Wesizalo nee-: imiqondiso, imifanekiso, iimpawu, uxilongo, unyango kunye abane yobomi

Enye sifo singanyangekiyo kwabasetyhini uthathwa nee- wesizalo. Ipredikshini Life apho ukugula kuyahlukana nedlela nqanaba lenkqubo yezifo. Noko ke, amaxesha amaninzi oko yedanisayo. nyaka emihlanu ukuziphilisa isanda yi-47% yazo zonke iimeko. Xa efumanise of cancer in linyathelo sesine - 10% kuphela. Ukuthetha malunga nemiba ezintle akuyomfuneko nkqu isigulo kwangethuba kwaye unyango olufanelekileyo.

Inkcazelo sifo

wesizalo nee- - a ngezifo enqabileyo kodwa obungena. Neoplasm amiliswe kwiiseli undifferentiated okanye myometrium endometrial. isifo Oncological kuzo namabhinqa ayo yonke iminyaka, kuquka amantombazana amancinane. Ubonakala ukopha elibujikele, iintlungu esiswini, umkhuhlane jikelele. Kaposi xa kunzima ukubona xa nisaqala zophuhliso. Xa ebuzwa malunga recovery ngokupheleleyo ixhomekeke nqanaba lenkqubo lwezidumbu, ubudala yomguli kunye nemeko yobume bempilo yakhe. Zonke iindidi sifo luphawulwa iqondo eliphezulu yobubi. Ngoko ke, kunzima ukunyanga.

Forms of sarcomas zesibeleko

Kuxhomekeka lizwe iiseli amabi cell iintlobo zezifo ilandelayo:

• Leiomyosarcoma - yeyona ithumba kakhulu banqande ukuba uyakwazi ukufikelela ububanzi of-5 cm It luqokelelane kuphela ancedisana athambileyo le myometrium ..
• Endometrial stromal nee- senzeka kubume inkxaso nokuqina le isibeleko, kuba ezinqabe kakhulu (1% kuphela yabo bonke iimeko izilonda amabi). Kuchongwe iindidi ezimbini yamathumba: mgangathweni kunye undifferentiated. Kwimeko yokuqala, lo Ithumba phantse ekhuselekileyo lobomi, luqhuba kancinane. ithumba Undifferentiated sikhatshwa ngenxa yempilo enkenenkene, nto leyo kubonakaliswe imeko kwizigulane.
• Carcinosarcoma yaqalwa ngo endometrium.

Abantu abaninzi edidekile zifo ezimbini: nee- zesibeleko kunye nomhlaza. Enyanisweni loo nto sisifo eyahlukileyo ngokupheleleyo. yamathumba umhlaza wabumba kwiiseli epithelial, kunye sarcomas kuchaphazela kwizihlunu kuphela nokuqina.

Kubanga zomhlaza

Wesizalo Sarcoma libhekisela ezimbi umyalezo entsonkothileyo. Izazinzulu ziye abeke phambili iinguqulelo ezininzi echaza imvelaphi yayo. Abaninzi kubo bacinga ukuba esi sifo kuphuhliswa uphantsi kweempembelelo iqela lonke zinto. Oku kuba ukusilela kwinkqubo hormone okanye ezininzi zesibeleko umzimba nomenzakalo ongaphumelelanga utyando esiswini, isisu okanye naziphi na ungenelelo ngoncedo.

Isifo kwakhona lwenzeka ngokuchasene nemvelaphi Palsy. Akukho fektha akanangozi ke Ukukhula kwamanani okungaqhelekanga kwithishyu endometrial. Ukuphuhlisa ngezifo maxa wambi ibangela impiliso olungachanekanga isithuba sokususwa liqhubu okanye usifake izinto ezakhiwe ezininzi. izifo Neuroendocrine - oku esinye nee- isizathu. A indima ebalulekileyo imiba predisposing inikwa imikhwa emibi, kakubi iziyobisi. Oogqirha kufuneka yaziswe kunye nomhla ngokukhawuleza of ovulation.

Ngubani na isengozini?

Gynecologists bazama ukunikela ingqalelo kwabasetyhini kuthintelo nee-, ngokuba ukunyanga ngokupheleleyo eli ngezifo kunokuba kunqabile kakhulu. Kwindawo yokuqala libonisa abo yinxalenye yamaqela lomngcipheko ekuthiwa njalo-. Ezi apho;

• yamaqanda uyagula polycystic (isifo evusa a kungalingani hormone);
• Umhlaza ogula izilonda amabele;
• abanikwanga yayinkwenkwe, noyibulala;
• abasindileyo emva koku- (exesheni emva kweminyaka engama-50 amazwe).

A indima enkulu kule nkalo fanele ukuba sifuze amafa. Impilo, kunye ingqalelo ngokukodwa Kucetyiswa ukuba ukulandela abafazi emva kweminyaka engama-40, kufuneka izalamane esisondeleyo abaye kokufunyaniswa izifo neoplastic, kuquka zesibeleko nee-.

Iimpawu kunye zimpawu zesifo

Idla ngokuba nee- ngezifo cwaka kuba iimpawu zayo kwabonakala isanda akukho nophuhliso. Abasetyhini Musa ukungxama bafune uncedo evela kugqirha, ekubeni ukonakala ngenxa uxinezeleko okanye isifo ngaphantsi kakhulu. Naxa kamva zigaba nee- ukuze ibonakalise iimpawu iimpawu nokuqhubeka ukunyusa ngobukhulu okanye bazimilise leiomyoma.

Njengoko esi sifo, yaye ngokuxhomekeke kwasendaweni yenkqubo zophendlo lwezifo ephawulwe ukuphazamiseka sexesheni. Amakhosikazi ezikhala intlungu osesiswini, iyinqambi ngobhobhozo enzima ukusuka ivumba angcolile. Kwakhona, iphango liyalahleka, isikhumba kuthatha Tint elityheli. Iimvavanyo igazi ngokucacileyo utshintsho.

obubonakala Ngasekupheleni nee- sikhokelele anaemia, ubuthathaka kunye ascites njalo. Ngenxa Ukudlulela emiphungeni kuphuhliswa unepleurisy zesibindi - senyongo. Kwii-iiseli amabi, zibe kumhlathi spinal ihamba ziintlungu kumacandelo zalo ezahlukahlukeneyo.

Amaxesha amaninzi xa uviwo yamanina ngenjongo koogqirha ekuthinteleni kwafunyaniswa ukuba "zesibeleko nee-." Iimpawu ezibonisa ekuqaleni kwenkqubo lwezidumbu, kusenokuba elishiyiweyo. Loo ukuqondana kuthathwa yimpumelelo, ekubeni unyango ngexesha maxa wambi kwandisa amathuba kwenzeka. Gynecologists zicaciswa rhoqo bakhunjuzwa ngokubaluleka iimviwo ngamaxesha yabafazi emva kweminyaka engama-40, ngokukodwa phambi ukuqala ukuya exesheni.

Izigaba nee-

Esi sifo sizibonakalisa luphuhliso kade.

• Ngelo lokuqala nee- kukho ithumba ubungakanani amancinane. Kusenokuba isenokupheleliselwa okanye mucosal umaleko kwezihlunu.
• Kulo lesibini inqanaba nethumba ikhula ubukhulu, kodwa ngaphandle umzimba wesibeleko uvela ngaphandle. Kwakhona, kukho nokungena buso komzimba.
• Xa Isigaba sesithathu nethumba liyakhula libe emzimbeni zesibeleko, kodwa uhlala ngaphakathi kwindawo zangasese. Ngamanye amaxesha kukho Ukudlulela ukuya zamaqanda, iindawo nkovu lwengingqi. Kweli nqanaba le nee- zesibeleko sifo uqala ukubonisa iimpawu uphawu ukuba ekuphosayo ukuya kule ngongoma.
• Isigaba sesine - kwisithuba sokonakalisa nethumba kunye Ukudlulela Ukwakheka. izilonda Secondary kusebenza kuyo nayiphina inkqubo enyama yangaphakathi, echaphazela imiphunga kunye umongo wethambo.

iindlela isifo

Ukuchongwa nee- kwi isaqala Kudla ngokuba nzima ngenxa yokunqongophala iimpawu ezicacileyo. Ekuqaleni kokubonana kwi ugqirha ajike imbali nezalanayo idata kwi izehlo ezimbi oncological kwintsapho nangoko. iimviwo yamanina sibonisa iinguqu kwi kombala wesibeleko, ukuba ukubona imiqondiso yamathumba. Emva koko, a kwabelwa inombolo kunye nemvavanyo zaselaborathri yentsimbi (segazi, CT, MRI, ultrasound hysteroscopy kunye nezibilini).

uxilongo mahluko of zesibeleko nee- akubikho kwezifo kunye nomfanekiso efanayo clinical. Ezi ziquka yamathumba ovarian, amalungu ingozi obuni, polyp endometrial. Ukungqinwa isifo esichazayo akunakwenzeka ngaphandle biopsy. Ngethuba le nkqubo, in vitro ithumba inyama wayefunda.

Metastases e Kaposi

metastases Neoplasm nga uthothe kunye ukuhamba kwegazi, yaye ikhule ibe amalungu ezikufutshane. Njani na inkqubo ye nokusasazwa iiseli amabi? Sarcoma lilo amasuntswana zalo egazini, apho ukungena iinkqubo bokuphefumla skeletal, ezo esini yangaphandle. Kulo mzekelo ngokufuthi kuchaphazela ukoyiswa ngasekhohlo lung. iiseli amabi, badla zingene epididymis. Le kama ngokuqhelekileyo kwenzeka uxilongo 'zesibeleko nee- endometrial. " Metastases ukuthutha ngokukhawuleza wonke umzimba, nto leyo inokukhokelela wafa kwangoko.

iinketho zonyango

Xa yezonyango isebenzisa iindlela eziliqela ukunyanga zesibeleko nee-. Xa izigulane ezininzi kunye umnikelo ehlangene ukhetho equka uqhaqho kunye chemoradiotherapy. Olu tyando lwenziwa kuphela ukuba sikwinqanaba lokuqala inkqubo sifo. It ivumela ukumisela nqanaba sifo, kwaye siqhube neoplasm nokususwa. Umthamo ngoncedo kuxhomekeke kwindawo thumba kunye nobukhulu bayo. Kwimeko ilungileyo, susa wesibeleko kunye waso, yaye okubi - yonke imibutho enxulumene. Xa iimeko kakhulu omnye kuphela yokungenelela ngotyando ayisayi kwanela. Njengoko kumbuzo unyango radiation, namhlanje yenye yezona zisebenzayo ukulawula isifo nee- wesizalo. Kuqikelelo lwemozulu kule meko kusenokuba yedanisayo. Ku emiselweyo ukubulala iiseli zomhlaza saa.

chemotherapy

wayenyangwa sarcomas zesibeleko zibandakanya ukusetyenziswa anthracyclines ( "Idarubicin," "Doskorubitsin", "Epirubicin"). Oku njalo kuxokwa-antibiotics antitumor. Ngoku iingcali ngenkuthalo ukufunda impembelelo "ifosfamide" beziyobisi, ukusetyenziswa kwayo njenge monotherapy kwaye zidityaniswe kunye namanye amayeza. Chemotherapy dynamics HIV elifana neli-30% yezigulane.

Ukusetyenziswa unyango odityanisiweyo isebenza ngakumbi, kodwa inani yeziphumo ebezingalindelekanga. dynamics HIV ndazigcina nothomalaliso indibaniselwano: "docetaxel" yaye "gemcitabine". Oku ngokuqhelekileyo kuhlelo wabuyela kuzo.

Ziziphi ezinye amachiza asetyenziswa lokufunyaniswa 'zesibeleko nee-? " unyango hormone bugwetyelwe kuphela xa iqondo elisezantsi yobubi neoplasm.

Outlook

Yintoni na ALS of zesibeleko nee- na? Amafoto lezigulane abasindayo sifo singanyangekiyo ezikhuthaza ithemba. Nangona kunjalo, kwiimeko ezininzi, isiphumo ngezifo ezibi, kungenzeka eliphezulu likakade. Yintoni le manani?

Xa isigulo kwangethuba nethumba kunye nokusebenza amathuba Ukuphinda-65%. Kwimeko sarcomas kwi zigaba yamva amathuba kwakhona uphuhliso inkqubo pathologic yi-90%. Ngokuqhelekileyo, ixesha ukusinda nomonde emva kotyando yiminyaka-2. Statistics luqinisekisa ukuba ukusinda seminyaka emihlanu emva kokuba usebenze nee- elifana neli kuphela ngo-40% yamatyala.

Kuxhomekeka ibakala sifo, le ndlela ibe ngolu hlobo lulandelayo:

• i Isigaba sokuqala - 47%;
• sesibini isigaba - 44%;
• Isigaba sesithathu - 40%;
• Inyathelo lesine - 10%.

Nangona kunjalo, oku data kuphela isifundo apho izazinzulu bhalisa amatyala ayaphumelela emva unyango lwesifo zesibeleko nee-. Indlela izigulane ezininzi abaphila unesifo onjalo kunzima ukutsho. Xa uphendula lo mbuzo oko kuyimfuneko ukwazi iqonga izifo, unyango ikhutshwa phandle, amatyala likakade. Lubonakala kakuhle phezu kuphela ezo sarcomas, fibromatous luyasekwa nodes. Kwaye kulo mzekelo, kufuna uxilongo ngexesha kunye nonyango.

amanyathelo othintelo

Indlela ukuthintela ukunwenwa kwesi sifo eyingozi? Kuqala kwinto zonke, iingcali singacebisi iimviwo ngonyaka zangasese. Kuyimfuneko ukuba balandele kwimigqaliselo kagqirha ukwenzela unyango lwezifo "libhinqa", ngokukodwa abo bahlobene ukuya kwizigulo hormone. A indima ekhethekileyo ekuthinteleni ukukhulelwa inikwa umba. Oogqirha musa Siyaleza silibazise kid izicwangciso. Ukuba nangasiphi na isizathu awufuni ukuzama indima kamama, kufuneka usebenzise ukukhulelwa kunye nokuthintela izisu. Singasathethi ke isondlo esifanelekileyo. Yokudla kufuneka luqulathe igama ubukhulu becala iziqhamo kunye nemifuno. Inani amafutha ezilwanyana kubhetele ukunciphisa. Nika imikhuba emibi, ukuchitha ixesha elininzi ngaphandle kwaye badlale imidlalo.

isiphelo

Ingqalelo izazinzulu amagqirha nangoku etsala isifo enqabileyo, ezifana zesibeleko nee-. Ubomi abane akunakwenzeka ukuba ukuqikelela xa kugula. Nangona nee- sisifo esingaqhelekanga, oko uluhlu ezinezigulo ndlongondlongo. Nokuba ngethemba unyango ngexesha nabawaziyo nemiba ezintle ayikho imfuneko. Pathology angenzeka namabhinqa ayo yonke iminyaka. Xa iimpawu Nedlac kunye nezifo kufuneka udibane nogqirha. Nkqu uyohlolwa ngcono ngonyaka. Hlala uphilile!