Uterine Cancer Treatment muIsraeri

Gomarara iri akaipa nebundu munhukadzi dzokubereka nadzo. Maererano kwakaita kenza vakadzi, akasvika chinosuruvarisa 2nd nzvimbo pashure kenza yemazamu.

Sezvo dumbu iri muviri multilayer kuti secrete wandei Cancer pamusoro dumbu, zvichienderana nokuti bundu wamuka umo rukoko muviri. Kakawanda, kenza hwapedyo kubva yomukati paiva muchibereko chemusikana, iyo endometrium - the endometrium. Izvi mhando bundu rinonzi adenocarcinoma. Ishoma malignancies kuitika mune tsandanyama rusvingo dumbu - iri myometrium uye vanodanwa sarcomas.

Gomarara iri kazhinji chirwere vakadzi vakura - makore 50-65, vakadzi pasi 40 kashoma.

Zvinhu kuita kuti pave gomarara hurwere munhukadzi dzokubereka nadzo - kushaya munhu kumwedzi, polycystic, endometriosis, fibroids, mangwanani zvepabonde, magene kubatwa. Gomarara anogona kukonzera hormone kusaenzana - kunyanya pakuburitswa inonzi estrogen uye progesterone kushaikwa, kusanganisira nokugamuchira estrogensoderzhaschih zvinodhaka panguva kubereka.

Nyanyisa mapundu ose dumbu kazhinji munguva vakadzi nulliparous - kushaya mbereko nokuda kwezvikonzero zvakasiyana-siyana, kana tisina pamuviri. Mukana zvisina kuvimbika kuchinja uye kunowedzera zvichimurova curettage panguva pamuviri. Batsirawo Kuti kukura kenza uterine cheshuga, kufutisa.

Kana kuwanda nekenza uterine chirwere, hakumboiti chinokonzera rufu, sezvo raive rakasimba uye zvikuru kwese, uye unogona kuonekwa yekare kare yemagwaro.

Wokutanga uye vakawanda chiratidzo nekenza dumbu inova yokudeura uterine ropa mu postmenopausal nguva kana pakati nguva zera rokubereka.

Chimwe chiratidzo ndiye Kuwanikwa zvakawanda serous leucorrhea vakadzi pasina anogumbura zvirwere dumbu kana nyinyo.

At mazhinji zvokukura akaipa muitiro kuonekwa purulent zvinoyerera pamwe risingafadzi kwakanaka, zvisingagone kubviswa kunyange kungwarira utsanana.

On mukupera padariro bundu kukura uye metastasis pamusoro akati kuonekwa kurwadziwa lumbosacral munharaunda.

Total kusiyanisa 4 zvokukura kenza uterine:

I - bundu iri mupasi mumuviri muchibereko chemusikana, kazhinji zviri tsandanyama tishu;

II - bundu kunokanganisa muviri uye cervix;

III - nekenza dumbu mhiri muganhu - iri nyinyo kana dumbu, asi mukati chiuno diki;

IV - nekenza dumbu rinokura munzvimbo pedyo zvomukati - kupinda mugaranhoko kuumba utero-rectal fistulas ari dundira.

Nyanyisa mapundu ose dumbu dzinoiswa sezvo kemikari-zvaanoda uye kemikari-akazvimirira. Chokutanga ndechokuti mune vakadzi vanotambura metabolic nepfungwa muchimiro chezvinhu ovulatory kutenderera kufoira, kufutisa, kukuvara ovarian ushande. Ndivo amenable kuti nokururamiswa hormone mishonga. Kemikari-okuzvitonga mapundu vari ishoma, zvakaoma zvakaoma kurapa uye kuva varombo fungidziro.

Chirwere kenza uterine muIsraeri chakavakirwa kudzidza kunotoda mufananidzo hosha, kuti gynecological kuzviongorora Data runoita gayinakorojisiti vachiongorora vhoriyamu inotungamirwa ari dumbu, uye migumisiro Murabhoritari kana richishanda nzira ongororo.

Murabhoritari Nzira zvinosanganisira tinyatsonzwisisa murwere utano kuburikidza zvidzidzo ropa uye weti nemiedzo, pap smears, izvo ndiye unhu pakuyerera, ari biopsy kuongorora masero yaunganidzwa dilatation uye curettage pamusoro dumbu kana panguva hysteroscopy - Manyiminya vakaongorora mukati dumbu chakaunzwa nayo zano chairo - hysteroscopy. Hysteroscopy anobvumira kwete chete kutora mimwe masero vanofungidzirwa nzvimbo, asi kuona pezvakaita malignancy, ayo nzvimbo uye kukura kupararira.

Kuvapo uye yezvakaita lesion pakati node nodes metastasis rinoitwa nevanhu lymphography.

Localization kenza uye mwero kufambiswa akafunga ne Ultrasound (US), pelvic uye abdominal computed uye rinobva resonance kuri (CT kana MRI), positron - achine tomography (PET).

Mabatirwo gomarara muIsraeri anofunga mhando uye pavaipfuura chirwere, zvinonyatsorehwa utano yomukadzi, wake kuda uye kukwanisa kuchengetedza pamuviri ushande.

Nzira huru kurapa kenza uterine muIsraeri, kunyanya vakadzi, kunze zera rokubereka, ndiwo kushanda mutumbi kubviswa ovaries uye fallopian sepombi, ungangotarisa kenza akavanzvenga masero ari kenza womuviri, resection hukuru omentum uye kubviswa node nodes ari pelvic nzvimbo uye ezasi dumbu. Israeli vanachiremba vanoita zvakafanana akavhiyiwa zvishoma invasive laparoscopic dzokuvhiya.

Kana bundu iri dzakaonekwa vachiri padanho iri mukadzi zera, uye iye anoda kuchengetedza dzokubereka basa pakurapa kenza uterine muIsraeri vanoshandisa kyuretazhnoe tichibvisa maronda ari mucous rukoko muviri. The duku kukura akaipa maronda uye kwazvo nzira akabatana mishonga kana mwaranzi kurapa anovimbisa kurapa murwere.

Radiotherapy pakurapa kenza uterine muIsraeri rinoshandiswa preoperative nguva kumisa kupararira nyanyisa masero nepanhengo uye dzimwe nhengo pashure pokuvhiyiwa pamwe dambudziko dzokororo, mune inoperable kacho uye somunhu palliative irradiation Panguva IV chirwere - metastases kuti dundira, mugaranhoko kana kure nhengo. Wakaitwa kure irradiation, brachytherapy - muchibereko radioactive pellets zvakananga kupinda bundu gobvu, 3D-conformal radiotherapy uye nyanyisa-modulated radiotherapy (IMRT).

Chemotherapeutic mabatiro kenza uterine muIsraeri inoshandiswa kuderedza bundu kukura uye kuderedza zviratidzo pave paya nzendo chirwere.

Kana uterine bundu iri kemikari-zvaanoda hunhu kemikari ARV inoitwa blockers pamusoro mahormone izvi. Saka, kusvikira zuva, migumisiro zvimwe zvidzidzo zvekuchipatara dzinoratidza kuti kemikari-zvaanoda mhando kenza pakutanga mumatanho, uye kunyanya pavakadzi pasi pemakore 40, ari kurapwa zvakanaka kushandisa hormone pamuviri. Itsva zvapanzvimbo kurapwa kenza uterine muIsraeri zvazvinoita uropi, zvichiguma kwamira kugadzirwa inonzi estrogen mumuviri mumwe mukadzi, afunge gomarara.

Rinoshandiswa pakurapa kenza uterine muIsraeri uye zvakanangwa kurapa, zvinodhaka izvo zvokusarudza kukanganisa microvascular rezvebonde unokupai bundu masero pamwe oxygen. Ichivharira izvi kuchititadzisa kukura masero nyanyisa.

Kugara kunoonekwa nachiremba, mangwanani Mabatirwo anogumbura zvirwere dumbu zvinobatsira kudzivirira kenza, mangwanani kuonekwa uye inobudirira pakurapa dambudziko. .