Ihe ize ndụ na mgbochi nke ọrịa cancer endometrial (ahụ nke akpanwa)

Ihe ize ndụ na mgbochi nke ọrịa cancer endometrial (ahụ nke akpanwa)

Ihe ize ndụ 

  • oke ibu. Nke a bụ isi ihe dị ize ndụ, dị ka abụba adipose anụ ahụ na-eme estrogen, nke na-akpali uto nke eriri uterine (endometrium);
  • Usoro ọgwụgwọ nnọchi homonụ na estrogen naanị. Usoro ọgwụgwọ hormone na estrogen naanị, ya mere na-enweghị progesterone, na-ejikọta ya na ihe ize ndụ dị ukwuu nke ọrịa cancer endometrial ma ọ bụ hyperplasia. Ya mere, a na-atụ aro ya naanị maka ụmụ nwanyị ndị wepụrụ akpanwa.2 ;
  • Nri dị oke abụba. Site n'itinye aka na oke ibu na oke ibu, na ikekwe site n'ime ihe ozugbo na metabolism nke estrogen, abụba ndị dị na nri, na-eri oke, na-abawanye ohere nke ọrịa cancer endometrial;
  • Ọgwụgwọ Tamoxifen. Ụmụ nwanyị na-aṅụ ma ọ bụ ewere tamoxifen iji gbochie ma ọ bụ gwọọ ọrịa ara ara nọ n'ihe ize ndụ ka ukwuu. Otu n'ime ụmụ nwanyị 500 a na-agwọ ya na tamoxifen na-ebute ọrịa kansa endometrial1. A na-ewerekarị ihe ize ndụ a dị ka obere ma e jiri ya tụnyere uru ọ na-eweta.
  • Enweghị mmega ahụ.

 

Prevention

Usoro nyocha

Ọ dị mkpa ime ngwa ngwa na a ndiiche ọbara ọgbụgba na-adịkarịghị, karịsịa na nwanyị postmenopausal. Ị ga-agarịrị ịkpọtụrụ dọkịta gị ngwa ngwa. Ọzọkwa, ọ dị mkpa ka ị na-agakwuru dọkịta mgbe niile ma na-enwe mgbe niile nyocha gynecological, n'oge nke dọkịta na-enyocha ikpu, akpanwa, ovaries na eriri afo.

Dọ aka na ntị. Nnwapụta pap, nke a na-akpọkarị ule Pap (Pap smear), enweghị ike ịchọpụta ọnụnọ mkpụrụ ndụ kansa n'ime akpanwa. A na-eji ya enyocha naanị maka ọrịa cancer nke ngafe akpanwa (ọnụ ụzọ akpanwa) ma ọ bụghị nke endometrium (n'ime akpanwa).

Òtù Na-ahụ Maka Ọrịa Cancer nke Canada na-atụ aro ka ụmụ nwanyị nwere ihe ize ndụ dị elu karịa nke ọrịa cancer endometrial na-enyocha ya na dọkịta ha ohere nke ịmepụta ihe nleba anya nkeonwe.

Mgbochi mgbochi isi

Otú ọ dị, ụmụ nwanyị nwere ike ibelata ihe ize ndụ nke ịmalite ịrịa ọrịa cancer endometrial site na usoro ndị a. Rịba ama na ọtụtụ ndị inyom nwere ihe ize ndụ agaghị enwe ọrịa cancer endometrial

Nọgide na-enwe ezigbo ahụ ike Oke ibu bụ otu n'ime ihe ndị kachasị akpata ọrịa kansa endometrial na ụmụ nwanyị postmenopausal. Ndị nyocha Sweden nyochara data ọrịa na-efe efe sitere na mba European Union wee chọpụta na 39% nke ọrịa cancer endometrial na mba ndị a jikọtara ya na oke ibu.3.

Na-emega ahụ́ mgbe nile. Ụmụ nwanyị ndị na-emega ahụ mgbe nile na-enwekarị ihe ize ndụ. Ọtụtụ nchọpụta na-egosi na àgwà a na-ebelata ohere nke ọrịa cancer endometrial.

Were a ọgwụgwọ hormone kwesịrị ekwesị mgbe menopause gasịrị. Maka ụmụ nwanyị na-ahọrọ ịmalite ọgwụgwọ hormone n'oge menopause, ọgwụgwọ a kwesịrị ịnwe progestin. Ma nke a ka dị taa. N'ezie, mgbe ọgwụgwọ hormone nwere nanị estrogen, ọ mụbara ohere nke ọrịa cancer endometrial. A na-enye naanị estrogens naanị mgbe ụfọdụ, mana edobere ya maka ụmụ nwanyị ewepụla akpanwa (hysterectomy). Ya mere, ha anọghịzi n'ihe ize ndụ nke ọrịa cancer endometrial. N'ụzọ dị iche, ụfọdụ ụmụ nwanyị nwere ike ịchọ ọgwụgwọ hormone na-enweghị progestin n'ihi mmetụta ndị progestin kpatara2. N'okwu a, ndị ọrụ ahụike na-atụ aro ka dọkịta na-eme nyocha endometrial kwa afọ, dịka ihe mgbochi.

Nabata ihe oriri mgbochi ọrịa dịka o kwere mee. Dabere na nsonaazụ nke ọmụmụ ọrịa na-efe efe, ọmụmụ anụmanụ na ọmụmụ ihe na vitro, ndị nchọpụta na ndị dọkịta ewepụtala ndụmọdụ iji gbaa ume iri nri ndị na-enyere ahụ aka igbochi ọrịa kansa4-7 . Ekwenyere na enwere ike ịkwalite mgbaghara nke ọrịa kansa, mana nke a ka bụ nkwupụta. Lee mpempe akwụkwọ nri Tailor mere: ọrịa kansa, nke ọkachamara n'ihe banyere nri bụ Hélène Baribeau mere.

jaa. Na-ewere ọgwụ mgbochi estrogen-progestogen (ọgwụ mgbochi ọmụmụ, mgbanaka, patch) ruo ọtụtụ afọ na-ebelata ohere nke ọrịa cancer endometrial.

 

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