Ciwon Ovarian

Ciwon Ovarian shine cutar daji da ke farawa a cikin kwan mace. Kwai (ovaries) sune gabobin haihuwa mata wadanda ke samar da kwai.

Cutar sankarar mahaifar mace ita ce ta biyar a cikin mata. Yana haifar da mace-mace fiye da kowane nau'in ƙwayar ƙwayar mata na haihuwa.

Ba a san musabbabin sankarar jakar kwai ba.

Haɗarin haɗarin cutar sankarar jakar kwai ya haɗa da ɗayan masu zuwa:

• Ananan yara da mace ke da su kuma daga baya a rayuwarta ta haihu, hakan yana da haɗarin kamuwa da cutar sankarar jakar kwai.
• Matan da suka kamu da cutar sankarar mama ko kuma suke da tarihin iyali na nono ko sankarar kwan mace suna da haɗarin kamuwa da cutar sankarar jakar kwai (saboda lahani a cikin kwayoyin halitta kamar BRCA1 ko BRCA2).
• Matan da ke shan maye gurbin estrogen kawai (ba tare da progesterone ba) na tsawon shekaru 5 ko fiye na iya samun haɗarin kamuwa da cutar sankarar jakar kwai. Magungunan hana haihuwa, kodayake, suna rage haɗarin cutar sankarar jakar kwai.
• Maganin haihuwa ba wataƙila ba ya ƙara haɗarin cutar sankarar jakar kwai.
• Mata tsofaffi suna cikin haɗarin kamuwa da cutar sankarar jakar kwai. Yawancin mace-mace daga cutar sankarar jakar kwai suna faruwa ne a cikin mata masu shekaru 55 zuwa sama.

Alamun cututtukan sankarar mahaifar ba su da tabbas. Mata da likitocinsu galibi suna ɗora alhakin alamun ne a kan wasu, yanayin da aka fi dacewa. A lokacin da aka gano cutar kansa, yawan ciwan kansa ya kan wuce ƙwai.

Duba likitan ku idan kuna da alamun bayyanar masu zuwa yau da kullun fiye da weeksan makwanni:

• Kumburin ciki ko kumburi a yankin ciki
• Wahalar cin abinci ko jin cikakken azumi (azanci na farko)
• Ciwon mara na ciki ko ƙananan ciki (yanki na iya jin "nauyi")
• Ciwon baya
• Magungunan lymph da suka kumbura a cikin makwancin ciki

Sauran bayyanar cututtuka da zasu iya faruwa:

• Yawan ci gaban gashi wanda yake da danshi da duhu
• Kwatsam fitsari yayi
• Ana buƙatar yin fitsari fiye da yadda aka saba (ƙarar yawan fitsari ko gaggawa)
• Maƙarƙashiya

Jarabawar jiki na iya zama al'ada. Tare da ci gaba da cutar sankarar jakar kwai, likita na iya samun kumburin ciki sau da yawa saboda tarin ruwa (ascites).

Binciken kwankwaso na iya bayyana kwayayen ciki ko na ciki.

Ba a dauki gwajin jini na CA-125 a matsayin kyakkyawan gwajin gwaji don cutar sankarar mahaifar mace ba. Amma, ana iya yi idan mace tana da:

• Alamomin cutar sankarar kwan mace
• Tuni an riga an bincikar ku da cutar sankarar jakar kwai don sanin yadda magani ke tafiya

Sauran gwaje-gwajen da za'a iya yi sun haɗa da:

• Cikakken yawan jini da sunadarai na jini
• Gwajin ciki (magani HCG)
• CT ko MRI na ƙashin ƙugu ko ciki
• Duban dan tayi

Yin tiyata, kamar su laparoscopy ko laparotomy mai yin bincike, galibi ana yin sa ne don gano dalilin alamun cutar. Za'a yi biopsy don taimakawa gano ganewar asali.

Babu wani dakin gwaje-gwaje ko gwajin hoto da aka taba nunawa da zai iya nasarar tantancewa ko bincikar kansar mahaifa a farkon matakansa, don haka ba a ba da kwatancen gwajin gwaji na yau da kullun a wannan lokacin ba.

Ana amfani da tiyata don magance duk matakan cutar sankarar jakar kwai. Don matakan farko, tiyata na iya zama kawai maganin da ake buƙata. Yin aikin tiyata na iya haɗawa da cire duka ƙwai da ƙwanƙwan ciki, mahaifa, ko wasu sifofin a ciki ko ƙashin ƙugu. Manufofin tiyata don cutar sankarar jakar kwai sune:

• Samfurin yankuna masu bayyana na al'ada don ganin idan kansar ya bazu (staging)
• Cire duk wani yanki na yaduwar tumo (debulking)

Ana amfani da Chemotherapy bayan tiyata don magance duk wani ciwon daji wanda ya rage. Hakanan za'a iya amfani da Chemotherapy idan ciwon daji ya dawo (sake dawowa). Chemotherapy yawanci ana bashi intravenously (ta hanyar IV). Hakanan za'a iya yi masa allura kai tsaye zuwa cikin ramin ciki (intraperitoneal, ko IP).

Ba safai ake amfani da aikin kashe fitila don magance cutar sankarar jakar kwai ba.

Bayan tiyata da magani, bi umarni game da sau nawa ya kamata ku ga likitanku da gwaje-gwajen da ya kamata ku yi.

Kuna iya sauƙaƙa damuwar rashin lafiya ta hanyar haɗuwa da ƙungiyar tallafawa kansa. Yin tarayya tare da wasu waɗanda suke da masaniya da matsaloli na yau da kullun na iya taimaka muku kada ku ji ku kaɗai.

Ba safai ake gano cutar sankarar jakar kwai a farkon matakanta ba. Yawancin lokaci yana ci gaba sosai ta lokacin da aka gano asali:

• Kusan rabin mata suna rayuwa fiye da shekaru 5 bayan ganewar asali
• Idan aka yi ganewar asali a farkon cutar kuma aka karɓi magani kafin cutar kansa ta bazu a wajen ƙwan mace, ƙimar rayuwa ta shekaru 5 ta yi yawa

Tuntuɓi mai ba da kiwon lafiya idan kai mace ce mai shekara 40 ko sama da haka ba da daɗewa ba ta yi gwaji na pelvic. Ana bada shawarar yin jarabawa na yau da kullun ga duk mata masu shekaru 20 ko sama da hakan.

Kira don alƙawari tare da mai ba da sabis idan kuna da alamomin cutar sankarar jakar kwai.

Babu wasu shawarwari na yau da kullun don tantance mata ba tare da alamomi ba (asymptomatic) don cutar sankarar kwan mace. Pelvic duban dan tayi ko gwajin jini, kamar CA-125, ba a gano yana da tasiri ba kuma ba a ba da shawarar ba.

Gwajin kwayar halitta don BRCA1 ko BRCA2, ko wasu kwayoyin halitta masu alaƙa da cutar kansa, ana iya ba da shawarar ga mata masu haɗarin kamuwa da cutar sankarar jakar kwai. Waɗannan mata ne waɗanda ke da tarihin kansu ko na iyali na kansar nono ko ta mahaifar mace.

Cire ovaries da fallopian tubes kuma mai yiwuwa mahaifa a cikin matan da suke da tabbataccen maye gurbi a cikin kwayar BRCA1 ko BRCA2 na iya rage haɗarin ɓarkewar cutar sankarar jakar kwai. Amma, cutar kansar kwai na iya ci gaba a wasu yankuna na ƙashin ƙugu.

Ciwon daji - ovaries

• Ruwa na ciki - fitarwa
• Chemotherapy - abin da za a tambayi likita
• Rarraba kwancen ciki - fitarwa

• Tsarin haihuwa na mata
• Hawan ciki tare da cutar sankarar jakar kwai - CT scan
• Peritoneal da ciwon sankarar mahaifa, CT scan
• Haɗarin cututtukan Ovarian
• Damuwa da girman ƙwai
• Mahaifa
• Ciwon Ovarian
• Cutar sankarar mahaifa

Coleman RL, Liu J, Matsuo K, Thaker PH, Westin SN, Sood AK. Carcinoma na ovaries da fallopian shambura. A cikin: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff na Clinical Oncology. Na 6 ed. Philadelphia, PA: Elsevier; 2020: babi na 86.

Coleman RL, Ramirez PT, Gershenson DM. Cututtukan da ba su dace ba na kwayayen mahaifa: nunawa, cutarwa mara kyau kuma mara kyau da kuma kwayar halittar kwayar cutar kwayar cuta, kumburin jima'in mahaifa. A cikin: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. M Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 33.

Yanar gizo Cibiyar Cancer ta Kasa. BRCA maye gurbi: haɗarin ciwon daji da gwajin kwayar halitta. www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet. An sabunta Nuwamba 19, 2020. Samun dama ga Janairu 31, 2021.