Uterine Cancer kev kho mob nyob rau hauv Ixayees

Lub tsev me nyuam mob cancer yog ib tug kab mob qog hlav ntawm tus poj niam deev. Raws li cov loj heev ntawm cancer nyob rau hauv cov poj niam, nws tuaj mus rau ib tug tu siab 2nd qhov chaw tom qab mob cancer mis.

Txij li thaum lub tsev menyuam yog ib tug multilayer lub cev uas paim ob peb hom mob cancer ntawm lub tsev me nyuam, nyob ntawm seb lub qog tau arisen nyob rau hauv uas txheej cev. Feem ntau cov feem ntau, tus mob cancer npaj los ntawm lub puab txheej ntawm lub tsev me nyuam, lub endometrium - lub endometrium. Qhov no hom ntawm qog hu ua adenocarcinoma. Tsis tshua muaj heev malignancies tshwm sim nyob rau hauv lub npag phab ntsa ntawm lub tsev me nyuam - qhov myometrium thiab lawv yog hu ua sarcomas.

Lub tsev me nyuam mob cancer yog feem ntau kuaj nyob rau hauv cov poj niam laus - 50-65 xyoo, cov poj niam nyob rau hauv 40 nws yog tsis tshua muaj.

Yam pab rau txoj kev loj hlob ntawm lub tsev me nyuam mob cancer yog cov kab mob ntawm cov poj niam deev system - cov tsis muaj ib tug cev ntas, polycystic, endometriosis, fibroids, thaum ntxov kev sib deev yam kev ua si, kev tshuaj ntsuam genetic predisposition. Lub tsev me nyuam mob cancer yuav ua hormonal tsis txaus - ntev zus tau tej cov tshuaj no thiab progesterone deficiency, xws li los ntawm tau txais estrogensoderzhaschih tshuaj thaum lub sij hawm lawm.

Phem hlav ntawm lub tsev me nyuam feem ntau tsim nyob rau hauv nulliparous cov poj niam - ntxiv lawm tshob vim muaj ntau yam yog vim li cas, los yog nyob rau hauv lub qhaj ntawv ntawm cev xeeb tub. Cov kev pheej hmoo ntawm unsound hloov thiab tsub kom nrog rov curettage thaum lub sij hawm ib tug rho menyuam. Pab rau txoj kev loj hlob ntawm uterine cancer ntshav qab zib, rog.

Thaum lub loj heev ntawm cancer ntawm uterine kab mob, nws tsis tshua muaj ua rau txoj kev tuag, raws li booming thiab heev raug, thiab muaj peev xwm yuav ntes tau nyob rau ntawm ib thaum ntxov rau theem.

Cov thawj thiab feem ntau cov tsos mob ntawm cancer ntawm lub tsev me nyuam yuav wanton uterine los ntshav nyob rau hauv postmenopausal lub sij hawm los yog ntawm lub sij hawm ntawm nyuam uas muaj hnub nyoog.

Lwm cov tsos mob yog cov nyob rau ntawm ntau serous leucorrhea nyob rau hauv cov poj niam nyob rau hauv lub qhaj ntawv ntawm inflammatory kab mob ntawm lub tsev me nyuam los yog qhov chaw mos.

Thaum advanced theem ntawm phem txheej txheem tshwm purulent paug nrog ib tug unpleasant tsw, uas yuav tsis raug tshem tawm txawm nrog ceev faj kev tu cev.

Nyob rau hauv lig theem ntawm lub qog txoj kev loj hlob thiab metastasis ntawm hais tias cov tsos mob nyob rau hauv lub lumbosacral cheeb tsam.

Tag nrho cov paub qhov txawv 4 theem ntawm uterine cancer:

I - lub qog yog laus nyob rau hauv lub cev ntawm lub tsev me nyuam, feem ntau yog nyob rau hauv cov nqaij cov ntaub so ntswg;

II - lub qog muaj feem xyuam rau lub cev thiab ncauj tsev me nyuam;

III - cancer ntawm lub tsev me nyuam tshaj tus ciam teb - nyob rau hauv lub qhov chaw mos los yog lub tsev me nyuam, tab sis yog nyob rau hauv lub me me plab mog;

IV - cancer ntawm lub tsev me nyuam hlob mus rau hauv lub nyob ib sab nruab nrog cev - mus rau hauv lub qhov quav mus rau utero-qhov quav fistulas nyob rau hauv lub zais zis.

Phem hlav ntawm lub tsev menyuam cov dej num raws li hormone-dependent thiab hormone-ywj siab. Tus thawj yog ntau ntau nyob rau hauv cov poj niam txom nyem los ntawm metabolic mob nyob rau hauv daim ntawv ntawm cov ovulatory voj voog ntawm tsis ua hauj lwm, rog, kev puas tsuaj ntawm zes qe menyuam muaj nuj nqi. Lawv yog cov amenable mus kho ntawm hormonal txoj kev kho. Lawm-ywj siab hlav yog tsis tshua muaj heev, nyuaj nyuaj los kho thiab muaj ib tug poorer raug.

Mob ntawm uterine cancer nyob rau hauv cov neeg Ixayees yuav raws li nyob rau hauv ib txoj kev tshawb ntawm cov kev soj ntsuam daim duab ntawm tus kab mob, rau ib tug gynecological xeem cov ntaub ntawv ua tom gynecologist sojntsuam volume tsim nyob rau hauv lub tsev me nyuam, thiab cov kev tshwm sim ntawm kuaj los yog instrumental txoj kev tsom xam.

Cov kev ua sim muaj xws li kev ntsuam xyuas ntawm tus neeg mob noj qab haus huv los ntawm kev tshawb fawb ntawm cov ntshav thiab zis kev ntsuam xyuas, Pap smears, uas tsim lub cim ntawm paug, lub me kev soj ntsuam ntawm lub hlwb los ntawm dilatation thiab curettage ntawm lub tsev me nyuam los yog thaum lub sij hawm hysteroscopy - kho qhov muag soj ntsuam ntawm lub sab hauv ntawm lub tsev menyuam nkag tau mus rau hauv nws los ntawm ib tug tshwj xeeb ntaus ntawv - hysteroscopy. Hysteroscopy tsis tau tsuas yog tso cai rau kom muab kuaj cov hlwb xav tias cheeb tsam, tab sis kuj txiav txim qhov zoo ntawm malignancy, nws qhov chaw nyob thiab raws li ntawm kis.

Lub xub ntiag thiab qhov xwm ntawm tus lesion ntawm cov qog ntshav hauv metastasis yog ua los ntawm lymphography.

Localization mob cancer thiab degree ntawm nthuav tau txiav txim los ntawm ultrasound (US), hu ua pelvic thiab mob plab xoo thiab sib nqus resonance imaging (CT los yog MRI), positron - emission tomography (TUS TSIAJ).

Kev kho mob ntawm lub tsev me nyuam mob cancer nyob rau hauv Ixayees yuav siv sij hawm mus rau hauv tus account lub hom thiab theem ntawm tus kab mob, lub zuag qhia tag nrho kev kho mob ntawm cov poj niam, nws zoo siab hlo thiab muaj peev xwm kom tau khaws cia deev muaj nuj nqi.

Lub ntsiab txoj kev kho mob ntawm uterine cancer nyob rau hauv Ixayees, tshwj xeeb tshaj yog nyob rau hauv cov poj niam, tawm-ntawm nyuam lub hnub nyoog, yog cov operative lub cev ntawm qhov kev tshem tawm ntawm lub zes qe menyuam thiab txoj hlab qe menyuam, feem ntau yuav ncav tsis cuag cancer hlwb nyob rau hauv cancer ntawm lub cev, resection ntawm ntau dua omentum thiab qhov kev tshem tawm ntawm cov qog ntshav hauv nyob rau hauv lub pelvic cheeb tsam thiab sab plab. Israeli cov neeg phais zoo xws li cov hauj lwm tsawg kawg tus laparoscopic cov txheej txheem.

Yog hais tias lub qog yog kuaj nyob rau ntawm ib thaum ntxov rau theem nyob rau hauv ib tug poj niam ntawm nyuam lub hnub nyoog, thiab nws xav kom tau khaws cia deev muaj nuj nqi nyob rau hauv cov kev kho mob ntawm uterine cancer nyob rau hauv Ixayees siv kyuretazhnoe scraping txhab ntawm lub qog ua kua txheej ntawm lub cev. Lub me me luaj li cas ntawm cov phem txhab thiab meej cov txheej txheem nyob rau hauv ua ke nrog nrog cov kws khomob los yog tawg txoj kev kho cog lus rau kho tus neeg mob.

Radiotherapy nyob rau hauv cov kev kho mob ntawm cancer ntawm lub tsev me nyuam nyob rau hauv cov neeg Ixayees yuav siv nyob rau hauv lub preoperative lub sij hawm kom tsis txhob kis tus phem hlwb nyob rau hauv qhov chaw mos thiab lwm yam kabmob tom qab phais nrog lub kev hem thawj ntawm tsis tshua mob heev, nyob rau hauv inoperable tus neeg mob thiab raws li ib tug palliative irradiation nyob rau theem IV ntawm tus kab mob - metastases mus rau lub zais zis, qhov quav los yog nyob deb kabmob. Tuav tej thaj chaw deb irradiation, brachytherapy - implantation ntawm tej pellets ncaj qha mus rau hauv lub qog loj, 3D-conformal radiotherapy thiab intensive-modulated radiotherapy (IMRT).

Chemotherapeutic kev kho mob ntawm uterine cancer nyob rau hauv cov neeg Ixayees yuav siv los txo mob luaj li cas thiab alleviate cov tsos mob nyob rau hauv lub tom qab ua sawv ntawm tus kab mob.

Yog hais tias lub uterine mob yog hormone-dependent xwm ntawm lawm txoj kev kho yog ua blockers ntawm cov tshuaj hormones. Yog li ntawd, rau hnub tim, cov ntsiab lus ntawm ib co kev soj ntsuam kev tshawb fawb qhia tau tias lawm-dependent hom mob cancer nyob rau hauv thaum ntxov ua sawv, thiab tshwj xeeb tshaj yog nyob rau hauv cov poj niam nyob rau hauv 40 lub xyoos, yog kho zoo siv hormonal contraceptives. Lub tshuaj rau kev kho mob ntawm uterine cancer nyob rau hauv Ixayees muaj kev cuam tshuam rau lub hlwb, uas ua nyob rau hauv nres lawm ntawm cov tshuaj no nyob rau hauv ib tug poj niam lub cev, provoking lub tsev me nyuam mob cancer.

Yog siv nyob rau hauv cov kev kho mob ntawm uterine cancer nyob rau hauv cov neeg Ixayees thiab tsom txoj kev kho, tshuaj uas xyua cuam tshuam microvascular network muab lub qog hlwb nrog rau oxygen. Thaiv cov hlab txoj kev no cheeb qhov uas cov kev loj hlob ntawm phem hlwb.

Mus kuaj ib ce, kho thaum ntxov ntawm inflammatory kab mob ntawm lub tsev me nyuam pab mus rau mob cancer kev tiv thaiv, kom tau thaum ntxov thiab kev kho ntawm qhov teeb meem. .