Zaɓuɓɓukan Jiyya na Ovarian

Wadatacce

• Yin tiyata don cutar sankarar jakar kwai
• Chemotherapy don ciwon daji na ovarian
• Domin cutar sankarar jakar kwai
• Don cutar sankarar jakar kwai wanda ke farawa a cikin ƙwayoyin ƙwayoyin cuta
• Don cutar sankarar jakar kwai wanda ke farawa a cikin ƙwayoyin stromal
• Sauran daidaitattun maganin jiyya
• Radiation na cutar sankarar jakar kwai
• Maganin Hormone don cutar sankarar jakar kwai
• Tsarin da aka yi niyya don cutar sankarar jakar kwai
• Gwajin gwaji na cutar sankarar jakar kwai
• Theraparin hanyoyin kwantar da hankali don cutar sankarar jakar kwai
• Outlook

Tsara tsarin kulawa

Akwai hanyoyi da yawa don tunkarar magani don cutar sankarar kwan mace. Ga yawancin mata, yana nufin tiyata. Wannan yawanci ana haɗuwa tare da chemotherapy, far hormone, ko jiyya mai niyya.

Wasu abubuwan da zasu taimaka jagorar jiyya sune:

• nau'in takamaiman cutar sankarar kwan mace
• matakin ku a ganewar asali
• ko kana pre- ko postmenopausal
• ko kun shirya haihuwa

Karanta don ƙarin koyo game da maganin sankarar jakar kwai da abin da suka ƙunsa.

Yin tiyata don cutar sankarar jakar kwai

Zaɓuɓɓukan tiyata sun dogara ne da yadda cutar sankara ta yadu.

Don matakin farko na sankarar jakar kwai, yana iya yiwuwa a kiyaye haihuwa. Yana da mahimmanci a tuntuɓi likitanka kafin a yi maka tiyata.

Idan ana samun kansar a cikin kwaya daya kawai, likitan ka na iya cire shi kazalika cire tubar da ke hade da ita. Har yanzu zaku cigaba da yin jinin haihuwa da jinin al'ada saboda sauran kwayayen da kuka rage, kuna kiyaye zabinku na yin ciki.

Lokacin da aka samo kansar a cikin kwayayen biyu, duka ovaries da duka fallopian tubes za'a iya cire su. Wannan zai haifar da al'ada. Kwayar cututtuka na iya haɗawa da walƙiya mai zafi, zufa da dare, da bushewar farji. Hakanan likitanka na iya baka shawarar cire mahaifa.

A cikin farkon-sankarar sankarar mahaifa, tiyatar laparoscopic mai saurin ɗaukar cuta na iya zama zaɓi. Ana yin wannan tare da kyamarar bidiyo da dogon, kayan aikin siraɗi waɗanda aka saka ta ƙananan ɓoye.

Don ƙarin ci gaba da cutar sankarar jakar kwai, buɗe tiyatar ciki ya zama dole.

Ana amfani da hanyar da ake kira tiyata tiyata don magance cutar kansar kwan mace ta mataki na 4. Ya haɗa da cire ƙwan ƙwanku da bututun mahaifa, tare da duk wasu gabobin da abin ya shafa. Wannan na iya haɗawa da:

• mahaifa da mahaifar mahaifa
• kumburin ciki na lymph
• nama wanda yake rufe hanjinku da gabobin ciki
• wani ɓangare na diaphragm ɗinka
• hanji
• baƙin ciki
• hanta

Idan kuna da ruwa a yankinku na ciki ko ƙashin ƙugu, za'a iya cire shi kuma a bincika shi ma kansar.

Chemotherapy don ciwon daji na ovarian

Chemotherapy wani nau'in tsari ne na tsari. Waɗannan ƙwayoyi masu ƙarfi suna yawo cikin jikinku don neman da lalata ƙwayoyin kansa. Ana amfani da shi kafin aikin tiyata don rage ƙwayoyin cuta ko bayan tiyata don kashe sauran ƙwayoyin cutar kansa.

Ana iya ba da waɗannan magungunan ta hanyar jijiyoyi (IV) ko kuma a baki. Hakanan za'a iya allurar su kai tsaye zuwa cikin ciki.

Domin cutar sankarar jakar kwai

Epithelial ovarian cancer yana farawa a cikin ƙwayoyin halitta akan rufin ƙwan mahaifar ku. Jiyya yawanci ya ƙunshi aƙalla magunguna biyu na IV. Ana ba su sau uku zuwa shida, yawanci makonni uku zuwa huɗu. Matsakaicin haɗin magani shine cisplatin ko karboplatin tare da paclitaxel (Taxol) ko docetaxel (Taxotere).

Don cutar sankarar jakar kwai wanda ke farawa a cikin ƙwayoyin ƙwayoyin cuta

Wani lokaci cutar sankarar jakar kwai tana farawa a cikin ƙwayoyin ƙwayoyin cuta. Waɗannan su ne ƙwayoyin halitta waɗanda daga ƙarshe suke yin ƙwai. Haɗin maganin da ake amfani da shi don ƙwayoyin ƙwayoyin cuta shine cisplatin (Platinol), etoposide, da bleomycin.

Don cutar sankarar jakar kwai wanda ke farawa a cikin ƙwayoyin stromal

Hakanan cutar sankarar ovarian na iya farawa a cikin ƙwayoyin stromal. Waɗannan su ne ƙwayoyin da ke sakin homonu da haɗa mahaɗin mahaifa. Wannan haɗin maganin yana iya zama irin wanda aka yi amfani dashi don ƙwayoyin ƙwayoyin ƙwayoyin cuta.

Sauran daidaitattun maganin jiyya

Wasu sauran magunguna don cutar sankarar jakar kwai sune:

• albam-daure paclitaxel (Abraxane)
• altretamine (Hexalen)
• amintacce (Xeloda)
• cyclophosphamide (Cytoxan)
• gemcitabine (Gemzar)
• ifosfamide (Ifex)
• irinotecan (Camptosar)
• lixomal doxorubicin (Doxil)
• Distance Watsa-melphalan (Alkeran)
• gurguwa (Alimta)
• topotecan (Hycamtin)
• vinblastine (Velban)
• vinorelbine (Navelbine)

Hanyoyi masu illa sun bambanta dangane da sashi da haɗin magunguna. Suna iya haɗawa da:

• tashin zuciya da amai
• rasa ci
• gajiya
• asarar gashi
• ciwon baki ko kuma danko da jini
• mafi haɗarin kamuwa da cuta
• zub da jini ko rauni

Yawancin waɗannan illolin na ɗan lokaci ne. Likitanku na iya taimaka rage girman su. Sauran illolin, irin su lalacewar koda, na iya zama mafi tsanani da daɗewa. Ko da har yanzu kana da ɗayan ƙwayayen jikinka, chemotherapy na iya haifar da sanyin lokacin haihuwa.

Radiation na cutar sankarar jakar kwai

Radiation magani ne mai niyya wanda ke amfani da haskoki mai ƙarfi don lalata ciwace-ciwacen daji. Ana iya isar dashi ta waje ko daga ciki.

Radiation ba magani bane na farko don cutar sankarar jakar kwai. Amma wasu lokuta ana iya amfani dashi:

• don taimakawa magance ƙananan, maimaitawar gida
• don sauƙaƙe ciwo daga manyan ƙwayoyin cuta waɗanda ke da tsayayya ga ilimin sankarar magani
• a matsayin madadin idan ba za ku iya jure wa cutar sankara ba

Kafin jinyarka ta farko, zaka buƙaci zaman shiri don ƙayyade matsayinka daidai. Makasudin shine bugun tumbi yayin iyakance lalacewa ga lafiyayyen nama. A wasu lokuta ana amfani da zane-zanen Pinpoint don yiwa alamar fata ta dindindin

An biya hankali a sanya kowane lokaci. Kodayake hakan na iya ɗaukar ɗan lokaci, ainihin maganin yana ɗaukar fewan mintuna kaɗan. Radiation ba mai zafi bane, amma yana buƙatar ka kasance cikakke har yanzu. Ana ba da magunguna kwana biyar a mako don makonni uku zuwa biyar.

Hanyoyi masu lalacewa yawanci sukan warware lokacin da magani ya ƙare amma zai iya haɗawa da:

• ja, fata mai laushi
• gajiya
• gudawa
• yawan yin fitsari

Maganin Hormone don cutar sankarar jakar kwai

Epithelial ovarian cancer ba safai ake magance shi ba tare da maganin hormone. Ana amfani da shi sau da yawa don ciwon daji na stromal.

Ana amfani da lauteinizing-sakewa agonists na hormone don rage haɓakar estrogen a cikin mata masu premenopausal. Biyu daga cikin waɗannan sune goserelin (Zoladex) da leuprolide (Lupron). Ana ba su ta allura kowane wata zuwa watanni uku. Wadannan kwayoyi na iya haifar da alamun rashin jinin al'ada. Idan aka dauke su tsawon shekaru, zasu iya raunana kashin ka su haifar da kashin baya.

Estrogen na iya inganta ci gaban tumo. Wani magani da ake kira tamoxifen yana hana estrogen daga girma. Wannan magungunan na iya haifar da alamun rashin jinin al'ada.

Matan da suka gama kwanciya bayan aure zasu iya shan aromatase inhibitors, kamar su anastrozole (Arimidex), exemestane (Aromasin), da letrozole (Femara). Suna toshe wani enzyme wanda ke juyar da wasu kwayoyin halittar zuwa estrogen. Ana shan wadannan magungunan na baki sau ɗaya a rana. Hanyoyi masu illa sun hada da:

• walƙiya mai zafi
• haɗin gwiwa da ciwon tsoka
• siririn kashin ka

Tsarin da aka yi niyya don cutar sankarar jakar kwai

Magungunan da aka yi niyya suna samowa da canza takamaiman halaye na ƙwayoyin kansar waɗanda ba a samun su cikin ƙwayoyin lafiya. Suna yin lahani ga lafiyayyen nama fiye da chemotherapy ko magungunan radiation na waje.

Umwoji suna buƙatar magudanar jini don girma da yaɗuwa. Wani magani na IV da ake kira bevacizumab (Avastin) an tsara shi don dakatar da ciwace-ciwacen kafa sabbin jijiyoyin jini. Ana ba kowane sati biyu zuwa uku.

Nazarin ya nuna cewa bevacizumab na iya rage ciwowar ciwan daji ko jinkirin ci gaban cutar sankarar mahaifar mace. Hanyoyi masu illa masu haɗari sun haɗa da:

• hawan jini
• ƙananan ƙwayoyin farin jini sun ƙidaya
• gudawa

Poly (ADP-ribose) polymerase (PARP) masu hanawa magunguna ne na baka. Ana amfani da su lokacin da ake danganta cutar sankarar jakar kwai BRCA maye gurbi.

Biyu daga cikin waɗannan, olaparib (Lynparza) da rucaparib (Rubraca), ana iya amfani da su don cutar sankarar jakar kwai bayan-baya bayan gwada chemotherapy. Ana amfani da Olaparib don magance cutar sankarar kwan mace a mace tare da ko ba tare BRCA maye gurbi.

Wani mai hanawa na PARP, niraparib (Zejula), ana iya ba mata masu fama da cutar sankarar jakar kwai, tare da ko ba tare da BRCA maye gurbi, bayan gwada chemotherapy.

Sakamakon sakamako na waɗannan magunguna na iya haɗawa da:

• tashin zuciya
• karancin jini
• tsoka da haɗin gwiwa

Gwajin gwaji na cutar sankarar jakar kwai

Gwajin gwaji yana kwatanta daidaitaccen magani tare da sababbin hanyoyin kwantar da hankali waɗanda ba a yarda dasu ba don amfanin gaba ɗaya. Gwajin gwaji na iya shigar da mutane tare da kowane mataki na ciwon daji.

Tambayi likitan kanku ko gwajin asibiti kyakkyawan zaɓi ne a gare ku. Hakanan zaka iya ziyarci bayanan bincike a ClinicalTrials.gov don ƙarin bayani.

Theraparin hanyoyin kwantar da hankali don cutar sankarar jakar kwai

Kuna iya taimaka masa don haɓaka kulawar kansa tare da ƙarin hanyoyin kwantar da hankali. Wasu mutane suna ganin sun inganta rayuwar. Wasu da zaku iya la'akari sune:

• Aromatherapy. Man shafawa na yau da kullun na iya inganta yanayin ku da rage damuwa.
• Tunani. Hanyoyin shakatawa zasu iya taimakawa sauƙin ciwo da haɓaka bacci.
• Massage far. Wannan maganin warkewar jikinku na iya taimakawa rage damuwa da sauƙaƙa damuwa da zafi.
• Tai chi da yoga. Ayyukan jiki marasa amfani wanda ke amfani da motsi, tunani, da numfashi na iya inganta lafiyarku gaba ɗaya.
• Hanyar fasaha da maganin kiɗa. Outletsungiyoyin kirkira na iya taimaka maka don magance yanayin motsin zuciyar kansar da magani.
• Acupuncture. Wannan nau'i na maganin Sinawa wanda ake sanya allurai ta hanyar dabaru na iya sauƙaƙa zafi da sauran alamun.

Binciki likitanka kafin gwada sababbin hanyoyin kwantar da hankali, musamman kayan abinci ko na ganye. Wadannan zasu iya hulɗa tare da magungunan ku ko haifar da wasu matsaloli.

Hakanan kuna iya tuntuɓar likitan kula da jinƙai. Waɗannan ƙwararrun masanan suna aiki tare da ƙungiyar oncology don ba da taimako na bayyanar cututtuka da haɓaka ƙimar rayuwa.

Outlook

Cikakken adadin rayuwar dangi na shekaru biyar don cutar sankarar jakar kwai shine kashi 45.

Adadin rayuwa ya bambanta gwargwadon nau'in cutar kansa, matakin da aka gano, da kuma shekaru. Misali, idan aka kama kansar kafin ta yadu a wajen kwayayen ka, yawan rayuwa shine kashi 92.

Hakanan, ƙididdigar rayuwa ba ta haɗa da al'amuran kwanan nan ba, lokacin da ana iya amfani da sababbin magunguna.

Likitanku zai ba ku ra'ayi game da abin da za ku yi tsammani dangane da ƙayyadaddun ganewar asali da tsarin kulawa.