Ubwoko / gestational-trophoblastique / umurwayi / gtd-kuvura-pdq
Ibirimo
- 1 Indwara ya Gestational Trophoblastique Kuvura Indwara (®) - Indwara y'abarwayi
- 1.1 Amakuru Rusange Yerekeye Indwara ya Gestational Trophoblastique
- 1.2 Icyiciro cya Gestational Trophoblastique Tumors na Neoplasia
- 1.3 Gusubiramo kandi Kurwanya Gestational Trophoblastique Neoplasia
- 1.4 Incamake yo kuvura
- 1.5 Uburyo bwo kuvura Indwara ya Gestational Trophoblastique
- 1.6 Kugira ngo umenye byinshi kubyerekeye indwara ya Gestational Trophoblastique
- 1.7 Ibyerekeye Iyi ncamake ya
Indwara ya Gestational Trophoblastique Kuvura Indwara (®) - Indwara y'abarwayi
Amakuru Rusange Yerekeye Indwara ya Gestational Trophoblastique
INGINGO Z'INGENZI
- Indwara ya Gestational trophoblastique (GTD) ni itsinda ryindwara zidasanzwe aho ingirabuzimafatizo zidasanzwe zikurira imbere muri nyababyeyi nyuma yo gusama.
- Hydatidiform mole (HM) nubwoko busanzwe bwa GTD.
- Gestational trophoblastique neoplasia (GTN) ni ubwoko bwindwara ya gesta trophoblastique (GTD) ihora ari mbi.
- Inzitizi
- Choriocarcinoma
- Ibibyimba bya trophoblastique
- Epithelioid trophoblastique
- Imyaka hamwe no gutwita kwambere bigira ingaruka kuri GTD.
- Ibimenyetso bya GTD birimo kuva amaraso mu gitsina kidasanzwe hamwe na nyababyeyi nini kuruta ibisanzwe.
- Ibizamini bisuzuma nyababyeyi bikoreshwa mu kumenya (gushakisha) no gusuzuma indwara ya trophoblastique.
- Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.
Indwara ya Gestational trophoblastique (GTD) ni itsinda ryindwara zidasanzwe aho ingirabuzimafatizo zidasanzwe zikurira imbere muri nyababyeyi nyuma yo gusama.
Indwara ya gesta trophoblastique (GTD), ikibyimba gikura imbere muri nyababyeyi kuva mu ngingo zikora nyuma yo gusama (guhuza intanga n'amagi). Iyi tissue ikozwe muri selile trophoblast kandi mubisanzwe izengurutse amagi yatewe muri nyababyeyi. Trophoblast selile ifasha guhuza amagi yatewe nurukuta rwa nyababyeyi kandi igize igice cya plasita (urugingo ruhereza intungamubiri kuva nyina kugeza ku mwana).
Rimwe na rimwe hari ikibazo cyatewe nintanga ngore na selile trophoblast. Aho kugira ngo akayoya keza gakure, havuka ikibyimba. Kugeza igihe hari ibimenyetso cyangwa ibimenyetso byikibyimba, gutwita bizasa nkuwatwite bisanzwe.
GTD nyinshi ni nziza (ntabwo ari kanseri) kandi ntabwo ikwirakwira, ariko ubwoko bumwe na bumwe buba bubi (kanseri) hanyuma bukwirakwira mu ngingo zegeranye cyangwa mu bice bya kure byumubiri.
Indwara ya Gestational trophoblastique (GTD) ni ijambo rusange ririmo ubwoko butandukanye bwindwara:
- Hydatidiform Moles (HM)
- HM yuzuye.
- HM igice.
- Gestational Trophoblastique Neoplasia (GTN)
- Inzitizi.
- Choriocarcinoma.
- Ibibyimba bya trophoblastique (PSTT; ntibisanzwe).
- Epithelioid trophoblastique yibibyimba (ETT; ndetse ntibisanzwe).
Hydatidiform mole (HM) nubwoko busanzwe bwa GTD.
HM ni ibibyimba bikura buhoro bisa nkibisaho byamazi. HM nayo yitwa gutwita. Impamvu ya hydatidiform moles ntabwo izwi.
HMs irashobora kuba yuzuye cyangwa igice:
- HM yuzuye iyo intanga ngabo itera intanga idafite ADN ya nyina. Igi rifite ADN ya se kandi ingirabuzimafatizo zari zigamije guhinduka insina ntizisanzwe.
- HM igice kigizwe iyo intanga ngabo ifumbira amagi asanzwe kandi hariho ibice bibiri bya ADN biva kuri se mumagi yatewe. Gusa igice cyimiterere yuruyoya hamwe ningirabuzimafatizo zari zigamije guhinduka insina ntizisanzwe.
Imyanda myinshi ya hydatidiform ni nziza, ariko rimwe na rimwe iba kanseri. Kugira kimwe cyangwa byinshi mubintu bikurikira byongera ibyago byongera ibyago byuko hydatidiform mole izahinduka kanseri:
- Inda mbere ya 20 cyangwa nyuma yimyaka 35.
- Urwego rwo hejuru cyane rwa beta chorionic gonadotropine (β-hCG), imisemburo ikorwa numubiri mugihe utwite.
- Ikibyimba kinini muri nyababyeyi.
- Intanga ngore irenze santimetero 6.
- Umuvuduko ukabije wamaraso mugihe utwite.
- Indwara ya tiroyide idakabije (hakozwe imisemburo ya tiroyide).
- Isesemi ikabije no kuruka mugihe utwite.
- Trophoblastique selile mumaraso, ishobora guhagarika imiyoboro mito yamaraso.
- Ibibazo bikomeye byo gutembera kw'amaraso byatewe na HM.
Gestational trophoblastique neoplasia (GTN) ni ubwoko bwindwara ya gesta trophoblastique (GTD) ihora ari mbi.
Gestational trophoblastique neoplasia (GTN) ikubiyemo ibi bikurikira:
Inzitizi
Imitsi itera igizwe na selile trophoblast ikura mumitsi ya nyababyeyi. Imitsi itera irashobora gukura no gukwirakwira kuruta hydatidiform mole. Ni gake, HM yuzuye cyangwa igice HM irashobora guhinduka mole. Rimwe na rimwe, mole itera izimira itavuwe.
Choriocarcinoma
Choriocarcinoma ni ikibyimba kibi kiva mu ngirabuzimafatizo ya trophoblast kandi kigakwirakwira mu mitsi yo mu nda no mu mitsi iri hafi. Irashobora kandi gukwirakwira mu bindi bice by'umubiri, nk'ubwonko, ibihaha, umwijima, impyiko, impyiko, amara, igituba, cyangwa ibyara. Choriocarcinoma irashoboka cyane mu bagore bagize kimwe muri ibi bikurikira:
- Inda ya Molar, cyane hamwe na hydatidiform mole yuzuye.
- Gutwita bisanzwe.
- Gutwita kw'igituba (gutera intanga ngore mu muyoboro wa fallopian aho kuba nyababyeyi).
- Gutandukana.
Ibibyimba bya trophoblastique
Ikibyimba cya trophoblastique yibibyimba (PSTT) ni ubwoko budasanzwe bwa gesta trophoblastique neoplasia ikora aho insina ifatira muri nyababyeyi. Ikibyimba kiva muri selile trophoblast kandi kigakwirakwira mumitsi ya nyababyeyi no mu mitsi y'amaraso. Irashobora kandi gukwirakwira mu bihaha, mu mitsi, cyangwa lymph node. PSTT ikura buhoro cyane kandi ibimenyetso cyangwa ibimenyetso bishobora kugaragara amezi cyangwa imyaka nyuma yo gutwita bisanzwe.
Epithelioid trophoblastique
Ikibyimba cya epithelioid trophoblastique (ETT) ni ubwoko budasanzwe bwa gesta trophoblastique neoplasia ishobora kuba nziza cyangwa mbi. Iyo ikibyimba kibi, gishobora gukwira mu bihaha.
Imyaka hamwe no gutwita kwambere bigira ingaruka kuri GTD.
Ikintu cyose cyongera ibyago byo kwandura byitwa impanuka. Kugira ibintu bishobora guteza ibyago ntibisobanura ko uzarwara kanseri; kutagira ibyago bishobora gusobanura ko utazarwara kanseri. Vugana na muganga wawe niba utekereza ko ushobora guhura n'akaga. Impamvu zishobora gutera GTD zirimo ibi bikurikira:
- Kuba utwite iyo urengeje imyaka 20 cyangwa irenga 35.
- Kugira amateka yihariye ya hydatidiform mole.
Ibimenyetso bya GTD birimo kuva amaraso mu gitsina kidasanzwe hamwe na nyababyeyi nini kuruta ibisanzwe.
Ibi bimenyetso nibindi bimenyetso bishobora guterwa nindwara ya gesta trophoblastique cyangwa nibindi bihe. Menyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:
- Kuva amaraso mu gitsina bitajyanye n'imihango.
- Inda nini kuruta uko byari byitezwe mugihe utwite.
- Ububabare cyangwa igitutu mu gitereko.
- Isesemi ikabije no kuruka mugihe utwite.
- Umuvuduko ukabije wamaraso hamwe no kubabara umutwe no kubyimba ibirenge n'amaboko hakiri kare.
- Kuva amaraso mu gitsina bikomeza igihe kirekire kuruta ibisanzwe nyuma yo kubyara.
- Umunaniro, guhumeka neza, kuzunguruka, hamwe n'umutima wihuta cyangwa udasanzwe uterwa no kubura amaraso.
GTD rimwe na rimwe itera tiroyide idakabije. Ibimenyetso nibimenyetso bya tiroyide idakabije harimo ibi bikurikira:
- Umutima wihuta cyangwa udasanzwe.
- Shakiness.
- Kubira ibyuya.
- Kujya mu mara kenshi.
- Gusinzira.
- Kumva uhangayitse cyangwa urakaye.
- Guta ibiro.
Ibizamini bisuzuma nyababyeyi bikoreshwa mu kumenya (gushakisha) no gusuzuma indwara ya trophoblastique.
Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:
- Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
- Ikizamini cya pelvic: Ikizamini cyigituba, inkondo y'umura, nyababyeyi, igituba cya fallopian, ovaries, na rectum. Igitekerezo cyinjijwe mu gitsina kandi umuganga cyangwa umuforomo areba mu gitsina na nyababyeyi kugira ngo agaragaze ibimenyetso byindwara. Ikizamini cya Papi yinkondo y'umura gikunze gukorwa. Muganga cyangwa umuforomo kandi yinjiza intoki imwe cyangwa ebyiri zasizwe, zometse ku ntoki z'ukuboko kumwe mu gitsina hanyuma agashyira ikindi kiganza hejuru yinda yo hepfo kugirango yumve ubunini, imiterere, n'umwanya wa nyababyeyi na ovaire. Muganga cyangwa umuforomo nawe ashyiramo urutoki rwamavuta, rwuzuye urukiramende kugirango yumve ibibyimba cyangwa ahantu hadasanzwe.
- Ikizamini cya Ultrasound cyo mu gitereko: Uburyo bukoreshwa mu majwi y’amajwi menshi (ultrasound) asohoka mu ngingo cyangwa mu ngingo zo mu nda no gukora echo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Rimwe na rimwe, ultrasound ya transvaginal (TVUS) izakorwa. Kuri TVUS, transducer ya ultrasound (probe) yinjizwa mu gitsina kugirango ikore sonogram.
- Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe bisohoka mumaraso ningingo nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara. Amaraso arasuzumwa kandi kugirango asuzume umwijima, impyiko, n'amagufwa.
- Ikizamini cya serumu yibibyimba: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime ingano yibintu bimwe na bimwe bikozwe ningingo, ingirangingo, cyangwa selile yibibyimba mumubiri. Ibintu bimwe bifitanye isano nubwoko bwihariye bwa kanseri iyo ibonetse murwego rwiyongera mumubiri. Ibi byitwa ibimenyetso byerekana ibibyimba. Kuri GTD, amaraso asuzumwa kugirango urwego rwa beta chorionic gonadotropine (β-hCG), imisemburo ikorwa numubiri mugihe utwite. β-hCG mumaraso yumugore udatwite bishobora kuba ikimenyetso cya GTD.
- Urinalysis: Ikizamini cyo gusuzuma ibara ry'inkari n'ibiyirimo, nk'isukari, proteyine, amaraso, bagiteri, n'urwego rwa β-hCG.
Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.
Indwara ya trophoblastique yibisebe irashobora gukira. Kuvura no guhanura biterwa n'ibi bikurikira:
- Ubwoko bwa GTD.
- Niba ikibyimba cyakwirakwiriye muri nyababyeyi, lymph node, cyangwa ibice bya kure byumubiri.
- Umubare w'ibibyimba n'aho biri mu mubiri.
- Ingano yikibyimba kinini.
- Urwego rwa β-hCG mu maraso.
- Ni kangahe ikibyimba cyamenyekanye nyuma yo gutwita.
- Niba GTD yarabaye nyuma yo gutwita, gukuramo inda, cyangwa gutwita bisanzwe.
- Ubuvuzi bwambere kuri gesta trophoblastique neoplasia.
Uburyo bwo kuvura buterwa kandi n’uko umugore yifuza gusama mu gihe kizaza.
Icyiciro cya Gestational Trophoblastique Tumors na Neoplasia
INGINGO Z'INGENZI
- Nyuma yo gupimwa na gesta trophoblastique neoplasia, hakorwa ibizamini kugirango hamenyekane niba kanseri yarakwirakwiriye aho yatangiriye no mu bindi bice byumubiri.
- Hariho uburyo butatu kanseri ikwirakwira mu mubiri.
- Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.
- Nta sisitemu yo kubika hydatidiform mole.
- Ibyiciro bikurikira bikoreshwa kuri GTN:
- Icyiciro I.
- Icyiciro cya II
- Icyiciro cya III
- Icyiciro cya IV
- Ubuvuzi bwa gesta trophoblastique neoplasia bushingiye ku bwoko bw'indwara, icyiciro, cyangwa itsinda ry’ibyago.
Nyuma yo gupimwa na gesta trophoblastique neoplasia, hakorwa ibizamini kugirango hamenyekane niba kanseri yarakwirakwiriye aho yatangiriye no mu bindi bice byumubiri.
Inzira ikoreshwa mukumenya urugero cyangwa ikwirakwizwa rya kanseri yitwa kwitegura, Amakuru yakusanyirijwe mubikorwa byateguwe bifasha kumenya icyiciro cyindwara. Kuri GTN, icyiciro nikimwe mubintu bikoreshwa mugutegura kuvura.
Ibizamini hamwe nuburyo bukurikira birashobora gukorwa kugirango bifashe kumenya icyiciro cyindwara:
- Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri kuri firime, zigakora amashusho yibice byumubiri.
- CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.
- MRI . Ikintu cyitwa gadolinium cyatewe mumitsi. Gadolinium ikusanyiriza hafi ya kanseri ya kanseri kugirango igaragare neza ku ishusho. Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).
- Gutobora Lumbar: Uburyo bukoreshwa mu gukusanya amazi ya cerebrospinal fluid (CSF) kuva kumugongo. Ibi bikorwa mugushira urushinge hagati yamagufa abiri murugongo no muri CSF ikikije uruti rwumugongo no gukuramo icyitegererezo cyamazi. Icyitegererezo cya CSF gisuzumwa munsi ya microscope kugirango ibimenyetso byerekana ko kanseri yakwirakwiriye mu bwonko no mu ruti rw'umugongo. Ubu buryo bwitwa LP cyangwa igikanda.
Hariho uburyo butatu kanseri ikwirakwira mu mubiri.
Kanseri irashobora gukwirakwira binyuze mu ngingo, sisitemu ya lymph, n'amaraso:
- Tissue. Kanseri ikwirakwira aho yatangiriye ikurira mu turere twegereye.
- Sisitemu ya Lymph. Kanseri ikwirakwira aho yatangiriye yinjira muri sisitemu ya lymph. Kanseri inyura mu mitsi ya lymph igana mu bindi bice by'umubiri.
- Amaraso. Kanseri ikwirakwira aho yatangiriye yinjira mu maraso. Kanseri inyura mu mitsi y'amaraso igana mu bindi bice by'umubiri.
Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.
Iyo kanseri ikwirakwira mu kindi gice cy'umubiri, yitwa metastasis. Ingirabuzimafatizo za kanseri zitandukana aho zatangiriye (ikibyimba kibanza) zikanyura muri sisitemu ya lymph cyangwa maraso.
- Sisitemu ya Lymph. Kanseri yinjira muri sisitemu ya lymph, ikanyura mu mitsi ya lymph, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.
- Amaraso. Kanseri yinjira mu maraso, ikanyura mu mitsi y'amaraso, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.
Ikibyimba metastatike nubwoko bumwe bwa kanseri nkibibyimba byibanze. Kurugero, niba choriocarcinoma ikwirakwira mu bihaha, selile ya kanseri mu bihaha ni selile choriocarcinoma. Indwara ni choriocarcinoma metastatike, ntabwo ari kanseri y'ibihaha.
Nta sisitemu yo kubika hydatidiform mole.
Hydatidiform mole (HM) iboneka muri nyababyeyi gusa kandi ntibikwirakwira mu bindi bice byumubiri.
Ibyiciro bikurikira bikoreshwa kuri GTN:
Icyiciro I.
Mu cyiciro cya I, ikibyimba kiri muri nyababyeyi gusa.
Icyiciro cya II
Mu cyiciro cya II, kanseri yakwirakwiriye hanze ya nyababyeyi kugeza intanga ngore, igituba, igituba, na / cyangwa ligaments zishyigikira nyababyeyi.
Icyiciro cya III
Mu cyiciro cya III, kanseri yakwirakwiriye mu bihaha.
Icyiciro cya IV
Mu cyiciro cya IV, kanseri yakwirakwiriye mu bice bya kure by'umubiri uretse ibihaha.
Ubuvuzi bwa gesta trophoblastique neoplasia bushingiye ku bwoko bw'indwara, icyiciro, cyangwa itsinda ry’ibyago.
Indwara ziterwa na choriocarcinoma bivurwa hashingiwe ku matsinda y’ibyago. Icyiciro cya mole cyangwa choriocarcinoma nikintu kimwe gikoreshwa mukumenya itsinda ryibyago. Ibindi bintu birimo ibi bikurikira:
- Imyaka yumurwayi iyo hasuzumwe.
- Niba GTN yarabaye nyuma yo gutwita, gukuramo inda, cyangwa gutwita bisanzwe.
- Ni kangahe ikibyimba cyamenyekanye nyuma yo gutwita.
- Urwego rwa beta chorionic gonadotropine (β-hCG) mumaraso.
- Ingano yikibyimba kinini.
- Aho ikibyimba cyakwirakwiriye n'umubare w'ibibyimba mu mubiri.
- Ni kangahe imiti ya chimiotherapie ikibyimba kivuwe (kubibyimba bigaruka cyangwa birwanya).
Hariho amatsinda abiri yingaruka ziterwa na mole na choriocarcinoma: ibyago bike hamwe ningaruka nyinshi. Abarwayi bafite uburwayi buke bakunze kuvurwa nabi kurusha abarwayi bafite ibyago byinshi.
Ikibyimba cya trophoblastique (PSTT) hamwe nubuvuzi bwa epithelioid trophoblastique (ETT) bivana nicyiciro cyindwara.
Gusubiramo kandi Kurwanya Gestational Trophoblastique Neoplasia
Gestational trophoblastique neoplasia (GTN) ni kanseri yagarutse (garuka) imaze kuvurwa. Kanseri irashobora kugaruka muri nyababyeyi cyangwa mu bindi bice by'umubiri.
Gestational trophoblastique neoplasia idasubiza imiti yitwa GTN irwanya.
Incamake yo kuvura
INGINGO Z'INGENZI
- Hariho uburyo butandukanye bwo kuvura abarwayi bafite indwara ya trophoblastique.
- Ubwoko butatu bwo kuvura busanzwe bukoreshwa:
- Kubaga
- Chimoterapi
- Imiti ivura imirasire
- Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
- Kuvura indwara ya trophoblastique ishobora gutera ingaruka.
- Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
- Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.
- Ibizamini byo gukurikirana birashobora gukenerwa.
Hariho uburyo butandukanye bwo kuvura abarwayi bafite indwara ya trophoblastique.
Ubwoko butandukanye bwo kuvura burahari kubarwayi barwaye trophoblastique. Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Mbere yo gutangira kwivuza, abarwayi barashobora gushaka gutekereza kubijyanye no kwipimisha kwa muganga. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe.
Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru ajyanye nigeragezwa ryamavuriro arahari kurubuga rwa NCI. Guhitamo uburyo bukwiye bwo kuvura kanseri nicyemezo kirimo cyane cyane umurwayi, umuryango, hamwe nitsinda ryita kubuzima.
Ubwoko butatu bwo kuvura busanzwe bukoreshwa:
Kubaga
Muganga arashobora gukuraho kanseri akoresheje kimwe mubikorwa bikurikira:
- Kwiyongera hamwe na curettage (D&C) hamwe no kwimura amasoko: Uburyo bwo kubaga kugirango ukureho ingirabuzimafatizo zidasanzwe hamwe nibice bigize imbere munda. Inkondo y'umura yagutse kandi ibikoresho biri muri nyababyeyi bikurwaho hamwe n'igikoresho gito kimeze nka vacuum. Urukuta rwa nyababyeyi noneho rusibanganye buhoro buhoro hamwe na curette (igikoresho kimeze nk'ikiyiko) kugirango ukureho ibintu byose bishobora kuguma muri nyababyeyi. Ubu buryo burashobora gukoreshwa mugutwita kwa mara.
- Hysterectomy: Kubaga gukuramo nyababyeyi, ndetse rimwe na rimwe inkondo y'umura. Niba nyababyeyi na nyababyeyi bikuwe mu gitsina, kubaga byitwa hysterectomy. Niba nyababyeyi na nyababyeyi bisohotse binyuze mu nda nini (gukata) mu nda, kubaga byitwa hysterectomy yo munda yuzuye. Niba nyababyeyi na nyababyeyi bisohotse hifashishijwe agace gato (gukata) mu nda ukoresheje laparoskopi, kubaga bita laparoscopique hysterectomy.
Muganga amaze gukuraho kanseri zose zishobora kugaragara mugihe cyo kubagwa, abarwayi bamwe bashobora guhabwa chimiotherapie nyuma yo kubagwa kugirango bice selile zose zisigaye. Umuti watanzwe nyuma yo kubagwa, kugirango ugabanye ibyago ko kanseri izagaruka, byitwa kuvura indwara.
Chimoterapi
Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Iyo chimiotherapie ishyizwe mumazi yubwonko, urugingo, cyangwa umwobo wumubiri nkinda, imiti yibasira kanseri ya kanseri muri utwo turere (chimiotherapie yo mukarere). Uburyo chimiotherapie itangwa biterwa nubwoko nicyiciro cya kanseri ivurwa, cyangwa niba ikibyimba gifite ibyago bike cyangwa ibyago byinshi.
Imiti ya chimiotherapie ni imiti ikoresheje imiti irenze imwe ya anticancer.
Reba Ibiyobyabwenge Byemewe Kurwara Gestational Trophoblastique Indwara kubindi bisobanuro.
Imiti ivura imirasire
Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Hariho ubwoko bubiri bwo kuvura imirasire:
- Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire kuri kanseri.
- Imiti ivura imbere ikoresha ibintu bifata radiyo bifunze inshinge, imbuto, insinga, cyangwa catheteri bishyirwa muri kanseri cyangwa hafi yayo.
Uburyo bwo kuvura imirasire itangwa biterwa n'ubwoko bw'indwara ya trophoblastique ivurwa. Imishwarara yo hanze ikoreshwa mugukiza indwara ya trophoblastique.
Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
Amakuru ajyanye nigeragezwa ryamavuriro arahari kurubuga rwa NCI.
Kuvura indwara ya trophoblastique ishobora gutera ingaruka.
Kumakuru yingaruka ziterwa no kuvura kanseri, reba urupapuro rwuruhande rwacu.
Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.
Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.
Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.
Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.
Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.
Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.
Ibizamini byo gukurikirana birashobora gukenerwa.
Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.
Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba ubuzima bwawe bwarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.
Urwego rwamaraso ya beta chorionic gonadotropine (β-hCG) izasuzumwa mugihe cyamezi 6 nyuma yubuvuzi burangiye. Ni ukubera ko urwego β-hCG ruri hejuru yubusanzwe rushobora gusobanura ko ikibyimba kititabiriye kwivuza cyangwa cyabaye kanseri.
Uburyo bwo kuvura Indwara ya Gestational Trophoblastique
Muri iki gice
- Hydatidiform Moles
- Gestational Trophoblastique Neoplasia
- Ibyago bike Gestational Trophoblastique Neoplasia
- Ibyago byinshi Metastatic Gestational Trophoblastique Neoplasia
- Ikibanza-Gestational Trophoblastique Ibibyimba na Epithelioid Trophoblastique
- Gusubiramo cyangwa Kurwanya Gestational Trophoblastique Neoplasia
Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.
Hydatidiform Moles
Kuvura mole ya hydatidiform irashobora kuba ikubiyemo ibi bikurikira:
- Kubaga (Dilatation na curettage hamwe na suction evacuation) kugirango ukureho ikibyimba.
Nyuma yo kubagwa, beta yumuntu chorionic gonadotropin (β-hCG) isuzuma ryamaraso rikorwa buri cyumweru kugeza urwego β-hCG rusubiye mubisanzwe. Abarwayi bafite kandi abaganga bakurikirana buri kwezi kugeza kumezi 6. Niba urwego rwa β-hCG rudasubiye mubisanzwe cyangwa kwiyongera, birashobora kuvuga ko mole ya hydatidiform itakuweho burundu kandi yabaye kanseri. Inda itera β-hCG urwego rwiyongera, bityo umuganga wawe azagusaba kudasama kugeza igihe gukurikirana birangiye.
Ku ndwara zisigaye nyuma yo kubagwa, kuvura ni chimiotherapie.
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
' Gestational Trophoblastique Neoplasia
Ibyago bike Gestational Trophoblastique Neoplasia
Kuvura indwara ya gesta trophoblastique neoplasia (GTN) (mole invasive mole cyangwa choriocarcinoma) irashobora kuba ikubiyemo ibi bikurikira:
- Chimiotherapie hamwe numuti umwe cyangwa myinshi ya anticancer. Umuti utangwa kugeza beta beta chorionic gonadotropine (β-hCG) urwego rusanzwe byibuze ibyumweru 3 nyuma yubuvuzi burangiye.
Niba urwego rwa β-hCG mu maraso rudasubiye mu buryo busanzwe cyangwa ikibyimba kigakwirakwira mu bice bya kure by'umubiri, uburyo bwa chimiotherapie bukoreshwa kuri GTN ifite ibyago byinshi.
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Ibyago byinshi Metastatic Gestational Trophoblastique Neoplasia
Kuvura indwara ziterwa na gesta trophoblastique neoplasia (mole invasive mole cyangwa choriocarcinoma) irashobora kuba ikubiyemo ibi bikurikira:
- Ubuvuzi bwa chimiotherapie.
- Imiti ya chimiotherapie hamwe nubuvuzi bwimirasire mubwonko (kuri kanseri yakwirakwiriye mu bihaha, kugirango idakwirakwira mu bwonko).
- Imiti ikabije ya chimiotherapie cyangwa chimiotherapie intrathecal hamwe na / cyangwa imiti ivura ubwonko (kuri kanseri yakwirakwiriye mubwonko).
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Ikibanza-Gestational Trophoblastique Ibibyimba na Epithelioid Trophoblastique
Kuvura icyiciro cya I ibibanza bya gesta trophoblastique hamwe na epithelioid trophoblastique yibibyimba bishobora kuba bikubiyemo ibi bikurikira:
- Kubaga kugirango ukure muri nyababyeyi.
Kuvura icyiciro cya II ibibyimba bya gesta trophoblastique hamwe na epithelioid trophoblastique yibibyimba bishobora kubamo ibi bikurikira:
- Kubaga kugirango ukureho ikibyimba, gishobora gukurikirwa no kuvura imiti.
Kuvura icyiciro cya III n'icya IV ibibyimba bya gesta trophoblastique hamwe na epithelioid trophoblastique yibibyimba bishobora kubamo ibi bikurikira:
- Ubuvuzi bwa chimiotherapie.
- Kubaga kugirango ukureho kanseri yakwirakwiriye ahandi, nk'ibihaha cyangwa inda.
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Gusubiramo cyangwa Kurwanya Gestational Trophoblastique Neoplasia
Kuvura ibibyimba bya trophoblastique bigenda byiyongera cyangwa birwanya bishobora kuba bikubiyemo ibi bikurikira:
- Chimiotherapie hamwe numuti umwe cyangwa myinshi ya anticancer kubibyimba byavuwe mbere yo kubagwa.
- Gukomatanya chimiotherapie yibibyimba byavuwe mbere na chimiotherapie.
- Kubaga ibibyimba bititabira chimiotherapie.
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Kugira ngo umenye byinshi kubyerekeye indwara ya Gestational Trophoblastique
Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye ibibyimba bya trophoblastique na neoplasia, reba ibi bikurikira:
- Indwara ya Gestational Trophoblastique Urugo Urupapuro
- Ibiyobyabwenge Byemewe Kurwara Gestational Trophoblastique
- Kanseri Metastatike
Kumakuru rusange ya kanseri nibindi bikoresho biva mu kigo cyigihugu cya kanseri, reba ibi bikurikira:
- Ibyerekeye Kanseri
- Gutegura
- Chimiotherapie nawe: Inkunga kubantu barwaye Kanseri
- Ubuvuzi bwimirasire nawe: Inkunga kubantu barwaye Kanseri
- Guhangana na Kanseri
- Ibibazo byo Kubaza Muganga wawe kuri Kanseri
- Abacitse ku icumu n'abarezi
Ibyerekeye Iyi ncamake ya
Ibyerekeye
Ikibazo cya Muganga () ni Ikigo cy’igihugu gishinzwe kanseri (NCI) amakuru yuzuye ya kanseri. Ububiko bwa bukubiyemo incamake yamakuru aheruka gutangazwa kubyerekeye kwirinda kanseri, gutahura, genetiki, kuvura, ubuvuzi bufasha, hamwe nubuvuzi bwuzuzanya nubundi buryo. Incamake nyinshi ziza muburyo bubiri. Impuguke zubuzima zubuzima zifite amakuru arambuye yanditse mururimi rwa tekiniki. Impapuro z'abarwayi zanditswe mu buryo bworoshye kubyumva, imvugo idasanzwe. Izi verisiyo zombi zifite amakuru ya kanseri yukuri kandi agezweho kandi verisiyo nyinshi ziraboneka no mu cyesipanyoli.
ni serivisi ya NCI. NCI iri mu bigo by'igihugu byubuzima (NIH). NIH ni ikigo cya leta nkuru yubushakashatsi bwibinyabuzima. Inshamake ya ishingiye ku isuzuma ryigenga ryibitabo byubuvuzi. Ntabwo ari politiki ya NCI cyangwa NIH.
Intego y'iyi ncamake
Iyi ncamake yamakuru ya kanseri ya ifite amakuru agezweho yerekeye kuvura indwara zifata trophoblastique. Igamije kumenyesha no gufasha abarwayi, imiryango, n'abarezi. Ntabwo itanga umurongo ngenderwaho cyangwa ibyifuzo byo gufata ibyemezo bijyanye n'ubuvuzi.
Isubiramo namakuru agezweho
Ubuyobozi bwandika incamake yamakuru ya kanseri ya kandi uyakomeze agezweho. Izi Nama zigizwe ninzobere mu kuvura kanseri n’ubundi buhanga bujyanye na kanseri. Inshamake isubirwamo buri gihe kandi impinduka zikorwa mugihe hari amakuru mashya. Itariki kuri buri ncamake ("Yavuguruwe") ni itariki yimpinduka ziheruka.
Ibisobanuro biri muri iyi ncamake y’abarwayi byakuwe muri verisiyo y’umwuga w’ubuzima, isubirwamo buri gihe kandi ikavugururwa uko bikenewe, n’inama y’ubwanditsi ya .
Amakuru Yikigereranyo
Ikigeragezo kivura ni ubushakashatsi bwo gusubiza ikibazo cya siyansi, nko kumenya niba ubuvuzi bumwe buruta ubundi. Ibigeragezo bishingiye kubushakashatsi bwashize nibyigishijwe muri laboratoire. Buri kigeragezo gisubiza ibibazo bimwe na bimwe bya siyansi kugirango ubone uburyo bushya kandi bwiza bwo gufasha abarwayi ba kanseri. Mugihe cyo kuvura ivuriro, amakuru akusanywa kubyerekeye ingaruka zubuvuzi bushya nuburyo bukora. Niba ikigeragezo kivura cyerekana ko ubuvuzi bushya buruta ubwo bukoreshwa ubu, ubuvuzi bushya bushobora guhinduka "bisanzwe." Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kuvurwa.
Ibizamini bya Clinical murashobora kubisanga kumurongo wa NCI. Ukeneye ibisobanuro birenzeho, hamagara Serivisi ishinzwe amakuru ya kanseri (CIS), ikigo cya NCI, kuri 1-800-4-KANSERI (1-800-422-6237).
Uruhushya rwo gukoresha Iyi ncamake
ni ikirango cyanditse. Ibiri mu nyandiko za birashobora gukoreshwa kubuntu nkinyandiko. Ntishobora kumenyekana nkincamake yamakuru ya kanseri ya NCI keretse iyo incamake yose yerekanwe kandi igahora ivugururwa buri gihe. Icyakora, umukoresha yemerewe kwandika interuro nka “Incamake yamakuru ya kanseri ya ya NCI yerekeye kwirinda kanseri y'ibere ivuga ingaruka mu buryo bukurikira:
Inzira nziza yo kuvuga iyi ncamake ya ni:
Amashusho muriyi ncamake akoreshwa uruhushya rwumwanditsi (abahanzi), umuhanzi, na / cyangwa uwamamaza kugirango akoreshwe muri incamake ya gusa. Niba ushaka gukoresha ishusho kuva muri incamake kandi ukaba udakoresha incamake yose, ugomba kubona uruhushya rwa nyirubwite. Ntishobora gutangwa n'ikigo cy'igihugu gishinzwe kanseri. Amakuru ajyanye no gukoresha amashusho muriyi ncamake, hamwe nandi mashusho menshi ajyanye na kanseri murayasanga kuri Visual Online. Amashusho Kumurongo nicyegeranyo cyamashusho arenga 3.000 yubumenyi.
Inshingano
Ibisobanuro biri muri izi ncamake ntibigomba gukoreshwa mu gufata ibyemezo bijyanye no kwishyura ubwishingizi. Andi makuru yerekeye ubwishingizi araboneka kuri Kanseri.gov kurupapuro rwita kuri Kanseri.
Twandikire
Andi makuru yerekeye kutwandikira cyangwa kwakira ubufasha kurubuga rwa Kanseri.gov urashobora kubisanga kurupapuro rwadufasha. Ibibazo birashobora kandi koherezwa kuri Kanseri.gov ukoresheje E-imeri Yurubuga
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