Igiyar ciki sarcoma: ãyõyi, hotuna, cututtuka, ganewar asali, magani da kuma hangen nesa na rayuwa

Daya daga cikin mafi insidious cuta a cikin mata aka dauke igiyar ciki sarcoma. Rayuwa Tsinkaya cikinsa rashin lafiya dabam dangane da mataki na pathological tsari. Duk da haka, mafi sau da yawa shi ne m. Biyar-shekara rayuwa a can farko shi ne 47% na duk lokuta. Bayan ganewa na ciwon daji a wani mataki na huɗu - kawai 10%. Don magana game da m kuzarin kawo cikas ba lallai ba ne ko da da farkon ganewar asali da ta dace da magani.

Description da cutar

igiyar ciki sarcoma - a rare amma insidious Pathology. Neoplasm an kafa daga undifferentiated Kwayoyin ko endometrial myometrium. Oncological cuta a cikin mata dukan zamanai, ciki har da kananan 'yan mata. An bayyana ta cyclic na jini, ciwon mara, janar malaise. Kaposi ta wuya a gane asali a farkon matakai na raya kasa. Tambaye game da cikakken maida dogara a kan mataki na pathological tsari, da haƙuri da shekaru da kuma jihar kiwon lafiya. Duk siffofin da cutar suna halin da babban mataki na malignancy. Saboda haka, su ne da wuya mu bi.

Siffofin igiyar ciki sarcomas

Dangane da sarrafawa daga m Kwayoyin asirce cuta wadannan siffofin:

• Leiomyosarcoma - shi ne mafi m ƙari da cewa za a iya isa diamita na 5 cm An kafa gabaɗaya a cikin taushi tsokoki na myometrium ..
• Endometrial stromal sarcoma tasowa a connective goyon bayan tsarin da mahaifa, shi ne musamman rare (kawai 1% na dukkan lokuta da m raunuka). Gano biyu Categories marurai: matalauta inganci da undifferentiated. A farkon yanayin, da ƙari ne kusan hadari ga rayuwa, shi ne ci gaba sannu a hankali. Undifferentiated ƙari yana tare da matalauta kiwon lafiya, wanda aka nuna a cikin yanayin da marasa lafiya.
• Carcinosarcoma kafa a endometrium.

Mutane da yawa dame biyu cututtuka: igiyar ciki sarcoma da kuma ciwon daji. A gaskiya shi ne mai gaba daya daban-daban cutar. Cancerous marurai kafa daga epithelial Kwayoyin, kuma sarcomas shafi kawai connective nama.

Sanadin ciwon daji

Igiyar ciki Sarcoma tana nufin pathologies hadaddun etiology. Masana kimiyya sun sa a gaba da dama versions bayanin ta asali. Da yawa daga cikinsu zaton cewa cutar tasowa a ƙarƙashin rinjayar da dukan kungiyar dalilai. Wannan na iya zama wani rashin cin nasara a cikin hormonal tsarin ko mahara rauni igiyar ciki jiki m ciki tiyata, zubar da ciki ko kuma wani shiga tsakani.

A cuta ma na faruwa da wani bango da fetal ci gaba. Babu kasa hatsari factor ne mahaukaci girma na endometrial nama. Don samar da Pathology wani lokacin haddasa ba daidai ba waraka daga cikin polyp kau sarari ko splicing mahara tsarin. Neuroendocrine cuta - wannan wani dalili ne da sarcoma. A muhimmiyar rawa a predisposing dalilai da aka bai wa miyagun halaye, da zagi na kwayoyi. Physicians ya kamata a sanar da ba zato lõkacin fatara daga ovulation.

Wane ne a hadarin?

Gynecologists na kokarin kula da mata a cikin rigakafin sarcoma, saboda gaba daya ya warkar da wannan Pathology iya zama musamman rare. A farko wuri shi ya nuna wadanda suka bangare ne na abin da ake kira hadarin kungiyoyin. Wadannan su ne mata:

• m polycystic kwai (cuta tsokani wani hormonal rashin daidaituwa).
• Cancer fama da nono raunuka.
• ba da aka ba haihuwa.
• tsira daga baya menopause (menopause bayan shekaru 50 da kasashen waje).

A babbar rawar a wannan batun nasa ne da hereditary predisposition. Domin kiwon lafiya, tare da kulawa da bada shawarar a bi mata bayan shekaru 40, da mafi kusantar dangi suka An kamu neoplastic cututtuka, ciki har da igiyar ciki sarcoma.

Alamun da kuma ãyõyinSa da cutar

An sau da yawa ake kira shiru sarcoma Pathology domin ta bayyana bayyanar cututtuka a farko babu wani ci gaba. Mata ne a cikin wani sauri ka nemi taimako daga likita, tun da tabarbarewar saboda danniya ko kasa mai tsanani cuta. Ko a baya, saukarwa sarcoma iya ba bayyana halayyar bayyanar cututtuka, ci gaba da kara a size ko dodo as leiomyoma.

Kamar yadda cutar progresses, da kuma dangane da sarrafawa da pathological aiwatar alama rushewa daga cikin hailar sake zagayowar. Mata koka zafi a cikin ƙananan ciki, nauyi sallama daga surkin jini wari. Har ila yau, ci vuya, da fata daukan kan wani yellowish tint. A jini gwaje-gwaje za a iya ganin haka a fili canje-canje.

Late bayyananen sarcoma gubar zuwa anemia, wani rauni da ascites m. Saboda metastasis zuwa huhu ɓullo da pleurisy da hanta - jaundice. A shigar azzakari cikin farji daga m Kwayoyin a cikin kashin baya shafi yana tare da zafi a cikin daban-daban sassan.

Sau da yawa idan wani gynecological jarrabawa tare da wani ra'ayi zuwa hana likitoci kamu "igiyar ciki sarcoma." ÃyõyinSa nuna farkon pathological tsari, na iya zama samarwar. Irin wannan daidaituwa an dauki nasara, tun lokacin dace magani a sau qara chances wani m sakamako. Gynecologists aka kai a kai tunãtar da su da muhimmancin lokaci-lokaci jarrabawa na mata bayan shekaru 40, musamman kafin farko na menopause.

Milestones sarcoma

A cutar halin m ci gaba.

• A can farko na sarcoma ne karamin-size ƙari. Yana iya zama mai iyaka, ko kuma mucosal tsoka Layer.
• A cikin mataki na biyu da ƙari tsiro a size, amma a wajen jiki na cikin mahaifa fito. Har ila yau, akwai wani m infiltration na jiki.
• A cikin uku mataki da ƙari tsiro a cikin igiyar ciki jiki, amma ya jinkirta cikin pelvic yankin. Wani lokaci akwai metastasis ga ovaries, yankin Lymph nodes. A wannan mataki da cutar igiyar ciki sarcoma fara bayyana halayyar bayyanar cututtuka idan suka bace har zuwa wannan lokaci.
• A karo na hudu mataki - wani lokaci na Lalacewar ƙari kuma metastasis samuwar. Secondary raunuka shafi wani tsarin na ciki gabobin, shafi huhu da kuma bargo.

hanyoyin da ganewar asali

Identification na sarcoma a farkon matakai ne sau da yawa wuya saboda rashin fili bayyanar cututtuka. A farko shawara a likitan mata jũya tarihi da kuma related bayanai a kan abin da ya faru na oncological pathologies a nan da nan iyali. Gynecological jarrabawa ya nuna canje-canje a cikin cervix saka launi, to gane alamun siffofin maruran. Sa'an nan, wata lamba da ake sa da kuma hardware dakin gwaje-gwaje gwaje-gwaje (jini count, CT, MRI, duban dan tayi hysteroscopy da kayan ciki).

Bambanci ganewar asali da igiyar ciki sarcoma gusar cututtuka da irin wannan asibiti hoto. Wadannan sun hada da ovarian marurai, benign al'aura gabobin, endometrial polyps. Tabbatarwa da wani tabbatacce ganewar asali ne m ba tare da wani biopsy. A lokacin wannan hanya, a vitro ƙari nama karatu.

Metastases a Kaposi

Neoplasm metastases iya dissipate tare da jini ya kwarara, kuma girma a cikin m gabobin. Ta yaya ne tsari na yaduwar m Kwayoyin? Sarcoma jefa ta barbashi a cikin jini, inda suka shiga cikin numfashi kuma kwarangwal tsarin, da waje genitalia. A wannan yanayin mafi sau da yawa shafi da shan kashi bar huhu. M Kwayoyin sau da yawa shiga cikin epididymis. Wannan wahala yakan auku a cikin ganewar asali 'endometrial igiyar ciki sarcoma. " Metastases hanzari hijira a ko'ina cikin jiki, wanda zai iya kai wa ga wani wuri mutuwa.

magani zažužžukan

A likita yi amfani da dama hanyoyin da magani daga igiyar ciki sarcoma. A mafi yawan marasa lafiya da hada tayin wani zaɓi da ya hada da aikin tiyata da chemoradiotherapy. The aiki aka yi kawai a matakin farko na cutar tsari. Yana da damar domin sanin mataki na cuta, da kuma gudanar da kau neoplasm. A girma daga baki dogara da ƙari wuri da kuma ta size. A cikin mafi kyau idan, cire mahaifa da appendages, kuma a mafi mũnin - duk da alaka da jikinsa. Lokacin da mai tsanani lokuta daya kawai m baki ba zai isa. Kamar yadda ga tambaya na radiation far, a yau shi ne daya daga cikin mafi inganci wani zaɓi don sarrafa igiyar ciki sarcoma cuta. Forecast a cikin wannan harka da shi zai iya zama m. Kuma an wajabta, ya kashe ciwon daji Kwayoyin warwatse.

jiyyar cutar sankara

jiyyar cutar sankara ga igiyar ciki sarcomas unsa da amfani da anthracyclines ( "Idarubicin," "Doskorubitsin", "Epirubicin"). Wannan ake kira antitumor maganin rigakafi. Yanzu masana suna rayayye nazarin tasirin da "ifosfamide" da miyagun ƙwayoyi, ta yin amfani da matsayin monotherapy kuma a hade tare da sauran magunguna. Jiyyar cutar sankara m kuzarin kawo cikas aka lura a 30% da marasa lafiya.

A amfani da hade magani ne yafi tasiri, amma shi yana da yawan illa. M kuzarin kawo cikas aka lura daga hade far, "docetaxel" da "gemcitabine". An yawanci reused a relapsed.

Abin da sauran kwayoyi suna amfani a cikin ganewar asali "igiyar ciki sarcoma?" Hormone magani aka kubutar kawai a lokacin da wani low mataki na malignancy neoplasm.

Outlook

Menene hangen nesa daga igiyar ciki sarcoma yana? Hotuna da marasa lafiya wanda ya tsira wani insidious cuta cewa wahayi zuwa gare su da bege. Duk da haka, a mafi yawan lokuta, sakamakon da m Pathology, high yiwuwar sake komowa. Menene wannan wannan hasashen?

Tare dace ganewar asali na ƙari kuma aiki yiwuwar komawa ne 65%. A hali na sarcomas a baya, saukarwa na chances na sake raya pathologic tsari ne 90%. Matsayin mai mulkin, da mãsu haƙuri rayuwa lokaci bayan tiyata ne 2 shekaru. Statistics ya tabbatar da cewa biyar-shekara rayuwa bayan lura da sarcoma aka lura kawai a 40% na lokuta.

Dangane da mataki da cutar, wannan abin kwaikwaya iya zama kamar haka:

• mataki na farko - 47%.
• da mataki na biyu - 44%.
• da na uku mataki - 40%.
• mataki na huɗu - 10%.

Duk da haka, wannan shi ne kawai data daga wani binciken a cikinsa masana kimiyya sun rubuta lokuta da wani m sakamako bayan lura da igiyar ciki sarcoma cuta. Ta yaya da yawa marasa lafiya rayuwa tare da irin wannan ganewar asali ne da wuya a ce. A amsa wannan tambaya wajibi ne a san mataki na cuta, magani ne da za'ayi, da komowa lokuta. Halin da m kan kawai ne ga waɗanda sarcomas, fibromatous ake kafa na nodes. Kuma a cikin wannan hali, na bukatar dace ganewar asali da kuma magani.

m matakan

Yadda za a hana ci gaban wannan hatsari cuta? Da farko, masana bayar da shawarar wani shekara-shekara pelvic jarrabawa. Shi ne kuma dole su bi likita ta prescriptions domin lura da "mace" cututtuka, musamman ma wadanda suka shafi hormonal cuta. A musamman rawa a cikin rigakafin ciki ne da aka ba batun. Doctors ba da shawarar da su jinkirta shiryawa yaro. Idan ga wani dalili ba ka so su yi kokarin a kan rawar da uwa, ya kamata ka yi amfani da maganin hana haihuwa da kuma hana abortions. Ba a ma maganar da ta dace abinci mai gina jiki. A rage cin abinci ya kamata kunshi yafi nunannun 'ya'yan itatuwa da kayan lambu. A yawan kitsen dabba ne mafi alhẽri ga iyakance. Daina miyagun halaye, ciyar more lokaci a waje da kuma wasa wasanni.

ƙarshe

A hankali na masana kimiyya da kuma likitoci har yanzu janyo hankalin irin wannan rare cuta, kamar igiyar ciki sarcoma. Rayuwa hangen nesa shi yiwuwa a hango ko hasashen lokacin da wannan rashin lafiya. Ko da yake sarcoma ne a rare cuta, shi ne jerin m malignancies. Ko da tare da dace da m magani bege ga m kuzarin kawo cikas ba lallai ba ne. Pathology iya faruwa a mata dukan zamanai. Lokacin da atypical cututtuka da kuma ailments kamata shawarci likita. Ko mafi checkups shekara. Zauna lafiya!