Mukati
Hanna ndichiremba ane makore 40 eruzivo rwebasa. Kuziva kwake kudikanwa kwebvunzo dzenguva dzose kwakakura. Izvi hazvina kumudzivirira pagomarara rechibereko, zvisinei. Chirwere chacho chakakura mukati memwedzi mishomanana.
- - Muna Chivabvu 2018, ndakanzwa kuti ndine gomarara reovarian - anoyeuka Ms Hanna. - Mwedzi mina yapfuura, ndakavhenekwa transvaginal iyo yakaratidza pasina pathology
- Sezvinobvumwa nachiremba, aingonzwa kurwadziwa zvishoma mudumbu uye gasi. Zvisinei, akanga aine manzwiro asina kunaka, saka akafunga kuita ongororo yakadzama
- Ovarian cancer inoonekwa gore rega rega ne3. 700 vakadzi vechiPolish. Chirwere chegomarara chinowanzonzi "mhondi chinyararire" nekuti hairatidze chero zviratidzo panguva yekutanga
- Kenza yeOvarian haisisiri mutongo werufu. Kubudirira kwe pharmacology kwaireva kuti chirwere ichi chinogona kunzi chisingaperi uye chinorapika. Iyo PARP inhibitors inopa tariro yekurapa kunoshanda
- Rumwe ruzivo rwazvino runogona kuwanikwa pane iyo Onet peji rekutanga.
Zviratidzo zvacho zvaisaonekwa…
Hanna ndiye chiremba mushure memakore makumi matanhatu, kune avo gore negore transvaginal bvunzo ndiyo hwaro hwekudzivirira oncological chirwere. Naizvozvo, kuongororwa kwegomarara reovarian kwakamushamisa zvikuru. Kunyanya zvakadaro nekuti zviratidzo zvacho zvaive zvisina kujeka uye morphology mhedzisiro yaive yakajairika. Chaaingonzwa kwaiva kurwadziwa mudumbu zvishoma uye kuzvimba, asingaonde. Zvisinei, akanga achinetseka pamusoro pechimwe chinhu, saka akasarudza kuita mimwe miedzo.
Makore maviri apfuura, muna Chivabvu 2018, ndakanzwa kuti ndakanga ndapinda nhanho IIIC kenza yegomarara. Handina kukwanisa kuzvidzivirira pazviri, kunyange zvazvo ndisina kumboregeredza kuongororwa kwangu kwekudzivirira vakadzi. Ndakakurudzirwa kuti ndiwedzere kuongororwa neasina kujairika, kwete kurwadziwa kwakanyanya mu hypochondrium chaiyo. Mwedzi mina izvi zvisati zvaitika, ndakavhenekwa munhengo yesikarudzi iyo yairatidza kuti hapana chirwere. Kuzvimba kwakakura nekufamba kwenguva. Ndakagara ndichinzwa kusagadzikana. Raiti dzvuku rakauya mumusoro mangu. Ndakaziva kuti zvakanga zvisiri sezvazvaifanira kuva, saka ndakanyura mumusoro wacho, ndichitsvaka chikonzero chezviratidzo zvakadaro. Vandaishanda navo zvishoma nezvishoma vakatanga kundibata senge munhu ane hypochondriac, vachibvunza kuti, “Uri kutsvagei ikoko? Mushure mezvose, zvese zvakajairika! ». Kusiyana nezvakataurwa, ndakadzokorora miedzo yakawanda. Munguva ye ultrasound yepelvis duku, yakawanikwa kuti pane chimwe chinhu chinoshungurudza pamusoro pe ovary. Kuwanda kwenhamo kwakaratidzwa chete nelaparoscopy nekutendeuka kusvika pakuzaruka kwedumbu uye kushanda kwemaawa matatu kunoitwa neboka reprof. Panka - anogovera ruzivo rwake nachiremba.
Kuongororwa kwekenza ye ovarian kunopiwa gore negore kusvika kune approx. zviuru zvitatu. 3 Polish vakadzi, iyo yakawanda se700 muzana. ane makore anopfuura 80 ezera. Zvisinei, izvi hazvirevi kuti chirwere chacho hachibatanidzi madzimai echidiki nevasikana zvakare. Kenza yeOvarian inowanzonzi "mhondi yakanyarara" nekuti haina chero zviratidzo panguva yekutanga. Iyo iri pachinzvimbo chechishanu mune rondedzero yeanowanzo zivikanwa maoplasms akaipa munyika. Ngozi yekukura kwayo inowedzera zvakanyanya mumadzimai akaremerwa nemajini, kureva nekuchinja muBRCA50 kana BRCA1 genes, sezvazviri mu2% yevakadzi. vatakuri vejini rakaremara vanoita chirwere chakakomba ...
Mushure mekunzwa kuongororwa, zvakawanda zvakachinja muhupenyu hwangu. Pane zvinhu zvandaifanira kuongororazve. Pakutanga, ndakanzwa kutya kukuru kuti ndaizosiya vadiwa vangu. Zvisinei, nokufamba kwenguva, ndakasarudza kuti ndaisazokanda mapfumo pasi uye ndaizozvirwira, nokuti ndine mumwe munhu wokuraramira. Pandakatanga kurwa, ndakanzwa senge mumhete umo mupikisi aive kenza yeovarian - gomarara rakaipisisa revakadzi muPoland.
- Vakadzi vanokanganisa sematambudziko ekugaya. Kazhinji kunonoka kurapwa
Tariro Itsva muOvarian Cancer Treatment - Kare Zvirinani
Kutenda tekinoroji yepamusoro uye kufambira mberi kwekutsvagisa, gomarara reovarian harifanirwe kunge riri mutongo werufu. Kuvandudzwa kwemishonga yemishonga kwaireva kuti chirwere ichi chinogona kunzi chisingaperi uye chinogoneka uye chinorapika.
PARP inhibitors inopa mukana wakadaro wekurapa kunoshanda kwegomarara reovarian. Mishonga yakaratidza kushanda kwayo, ichipa mhedzisiro inoshamisa mukuwedzera hupenyu hwevarwere vane gomarara reovarian, yakaunzwa kumakongiresi makuru ezvekurapa epasirese - the American and European Society of Clinical Oncology - ASCO uye ESMO. Muimbi anozivikanwa wechiPolish Kora, anorwara nekenza yeovarian, akarwira kudzorerwa kwemumwe wavo - olaparib. Nehurombo, gomarara rake rakanga rave padanho repamusoro zvekuti muimbi akarasikirwa nehondo iyi isina kuenzana muna Chikunguru 28, 2018. Nezviito zvake, zvakadaro, akabatsira mukudzorerwa kwemushonga, uyo, kunyangwe nemabhenefiti makuru ekiriniki, achiri kuvhara zvakare. boka rakamanikana revarwere, kureva avo chete vanosangana nekenza yekudzoka zvakare.
Muna 2020, panguva yeimwe yemakongiresi ekurapa - ESMO, mhedzisiro yekutsvagisa yemishonga olaparib yakashandiswa padanho rekutanga rechirwere, kureva muvarwere vane gomarara reovarian richangowanikwa. Vanoratidza kuti inenge hafu yevakadzi vari mumamiriro ezvinhu akadai saMai Hanna vanorarama vasina kufambira mberi kwemakore mashanu, iyo yakareba semakore 5 kupfuura ikozvino kana ichienzaniswa nekushayikwa kwekugadzirisa kurapwa. Vanachiremba vazhinji vanotenda kuti rudzi rwekuchinja mukurapa kenza yeovarian.
Dr. Hanna achangonzwa kuongororwa akatanga kutevera kudzidza kwemamorekuru mugomarara reovarian. Akabva awana mhedzisiro yekuyedzwa kweSOLO1 neolaparib, izvo zvakaita kuti atange kurapwa.
Migumisiro yandakaona yaishamisa! Zvakandipa tariro huru yekuti kuongororwa - gomarara reovarian hakusi kupera kwehupenyu hwangu. Ini ndakanyora mapasuru maviri ekutanga emushonga wacho uye ndakabhadhara kurapwa kwemwedzi yakati wandei ndichitsigirwa nemhuri yangu neshamwari nekuti Bazi rezveutano rakaramba kundibhadharira mari. Ndakaita rombo rakanaka kuti ndakanyoreswa muchirongwa chekukurumidza kuwana zvinodhaka chinobhadharwa nemugadziri. Ndakanga ndichitora Olaparyb kwemwedzi makumi maviri nemana. Ndava mukuregererwa kwakakwana. Ndinonzwa zvakanaka chaizvo. Ini handina maside effects. Ndinoziva kuti dai pasina kurapwa uku, ndingadai ndisipo ... Zvichakadaro, ndiri kushanda nesimba, ndinoedza kutamba mitambo nguva nenguva uye kunakidzwa nenguva yese ye "hupenyu hutsva" hwangu nemurume wangu. Hapana chandicharonga, nekuti handizivi kuti ramangwana richauya sei, asi ndinofara nezvandinazvo. Hupenyu.
Mai Hanna, sechiremba ane murwere uye ane ruzivo, anosimbisa kuti pasinei nekuziva nezve cytology uye kuongorora mazamu, kutariswa kuduku kunobhadharwa kune kenza ye ovarian. Sezvo nekenza chero ipi zvayo, "oncological kusvinurira" uye kuteerera kumuviri wako kwakakosha, kunyanya sezvo pasina nzira dzinoshanda dzekutanga kuona kenza ye ovarian. Panyaya yevarwere vakatoongororwa, zvakakosha kuve nechokwadi chekuwana maturusi ekuongorora, uye kunyanya kuita bvunzo dzekuchinja muBRCA1 / 2 majini muvakadzi vanorwara. Kusarudza kuchinja uku, kutanga, kunogona kukanganisa kusarudzwa kwekurapa kwakananga kwakananga kumurwere, uye chechipiri, inogona kutsigira nzira yekuzivikanwa kwekutanga kwevanhu vanobva muboka rengozi (mhuri yemurwere) uye kuvaisa pasi pekutarisa kweoncological nguva dzose.
Kurerutsa: Nekuziva nezvekuchinja kwemajini, tinogona kudzivirira mhuri yedu kuti isaona kenza nguva yadarika. Sezvo Dr. Hanna achisimbisa, isu tichiri kunetseka nekuregeredza kwakawanda mukurapa kenza iyi, kusanganisira: kushaikwa kwenzvimbo dzakakwana, dzepakati, kuwana kushoma kwekuongorora kwema molecular uye kurapwa, uye mune yekenza ye ovarian, mavhiki kana kunyange mazuva. count...
Zvichienderana neruzivo rwangu pachangu, ndinoziva kukosha kwekuunza nzvimbo dzekurapa gomarara reovarian, izvo zvinopa kurapa kwakadzama uye kuongororwa, kunyanya genetic. Muchiitiko changu, ndakamanikidzwa kuita bvunzo dzakadzama munzvimbo dzakawanda dzakasiyana muWarsaw. Naizvozvo hazvigoneke kufungidzira kuti kuvarwere vanobva kumaguta madiki, kukurumidza kuongororwa kunogona kuve kwakaoma zvakanyanya ... Zvinodikanwa zvakare kudzosera mishonga yemazuva ano, senge olaparib, iyo yakakosha pakuchengetedza kuregererwa kwechirwere padanho rekutanga. yemaitiro. Kuongororwa kwemajini kuchatipa varwere mukana wekurapa kunoshanda, uye vanasikana vedu nevazukuru vanogonesa prophylaxis yekutanga.
Dr Hanna, vakadzidziswa neruzivo rwavo pachavo, vanosimbisawo kukosha kwekunyatsotsvakurudza, kunyange kana iyo yakakosha morphology uye cytology isingaratidzi chero chinhu chinovhiringidza. Kunyanya kana iwe uchinzwa kusagadzikana kune chekuita nekuvhara uye flatulence. Varwere havafanirwe kukanganwa kuita transvaginal ultrasound uye tarisa mwero weCA125 tumor mamaki.
- Muurayi wevakadzi vechiPolish. "Cancer Hatigone Kukurumidza Kuziva"
Ndoenda kupi kuti ubatsirwe?
Kuongororwa kwekenza nguva dzose kunofambidzana nekutya uye kuzvidya mwoyo. Hazvishamisi, pakupedzisira, nehusiku humwe, varwere vakatarisana nenyaya yekuti vane mwedzi yakati wandei kana mavhiki ekurarama. Zvaiva zvimwe chete neni. Kunyangwe ndiri chiremba, nhau yechirwere ichi yakawira pandiri kamwe kamwe uye ndisingatarisiri ... Nokufamba kwenguva, zvakadaro, ndakaona kuti chinonyanya kukosha ikozvino inguva uye ndinofanira kutanga kurwira hupenyu hwangu. Ndaiziva kuti ndaifanira kuenda kwaani uye kuti ndaifanira kutora mishonga ipi. Asi zvakadini nevarwere vasingazivi kwokutsvaka rubatsiro? Iyo # Coalition yeHupenyu hwevanhu vane BRCA 1/2 mutation, ine chinangwa chekukurumidza nekuvandudza mhando yekuongorora uye yekurapa maitiro evarwere, uye nekudaro kuwedzera hupenyu hwavo, vanobuda kuzobatsira vakadzi vanorwara negomarara reovarian.
# CoalitionForLife yevanhu vane BRCA1 / 2 mutation
Vabatiri vemubatanidzwa vanopa matatu akanyanya kukosha postulates.
- Kuwanikwa kuri nyore kuNext-Generation Sequencing (NGS) molecular diagnostics. Kuwedzera ruzivo rwesainzi nezve mabundu mamaki kunofanirwa kutsigira kuvandudzwa kwemushonga wemunhu, kureva kuti, mushonga wakagadzirirwa kumurwere wega. Next-Generation Sequencing chishandiso chekuongorora. Naizvozvo, zvinodikanwa kuwedzera huwandu hwebvunzo dzemamorekuru dzinoitwa munzvimbo dzinoita kuvhiya mugomarara reovarian. Izvo hazvina kukosha kugadzira iyo Internet Patient Account (IKP), uko data pane ese mhedzisiro ye genetic, pathomorphological uye molecular bvunzo ichaunganidzwa munzvimbo imwechete.
- Kuvandudza hutano uye kuwanikwa kwehutano hwakakwana. Kutarisira kwakakwana kune murwere akaonekwa kuti ane kenza ye ovarian kwakakosha. Mukana wekuvandudza kunaka kwekurapa kwavo unopiwa nekusuma chikwata chenyanzvi dzakasiyana-siyana kumakiriniki. Mhinduro yacho inogona zvakare kuve yekuitwa kwe tele-medicine mhinduro.
- Kushandiswa kwenzira dzekurapa dzinoshanda, zvinoenderana nemitemo yeEurope, panguva yekutanga yechirwere ichi muvakadzi vanorwara nekenza ye ovarian.
Vabatiri vemubatanidzwa vari kuyedza kuwana kudzoserwa kwemushonga kuitira kuti vaone kurapwa panguva yekutanga yechirwere - zvinoenderana neEuropean maitiro ekurapa.
Ruzivo rwakadzama rwakanangana negomarara reovarian uye zviitiko zvemubatanidzwa vanobatana zviripo pawebhusaiti www.koalicjadlazycia.pl. Ikoko, varwere vegomarara reovarian vanowanawo kero ye-e-mail kwavanogona kuwana rubatsiro runodiwa.
Verenga zvakare:
- "Kufambira mberi kwekenza ye ovarian muvakadzi vechiPolish yakakwirira zvikuru kupfuura kuMadokero" Pane mikana yekurapa kunoshanda.
- Zviratidzo zvekutanga zvegomarara hazvifananidzi. "75 muzana varwere vanouya kwatiri padanho repamusoro"
- Insidious bundu. Hapana chinorwadza kwenguva yakareba, zviratidzo zvakafanana nematambudziko egastric
Usati washandisa, verenga pepa, rine zviratidzo, contraindications, dhata pamusoro pemigumisiro uye chipimo chemushonga pamwe chete neruzivo rwekushandiswa kwechigadzirwa chemishonga, kana bvunza chiremba wako kana wemishonga, sezvo mushonga wega wega unoshandiswa zvisina kunaka unotyisidzira hupenyu hwako kana utano. Unoda kubvunza chiremba here kana kuti e-prescription? Enda kune halodoctor.pl, kwaunowana rubatsiro rwepamhepo - nekukurumidza, zvakachengeteka uye pasina kusiya imba yako. Iye zvino unogona kushandisa e-consultation zvakare mahara pasi peNational Health Fund.