Ib yam mob uas poj niam zes qe menyuam cuam tshuam tsis zoo vim kev loj hlob ntawm cov qog nqaij hlav cancer hu ua Ovarian cancer. Nws yog ib hom mob qog noj ntshav uas pib tsim nyob rau hauv zes qe menyuam, uas yog tus poj niam txoj kev loj hlob ntawm tus poj niam. Nws txoj haujlwm yog los tsim cov qe txhua hli. Cov qog nqaij hlav zes qe menyuam hauv cov poj niam lub zes qe menyuam feem ntau mus kuaj tsis tau txog thaum nws pib kis mus rau lub plab thiab lub plab thiab pom cov tsos mob tshwj xeeb. Cov cim qhia ntawm cov qog nqaij hlav zes qe menyuam muaj xws li mob plab plab, teeb meem noj mov thiab tso zis ntau zaus thiab kab mob urinary.

Yam tseem ceeb rau tus mob cancer no muaj xws li hnub nyoog, tsev neeg keeb kwm, kev hloov kho tshuaj hormones thiab genetic mutations. Txawm li cas los xij, cov poj niam tuaj yeem txo lawv txoj kev pheej hmoo los ntawm kev tswj hwm txoj kev noj qab haus huv, teem caij kuaj xyuas thiab kawm txog lawv tsev neeg keeb kwm. Txhawm rau txhawm rau kuaj mob qog noj ntshav ntawm zes qe menyuam ntxov thiab ua kom muaj sia nyob lawv yuav tsum paub ntau ntxiv txog nws cov tsos mob. Cov poj niam uas muaj kev txhawj xeeb txog lawv txoj kev muaj menyuam yaus tuaj yeem sab laj nrog peb. Txhua yam koj yuav tsum tau ua yog teem caij teem sijhawm thiab peb tus kws kho mob gynecological thiab kws kho mob yuav muab cov lus qhia txog kev noj qab haus huv zoo tshaj plaws rau koj.

Ua rau Ovarian Cancer

Cov kws kho mob hais tias thaum qhov tseeb ua rau mob qog noj ntshav ntawm zes qe menyuam tseem tsis tau paub txog ntau yam kev pheej hmoo uas paub tias ua lub luag haujlwm hauv nws txoj kev loj hlob.

1. Genetic Mutations: Thaum muaj kev hloov pauv zoo li cov hauv BRCA1 thiab BRCA2 cov noob tshwm sim qhov kev pheej hmoo ntawm kev mob qog noj ntshav zes qe menyuam tau nce ntxiv. Yog hais tias ib tug poj niam muaj keeb kwm ntawm tsev neeg muaj mob cancer mis los yog zes qe menyuam nws txoj kev pheej hmoo ntawm kev tsim tus kab mob no ntau ntxiv.

2. Hnub nyoog: Cov poj niam tshaj 50 feem ntau yuav mob qog nqaij hlav zes qe menyuam tshwj xeeb tshaj yog tom qab lub cev tsis muaj zog. Kev loj hlob tuaj ua rau muaj kev pheej hmoo tshwj xeeb rau cov poj niam hauv lawv cov 60s thiab 70s.

3. Keeb Kwm Kev Loj Hlob: Qhov kev pheej hmoo mob qog nqaij hlav zes qe menyuam tuaj yeem nce ntxiv rau cov poj niam uas tsis tau xeeb tub lossis cov uas tau ntsib kev xeeb tub. Conversely noj tshuaj tiv thaiv kab mob rau lub sij hawm ntev los yog xeeb tub ntau tshaj ib zaug yuav txo tau txoj kev pheej hmoo.

4. Hormone Replacement Therapy (HRT): Kev siv cov tshuaj hormone hloov mus sij hawm ntev tshwj xeeb tshaj yog kev kho tshuaj estrogen nkaus xwb tuaj yeem ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav ntawm zes qe menyuam raws li qee qhov kev tshawb fawb tshwj xeeb hauv cov poj niam tom qab yug menyuam.

5. Family History thiab Genetics: Qhov kev pheej hmoo siab dua rau cov poj niam uas muaj tsev neeg keeb kwm ntawm lub mis ntawm lub mis los yog zes qe menyuam. Kev pheej hmoo mob qog noj ntshav ntawm zes qe menyuam kuj tseem nce ntxiv los ntawm cov kab mob caj ces xws li Lynch syndrome.

6. Endometriosis: Cov poj niam uas muaj endometriosis, ib qho teeb meem uas cov ntaub so ntswg zoo li hauv ob sab phlu ntawm lub tsev menyuam loj hlob sab nraum lub tsev menyuam, feem ntau yuav tsim cov qog nqaij hlav zes qe menyuam tshwj xeeb yog mob qog noj ntshav endometrioid.

Cov tsos mob

Hauv qab no yog cov tsos mob ntawm cov qog nqaij hlav zes qe menyuam:

Pelvic los yog mob plab
Tsis xis nyob thiab mob plab heev
Poob tsis qab los noj mov
Los ntshav txawv txav
Lub paum tawm
Zawv plab
cem quav
o nyob ib ncig ntawm lub plab
Nquag tso zis

Cov theem ntawm Ovarian Cancer

Kev mob qog nqaij hlav zes qe menyuam yog categorized nyob rau hauv plaub theem uas tau muab luv luv hauv qab no:

Theem Kuv: Muaj peb theem sub-theem nyob rau theem no: theem IA theem IB thiab theem IC. Ntawm no tsuas yog ib lub zes qe menyuam lossis cov hlab ntsha fallopian tau mob qog noj ntshav hauv thawj theem. Cancer nyob rau hauv cov hlab ntsha los yog ob lub zes qe menyuam muaj nyob rau theem IB. Theem IC yog lub sij hawm rau kev mob qog noj ntshav uas tshwm sim hauv ob lub zes qe menyuam lossis cov hlab ntshav thiab tshwm sim sab nraum zes qe menyuam.

Theem II: Muaj ob peb theem ntxiv uas ua rau theem II. Nyob rau theem IIA tus mob cancer tau mus txog koj lub tsev menyuam thiab zes qe menyuam thiab. Thaum mob qog noj ntshav mus txog theem IIB nws tau kis mus rau lwm cov kab mob pelvic nyob ib puag ncig. .

Theem III: Muaj peb substages nyob rau theem no. Thaum mob qog noj ntshav nyob rau theem IIIA nws muaj ob qho tib si microscopically kis mus rau lub plab lossis rau cov qog ntshav. Cov qog loj txog li 2 centimeters thiab tau kis tawm sab nraud ntawm koj lub plab lossis hauv koj cov qog ntshav hauv theem thib ob (Stage IIIB). Nyob rau theem IIIC tus mob qog noj ntshav tau kis mus rau sab nraud ntawm koj lub plab thiab loj dua ob centimeters txawm tias nws tseem nyob hauv koj cov qog nqaij hlav. Tam sim no nws tuaj yeem cuam tshuam rau lwm yam kabmob xws li koj tus po thiab daim siab.

Theem IV: Nws yog theem mob cancer tshaj plaws. Lub sijhawm no, mob qog noj ntshav tau nce mus rau sab hauv ntawm cov kabmob xws li tus po thiab daim siab. Nyob rau theem IVB, mob qog noj ntshav tau kis mus rau hauv koj lub hauv siab lossis hauv pliaj qog ntshav thaum nyob rau theem IVA nws tuaj yeem nyob ze rau ntawm lub ntsws.

Kev kuaj mob

Cov kws tshaj lij tau tshawb fawb txog kev mob qog noj ntshav ntawm zes qe menyuam tau ntau xyoo tab sis lawv tseem tsis tau tsim ib qho kev ntsuam xyuas txhim khu kev qha. Vim li no, tus mob no feem ntau nyuaj los txheeb xyuas nws cov theem pib. Koj tus kws kho mob yuav kuaj pelvic thiab nug txog koj cov tsos mob yog tias lawv xav tias mob qog noj ntshav ntawm zes qe menyuam. Lawv yuav tshuaj xyuas tus neeg mob rau txhua yam kabmob loj lossis kev loj hlob txawv txav.

1. Kev ntsuam xyuas cov duab

Cov kws kho mob tuaj yeem pom zoo rau ntau qhov kev kuaj pom, suav nrog:

Pelvic ultrasound.
MRI
CT scan
Tus tsiaj scan

2. Kev kuaj ntshav rau Ovarian Cancer

CA-125 yog ib yam tshuaj uas tshawb nrhiav hauv cov ntshav. Cov ntshav siab CA-125 qib yuav qhia tau tias mob qog noj ntshav. Ntawm qhov tod tes, CA-125 qib tuaj yeem nce siab hauv ntau yam uas tsis yog mob qog noj ntshav thiab nyob ib puag ncig txawm tias mob qog noj ntshav. Raws li qhov tshwm sim thaum kuaj mob qog noj ntshav ntawm zes qe menyuam cov kws kho mob muab kev kuaj ntshav nrog lwm cov txheej txheem

3. Kev soj ntsuam phais

Thaum ua kev phais cov kws kho mob tuaj yeem txheeb xyuas cov qog nqaij hlav zes qe menyuam. Tib cov txheej txheem feem ntau yog siv los tshem tawm cov kev loj hlob txawv txav uas tau pom.

4. Laparoscopy

Lub laparoscope yog ib lub koob yees duab nyias ntxig los ntawm lub plab me me thaum phais laparoscopic. Tus kws phais mob tuaj yeem ntsuas qhov mob qog noj ntshav, ua qhov kev kuaj mob biopsies thiab hauv qee kis tshem cov qog ntawm zes qe menyuam siv qhov ntsuas raws li kev qhia thiab cov chaw nres nkoj ntxiv los tuav cov cuab yeej.

Kev kho mob ntawm zes qe menyuam

Cov kev kho mob rau kev kho mob qog noj ntshav ntawm zes qe menyuam nyob ntawm nws hom, theem, thiab tus neeg mob tus mob tag nrho, txawm li cas los xij, cov qauv kev kho mob yog:

Kev phais mob: Thaum tus neeg mob tau kuaj mob qog noj ntshav ntawm zes qe menyuam, kev kho mob ntxov yog kev phais. Nws feem ntau yog thawj kab ntawm kev kho mob rau kev kho mob. Lub luag haujlwm tseem ceeb ntawm oncologist thaum lub sijhawm phais yog txo qis cov qog nrog rau ntau ntawm cov ntaub so ntswg uas cuam tshuam los ntawm cov qog nqaij hlav cancer. Ib qho hysterectomy thiab tshem tawm cov hlab ntsha thiab zes qe menyuam yog nquag pom zoo nyob rau theem siab ntawm tus mob qog noj ntshav.
Kws khomob: Tom qab phais chemotherapy feem ntau yog ua los tshem tawm cov qog nqaij hlav cancer uas yuav nyob twj ywm tom qab phais. Txawm li cas los xij, cov tshuaj uas tsom mus rau kev faib tawm sai sai, tus yam ntxwv ntawm kev mob qog noj ntshav, kuj tau siv rau hauv cov txheej txheem no.
Targeted Therapy: Targeted kev kho mob zoo li Bevacizumab (Avastin) yog tsim los tsom rau cov molecules tshwj xeeb uas pab txhawb kev loj hlob ntawm cov qog nqaij hlav cancer. Feem ntau hais lus cov kev kho mob no muaj kev cuam tshuam tsawg dua li cov tshuaj siv tshuaj kho mob.
Immunotherapy: Txhawm rau tiv thaiv mob qog noj ntshav, qhov kev kho mob siab tshaj no ntxiv dag zog rau lub cev tiv thaiv kev tiv thaiv los tiv thaiv qog noj ntshav. Qee yam mob qog noj ntshav ntawm zes qe menyuam, tshwj xeeb tshaj yog cov uas muaj kev hloov pauv caj ces zoo li BRCA kev hloov pauv tau pom tias yuav teb tau zoo rau cov tshuaj xws li pembrolizumab (Keytruda).
Hormonal Therapy: Kev kho tshuaj hormonal tuaj yeem siv los txwv qee hom qog noj ntshav ntawm zes qe menyuam los ntawm kev siv cov tshuaj hormones kom loj hlob, tshwj xeeb tshaj yog cov tshuaj estrogen-rhiab heev.
Kev kho hluav taws xob: Kev kho hluav taws xob tsis yog feem ntau siv rau kev mob qog noj ntshav ntawm zes qe menyuam tab sis nws tuaj yeem siv tau rau qee qhov xwm txheej kom txo cov qog loj los yog yooj yim cov tsos mob ntawm kev mob qog noj ntshav.