Ovarian Cancer Treatment kwaSirayeli

Zamaqanda zidityaniswe amalungu yenkqubo ababhinqileyo lokuzala, ibekwe kwindawo zangasese. Njengoko kuyo nayiphi na eminye imibutho, umhlaza, ethwele igama adibeneyo "umhlaza ovarian" angenzeka kwizihlunu yayo.

Ngokutsho nezihlandlo zomhlaza phakathi kwabafazi, esi sifo-7 kunye singunobangela okhokhelela ekufeni phakathi kwabafazi ngumhlaza ngezifo oko ngolwesihlanu. Phakathi kwazo zonke ezinye imihlaza obuni na ikhondo efihlakeleyo ingozi sifo kusekwangoko, notyekelo ekukhuleni ngokukhawuleza kunye Ukudlulela.

Amaninzi amanxeba abuhlungu kuvela kwi iiseli epithelial le isizalo. Kwiimeko kakhulu ezinqabileyo, umhlaza ikhulela iiseli stromal, ukuvelisa iihomoni ababhinqileyo (estrogen kunye dlala) kunye intsholongwane - ukuvelisa iqanda.

Phakathi izizathu negalelo kuphuhliso umhlaza ovarian, cell ukuba ukusilela kwamadlala, njengoko oko kungqinwa izibakala okugula yabafazi ubudala exesheni nokuseka unxibelelwano phakathi umhlaza ovarian kunye nomhlaza webele. A indima kuphuhliso sifo lidlala sifuze njengelifa.

Isizathu sokuba umhlaza ayanceda sisifo yokukrala kunye cysts ovarian. Factor womhlaza ovarian inokuba nefuthe zizathu lwekhemikhali, imitha kunye ntshikilelo lwangaphandle.

umhlaza Ovarian ihlelwa:

- primary, ngenxa njengoko sisifo enomahluko, ngokuqhelekileyo, ichaphazela ngqo zombini amaqanda;

- secondary xa unobangela umhlaza ovarian kuphuma cyst akasukanga;

- kuwenza, ingakhuli ukuqhagamshelana kunye zangoku iiseli umhlaza amaqanda igazi ziphambili agxininisa ithumba. Amaninzi, yayiliziko enjalo izenzo zomhlaza isisu.

isifo nkohliso kukungabikho iimpawu xa nisaqala umhlaza ovarian, nkqu izilonda bobabini. Ngokuqhelekileyo, kwiimeko ezinjalo nethumba ibhaqwe ngengozi ngethuba loviwo esinye isizathu.

umhlaza Ovarian amaninzi ukubonwa kwi seladlula kwisigaba, xa nethumba sele ludlule ngaphaya kwemida zomzimba. Isifo abonakalise iimpawu: rhoqo ukuchama, ubuhlungu kunye neentlungu esiswini okanye isinqe, ukungalungelelani sexesheni, imvakalelo ubunzima kunye nokugcwala esiswini, iimpawu kunxilwe iimveliso ithumba lysis - emaciation, oluthile jikelele, ubuthathaka, pallor, ukungabi namdla, ukuphazamiseka kokulala, ukwanda ubungakanani esiswini ngenxa yokwanda ithumba, ukukhohlela, bamba umphefumlo. Ukuba kwisithuba sonyaka omnye umfazi ezi mpawu, kufuneka ufune uncedo lonyango ngokukhawuleza kangangoko kunokwenzeka ukuchonga esi sifo.

Ezi zigaba esisiseko zilandelayo umhlaza ovarian:

I - inkqubo abuhlungu abuhambi ngaphaya amaqanda;

II - Ithumba kwalutyhutyha amalungu zangasese - isibeleko, isinyi, tubes;

III - aphila ithumba kwi kwisisu peritoneal, betha isibindi kunye zamanzi;

IV - ubukho metastases ezikude.

Uxilongo womhlaza ovarian kwaSirayeli uqala uviwo yamanina, apho ugqirha nga va i maqanda landile. Ukuba elibhaqiweyo uvalo, wenza ultrasonography (US), kwisisu zangasese kunye esiswini, kubandakanywa, kunye transvaginal.

laparoscopy okanye laparotomy kunye kwizihlunu biopsy kunye ascites ovarian zizizwe cytological kunye uhlalutyo histological kucetyiswa moshilongo ngakumbi. Ubukho Inkqubo umhlaza ziphononongwa nge computer kunye nemagnethi Itomography livakale (CT okanye MRI) ye kwisisu, ngokunjalo i - amadlozi Itomography (PET-CT).

Wazithwala phandle uhlalutyo oluneenkcukacha igazi, kubandakanywa ukuhlola zabamakishi ithumba - izinto eziveliswa iiseli zomhlaza.

Namhlanje ezikliniki amaSirayeli zisetyenziswa ngempumelelo uxilongo ezisaqalayo zomhlaza ovarian usebenzisa uvavanyo Ovasix ukuba esilinganisa lwee- iiproteni ezithile 6 egazini. Ukuchaneka kwayo ilingana no 95%.

Ukuba iintsapho ziye amatyala umhlaza webele okanye umhlaza ovarian bayacetyiswa ukuba benze uvavanyo yemfuza ukuchonga zofuzo ye BRCA, ezinxulumene kunye nophuhliso ezi ezimbi.

unyango lomhlaza Ovarian kwaSirayeli neendlela zayo, umnyulwa ngokuxhomekeke inqanaba lesi sifo, ubudala kunye nemeko ngokubanzi malunga nesigulane eso.

Kwendlela yotyando ngaluphi na unyango lomhlaza ovarian. Xa uhlobo lwasekhaya lomhlaza isusiwe isibeleko kunye waso, ukuba kwafikela kwisisu, luthe lwancothulwa ngexesha ukusebenza kangangoko kunokwenzeka zonke ijwabu ithumba zizifo.

iindlela zoqhaqho kunyango lomhlaza ovarian e kaSirayeli zincediswe ngokuthi kusetyenziswe amachiza kunye imitha, yaye ngenxa hormone-oxhomekeke imihlaza ze zamaqanda - gormonokorrektsiey. amachiza Modern na unyango lomhlaza ovarian kwaSirayeli, uneziphumo ebezingalindelekanga ezimbalwa kwaye ngcono kakhulu zivunwe izigulane. Kwiintlobo eziqhelekileyo ichemotherapy umhlaza ezilawulwa ngqo kwi kwisisu usebenzisa catheter okhethekileyo evumela ezichaphazela iiseli umhlaza apha kuthetha enamanani amakhulu kwaye uphephe nesiphumo eziqhelekileyo yityhefu emzimbeni lwabo.

Radiotherapy kwi unyango lomhlaza ovarian kwaSirayeli ungaphantsi eziqhelekileyo kwaye ibe kude kunye wengingqi kubumbo kokukhutshelwa kwisisu ye Isotope radioactive yegolide.

Iqondo basinde na unyango lomhlaza ovarian kwaSirayeli isaqala 95% kumabakala III-IV - 30%, nto leyo isiphumo ilungileyo ehlabathini.