Maʻi ʻaʻai Ovarian

ʻO ka maʻi ʻaʻai ʻōvarian ka maʻi ʻaʻai e hoʻomaka i nā ovaries. ʻO nā ovaries nā mea hānau hānau wahine e hua i nā hua.

ʻO ka maʻi ʻaʻai ʻōiwi ka lima o ka maʻi ʻaʻai nui ma waena o nā wahine. Hoʻonui ia i nā make ma mua o nā ʻano like ʻole o ka maʻi ʻaʻa wahine.

ʻAʻole ʻike ʻia ke kumu o ka maʻi ʻaʻai ovarian.

ʻO nā pilikia o ka hoʻomohala ʻana i ka maʻi ʻaʻai ovarian e hoʻopili i kekahi o kēia mau mea:

• ʻO ka liʻiliʻi o nā keiki a ka wahine a ʻo ka hope ma hope o kona ola ʻana, ʻo ia ke kiʻekiʻe o kona makaʻu no ka maʻi ʻaʻai ovarian.
• ʻO nā wahine i loaʻa i ka maʻi ʻaʻai umauma a i ʻole ka moʻolelo ʻohana o ka umauma a i ʻole ka maʻi ʻaʻai ovarian i hoʻonui i ka makaʻu no ka maʻi ʻaʻai ovarian (ma muli o nā kīnā o nā genes e like me BRCA1 a i ʻole BRCA2).
• ʻO nā wahine e lawe wale i ka estrogen (ʻaʻole me ka progesterone) no 5 mau makahiki a ʻoi paha ka nui o ka makaʻu no ka maʻi ʻaʻai ovarian. ʻO nā lāʻau kaohi hānau, eia naʻe, e hōʻemi i ka makaʻu no ka maʻi ʻaʻai ovarian.
• ʻAʻole hoʻonui ka lāʻau lapaʻau momona i ka makaʻu no ka maʻi ʻaʻai ovarian.
• Aia nā wahine i ka makaʻu kiʻekiʻe loa i ka ulu ʻana i ka maʻi ʻaʻai ovarian. ʻO ka hapa nui o nā make mai ka maʻi ʻaʻai ovarian e kū i nā makahiki 55 a ʻoi.

ʻIke pinepine ʻole ʻia nā ʻōuli maʻi ʻōkoki ʻovarian. Hoʻopiʻi pinepine nā wahine a me kā lākou mau kauka i nā ʻōuli ma nā mea ʻē aʻe, i ʻike pinepine ʻia. I ka manawa e ʻike ʻia ai ka maʻi ʻaʻai, ua pālahalaha pinepine ka tumo ma ʻō aku o nā ovaries.

E ʻike i kāu kauka inā loaʻa iā ʻoe kēia mau ʻōuli i kēlā me kēia lā no nā mea i ʻoi aku i kekahi mau pule.

• ʻO Bloating a ʻōhū paha i ka wahi o ka ʻōpū
• Paʻa i ka ʻai ʻana a i ʻole ka piha wikiwiki ʻana (māʻona mua)
• Pelvic a i ʻole ka ʻeha o ka ʻōpū o lalo (kahi e manaʻo "kaumaha")
• ʻEha kua
• Nā pehu lymph pehu i ke aʻa

Nā ʻōuli ʻē aʻe i hiki ke hana ʻia:

• ʻO ka ulu lauoho lauoho nui ākea a pouli hoʻi
• Hoʻoikaika koke e urino
• Pono e mimi hou pinepine ma mua o ka mau (hoʻonui urinary alapine (frequency) a urency)
• Konipōpō

He maʻa mau paha ka hoʻokolohua kino. Me ka maʻi ʻaʻai ovarian holomua, loaʻa i ke kauka kahi ʻōpū pehu pinepine ma muli o ka hōʻiliʻili ʻana o ka wai (ascites).

Hōʻike kahi loiloi pelvic i kahi nui ovarian a i ʻole ʻōpū.

ʻAʻole manaʻo ʻia kahi hōʻike hōʻike CA-125 i hōʻike maikaʻi loa no ka maʻi ʻaʻai ovarian. Akā, hiki ke hana ʻia inā loaʻa i ka wahine:

• Nā ʻōuli o ka maʻi ʻaʻai ovarian
• Ua ʻike mua ʻia me ka maʻi ʻaʻai ovarian e hoʻoholo ai i ka maikaʻi o ka mālama ʻana

Nā hoʻokolohua ʻē aʻe i hana ʻia e hoʻopili ʻia:

• Helu piha o ke koko a me ke kemika o ke koko
• Hōʻike hāpai hāpai (HCG serum)
• CT a MRI paha o ka pelvis a i ʻole ka ʻōpū
• Ultrasound o ke pelvis

ʻO ke kaha, e like me laparoscopy a i ʻole exploratory laparotomy, hana pinepine ʻia e ʻike i ke kumu o nā hōʻailona. E hana ʻia kahi biopsy e kōkua i ka hana ʻana i ke kuhi.

ʻAʻole hōʻike ʻia kahi hōʻike lab a i ʻole kiʻi kiʻi hiki ke kānana kūleʻa a hōʻoia paha i ka maʻi ʻaʻai ovarian i kona wā mua, no laila ʻaʻole koi ʻia nā hoʻokolohua kānana maʻamau i kēia manawa.

Hoʻohana ʻia ke ʻoki kino e mālama i nā pae āpau o ka maʻi ʻaʻai ovarian. No nā pae mua, ʻo ke ʻoki wale nō ka lāʻau e pono ai. Pili paha ke ʻoki kino i ka hemo ʻana o nā ovaries a me nā tuba fallopian, ka pūpū, a i ʻole nā ​​hanana ʻē aʻe i loko o ka ʻōpū a i ʻole pelvis. ʻO nā pahuhopu o ke ʻoki ʻana no ka maʻi ʻaʻai ovarian:

• Nā laʻana e ʻike ʻia nā wahi e ʻike ai inā ua laha ke kanesa.
• Wehe i nā wahi o ka palahalaha hoʻolaha (debulking)

Hoʻohana ʻia ʻo Chemotherapy ma hope o ke kaha ʻana e mālama i nā maʻi ʻaʻai i koe. Hiki ke hoʻohana ʻia ʻo Chemotherapy inā hoʻi mai ke kanesa (relapses). Hāʻawi pinepine ʻia ʻo Chemotherapy (ma o kahi IV). Hiki iā ia ke hoʻokomo pono ʻia i loko o ka ʻōpū o ka ʻōpū (intraperitoneal, a i ʻole IP).

Hoʻohana liʻiliʻi ʻia ka radiation radiation e mālama i ka maʻi ʻaʻai ovarian.

Ma hope o ke kaha ʻana a me ka chemotherapy, e hāhai i nā ʻōkuhi e pili ana i ka manawa pinepine āu e ʻike ai i kāu kauka a me nā hoʻokolohua āu e pono ai.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

ʻAʻole ʻike iki ʻia ka maʻi ʻaʻai ʻōvarian i kona wā mua. Hoʻonui pinepine ʻia ia e ka manawa i loaʻa ai ka diagnostics:

• Ma kahi kokoke i hoʻokahi hapalua o nā wahine e noho lōʻihi ma mua o 5 mau makahiki ma hope o ka ʻike
• Inā kuhi ʻia ke kuhi ma mua o ka maʻi a loaʻa ʻia ka lāʻau ma mua o ka hoʻolaha ʻana o ka maʻi ʻaʻai ma waho o ka ovary, kiʻekiʻe ka helu ola 5 mau makahiki.

Kāhea aku i kāu kahu mālama ola inā he wahine ʻoe 40 makahiki a ʻoi paha i loaʻa ʻole kahi hoʻokolohua pelvic. Paipai ʻia nā hōʻike pelvis maʻamau no nā wahine āpau he 20 mau makahiki a ʻoi paha.

Kāhea i kahi manawa me kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka maʻi ʻaʻai ovarian.

ʻAʻohe ʻōlelo koi no ke kānana ʻana i nā wahine me ka ʻole o nā ʻōuli (asymptomatic) no ka maʻi ʻaʻai ovarian. Pelvic ultrasound a i ʻole ke hoʻāʻo ʻana i ke koko, e like me CA-125, ʻaʻole i loaʻa he maikaʻi a koi ʻole ʻia.

ʻO ka hoʻāʻo genetic no ka BRCA1 a i ʻole BRCA2, a i ʻole nā ​​genes e pili ana i ka maʻi ʻaʻai, e koi ʻia no nā wahine i ka makaʻu nui no ka maʻi ʻaʻai ovarian. He mau wahine kēia i loaʻa i ka mōʻī pilikino a ʻohana paha o ka umauma a i ʻole ka maʻi ʻaʻai ovarian.

Ke hoʻoneʻe nei i nā ovaries a me nā paipu fallopian a me ka uterus paha i nā wahine i hōʻoiaʻiʻo ʻia i ka gen BRCA1 a i ʻole BRCA2 e hōʻemi paha i ka pilikia o ka ulu ʻana i ka maʻi ʻaʻai ovarian. Akā, ulu paha ka maʻi ʻaʻai ovarian i nā wahi ʻē aʻe o ka pelvis.

Kanesa - ovaries

• Pāhawewe ʻōpū - hoʻokuʻu
• Chemotherapy - he aha e nīnau aku ai i kāu kauka
• Pāhawewe pelvic - hoʻokuʻu

• Anatomia hānau wahine
• ʻO Ascites me ka maʻi ʻaʻai ovarian - CT scan
• Peritoneal a me ovarian cancer, CT scan
• Nā pilikia o ka maʻi ʻaʻai ʻōvarian
• Hopohopo ulu ovarian
• Uterus
• Maʻi ʻaʻai Ovarian
• ʻO ka metastasis maʻi ʻaʻai ovarian

Coleman RL, Liu J, Matsuo K, Thaker PH, Westin SN, Sood AK. ʻO Carcinoma o nā ovaries a me nā paipu fallopian. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 86.

Coleman RL, Ramirez PT, Gershenson DM. Nā maʻi Neoplastic o ka ovary: ke kānana ʻana, ke ʻano maikaʻi a me ka ʻino epithelial a me nā neoplasms cell germ, nā kūpuna stromal strap. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 33.

Pūnaewele ʻo National Cancer Institute. Hoʻololi ʻo BRCA: ka makaʻu maʻi ʻaʻai a me nā hoʻokolohua kūlohelohe. www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet. Hoʻohou Nowemapa 19, 2020. Loaʻa iā Ianuali 31, 2021.