Isibeleko sarcoma

Isibeleko sarcoma ngumhlaza onqabileyo wesibeleko (isibeleko). Ayifani nomhlaza we-endometrium, umhlaza oqhelekileyo oqala embindini wesibeleko. I-steroma yesibeleko ihlala iqala kwimisipha engaphantsi kwelo lining.

Isizathu ngqo asaziwa. Kodwa kukho umngcipheko othile:

• Unyango lwe-radiation lwangaphambili. Abafazi abambalwa bakhulisa i-sarcoma yesibeleko kwiminyaka emi-5 ukuya kwengama-25 emva kokuba befumene unyango ngemitha yomnye umhlaza wesibeleko.
• Unyango lwangaphambili okanye lwangoku kunye ne-tamoxifen yomhlaza wamabele.
• Uhlanga. Abasetyhini base-Afrika baseMelika banomngcipheko ophindwe kabini wokuba abamhlophe okanye abase-Asiya.
• Imfuza. Uhlobo olufanayo olungaqhelekanga olubangela umhlaza wamehlo obizwa ngokuba yi-retinoblastoma nalo lonyusa umngcipheko wesarcoma yesibeleko.
• Abafazi abangazange bakhulelwe.

Olona phawu luqhelekileyo lwe-sarcoma yesibeleko sisopha emva kokuyeka ukuya exesheni. Yazisa umboneleli wakho wezempilo ngokukhawuleza ukuba:

• Naluphi na ukopha olungeyonxalenye yexesha lakho lokuya exesheni
• Nakuphi na ukopha okwenzeka emva kokuyeka ukuya exesheni

Kungenzeka ukuba ukopha akuyi kuba ngumhlaza. Kodwa kuya kufuneka usoloko uxelela umboneleli wakho malunga nokopha okungaqhelekanga.

Ezinye iimpawu ezinokubakho zesarcoma yesibeleko zibandakanya:

• Ukukhutshwa kwilungu lobufazi okungangcono ngamayeza okubulala iintsholongwane kwaye kunokwenzeka ngaphandle kokopha
• Ubunzima okanye iqhuma kwilungu lobufazi okanye isibeleko
• Kufuneka uchame rhoqo

Ezinye zeempawu zesibeleko sarcoma ziyafana nezo ze-fibroids. Olona hlobo kuphela lokwenza umahluko phakathi kwe-sarcoma kunye ne-fibroids kukuvavanya, njenge-biopsy yethishu ethathwe kwisibeleko.

Umboneleli wakho uya kuthatha imbali yakho yonyango. Uya kuba novavanyo lomzimba kunye novavanyo lwe-pelvic. Olunye uvavanyo lunokubandakanya:

• I-endometrial biopsy yokuqokelela isampulu yethishu ukujonga iimpawu zomhlaza
• Ukuthambisa kunye nokunyanga (D & C) ukuqokelela iiseli kwisibeleko ukukhangela umhlaza

Uvavanyo lokucinga luyafuneka ukwenza umfanekiso wamalungu akho okuzala. I-Ultrasound ye-pelvis ihlala isenziwa kuqala. Nangona kunjalo, ihlala ingenakuchaza umahluko phakathi kwefibroid kunye nesarcoma. Ukuskena i-MRI ye-pelvis kusenokufuneka.

I-biopsy isebenzisa i-ultrasound okanye i-MRI ukukhokela inaliti ingasetyenziselwa ukwenza isifo.

Ukuba umboneleli wakho ufumana iimpawu zomhlaza, ezinye iimvavanyo ziyafuneka ukubeka umhlaza. Ezi mvavanyo ziya kubonisa ukuba ungakanani umhlaza okhoyo. Ziya kubonisa kwakhona ukuba sele zinwenwele kwamanye amalungu omzimba wakho.

Utyando lolona nyango luqhelekileyo kumhlaza wesibeleko. Utyando lunokusetyenziselwa ukuxilonga, isigaba, kunye nokunyanga i-sarcoma ye-uterine ngexesha elinye.Emva kotyando, umhlaza uya kuvavanywa elebhu ukubona ukuba iqhubele phambili kangakanani.

Kuxhomekeke kwiziphumo, unokufuna unyango lweradiology okanye ichemotherapy ukubulala nayiphi na iiseli zomhlaza eziseleyo.

Unokuba nonyango lwehomoni kwiindidi ezithile zamathumba eziphendula kwiihormone.

Ngomhlaza ophambili osasazeke ngaphandle kwesinqe, unokufuna ukujoyina uvavanyo lweklinikhi yomhlaza wesibeleko.

Ngomhlaza obuyileyo, imitha inokusetyenziselwa unyango kunyango. Unonophelo oludlamkileyo lwenzelwe ukukhulula iimpawu kunye nokuphucula umgangatho wobomi bomntu.

Umhlaza uchaphazela indlela oziva ngayo ngawe kunye nobomi bakho. Ungaluphelisa uxinzelelo lokugula ngokujoyina iqela lokuxhasa umhlaza. Ukwabelana nabanye abanamava afanayo kunye neengxaki kunokukunceda uzive ulilolo.

Buza umboneleli wakho okanye abasebenzi kwiziko lonyango lomhlaza ukuba bakuncede ufumane iqela lokuxhasa abantu abaye bafunyanwa benomhlaza wesibeleko.

Ukuxela kwakho kuxhomekeke kuhlobo kunye nenqanaba lesibeleko se-uterine owawunaso xa wanyangwa. Ngomhlaza ongazange usasazeke, ubuncinci abantu aba-2 kwaba-3 abanomhlaza emva kweminyaka emi-5. Inani liyehla xa umhlaza sele uqalile ukusasazeka kwaye kuba nzima ukunyanga.

I-steroma yesibeleko ayisoloko ifunyanwa kwangoko, ngenxa yoko, isigxina asisihle. Umboneleli wakho unokukunceda uqonde imbonakalo yohlobo lomhlaza wakho.

Iingxaki zinokubandakanya:

• Ukugqobhoza (umngxunya) wesibeleko kunokwenzeka ngexesha le-D kunye no-C okanye i-endometrial biopsy
• Iingxaki ezivela kotyando, kwimitha, kunye nakwichemotherapy

Jonga umboneleli wakho ukuba unayo nayiphi na impawu yomhlaza wesibeleko.

Ngenxa yokuba isizathu asiyazi, akukho ndlela yokuthintela i-sarcoma ye-uterine. Ukuba unayo unyango lwe-radiation kwindawo yakho ye-pelvic okanye uthathe i-tamoxifen yomhlaza wesifuba, buza umboneleli wakho ukuba kufuneka uhlolwe kangaphi kwiingxaki ezinokwenzeka.

Ilayomyosarcoma; I-endometrial stromal sarcoma; Ii-sarcomas ezingafaniyo; Umhlaza wesibeleko - sarcoma; Isarcoma yesibeleko engafaniyo; Amathumba amxubileyo eMurlerian; Adenosarcoma - wesibeleko

I-Boggess JF, i-Kilgore JE kunye ne-Tran AQ. Umhlaza wesibeleko. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahl. 85.

I-Howitt BE, i-Nucci MR, i-Quade BJ. Zesisu mesenchymal yamathumba. Ku: ICrum CP, Nucci MR, Howitt BE, Granter SR, Parast MM, Boyd TK, ii-eds. Ukuchonga isifo seGynecologic kunye nePathology yePathology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2018: isahluko 20.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Unyango lwesibeleko sarcoma (PDQ) -uhlobo lobungcali kwezempilo. www.cancer.gov/types/uterine/hp/uterine-sarcoma-kunyanga-pdq. Ukuhlaziywa ngoDisemba 19, 2019. Ifikeleleke ngo-Okthobha 19, 2020.