ʻO ka maʻi maʻi ʻōpū kahi maʻi e ulu ana i ka wā e hoʻonui ai nā ʻōpū o ka ʻōpū ma waho o ka mana i loko o ka ʻōpū hānau o loko. Hoʻopilikia pinepine kēia ʻano maʻi kanesa i ka ʻōnaehana hānau wahine. ʻO ka ʻōpū he ʻano hua pea, aia i loko o ke pelvis o ka wahine ma waena o kona mau iwi ʻūhā. Ke hoʻomaka ka ulu ʻana a me ka loli ʻana o nā cell olakino, ʻo ka ulu ʻole ʻana a me ka hoʻohua ʻana e hoʻokumu i ka maʻi kanesa o ka ʻōpū i kahi puʻupuʻu, i kapa ʻia he tumo. Ua ʻike ka hapa nui o nā wahine me kēia maʻi i ka menopause. Ua kapa ʻia ʻo ia i kekahi manawa he maʻi maʻi ʻōpū a ʻo ia ka maʻi maʻi gynecological maʻamau ma ka honua holoʻokoʻa. Me ka mālama ʻana i ka maʻi maʻi ʻōpū kūpono a me ka mālama ʻana i ka maʻi maʻi, hiki ke hoʻōla ʻia kēia maʻi kanesa. ʻO ka wehe ʻana o ka ʻōpū ka lāʻau lapaʻau mua i hāʻawi ʻia i nā maʻi i hoʻopilikia ʻia. I ka hoʻohālikelike ʻana i nā ʻano maʻi maʻi ʻē aʻe, ʻoi aku ka kiʻekiʻe o ke ola.

ʻO ka maʻi maʻi maʻi maʻi i loaʻa i ka wā e ulu ʻole ʻia ka ulu ʻana o nā pūnaewele o ka ʻōpū o ka wahine. ʻO ka mea maʻamau, pili kēia ʻano maʻi maʻi me nā ʻōpū hānau wahine. ʻO ka ʻōpū he ʻōpū puha i loko o ke pelvis o ka wahine ma waena o nā iwi ʻūhā ʻelua. ʻO ka ulu maʻamau a me ka hoʻololi ʻana i nā cell olakino, ʻo ka hiki ʻole ke hoʻomalu i ka ulu nui a me ka hana hou ʻana e hopena i ka maʻi kanesa uterine e alakaʻi i ka hoʻokumu ʻana o kahi nui i kapa ʻia he maʻi maʻi.

Nā ʻano o ka maʻi maʻi ʻōpū

ʻElua ʻano nui o ka maʻi ʻōpū wahine:

Ka maʻi maʻi endometrial: He 'ano ma'i 'a'ai ia i puka mai i ka ma'i 'a'ai endometrial e ho'omaka ana mai ke kapa o ka kōpū, a pili pinepine me ka nui o ka estrogen i loko o ke kino. Ke hoʻohālikelike ʻia i nā maʻi maʻi maʻi endometrial Type 1 e ulu mālie nei, ʻoi aku ka wikiwiki o nā maʻi maʻi endometrial Type 2 a ʻoi aku ka nui o ka laha.
Uterine Sarcoma: ʻO kēia kekahi ʻano o nā maʻi maʻi ʻaʻole i ʻike ʻia ʻo ke kanesa o ka ʻōpū. No loko mai o ka ʻiʻo ʻōpū a i ʻole nā mea pili ʻē aʻe o ka ʻōpū ma kahi o ka endometrium. ʻO ka maʻamau, ʻoi aku ka paʻakikī a ʻoi aku ka paʻakikī o ka mālama ʻana ma mua o nā maʻi maʻi endometrial.

Nā ʻano ʻē aʻe o ka maʻi maʻi endometrial

Serous Adenocarcinoma: ʻOi aku ka ʻoi aku o ka laha ʻana o kēia mau maʻi koko i nā ʻōpū lymph a me nā wahi ʻē aʻe o ke kino.
Adenosquamous Carcinoma: Hoʻopili ʻia kēia ʻano maʻamau ʻole o ka maʻi maʻi ʻōpū me ka maʻi maʻi squamous cell carcinoma a me ka adenocarcinoma endometrial o ka papa waho o ka ʻōpū.
ʻO Carcinosarcoma Uterine: He hihia kūikawā kēia o ka ʻōpū carcinosarcoma. Loaʻa iā ia nā maʻi kanesa e like me ka sarcoma a me ka maʻi maʻi endometrial. Nui ka manawa e laha ai kēia ʻano maʻi maʻi maʻi i nā pūpū lymph o ke kino a me nā wahi ʻē aʻe.
Papillary Serous Carcinoma: He helu liʻiliʻi wale nō o nā hihia i ʻike ʻia ma ka honua holoʻokoʻa ma muli o kona laha loa.

ʻO nā kumu maʻi maʻi ʻōpū a me nā kumu pilikia

ʻO kekahi mau mea e hiki ai ke hoʻonui i ka pilikia o ka maʻi maʻi uterine:

ʻO ke kaumaha a i ʻole ka momona
ʻO ka moʻolelo lapaʻau a i ʻole ka moʻolelo ʻohana o ka ʻōpū, ovarian, a i ʻole ka maʻi ʻōpū
Ke koko kaumaha a lōʻihi paha
Ka halaʻole
Hoʻopau hope
Piʻi koko
Diabetes
ʻO ka manawa hoʻomaka ma mua o ka makahiki 12
ʻO ka Polycystic ovary syndrome (PCOS)
makahiki
ʻAnoʻai momona

Nā hōʻailona maʻi maʻi endometrial a me nā hōʻailona hoʻolaha

Aia nā hōʻailona like ʻole o ka maʻi maʻi endometrial a i ʻole sarcoma uterine ma lalo nei:

ʻO ka ʻeha a i ʻole ka ʻāʻī ʻana ma ke pelvis
ʻO kaʻehaʻeha
ʻO kaʻino
Urination ʻeha
Ka nui o ke koko i ka makahiki 40 a oi
Puka keʻokeʻo mai ka waha
Pain i ka manawa o ka wahine
ʻO ke koko o ka wahine ma mua o ka menopause
Koko i ka pee
ʻIke māmā a kahe koko paha ma hope o ka menopause

ʻĀpana o ka maʻi maʻi ʻōpū

He mea koʻikoʻi ka pae o ka maʻi maʻi endometrial i ka hoʻoholo ʻana i nā manaʻolana o ka kūleʻa a me nā koho. ʻO nā ʻōpū ma nā pae hoʻohālikelike e loaʻa i ka prognosis like a mālama like ʻia.

Waihona 1: E pili ana i ka maʻi kanesa i ʻike ʻia i loko o ka ʻōpū.
Waihona 2: Hōʻike kēia pae i ka ʻōpū a me ka ʻāʻī i hoʻopilikia ʻia e ka ʻōpū.
Waihona 3: ʻO ke kolu o ka māhele e hōʻike ana ua laha ka maʻi kanesa i nā ovaries, fallopian tubes vagina, a i ʻole lymph nodes i loko o ka ʻōpū a i ʻole pelvis mai ka ʻōpū/cervix.
Waihona 4: ʻO ia ka hopena o ka maʻi kanesa i loko o ka ʻōpū, rectum, ʻōpū, a me ka ʻōpū, ma waena o nā wahi ʻē aʻe o ke kino.

Pehea e ʻike ʻia ai?

Hiki i nā loea mālama ola ke ʻōlelo i kekahi mau hoʻokolohua. Ua helu ʻia kēia mau mea ma lalo nei:

ʻO ka nānā ʻana i ke pelvic
ʻO Pelvic ultrasound
ʻO ka biopsy endometrial
Hysteroscopy a me ka biopsy
ʻO CT & MRI scan
Pākuʻi PET
Hōʻike koko

Nā koho no ka Lapaʻau ʻana i ka maʻi maʻi ʻōpū

Ma waho aʻe o ka noʻonoʻo ʻana i nā makahiki a me nā kūlana olakino, e hoʻoholo ke kauka i ke ʻano kūpono o ka mālama ʻana e pili ana i nā kūlana, nā ʻano hana, a me nā hiʻohiʻona. Eia kekahi mau koho no ka mālama ʻana i ka maʻi kanesa ʻōpū:

ʻAla: He kōkua maikaʻi ia no ka maʻi kanesa ʻōpū. Me nā ovaries a me ka fallopian tubes, wehe ʻia ka ʻōpū i ka wā o ka mālama ʻana. Inā laha ka ma'i 'a'ai, hiki i nā 'oihana lapa'au ke nānā i nā kiko a me nā mea 'ē a'e. ʻO ka hysterectomy maʻi maʻi endometrial kahi hana ʻokiʻoki kahi e wehe ʻia ai ka ʻōpū a me ka pūpū o ka mea maʻi. Hāʻawi ʻia ka papa inoa o nā ʻano hana hysterectomy:
- ʻO ka hysterectomy ʻōpū holoʻokoʻa
- Ka lapaʻau ʻana i ka hysterectomy
- ʻO ka hysterectomy radical
- ʻO ka hysterectomy invasive liʻiliʻi
Lapaʻau Radiation: Ma kēia kaʻina hana, pili kēia lapaʻau i ka hoʻohana ʻana i nā x-ray a i ʻole nā kukui kukui radiation e pepehi i nā maʻi maʻi kanesa. ʻO kēia radiation no ke kaʻina hana maʻi maʻi endometrial e hōʻemi i ka hiki ke hoʻi hou mai ke kanesa.
Kemoterapi: Ma hope o ka radiotherapy a i ʻole ka ʻoki ʻana, ke hoʻi mai ka maʻi kanesa. Ua hoʻohana mua ʻia e mālama i ka maʻi kanesa. Hoʻohana ʻia nā lāʻau lapaʻau a hoʻopaʻa ʻia i loko o nā aʻa o nā maʻi.
Hoʻomaʻamaʻa Hormone: Hāʻawi ʻia kēia lapaʻau i ka wā e laha a hoʻi mai ai ka maʻi kanesa. Ke hiki ʻole ke ʻoki, a laila hiki i ke kauka ke ʻōlelo i kēia kaʻina hana.
Kokua Lapaʻau i manaʻo ʻia: He lāʻau lapaʻau ia e hoʻouka ai i nā pūnaewele maʻi kanesa e hoʻōki i ka laha ʻana o ka maʻi kanesa. ʻIke ʻia kēia ʻo lenvatinib, i ka wā e laha ai ka maʻi kanesa a hoʻi mai.