Kenza yeEndometrial (muviri wechibereko)
Endometrial cancer igomarara remukati mechibereko, uko endometrium irwo runyoro runotenderera mukati mechibereko. Muvakadzi vane gomarara padanho iri, masero eendometrial anowanda zvisingaite. Endometrial cancer inowanzoitika mushure mekuenda kumwedzi, asi gumi kusvika 10% yezviitiko zvinobata vakadzi vasati vasvika kumwedzi, kusanganisira 15 kusvika 2% yevakadzi vari pasi pemakore makumi mana.
Bhokisi: Chii chinonzi endometrium chinowanzoshandiswa? Mumukadzi asati asvika kumwedzi, mukati mehafu yekutanga yekutevera, endometrium yakajairika inokora uye masero ayo anowanda mukati mehafu yekutanga yekutevera kwega kwega. Basa re endometrium iyi nderekugamuchira embryo. Mukushaikwa kwekusangana, iyi endometrium inobviswa imwe neimwe kutenderera nenzira yemitemo. Mushure mekuenda kumwedzi, chiitiko ichi chinomira. |
Le endometrial kenza ikenza yechipiri inowanzoitika muFrance, mushure megomarara rezamu. Inowanikwa pa5e chiyero chegomarara muvakadzi maererano nezviitiko zvitsva zvinosvika 7300 zvinofungidzirwa muna 2012. MuCanada, ndeye 4th.e muzviitiko muvakadzi (mushure mezamu, kenza yemapapu necolon), ne4200 zviitiko zvitsva muna 2008 muCanada. Kufa kuri kuramba kuchidzikira kurudzi rwegomarara iri, iro riri kuramba richirapwa.
Kana kenza ye endometrial ichirapwa padanho rekutanga (danho I), iyo mwero wekupona iri 95%, makore mashanu mushure mekurapwa1.
Zvinokonzera
Chikamu chakakosha che endometrial cancers zvingave zvichikonzerwa ne a kudarika estrogen hormone kugadzirwa nemaovari kana kuunzwa kubva kunze. Maovari anoburitsa 2 mhando dzehomoni panguva yekutenderera kwevakadzi: estrogen uye progesterone. Aya mahomoni anoshanda pane endometrium mukati menguva yese, achikurudzira kukura kwayo uyezve kudzingwa kwayo panguva yekuenda kumwedzi. Kuwanda kwemahomoni eesrogen kwaizogadzira kusaenzana kunokonzeresa kukura kusingadzoreki zvakanaka kwemasero eendometrial.
Zvinhu zvakawanda zvinogona kuwedzera mazinga eesrogen, zvakadai sekufutisa kana hormone therapy kune estrogen chete. Mhando iyi yekurapa mahormone saka yakachengeterwa vakadzi vakabviswa chibereko kana hysterectomy avo vasisiri panjodzi yegomarara reendometrial. Kuti uwane rumwe ruzivo, ona Vanhu vari panjodzi uye Risk factor zvikamu.
Kune vamwe vakadzi, zvisinei, kenza yeendometrial hairatidzike seyakakonzerwa nehuwandu hweesrogen.
Zvimwe zvikonzero zvinosanganisirwa mugomarara reendometrial, senge zera, kufutisa kana kufutisa, genetics, hypertension ...
Dzimwe nguva gomarara rinoitika pasina njodzi yaonekwa.
chirwere
Iko hakuna kuongororwa kwekuongorora cancer endometrial. Naizvozvo chiremba anoita ongororo yekuona gomarara iri pamberi pezviratidzo zvakaita sekubuda ropa kwevakadzi mushure mekuenda kumwedzi.
Ongororo yekutanga inoitwa pelvic ultrasound apo probe inoiswa padumbu yozopinda munzvimbo yemukadzi kuitira kuona kukora kusiri kwemazuva ese kweendometrium, jira remukati mechibereko.
Muchiitiko chekusagadzikana pa ultrasound, kuona kenza ye endometrial, chiremba anoita izvo zvinonzi "endometrial biopsy". Izvi zvinosanganisira kutora zvishoma mucous membrane kubva mukati mechibereko. Iyo endometrial biopsy inogona kuitwa muhofisi yechiremba pasina kudiwa kweanesthesia. Kachubhu katete, kanopfava kanopinzwa nepamuromo wechibereko uye chidimbu chetishu chinobviswa nekusveta. Sample iyi inokurumidza, asi inogona kurwadza zvishoma. Zvakajairika kubuda ropa mushure mechinguva chidiki.
Kuongororwa kunobva kwaitwa murabhoritari nekuona microscope yenzvimbo yemucous membrane yakabviswa.
Muchiitiko chekurwara kana mishonga, chiremba anofanira kuziviswa kana achida kuita ongororo iyi.