Types/ovarian/patient/ovarian-low-malignant-treatment-pdq

I-Ovarian Low Malignant Potential Tumors Version

Imininingwane ejwayelekile Mayelana Nezilonda Ezingaba Namandla Ovarian Low

AMAPHUZU ASEMQOKA

• Isimila esinamandla esibi se-Ovarian yisifo lapho kwakheka amangqamuzana angajwayelekile ezicutshini ezihlanganisa i-ovary.

• Izimpawu nezimpawu zesimila esibi esibi esingajwayelekile zifaka phakathi ubuhlungu noma ukuvuvukala esiswini.

• Izivivinyo ezihlola ama-ovari zisetshenziselwa ukuthola (ukuthola), ukuxilonga, kanye nokubeka isimila esibi esingahle sibe nama-ovarian.

• Izici ezithile zithinta ukubikezela (ithuba lokululama) kanye nezinketho zokwelashwa.

Isimila esinamandla esibi se-Ovarian yisifo lapho kwakheka amangqamuzana angajwayelekile ezicutshini ezihlanganisa i-ovary.

Izicubu ezinamandla ezibucayi ze-Ovarian zinamaseli angajwayelekile angaba ngumdlavuza, kepha imvamisa awanawo. Lesi sifo ngokuvamile sihlala esibelethweni. Lapho kutholakala isifo esibelethweni esisodwa, esinye esibelethweni kufanele futhi sihlolisiswe ngokucophelela ukuze kutholakale izimpawu zesifo.

Ama-ovari ayizitho zombili ohlelweni lokuzala lwabesifazane. Zisemathangeni, eyodwa ohlangothini ngalunye lwesibeletho (isitho esime, esinamapheya lapho kukhula umbungu). I-ovary ngayinye icishe ilingane nobukhulu be-alimondi. Amaqanda enza amaqanda namahomoni abesifazane.

I-anatomy yohlelo lokuzala lwabesifazane. Izitho ezisehlelweni lokuzala labesifazane zifaka phakathi isibeletho, amaqanda, amashubhu e-fallopian, umlomo wesibeletho, kanye nesitho sangasese sowesifazane. Isibeletho sinolwelwesi olungaphandle lwemisipha olubizwa ngokuthi i-myometrium nolwelwesi lwangaphakathi olubizwa ngokuthi i-endometrium.

Izimpawu nezimpawu zesimila esibi esibi esingajwayelekile zifaka phakathi ubuhlungu noma ukuvuvukala esiswini.

Isimila esinamandla esibi se-Ovarian kungenzeka singabangeli izimpawu noma izimpawu zakuqala. Uma unezimpawu noma izimpawu, zingafaka okulandelayo:

• Ubuhlungu noma ukuvuvukala esiswini.

• Ubuhlungu okhalweni.

• Izinkinga zamathumbu, ezifana negesi, ukuqunjelwa, noma ukuqunjelwa.

Lezi zimpawu nezimpawu zingabangelwa ezinye izimo. Uma ziba zimbi kakhulu noma zingahambi zodwa, buza udokotela wakho.

Izivivinyo ezihlola ama-ovari zisetshenziselwa ukuthola (ukuthola), ukuxilonga, kanye nokubeka isimila esibi esingahle sibe nama-ovarian. Lezi zivivinyo nezinqubo ezilandelayo zingasetshenziswa:

• Ukuhlolwa komzimba kanye nomlando: Ukuhlolwa komzimba ukuhlola izimpawu ezijwayelekile zempilo, kufaka phakathi ukuhlola izimpawu zesifo, njengezigaxa noma yini enye ebonakala ingajwayelekile. Kuzothathwa nomlando wemikhuba yezempilo yesiguli kanye nokugula nokwelashwa kwangaphambilini.

• Ukuhlolwa kwe-pelvic: Ukuhlolwa kwesitho sangasese sowesifazane, umlomo wesibeletho, isibeletho, amashubhu e-fallopian, ama-ovari, ne-rectum. Kufakwa i-speculum esithweni sangasese bese udokotela noma umhlengikazi ebheka esithweni sangasese kanye nomlomo wesibeletho ukuthola izimpawu zesifo. Kuvame ukwenziwa ukuhlolwa kwesibeletho sePap. Udokotela noma umhlengikazi uphinde afake umunwe owodwa noma emibili ethanjisiwe, efakwe igilavu ​​yesandla esisodwa esithweni sangasese bese ebeka esinye isandla phezu kwesisu esingezansi ukuze ezwe ubukhulu, ukuma, nokuma kwesibeletho namaqanda. Udokotela noma umhlengikazi uphinde afake umunwe othanjisiwe, ofakwe igilavu ​​ku-rectum ukuzwa izigaxa noma izindawo ezingejwayelekile.

Ukuhlolwa kwepelvic. Udokotela noma umhlengikazi ufaka umunwe owodwa noma emibili ethanjisiwe, efakwe igilavu ​​yesandla esisodwa esithweni sangasese bese ucindezela esiswini esingezansi ngesinye isandla. Lokhu kwenzelwa ukuzwa ubukhulu, ukuma, nokuma kwesibeletho namaqanda. Isitho sowesifazane sangasese, umlomo wesibeletho, amashubhu okuya emithanjeni, kanye nengxenyenamba iyahlolwa.

• Ukuhlolwa kwe-Ultrasound: Inqubo lapho amaza omsindo wamandla aphezulu (i-ultrasound) ehlaselwa izicubu zangaphakathi noma izitho bese enza ama-echoes. Ama-echoes akha isithombe sezicubu zomzimba esibizwa nge-sonogram. Isithombe singaphrintwa ukuze sibhekwe ngokuhamba kwesikhathi.

I-ultrasound yesisu. I-transducer ye-ultrasound exhunywe kukhompyutha idluliswa ngaphezu kwesisu. I-ultrasound transducer igxuma amaza omsindo ezithweni zangaphakathi nezicubu zayo ukuze yenze ama-echoes akha i-sonogram (isithombe sekhompyutha).

Ezinye iziguli zingaba ne-ultrasound engaphandle.

I-ultrasound yangaphambilini. Uphenyo lwe-ultrasound oluxhunywe kwikhompyutha lufakwa esithweni sangasese futhi lushukumiswe ngobumnene ukukhombisa izitho ezahlukahlukene. I-probe iqhuma amaza omsindo ezithweni zangaphakathi nezicubu ukwenza ama-echoes akha i-sonogram (isithombe sekhompyutha).

• I-CT scan (i-CAT scan): Inqubo eyenza uchungechunge lwezithombe ezinemininingwane yezindawo ezingaphakathi komzimba, ezithathwe ezinhlangothini ezahlukene. Izithombe zenziwa yikhompyutha exhunywe kumshini we-x-ray. Idayi ingajovwa emthanjeni noma igwinywe ukusiza izitho noma izicubu zivele kahle. Le nqubo ibizwa nangokuthi i-computed tomography, i-computerized tomography, noma i-computer axial tomography.

• Ukuhlolwa kwe-CA 125: Isivivinyo esikala izinga le-CA 125 egazini. I-CA 125 yinto ekhishwa amaseli egazini. Izinga le-CA 125 elandisiwe kwesinye isikhathi liyisibonakaliso somdlavuza noma esinye isimo.

• I-x-ray yesifuba: I-x-ray yezitho namathambo ngaphakathi kwesifuba. I-x-ray uhlobo lwesigongolo samandla esingangena emzimbeni nasefilimini, lwenze isithombe sezindawo ezingaphakathi komzimba.

• I-Biopsy: Ukususwa kwamaseli noma izicubu ukuze kubhekwe ngaphansi kwesibonakhulu ngudokotela wezifo ukuhlola izimpawu zomdlavuza. Izicubu zivame ukususwa ngesikhathi sokuhlinzwa ukuze kususwe isimila.

Izici ezithile zithinta ukubikezela (ithuba lokululama) kanye nezinketho zokwelashwa.

Isibikezelo (ithuba lokululama) nezinketho zokwelashwa zincike kokulandelayo:

• Isigaba sesifo (noma ngabe sithinta ingxenye ye-ovary, sithinta i-ovary yonke, noma sisabalalele kwezinye izindawo emzimbeni).

• Hlobo luni lwamaseli akha isimila.

• Usayizi wesimila.

• Impilo ejwayelekile yesiguli.

Iziguli ezinezicubu ezinobungozi ezingaphansi kwe-ovarian ezinokubikezela okuhle, ikakhulukazi lapho isimila sitholakala kusenesikhathi.

Izigaba Zamathumba Angahle Aphume Ovarian

AMAPHUZU ASEMQOKA

• Ngemuva kokutholakala kwesimila esibi esibi se-ovarian, kwenziwa ukuhlolwa ukuze kutholakale ukuthi ngabe amaseli angajwayelekile asakazekile ngaphakathi kwe-ovary noma kwezinye izingxenye zomzimba.

• Lezi zigaba ezilandelayo zisetshenziselwa i-ovarian low low tumor tumor:

• Isiteji I

• Isigaba II

• Isigaba III

• Isigaba IV

Ngemuva kokutholakala kwesimila esibi esibi se-ovarian, kwenziwa ukuhlolwa ukuze kutholakale ukuthi ngabe amaseli angajwayelekile asakazekile ngaphakathi kwe-ovary noma kwezinye izingxenye zomzimba.

Inqubo esetshenziselwa ukuthola ukuthi ngabe amaseli angajwayelekile asakazekile ngaphakathi kwe-ovary noma kwezinye izingxenye zomzimba ibizwa ngokuthi yi-staging. Imininingwane eqoqwe kusuka kusistimu yesiteji inquma isigaba sesifo. Kubalulekile ukwazi isigaba ukuze uhlele ukwelashwa. Ukuhlolwa noma izinqubo ezithile zisetshenziselwa ukwenza isiteji. I-laparotomy yesiteji (ukusikeka okwenziwe odongeni lwesisu ukususa izicubu ze-ovari) kungasetshenziswa. Iningi leziguli litholwa ukuthi linezifo zesiteji I.

Lezi zigaba ezilandelayo zisetshenziselwa i-ovarian low low tumor tumor:

Isiteji I

Esigabeni I, isimila sitholakala koyedwa noma kuwo womabili amaqanda. Isigaba I sihlukaniswe isigaba IA, isigaba IB, nesigaba IC.

• Isigaba IA: Isimila sitholakala ngaphakathi kwe-ovary eyodwa.

• Isigaba IB: Isimila sitholakala ngaphakathi kwawo womabili amaqanda.

• Isigaba IC: Isimila sitholakala ngaphakathi kowodwa noma womabili amaqanda futhi okukodwa kokulandelayo kuyiqiniso:

• amangqamuzana amathumba atholakala engxenyeni engaphandle yesinye noma womabili amaqanda; noma

• i-capsule (isembozo sangaphandle) se-ovary idabukile (iphukile); noma

• amaseli wesimila atholakala kuketshezi lwe-peritoneal cavity (umgodi womzimba oqukethe izitho eziningi esiswini) noma ekuhlanzweni kwe-peritoneum (izicubu ezifaka i-peritoneal

umgodi).

Isigaba II

Esigabeni II, isimila sitholakala koyedwa noma kuwo womabili amaqanda futhi sesisakazeke nakwezinye izindawo zokhalo. Isigaba II sihlukaniswe isigaba IIA, isigaba IIB, nesigaba IIC.

• Isigaba IIA: Isimila sisabalalele esibelethweni kanye / noma kumashubhu we-fallopian (amashubhu amade amade adlula kuwo amaqanda kusuka kuma-ovari aye esibelethweni).

• Isigaba IIB: I-tumor isakaze kwezinye izicubu ngaphakathi kwesikhumba.

• Isigaba IIC: Isimila sitholakala ngaphakathi kowodwa noma womabili amaqanda futhi sesisakazekele esibelethweni kanye / noma kumashubhu we-fallopian, noma kwezinye izicubu ngaphakathi kwesikhumba. Futhi, okunye kokulandelayo kuyiqiniso:

• amangqamuzana amathumba atholakala engxenyeni engaphandle yesinye noma womabili amaqanda; noma

• i-capsule (isembozo sangaphandle) se-ovary idabukile (iphukile); noma

• amangqamuzana wesimila atholakala kuketshezi lwe-peritoneal cavity (umgodi womzimba oqukethe izitho eziningi esiswini) noma ekuhlanzweni kwe-peritoneum (izicubu ezifaka umgodi we-peritoneal).

Isigaba III

Osayizi bezicubu bavame ukulinganiswa ngamasentimitha (cm) noma amasentimitha. Izinto zokudla ezijwayelekile ezingasetshenziswa ukukhombisa usayizi wesimila ngo-cm zifaka: ipea (1 cm), iphenathi (2 cm), umvini (3 cm), i-walnut (4 cm), umcako (5 cm noma 2) amasentimitha), iqanda (6 cm), ipentshisi (7 cm), ne-grapefruit (10 cm noma 4 inches).

Esigabeni III, isimila sitholakala koyedwa noma kuwo womabili amaqanda futhi sisabalale ngaphandle kwesikhumba kwezinye izingxenye zesisu kanye / noma ama-lymph node aseduze. Isigaba III sihlukaniswe isigaba IIIA, isigaba IIIB, nesigaba IIIC.

• Isigaba IIIA: Isimila sitholakala okhalweni kuphela, kepha amangqamuzana wesimila angabonakala kuphela ngemicroscope asabalale ebusweni be-peritoneum (izicubu ezibeka udonga lwesisu futhi zimboze izitho eziningi esiswini), amathumbu amancane, noma isicubu esixhuma amathumbu amancane nodonga lwesisu.

• Isigaba IIIB: Isimila sesisabalalele ku-peritoneum kanti isimila esiku-peritoneum singamasentimitha ama-2 noma sincane.

• Isigaba IIIC: Isimila sesisabalalele ku-peritoneum kanti isimila esiku-peritoneum sikhulu kunamasentimitha ama-2 kanye / noma sisabalalele kuma-lymph node esiswini.

Ukusabalala kwamangqamuzana ezimila ebusweni besibindi nakho kubhekwa njengesifo sesigaba III.

Isigaba IV

Esigabeni IV, amangqamuzana e-tumor asakaze ngaphesheya kwesisu kwezinye izingxenye zomzimba, njengamaphaphu noma izicubu ngaphakathi kwesibindi.

Amangqamuzana ezigaxa kuketshezi oluzungeze amaphaphu nawo abhekwa njengesifo sesigaba IV.

Izicubu ezinamandla ezibucayi ze-Ovarian cishe azifinyeleli esigabeni IV.

Izicubu Ezingahle Zibe Nengculaza Ezivamile

Izimila ezingaba namandla eziphansi ze-Ovarian zingaphinde zibuye (zibuye) ngemuva kokuba selashwe. Amathumba angabuya abuye kwesinye isizalo noma kwezinye izingxenye zomzimba.

Uhlolojikelele lwenketho yokwelashwa

AMAPHUZU ASEMQOKA

• Kunezinhlobo ezahlukahlukene zokwelashwa kweziguli ezinesigaxa esingaba namandla esisezingeni eliphansi le-ovarian.

• Izinhlobo ezimbili zokwelashwa okujwayelekile zisetshenzisiwe:

• Ukuhlinzwa

• Ukwelashwa ngamakhemikhali

• Izinhlobo ezintsha zokwelashwa ziyahlolwa ezivivinyweni zokwelashwa.

• Ukwelashwa kwezicubu ezinamandla ezinobuthi obungezansi kwe-ovarian kungadala imiphumela emibi.

• Iziguli zingafuna ukucabanga ngokubamba iqhaza esivivinyweni somtholampilo.

• Iziguli zingangena ezivivinyweni zokwelashwa ngaphambi, ngesikhathi, noma ngemuva kokuqala ukwelashwa kwazo.

• Ukuhlolwa kokulandelela kungadingeka.

Kunezinhlobo ezahlukahlukene zokwelashwa kweziguli ezinesigaxa esingaba namandla esisezingeni eliphansi le-ovarian.

Izinhlobo ezahlukene zokwelashwa ziyatholakala ezigulini ezinesimila esibi esingajwayelekile esibelethweni. Ezinye izindlela zokwelapha zijwayelekile (indlela esetshenziswa njengamanje), kanti ezinye ziyahlolwa ezivivinyweni zokwelashwa. Isivivinyo somtholampilo wokwelashwa isifundo socwaningo esihloselwe ukusiza ukuthuthukisa ukwelashwa kwamanje noma ukuthola ulwazi ngezindlela zokwelashwa ezintsha zeziguli ezinomdlavuza, izicubu, nezimo ezihlobene. Lapho izivivinyo zokwelashwa zibonisa ukuthi ukwelashwa okusha kungcono kunokwelashwa okujwayelekile, ukwelashwa okusha kungaba ukwelashwa okujwayelekile. Iziguli zingafuna ukucabanga ngokubamba iqhaza esivivinyweni somtholampilo. Ezinye izivivinyo zokwelashwa zivulekele kuphela iziguli ezingakaqali ukwelashwa.

Izinhlobo ezimbili zokwelashwa okujwayelekile zisetshenzisiwe:

Ukuhlinzwa

Uhlobo lokuhlinzwa (ukususa isimila lapho uhlinzwa) kuya ngosayizi nokusabalala kwesimila nezinhlelo zowesifazane zokuba nezingane. Ukuhlinzwa kungafaka okulandelayo:

• Unilateral salpingo-oophorectomy: Ukuhlinzwa ukususa i-ovary eyodwa kanye ne-fallopian tube eyodwa.

• I-bilateral salpingo-oophorectomy: Ukuhlinzwa ukususa womabili amaqanda kanye namashubhu womabili.

• Ingqikithi ye-hysterectomy ne-bilateral salpingo-oophorectomy: Ukuhlinzwa ukususa isibeletho, umlomo wesibeletho, nawo womabili ama-ovari kanye namashubhu we-fallopian. Uma isibeletho nomlomo wesibeletho kukhishwa ngesitho sangasese sowesifazane, ukuhlinzwa kubizwa nge-hysterectomy yesitho sangasese sowesifazane. Uma isibeletho nomlomo wesibeletho kukhishwa ngokusebenzisa ukusikeka okukhulu esiswini, ukuhlinzwa kubizwa ngokuthi yi-hysterectomy ephelele yesisu. Uma isibeletho nomlomo wesibeletho kukhishwa ngesikezi esincane (esisikiwe) esiswini kusetshenziswa i-laparoscope, ukuhlinzwa kubizwa ngokuthi yi-laparoscopic hysterectomy ephelele.

I-Hysterectomy. Isibeletho sisuswa ngokuhlinzwa noma ngaphandle kwezinye izitho noma izicubu. Ku-hysterectomy ephelele, isibeletho nomlomo wesibeletho kuyasuswa. Ku-hysterectomy ephelele ene-salpingo-oophorectomy, (a) kukhishwa isibeletho kanye ne-one (unilateral) ovary kanye ne-fallopian tube; noma (b) kukhishwe isibeletho kanye nawo womabili (amabhilidi) amaqanda kanye namashubhu e-fallopian. Ku-hysterectomy enamandla, kukhishwa isibeletho, umlomo wesibeletho, womabili amaqanda, amashubhu womabili, nezicubu eziseduze. Lezi zinqubo zenziwa kusetshenziswa imbobo ephansi enqamulelayo noma imbobo ebheke phezulu.

• Partial oophorectomy: Ukuhlinzwa ukususa ingxenye ye-ovary eyodwa noma ingxenye yawo womabili amaqanda.

• I-Omentectomy: Ukuhlinzwa ukususa i-omentum (ucezu lwethishu ebekwe odongeni lwesisu).

Ngemuva kokuthi udokotela asuse zonke izifo ezingabonakala ngesikhathi sokuhlinzwa, isiguli singanikezwa i-chemotherapy ngemuva kokuhlinzwa ukubulala noma yimaphi amangqamuzana e-tumor asele. Ukwelashwa okunikezwe ngemuva kokuhlinzwa, ukwehlisa ubungozi bokuthi isimila sizobuya, kubizwa ngokuthi yi-adjuvant therapy.

Ukwelashwa ngamakhemikhali

I-Chemotherapy yindlela yokwelapha umdlavuza esebenzisa izidakamizwa ukuvimba ukukhula kwamangqamuzana omdlavuza, kungaba ngokubulala amaseli noma ngokuwavimba ekuhlukaniseni. Lapho i-chemotherapy ithathwa ngomlomo noma ifakwa emthanjeni noma emisipheni, izidakamizwa zingena egazini futhi zingafinyelela kumaseli womdlavuza emzimbeni wonke (systemic chemotherapy). Lapho i-chemotherapy ifakwa ngqo ku-cerebrospinal fluid, isitho, noma umgodi womzimba njengesisu, izidakamizwa zithinta kakhulu amangqamuzana omdlavuza kulezo zindawo (i-chemotherapy yesifunda). Indlela i-chemotherapy enikezwa ngayo incike ohlotsheni nesigaba somdlavuza owelashwa.

Izinhlobo ezintsha zokwelashwa ziyahlolwa ezivivinyweni zokwelashwa.

Imininingwane mayelana nokuhlolwa kwemitholampilo iyatholakala kuwebhusayithi ye-NCI.

Ukwelashwa kwezicubu ezinamandla ezinobuthi obungezansi kwe-ovarian kungadala imiphumela emibi.

Ngemininingwane ngemiphumela engemihle ebangelwe ukwelashwa komdlavuza, bheka ikhasi lethu le-Side Effects.

Iziguli zingafuna ukucabanga ngokubamba iqhaza esivivinyweni somtholampilo.

Kwezinye iziguli, ukubamba iqhaza esivivinyweni somtholampilo kungaba yindlela engcono kakhulu yokwelashwa. Ukuhlolwa kwemitholampilo kuyingxenye yenqubo yocwaningo lwezokwelapha. Ukuhlolwa komtholampilo kuyenziwa ukuthola ukuthi ngabe ukwelashwa okusha kuphephile futhi kuyasebenza yini noma kungcono kunokwelashwa okujwayelekile.

Eziningi zezindlela zokwelapha ezijwayelekile zanamuhla zezifo zisuselwa ezivivinyweni zokwelashwa zangaphambili. Iziguli ezibamba iqhaza esivivinyweni somtholampilo zingathola ukwelashwa okujwayelekile noma zibe phakathi kwabokuqala ukuthola ukwelashwa okusha.

Iziguli ezibamba iqhaza ezivivinyweni zokwelashwa zisiza nokwenza ngcono indlela izifo ezizophathwa ngayo ngokuzayo. Noma izilingo zomtholampilo zingaholeli ekwelashweni okusha okusebenzayo, zivame ukuphendula imibuzo ebalulekile futhi zisize ukuqhubela phambili ucwaningo.

Iziguli zingangena ezivivinyweni zokwelashwa ngaphambi, ngesikhathi, noma ngemuva kokuqala ukwelashwa kwazo.

Ezinye izivivinyo zokwelashwa zifaka kuphela iziguli ezingakatholi ukwelashwa. Ezinye izilingo zivivinya ukwelashwa kweziguli ezinesifo esingakabi ngcono. Kukhona nokuhlolwa komtholampilo okuhlola izindlela ezintsha zokumisa isifo ukuthi singaphindeki (sibuye) noma sinciphise imiphumela emibi yokwelashwa.

Ukuhlolwa kwemitholampilo kuyenzeka ezingxenyeni eziningi zezwe. Imininingwane mayelana nokuhlolwa kwemitholampilo esekelwa yi-NCI ingatholakala ekhasini lewebhu le-NCI lokuhlolwa kokuhlolwa kwemitholampilo. Izivivinyo zomtholampilo ezisekelwa ezinye izinhlangano zingatholakala kuwebhusayithi yeClinicalTrials.gov.

Ukuhlolwa kokulandelela kungadingeka.

Olunye uvivinyo olwenziwe ukuxilonga lesi sifo lungaphindwa. Olunye uvivinyo luzophindwa ukuze kubonakale ukuthi umuthi usebenza kanjani. Izinqumo mayelana nokuthi uqhubeke, ushintshe, noma umise ukwelashwa zingasuselwa emiphumeleni yalezi zivivinyo. Lokhu kwesinye isikhathi kubizwa ngokuthi ukusetha kabusha.

Ezinye zezivivinyo zizoqhubeka ukwenziwa ngezikhathi ezithile ngemuva kokuphela kokwelashwa. Imiphumela yalokhu kuhlolwa ingakhombisa ukuthi ngabe isimo sakho sishintshile noma uma isifo siphinde sabuya (buyela emuva). Lezi zivivinyo kwesinye isikhathi zibizwa ngokuthi izivivinyo zokulandelela noma ukuhlolwa.

Izinketho Zokwelapha Izilonda Ezingaba Namandla Ovarian Low

Kulesi Sigaba

• Izigaxa Ezingahle Zibe Sokuqala Kwama-Ovarian Low (Isigaba I no-II)

• Izilonda Ezingase Zivele Esikhathini Sokufika Kwesikhathi Eside (Isigaba III no-IV)

• Izicubu Ezingahle Zibe Nengculaza Ezivamile

Ngemininingwane mayelana nokwelashwa okubalwe ngezansi, bheka isigaba se-Treatment Option Overview section.

Izigaxa Ezingahle Zibe Sokuqala Kwama-Ovarian Low (Isigaba I no-II)

Ukuhlinzwa kuyindlela yokwelashwa ejwayelekile yesigaba sokuqala esisezingeni eliphansi le-ovarian. Uhlobo lokuhlinzwa luxhomeke ekutheni owesifazane uhlela ukuba nezingane yini.

Kwabesifazane abahlela ukuba nezingane, ukuhlinzwa kungaba:

• unilateral salpingo-oophorectomy; noma

• i-oophorectomy engaphelele.

Ukuvimbela ukuphindeka kwezifo, odokotela abaningi batusa ukuhlinzwa ukuze kususwe izicubu zama-ovarian ezisele lapho owesifazane engasafuni ukuba nezingane.

Kwabesifazane abangahleleli ukuthola izingane, ukwelashwa kungaba yi-hysterectomy kanye ne-bilateral salpingo-oophorectomy.

Sebenzisa ukusesha kwethu kokuhlolwa komtholampilo ukuthola izivivinyo zomtholampilo ezisekelwa yi-NCI ezamukela iziguli. Ungasesha izivivinyo ngokususelwa ohlotsheni lomdlavuza, iminyaka yesiguli, nalapho kwenziwa khona izivivinyo. Imininingwane ejwayelekile mayelana nokuhlolwa kwemitholampilo iyatholakala.

Izilonda Ezingase Zivele Esikhathini Sokufika Kwesikhathi Eside (Isigaba III no-IV)

Ukwelashwa kwesimila esibi esisezingeni eliphansi le-ovarian esingahle sibe yinkinga kungaba yi-hysterectomy, bilpal salpingo-oophorectomy, and omentectomy. Ukuhlukaniswa kwe-lymph node nakho kungenziwa.

Sebenzisa ukusesha kwethu kokuhlolwa komtholampilo ukuthola izivivinyo zomtholampilo ezisekelwa yi-NCI ezamukela iziguli. Ungasesha izivivinyo ngokususelwa ohlotsheni lomdlavuza, iminyaka yesiguli, nalapho kwenziwa khona izivivinyo. Imininingwane ejwayelekile mayelana nokuhlolwa kwemitholampilo iyatholakala.

Izicubu Ezingahle Zibe Nengculaza Ezivamile

Ukwelashwa kwesimila esinamandla esibuhlungu esivamile esivela kaningi kungafaka okulandelayo:

• Ukuhlinzwa.

• Ukuhlinzwa kwalandelwa ukwelashwa ngamakhemikhali.

Sebenzisa ukusesha kwethu kokuhlolwa komtholampilo ukuthola izivivinyo zomtholampilo ezisekelwa yi-NCI ezamukela iziguli. Ungasesha izivivinyo ngokususelwa ohlotsheni lomdlavuza, iminyaka yesiguli, nalapho kwenziwa khona izivivinyo. Imininingwane ejwayelekile mayelana nokuhlolwa kwemitholampilo iyatholakala.

Ukuze ufunde kabanzi Ngamathumba Angahle abe ne-Ovarian Low Malignant

Ngemininingwane ejwayelekile yomdlavuza nezinye izinsiza ezivela ku-National Cancer Institute, bheka okulandelayo:

• Mayelana Nomdlavuza

• Isiteji

• I-Chemotherapy kanye Nawe: Ukusekelwa Kwabantu Abanomdlavuza

• Ukwelashwa Kwemisebe Nawe: Ukusekelwa Kwabantu Abanomdlavuza

• Ukubhekana Nomdlavuza

• Imibuzo Ongayibuza Udokotela Wakho mayelana Nomdlavuza

• Kwabasindile Nabanakekeli