Impilo, Umdlavuza
Lesizalo Sarcoma: izimpawu, izithombe, izimpawu, uphethwe, ukwelashwa kanye Izibikezelo zokuphila
Omunye isifo esikhohlisayo kakhulu kwabesifazane kubhekwa Sarcoma lesizalo. Life Ukubikezela lapho ukugula iyahlukahluka kuye ngokuthi isiphi isigaba sayo yonke le nqubo sokugembula. Nokho, ngokuvamile kuba esidumazayo. sokusinda engu-e esigabeni sokuqala-47% kuzo zonke izimo. Phezu ukuthola yomdlavuza ngo isinyathelo sesine -% 10 kuphela. Ukuze ukhulume Dynamics omuhle akudingekile ngisho ne ekuhlonzweni nasekwelashweni efanele.
Incazelo isifo
lesizalo Sarcoma - a zokugula ezingavamile kodwa esikhohlisayo. kwakhiwa Neoplasm is kusukela amaseli undifferentiated noma myometrium endometrial. isifo Oncological e abesifazane babo bonke ubudala, kuhlanganise amantombazane kancane. It livezwa ukopha eyindilinga, ubuhlungu besisu, ukucobeka jikelele. Kaposi sika nzima ukuhlonza kusaqalwa yentuthuko. Ebuzwa mayelana babuyele ngokugcwele incike isigaba ohlelweni sokugembula, ubudala lesiguli kanye isimo sempilo. Zonke izinhlobo zesifo zinezikhathi ngezinga eliphezulu umdlavuza. Ngakho-ke, kukhona kunzima ukuyelapha.
Izindlela lesizalo sarcomas
Kuye kwasendaweni lamaseli abulalayo secrete isifo elandelayo amafomu:
- Leiomyosarcoma - iyona isimila ezinodlame kakhulu ukuthi ongafinyelela ububanzi 5 cm kwakhiwa It is kuphela izicubu ezithambile we myometrium ..
- Endometrial stromal Sarcoma eba zezinzwa ukwesekwa isakhiwo kwesibeletho, kuyinto evamile (kuphela 1% kubo bonke amacala izilonda abulalayo). Ukhombe izigaba ezimbili izimila: ikhwalithi ephansi futhi undifferentiated. Esimweni sokuqala, isimila cishe ephephile yokuphila, it is itotoba. isimila Undifferentiated kuhambisana ngenxa yempilo ebuthaka, njengoba kubonakala isimo iziguli.
- Carcinosarcoma kwakheka endometrium.
Abantu abaningi ukudida izifo ezimbili: Sarcoma lesizalo nomdlavuza. Eqinisweni iyisifo ehluke ngokuphelele. izimila olunomdlavuza kwakhiwa kusukela amaseli EPITHELIAL, futhi sarcomas kuthinte izicubu zezinzwa kuphela.
Izimbangela umdlavuza
Lesizalo Sarcoma libhekisela pathologies omsakazo eziyinkimbinkimbi. Ososayensi baye phambili izinguqulo eziningana echaza ukuthi ivelaphi. Abaningi babo bacabanga ukuthi isifo eba ngaphansi kwethonya lonke iqembu izici. Lokhu kungaba ukwehluleka ohlelweni hormone noma amaningi ukuhlukumezeka lesizalo umzimba akuphumelelanga ukuhlinzwa kwamathumbu, isisu noma yimuphi omunye kokungenela.
Lesi sifo futhi kwenzeka ngokumelene ingemuva wokukhula kwengane esiswini. Ayikho into kancane esiyingozi yiyona ukukhula okungavamile izicubu endometrial. Ukuze wenze uhlelo lokusetshenziswa zokugula ngezinye izikhathi okubangela ukuphulukiswa ayilungile isikhala polyp ukususwa noma splicing zokwakheka amaningi. iziyaluyalu Neuroendocrine - lena esinye isizathu Sarcoma. A indima ebalulekile izici ungalokothi uphuze kunikezwa imikhuba emibi, bedla izidakamizwa. Odokotela kufanele waziswe kanye ukumisa ngokushesha nge-ovulation.
Ubani isengozini?
Gynecologists ozama ukuba banake abesifazane ekuvimbeleni Sarcoma, ngoba ukwelapha ngokuphelele lesi zokugula kungaba ezingavamile kakhulu. Endaweni yokuqala ekubonisa labo abayingxenye okubizwa ngokuthi amaqembu ingozi. Lawa abesifazane:
- ukugula esibelethweni polycystic (isifo kuphakamisa ukungalingani hormone);
- Umdlavuza abaphethwe webele izilonda;
- ungalokothi ngizale;
- abasindile kamuva menopause (menopause ngemva kweminyaka engu-50 kwelinye izwe).
A indima enkulu kulokhu kungokwalabo nezici ezithile sitholwa njengefa. Ukuze impilo, kanye ngokukhethekile Kunconywa ukulandela abesifazane emva kweminyaka 40, ube eziseduze abaye kwatholakala izifo neoplastic, kuhlanganise lesizalo Sarcoma.
Izimpawu kanye izimpawu zesifo
Ivame ukubizwa buthule Sarcoma zokugula ngoba izimpawu zaso sobala lapho besanda kuqala akukho ukuthuthukiswa. Abesifazane ekujaheni ukufuna usizo lukadokotela, ngibona ukuwohloka ngenxa yokucindezeleka noma isifo kancane ezinzima. Ngisho kamuva izigaba Sarcoma angeke ukubonisa izimpawu sici, Ngokuqhubeka ukwandisa ngobukhulu noma azenza leiomyoma.
Njengoba isifo siqhubeka, futhi kuncike kwasendaweni yenqubo sokugembula imakwe ukuphazamiseka nomjikelezo wokuya esikhathini. Abesifazane esekhala ubuhlungu esiswini aphansi, khulula esindayo kusukela iphunga Putrid. Futhi, iphango ubalekela, isikhumba livele libe tint aphuzi. I ukuhlolwa kwegazi kungabonakala ngokucacile izinguquko.
ukubonakaliswa Late Sarcoma asihole anaemia, ubuthakathaka kanye ascites njalo. Ngenxa Ukudlulela emaphashini athuthukile pleurisy futhi isibindi - jaundice. Ukungena lamaseli abulalayo ku ikholomu umgogodla kuhambisana ubuhlungu ezigabeni zalo ezihlukahlukene.
Ngokuvamile lapho ukuhlolisisa izifo zabesifazane sinombono odokotela ekuvimbeleni kutholakala ukuthi uphethwe yini "lesizalo Sarcoma." Izimpawu ekhombisa isiqalo inqubo sokugembula, kungase kube ezingekho. ukuqondana okunjalo kubhekwa yimpumelelo, kusukela ukwelashwa esifike ngesikhathi ngezinye izikhathi kwandisa amathuba okuba umphumela ube muhle. Gynecologists kuthiwa sikhunjuzwa njalo ukubaluleka luhlolo zesikhathi abesifazane emva kweminyaka 40, ikakhulukazi ngaphambi ukuqala nambili kuya kwabadala.
Intuthuko Sarcoma
Lesi sifo libhekene nokuthuthukiswa kancane.
- Ngesikhathi besanda kuqala Sarcoma kuyinto encane lwesimila. Kungase kube okulinganiselwe noma mucosal imisipha ungqimba.
- In esigabeni sesibili isimila ikhula ngobukhulu, kodwa ngaphandle komzimba kwesibeletho uyaphuma. Futhi, kukhona kokuziphatha olungaphelele emzimbeni.
- In esigabeni sesithathu isimila ikhula emzimbeni lesizalo, kodwa uhlala ngaphakathi endaweni okhalo. Ngezinye izikhathi kukhona Ukudlulela ukuze ezikhiqiza amaqanda, yesifunda zamanzi. Kulesi sigaba of the Sarcoma isifo lesizalo iqala ukuba baveze ukuthi izimpawu sici uma banyamalele kuze kube manje.
- Isigaba sesine - inkathi lokubola yesimila futhi Ukudlulela kumiswa. izilonda Secondary zisebenza kunoma yikuphi uhlelo yezitho zangaphakathi, ezithinta amaphaphu umnkantsha.
izindlela ukuxilongwa
Ukukhomba Sarcoma kusaqalwa Ngokuvamile kunzima ngenxa yokuntuleka izimpawu ezisobala. Ekuqaleni kokubonana ngesikhathi udokotela wezifo zabesifazane uphendulela umlando kanye nedatha ehlobene nokudlondlobala pathologies oncological e umndeni oseduze. luhlolo gynecological lembula izinguquko coloration wesibeletho, ukuthola izimpawu izimila. Khona-ke, inombolo inikezwa kanye nezivivinyo hardware laboratory (segazi, CT, i-MRI, ultrasound hysteroscopy kanye izitho zangaphakathi).
ukuxilongwa umehluko lesizalo Sarcoma aqede izifo ne isithombe efanayo emtholampilo. Lezi zihlanganisa izimila wesibeletho, ingozi izitho zobulili, ama-polyp endometrial. Ukuqinisekiswa ukuxilongwa esichazayo akunakwenzeka ngaphandle biopsy. Phakathi nale nqubo, ngaphandle kwesibeletho isimila nezicubu wafunda.
Metastases e Kaposi
metastases Neoplasm kungaba ukudamba kanye ukugeleza kwegazi, futhi ikhule ibe izitho eduze. Kushiwo ngamuphi umqondo ukuthi inqubo yokwanda amaseli abulalayo? Sarcoma Ufaka izinhlayiya zayo zibe igazi, lapho zingene izinhlelo zokuphefumula futhi lwamathambo, le Izitho zangasese zangaphandle. Kulokhu avame kuthinte ukunqotshwa kwesokunxele wamaphaphu. amaseli Ebulalayo ngokuvamile zingene epididymis. Lokhu inkinga ngokuvamile kwenzeka uphethwe 'endometrial lesizalo Sarcoma. " Metastases uthuthe ngokushesha wonke umzimba, okungaholela ukufa ekuseni.
zokwelapha
Zokwelapha isebenzisa izindlela eziningana ekwelapheni lesizalo Sarcoma. In iziguli kakhulu sipho elihlangene inketho ukuthi kuhlanganisa ukuhlinzwa futhi chemoradiotherapy. Ukusebenza wenziwa kuphela izigaba kokuqala inqubo isifo. Kuvumela ukucacisa isigaba sesifo, futhi ukuqhuba neoplasm ukususwa. Umthamo kokungenela incike indawo unesimila lingakanani. Endabeni engcono, ukususa kwesibeletho kanye ezihlobene, futhi neze - yonke imigwamanda ezihlobene. Lapho izimo ezinzima eyodwa kuphela kokungenela kuhlinzwa aliyikwanela. Njengoba umbuzo ka ukwelashwa ngemisebe, namuhla ke ingenye ukhetho ephumelela kunazo ukulawula lesizalo Sarcoma isifo. Ukugxila kulesi simo kungaba esidumazayo. It ezinqunyiwe ukubulala amangqamuzana omdlavuza zihlakazeke.
ngelashwa nangemithi
ngamakhemikhali lesizalo sarcomas ezihilela ukusetshenziswa anthracyclines ( "Idarubicin," "Doskorubitsin", "Epirubicin"). Lokhu okuthiwa antitumor antibiotic. Manje ochwepheshe ngenkuthalo ukutadisha ukucindezeleka okubangelwa "ifosfamide" zomuthi, ukusetshenziswa kwalo njengoba monotherapy futhi lihambisana namanye nemithi. Ukwelashwa ngamakhemikhali nokushiswa Dynamics HIV ebonwe 30% eziguli.
Ukusetshenziswa ukwelashwa kuhlangene kuphumelela kangcono, kodwa enezinto eziningi engemihle. Dynamics Positive siyenzeka kusukela ukwelashwa, "docetaxel" futhi "gemcitabine". Ivame kuhlelo wehluleka.
Yiziphi ezinye izidakamizwa asetshenziswa sitholakele "lesizalo Sarcoma?" ukwelashwa ngama-hormone ulungisiswa kuphela uma ngezinga eliphansi umdlavuza neoplasm.
ukuba nombono ongafani ngeke
Kwenzekani kumuntu onalesi sifo of lesizalo Sarcoma has? Izithombe iziguli owasinda isifo esikhohlisayo ukuthi ithemba. Nokho, ezimweni eziningi, umphumela zokugula ezingezinhle, awokuthi kokushelela. Lisho ukuthini leli wesibalo?
Nge uphethwe esifike isimila nendlala okuthiwa i operation Amathuba sokuphinda 65%. Endabeni ka sarcomas emabangeni kamuva we amathuba kabusha nentuthuko ka-inqubo pathologic 90%. Njengomthetho, isikhathi ukusinda nesineke emva kokuhlinzwa kuyinto 2 iminyaka. Izibalo uqinisekisa ukuthi ukusinda oneminyaka emihlanu ngemva ekwelapheni Sarcoma siyenzeka kuphela u-40% amacala.
Kuye nesigaba lesi sifo, lo mkhuba kungenzeka kanje:
- esigabeni sokuqala - 47%;
- esigabeni sesibili - 44%;
- esigabeni sesithathu - 40%;
- Isinyathelo sesine - 10%.
Nokho, lokhu idatha kusuka isifundo lapho kuningi ososayensi amacala umphumela omuhle emva nokwelashwa kwezifo kungakephuzi lesizalo Sarcoma kuphela. Indlela iziguli abaningi baphila kokutshelwa ngokukhubazeka kwengane Kunzima ukusho. Ekuphenduleni lo mbuzo kubalulekile ukwazi esigabeni yesifo, ukuphathwa Kwenziwa, amacala kokushelela. Libhekene by evumayo phezu kuphela labo sarcomas, fibromatous siyaqoqwa ka ISIZINDA. Futhi kulokhu, sidinga uphethwe ngesikhathi esifanele kanye nokwelashwa.
izinyathelo
Indlela yokuvimbela ukuthuthukiswa kwalesi sifo esiyingozi? Okokuqala, ochwepheshe batusa i ukuhlolwa kwezitho zangasese yonyaka. Kuyadingeka ukulandela nemiyalelo udokotela ekwelapheni izifo "owesifazane", ikakhulukazi labo ezihlobene iziyaluyalu hormone. A indima ekhethekile nokuvimbela sokukhulelwa kunikezwa daba. Odokotela musa batusa uyephuza ukuhlela kid. Uma nganoma isiphi isizathu ungafuni ukuzama ngendima unina, kufanele usebenzise zokuvimbela inzalo futhi ukuvimbela ukukhishwa kwezisu. Ingasaphathwa umsoco ofanele. Ukudla kufanele libe ngokuyinhloko izithelo nemifino. Inani amafutha ezilwane kungcono ukuba inciphise isikhathi sokubuka. Dedela imikhuba emibi, ukuchitha isikhathi esengeziwe ngaphandle sidlale nemidlalo.
isiphetho
Ukunakwa ososayensi nodokotela namanje edonsela isifo ezingavamile ezifana, ezifana lesizalo Sarcoma. Life Izibikezelo akunakwenzeka ukubikezela lapho kugula. Nakuba Sarcoma iyisifo ezingavamile, uhlu komdlavuza nolaka. Ngisho ne okufika ngesikhathi futhi abanekhono ukwelashwa ithemba Dynamics omuhle akudingekile. Pathology kungavuka abesifazane babo bonke ubudala. Lapho izimpawu atypical lemikhuhlane kufanele kudokotela. Ngisho beyohlolwa kangcono ngonyaka. Hlala uphilile!
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