Duk abin da kuke buƙatar sani game da Ciwon daji na endometrial (Uterine)

Wadatacce

• Menene alamun cututtukan daji na endometrial?
• Menene matakan cutar kansa ta endometrial?
• Yaya ake bincikar cutar kanjamau?
• Menene maganin cutar kanjamau?
• Tiyata
• Radiation far
• Chemotherapy
• Hormone far
• Taimakon motsin rai
• Menene dalilai masu haɗari ga ciwon daji na endometrial?
• Matsalar Hormone
• Ciwon mara na endometrium
• Kiba
• Ciwon suga
• Tarihin ciwon daji
• Me ke kawo sankarar mahaifa?
• Menene nau'ikan cutar sankara ta jiki?
• Yaya zaku iya rage haɗarin cutar kansa ta endometrial?
• Takeaway

Menene Ciwon daji na ndomarshe?

Ciwon daji na endometrial wani nau'in mahaifa ne wanda yake farawa a cikin rufin mahaifa. Ana kiran wannan rufin endometrium.

A cewar Cibiyar Cancer ta Kasa, kimanin mata 3 cikin 100 za a kamu da cutar sankarar mahaifa a wani lokaci a rayuwarsu. Fiye da kashi 80 cikin 100 na mutanen da ke da cutar sankarar mahaifa sun rayu na tsawon shekaru biyar ko fiye bayan sun karɓi cutar.

Idan kana da cutar sankarar mahaifa, ganewar wuri da magani yana kara damar samun gafara.

Menene alamun cututtukan daji na endometrial?

Mafi yawan alamun cutar kanjamau endometrial cancer shine rashin jinin al'ada. Wannan na iya haɗawa da:

• canje-canje a cikin tsawo ko nauyi na lokacin haila
• zubar jini ta farji ko tabo tsakanin lokacin haila
• zubar jini na bayan mace bayan gama al'ada

Sauran alamun bayyanar cututtukan endometrial sun haɗa da:

• ruwa ko jini mai kwarjinin farji
• zafi a cikin ƙananan ciki ko ƙashin ƙugu
• zafi yayin jima'i

Idan kun sami ɗayan waɗannan alamun, yi alƙawari tare da likitanku. Wadannan alamun ba lallai bane alama ce ta mummunan yanayi, amma yana da mahimmanci a duba su.

Yawan zubar jini na al'ada mara kyau yawanci yakan faru ne ta hanyar sankarau ko wasu halaye marasa ciwo. Amma a wasu lokuta, alama ce ta kansar endometrial ko wasu nau'ikan cututtukan mata.

Likitanku na iya taimaka muku gano dalilin alamunku kuma bayar da shawarar maganin da ya dace, idan an buƙata.

Menene matakan cutar kansa ta endometrial?

Bayan lokaci, kansar endometrial na iya yaduwa daga mahaifa zuwa wasu sassan jiki.

An rarraba kansar cikin matakai huɗu dangane da yadda ya girma ko yaɗu:

• Mataki na 1: Ciwon daji kawai yana cikin mahaifa.
• Mataki na 2: Ciwon daji yana cikin mahaifa da mahaifar mahaifa.
• Mataki na 3: Ciwon kansa ya bazu a wajen mahaifar, amma har zuwa dubura ko mafitsara. Zai iya kasancewa a cikin bututun mahaifa, ovaries, farji, da / ko ƙwayoyin lymph na kusa.
• Mataki na 4: Ciwon daji ya bazu fiye da yankin ƙashin ƙugu. Yana iya kasancewa a cikin mafitsara, dubura, da / ko kuma kyallen takarda da gabobin nesa.

Lokacin da mutum ya kamu da cutar kansa ta endometrial, matakin kansar yana shafar irin wadatar hanyoyin magani da hangen nesa. Ciwon daji na ƙarshe ya fi sauƙi a bi shi a farkon matakan yanayin.

Yaya ake bincikar cutar kanjamau?

Idan kun sami bayyanar cututtukan da zasu iya zama cututtukan daji na ƙarshe, yi alƙawari tare da likitanku na farko ko likitan mata. Likitan mata wani nau'in likita ne na musamman wanda ke maida hankali kan tsarin haihuwar mata.

Likitanku zai tambaye ku game da alamunku da tarihin lafiyar ku. Zasuyi gwajin kwalliya don kallo da jin rashin dacewar mahaifa da sauran gabobin haihuwa. Don bincika ciwace-ciwacen ƙwayoyi ko wasu abubuwan da ba na al'ada ba, suna iya yin odar sikanin duban dan tayi.

Gwajin duban dan tayi wani irin gwajin daukar hoto ne wanda yake amfani da kalaman sauti don kirkirar hotunan cikin jikin ku. Don yin duban dan tayi, likitanku ko wasu kwararrun likitocin zasu saka binciken duban dan tayi a cikin farjinku. Wannan binciken zai watsa hotuna a kan abin dubawa.

Idan likitanku ya gano abubuwan da ba na al'ada ba a lokacin gwajin duban dan tayi, za su iya yin oda ɗaya ko fiye na waɗannan gwaje-gwajen masu zuwa don tattara samfurin nama don gwaji:

• Ndomarshen biopsy: A wannan gwajin, likitanka ya saka wani bututu mai sassauƙa ta cikin wuyar mahaifar cikin mahaifa. Suna amfani da tsotsa don cire karamin abun daga endometrium ta bututun.
• Hysteroscopy: A wannan tsarin, likitanku ya saka bututu mai sassauƙa tare da kyamarar fiber-optic ta cikin mahaifa a cikin mahaifar ku. Suna amfani da wannan mahimmancin hangen nesa don hango ƙarshen halittarku da ƙananan halittu marasa kyau.
• Ragewa da warkarwa (D&C): Idan sakamakon biopsy bai tabbata ba, likitanka na iya tattara wani samfurin ƙirar endometrial ta amfani da D&C. Don yin haka, suna fadada mahaifar mahaifa kuma suyi amfani da kayan aiki na musamman don goge nama daga endometrium.

Bayan tara samfurin nama daga endometrium, likitanku zai aika zuwa dakin gwaje-gwaje don gwaji. Kwararren dakin gwaje-gwaje zai binciki samfurin a karkashin madubin likita don sanin ko yana dauke da kwayoyin cutar kansa.

Idan kana da ciwon daji na endometrial, likitanka zai iya ba da umarnin ƙarin gwaje-gwaje don koyo idan cutar ta bazu. Misali, suna iya yin odar gwajin jini, gwajin x-ray, ko wasu gwaje-gwaje na daukar hoto.

Menene maganin cutar kanjamau?

Akwai zaɓuɓɓukan magani da yawa don ciwon kansa na endometrial. Shirin likitanku da aka ba da shawara zai dogara ne da nau'ikan nau'ikan cutar da cutar kansa, da kuma lafiyarku gaba daya da abubuwan da kuke so.

Akwai fa'idodi masu fa'ida da haɗari masu alaƙa da kowane zaɓin magani. Likitanku na iya taimaka muku fahimtar fa'idodi da haɗarin kowace hanya.

Tiyata

Ciwon daji na endometria galibi ana magance shi tare da wani nau'in tiyata da aka sani da hysterectomy.

Yayinda ake cire mahaifa, likitan fida ya cire mahaifar. Hakanan zasu iya cire kwayayen kwan da na mahaifa, a wani tsari da aka sani da salpingo-oophorectomy na biyu (BSO). Hysterectomy da BSO galibi ana yin su yayin aiki iri ɗaya.

Don koyon idan cutar kansa ta bazu, likitan zai kuma cire ƙwayoyin lymph da ke kusa. Wannan an san shi da rarrabawar lymph node dissection ko lymphadenectomy.

Idan ciwon daji ya bazu zuwa wasu sassan jiki, likitan na iya ba da shawarar ƙarin tiyata.

Radiation far

Radiation na amfani da katako mai ƙarfi don kashe ƙwayoyin kansa.

Akwai manyan nau'ikan nau'ikan jujjuyawar radiation guda biyu da ake amfani dasu don magance cututtukan endometrial:

• Magungunan radiation na katako na waje: Inji na waje yana mai da hankali da haskakawa akan mahaifa daga wajen jikinka.
• Rage radiation na ciki: Ana sanya kayan aikin radiyo cikin jiki, a cikin farji ko mahaifa. Wannan kuma ana kiranta da suna brachytherapy.

Kwararka na iya bayar da shawarar ɗaya ko duka nau'ikan maganin raɗaɗi bayan tiyata. Wannan na iya taimakawa kashe ƙwayoyin kansa wanda zai iya kasancewa bayan tiyata.

A cikin wasu lokuta ba safai ba, suna iya ba da shawarar maganin fitila kafin a yi tiyata. Wannan na iya taimakawa kankancewar ciwace-ciwacen don saukaka cire su.

Idan ba za ku iya yin tiyata ba saboda wasu yanayin kiwon lafiya ko ƙarancin ƙoshin lafiya, likitanku na iya ba da shawarar maganin radiation azaman babban magani.

Chemotherapy

Chemotherapy ya haɗa da amfani da magunguna don kashe ƙwayoyin kansa. Wasu nau'ikan maganin cutar shan magani sun hada da magani daya, yayin da wasu suka hada da hada magunguna. Ya danganta da nau'in maganin da aka karɓa, magungunan na iya kasancewa a cikin ƙwayar kwaya ko bayarwa ta layin intravenous (IV).

Likitanku na iya ba da shawarar maganin sankara don cutar kansa ta endometrial wacce ta bazu zuwa sauran sassan jiki. Hakanan suna iya ba da shawarar wannan hanyar maganin kansar endometrial wacce ta dawo bayan jinyar da ta gabata.

Hormone far

Maganin Hormone ya haɗa da amfani da homonu ko kwayoyi masu hana hormone canza yanayin matakan jikin mutum. Wannan na iya taimakawa jinkirin ci gaban ƙwayoyin cuta na endometrial.

Kwararka na iya ba da shawarar maganin hormone don mataki na III ko mataki na huɗu na cutar sankarar mahaifa. Hakanan suna iya ba da shawarar shi don cutar sankara wacce ta dawo bayan jiyya.

Maganin Hormone galibi ana haɗuwa da chemotherapy.

Taimakon motsin rai

Idan kana fama da matsala wajen jurewa da shakuwar cutar sankara ko magani, sanar da likitanka. Abu ne na yau da kullun ga mutane su sami wahalar gudanar da lamuran tunani da tunani na rayuwa tare da cutar kansa.

Likitanku na iya tura ku zuwa ga mutum ko ƙungiyar tallafi ta kan layi don mutanen da ke da cutar kansa. Kuna iya jin daɗin zama tare da wasu waɗanda ke fuskantar irin abubuwan da kuka fuskanta.

Hakanan likitanka zai iya tura ka zuwa ƙwararren likitan hankali don ba ka shawara. Therapyaya bayan ɗaya ko rukuni na rukuni na iya taimaka maka gudanar da lamuran ɗabi'a da zamantakewar rayuwa tare da ciwon daji.

Menene dalilai masu haɗari ga ciwon daji na endometrial?

Rashin haɗarin ciwon daji na endometrial yana ƙaruwa da shekaru. Yawancin lokuta na cututtukan daji na endometrial ana bincikar su tsakanin shekarun 45 zuwa 74 shekaru, in ji National Cancer Institute.

Wasu dalilai masu haɗari da yawa na iya haifar da haɗarin cutar kansa ta endometrial, gami da:

• canje-canje a matakan matakan jima'i
• wasu yanayin kiwon lafiya
• tarihin iyali na ciwon daji

Matsalar Hormone

Estrogen da progesterone sune homonin jima'i na mata waɗanda ke shafar lafiyar endometrium ɗin ku. Idan daidaituwar waɗannan kwayoyin juyawar zuwa matakan haɓakar estrogen, yana haɓaka haɗarin kamuwa da cutar kansa ta endometrial.

Wasu fannoni na tarihin likitanku na iya shafar matakan jima'i na jima'i da haɗarin cutar kansa ta endometrial, gami da:

• Shekarun jinin haila: Mafi yawan lokutan jinin haila da kuka taɓa samu a rayuwarku, yawan bayyanar da jikinku ya yi da estrogen. Idan ka sami lokacinka na farko kafin ka kai shekaru 12 ko ka shiga haila a ƙarshen rayuwarka, ƙila ka kasance cikin haɗarin cutar kansa ta endometrial.
• Tarihin ciki: A lokacin daukar ciki, ma'aunin kwayoyin halittar kan canza zuwa progesterone.Idan baku taba yin ciki ba, damarku ta bunkasa kansar endometrial ta karu.
• Ciwon ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta (PCOS): A cikin wannan rikicewar kwayar cutar, matakan estrogen suna da girma kuma matakan progesterone ba su da yawa. Idan kuna da tarihin PCOS, damarku ta samun cutar kansa ta endometrial tana ƙaruwa.
• Ciwan ƙwayar Granulosa:Cutar cututtukan Granulosa iri ne kwayar cutar ovarian wadda ke sakin isrogen. Idan kun kasance kuna da ɗaya daga cikin waɗannan ciwace-ciwacen, yana haɓaka haɗarin cutar kansa ta endometrial.

Wasu nau'ikan magunguna na iya canza canjin estrogen da progesterone a cikin jikinku, gami da:

• Maganin maye gurbin Estrogen (ERT): ERT wani lokacin ana amfani dashi don magance alamun rashin haila. Ba kamar sauran nau'ikan maganin maye gurbin hormone ba (HRT) wanda ke haɗa estrogen da progesterone (progestin), ERT yana amfani da estrogen shi kaɗai kuma yana haifar da haɗarin cutar kansa ta endometrial.
• Tamoxifan: Ana amfani da wannan magani don taimakawa hanawa da magance wasu nau'ikan cutar sankarar mama. Zai iya zama kamar estrogen a cikin mahaifar ku kuma ya haifar da haɗarin kansar endometrial.
• Magungunan hana daukar ciki na baka (kwayoyin hana haihuwa): Shan kwayoyin hana daukar ciki na rage kasadar cutar kansa ta endometrial. Tsawon lokacin da ka ɗauke su, ƙananan haɗarin cutar kansa ta endometrial.

Magunguna waɗanda ke ɗaga haɗarin kamuwa da cututtukan endometrial na iya rage haɗarin wasu yanayi. Akasin haka, magungunan da ke rage haɗarin cutar kansa ta endometrial na iya haifar da haɗarin wasu yanayi.

Likitanka zai iya taimaka maka ka auna fa'idodi da kasada na shan magunguna daban-daban, gami da ERT, tamoxifan, ko magungunan hana haihuwa.

Ciwon mara na endometrium

Endometrial hyperplasia yanayin rashin ciwo ne na kansa, wanda endometrium ɗinka yayi kaurin da ba sabawa ba. A wasu lokuta, yakan tafi da kansa. A wasu lokuta, ana iya magance shi tare da HRT ko tiyata.

Idan ba a ba shi magani ba, hyperplasia na endometrial wani lokacin yakan zama kansar endometrial.

Mafi yawan alamun da ake gani na hyperplasia na endometrial shine zubar jini mara kyau na al'ada.

Kiba

A cewar Cibiyar Ciwon Sankara ta Amurka, matan da suka yi kiba (BMI 25 zuwa 29.9) sun ninka yiwuwar kamuwa da cutar kansa ta endometrial kamar matan da ba su da nauyi. Wadanda ke da kiba (BMI> 30) sun fi sau uku da yiwuwar haifar da irin wannan cutar ta daji.

Wannan na iya yin la'akari da tasirin da kitsen jiki ke da shi akan matakan estrogen. Naman kitsen na iya canza wasu nau'in nau'ikan hormones (androgens) zuwa estrogen. Wannan na iya daga matakin estrogen a jiki, yana kara barazanar kamuwa da cutar kansa ta endometrial.

Ciwon suga

Matan da ke dauke da ciwon sukari na 2 na iya zama kamar sau biyu mai yuwuwar kamuwa da cutar kansa ta endometrial kamar waɗanda ba su da ciwon sukari, in ji Canungiyar Ciwon Sankara ta Amurka.

Koyaya, yanayin wannan hanyar haɗin yanar gizo bashi da tabbas. Ciwon sukari na 2 ya fi dacewa ga mutanen da suke da kiba ko kuma suke da kiba, wanda kuma hakan yana da haɗarin kamuwa da cutar kansa ta endometrial. Babban ƙiba a cikin mutanen da ke da ciwon sukari na 2 na iya yin lissafin haɗarin haɗarin cutar kansa ta endometrial.

Tarihin ciwon daji

Kila ku kamu da cutar kansa ta jiki idan wasu daga cikin dangin ku sun same ta.

Hakanan kuna cikin haɗarin kamuwa da cututtukan endometrial idan kuna da tarihin iyali na cutar Lynch. Wannan yanayin yana faruwa ne ta hanyar maye gurbi a daya ko fiye daga cikin kwayoyin halittar dake gyara wasu kurakurai a cigaban kwayar halitta.

Idan kana da maye gurbi da ke haɗuwa da cutar Lynch, hakan yana ƙara haɗarin kamuwa da wasu nau'o'in cutar kansa, gami da kansar hanji da kansar endometrial. Dangane da wani bita da aka buga a mujallar Genes, kashi 40 zuwa 60 na matan da ke fama da cutar Lynch suna kamuwa da cutar kansa ta endometrial.

Idan kana da cutar sankarar mama ko sankarar kwan mace a da, wannan ma na iya haifar da haɗarin cutar kansa ta endometrial. Wasu daga cikin abubuwan haɗarin waɗannan cututtukan iri ɗaya ne. Radiation na radiyo a ƙashin ƙawarku na iya haɓaka damar da za ku ci gaba da cutar kansa ta endometrial cancer.

Me ke kawo sankarar mahaifa?

A mafi yawan lokuta, ba a san ainihin abin da ke haifar da cutar kansa ta endometrial ba. Koyaya, masana sunyi imanin cewa canje-canje a cikin matakin estrogen da progesterone a cikin jiki galibi suna taka rawa.

Lokacin da matakan waɗannan halayen jima'i suke canzawa, yana shafar endometrium ɗin ku. Lokacin da daidaituwa ta canza zuwa matakan estrogen, hakan yana haifar da kwayoyin halitta su rarraba da ninka.

Idan wasu canje-canje na kwayoyin halitta suka faru a cikin kwayoyin halitta, zasu zama kansar. Wadancan kwayoyin cutar kansar suna girma cikin sauri kuma suna yaduwa don samar da ƙari.

Masana kimiyya har yanzu suna nazarin canje-canje waɗanda ke haifar da ƙwayoyin endometrial na al'ada su zama ƙwayoyin kansa.

Menene nau'ikan cutar sankara ta jiki?

Canungiyar Cancer ta Amurka ta ba da rahoton cewa yawancin shari'o'in cututtukan endometrial sune adenocarcinomas. Adenocarcinomas sune cututtukan daji waɗanda ke ci gaba daga ƙwayar glandular. Mafi yawan nau'ikan adenocarcinoma shine cututtukan endometrioid.

Formsananan nau'ikan nau'ikan cututtukan daji na ƙarshe sun haɗa da:

• maganin sankarar mahaifa (CS)
• ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta
• karamin ƙwayar carcinoma
• carcinoma mai canzawa
• carcinoma mai serous

An rarraba nau'o'in cutar kanjamau zuwa manyan nau'ikan biyu:

• Rubuta 1 ya zama yana da ɗan jinkirin girma kuma ba yaɗawa da sauri zuwa wasu kayan kyallen takarda.
• Rubuta 2 sun fi zama masu rikici kuma suna iya yaduwa a wajen mahaifa.

Nau'in cututtukan endometrial sun fi yawa fiye da nau'in 2. Suna da sauƙin magani.

Yaya zaku iya rage haɗarin cutar kansa ta endometrial?

Wasu dabarun na iya taimaka maka rage haɗarin kamuwa da cutar kansa ta endometrial cancer:

• Sarrafa nauyinku: Idan kana da nauyi ko kiba, rage nauyi da kiyaye nauyin nauyi na iya rage haɗarin cutar kansa ta endometrial. Ana buƙatar ƙarin bincike don koyon yadda asarar nauyi ke shafar haɗarin cutar kansa ta endometrial.
• Motsa jiki a kai a kai: Yin aiki na yau da kullun yana da alaƙa da ƙananan haɗarin cutar kansa ta endometrial. Hakanan yana da sauran fa'idodi masu yawa ga lafiyar jiki.
• Nemi magani don zubar jinin al'ada mara kyau: Idan kun sami jinin al'ada mara kyau, yi alƙawari tare da likitan ku. Idan zub da jini ya samo asali ne daga hyperplasia na endometrial, tambayi likitanka game da zaɓuɓɓukan magani.
• Yi la'akari da fa'idodi da rashin lafiyar maganin hormone: Idan kuna tunanin yin amfani da HRT, ku tambayi likitanku game da fa'idodi da haɗarin amfani da estrogen shi kaɗai tare da haɗin estrogen da progesterone (progestin). Zasu iya taimaka muku auna kowane zaɓi.
• Tambayi likitanku game da fa'idar amfani da magungunan hana daukar ciki: Magungunan hana haihuwa da na’urorin cikin mahaifa (IUDs) suna da alaƙa da rage haɗarin cutar kansa ta endometrial. Likitanku zai iya taimaka muku koya game da fa'idodi da haɗarin amfani da waɗannan magungunan hana haifuwa.
• Sanar da likitan ku idan kuna da tarihin cutar Lynch: Idan danginku suna da tarihin cutar Lynch, likitanku na iya ba da shawarar gwajin kwayar halitta. Idan kuna da cutar Lynch, za su iya ƙarfafa ku kuyi tunanin cire mahaifa, ƙwai, da bututun mahaifa don hana ciwon daji daga ci gaba a waɗannan gabobin.

Takeaway

Idan kana da alamomin da zasu iya zama alama ce ta kansar endometrial ko wani yanayin mata, yi alƙawari tare da likitanka. Gano asali da magani na farko na iya taimakawa inganta hangen nesa na dogon lokaci.