He kūlana kahi o nā wāhine nā ovaries Hoʻopilikia maikaʻi ʻia ma muli o ka ulu nui ʻana o nā cell cancerous i kapa ʻia ʻo Ovarian cancer. He ʻano maʻi maʻi maʻi e hoʻomaka ana e ulu i loko o nā ovaries, ʻo ia ka ʻōnaehana hānau o ka wahine. ʻO kāna hana ka hana ʻana i nā hua i kēlā me kēia mahina. ʻAʻole ʻike pinepine ʻia ka maʻi maʻi ovarian i loko o nā ovaries a hiki i ka hoʻomaka ʻana e laha i ke pelvis a me ka ʻōpū a hōʻike i nā hōʻailona kikoʻī. ʻO nā hōʻailona maʻamau o ka maʻi maʻi ovarian, ʻo ia ka ʻeha ʻana o ka ʻōpū, pilikia i ka ʻai ʻana a me ka mimi pinepine a me nā maʻi maʻi urinary tract.

ʻO nā kumu pilikia no kēia maʻi kanesa ʻo ia ka makahiki, ka mōʻaukala ʻohana, hōʻano hou hormonone a me nā hoʻololi genetic. ʻOiai, hiki i nā wāhine ke hōʻemi i ko lākou mau pilikia ma ka mālama ʻana i ke ola olakino, ka hoʻonohonoho ʻana i nā nānā maʻamau a me ke aʻo ʻana e pili ana i ko lākou moʻolelo ʻohana. I mea e ʻike mua ai i ka maʻi ʻaʻai ovarian a hoʻonui i ka nui o ke ola ʻana, pono lākou e ʻike hou i kāna mau hōʻailona. Hiki i nā wāhine ke hopohopo e pili ana i ko lākou olakino hānau hānau me mākou. ʻO nā mea a pau āu e hana ai, ʻo ka hoʻonohonoho ʻana i kahi manawa a ʻo kā mākou kauka gynecologic mākaukau a me nā kauka lapaʻau e hāʻawi iā ʻoe i ka ʻōlelo aʻo olakino maikaʻi loa.

Nā kumu o ka maʻi maʻi ovarian

Wahi a nā kauka lapaʻau ʻoiai ʻaʻole i ʻike ʻia ke kumu kūpono o ka maʻi kanesa ovarian, ua ʻike ʻia kekahi mau mea pilikia e pāʻani i kona ulu ʻana.

1. Hoʻololi Genetic: Ke hoʻoili ʻia nā hoʻololi e like me nā genes BRCA1 a me BRCA2 e piʻi nui ka pilikia o ka hoʻomohala ʻana i ka maʻi kanesa ovarian. Inā loaʻa i ka wahine ka moʻolelo ʻohana o ka umauma a i ʻole ka maʻi ʻaʻai ovarian, ua hoʻonui ʻia kona manawa e ulu ai i ka maʻi.

2. Makahiki: ʻOi aku ka nui o ka loaʻa ʻana o nā wahine ma mua o 50 i ka maʻi kanesa ovarian ma hope o ka menopause. ʻO ka ulu ʻana o ka ʻelemakule e hoʻonui i ka pilikia no nā wahine ma ko lākou mau makahiki 60 a me 70.

3. Moʻolelo hānau: Hiki ke hoʻonui ʻia ka pilikia o ka maʻi maʻi ovarian i nā wahine i hāpai ʻole a i ʻike ʻole i ka ʻike ʻole. ʻO ka lawe ʻana i nā lāʻau hoʻomalu hānau no ka manawa lōʻihi a i ʻole ka hāpai ʻana ma mua o hoʻokahi manawa hiki ke hoʻemi i ka pilikia.

4. ʻO ka Lapaʻau Hoʻololi Hormone (HRT): ʻO ka hoʻohana lōʻihi ʻana i ka lāʻau lapaʻau hoʻololi ʻo ka estrogen wale nō e hoʻonui i ka pilikia o ka maʻi maʻi ovarian e like me ka noiʻi ʻana i nā wahine postmenopausal.

5. Moʻolelo ʻohana a me Genetics: ʻOi aku ka nui o ka pilikia no nā wahine i loaʻa ka moʻolelo ʻohana o ka umauma colorectal a i ʻole ka maʻi maʻi ovarian. Hoʻonui ʻia ka pilikia o ka maʻi maʻi ovarian e nā genetic syndromes e like me Lynch syndrome.

6. Endometriosis: ʻO nā wāhine i loaʻa i ka endometriosis, kahi maʻi e ulu ai ka ʻiʻo e like me ke kapa o ka ʻōpū ma waho o ka ʻōpū, ʻoi aku ka nui o ka ulu ʻana i ka maʻi maʻi ovarian, ʻoi aku ka maʻi maʻi endometrioid.

Ōuli

Eia nā hōʻailona maʻamau o ka maʻi kanesa ovarian:

ʻEha ʻōpū a i ʻole ʻōpū
ʻO ka ʻehaʻeha a me ka pehu nui
Pau ka maʻi
Ke koko ʻokoʻa
Hoʻokuʻu hoʻokuʻu
Kōkua
Ka hoʻomau
Ka pehu a puni ka ʻōpū
Ke hoʻoikaika pinepine

Nā ʻanuʻu o ka maʻi maʻi ovarian

Hoʻokaʻawale ʻia ka maʻi maʻi ovarian i ʻehā mau pae i hāʻawi pōkole ʻia ma lalo nei:

Paule i: ʻEkolu mau ʻanuʻu liʻiliʻi i loko o kēia pae: Stage IA Stage IB a me Stage IC. Ma ʻaneʻi, hoʻokahi ovary a i ʻole fallopian tube wale nō i loaʻa i ka maʻi kanesa ma ka substage mua. Aia ka ma'i 'a'ai i loko o ka pu'upu'u fallopian a i 'ole nā ovaries 'elua ma ka pae IB. ʻO ka pae IC ka huaʻōlelo no ka maʻi kanesa e ulu ana i loko o nā ovaries a i ʻole nā pahu fallopian a puka ma waho o ka ovary.

Papa II: Aia kekahi mau ʻanuʻu ʻē aʻe e hana i ka Papa II. Ma ka Papa IIA ua hiki ke kanesa i kou kōpū a me ka ovary pū kekahi. Ke hiki ka ma'i 'a'ai i ka Papa IIB, ua laha i na hale pelvic e ae ma kahi kokoke. .

Mokuna III: ʻEkolu mau ʻāpana i loko o kēia pae. Aia ka ma'i 'a'ai i ka Papa IIIA, ua laha ma ke ano o ka ma'i 'a'ai i ka opu a i 'ole i ka lymph nodes. ʻO ke koko a hiki i ka 2 kenimika ka nui a ua laha ma waho o kou pelvis a i ʻole i loko o kāu mau lymph nodes i ka lua o ka sub-stage (Stage IIIB). I ka Papa IIIC, ua laha ka ma'i ma'i ma waho o kou pelvis a 'oi aku ka nui ma mua o 'elua kenimika, 'oiai aia i loko o kou mau puna lymph. Hiki ke hoʻopilikia i nā kino ʻē aʻe e like me kou ʻōpū a me ke ake.

Kahua IV: ʻO ia ka pae kiʻekiʻe loa o ka maʻi kanesa. I kēia manawa ua piʻi ka maʻi kanesa i loko o nā kino e like me ka spleen a me ke ake. I ka Papa IVB, ua laha ka ma'i kanesa i kou umauma a i 'ole ka ma'i lymph nodes a ma ka Papa IVA hiki ke loa'a ma kahi kokoke i ke akemāmā.

Hōʻoia

Ua noiʻi ka poʻe loea i ka maʻi maʻi ovarian no nā makahiki akā ʻaʻole lākou i hana i kahi hōʻike hōʻoia pono. Ma muli o kēia, paʻakikī pinepine ka maʻi e ʻike i kona wā mua. Na kāu kauka e hana i kahi hoʻokolohua pelvic a nīnau e pili ana i kāu mau hōʻailona inā manaʻo lākou i ka maʻi maʻi ovarian. E nānā lākou i ka mea maʻi no nā ʻano i hoʻonui ʻia a i ʻole nā ulu ʻokoʻa.

1. Nā ho'āʻo kiʻi

Hiki i nā mea hoʻolako ke ʻōlelo aku i kekahi mau hoʻāʻo kiʻi kiʻi, me:

ʻO ke kani kani ʻana o ke pelvic.
MRI
C scan
Pākuʻi PET

2. Nā ho'āʻo koko no ka maʻi maʻi ovarian

ʻO CA-125 kahi mea kemika i ʻimi ʻia ma nā hoʻāʻo koko. Hiki ke hōʻike ʻia ke kiʻekiʻe o ke koko CA-125 i ka maʻi kanesa. Ma ka ʻaoʻao ʻē aʻe, hiki ke hoʻokiʻekiʻe ʻia nā pae CA-125 i nā maʻi maʻi ʻole he nui a noho maʻamau i nā hihia o ka maʻi kanesa. ʻO ka hopena ke hoʻopaʻa ʻana i ka maʻi kanesa ovarian e hui pū ʻia nā hoʻokolohua koko me nā kaʻina hana ʻē aʻe

3. Ka loiloi ʻana i ke kaʻina hana

ʻOiai e hana ana i nā ʻoihana lapaʻau hiki ke ʻike i ka maʻi maʻi ovarian. Hoʻohana mau ʻia ke kaʻina hana like no ka wehe ʻana i nā ʻano ulu like ʻole i ʻike ʻia.

4. Laparoscopy

ʻO ka laparoscope kahi kiʻi kiʻi lahilahi i hoʻokomo ʻia ma o kahi ʻoki liʻiliʻi o ka ʻōpū i ka wā o ka hana laparoscopic. Hiki i ke kauka lapaʻau ke loiloi i ka maʻi kanesa, hana i nā biopsies staging a i kekahi mau hihia e wehe i nā ʻōpū ovarian me ka hoʻohana ʻana i ke ākea ma ke ʻano he alakaʻi a me nā awa hou e paʻa i nā mea kani.

Lapaʻau ʻana i ka maʻi maʻi ovarian

ʻO nā ʻano lapaʻau no ka mālama ʻana i ka maʻi kanesa ovarian e pili ana i kona ʻano, pae, a me ke kūlana holoʻokoʻa o ka mea maʻi akā naʻe, ʻo nā lāʻau lapaʻau maʻamau:

ʻAla: Ke ʻike ʻia ka mea maʻi me ka maʻi ʻaʻai ovarian, ʻo ia ka lāʻau lapaʻau mua. ʻO ia ka lālani mua o ka lāʻau lapaʻau no ka hoʻōla ʻana i ke ʻano. ʻO ka hana nui a ka oncologist i ka wā o ka ʻoki ʻana, ʻo ia ka hoʻohaʻahaʻa ʻana i ke koko me ka nui o nā ʻiʻo a puni i hoʻopilikia ʻia e nā maʻi kanesa. ʻO ka hysterectomy a me ka wehe ʻana i nā ʻōpū fallopian a me nā ovaries e ʻōlelo pinepine ʻia i ka pae kiʻekiʻe o ka maʻi kanesa.
Kemoterapi: Ma hope o ka ʻoki ʻana, hana mau ʻia ka chemotherapy no ka hoʻopau ʻana i nā maʻi maʻi ʻaʻai e waiho ʻia ma hope o ka ʻoki ʻana. ʻOiai, hoʻohana pū ʻia nā lāʻau lapaʻau e hoʻokaʻawale wikiwiki ana i nā cell, kahi ʻano o ka maʻi kanesa, i kēia kaʻina hana.
ʻO ka lāʻau lapaʻau i koho ʻia: Hana ʻia nā lāʻau lapaʻau e like me Bevacizumab (Avastin) i mea e hoʻopaʻa ai i nā molekole kūikawā e kōkua i ka hoʻomohala ʻana o nā maʻi maʻi maʻi. Ma ka ʻōlelo maʻamau, ʻoi aku ka liʻiliʻi o kēia mau lāʻau lapaʻau ma mua o ka chemotherapy maʻamau.
Immunotherapy: I mea e pale aku ai i ka maʻi kanesa, ua hoʻoikaika kēia lapaʻau holomua i ke kino o ke kino no ke kaua ʻana i ka maʻi kanesa. Ua hōʻike ʻia kekahi mau maʻi maʻi maʻi ovarian, ʻoi aku ka poʻe me nā hoʻololi genetic kikoʻī e like me ka mutation BRCA e pane maikaʻi i nā lāʻau e like me pembrolizumab (Keytruda).
Hoʻomaʻamaʻa Hormonal: Hiki ke hoʻohana ʻia ka lāʻau Hormonal no ka hoʻōki ʻana i kekahi ʻano o ka maʻi maʻi ovarian mai ka hoʻohana ʻana i nā hormones e ulu ai, ʻoi aku ka nui o ka estrogen-sensitive.
Lapaʻau Radiation: ʻAʻole hoʻohana pinepine ʻia ka lāʻau lapaʻau no ka maʻi maʻi ovarian akā hiki ke hoʻohana ʻia i kekahi mau kūlana e hōʻemi i ka nui o ka tumora a i ʻole e hōʻoluʻolu i nā hōʻailona o ka maʻi kanesa holomua.