Types/ovarian/patient/ovarian-low-malignant-treatment-pdq
Ibirimo
- 1 Ovarian Ntoya Yangiza Ibibyimba Byibibyimba
- 1.1 Amakuru Rusange Yerekeye Ovarian Ntoya Yangiza Ibibyimba
- 1.2 Icyiciro cya Ovarian Ntoya Yangiza Ibibyimba
- 1.3 Isubiramo rya Ovarian Ntoya Yangiza Ibibyimba
- 1.4 Incamake yo kuvura
- 1.5 Amahitamo yo kuvura Ovarian Ntoya Yangiza Ibibyimba
- 1.6 Kugira ngo Wige Byinshi Kubijyanye na Ovarian Ntoya Yangiza Ibibyimba
Ovarian Ntoya Yangiza Ibibyimba Byibibyimba
Amakuru Rusange Yerekeye Ovarian Ntoya Yangiza Ibibyimba
INGINGO Z'INGENZI
- Intanga ngore ishobora gutera ikibyimba ni indwara aho ingirabuzimafatizo zidasanzwe ziba mu ngingo zifata intanga ngore.
- Ibimenyetso nibimenyetso byintanga ngore ishobora kubyimba harimo kubabara cyangwa kubyimba munda.
- Ibizamini bisuzuma intanga ngore bikoreshwa mugushakisha (gushakisha), gusuzuma, no gutera intanga ngore ntoya ishobora kubyimba.
- Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.
Intanga ngore ishobora gutera ikibyimba ni indwara aho ingirabuzimafatizo zidasanzwe ziba mu ngingo zifata intanga ngore.
Intanga ngore ishobora kubyara kanseri idasanzwe ishobora guhinduka kanseri, ariko mubisanzwe sibyo. Iyi ndwara ubusanzwe iguma muri ovary. Iyo indwara ibonetse muri ovary imwe, indi ovary nayo igomba kugenzurwa neza kugirango ibimenyetso byindwara.
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.
Ibimenyetso nibimenyetso byintanga ngore ishobora kubyimba harimo kubabara cyangwa kubyimba munda.
Intanga ngore ishobora gutera ibibyimba hakiri kare. Niba ufite ibimenyetso cyangwa ibimenyetso, birashobora gushiramo ibi bikurikira:
- Kubabara cyangwa kubyimba munda.
- Kubabara mu gitereko.
- Ibibazo byo munda, nka gaze, kubyimba, cyangwa kuribwa mu nda.
Ibi bimenyetso nibimenyetso bishobora guterwa nibindi bihe. Niba barushijeho kuba bibi cyangwa batagiye bonyine, baza muganga wawe.
Ibizamini bisuzuma intanga ngore bikoreshwa mugushakisha (gushakisha), gusuzuma, no gutera intanga ngore ntoya ishobora kubyimba. 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: Uburyo bukoreshwa mu majwi menshi y’amajwi (ultrasound) asohoka mu ngingo cyangwa mu ngingo imbere hanyuma agasubiramo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ishusho irashobora gucapurwa kugirango irebe nyuma.
Abandi barwayi barashobora kugira ultrasound transvaginal.
- 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.
- CA 125 isuzuma: Ikizamini gipima urwego rwa CA 125 mumaraso. CA 125 ni ikintu cyarekuwe na selile mumaraso. Kwiyongera kwa CA 125 rimwe na rimwe ni ikimenyetso cya kanseri cyangwa izindi ndwara.
- Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri.
- Biopsy: Gukuraho ingirabuzimafatizo cyangwa ingirangingo kugirango zishobore kurebwa munsi ya microscope na patologue kugirango barebe ibimenyetso bya kanseri. Ubusanzwe tissue ikurwaho mugihe cyo kubagwa kugirango ikureho ikibyimba.
Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.
Kumenyekanisha (amahirwe yo gukira) hamwe nuburyo bwo kuvura biterwa nibi bikurikira:
- Intambwe yindwara (yaba ifata igice cyintanga ngore, irimo intanga zose, cyangwa yakwirakwiriye ahandi mumubiri).
- Ni ubuhe bwoko bw'utugingo ngengabuzima tugize ikibyimba.
- Ingano yikibyimba.
- Ubuzima rusange bwumurwayi.
Abarwayi bafite intanga ngore ntoya ishobora kubyara neza, cyane cyane iyo ikibyimba kibonetse hakiri kare.
Icyiciro cya Ovarian Ntoya Yangiza Ibibyimba
INGINGO Z'INGENZI
- Nyuma yo gupimwa intanga ngore ntoya ishobora kuvuka, hakorwa ibizamini kugirango hamenyekane niba selile zidasanzwe zakwirakwiriye muri ovary cyangwa mu bindi bice byumubiri.
- Ibyiciro bikurikira bikoreshwa mu ntanga ngore ishobora kubyara ikibyimba:
- Icyiciro I.
- Icyiciro cya II
- Icyiciro cya III
- Icyiciro cya IV
Nyuma yo gupimwa intanga ngore ntoya ishobora kuvuka, hakorwa ibizamini kugirango hamenyekane niba selile zidasanzwe zakwirakwiriye muri ovary cyangwa mu bindi bice byumubiri.
Inzira ikoreshwa mu kumenya niba selile zidasanzwe zakwirakwiriye muri ovary cyangwa mu bindi bice byumubiri byitwa guterana. Amakuru yakusanyirijwe mubikorwa byateguwe agena icyiciro cyindwara. Ni ngombwa kumenya icyiciro kugirango utegure kuvura. Ibizamini bimwe cyangwa inzira zikoreshwa mugutegura. Gutegura laparotomy (kubaga kubagwa bikozwe murukuta rwinda kugirango ukureho intanga ngore) birashobora gukoreshwa. Abarwayi benshi basuzumwa n'indwara yo mu cyiciro cya I.
Ibyiciro bikurikira bikoreshwa mu ntanga ngore ishobora kubyara ikibyimba:
Icyiciro I.
Mu cyiciro cya I, ikibyimba kiboneka muri ovaire imwe cyangwa zombi. Icyiciro cya I kigabanijwe mu cyiciro cya IA, icyiciro cya IB, na IC.
- Icyiciro cya IA: Ikibyimba kiboneka imbere yintanga imwe.
- Icyiciro IB: Ikibyimba kiboneka imbere yintanga zombi.
- Icyiciro IC: Ikibyimba kiboneka imbere yintanga imwe cyangwa zombi kandi kimwe muribi gikurikira nukuri:
- ibibyimba biboneka hejuru yinyuma yintanga imwe cyangwa zombi; cyangwa
- capsule (igipfundikizo cyo hanze) yintanga yarashwanyutse (ifunguye); cyangwa
- uturemangingo twibibyimba tuboneka mumazi ya cavit ya peritoneal (cavit yumubiri irimo ingingo nyinshi ziri munda) cyangwa mukwoza peritoneum (tissue iri kuri peritoneal
cavity).
Icyiciro cya II
Mu cyiciro cya II, ikibyimba kiboneka muri ovaire imwe cyangwa zombi kandi cyakwirakwiriye mu tundi duce. Icyiciro cya II kigabanijwe mu cyiciro cya IIA, icyiciro cya IIB, n'icyiciro cya IIC.
- Icyiciro cya IIA: Ikibyimba cyakwirakwiriye muri nyababyeyi na / cyangwa igituba cya fallopian (umuyoboro muremure woroshye unyuramo amagi ava muri ovaries akajya muri nyababyeyi).
- Icyiciro cya IIB: Ikibyimba cyakwirakwiriye mu zindi ngingo ziri mu gitereko.
- Icyiciro cya IIC: Ikibyimba kiboneka imbere yintanga imwe cyangwa zombi kandi cyakwirakwiriye muri nyababyeyi na / cyangwa mu miyoboro ya fallopian, cyangwa no mu zindi ngingo ziri mu gitereko. Nanone, kimwe muri ibi bikurikira ni ukuri:
- ibibyimba biboneka hejuru yinyuma yintanga imwe cyangwa zombi; cyangwa
- capsule (igipfundikizo cyo hanze) yintanga yarashwanyutse (ifunguye); cyangwa
- uturemangingo twibibyimba tuboneka mumazi ya cavit ya peritoneal (cavit yumubiri irimo ingingo nyinshi ziri munda) cyangwa mugukaraba peritoneum (tissue iri mumyanya ya peritoneal).
Icyiciro cya III

Mu cyiciro cya III, ikibyimba kiboneka muri ovaire imwe cyangwa zombi kandi cyakwirakwiriye hanze yigitereko kugera mubindi 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 yibibyimba ishobora kugaragara gusa hamwe na microscope yakwirakwiriye hejuru ya peritoneum (tissue ihuza urukuta rw'inda kandi igapfuka ingingo nyinshi zo munda), amara mato, cyangwa tissue ihuza amara mato kurukuta rwinda.
- Icyiciro cya IIIB: Ikibyimba cyakwirakwiriye kuri peritoneum kandi ikibyimba muri peritoneum gifite santimetero 2 cyangwa nto.
- Icyiciro cya IIIC: Ikibyimba cyakwirakwiriye kuri peritoneum kandi ikibyimba muri peritoneum kirenze santimetero 2 kandi / cyangwa cyakwirakwiriye mu nda ya lymph.
Ikwirakwizwa rya selile yibibyimba hejuru yumwijima nabyo bifatwa nkindwara ya III.
Icyiciro cya IV
Mu cyiciro cya IV, ingirabuzimafatizo zimaze gukwirakwira mu nda kugera mu bindi bice by'umubiri, nk'ibihaha cyangwa inyama ziri mu mwijima.
Tumor selile mumazi akikije ibihaha nayo ifatwa nkindwara ya etape ya IV.
Intanga ngore ishobora kubyara ibibyimba hafi ya yose.
Isubiramo rya Ovarian Ntoya Yangiza Ibibyimba
Intanga ngore ishobora kubyara (kugaruka) nyuma yo kuvurwa. Ibibyimba birashobora kugaruka mubindi byintanga ngore cyangwa mubindi bice byumubiri.
Incamake yo kuvura
INGINGO Z'INGENZI
- Hariho uburyo butandukanye bwo kuvura abarwayi bafite intanga ngore ishobora kubyara ikibyimba.
- Ubwoko bubiri bwo kuvura busanzwe bukoreshwa:
- Kubaga
- Chimoterapi
- Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
- Kuvura intanga ngore ntoya ishobora gutera ingaruka mbi.
- Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
- Abarwayi barashobora kwinjira mu mavuriro mbere, mugihe, cyangwa nyuma yo gutangira kwivuza.
- Ibizamini byo gukurikirana birashobora gukenerwa.
Hariho uburyo butandukanye bwo kuvura abarwayi bafite intanga ngore ishobora kubyara ikibyimba.
Ubwoko butandukanye bwo kuvura burahari kubarwayi bafite intanga ngore ishobora kubyara ikibyimba. Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo cyo kuvura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri, ibibyimba, hamwe n’ibihe bifitanye isano. 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 bubiri bwo kuvura busanzwe bukoreshwa:
Kubaga
Ubwoko bwo kubaga (kuvanaho ikibyimba mu gikorwa) biterwa n'ubunini no gukwirakwira kw'ikibyimba na gahunda z'umugore zo kubyara. Kubaga bishobora kubamo ibi bikurikira:
- Salpingo-oophorectomy itabogamye: Kubagwa kugirango ukure intanga imwe hamwe numuyoboro umwe.
- Impande zombi salpingo-oophorectomy: Kubagwa kugirango ukuremo intanga ngore zombi.
- Indwara ya hysterectomie hamwe na salpingo-oophorectomy byombi: Kubaga gukuramo nyababyeyi, nyababyeyi, hamwe nintanga ngore hamwe nigituba cya fallopian. 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.

- Oophorectomy igice: Kubaga kugirango ukure igice cyintanga imwe cyangwa igice cyintanga zombi.
- Omentectomy: Kubaga kugirango ukureho omentum (igice cyumubiri kiri kurukuta rwinda).
Muganga amaze gukuraho indwara zose zishobora kugaragara mugihe cyo kubagwa, umurwayi ashobora guhabwa chimiotherapie nyuma yo kubagwa kugirango yice ingirabuzimafatizo zose zisigaye. Umuti watanzwe nyuma yo kubagwa, kugirango ugabanye ibyago ko ikibyimba kizagaruka, 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.
Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.
Kuvura intanga ngore ntoya ishobora gutera ingaruka mbi.
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. Ibizamini bya Clinical biri mubikorwa byubushakashatsi bwubuvuzi. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya itekanye kandi ikora neza cyangwa nziza kuruta ubuvuzi busanzwe.
Benshi mubuvuzi busanzwe bwindwara bushingiye kubigeragezo byamavuriro. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.
Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo indwara zizavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.
Abarwayi barashobora kwinjira mu mavuriro mbere, mugihe, cyangwa nyuma yo gutangira kwivuza.
Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipimisha abarwayi bafite uburwayi butameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika indwara itagaruka (kugaruka) cyangwa kugabanya ingaruka zo kwivuza.
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 indwara birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini. Ibi rimwe na rimwe byitwa re-stage.
Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba ubuzima bwawe bwarahindutse cyangwa niba indwara yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.
Amahitamo yo kuvura Ovarian Ntoya Yangiza Ibibyimba
Muri iki gice
- Icyiciro cya mbere Ovarian Ntoya Yangiza Ibibyimba (Icyiciro cya I na II)
- Icyiciro cyatinze Ovarian Ntoya Yangiza Ibibyimba (Icyiciro cya III na IV)
- Isubiramo rya Ovarian Ntoya Yangiza Ibibyimba
Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.
Icyiciro cya mbere Ovarian Ntoya Yangiza Ibibyimba (Icyiciro cya I na II)
Kubaga nubuvuzi busanzwe bwintanga ngore yintanga ntoya. Ubwoko bwo kubaga ubusanzwe biterwa no kumenya niba umugore ateganya kubyara.
Ku bagore bateganya kubyara, kubaga ni:
- salpingo imwe-oophorectomy; cyangwa
- oophorectomy igice.
Kugira ngo indwara itazongera kubaho, abaganga benshi basaba ko babagwa kugira ngo bakureho intanga ngore zisigaye mu gihe umugore atagiteganya kubyara.
Ku bagore badateganya kubyara, ubuvuzi bushobora kuba hysterectomie na salpingo-oophorectomy.
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 cyatinze Ovarian Ntoya Yangiza Ibibyimba (Icyiciro cya III na IV)
Umuti wintangiriro yintanga ngore ishobora kubyara ikibyimba gishobora kuba hysterectomy, salpingo-oophorectomy, na omentectomy. Indwara ya lymph node nayo irashobora gukorwa.
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.
Isubiramo rya Ovarian Ntoya Yangiza Ibibyimba
Umuti wo kuvura intanga ngore zishobora kuba zirimo ibi bikurikira:
- Kubaga.
- Kubaga bikurikirwa 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.
Kugira ngo Wige Byinshi Kubijyanye na Ovarian Ntoya Yangiza Ibibyimba
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