ʻO nā mea āpau āu e ʻike ai e pili ana i ka maʻi ʻaʻai Endometrial (Uterine)

Anter

• He aha nā hōʻailona o ka maʻi ʻaʻai endometrial?
• He aha nā pae o ka maʻi ʻaʻai endometrial?
• Pehea e ʻike ʻia ai ka maʻi ʻaʻai endometrial?
• He aha nā hōʻailona no ka maʻi ʻaʻai endometrial?
• ʻOki kino
• Lapaʻau hoʻomākala
• ʻO Chemotherapy
• Hoʻoikaika Hormone
• Kākoʻo manaʻo
• He aha nā mea pilikia no ka maʻi ʻaʻai endometrial?
• Nā pae Hormone
• Hyperplasia Endometrial
• Momona
• Diabetes
• Mōʻaukala o ka maʻi ʻaʻai
• He aha ke kumu o ka maʻi ʻaʻai endometrial?
• He aha nā ʻano ʻano like ʻole o ka maʻi ʻaʻai endometrial?
• Pehea e hiki ai iā ʻoe ke hoʻohaʻahaʻa i kou makaʻi o ka maʻi ʻaʻai endometrial?
• ʻO ka lawe lawe ʻana

He aha ka maʻi ʻaʻai Endometrial?

ʻO ka maʻi ʻaʻai endometrial kahi ʻano o ka maʻi ʻaʻai uterine e hoʻomaka i ka pale o loko o ka kōpū. Kapa ʻia kēia uhi ka endometrium.

Wahi a ka National Cancer Institute, ma kahi o 3 i 100 mau wahine e ʻike ʻia me ka maʻi ʻaʻai uterine i kekahi manawa i ko lākou ola. Ma mua o 80 pākēneka o ka poʻe me ka maʻi ʻaʻai uterine e ola ana no ʻelima mau makahiki a ʻoi paha ka lōʻihi ma hope o ka loaʻa ʻana o ka hōʻailona.

Inā loaʻa ʻoe i ka maʻi ʻaʻai endometrial, hoʻonui ka hōʻoia mua a me ka mālama ʻana i kāu manawa o ke kala.

He aha nā hōʻailona o ka maʻi ʻaʻai endometrial?

ʻO ka ʻōuli maʻamau o ka maʻi ʻaʻai endometrial ka holo ʻana o ka maʻi kōā. Hiki i kēia ke komo:

• nā loli i ka lōʻihi a i ʻole ke kaumaha o nā wā menstrual
• kahe koko a i ʻole ke kiko ʻana ma waena o nā manawa menstrual
• kahe koko hope ma hope o ka menopause

ʻO nā ʻōuli ʻē aʻe o ka maʻi ʻaʻai endometrial me:

• hoʻoheheʻe wai a i ʻole ke koko
• ʻeha ma ka ʻōpū o lalo a i ʻole pelvis
• ʻeha i ka wā o ka moekolohe

Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e hoʻopaʻa i kāu manawa me kāu kauka. ʻAʻole pono kēia mau ʻōuli i hōʻailona no ke kūlana koʻikoʻi, akā he mea nui e nānā iā lākou.

Hoʻokumu pinepine ʻia ke kahe ʻana o ka maʻi maʻamau e ka menopause a i ʻole nā ​​ʻano maʻi ʻole ʻē aʻe. Akā i kekahi mau hihia, he hōʻailona ia o ka maʻi ʻaʻai endometrial a i ʻole nā ​​ʻano maʻi ʻaʻai gynecological.

Hiki i kāu kauka ke kōkua iā ʻoe e ʻike i ke kumu o kāu mau hōʻailona a hōʻoia i ka lāʻau kūpono, inā pono.

He aha nā pae o ka maʻi ʻaʻai endometrial?

I ka hala ʻana o ka manawa, hiki i ka maʻi ʻaʻai endometrial ke hoʻolaha ʻia mai ka uterus i nā ʻāpana ʻē aʻe o ke kino.

Hoʻokaʻawale ʻia ka maʻi ʻaʻai i ʻehā mau pae e pili ana i ka nui a me ka ulu ʻana paha.

• Kahua 1: Aia wale ka maʻi ʻaʻai i loko o ka kōpū.
• Kahua 2: Aia ka maʻi ʻaʻai i loko o ka kōpū a me ka cervix.
• Kahua 3: Ua pālahalaha ʻia ka maʻi ʻaʻai ma waho o ka kōpū, akā ʻaʻole naʻe a hiki i kahi o ke kīʻaha a me ka ʻai. Aia paha ia i nā paipu fallopian, nā ovaries, nā ʻōpala, a me / a i ʻole nā ​​lymph node kokoke.
• Kahua 4: Ua pālahalaha ka maʻi ʻaʻai ma ʻō aku o ka ʻāpana pelvic. Aia paha ia i loko o ka puhā, ke kika, a me / a i ʻole nā ​​aʻa a me nā meaola mamao.

Ke kuhi ʻia kahi kanaka me ka maʻi ʻaʻai endometrial, hoʻopili ka pae o ka maʻi ʻaʻai i ka mea e loaʻa ai nā koho lapaʻau a me ka nānā wā lōʻihi. ʻOi aku ka maʻalahi o ka maʻi ʻaʻai Endometrial e mālama i nā wā mua o ke ʻano.

Pehea e ʻike ʻia ai ka maʻi ʻaʻai endometrial?

Inā hoʻomohala ʻoe i nā ʻōuli e hiki paha i ka maʻi ʻaʻai endometrial, hana i kahi manawa me kāu kauka mālama mua a gynecologist paha. ʻO kahi gynecologist kahi ʻano kauka kūikawā e kia ana i ka ʻōnaehana hānau wahine.

E nīnau aku kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. E hana lākou i kahi hōʻike pelvic e nānā a ʻike no nā mea kūpono ʻole i loko o kou kōpū a me nā mea hānau hānau ʻē aʻe. No ka nānā ʻana i nā tumors a i ʻole nā ​​mea ʻē aʻe ʻē aʻe, kauoha paha lākou i kahi hōʻike ultrasound transvaginal.

ʻO kahi hōʻike ultrasound kahi ʻano hōʻike kiʻi e hoʻohana i nā nalu kani e hana i nā kiʻi o loko o kou kino. E hana i kahi ultrasound transvaginal, e hoʻokomo kāu kauka a i ʻole ʻoihana olakino ʻē aʻe i kahi ʻimi ultrasound i loko o kāu wahine. E hoʻouna ana kēia ʻimi i nā kiʻi i kahi monitor.

Inā ʻike kāu kauka i nā mea kūpono ʻole i ka wā o ka hōʻike ultrasound, hiki iā lākou ke kauoha i hoʻokahi a ʻoi paha o nā hōʻike aʻe e hōʻiliʻili i kahi laʻana o nā kikoola no ka hoʻāʻo ʻana.

• ʻO ka biopsy endometrial: I kēia hoʻāʻo, hoʻokomo kāu kauka i kahi paipu wīwī lahilahi ma o kou cervix i loko o kou kōpū. Pili lākou i ka omo e hoʻoneʻe i kahi ʻāpana o nā kiko mai kou endometrium ma o ka paipu.
• Hysteroscopy: I kēia kaʻina hana, hoʻokomo kāu kauka i kahi paipu wīwī lahilahi me kahi kāmela fiber-optic ma o kou cervix i loko o kou kōpū. Hoʻohana lākou i kēia endoscope e nānā pono ai i kāu endometrium a me nā laʻana biopsy o nā pono ʻole.
• Hoʻonui a me curettage (D & C): Inā maopopo ʻole nā ​​hopena o kahi biopsy, e hōʻiliʻili paha kāu kauka i kahi laʻana o nā kiko endometrial e hoʻohana ana iā D & C. E hana pēlā, hoʻolahalaha lākou i kou cervix a hoʻohana i kahi mea hana kūikawā e ʻokiʻoki i nā mea mai kāu endometrium.

Ma hope o ka hōʻiliʻili ʻana i kahi hāpana o ke kiko mai kou endometrium, e hoʻouna kāu kauka iā ia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. E nānā kahi loea loea i kahi laʻana ma lalo o kahi microscope e aʻo inā loaʻa nā hunaola maʻi ʻaʻai.

Inā loaʻa ʻoe i ka maʻi ʻaʻai endometrial, e kauoha paha kāu kauka i nā hoʻokolohua hou aku e aʻo inā ua laha ka maʻi ʻaʻai. ʻO kahi laʻana, kauoha paha lākou i nā hoʻokolohua koko, nā hoʻāʻo x-ray, a i ʻole nā ​​hōʻike kiʻi ʻē aʻe.

He aha nā hōʻailona no ka maʻi ʻaʻai endometrial?

Loaʻa nā koho lapaʻau he nui no ka maʻi ʻaʻai endometrial. ʻO ka papa hana lapaʻau i koi ʻia a kāu kauka e kaukaʻi ʻia i ka subtype a me ke kahua o ka maʻi ʻaʻai, a me kou olakino a me nā makemake pilikino.

Aia nā pōmaikaʻi kūpono a me nā pilikia e pili ana i kēlā me kēia koho lapaʻau. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻomaopopo i nā pōmaikaʻi kūpono a me nā pilikia o kēlā me kēia hoʻokokoke.

ʻOki kino

Mālama pinepine ʻia ka maʻi ʻaʻai Endometrial me kahi ʻano o ke ʻoki i kapa ʻia ʻo hysterectomy.

I ka manawa o ka hysterectomy, hoʻopau kahi lāʻau lapaʻau i ka kōpū. Hiki iā lākou ke wehe i nā ovaries a me nā paipu fallopian, i kahi hana i ʻike ʻia ma ke ʻano he salpingo-oophorectomy bilateral (BSO). Hana pinepine ʻia ʻo Hysterectomy a me BSO i ka hana like.

No ke aʻo ʻana inā ua laha ka maʻi ʻaʻai, e hoʻoneʻe nō hoʻi ke kauka lāʻau lapaʻau i nā lymph node kokoke. ʻIke ʻia kēia ma ke ʻano he lymph node dissection a i ʻole lymphadenectomy.

Inā ua pālahalaha ka maʻi ʻaʻai i nā wahi ʻē aʻe o ke kino, e paipai paha ke kauka iā ʻoe he ʻoki hou aʻe.

Lapaʻau hoʻomākala

Hoʻohana ka radiation radiation i nā kaola ikaika loa e pepehi i nā hunaola maʻi ʻaʻai.

Aia ʻelua ʻano nui o ka radiation therapy i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai endometrial:

• Pāhawewe kūwaho hoʻi: Hoʻomoe kahi mīkini kūwaho i nā kaola o ka pāhawewe ma ka kōpū mai waho o kou kino.
• Lapaʻau pāhawewe Inc: Hoʻokomo ʻia nā mea radioactive i loko o ke kino, i ka ʻōpala a i ʻole ka uterus. ʻIke ʻia kēia ʻo brachytherapy.

Koi paha kāu kauka i hoʻokahi a i ʻole ʻelua ʻano o radiation radiation ma hope o ke kaha ʻana. Hiki i kēia ke kōkua i ka pepehi ʻana i nā hunaola maʻi ʻaʻai i koe ma hope o ka ʻoki ʻana.

I nā hihia maʻamau, koi paha lākou i ka radiation radiation ma mua o ke kaha ʻana. Hiki i kēia ke kōkua i ka hōʻemi i nā tumors i mea e maʻalahi ai ka wehe ʻana.

Inā ʻaʻole hiki iā ʻoe ke hoʻokukia ma muli o nā ʻano olakino ʻē aʻe a i ʻole olakino olakino olakino olakino, e ʻōlelo paha kāu kauka i ka radiation radiation ma ke ʻano o kāu lapaʻau nui.

ʻO Chemotherapy

Hoʻokomo ʻo Chemotherapy i ka hoʻohana ʻana i nā lāʻau e make ai i nā hunaola maʻi ʻaʻai. ʻO kekahi ʻano o ka mālama ʻana i ka chemotherapy e hoʻopili i hoʻokahi lāʻau, ʻoiai kekahi e pili ana i ka hui pū ʻana o nā lāʻau. Kaukaʻi ʻia i ke ʻano o ka chemotherapy i loaʻa iā ʻoe, aia paha nā lāʻau i loko o ka pila pill a i ʻole hāʻawi ʻia ma o ka laina intravenous (IV).

Koi paha kāu kauka iā chemotherapy no ka maʻi ʻaʻai endometrial i pāhola ʻia i nā wahi ʻē aʻe o ke kino. Paipai paha lākou i kēia ala lapaʻau no ka maʻi ʻaʻai endometrial i hoʻi mai ma hope o ka mālama ʻana.

Hoʻoikaika Hormone

Hoʻopili ka Hormone therapy i ka hoʻohana ʻana o nā hormones a i ʻole nā ​​lāʻau lapaʻau-hormonone e hoʻololi ai i nā pae o ke kino o ke kino. Hiki i kēia ke kōkua i ka lohi o ka ulu ʻana o nā hunaola maʻi ʻaʻai endometrial.

E paipai paha kāu kauka i ka hoʻomaʻamaʻa hormonone no ka pae III a i ʻole ke kanulau IV endometrial cancer. Paipai paha lākou iā ia no ka maʻi ʻaʻai endometrial i hoʻi mai ma hope o ka lapaʻau ʻana.

Hoʻohui pinepine ʻia ʻo Hormone therapy me ka chemotherapy.

Kākoʻo manaʻo

Inā loaʻa iā ʻoe kahi pilikia e pale i ka naʻau me kāu ʻike maʻi ʻaʻai a i ʻole lapaʻau paha, e hoʻomaopopo i kāu kauka. He mea maʻamau ka paʻakikī o ka poʻe i ka mālama ʻana i nā hopena o ka naʻau a me ka noʻonoʻo o ka noho ʻana me ka maʻi ʻaʻai.

Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi hui kākoʻo pūnaewele a kanaka paha no ka poʻe me ka maʻi ʻaʻai. Hiki paha iā ʻoe ke hōʻoluʻolu e hoʻohui me nā poʻe ʻē aʻe e hele nei i nā ʻike like me ʻoe.

E kuhikuhi paha kāu kauka iā ʻoe i kahi loea olakino noʻonoʻo no ka ʻōlelo aʻoaʻo. Hiki i ke kanaka hoʻokahi a i ʻole ka hui therapy ke kōkua iā ʻoe e hoʻokele i ka psychological a me nā hopena o ka nohona me ka maʻi ʻaʻai.

He aha nā mea pilikia no ka maʻi ʻaʻai endometrial?

Hoʻonui ka makaʻu o ka maʻi ʻaʻai endometrial me ka makahiki. ʻO ka nui o nā hihia o ka maʻi ʻaʻai endometrial e ʻike ʻia ma waena o nā makahiki o 45 a me 74 mau makahiki, i hōʻike ʻia e ka National Cancer Institute.

Hiki i kekahi mau kumu pilikia ʻē aʻe ke hāpai i ka makaʻu o ka maʻi ʻaʻai endometrial, me:

• nā loli i ka pae hormonone wahine
• kekahi mau kūlana olakino
• moʻolelo ʻohana o ka maʻi ʻaʻai

Nā pae Hormone

ʻO ka Estrogen a me ka progesterone nā homone wahine e hoʻopili i ke olakino o kāu endometrium. Inā hoʻololi ke kaulike o kēia mau hormona i ka piʻi ʻana o ka pae estrogen, hoʻāla ia i kou makaʻu i ka ulu ʻana i ka maʻi ʻaʻai endometrial.

Hiki i kekahi mau ʻāpana o kāu mōʻaukala olakino ke hoʻopili i kāu pae hormonone wahine a me ka makaʻu o ka maʻi kanesa endometrial, e like me:

• Nā makahiki o ka menstruation: ʻO ka nui o nā manawa menstrual i loaʻa iā ʻoe i kou ola, ʻo ka nui o ka hōʻike ʻana i kou kino i ka estrogen. Inā loaʻa iā ʻoe kou wā ma mua ma mua o kou 12 mau makahiki a i ʻole hele ʻoe ma waena o ka menopause i ka hopena o ke ola, e hoʻonui ʻia paha ʻoe i ka maʻi ʻaʻai endometrial.
• Mōʻaukala o ka hāpai keiki: I ka wā o ka hāpai ʻana, neʻe ke kaulike o nā hormones i ka progesterone. Inā ʻaʻole ʻoe i hāpai, hoʻonui ʻia kou manawa o ka hoʻomōhala ʻana i ka maʻi ʻaʻai endometrial.
• ʻO Polycystic ovarian syndrome (PCOS): I kēia maʻi hormonal, kiʻekiʻe nā pae estrogen a haʻahaʻa haʻahaʻa nā progesterone. Inā loaʻa iā ʻoe kahi moʻolelo o PCOS, hoʻonui ʻia kou manawa o ka loaʻa ʻana i ka maʻi ʻaʻai endometrial.
• Nā kūpuna pūnaewele Granulosa:ʻO nā tumulā pūnaewele Granulosa kekahi ʻano ʻōiwi ovarian e hoʻokuʻu i ka estrogen. Inā loaʻa iā ʻoe kekahi o kēia mau tumors, hoʻāla ia i kou makaʻu o ka maʻi ʻaʻai endometrial.

Hiki i kekahi ʻano lāʻau ke hoʻololi i ke kaulike o ka estrogen a me ka progesterone i kou kino, e like me:

• Estrogen replacement therapy (ERT): Hoʻohana ʻia ʻo ERT i kekahi manawa e mālama i nā hōʻailona o ka menopause. ʻAʻole like me nā ʻano ʻē aʻe o ka hoʻōla hormonone (HRT) e hoʻohui i ka estrogen a me ka progesterone (progestin), hoʻohana ʻo ERT i ka estrogen wale nō a hoʻāla i kou makaʻi o ka maʻi ʻaʻai endometrial.
• ʻO Tamoxifan: Hoʻohana ʻia kēia lāʻau e kōkua e pale a mālama i kekahi ʻano o ka maʻi ʻaʻai umauma. Hiki iā ia ke hana e like me ka estrogen i loko o kāu kōpū a hāpai i ka makaʻu maʻi endometrial.
• ʻO nā mea pale waha (nā lāʻau kaohi hānau): ʻO ka lawe ʻana i nā lāʻau kaohi hānau e hoʻemi ana i kou makaʻi o ka maʻi ʻaʻai endometrial. ʻO ka lōʻihi o kāu lawe ʻana iā lākou, ʻo ka hoʻohaʻahaʻa ʻana i kou makaʻi o ka maʻi ʻaʻai endometrial.

ʻO nā lāʻau e hoʻāla i kou makaʻi o ka maʻi ʻaʻai endometrial e hoʻoliʻiliʻi i kou makaʻi o kekahi mau ʻano ʻē aʻe. ʻO ka mea ʻāpiki, nā lāʻau e hoʻohaʻahaʻa i kou makaʻi o ka maʻi ʻaʻai endometrial e hoʻāla i kou makaʻi o kekahi mau ʻano.

Hiki i kāu kauka ke kōkua iā ʻoe e kaupaona i nā pono kūpono a me nā pilikia o ka lawe ʻana i nā lāʻau like ʻole, e like me ERT, tamoxifan, a i ʻole nā ​​lāʻau hoʻomalu hānau.

Hyperplasia Endometrial

ʻO ka hyperplasia endometrial kahi ʻano maʻi ʻaʻai ʻole, kahi e mānoanoa ai kāu endometrium. I kekahi mau hihia, hele wale i kāna iho. I nā hihia ʻē aʻe, hiki ke mālama ʻia me HRT a i ʻole ke ʻoki kino.

Inā haʻalele ʻole ʻia, hyperplasia endometrial i kekahi manawa e ulu a lilo i maʻi ʻaʻai endometrial.

ʻO ka ʻōuli maʻamau o ka hypertrasia endometrial ka maʻi koko ʻole.

Momona

Wahi a ka American Cancer Society, ʻo nā wahine i ʻoi kaupaona (BMI 25 a 29.9) ʻelua mau manawa e hoʻomohala i ka maʻi ʻaʻai endometrial ma ke ʻano he wahine ʻaʻole kaumaha nui. ʻO ka poʻe me ka momona (BMI> 30) ʻoi aku ma mua o ʻekolu mau manawa e hoʻomohala i kēia ʻano maʻi ʻaʻai.

Hōʻike paha kēia i nā hopena i loaʻa i ka momona o ke kino ma nā pae estrogen. Hiki i nā mea momona ke hoʻolilo i kekahi ʻano o nā hormones (androgens) i estrogen. Hiki i kēia ke hāpai i ka pae o ka estrogen i ke kino, e hoʻonui ana i ka makaʻu o ka maʻi ʻaʻai endometrial.

Diabetes

ʻO nā wahine me ka maʻi diabetes type 2 paha ma kahi o ʻelua mau manawa e hoʻomohala i ka maʻi ʻaʻai endometrial ma mua o ka poʻe me ka ʻole diabetes, e aʻo aku i ka American Cancer Society.

Eia naʻe, ʻaʻohe maopopo i ke ʻano o kēia loulou. ʻO ka maʻi maʻamau ʻo 2 mau mea maʻamau i ka poʻe i kaupaona a i ʻole ka momona, a ʻo ia pū kekahi mea pilikia no ka maʻi ʻaʻai endometrial. ʻO ke kiʻekiʻe o ka momona o nā kānaka me ka maʻi diabetes type 2 no ka hoʻonui ʻia o ka makaʻu o ka maʻi ʻaʻai endometrial.

Mōʻaukala o ka maʻi ʻaʻai

Hiki paha iā ʻoe ke hoʻomohala i ka maʻi ʻaʻai endometrial inā loaʻa nā lālā ʻē aʻe o kou ʻohana.

Hoʻonui pū kekahi ʻoe i ka maʻi ʻaʻai endometrial inā loaʻa iā ʻoe kahi moʻolelo ʻohana o ka maʻi ʻo Lynch. Hoʻokumu ʻia kēia ʻano e nā hoʻololi ʻana i hoʻokahi a ʻoi paha o nā ʻāpana e hoʻoponopono ai i kekahi mau hewa i ka hoʻomohala ʻana o ka pūnaewele.

Inā loaʻa iā ʻoe nā hoʻololi kūlohelohe e pili pū ana me ka maʻi ʻo Lynch, hoʻonui nui ia i kou makaʻu o kekahi ʻano maʻi ʻaʻai, me ka maʻi ʻaʻai kolona a me ka maʻi ʻaʻai endometrial. Wahi a kahi loiloi i paʻi ʻia ma ka puke pai ʻo Genes, 40 a 60 paha pākēneka o nā wahine me ka maʻi ʻo Lynch e hoʻomōhala i ka maʻi ʻaʻai endometrial.

Inā ua loaʻa ʻoe i ka maʻi ʻaʻai umauma a i ʻole ka maʻi ʻaʻai ovarian i ka wā ma mua, ʻo ia paha ka mea e hāpai ai i kāu makaʻu o ka maʻi ʻaʻai endometrial. ʻO kekahi o nā mea weliweli no kēia mau maʻi maʻi. Hiki i ka radiation radiation ma kāu pelvis ke hoʻonui i kou manawa kūpono e ulu i ka maʻi ʻaʻai endometrial.

He aha ke kumu o ka maʻi ʻaʻai endometrial?

I ka hapanui o nā hihia, ʻike ʻole ʻia ke kumu kikoʻī o ka maʻi ʻaʻai endometrial. Eia nō naʻe, manaʻo ka poʻe loea i nā hoʻololi i ke kiʻekiʻe o ka estrogen a me ka progesterone i ke kino e pāʻani pinepine i kahi ʻāpana.

Ke loli nā pae o kēlā mau moekolohe wahine, hoʻopili ia i kāu endometrium. Ke hoʻololi ke kaulike i ka piʻi ʻana o ka pae o ka estrogen, kumu ia i nā pūnaewele endometrial e māhele a hoʻonui.

Inā kū kekahi mau hoʻololi kūlohelohe i nā hunaola endometrial, lilo lākou i maʻi ʻaʻai. Hoʻonui wikiwiki a ulu kēlā mau hunaola maʻi a lilo i tumo.

Ke aʻo mau nei nā ʻepekema i nā loli e hiki ai i nā kinikini endometrial maʻamau e lilo i mau hunaola maʻi ʻino.

He aha nā ʻano ʻano like ʻole o ka maʻi ʻaʻai endometrial?

Ua hōʻike ʻo ʻAmelika Hui Pū ʻIa ʻAmelika ʻo ka hapanui o nā hihia o ka maʻi ʻaʻai endometrial he adenocarcinomas. ʻO Adenocarcinomas he mau maʻi ʻaʻai e hoʻomohala ʻia mai nāʻiʻo glandular. ʻO ke ʻano maʻamau o ka adenocarcinoma ka maʻi ʻaʻai endometrioid.

ʻO nā ʻano maʻamau o ka maʻi ʻaʻai endometrial me:

• uteine ​​carcinosarcoma (CS)
• carcinoma sele uila
• carcinoma liʻiliʻi liʻiliʻi
• carcinoma hoʻololi
• carcinoma serous

Hoʻokaʻawale ʻia nā ʻano ʻokoʻa o ka maʻi ʻaʻai endometrial i ʻelua ʻano nui:

• ʻAno 1 lohi e lohi i ka ulu ʻana a ʻaʻole hohola koke i nā mea ʻē aʻe.
• ʻAno 2 ʻoi aku ka ikaika o ka hakakā a ʻoi aku ka palahalaha ma waho o ka kōpū.

ʻOi aku ka maʻamau o nā ʻano ʻoi loa o ka maʻi ʻaʻai endometrial 1 ma mua o ka ʻano 2. ʻOi aku ka maʻalahi hoʻi o ka mālama ʻana.

Pehea e hiki ai iā ʻoe ke hoʻohaʻahaʻa i kou makaʻi o ka maʻi ʻaʻai endometrial?

Hiki i kekahi mau hoʻolālā ke kōkua iā ʻoe e hoʻohaʻahaʻa i kāu makaʻu o ka ulu ʻana i ka maʻi ʻaʻai endometrial:

• Mālama i kou kaumaha: Inā ʻoi aku ka momona a momona paha ʻoe, ʻo ka lilo ʻana o ke kaupaona a me ka mālama ʻana i ka pohō kaumaha e hoʻoliʻiliʻi paha i kou maka o ka maʻi ʻaʻai endometrial. Pono e noiʻi hou e aʻo pehea ka hopena o ke kaupaona ʻana i ka hopena o ka maʻi ʻaʻai endometrial.
• E hele i ka hoʻoikaika kino mau: Ua hoʻopili ʻia ka hoʻoikaika kino i ka hopena haʻahaʻa o ka maʻi ʻaʻai endometrial. He mau pono olakino ʻē aʻe kekahi.
• E ʻimi i ka hoʻomaʻamaʻa no ka hoʻokahe ʻana i ka maʻi liʻiliʻi: Inā hoʻomohala ʻoe i ke kahe o ke kaʻi wahine āpau, e hoʻopaʻa i kahi manawa me kāu kauka. Inā hoʻokumu ʻia ke kahe e endometrial hyperplasia, e nīnau i kāu kauka e pili ana i nā koho lapaʻau.
• E noʻonoʻo i ka maikaʻi a me ka maikaʻi ʻole o ka hoʻōla hormonone: Inā ʻoe e noʻonoʻo e pili ana i ka hoʻohana ʻana iā HRT, e nīnau i kāu kauka e pili ana i nā pono kūpono a me nā pilikia o ka hoʻohana ʻana i ka estrogen wale nō me kahi hui o estrogen a me progesterone (progestin). Hiki iā lākou ke kōkua iā ʻoe e kaupaona i kēlā me kēia koho.
• E noi i kāu kauka e pili ana i nā pono kūpono o nā pale pale: Ua hoʻopili ʻia nā pilina hoʻomalu hānau a me nā pono intrauterine (IUD) i ka hoʻoliʻiliʻi o ka maʻi ʻaʻai endometrial. Hiki i kāu kauka ke kōkua iā ʻoe e aʻo e pili ana i nā pono kūpono a me nā pilikia o ka hoʻohana ʻana i kēia mau pale.
• E hoʻomaopopo i kāu kauka inā loaʻa iā ʻoe kahi moʻolelo o Lynch Syndrome: Inā loaʻa i kou ʻohana ka moʻolelo o Lynch Syndrome, hiki i kāu kauka ke koi aku i ka hoʻāʻo genetic. Inā loaʻa iā ʻoe ka maʻi ʻo Lynch, paipai paha lākou iā ʻoe e noʻonoʻo i ka lawe ʻia ʻana o kou kōpū, nā ovaries, a me nā paipu fallopian e pale aku ai i ka maʻi ʻaʻai mai loko o kēlā mau ʻāpana.

ʻO ka lawe lawe ʻana

Inā loaʻa iā ʻoe nā ʻōuli e hiki ke lilo i hōʻailona o ka maʻi ʻaʻai endometrial a i ʻole kahi ʻano gynecological ʻē aʻe, e hoʻopaʻa i kāu manawa me kāu kauka. Hiki ke kōkua i ka hōʻoia mua a me ka lāʻau ʻana e hoʻomaikaʻi i kāu kuana wā lōʻihi.