Ubwoko / ovarian / umurwayi / ovarian-germ-selile-kuvura-pdq

Ovarian Germ Cell Cell Tumors Version

Ibisobanuro Rusange Kubijyanye na Ovarian Germ Tumors

INGINGO Z'INGENZI

• Ikibyimba cya mikorobe ya Ovarian ni indwara ingirabuzimafatizo (kanseri) ziba mu ngirabuzimafatizo (amagi) y'intanga ngore.

• Ibimenyetso bya kanseri yintanga ngore ni kubyimba munda cyangwa kuva amaraso mu gitsina nyuma yo gucura.

• Ibizamini bisuzuma intanga ngore, agace ka pelvic, amaraso, hamwe nintanga ngore bikoreshwa mugushakisha (gushakisha) no gusuzuma ikibyimba cya mikorobe yintanga.

• Ibintu bimwe bigira ingaruka kubimenyekanisha (amahirwe yo gukira no kuvura).

Ikibyimba cya mikorobe ya Ovarian ni indwara ingirabuzimafatizo (kanseri) ziba mu ngirabuzimafatizo (amagi) y'intanga ngore.

Ibibyimba by'ingirabuzimafatizo bitangirira mu myororokere (amagi cyangwa intanga) z'umubiri. Ibibyimba bya mikorobe ya Ovarian bikunze kugaragara mubakobwa b'ingimbi cyangwa abakobwa bakiri bato kandi akenshi bigira ingaruka ku ntanga imwe.

Intanga ngore ni ingingo ebyiri muri sisitemu yimyororokere yumugore. Biri mu gitereko, kimwe kuri buri ruhande rwa nyababyeyi (urugingo rudakomeye, rumeze nk'isaro aho uruhinja rukurira). Buri ntanga ngore hafi yubunini n'imiterere ya almande. Intanga ngore zikora amagi na hormone z'umugore.

Anatomy ya sisitemu yimyororokere yumugore. Ingingo ziri muri sisitemu yimyororokere yumugore zirimo nyababyeyi, intanga ngore, igituba, inkondo y'umura, nigituba. Inda ifite imitsi yo hanze yitwa myometrium n'umurongo w'imbere witwa endometrium.

Ovarian germ selile kanseri ni izina rusange rikoreshwa mugusobanura ubwoko butandukanye bwa kanseri. Ikibyimba gikunze kwibasira intanga ngore yitwa dysgerminoma. Reba incamake ya ikurikira kugirango umenye amakuru yandi moko y'ibibyimba by'intanga ngore:

• Ovarian Epithelial, Fallopian Tube, hamwe no kuvura Kanseri yibanze ya Peritoneyale

• Ovarian Ntoya Yangiza Ibibyimba Bivura

Ibimenyetso bya kanseri yintanga ngore ni kubyimba munda cyangwa kuva amaraso mu gitsina nyuma yo gucura.

Ibibyimba bya mikorobe ya Ovarian birashobora kugorana kubimenya (kubona) hakiri kare. Akenshi nta bimenyetso bigaragara mugihe cyambere, ariko ibibyimba birashobora kuboneka mugihe cyibizamini byabagore bisanzwe (cheque). Menyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:

• Inda yabyimbye nta kongera ibiro mu bindi bice byumubiri.

• Kuva amaraso mu gitsina nyuma yo gucura (mugihe utagifite imihango).

Ibizamini bisuzuma intanga ngore, agace ka pelvic, amaraso, hamwe nintanga ngore bikoreshwa mugushakisha (gushakisha) no gusuzuma ikibyimba cya mikorobe yintanga.

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 pelvic. Umuganga cyangwa umuforomo ashyiramo intoki imwe cyangwa ebyiri zasizwe, zuzuye intoki z'ukuboko kumwe mu gitsina hanyuma agakanda ku nda yo hepfo n'ukundi kuboko. Ibi bikorwa kugirango wumve ubunini, imiterere, n'umwanya wa nyababyeyi na ovaries. Igituba, inkondo y'umura, imiyoboro ya fallopian, na rectum nabyo birasuzumwa.

• Laparotomy: Uburyo bwo kubaga bukorerwa intambwe (gukata) mu rukuta rw'inda kugira ngo harebwe imbere mu nda ibimenyetso by'indwara. Ingano yo gutemwa biterwa nimpamvu laparotomy ikorwa. Rimwe na rimwe, ingingo zavanyweho cyangwa ingero za tissue zifatwa hanyuma zigasuzumwa munsi ya microscope kugirango ibimenyetso byindwara.

• 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 kandi bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.

• Ikizamini cya serumu yibibyimba: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe bisohoka mumaraso ningingo, ingirangingo, cyangwa selile yibibyimba mumubiri. Ibintu bimwe bifitanye isano nubwoko bwa kanseri iyo bibonetse mubwiyongere bwamaraso. Ibi byitwa ibimenyetso byerekana ibibyimba. Ubwiyongere bwa alpha fetoprotein (AFP) cyangwa chorionic gonadotropine (HCG) yabantu mumaraso bishobora kuba ikimenyetso cyikibyimba cya mikorobe yintanga.

Ibintu bimwe bigira ingaruka kubimenyekanisha (amahirwe yo gukira no kuvura).

Kumenyekanisha (amahirwe yo gukira) hamwe nuburyo bwo kuvura biterwa nibi bikurikira:

• Ubwoko bwa kanseri.

• Ingano yikibyimba.

• Icyiciro cya kanseri (cyaba gifata igice cyintanga ngore, kirimo intanga zose, cyangwa cyakwirakwiriye ahandi mu mubiri).

• Uburyo ingirangingo za kanseri zisa munsi ya microscope.

• Ubuzima rusange bwumurwayi.

Ibibyimba bya mikorobe ya Ovarian mubisanzwe bikira iyo bibonetse bikavurwa hakiri kare.

Ibyiciro bya Ovarian Germ Tumors

INGINGO Z'INGENZI

• Nyuma yo gupimwa ikibyimba cya mikorobe yintanga ngore, hakozwe ibizamini kugirango hamenyekane niba kanseri ya kanseri yakwirakwiriye muri ova cyangwa mu bindi bice byumubiri.

• Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

• Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

• Ibyiciro bikurikira bikoreshwa mubyimba bya mikorobe yintanga:

• Icyiciro I.

• Icyiciro cya II

• Icyiciro cya III

• Icyiciro cya IV

Nyuma yo gupimwa ikibyimba cya mikorobe yintanga ngore, hakozwe ibizamini kugirango hamenyekane niba kanseri ya kanseri yakwirakwiriye muri ova cyangwa mu bindi bice byumubiri.

Inzira ikoreshwa mu kumenya niba kanseri yarakwirakwiriye muri ovary cyangwa mu bindi bice byumubiri byitwa guterana. Amakuru yakusanyirijwe mubikorwa byateguwe agena icyiciro cyindwara. Keretse niba umuganga azi neza ko kanseri yakwirakwiriye mu ntanga ngore kugera mu bindi bice by'umubiri, hakorwa igikorwa cyitwa laparotomy kugira ngo harebwe niba kanseri yarakwirakwiriye. Muganga agomba guca mu nda akareba yitonze ingingo zose kugirango arebe niba arwaye kanseri. Muganga azaca uduce duto duto kugirango basuzumwe munsi ya microscope kugirango bagaragaze ibimenyetso bya kanseri. Muganga arashobora kandi koza munda yinda akoresheje amazi, nayo igasuzumwa munsi ya microscope kugirango irebe niba irimo kanseri. Mubisanzwe umuganga azakuraho kanseri nizindi ngingo zifite kanseri muri zo mugihe cya laparotomie.

Byinshi mubizamini bikoreshwa mugupima ovarian germ selile kanseri nayo ikoreshwa mugutegura. Ibizamini hamwe nuburyo bukurikira birashobora no gukoreshwa mugutegura:

• PET scan (positron emission tomografi scan): Uburyo bwo kubona selile mbi yibibyimba mumubiri. Umubare muto wa glucose ikora radio (isukari) yatewe mumitsi. PET scaneri izenguruka umubiri kandi ikora ishusho yerekana aho glucose ikoreshwa mumubiri. Utugingo ngengabuzima twibibyimba twerekana neza cyane ku ishusho kuko zikora cyane kandi zifata glucose nyinshi kuruta selile zisanzwe.

• MRI . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).

• Ikizamini cya ultrasound ya Transvaginal: Uburyo bukoreshwa mugusuzuma ibyara, nyababyeyi, igituba, na ruhago. Transducer ya ultrasound (probe) yinjizwa mu gitsina kandi ikoreshwa mu gusunika amajwi menshi y’amajwi (ultrasound) hejuru yinyama cyangwa ingingo zimbere no gukora echo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Muganga arashobora kumenya ibibyimba areba sonogram.

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 ni ubwoko bumwe bwibibyimba nkibibyimba byibanze. Kurugero, niba ikibyimba cya mikorobe yintanga ikwirakwira mu mwijima, uturemangingo twibibyimba mu mwijima mubyukuri ni kanseri yintanga ngore. Indwara ni metastatike ovarian germ selile kanseri, ntabwo ari kanseri y'umwijima.

Ibyiciro bikurikira bikoreshwa mubyimba bya mikorobe yintanga:

Icyiciro I.

Mu cyiciro cya IA, kanseri iboneka imbere mu muyoboro umwe w'intanga ngore. Mu cyiciro cya IB, kanseri iboneka imbere yintanga zombi cyangwa igituba. Mu cyiciro cya IC, kanseri iboneka imbere yintanga imwe cyangwa zombi cyangwa igituba cya fallopian kandi kimwe muribi bikurikira ni ukuri: (a) capsule (igipfundikizo cyo hanze) yintanga yaracitse, (b) kanseri nayo iboneka hejuru yinyuma intanga imwe cyangwa zombi cyangwa igituba cya fallopian, cyangwa (c) kanseri ya kanseri iboneka muri pelvic peritoneum.

Mu cyiciro cya I, kanseri iboneka muri ovaire imwe cyangwa zombi. Icyiciro cya I kigabanijwe mu cyiciro cya IA, icyiciro cya IB, na IC.

• Icyiciro cya IA: Kanseri iboneka imbere yintanga imwe.

• Icyiciro IB: Kanseri iboneka imbere yintanga zombi.

• Icyiciro IC: Kanseri iboneka imbere muri ovaire cyangwa zombi kandi imwe muribi ni ukuri:

• kanseri iboneka no hejuru yintanga imwe cyangwa zombi; cyangwa

• capsule (igipfundikizo cyo hanze) yintanga yarashwanyutse (ifunguye); cyangwa

• selile ya kanseri iboneka mumazi ya cavit peritoneal (cavit yumubiri irimo ingingo nyinshi ziri munda) cyangwa mukwoza peritoneum (tissue iri mumyanya ya peritoneal).

Icyiciro cya II

Mu cyiciro cya IIA, kanseri iboneka muri imwe cyangwa zombi cyangwa intanga ngore kandi ikwirakwira muri nyababyeyi na / cyangwa igituba na / cyangwa intanga ngore. Mu cyiciro cya IIB, kanseri iboneka muri ovaire imwe cyangwa zombi cyangwa mu miyoboro ya fallopian kandi ikwirakwira mu mara. Muri kanseri y'ibanze ya kanseri, kanseri iboneka muri pelvic peritoneum kandi ntabwo yakwirakwiriye kuva mu kindi gice cy'umubiri.

Mu cyiciro cya II, kanseri iboneka muri ova imwe cyangwa zombi kandi ikwirakwira mu tundi turere. Icyiciro cya II kigabanijwe mu cyiciro cya IIA, icyiciro cya IIB, n'icyiciro cya IIC.

• Icyiciro cya IIA: Kanseri yakwirakwiriye muri nyababyeyi na / cyangwa igituba cya fallopian (umuyoboro muremure unyuramo amagi ava muri ovaire akajya muri nyababyeyi).

• Icyiciro cya IIB: Kanseri yakwirakwiriye mu zindi ngingo ziri mu gitereko.

• Icyiciro cya IIC: Kanseri iboneka imbere muri ovaire imwe cyangwa zombi kandi ikwirakwira muri nyababyeyi na / cyangwa mu miyoboro ya fallopian, cyangwa no mu zindi ngingo ziri mu gitereko. Nanone, kimwe muri ibi bikurikira ni ukuri:

• kanseri iboneka hejuru yintanga imwe cyangwa zombi; cyangwa

• capsule (igipfundikizo cyo hanze) yintanga yarashwanyutse (ifunguye); cyangwa

• selile ya kanseri iboneka mumazi ya cavit peritoneal (cavit yumubiri irimo ingingo nyinshi ziri munda) cyangwa mukwoza peritoneum (tissue iri mumyanya ya peritoneal).

Ingano ya Tumor ikunze gupimwa muri santimetero (cm) cyangwa santimetero. Ibiribwa bisanzwe bishobora gukoreshwa mu kwerekana ubunini bwikibyimba muri cm harimo: amashaza (cm 1), ibishyimbo (cm 2), umuzabibu (cm 3), walnut (cm 4), lime (cm 5 cyangwa 2 santimetero), igi (cm 6), amashaza (cm 7), n'imbuto (cm 10 cyangwa santimetero 4).

Icyiciro cya III

Mu cyiciro cya III, kanseri iboneka muri ovaire imwe cyangwa zombi kandi yakwirakwiriye hanze yigitereko kugera mu bindi bice byinda ndetse na / cyangwa hafi ya lymph node. Icyiciro cya III kigabanijwe mu cyiciro cya IIIA, icyiciro cya IIIB, n'icyiciro cya IIIC.

• Icyiciro cya IIIA: Ikibyimba kiboneka mu gitereko gusa, ariko selile ya kanseri ishobora kugaragara gusa hamwe na microscope yakwirakwiriye hejuru ya peritoneum (tissue ihuza urukuta rw'inda kandi igatwikira ingingo nyinshi ziri munda), amara mato, cyangwa tissue ihuza amara mato kurukuta rwinda.

Mu cyiciro cya IIIA, kanseri iboneka muri ovaire imwe cyangwa zombi cyangwa mu miyoboro ya fallopian kandi (a) kanseri yakwirakwiriye mu mitsi ya lymph mu gice cyo hanze cyangwa inyuma ya peritoneum gusa, cyangwa (b) kanseri ya kanseri ishobora kugaragara gusa na microscope ifite gukwirakwira kuri omentum. Kanseri irashobora gukwirakwira hafi ya lymph node.

Icyiciro cya IIIB: Kanseri yakwirakwiriye kuri peritoneum na kanseri muri peritoneum ni santimetero 2 cyangwa nto.

Mu cyiciro cya IIIB, kanseri iboneka muri ovaire imwe cyangwa zombi cyangwa mu miyoboro ya fallopian kandi ikwirakwira kuri omentum, kandi kanseri yo muri omentum ni santimetero 2 cyangwa nto. Kanseri irashobora gukwirakwira kuri lymph node inyuma ya peritoneum.

• Icyiciro cya IIIC: Kanseri yakwirakwiriye kuri peritoneum na kanseri yo muri peritoneum irenze santimetero 2 kandi / cyangwa kanseri ikwirakwira mu nda ya lymph mu nda.

Mu cyiciro cya IIIC, kanseri iboneka muri ovaire imwe cyangwa zombi cyangwa mu miyoboro ya fallopian kandi ikwirakwira kuri omentum, kandi kanseri yo muri omentum irenze santimetero 2. Kanseri irashobora gukwirakwira kuri lymph node inyuma ya peritoneum cyangwa hejuru yumwijima cyangwa ururenda.

Kanseri yakwirakwiriye hejuru y'umwijima nayo ifatwa nka kanseri yo mu cyiciro cya gatatu.

Icyiciro cya IV

Mu cyiciro cya IV, kanseri yakwirakwiriye mu nda kugera mu bindi bice by'umubiri. Mu cyiciro cya IVA, selile ya kanseri iboneka mumazi yinyongera yubaka ibihaha. Mu cyiciro cya IVB, kanseri yakwirakwiriye mu ngingo no mu ngingo hanze y’inda, harimo ibihaha, umwijima, amagufwa, na lymph node mu kibero.

Mu cyiciro cya IV, kanseri yakwirakwiriye mu nda kugera mu bindi bice by'umubiri, nk'ibihaha cyangwa inyama ziri mu mwijima.

Ingirabuzimafatizo za kanseri mu mazi azenguruka ibihaha nazo zifatwa nka kanseri yo mu cyiciro cya IV.

Isubiramo rya Ovarian Germ Cell Tumors

Ikibyimba cya ovarian germ selile kanseri ni kanseri yagarutse (garuka) imaze kuvurwa. Kanseri irashobora kugaruka mu zindi ntanga ngore cyangwa mu bindi bice by'umubiri.

Incamake yo kuvura

INGINGO Z'INGENZI

• Hariho uburyo butandukanye bwo kuvura abarwayi bafite ibibyimba bya mikorobe yintanga.

• Ubwoko bune bwo kuvura busanzwe bukoreshwa:

• Kubaga

• Indorerezi

• Chimoterapi

• Imiti ivura imirasire

• Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

• Imiti myinshi ya chimiotherapie hamwe no guhinduranya amagufwa

• Uburyo bushya bwo kuvura

• Kuvura ibibyimba bya mikorobe yintanga bishobora 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 ibibyimba bya mikorobe yintanga.

Ubwoko butandukanye bwo kuvura burahari kubarwayi bafite intanga ngore. Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. 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. Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.

Ubwoko bune bwo kuvura busanzwe bukoreshwa:

Kubaga

Kubaga nubuvuzi bukunze kuvura kanseri yintanga ngore. Muganga arashobora gukuramo kanseri akoresheje bumwe muburyo bukurikira bwo kubaga.

• Salpingo-oophorectomy itabogamye: Uburyo bwo kubaga kugirango ukureho intanga imwe n'umuyoboro umwe.

• Hysterectomy yuzuye: Uburyo bwo kubaga gukuramo nyababyeyi, harimo na nyababyeyi. 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.

Hysterectomy. Inda ikurwaho kubagwa cyangwa idafite izindi ngingo cyangwa ingirangingo. Muri hysterectomy yuzuye, nyababyeyi na nyababyeyi bikurwaho. Muri hysterectomy yuzuye hamwe na salpingo-oophorectomy, (a) nyababyeyi hiyongereyeho intanga ngore imwe (unilateral) ovary na fallopian; cyangwa (b) nyababyeyi hiyongereyeho intanga zombi (zombi) hamwe na tebes zo mu bwoko bwa fallopian. Muri hysterectomy ikabije, nyababyeyi, inkondo y'umura, intanga zombi, imiyoboro yombi, hamwe na tissue hafi. Ubu buryo bukorwa hifashishijwe uburyo buke bwo guhinduranya cyangwa guhagarikwa.

• Impande zombi salpingo-oophorectomy: Uburyo bwo kubaga kugirango ukuremo intanga ngore zombi.

• Tumor debulking: Uburyo bwo kubaga bukuramo ibibyimba byinshi bishoboka. Ibibyimba bimwe ntibishobora kuvaho burundu.

Muganga amaze gukuraho kanseri zose zishobora kugaragara mugihe cyo kubagwa, abarwayi bamwe bashobora guhabwa chimiotherapie cyangwa imiti ivura imirasire nyuma yo kubagwa kugirango bice selile zose zisigaye. Umuti watanzwe nyuma yo kubagwa, kugirango ugabanye ibyago ko kanseri izagaruka, byitwa kuvura indwara.

Nyuma ya chimiotherapie ya kanseri yintanga ngore, hashobora gukorwa laparotomy ya kabiri. Ibi bisa na laparotomie ikorwa kugirango umenye icyiciro cya kanseri. Icya kabiri-reba laparotomy nuburyo bwo kubaga kugirango umenye niba selile yibibyimba isigaye nyuma yubuvuzi bwibanze. Muri ubu buryo, umuganga azafata ingero za lymph node hamwe nizindi ngingo zo munda kugirango arebe niba kanseri isigaye. Ubu buryo ntabwo bukorwa kuri dysgerminoma.

Indorerezi

Indorerezi ikurikiranira hafi uko umurwayi ameze atabanje kwivuza keretse ibimenyetso cyangwa ibimenyetso bigaragara cyangwa bihindutse.

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). Imiti ya chimiotherapie ni imiti ikoresheje imiti irenze imwe ya anticancer. Uburyo chimiotherapie itangwa biterwa nubwoko nicyiciro cya kanseri ivurwa.

Reba Ibiyobyabwenge Byemewe kuri Ovarian, Fallopian Tube, cyangwa Kanseri Yibanze ya Peritoneyale 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 imiti ivura imirasire itangwa biterwa n'ubwoko bwa kanseri ivurwa. Imiti ivura hanze ikoreshwa mu kuvura ibibyimba bya mikorobe.

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Iki gice cyincamake gisobanura imiti irimo kwigwa mubigeragezo byamavuriro. Ntishobora kuvuga ubuvuzi bushya burimo kwigwa. Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Imiti myinshi ya chimiotherapie hamwe no guhinduranya amagufwa

Imiti myinshi ya chimiotherapie hamwe no guhinduranya amagufwa ni uburyo bwo gutanga urugero rwinshi rwa chimiotherapie no gusimbuza selile zikora amaraso zangijwe no kuvura kanseri. Ingirabuzimafatizo (selile selile zidakuze) zivanwa mumagufa yumurwayi cyangwa umuterankunga hanyuma arakonja arabikwa. Nyuma ya chimiotherapie irangiye, ingirangingo zibitswe zabitswe hanyuma zisubizwa umurwayi binyuze mu gushiramo. Izi ngirabuzimafatizo zongeye gukoreshwa zikura (kandi zigarura) ingirangingo z'amaraso z'umubiri.

Uburyo bushya bwo kuvura

Imiti ya chimiotherapie (ikoreshwa ry'imiti irenze imwe ya antikanseri) irageragezwa mugeragezwa kwa kliniki.

Kuvura ibibyimba bya mikorobe yintanga bishobora 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.

Amahitamo yo Kuvura Ukurikije Icyiciro

Muri iki gice

• Icyiciro cya I Ovarian Germ Tumors

• Icyiciro cya II Intanga ngore ya Ovarian

• Icyiciro cya III Intanga ngore

• Icyiciro cya IV Intanga ngore

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Icyiciro cya I Ovarian Germ Tumors

Ubuvuzi buterwa no kumenya niba ikibyimba ari dysgerminoma cyangwa ubundi bwoko bwa kanseri yintanga ngore.

Umuti wa dysgerminoma urashobora kubamo ibi bikurikira:

• Salpingo imwe-oophorectomy hamwe na lymphangiography cyangwa idafite CT scan.

• Salpingo-oophorectomy imwe ikurikirwa no kwitegereza.

• Salpingo imwe-oophorectomy ikurikirwa no kuvura imirasire.

• Salpingo imwe-oophorectomy ikurikirwa na chimiotherapie.

Kuvura ibindi bibyimba bya mikorobe yintanga bishobora kuba:

• uruhande rumwe salpingo-oophorectomy ikurikirwa no kwitegereza neza; cyangwa

• salpingo-oophorectomy imwe, rimwe na rimwe ikurikirwa na 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.

Icyiciro cya II Intanga ngore ya Ovarian

Ubuvuzi buterwa no kumenya niba ikibyimba ari dysgerminoma cyangwa ubundi bwoko bwa kanseri yintanga ngore.

Umuti wa dysgerminoma urashobora kuba:

• hysterectomy yo munda yose hamwe na salpingo-oophorectomy byombi bikurikirwa no kuvura imirasire cyangwa imiti ya chimiotherapie; cyangwa

• salpingo-oophorectomy imwe ikurikirwa na chimiotherapie.

Kuvura ibindi bibyimba byintanga ngore bishobora kubamo ibi bikurikira:

• Salpingo imwe-oophorectomy ikurikirwa na chimiotherapie ikomatanya.

• Kureba kabiri-laparotomie (kubagwa bikozwe nyuma yubuvuzi bwibanze kugirango urebe niba selile yibibyimba bigumye).

• Ikigeragezo cyamavuriro yubuvuzi bushya.

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.

Icyiciro cya III Intanga ngore

Ubuvuzi buterwa no kumenya niba ikibyimba ari dysgerminoma cyangwa ubundi bwoko bwa kanseri yintanga ngore.

Umuti wa dysgerminoma urashobora kubamo ibi bikurikira:

• Hsterectomy yo munda yose hamwe na salpingo-oophorectomy byombi, hamwe no gukuraho kanseri nyinshi munda no munda bishoboka.

• Salpingo imwe-oophorectomy ikurikirwa na chimiotherapie.

Kuvura ibindi bibyimba byintanga ngore bishobora kubamo ibi bikurikira:

• Indwara yo munda yose hamwe na salpingo-oophorectomy byombi, hamwe no gukuraho kanseri nyinshi munda no munda bishoboka. Chimiotherapie izatangwa mbere na / cyangwa nyuma yo kubagwa.

• Salpingo imwe-oophorectomy ikurikirwa na chimiotherapie.

• Kureba kabiri-laparotomie (kubagwa bikozwe nyuma yubuvuzi bwibanze kugirango urebe niba selile yibibyimba bigumye).

• Ikigeragezo cyamavuriro yubuvuzi bushya.

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.

Icyiciro cya IV Intanga ngore

Ubuvuzi buterwa no kumenya niba ikibyimba ari dysgerminoma cyangwa ubundi bwoko bwa kanseri yintanga ngore.

Umuti wa dysgerminoma urashobora kubamo ibi bikurikira:

• Indwara yo munda yose hamwe na salpingo-oophorectomy byombi bikurikirwa na chimiotherapie, hamwe no gukuraho kanseri nyinshi munda no munda bishoboka.

• Salpingo imwe-oophorectomy ikurikirwa na chimiotherapie.

Kuvura ibindi bibyimba byintanga ngore bishobora kubamo ibi bikurikira:

• Indwara yo munda yose hamwe na salpingo-oophorectomy byombi, hamwe no gukuraho kanseri nyinshi munda no munda bishoboka. Chimiotherapie izatangwa mbere na / cyangwa nyuma yo kubagwa.

• Salpingo imwe-oophorectomy ikurikirwa na chimiotherapie.

• Kureba kabiri-laparotomie (kubagwa bikozwe nyuma yubuvuzi bwibanze kugirango urebe niba selile yibibyimba bigumye).

• Ikigeragezo cyamavuriro yubuvuzi bushya.

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.

Amahitamo yo Kuvura Ovarian Ubudage Bwibyimba Byinshi

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Ubuvuzi buterwa no kumenya niba ikibyimba ari dysgerminoma cyangwa ubundi bwoko bwa kanseri yintanga ngore.

Umuti wa dysgerminoma urashobora kuba:

• Chimiotherapie hamwe cyangwa idafite imishwarara.

Kuvura ibindi bibyimba byintanga ngore bishobora kubamo ibi bikurikira:

• Chimoterapi.

• Kubaga hamwe na chimiotherapie cyangwa idafite.

• Igeragezwa rya clinique ya chimiotherapie ikabije ikurikirwa no guterwa amagufwa.

• Ikigeragezo cyamavuriro yubuvuzi bushya.

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 kubyerekeranye na Ovarian Germ Cell Tumors

Ushaka amakuru menshi yikigo cyigihugu gishinzwe kanseri kubyerekeranye na kanseri yintanga ngore, reba ibi bikurikira:

• Ovarian, Fallopian Tube, na Primaire ya Kanseri Yibanze Urupapuro

• Ibiyobyabwenge Byemewe kuri Ovarian, Fallopian Tube, cyangwa Kanseri yibanze ya Peritoneyale

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