Muchirwere weEntometrial

Muchirwere weEntometrial ndiyo yakawanda kwazvo chirwere chemuviri chinowanikwa munharaunda yevakadzi. Chimiro chezera rekukura kwechirwere ichi chinonzi postmenopausal (makore 60-70).

Muchirwere weEntometrial unotanga kukura mukati memukati mukati memukuchi. Tsvina yemasumbu inogona kubatanidzwa mukuita. Muzviitiko izvi, chironda chinonzi sarcoma. Iwe unogona kuona rudzi urwu rwekenza kunyange panguva yekutanga yekuvandudzwa kwayo. Zviratidzo zviratidzo zve sarcoma dziri kubuda kubva mumukadzi, zvichibuda panguva dzenguva yekuenda kumwedzi kana mushure mokunge apera. Kenza ye endometrium pamatanho ekutanga ekufambisa inenge nguva dzose inoporerwa nekubudirira kwekubviswa kwemasero masero. Zvisinei, mune dzimwe nguva (zvichikura munhengo dzakapoteredza kana kutaridzika kwemasimba akare kure), zvakafanana zvinowanikwa zvishoma nezvishoma.

Nguva yakareba kwenguva refu yekusimudzirwa inobata zvakananga kenza ye endometrium. Zviratidzo zvechirwere ichi zvinowanikwa mumatanho ekutanga. Izvi zvinosanganisira kubuda ropa kubva mumukadzi, izvo zvinoonekwa panguva dzenguva yekuenda kumwedzi. Zvimwe zviratidzo zvechirwere ichi zvinosanganisira kurwadziwa kwepamuviri kwepasi, kukosha kwekureruka, kushungurudzika kwemagetsi. Vaginal tsvina inogona kuva yakachena kana pinki.

Kusvika parizvino, hapana chikonzero chakasimba chinoratidzira maitiro ekugadzirwa kwemarara. Zvinhu zvakasiyana-siyana zvinogadziriswa zvakave zvichiratidzwa, kusanganisira kuchinja kwehutachiona hwemakondomu (progesterone uye estrogen), maitiro ekuchinja. Chikonzero chekutanga chinogona kudanwa kusarudza. Izvi zvinotsigirwa neongororo maererano nekuwedzerwa kwehuwandu hweweserogen inokurudzira nzira yekukura kwe endometrium, iyo inowedzera dambudziko rekuparara kwekenza. Iyi hormone inowedzerwa nezvinhu zvinotevera:

- Kureba kwenguva yakareba uye kusagadzikana kwekuenda kumwedzi,

- kusabatwa kwepamuviri,

- kudarika,

- chirwere cheshuga,

- kutora mishonga (tamoxifen, yakafanana nemahomoni),

- Kutinhira kwemaovhai, colon, mammary glands.

Muchirwere weEntometrial unogona kuoma nekushaya ropa, izvo zvinokonzerwa nekurasikirwa kweropa kusingaperi. Kwairi zviratidzo zvacho kana kuti zvinowanzobatana: dyspnea kana mhepo mhepo, yakakonzera kusagadzikana. Kurapa kwezvinetso zvinowanikwa pamwe chete nehosha iripo.

Kuti uongorore mutanho wekumetometrial, biopsy uye Pap smear zvinoshandiswa. Nzira yekutanga inobvumira kuwana chimiro chemuviri chezvikamu umo chirwere chekutura chinenge chafungidzirwa. A Pap smear inzira yekuongorora, sezvo inokubvumira kuti usabvisa imwe chirwere-chirwere chepervical. Nehuwandu hwehuwandu hwemashoko, nzira yekuchera inoshandiswa, iyo inosanganisira kuisa mukati mechikadzi chinhu chakakosha, nenzira iyo chikamu che endometrium chando chakabviswa. Gare gare, smear yakagadzirirwa kubva munyaya iyi, iyo inoongororwa pasi microscope. Kuti uongorore zvakananga mamiriro ezvinhu ezviputi, ultrasound inoshandiswa, iyo inoitwa nokuisa sensiti inokosha mumudzimai.

Kana pakaitwa chirwere chemukondombera wekuberekwa kwemakemikari yemukaka, kurapwa kunowanikwa mukugadzwa kwemishonga inonzi radiation, hormonal drugs kana chemotherapy. Nekukura kwechiremera chekukura, chirwere chokuvhiya chinoitwa. Inogona kuva yakakwana uye inoshandiswa. Nzira yekutanga inosanganisira kubvisa chibereko chose uye lymph nodes iri pedyo nayo. Mune chirongwa chekushanda, chikamu chenhengo iyo isingasanganiswi nehutachiona hunochengetedzwa.

Prophylaxis yemukenza wependometri ndeyekubvisa zvinhu zvinogadzirisa. Inosanganisira kutora progesterone, kubata pamuviri.