Uterine sarcoma: zviratidzo, mifananidzo, zviratidzo, chirwere, kurapwa uye fungidziro youpenyu

Chimwe chezvinhu achinyengera chirwere vakadzi anonzi uterine sarcoma. Life Kufembera randakaberekwa chirwere dzinosiyana-siyana zvichienderana pavaipfuura pathological muitiro. Zvisinei, kakawanda zviri mwoyo. -Gore mashanu Kupona ari kutanga kwekupwanyiwa ndiyo 47% vose nyaya. Pamusoro kuonekwa kenza mune danho chechina - chete 10%. Kutaura zvakanaka rinomutsa haisi zvakakodzera kunyange mangwanani chirwere uye kurapwa.

Description of chirwere

uterine sarcoma - isingawanzowanikwi asi achinyengera zvokurwara. Neoplasm achiumbwa kubva mumasero undifferentiated kana endometrial myometrium. Oncological chirwere vakadzi vemazera ose, kusanganisira vasikana vaduku. It kunoratidzwa cyclic ropa, abdominal marwadzo, mukuru zvakawanda zvive. Kaposi yakaoma rokuongorora mukutanga zvokukura kukura. Abvunzwa pamusoro zvizere kupora kunoenderana pavaipfuura pathological muitiro, murwere zera uye mamiriro utano. All marudzi chirwere vari dzinoratidzwa yakakwirira mwero malignancy. Naizvozvo, vane zvakaoma kurapa.

Marudzi uterine sarcomas

Zvichienderana localization masero nyanyisa secrete chirwere anotevera mhando:

• Leiomyosarcoma - ndiyo hasha bundu kuti anogona kusvika dhayamita 5 masendimita It aumbwa chete mune zvinyoronyoro nyama yacho myometrium ..
• Endometrial stromal sarcoma ikabuda connective rutsigiro nemamiriro dumbu, zvikuru kushoma (chete 1% vose nyaya nyanyisa maronda). Vanozivikanwa mhando mbiri anomera: chenhando uye undifferentiated. Muchiitiko chokutanga, bundu rinenge ngozi muupenyu, zviri kufambira mberi zvishoma nezvishoma. Undifferentiated bundu achabatsirwa murombo utano, izvo zvinoratidzwa ezvinhu varwere.
• Carcinosarcoma akaumba ari endometrium.

Vanhu vazhinji kunyonganisa zvirwere maviri: uterine sarcoma uye kenza. Kutaura zvazviri chinhu chakasiyana zvachose chirwere. Kenza mapundu aumba kubva masero epithelial, uye sarcomas kukanganisa chete connective munyama.

Zvinokonzera kenza

Uterine Sarcoma rinoreva pathologies zvakaoma etiology. Masayendisiti kuisa mberi shanduro dzakawanda achitsanangura ayo mavambo. Vakawanda vavo vanofunga kuti hosha hwapedyo pasi pokudzora rose boka zvinoita. Izvi zvinogona kuva akundikana iri hormone ino kana vakawanda kunotevera uterine muviri kundikana abdominal kuvhiyiwa, kubvisa pamuviri kana mumwe kupindira.

The chirwere zvakare kunoitika pamusoro yaitwa fetus. No chinhu zvishoma ngozi ndiyo zvemamiriro kuwedzera endometrial tishu. Kutanga zvokurwara dzimwe nguva achiita kururama nokuporesa polyp rokubvisa nzvimbo kana splicing akawanda idzodzo. Neuroendocrine zvirwere - ichi ndicho chimwe chikonzero sarcoma. A rinokosha pakuita predisposing zvinhu dzakapiwa tsika dzakaipa, kushungurudzwa zvinodhaka. Vanachiremba zvinofanira yazivisa uye chimbichimbi kumira ovulation.

Ndiani pangozi?

Gynecologists vari kuedza kuteerera vakadzi vari kudzivirira sarcoma, nekuti kurapa zvachose zvokurwara ichi kunogona apo neapo. Pakutanga zvinoratidza vaya vari chikamu anonzi mapoka ngozi. Ava vakadzi:

• vachirwara polycystic ovary (chirwere chinokurwadzai hormone kusaenzana);
• Kenza chirwere zamu maronda;
• mhanje;
• vakapona Kwapera kubereka (kubereka pashure pemakore 50 kunze).

A rakakura basa panyaya iyi ndezvako nhaka kubatwa. Nokuti utano, pamwe pfungwa inokurudzirwa kutevera vakadzi pashure pemakore 40, vane pedyo hama vanacho neoplastic zvirwere, kusanganisira uterine sarcoma.

Zviratidzo uye zviratidzo chirwere

Unowanzonzi kunyararira sarcoma zvokurwara nokuti ayo pachena zviratidzo panguva kutanga kwekupwanyiwa hapana budiriro. Vakadzi vari hapana kukurumidza kutsvaka rubatsiro kubva chiremba, kuona kudzikira nokuda kushushikana zvichidzika zvakakomba chirwere. Kunyange papera mumatanho sarcoma kurege vanoratidza hunhu zviratidzo, kuramba dzichiwedzera kukura kana anoedzesera kuva leiomyoma.

Sezvo chirwere mberi, uye zvichienderana localization ari pathological muitiro akacherekedza Kuvhiringidza kumwedzi. Women vanotsutsumwa kurwadziwa panzvimbo dzapasi mudumbu, rinorema zvinoyerera kubva chinonyangadza kwakanaka. Uyewo, ivo kudya haazombotaurwi, ganda anotanga yellowish tint. Miedzo ropa kunogona kunyatsooneka kuchinja.

Late kuratidzwa sarcoma achitungamirira kuti kupererwa, simba uye ascites chenguva. Nokuda metastasis kuti mapapu dzakabudirira pleurisy uye chiropa - jaundice. The kupinda masero nyanyisa kupinda musana mbiru iri pamwe marwadzo muzvikamu ayo siyana.

Kazhinji kana munhu gynecological kuongorora nechinangwa wokudzivisa vanachiremba chirwere "uterine sarcoma." Zviratidzo pakutanga pathological muitiro, kungava vasisina. Zvakangoitikawo kwakadaro anonzi kubudirira, sezvo nenguva kurapwa dzimwe nguva kunowedzera mikana yakanaka mugumisiro. Gynecologists vanogara kuyeuchidzwa kukosha nguva nenguva kuongorora vakadzi pashure pemakore 40, kunyanya pamberi kutanga kubereka.

Milestones sarcoma

The chirwere kunoratidzwa kunonoka kukura.

• Panguva kutanga kwekupwanyiwa sarcoma duku-kukura bundu. Zvingava mashoma kana mucosal tsandanyama rukoko.
• In chechipiri Danho bundu inokura kukura, asi kunze muviri dumbu chinobuda. Uyewo, pane zvishomanana infiltration muviri.
• In pachikuva rechitatu bundu inokura kupinda uterine muviri, asi anogara mukati pelvic nzvimbo. Dzimwe nguva pane metastasis kuti ovaries, remunharaunda node nodes. Panguva iyi chirwere uterine sarcoma anotanga kuratidza unhu zviratidzo kana vakanga vasimo kusvika panguva ino.
• Danho chechina - nguva disintegration pakati bundu uye metastasis inotungamirwa. Secondary maronda anoshanda chero hurongwa nhengo dzomukati, kukanganisa mapapu uye mwongo.

nzira nechirwere

Kuziva sarcoma pakutanga mumatanho kunowanzoomera nokuda kwokushaya zviratidzo pachena. At pokuiswa kubvunza panguva gayinakorojisiti akatendeuka kare uye anoenderana mashoko pamusoro kuitika oncological pathologies mu dzepedyo dzemhuri. Gynecological ongororo inoratidza kuchinja cervix dziberekane, kuziva zviratidzo anomera. Zvadaro, mumwe nhamba iri basa uye Hardware rabhoritari nemiedzo (ropa count, CT, MRI, Ultrasound hysteroscopy uye nhengo dzomukati).

Differential chirwere kuti uterine sarcoma anobvisa zvirwere ane kunotoda mufananidzo zvakafanana. Izvi zvinosanganisira ovarian namamota, benign sikarudzi, endometrial polyps. Simbiso yenzira zvachose nechirwere hazvibviri pasina biopsy. Panguva nzira iyi, ezvokunambira kunze kwomuviri waamai bundu rinenge kudzidzwa.

Metastases muna Kaposi

Neoplasm metastases anogona kupera pamwe neropa aibuda, uye kukura kupinda pedyo nhengo. Sei muitiro kufambiswa masero nyanyisa? Sarcoma runodzingira nezvimedu ayo kupinda ropa, apo ivo zvinopfuura kufema uye skeletal enyika, kuti kwokunze nhengo dzokubereka nadzo. Muchiitiko ichi unowanzosangana sei kukundwa akasiya zvemapapu. masero nyanyisa kazhinji zvinopfuura epididymis. kuomesa ichi kazhinji kumbowanikwa nechirwere 'endometrial uterine sarcoma. " Metastases nokukurumidza tama munyika muviri, izvo zvingaita kuti vachiri rufu.

marapirwo

In okurapa anoshandisa nzira dzakawanda Mabatirwo uterine sarcoma. Varwere vazhinji vane chipo yaisanganisa nezvechisarudzo hunosanganisira oparesheni uye chemoradiotherapy. The oparesheni rinoitwa chete kwokutanga nzendo chirwere kwacho. Kunoitawo kuona padariro chirwere, uye kuitisa kubviswa neoplasm. Bhuku Kupindira kunobva bundu nzvimbo uye ukuru hwaro. In yakanakisisa nyaya, kubvisa dumbu pamwe zvinoshandiswa, uye akaipisisa - ukama mitumbi zvose. Kana kwazvo nyaya imwe chete kuvhiya kupindira haufi wakakwanisa. Kana mubvunzo nemwaranzi kurapa, nhasi zviri chimwe chezvinhu inonyatsobudirira kusarudza kudzora uterine sarcoma chirwere. Kunotarisirwa muchiitiko ichi zvingava zvinoodza mwoyo. Zvinonzi ushandiswe kuuraya kenza vakapararira.

mishonga

mishonga nokuti uterine sarcomas dzinosanganisira kushandiswa anthracyclines ( "Idarubicin," "Doskorubitsin", "Epirubicin"). Izvi anonzi antitumor inorwisa mabhakitiriya. Zvino nyanzvi vari kushingaira kudzidza matambudziko ari "ifosfamide" zvinodhaka, kushandiswa kwayo sechinhu monotherapy uye akabatana nevamwe mishonga. Mishonga akanaka emuchina iri kuchengetwa 30% wevarwere.

Kushandiswa kubatanidzwa kurapwa zvakawanda inoshanda, asi ine nhamba nemishonga. Positive emuchina ari kuchengetwa kubva wemishonga mushonga, "docetaxel" uye "gemcitabine". Kazhinji kushandiswazve mu watangazve.

Ndezvipi zvimwe zvinodhaka zvinoshandiswa nechirwere kuti "uterine sarcoma?" Kemikari kurapwa dzinoruramiswa chete kana munhu vakaderera kuti malignancy neoplasm.

mataridzikiro

Chii fungidziro kuti uterine sarcoma ane? Photos wevarwere vakapona ane achinyengera chirwere kuti netariro. Zvisinei, kazhinji, mugumisiro kukanganiswa zvokurwara, mukuru ndingangokuvara wava kusvutazve. Ko nhamba ichi?

With nenguva chirwere pakati bundu uye nokushanda ndingangokuvara dzokororo ndiyo 65%. Kana sarcomas mu akazotevera nzendo mikana kuzodzosera Kugadzirwa pathologic muitiro 90%. Kazhinji, murwere kurarama nguva pashure pokuvhiyiwa ndiyo 2 years. Statistics inosimbisa kuti-gore mashanu kurarama Mabatirwo sarcoma iri kuchengetwa chete muna 40% nyaya.

Zvichienderana pavaipfuura chirwere, muenzaniso uyu angava sezvinotevera:

• Danho rokutanga - 47%;
• Danho rechipiri - 44%;
• Danho rechitatu - 40%;
• danho chechina - 10%.

Zvisinei, ichi ndicho chete mashoko nokudzidza umo masayendisiti akanyorwa zviitiko zvakanaka mugumisiro pashure Mabatirwo uterine sarcoma chirwere. How Varwere vakawanda vanogara chirwere chakadai Zvakaoma kutaura. Pakupindura mubvunzo uyu zvakafanira kuziva padariro chirwere, kurapwa rinoitwa, wava kusvutazve zviitiko. Dzinoratidzwa yakanaka pamusoro sarcomas avo chete, fibromatous kuumbwa kuti nodes. Zvino iyi, zvinoda yakakodzera chirwere uye kurapwa.

matanho

How kudzivirira kukura chirwere ichi ngozi? Chokutanga, nyanzvi dzinokurudzira wegore negore pelvic bvunzo. Zvinokoshawo kuti kutevera yachiremba tsamba pakurapa zvirwere "munhukadzi", kunyanya vaya vane ukama hormone zvirwere. A rinokosha iri kudzivirira pamuviri anopiwa nyaya. Vanachiremba havana kukuudza kunonoka kuronga mbudzana. Kana chipi chikonzero haudi kuedza pamusoro basa mai, unofanira kushandisa nhumbu uye kudzivirira pamuviri. Tisingatauri kudya zvinovaka muviri. The Kudya kunofanira kuitwa zvinhu zvakadai sekuimba michero nemiriwo. A Kuwanda mafuta emhuka nani kupedza. Tipei tsika dzakaipa, kupedza nguva yakawanda panze uye kutamba mitambo.

mhedziso

Pfungwa vasayendisiti uye vanachiremba achiri chinokwezva isingawanzowanikwi chirwere chakadai, akadai uterine sarcoma. Life fungidziro hazvibviri kufanotaura kana chirwere ichi. Kunyange zvazvo sarcoma haiwanzowaniki chirwere, ndiwo mazita hasha malignancies. Kunyange panguva yakakodzera uye nomazvo tariro pakurapa nokuti zvakanaka rinomutsa haisi zvakakodzera. Zvokurwara munogona vakadzi vemazera ose. Apo atypical zviratidzo uye zvirwere vanofanira kubvunza chiremba. Kunyange uchiongororwa nani pagore. Stay utano!