridwa ndi microscope ngati ali ndi khansa. Kwa lymphadenectomy ya m'deralo, zina mwa zotupa m'mimba zimatulutsidwa. Pa lymphadenectomy yowopsa, ma lymph node ambiri kapena amtundu wonse amachotsedwa. Njirayi imatchedwanso kuti lymph node dissection.

Chithandizo kuphatikiza pa opaleshoni chingaperekedwe, monga momwe zafotokozedwera m'chigawo chachidule cha Treatment Option Overview.

Pali njira zitatu zomwe khansa imafalikira mthupi.

Khansa imatha kufalikira kudzera mu minofu, ma lymph system, ndi magazi:

• Minofu. Khansara imafalikira kuchokera pomwe idayamba ndikukula kupita kumadera oyandikana nawo.

• Lymph dongosolo. Khansara imafalikira kuchokera pomwe idayamba polowa m'mitsempha. Khansara imadutsa m'mitsempha yamafuta kupita mbali zina za thupi.

• Magazi. Khansara imafalikira kuchokera pomwe idayamba ndikulowa m'magazi. Khansara imadutsa m'mitsempha yamagazi kupita mbali zina za thupi.

Khansa imatha kufalikira pomwe idayamba kupita mbali zina za thupi.

Khansa ikafalikira mbali ina ya thupi, imatchedwa metastasis. Maselo a khansa amachoka pomwe adayamba (chotupa choyambirira) ndikuyenda mumitsempha kapena magazi.

• Lymph dongosolo. Khansara imalowa mumitsempha, imadutsa m'mitsempha yamafuta, ndikupanga chotupa (chotupa cha metastatic) gawo lina la thupi.

• Magazi. Khansara imalowa m'magazi, imadutsa m'mitsempha yamagazi, ndikupanga chotupa (chotupa cha metastatic) gawo lina la thupi.

Chotupa cha metastatic ndi khansa yofanana ndi chotupa chachikulu. Mwachitsanzo, ngati uterine sarcoma imafalikira m'mapapu, maselo a khansa m'mapapu alidi maselo a uterine sarcoma. Matendawa ndi metastatic uterine sarcoma, osati khansa yamapapo.

Magawo otsatirawa amagwiritsidwa ntchito pa uterine sarcoma:

Gawo I

Pa gawo I, khansa imapezeka mchiberekero kokha. Gawo I lagawidwa m'magawo IA ndi IB, kutengera momwe khansara yafalikira.

• Gawo IA: Khansa ili mu endometrium kokha kapena yochepera theka kupyola myometrium (minofu yosanjikiza ya chiberekero).

• Gawo IB: Khansa yafalikira theka kapena kupitilira mu myometrium.

Gawo II

Gawo lachiwiri, khansa yafalikira m'mimba yolumikizira chiberekero, koma siyinafalikire kunja kwa chiberekero.

Gawo III

Gawo lachitatu, khansara yafalikira kupitirira chiberekero ndi khomo pachibelekeropo, koma siyinafalikire kupitirira m'chiuno. Gawo lachitatu lagawidwa magawo IIIA, IIIB, ndi IIIC, kutengera momwe khansara yafalikira mkati mwa mafupa a chiuno.

• Gawo IIIA: Khansa yafalikira kunja kwa chiberekero ndi / kapena kumatumba, mazira, ndi mitsempha ya chiberekero.

• Gawo IIIB: Khansa yafalikira kumaliseche kapena ku parametrium (minofu yolumikizana ndi mafuta ozungulira chiberekero).

• Gawo IIIC: Khansa yafalikira ku ma lymph node m'chiuno ndi / kapena mozungulira aorta (mtsempha waukulu kwambiri m'thupi, womwe umachotsa magazi kuchokera pamtima).

Gawo IV

Gawo lachitatu, khansa yafalikira kupitirira mafupa a chiuno. Gawo IV limagawika magawo a IVA ndi IVB, kutengera momwe khansara yafalikira.

• Gawo IVA: Khansa yafalikira pachikhodzodzo ndi / kapena m'matumbo.

• Gawo IVB: Khansa yafalikira mbali zina za thupi kupitirira mafupa a chiuno, kuphatikiza pamimba ndi / kapena ma lymph node m'mimba.

Uterine Sarcoma Wobwereza

Matenda a uterine sarcoma ndi khansa yomwe yabwereranso (kubwerera) itachiritsidwa. Khansara imatha kubwerera mchiberekero, m'chiuno, kapena mbali zina za thupi.

Chithandizo Chosankha Mwachidule

MFUNDO ZOFUNIKA

• Pali mitundu yosiyanasiyana ya chithandizo cha odwala omwe ali ndi uterine sarcoma.

• Mitundu inayi yamankhwala omwe amagwiritsidwa ntchito amagwiritsidwa ntchito:

• Opaleshoni

• Thandizo la radiation

• Chemotherapy

• Thandizo la mahomoni

• Mitundu yatsopano yamankhwala ikuyesedwa m'mayesero azachipatala.

• Chithandizo cha uterine sarcoma chingayambitse zovuta.

• Odwala angaganize zopita nawo kukayezetsa.

• Odwala amatha kulowa m'mayesero azachipatala asanayambe, asanayambe, kapena atayamba kulandira chithandizo cha khansa.

• Mayeso otsatirawa angafunike.

Pali mitundu yosiyanasiyana ya chithandizo cha odwala omwe ali ndi uterine sarcoma.

Pali mitundu ingapo yamankhwala othandizira odwala omwe ali ndi uterine sarcoma. Mankhwala ena ndi ofanana (mankhwala omwe akugwiritsidwa ntchito pano), ndipo ena akuyesedwa m'mayesero azachipatala. Kuyesedwa kwachipatala ndi kafukufuku wofufuza wothandizira kusintha chithandizo chamakono kapena kupeza zidziwitso zamankhwala atsopano kwa odwala khansa. Pamene mayesero azachipatala awonetsa kuti chithandizo chatsopano ndichabwino kuposa chithandizo chamankhwala, chithandizocho chitha kukhala chamankhwala wamba. Odwala angaganize zopita nawo kukayezetsa. Mayesero ena azachipatala ndi otseguka kwa odwala omwe sanayambe kulandira chithandizo.

Mitundu inayi yamankhwala omwe amagwiritsidwa ntchito amagwiritsidwa ntchito:

Opaleshoni

Opaleshoni ndi njira yodziwika bwino yothandizira chiberekero cha uterine, monga momwe zafotokozedwera mgawo la Uterine Sarcoma muchidule ichi.

Dokotala atachotsa khansa yonse yomwe imawonekera panthawi yochitidwa opaleshoniyi, odwala ena atha kupatsidwa chemotherapy kapena radiation pochita opaleshoni kuti aphe maselo aliwonse a khansa omwe atsala. Chithandizo chomwe chimaperekedwa pambuyo pa opareshoni, kuti muchepetse chiopsezo kuti khansa ibwererenso, amatchedwa adjuvant therapy.

Thandizo la radiation

Thandizo la radiation ndi chithandizo cha khansa chomwe chimagwiritsa ntchito ma x-ray amphamvu kapena mitundu ina ya radiation kuti iphe ma cell a khansa kapena kuti asakule. Pali mitundu iwiri ya mankhwala a radiation:

• Mankhwala ochiritsira akunja amagwiritsa ntchito makina kunja kwa thupi kuti atumize cheza chaku khansa.

• Njira yothandizira poizoniyu yamkati imagwiritsa ntchito mankhwala a radioactive otsekedwa ndi singano, njere, mawaya, kapena ma catheters omwe amayikidwa mwachindunji kapena pafupi ndi khansa.

Momwe mankhwala a radiation amaperekedwera zimadalira mtundu ndi gawo la khansa yomwe ikuthandizidwa. Mankhwala akunja amkati ndi amkati amagwiritsidwa ntchito pochizira uterine sarcoma, ndipo atha kugwiritsidwanso ntchito ngati mankhwala ochepetsa nkhawa kuti athetse zizindikiritso ndikukhalitsa moyo wabwino.

Chemotherapy

Chemotherapy ndi mankhwala a khansa omwe amagwiritsa ntchito mankhwala oletsa kukula kwa maselo a khansa, mwina popha ma cell kapena kuwaletsa kuti asagawane. Chemotherapy ikamamwa pakamwa kapena kulowetsedwa mumtsempha kapena minofu, mankhwalawa amalowa m'magazi ndipo amatha kufikira ma cell a khansa mthupi lonse (systemic chemotherapy). Chemotherapy ikaikidwa molunjika m'matumbo a cerebrospinal, chiwalo, kapena thupi ngati pamimba, mankhwalawa amakhudza kwambiri ma cell a khansa m'malo amenewo (chemotherapy am'madera). Momwe chemotherapy imaperekedwa imadalira mtundu ndi gawo la khansa yomwe ikuchitidwa.

Thandizo la mahomoni

Thandizo la mahomoni ndi mankhwala a khansa omwe amachotsa mahomoni kapena amalepheretsa zochita zawo ndikuletsa maselo a khansa kuti asakule. Mahomoni ndi zinthu zopangidwa ndi tiziwalo timene timatuluka m'thupi ndipo timafalikira m'magazi. Mahomoni ena amatha kupangitsa khansa kukula. Ngati kuyesa kukuwonetsa kuti ma cell a khansa ali ndi malo omwe mahomoni amatha kulumikiza (receptors), mankhwala osokoneza bongo, opaleshoni, kapena mankhwala a radiation amagwiritsidwa ntchito kuchepetsa kupangika kwa mahomoni kapena kuwaletsa kuti asagwire ntchito.

Mitundu yatsopano yamankhwala ikuyesedwa m'mayesero azachipatala.

Zambiri zamayeso azachipatala zimapezeka patsamba la NCI.

Chithandizo cha uterine sarcoma chingayambitse zovuta.

Kuti mumve zambiri zamankhwala obwera chifukwa cha khansa, onani tsamba lathu la Zotsatira Zotsatira.

Odwala angaganize zopita nawo kukayezetsa.

Kwa odwala ena, kutenga nawo mbali pakuyesa chithandizo chachipatala kungakhale njira yabwino kwambiri yothandizira. Mayesero azachipatala ndi gawo limodzi la kafukufuku wa khansa. Mayesero azachipatala amachitika kuti apeze ngati mankhwala atsopano a khansa ndi otetezeka komanso ogwira ntchito kapena abwinoko kuposa mankhwala wamba.

Njira zambiri zamankhwala zochiritsira khansa zimachokera kumayeso am'mbuyomu azachipatala. Odwala omwe amatenga nawo mbali pachipatala atha kulandira chithandizo chofananira kapena kukhala oyamba kulandira chithandizo chatsopano.

Odwala omwe amatenga nawo mbali pazoyeserera zamankhwala amathandizanso kukonza momwe khansa idzathandizire mtsogolo. Ngakhale mayesero azachipatala satsogolera kuchipatala chatsopano, nthawi zambiri amayankha mafunso ofunikira ndikuthandizira kupititsa patsogolo kafukufuku.

Odwala amatha kulowa m'mayesero azachipatala asanayambe, asanayambe, kapena atayamba kulandira chithandizo cha khansa.

Mayesero ena azachipatala amangophatikizapo odwala omwe sanalandire chithandizo. Mayesero ena amayesa chithandizo kwa odwala omwe khansa yawo sinakhale bwino. Palinso mayesero azachipatala omwe amayesa njira zatsopano zothetsera khansa kuti isabwererenso (kubwerera) kapena kuchepetsa zovuta zoyambitsidwa ndi khansa.

Mayesero azachipatala akuchitika m'malo ambiri mdziko muno. Zambiri zamayeso azachipatala othandizidwa ndi NCI zitha kupezeka patsamba lofufuza zamankhwala la NCI. Mayesero azachipatala othandizidwa ndi mabungwe ena amapezeka patsamba la ClinicalTrials.gov.

Mayeso otsatirawa angafunike.

Ena mwa mayesero omwe adachitika kuti apeze khansa kapena kuti adziwe momwe khansa iliri angabwerezedwenso. Mayesero ena adzabwerezedwa kuti awone momwe mankhwalawa akugwirira ntchito. Zisankho zakuti mupitilize, kusintha, kapena kusiya kulandira chithandizo zitha kutengera zotsatira za mayeso awa.

Kuyesaku kumangopitilira kuchitika nthawi ndi nthawi mankhwala atatha. Zotsatira zamayesowa zitha kuwonetsa ngati vuto lanu lasintha kapena ngati khansa yabwereranso (bwererani). Mayesowa nthawi zina amatchedwa kuyesa kutsata kapena kukayezetsa.

Njira Zothandizira ndi Gawo

M'chigawo chino

• Gawo I Uterine Sarcoma

• Gawo II Uterine Sarcoma

• Gawo lachitatu la uterine Sarcoma

• Gawo IV Uterine Sarcoma

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Gawo I Uterine Sarcoma

Chithandizo cha gawo I uterine sarcoma chingaphatikizepo izi:

• Kuchita Opaleshoni (kwathunthu m'mimba hysterectomy, bilpal salpingo-oophorectomy, and lymphadenectomy).

• Opaleshoni yotsatiridwa ndi mankhwala a radiation m'chiuno.

• Opaleshoni yotsatiridwa ndi chemotherapy.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Gawo II Uterine Sarcoma

Chithandizo cha gawo lachiwiri uterine sarcoma chingaphatikizepo izi:

• Kuchita Opaleshoni (kwathunthu m'mimba hysterectomy, bilpal salpingo-oophorectomy, and lymphadenectomy).

• Opaleshoni yotsatiridwa ndi mankhwala a radiation m'chiuno.

• Opaleshoni yotsatiridwa ndi chemotherapy.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Gawo lachitatu la uterine Sarcoma

Chithandizo cha gawo lachitatu la uterine sarcoma chingaphatikizepo izi:

• Kuchita Opaleshoni (kwathunthu m'mimba hysterectomy, bilpal salpingo-oophorectomy, and lymphadenectomy).

• Kuyesedwa kwachipatala kwa opaleshoni komwe kumatsatiridwa ndi mankhwala a radiation m'mimba.

• Kuyesedwa kwachipatala kwa opaleshoni komwe kumatsatiridwa ndi chemotherapy.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Gawo IV Uterine Sarcoma

Palibe mankhwala wamba kwa odwala omwe ali ndi siteji IV uterine sarcoma. Chithandizochi chingaphatikizepo kuyesedwa kwachipatala pogwiritsa ntchito chemotherapy.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Njira Zothandizira Kuchiza Uterine Sarcoma

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Palibe chithandizo chamankhwala chobwerezabwereza uterine sarcoma. Chithandizochi chingaphatikizepo kuyesedwa kwachipatala pogwiritsa ntchito chemotherapy.

Kwa odwala omwe amapezeka mobwerezabwereza carcinosarcoma (mtundu wina wa chotupa), chithandizo chingaphatikizepo izi:

• Thandizo la radiation ngati mankhwala ochepetsa nkhawa (monga kupweteka, mseru, kapena matumbo) ndikusintha moyo.

• Thandizo la mahomoni.

• Kuyesedwa kwachipatala kwa chithandizo chatsopano.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Kuti mudziwe zambiri za Uterine Sarcoma

Kuti mumve zambiri kuchokera ku National Cancer Institute yokhudza uterine sarcoma, onani Uterine Cancer Home Page.

Kuti mumve zambiri za khansa ndi zinthu zina zochokera ku National Cancer Institute, onani izi:

• Za Khansa

• Kusinthana

• Chemotherapy and You: Kuthandiza Anthu Omwe Ali Ndi Khansa

• Thandizo la Radiation ndi Inu: Thandizo kwa Anthu Omwe Ali ndi Khansa

• Kulimbana ndi khansa

• Mafunso oti mufunse dokotala wanu za khansa

• Kwa Opulumuka ndi Owasamalira