Types/uterine/patient/endometrial-treatment-pdq

Kuvura Kanseri ya Endometrale (®) - Indwara y'abarwayi

Amakuru Rusange Yerekeye Kanseri ya Endometrale

INGINGO Z'INGENZI

• Kanseri ya endometrale ni indwara ingirabuzimafatizo (kanseri) zikora mu ngingo za endometrium.

• Umubyibuho ukabije no kugira syndrome de metabolike bishobora kongera ibyago byo kurwara kanseri ya endometinal.

• Gufata tamoxifen kuri kanseri y'ibere cyangwa gufata estrogene wenyine (udafite progesterone) birashobora kongera ibyago byo kurwara kanseri.

• Ibimenyetso nibimenyetso bya kanseri ya endometrale harimo kuva amaraso mu gitsina bidasanzwe cyangwa kubabara mu gitereko.

• Ibizamini bisuzuma endometrium bikoreshwa mugushakisha (gushakisha) no gusuzuma kanseri ya endometrale.

• Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kanseri ya endometrale ni indwara ingirabuzimafatizo (kanseri) zikora mu ngingo za endometrium.

Endometrium ni umurongo wa nyababyeyi, urugingo rwuzuye, imitsi mu gitereko cyumugore. Inda niho akayoya gakurira. Mu bagore benshi badatwite, nyababyeyi ifite uburebure bwa santimetero 3. Impera yo hepfo, ifunganye ya nyababyeyi ni inkondo y'umura, iganisha ku gitsina.

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.

Kanseri ya endometrium itandukanye na kanseri y'imitsi yo munda ibyara, bita sarcoma yo muri nyababyeyi. Reba incamake ya kubuvuzi bwa Uterine Sarcoma kubindi bisobanuro bijyanye na sarcoma ya nyababyeyi.

Umubyibuho ukabije no kugira syndrome de metabolike bishobora kongera ibyago byo kurwara kanseri ya endometinal.

Ikintu cyose cyongera amahirwe yo kwandura indwara cyitwa 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 na kanseri ya endometinal.

Impamvu zishobora gutera kanseri ya endometrale zirimo ibi bikurikira:

• Gufata imiti yo gusimbuza imisemburo ya estrogene gusa (HRT) nyuma yo gucura.

• Gufata tamoxifen kugirango wirinde cyangwa uvure kanseri y'ibere.

• Umubyibuho ukabije.

• Kugira syndrome de metabolike.

• Kugira diyabete yo mu bwoko bwa 2.

• Kumenyekanisha ingirabuzima fatizo kuri estrogene ikorwa numubiri. Ibi birashobora guterwa na:

• Ntuzigere ubyara.

• Imihango akiri muto.

• Gutangira gucura mugihe cyakera.

• Kugira syndrome ya polycystic ovarian.

• Kugira amateka yumuryango wa kanseri yandurira mubyiciro bya mbere (nyina, mushiki wawe, cyangwa umukobwa).

• Kugira imiterere ya genetike, nka syndrome ya Lynch.

• Kugira hyperplasia ya endometrale.

Ubusaza nimpamvu nyamukuru itera kanseri nyinshi. Amahirwe yo kurwara kanseri ariyongera uko ugenda ukura.

Gufata tamoxifen kuri kanseri y'ibere cyangwa gufata estrogene wenyine (udafite progesterone) birashobora kongera ibyago byo kurwara kanseri.

Kanseri ya endometrale irashobora kwandura abarwayi ba kanseri y'ibere bavuwe na tamoxifen. Umurwayi ufata uyu muti kandi ufite amaraso adasanzwe mu gitsina agomba kugira ikizamini cyo gukurikirana na biopsy yumurongo wa endometrale niba bikenewe. Abagore bafata estrogene (imisemburo ishobora kugira ingaruka ku mikurire ya kanseri zimwe na zimwe) bonyine bafite ibyago byinshi byo kurwara kanseri yo mu nda. Gufata estrogene hamwe na progesterone (indi misemburo) ntabwo byongera ibyago byo kurwara kanseri ya endometinal.

Ibimenyetso nibimenyetso bya kanseri ya endometrale harimo kuva amaraso mu gitsina bidasanzwe cyangwa kubabara mu gitereko.

Ibi nibindi bimenyetso nibimenyetso bishobora guterwa na kanseri ya endometrale cyangwa nibindi bihe. Menyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:

• Kuva amaraso mu gitsina cyangwa gusohora bitajyanye n'imihango (ibihe).

• Kuva amaraso mu gitsina nyuma yo gucura.

• Inkari zigoye cyangwa zibabaza.

• Kubabara mugihe cyimibonano mpuzabitsina.

• Ububabare mu gice cya pelvic.

Ibizamini bisuzuma endometrium bikoreshwa mugushakisha (gushakisha) no gusuzuma kanseri ya endometrale.

Kubera ko kanseri ya endometrale itangirira muri nyababyeyi, ntabwo isanzwe igaragara mubisubizo by'ikizamini cya Pap. Kubera iyo mpamvu, icyitegererezo cyimyanya ndangagitsina kigomba gukurwaho no kugenzurwa munsi ya microscope kugirango harebwe selile. Bumwe mu buryo bukurikira burashobora gukoreshwa:

• Endoprial biopsy: Gukuraho tissue muri endometrium (umurongo w'imbere wa nyababyeyi) winjizamo umuyoboro woroshye, woroshye unyuze muri nyababyeyi no muri nyababyeyi. Umuyoboro ukoreshwa mugukuraho buhoro buhoro uduce duto twa endometrium hanyuma tugakuraho ingero za tissue. Inzobere mu bijyanye n’indwara ireba ingirangingo ziri munsi ya microscope kugira ngo ishakishe kanseri.

• Kwiyongera hamwe na curettage: Uburyo bwo kuvana ingero za tissue mumbere yimbere ya nyababyeyi. Inkondo y'umura iraguka hanyuma ikareti (igikoresho kimeze nk'ikiyiko) yinjizwa muri nyababyeyi kugira ngo ikureho ingirangingo. Ingero za tissue zisuzumwa munsi ya microscope kugirango ibimenyetso byindwara. Ubu buryo nabwo bwitwa D&C.

Kwiyongera hamwe na curettage (D na C). Igitekerezo cyinjijwe mu gitsina kugirango cyaguke kugirango turebe inkondo y'umura (panne ya mbere). Umuyoboro ukoreshwa mu kwagura inkondo y'umura (ikibaho cyo hagati). Curette ishyirwa muri nyababyeyi muri nyababyeyi kugira ngo ikureho uduce tudasanzwe (panel yanyuma).

• Hysteroscopi: Uburyo bwo kureba imbere muri nyababyeyi ahantu hadasanzwe. Hysteroscope yinjizwa mu gitsina na nyababyeyi muri nyababyeyi. Hysteroscope nigikoresho cyoroshye, kimeze nkigikoresho gifite urumuri na lens yo kureba. Irashobora kandi kugira igikoresho cyo gukuraho ingero za tissue, zisuzumwa munsi ya microscope kugirango ibimenyetso bya kanseri.

Ibindi bizamini hamwe nuburyo bukoreshwa mugupima kanseri ya endometrale harimo ibi bikurikira:

• 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 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.

Ultrasound ya Transvaginal. Ultrasound probe ihujwe na mudasobwa yinjizwa mu gitsina kandi yimurwa yitonze kugirango yerekane ingingo zitandukanye. Iperereza ryerekana amajwi yumubiri imbere ninyuma kugirango bikore echo ikora sonogramu (ishusho ya mudasobwa).

Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

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

• Icyiciro cya kanseri (cyaba kiri muri endometrium gusa, kirimo urukuta rwa nyababyeyi, cyangwa rwakwirakwiriye ahandi mu mubiri).

• Uburyo ingirangingo za kanseri zisa munsi ya microscope.

• Niba kanseri ya kanseri yibasiwe na progesterone.

Kanseri ya endometrale irashobora gukira kuko isanzwe isuzumwa hakiri kare.

Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

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

• Icyiciro cya kanseri (cyaba kiri muri endometrium gusa, kirimo urukuta rwa nyababyeyi, cyangwa rwakwirakwiriye ahandi mu mubiri).

• Uburyo ingirangingo za kanseri zisa munsi ya microscope.

• Niba kanseri ya kanseri yibasiwe na progesterone.

Kanseri ya endometrale irashobora gukira kuko isanzwe isuzumwa hakiri kare.

Icyiciro cya Kanseri ya Endometrale

INGINGO Z'INGENZI

• Nyuma yo gupimwa kanseri ya endometrale, hakorwa ibizamini kugirango hamenyekane niba kanseri yakwirakwiriye muri nyababyeyi cyangwa mu bindi bice by'umubiri.

• Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

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

• Ibyiciro bikurikira bikoreshwa kuri kanseri ya endometinal:

• Icyiciro I.

• Icyiciro cya II

• Icyiciro cya III

• Icyiciro cya IV

• Kanseri ya endometrale irashobora guhurizwa hamwe kugirango ivurwe kuburyo bukurikira:

• Kanseri ifite ibyago bike

• Kanseri ishobora kwandura cyane

Nyuma yo gupimwa kanseri ya endometrale, hakorwa ibizamini kugirango hamenyekane niba kanseri yakwirakwiriye muri nyababyeyi cyangwa mu bindi bice by'umubiri.

Inzira ikoreshwa mu kumenya niba kanseri yarakwirakwiriye muri nyababyeyi cyangwa mu bindi bice by'umubiri byitwa guterana. Amakuru yakusanyirijwe mubikorwa byateguwe agena icyiciro cyindwara. Ni ngombwa kumenya icyiciro kugirango utegure kuvura. Ibizamini bimwe na bimwe bikoreshwa mugutegura. Indwara ya hysterectomie (igikorwa cyo gukuramo nyababyeyi) isanzwe ikorwa kugirango ivure kanseri yandurira. Ingero za tissue zakuwe mu gace gakikije nyababyeyi hanyuma zigasuzumwa munsi ya microscope kugira ngo ibimenyetso bya kanseri bifashe kumenya niba kanseri yarakwirakwiriye.

Uburyo bukurikira burashobora gukoreshwa mugutegura:

• 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.

• Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho 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 . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).

• 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.

• Gutandukanya Lymph node: Uburyo bwo kubaga aho lymph node ikurwa mu gice cya pelvic hanyuma hagasuzumwa icyitegererezo cya tissue munsi ya microscope kugirango ibimenyetso bya kanseri. Ubu buryo bwitwa lymphadenectomy.

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 kanseri ya endometrale ikwirakwira mu bihaha, selile kanseri yo mu bihaha ni selile kanseri ya endometrale. Indwara ni kanseri ya metastatike, ntabwo ari kanseri y'ibihaha.

Ibyiciro bikurikira bikoreshwa kuri kanseri ya endometinal:

Icyiciro I.

Icyiciro cya IA hamwe na IB kanseri ya endometrale. Mu cyiciro cya IA, kanseri iri muri endometrium gusa cyangwa munsi ya kimwe cya kabiri cya myometrium (imitsi ya nyababyeyi). Mu cyiciro cya IB, kanseri yakwirakwije hagati cyangwa irenga muri myometrium.

Mu cyiciro cya I, kanseri iboneka muri nyababyeyi gusa. Icyiciro cya I kigabanyijemo ibyiciro IA na IB, ukurikije intera kanseri imaze gukwirakwira.

• Icyiciro cya IA: Kanseri iri muri endometrium gusa cyangwa munsi ya kimwe cya kabiri unyuze muri myometrium (imitsi ya nyababyeyi).

• Icyiciro IB: Kanseri yakwirakwije hagati cyangwa irenga muri myometrium.

Icyiciro cya II

Icyiciro cya II kanseri ya endometinal. Kanseri yakwirakwiriye mu ngingo zifata inkondo y'umura, ariko ntikwirakwira hanze ya nyababyeyi.

Mu cyiciro cya II, kanseri yakwirakwiriye mu ngingo zifata inkondo y'umura, ariko ntizakwirakwira hanze ya nyababyeyi.

Icyiciro cya III

Mu cyiciro cya III, kanseri yakwirakwije hejuru ya nyababyeyi na nyababyeyi, ariko ntiyakwirakwira. Icyiciro cya III kigabanyijemo ibyiciro IIIA, IIIB, na IIIC, ukurikije intera kanseri imaze gukwirakwira.

• Icyiciro cya IIIA: Kanseri yakwirakwiriye mu gice cyo hanze cya nyababyeyi na / cyangwa mu miyoboro ya fallopian, ovaries, na ligaments zo muri nyababyeyi.

Icyiciro cya IIIA kanseri ya endometinal. Kanseri yakwirakwiriye mu gice cyo hanze cya nyababyeyi na / cyangwa mu miyoboro ya fallopian, ovaries, cyangwa ligaments zo muri nyababyeyi.

• Icyiciro cya IIIB: Kanseri yakwirakwiriye mu gitsina na / cyangwa kuri paretrium (tissue ihuza ibinure n'ibinure bikikije nyababyeyi).

Icyiciro cya IIIB kanseri ya endometinal. Kanseri yakwirakwiriye mu gitsina na / cyangwa kuri parametrium (tissue ihuza ibinure n'ibinure bikikije nyababyeyi na nyababyeyi).

• Icyiciro cya IIIC: Kanseri yakwirakwiriye mu mitsi ya lymph mu gitereko no / cyangwa hafi ya aorta (imiyoboro minini mu mubiri, itwara amaraso kure y'umutima).

Icyiciro cya IIIC kanseri ya endometrale. Kanseri yakwirakwiriye kuri lymph node mu gitereko no / cyangwa hafi ya aorta (imiyoboro minini mu mubiri, itwara amaraso kure y'umutima).

Icyiciro cya IV

Mu cyiciro cya IV, kanseri yakwirakwiriye hejuru yigitereko. Icyiciro cya IV kigabanyijemo ibyiciro IVA na IVB, ukurikije intera kanseri imaze gukwirakwira.

• Icyiciro cya IVA: Kanseri yakwirakwiriye mu ruhago no / cyangwa urukuta rw'inda.

Icyiciro cya IVA kanseri ya endometrale. Kanseri yakwirakwiriye mu ruhago no / cyangwa mu mara.

• Icyiciro cya IVB: Kanseri yakwirakwiriye mu bindi bice by'umubiri hakurya y'igitereko, harimo inda na / cyangwa lymph node mu kibero.

Icyiciro cya IVB kanseri ya endometrale. Kanseri yakwirakwiriye mu bice by'umubiri hanze yigitereko, nk'inda na / cyangwa lymph node mu kibero.

Kanseri ya endometrale irashobora guhurizwa hamwe kugirango ivurwe kuburyo bukurikira:

Kanseri ifite ibyago bike

Icyiciro cya 1 nicya 2 mubisanzwe bifatwa nkibyago bike. Mubisanzwe ntibakwirakwira mubindi bice byumubiri.

Kanseri ishobora kwandura cyane

Ibibyimba byo mu cyiciro cya 3 bifatwa nkibyago byinshi. Bakunze gukwirakwira mu bindi bice by'umubiri. Uterine papillary serous, selile isobanutse, na kanseri ya kanseri ni ubwoko butatu bwa kanseri ya endometrale ifatwa nkicyiciro cya 3.

Kanseri Yisubiramo

Kanseri ya endometrale isubirwamo ni kanseri yagarutse (garuka) nyuma yo kuvurwa. Kanseri irashobora kugaruka muri nyababyeyi, mu gitereko, mu mitsi ya lymph mu nda, cyangwa mu bindi bice by'umubiri

Incamake yo kuvura

INGINGO Z'INGENZI

• Hariho uburyo butandukanye bwo kuvura abarwayi bafite kanseri yandurira.

• Ubwoko butanu bwo kuvura busanzwe bukoreshwa:

• Kubaga

• Imiti ivura imirasire

• Chimoterapi

• Ubuvuzi bwa hormone

• Ubuvuzi bugamije

• Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

• Umuti wa kanseri ya endometrale urashobora 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 kanseri yandurira.

Ubwoko butandukanye bwo kuvura burahari kubarwayi barwaye kanseri ya endometinal. 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 butanu bwo kuvura busanzwe bukoreshwa:

Kubaga

Kubaga (gukuraho kanseri mu gikorwa) ni bwo buryo bwo kuvura kanseri ya endometinal. Uburyo bukurikira bwo kubaga bushobora gukoreshwa:

• Indwara ya hysterectomie yose: 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: Kubagwa kugirango ukuremo intanga ngore zombi.

• Indwara ya hysterectomie: Kubaga gukuramo nyababyeyi, inkondo y'umura, ndetse no mu gice cy'igituba. Intanga ngore, imiyoboro ya fallopian, cyangwa hafi ya lymph node nayo irashobora gukurwaho.

• Gutandukanya Lymph node: Uburyo bwo kubaga aho lymph node ikurwa mu gice cya pelvic hanyuma hagasuzumwa icyitegererezo cya tissue munsi ya microscope kugirango ibimenyetso bya kanseri. Ubu buryo bwitwa lymphadenectomy.

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

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. Ubuvuzi bw’imishwarara yo hanze n’imbere bukoreshwa mu kuvura kanseri yandurira mu mitsi, kandi birashobora no gukoreshwa nk'ubuvuzi bwa palliative kugirango bugabanye ibimenyetso kandi bizamura ubuzima.

Chimoterapi

Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa guhagarika ingirabuzimafatizo. 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.

Ubuvuzi bwa hormone

Ubuvuzi bwa Hormone nubuvuzi bwa kanseri bukuraho imisemburo cyangwa ikabuza ibikorwa byayo kandi ikabuza kanseri gukura. Hormone ni ibintu bikozwe na glande mu mubiri kandi bikwirakwizwa mu maraso. Imisemburo imwe n'imwe irashobora gutuma kanseri zimwe zikura. Niba ibizamini byerekana ko kanseri ya kanseri ifite aho imisemburo ishobora kwomeka (reseptors), ibiyobyabwenge, kubaga, cyangwa kuvura imirasire bikoreshwa mukugabanya imisemburo cyangwa kubabuza gukora.

Ubuvuzi bugamije

Ubuvuzi bugamije ni uburyo bwo kuvura bukoresha ibiyobyabwenge cyangwa ibindi bintu kugirango umenye kandi utere kanseri yihariye ya kanseri utangiza ingirabuzimafatizo zisanzwe. Antibodiyite za Monoclonal, inhibitor ya mTOR, hamwe na inhibitori ya transduction ni ubwoko butatu bwo kuvura bugamije gukoreshwa mu kuvura kanseri yandurira.

• Ubuvuzi bwa Monoclonal antibody nubuvuzi bwa kanseri bukoresha antibodies zakozwe muri laboratoire ziva mubwoko bumwe bwimikorere yumubiri. Iyi antibodies irashobora kumenya ibintu biri muri kanseri ya kanseri cyangwa ibintu bisanzwe bishobora gufasha kanseri gukura. Antibodiyite ifata ibintu kandi ikica selile ya kanseri, ikabuza gukura kwayo, cyangwa ikabuza gukwirakwira. Antibodiyite za Monoclonal zitangwa no gushiramo. Bashobora gukoreshwa bonyine cyangwa gutwara ibiyobyabwenge, uburozi, cyangwa ibikoresho bya radio bikoresha kanseri ya kanseri. Bevacizumab ikoreshwa mu kuvura icyiciro cya III, icyiciro cya IV, na kanseri ya endometrale igaruka.

• inhibitori ya mTOR ihagarika poroteyine yitwa mTOR, ifasha kugenzura igabana. Inhibitori ya mTOR irashobora gutuma selile ya kanseri idakura kandi ikarinda imikurire yimitsi mishya ikibyimba gikeneye gukura. Everolimus na ridaforalimus zikoreshwa mu kuvura icyiciro cya III, icyiciro cya IV, na kanseri ya endometinal.

• Ikimenyetso cyo guhindagura ibimenyetso kibuza ibimenyetso byanyuze kuri molekile ikajya mubindi imbere muri selire. Guhagarika ibyo bimenyetso bishobora kwica selile. Metformin iri kwigwa kugirango ivure icyiciro cya III, icyiciro cya IV, na kanseri ya endometrale igaruka.

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Umuti wa kanseri ya endometrale urashobora 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 Icyiciro

Muri iki gice

• Icyiciro cya I na Icyiciro cya II Kanseri ya Endometrale

• Icyiciro cya III, Icyiciro cya IV, na Kanseri Yisubiramo

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Icyiciro cya I na Icyiciro cya II Kanseri ya Endometrale

Kanseri ya endometrale ifite ibyago bike (icyiciro cya 1 cyangwa icyiciro cya 2)

Kuvura kanseri yo mu cyiciro cya mbere I kanseri ya endometrale na kanseri yo mu cyiciro cya kabiri ishobora kuba ikubiyemo ibi bikurikira:

• Kubaga (hysterectomy yose hamwe na salpingo-oophorectomy). Indimu ya Lymph munda no munda irashobora kandi gukurwaho no kurebwa munsi ya microscope kugirango isuzume selile.

• Kubaga (hysterectomie yose hamwe na salpingo-oophorectomy byombi, hamwe no kudakuraho imisemburo ya lymph munda no munda) hakurikiraho kuvura imirasire y'imbere. Rimwe na rimwe, imiti ivura imishwarara yo hanze irashobora gukoreshwa mu mwanya wo kuvura imirasire y'imbere.

• Imiti ivura imirasire yonyine kubarwayi badashobora kubagwa.

• Ikigeragezo cyamavuriro yuburyo bushya bwa chimiotherapie.

Niba kanseri yarakwirakwiriye muri nyababyeyi, hashobora gukorwa hysterectomy ikabije hamwe na salpingo-oophorectomy.

Kanseri ishobora kwandura cyane (icyiciro cya 3)

Kuvura icyiciro cya ibyago byinshi I kanseri ya endometrale na kanseri yo mu cyiciro cya II irashobora kuba ikubiyemo ibi bikurikira:

• Kubaga (hysterectomy radical na salpingo-oophorectomy). Indimu ya Lymph munda no munda irashobora kandi gukurwaho no kurebwa munsi ya microscope kugirango isuzume selile.

• Kubaga (hysterectomy radical na salpingo-oophorectomy byombi) bikurikirwa na chimiotherapie ndetse rimwe na rimwe bivura imirasire.

• Ikigeragezo cyamavuriro yuburyo bushya bwa 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 III, Icyiciro cya IV, na Kanseri Yisubiramo

Kuvura kanseri yo mu cyiciro cya III, kanseri yo mu cyiciro cya IV, na kanseri ya endometrale igaruka kenshi bishobora kuba bikubiyemo ibi bikurikira:

• Kubaga (hysterectomy radical no kuvanaho lymph node mu gitereko kugirango babone munsi ya microscope kugirango barebe kanseri ya kanseri) hakurikiraho imiti ya chimiotherapie hamwe na / cyangwa imiti ivura imirasire.

• Chimoterapi hamwe nubuvuzi bwimbere nimbere kubarwayi badashobora kubaga.

• Ubuvuzi bwa hormone kubarwayi badashobora kubagwa cyangwa kuvura imirasire.

• Ubuvuzi bugamije hamwe na mTOR inhibitor (everolimus cyangwa ridaforolimus) cyangwa antibody ya monoclonal (bevacizumab).

• Igeragezwa rya clinique yuburyo bushya bwo kuvura bushobora kuba bukubiyemo imiti ivura imiti, imiti igamije kuvura, nka mTOR inhibitor (everolimus) cyangwa ibimenyetso byo kwanduza ibimenyetso (metformin), hamwe na / cyangwa kuvura imisemburo, ku barwayi bafite kanseri yanduye cyangwa yisubiramo.

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 kuri Kanseri ya Endometrale

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye kanseri yandurira, reba ibi bikurikira:

• Urupapuro rwa Kanseri y'inda

• Kwirinda Kanseri ya Endometrale

• Kwipimisha Kanseri ya Endometrale

• Ubuvuzi bwa Hormone kuri Kanseri y'ibere

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