Nā Koina Hoʻomalu Kanaka Ovarian

Anter

• ʻOki kino no ka maʻi ʻaʻai ovarian
• Chemotherapy no ka maʻi ʻaʻai ovarian
• No ka maʻi ʻaʻai epithelial ovarian
• No ka maʻi ʻaʻai ovarian e hoʻomaka i nā hunaola germ
• No ka maʻi ʻaʻai ovarian e hoʻomaka i nā hunaola stromal
• Nā mālama chemotherapy maʻamau
• ʻO ka uila no ka maʻi ʻaʻai ovarian
• Hormone therapy no ka maʻi ʻaʻai ovarian
• Hoʻopaʻa kaulike ʻia no ka maʻi ʻaʻai ovarian
• Nā hoʻāʻo hoʻokolohua no ka maʻi ʻaʻai ovarian
• Nā hoʻoponopono hoʻoponopono no ka maʻi ʻaʻai ovarian
• Outlook

Ke hoʻolālā nei i kahi hoʻolālā mālama

Nui a hewahewa nā ala e hoʻokokoke ai i ka lapaʻau ʻana no ka maʻi ʻaʻai ovarian. No ka hapanui o nā wahine, he ʻoki kino ia. Hoʻohui pinepine ʻia kēia me ka chemotherapy, ka hoʻōla hormone, a i ʻole nā ​​lāʻau pahuhopu.

ʻO kekahi mau mea e kōkua i ke alakaʻi ʻana i ka mālama ʻana:

• kāu ʻano kikoʻī o ka maʻi ʻaʻai ovarian
• kou kahua ma ka hōʻoia
• inā ʻoe ma mua a ma hope paha o ka hope
• inā ʻoe e hoʻolālā e loaʻa nā keiki

E heluhelu aʻe e aʻo hou aʻe e pili ana i ka mālama ʻana i ka maʻi ʻaʻai ovarian a me nā mea a lākou e noi ai.

ʻOki kino no ka maʻi ʻaʻai ovarian

Pili nā koho ʻokiʻoki i ka lōʻihi o ka palahalaha ʻana o kou maʻi ʻaʻai.

No ka maʻi ʻaʻai ovarian mua, hiki paha ke mālama i ka momona. He mea nui e kūkākūkā me kāu kauka ma mua o kāu ʻoki ʻana.

Inā loaʻa ka maʻi ʻaʻai i hoʻokahi ovary wale nō, hiki i kāu kauka ke hemo iā ia a hemo hoʻi i ka paipu fallopian e pili ana ia. E hoʻomaʻamaʻa mau ʻoe a me ka menstruate ma muli o kāu ovary i koe, ke mālama nei i kāu koho e hāpai ai.

Ke ʻike ʻia ka maʻi ʻaʻai ma nā ovaries ʻelua, e hemo pū ʻia kāu mau ovaries a me nā paipu fallopian ʻelua. E hoʻonāukiuki kēia i ka menopause. Hiki i nā ʻōuli ke hoʻopili me nā kukuna wela, ka sweats o ka pō, a me ka maloʻo ʻana o ka ʻōpū. E ʻōlelo paha kāu kauka iā ʻoe e lawe i kāu uterus.

I ke kōkō ovarian pae mua, he koho paha ke kīʻaha laparoscopic liʻiliʻi. Hana ʻia kēia me kahi pahu paʻi wikiō a me nā mea lahilahi a lahilahi i hoʻokomo ʻia ma o nā ʻoki liʻiliʻi.

No ka maʻi ʻaʻai ovarian holomua hou aku, pono pono ke ʻoki ʻana i ʻōpū.

Hoʻohana ʻia kahi kaʻina hana i kapa ʻia ʻo debulking cytoreductive surgery e mālama ai i ka maʻi ʻaʻai ovarian pae 4. Hoʻopili ia i ka lawe ʻia ʻana o kāu mau ovaries a me nā paipu fallopian, me nā mea ʻē aʻe i hoʻopili ʻia. Hiki i kēia ke komo:

• uterus a me ka cervix
• pelvic lymph nodes
• nāʻaʻaʻa e uhi ai i kou naʻau a me nā ʻōpū o lalo
• ʻāpana o kāu diaphragm
• ʻōpū
• ʻāpala
• ake

Inā loaʻa ka wai i kāu wahi ʻōpū a i ʻole pelvis, hiki ke hoʻoneʻe ʻia a nānā ʻia no nā hunaola maʻi ʻaʻai pū kekahi.

Chemotherapy no ka maʻi ʻaʻai ovarian

ʻO Chemotherapy kahi ʻano o ka hoʻoponopono ʻōnaehana. Hele kēia mau lāʻau ikaika i loko o kou kino e ʻimi a luku i nā hunaola maʻi ʻaʻai. Hoʻohana ʻia ia ma mua o ke kaha ʻana e hōʻemi i nā tumors a i ʻole ma hope o ke kaha ʻana e luku i nā pūnaʻi maʻi ʻaʻai i koe.

Hiki ke hāʻawi ʻia i kēia mau lāʻau i loko o ka maʻi (IV) a i ʻole waha paha. Hiki iā lākou ke hoʻopili pono ʻia i loko o kou ʻōpū.

No ka maʻi ʻaʻai epithelial ovarian

Hoʻomaka ka maʻi ʻaʻai ovarian Epithelial i nā hunaola i ka uhi waho o kāu ovaries. Hoʻopili pinepine ka mālama ʻana ma ka liʻiliʻi i ʻelua mau lāʻau IV. Hāʻawi ʻia lākou i ʻekolu a ʻeono manawa, ʻekolu a ʻehā mau pule ma kahi kaawale. ʻO ka laʻana lāʻau maʻamau ʻo cisplatin a i ʻole carboplatin a me paclitaxel (Taxol) a i ʻole docetaxel (Taxotere).

No ka maʻi ʻaʻai ovarian e hoʻomaka i nā hunaola germ

I kekahi manawa hoʻomaka ka maʻi ʻaʻai ovarian i loko o kāu mau hunaola germ. ʻO kēia nā pūnaewele e hoʻokumu i nā hua. ʻO ka launa lāʻau i hoʻohana ʻia no nā tumors cell germ he cisplatin (Platinol), etoposide, a me bleomycin.

No ka maʻi ʻaʻai ovarian e hoʻomaka i nā hunaola stromal

Hiki nō ke hoʻomaka i ka maʻi ʻaʻai ʻōvarian i nā hunaola stromal. ʻO kēia nā pūnaewele e hoʻokuʻu i nā hormoni a hoʻohui i nāʻiʻo ovarian. Hoʻohana like paha kēia hui lāʻau no nā tumors cell germ.

Nā mālama chemotherapy maʻamau

ʻO kekahi mau chemotherapies ʻē aʻe no ka maʻi ʻaʻai ovarian:

• albuml-paʻa paclitaxel (Abraxane)
• altretamine (Hexalen)
• capecitabine (Xeloda)
• cyclophosphamide (Cytoxan)
• ʻO gemcitabine (Gemzar)
• ifosfamide (Ifex)
• irinotecan (Camptosar)
• liposomal doxorubicin (Doxil)
• melphalan (Alkeran)
• pemetrexed (Alimta)
• topotecan (Hycamtin)
• vinblastine (Velban)
• vinorelbine (Navelbine)

Hoʻololi nā hopena ʻē aʻe i ka hopena a me ka hoʻohui lāʻau. Pākuʻi ʻia lākou:

• nausea a me ka luaʻi
• nalo ʻai ʻole
• luhi
• poho lauoho
• ʻehaʻeha o ka waha a i ʻole nā ​​ʻaʻa koko
• ʻoi aku ka makaʻu o ka maʻi
• kahe kahe a ʻeha paha

ʻO ka hapa nui o kēia mau hopena ʻaoʻao ka manawa. Hiki i kāu kauka ke kōkua e hōʻemi iā lākou. ʻO nā hopena ʻē aʻe, e like me ka hōʻino ʻana o ka hakuʻala, hiki ke ʻoi aku ke koʻikoʻi a me ka lōʻihi. ʻOiai inā loaʻa iā ʻoe kekahi o kāu ovaries, hiki i ka chemotherapy ke alakaʻi i ka menopause mua.

ʻO ka uila no ka maʻi ʻaʻai ovarian

ʻO Radiation kahi lāʻau i hoʻomākaukau ʻia e hoʻohana ai i nā kukuna ikaika nui e luku i nā tumors. Hiki ke hāʻawi ʻia i waho a i loko paha.

ʻAʻole mālama ka radiation i ka maʻi maʻamau no ka maʻi ʻaʻai ovarian. Akā hiki ke hoʻohana ʻia i kekahi manawa:

• e kōkua i ka mālama ʻana i kahi hoʻi hou ʻana o kahi wahi
• e hoʻomāmā ai i ka ʻeha mai nā tumors nui e kū ʻole i ka chemotherapy
• ma ke ʻano he koho inā ʻaʻole hiki iā ʻoe ke hoʻomanawanui i ka chemotherapy

Ma mua o kāu mālama mua ʻana, pono ʻoe i kahi kau hoʻolālā e hoʻoholo ai i kāu hoʻonohonoho pono ʻana. ʻO ka pahuhopu e paʻi i ka tumo ʻoiai ka palena ʻana i ka hōʻino ʻana i nā mea olakino olakino. Hoʻohana ʻia nā mākia pinpoint i kekahi manawa e māka mau i kou ʻili.

ʻIke ʻia i ka hoʻonohonoho ʻana i kēlā me kēia manawa. ʻOiai hiki ke lawe i kahi manawa, ʻo ka lapaʻau maoli ʻana he mau minuke wale nō. ʻAʻole ʻeha ka kukuna, akā koi ia iā ʻoe e noho kūmau mau. Hāʻawi ʻia nā mālama ʻana he ʻelima mau lā i ka pule no ʻekolu a ʻelima mau pule.

Hoʻoholo pinepine nā hopena ʻē aʻe ke pau ka lapaʻau akā hiki ke hoʻopili ʻia:

• ʻulaʻula, ʻili huhū
• luhi
• pāhoehoe
• urination pinepine

Hormone therapy no ka maʻi ʻaʻai ovarian

ʻAʻohe mālama pinepine ʻia ʻo ka maʻi ʻaʻai Epithelial ovarian me ka hoʻōla hormonone. Hoʻohana pinepine ʻia ia no ka maʻi ʻaʻai stromal.

Hoʻohana ʻia nā agonists hormonone hoʻokuʻu Luteinizing-hormone e hoʻohaʻahaʻa i ka hana estrogen i nā wahine premenopausal. ʻElua o kēia mau goserelin (Zoladex) a me leuprolide (Lupron). Hāʻawi ʻia lākou i ke kuikahi i kēlā me kēia a i ʻekolu mau mahina. Hiki i kēia mau lāʻau ke hana i nā ʻōuli o ka menopause. Inā lawe ʻia i mau makahiki, hiki iā lākou ke hoʻonāwaliwali i kou mau iwi a hana i ka osteoporosis.

Hiki i ka Estrogen ke hoʻoikaika i ka ulu ʻana o ka tumo. Mālama kahi lāʻau i kapa ʻia ʻo tamoxifen i ka estrogen mai ka hoʻoulu ʻana i ka ulu. Hiki i kēia lāʻau ke kumu i nā ʻōuli o ka menopause.

Hiki i nā wahine postmenopausal ke lawe i nā mea kāohi aromatase, e like me anastrozole (Arimidex), exemestane (Aromasin), a me letrozole (Femara). Pā lākou i kahi enzyme e hoʻohuli i nā hormones ʻē aʻe i estrogen. Lawe ʻia kēia mau lāʻau lapaʻau waha i hoʻokahi manawa i ka lā. Nā hopena pili me:

• uila uila
• ʻeha puʻupuʻu a me nā ʻeha
• lahilahi o kou mau iwi

Hoʻopaʻa kaulike ʻia no ka maʻi ʻaʻai ovarian

ʻIke a hoʻololi nā lāʻau i hoʻomākaukau ʻia i nā ʻano kikoʻī o nā hunaola maʻi ʻaʻai i loaʻa ʻole i nā hunaola olakino. ʻAʻole lākou e hōʻemi iki i nā mea olakino olakino ma mua o ka chemotherapy a i ʻole nā ​​hoʻoponopono radiation waho.

Pono nā tumors i nā kīʻaha koko e ulu a pālahalaha. ʻO kahi lāʻau lapaʻau IV i kapa ʻia ʻo bevacizumab (Avastin) i hoʻolālā ʻia e hōʻoki i nā tumors mai ka hana ʻana i nā kīʻaha koko hou. Hāʻawi ʻia i kēlā me kēia ʻelua a i ʻekolu pule paha.

Hōʻike nā noiʻi e hiki i ka bevacizumab ke hoʻoliʻiliʻi i nā tumors a i ʻole ka lohi o ka neʻe ʻana o ka maʻi ʻōpala epithelial. Loaʻa nā hopena ʻē aʻe i:

• kahe koko kiʻekiʻe
• helu haʻahaʻa keʻokeʻo haʻahaʻa keokeo
• pāhoehoe

ʻO nā mea hoʻopale Poly (ADP-ribose) polymerase (PARP) he lāʻau lapaʻau waha. Hoʻohana ʻia lākou ke pili ʻia ka maʻi ʻaʻai ovarian BRCA hoʻololi kūʻē.

ʻElua o kēia mau mea, olaparib (Lynparza) a me rucaparib (Rubraca), hiki ke hoʻohana ʻia no ka maʻi ʻaʻai ovarian pae hope ma hope o ka hoʻāʻo ʻana i ka chemotherapy. Hoʻohana ʻia ʻo Olaparib e mālama i ka maʻi ʻaʻai ovarian hou i nā wahine me ka ʻole BRCA hoʻololi ʻana.

ʻO kekahi mea kāohi PARP, niraparib (Zejula), hiki ke hāʻawi ʻia i nā wahine me ka maʻi ʻaʻai ovarian hou, me a me ka ʻole o BRCA hoʻololi, ma hope o ka hoʻāʻo ʻana i ka chemotherapy.

Hiki i nā hopena o kēia mau lāʻau ke komo pū:

• nausea
• anemia
• ʻeha me ka ʻeha pū

Nā hoʻāʻo hoʻokolohua no ka maʻi ʻaʻai ovarian

Hoʻohālikelike nā hoʻokolohua hoʻokolohua i ka hoʻomaʻamaʻa maʻamau me nā therapies hou i hōʻoia ʻole ʻia no ka hoʻohana maʻamau. Hiki i nā hoʻokolohua hoʻokolohua ke hoʻopili i ka poʻe me kēlā me kēia pae o ka maʻi ʻaʻai.

E nīnau i kāu oncologist inā he koho maikaʻi nā ka hoʻokolohua hoʻokolohua nāu. Hiki iā ʻoe ke kipa i ka ʻikepili i hiki ke huli ʻia ma ClinicalTrials.gov no ka ʻike hou aku.

Nā hoʻoponopono hoʻoponopono no ka maʻi ʻaʻai ovarian

ʻIke paha ʻoe he mea kōkua e hoʻopiha i kāu mālama maʻi ʻaʻai me nā kōkua kōkua. ʻIke kekahi poʻe e hoʻomaikaʻi i ka maikaʻi o ke ola. E noʻonoʻo paha ʻoe i kekahi:

• ʻO Aromatherapy. Hiki i nā aila pono ke hoʻomaikaʻi i kou ʻano a hoʻoliʻiliʻi i ke koʻikoʻi.
• Noʻonoʻo. Hiki i nā ʻano hoʻomaha ke kōkua i ka hōʻoluʻolu i ka ʻeha a hoʻomaikaʻi i ka hiamoe.
• Hoʻoikaika lomilomi. Hiki i kēia lāʻau lapaʻau no kou kino ke kōkua i ka hoʻohaʻahaʻa i ke koʻikoʻi a hoʻomāmā i ka hopohopo a me ka ʻeha.
• Tai chi a me yoga. Nā hana noʻonoʻo-kino Nonaerobic e hoʻohana i ka neʻe, ka noʻonoʻo ʻana, a me ka hanu ʻana e hiki ke hoʻonui i kou olakino holoʻokoʻa.
• Hoʻomaʻamaʻa Art a me ka hoʻōla mele. Hiki ke kōkua iā ʻoe i nā puka makakū e hana me nā manaʻo o ka maʻi ʻaʻai a me ka lāʻau.
• Acupuncture. ʻO kēia ʻano lāʻau lapaʻau Kina kahi i kau ʻia ai nā nila kuiki i hiki ke hoʻokuʻu i ka ʻeha a me nā hōʻailona ʻē aʻe.

E nīnau me kāu kauka ma mua o ka hoʻāʻo ʻana i nā hoʻoponopono hou, ʻo ia hoʻi nā meaʻai a me nā mea hoʻowali lāʻau. Hiki i kēia mau mea ke launa pū me kāu mau lāʻau.

E makemake paha ʻoe e kūkākūkā me ke kauka mālama palliative. Hana pū kēia mau loea me kāu hui oncology e hāʻawi i ka hōʻailona hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.

Outlook

ʻO ka helu ola ʻelima mau makahiki e ola ai no ka maʻi ʻaʻai ovarian he 45 pakeneka.

Hoʻololi nā helu ola e like me ke ʻano kikoʻī o ka maʻi ʻaʻai, ke kahua ma ka hōʻoia, a me ka makahiki. ʻO kahi laʻana, ke hopu ʻia ka maʻi ʻaʻai ma mua o ka palahalaha ʻana ma waho o kāu mau ovaries, ʻo ka nui o ke ola he 92 pakeneka.

Eia nō naʻe, ʻaʻole hoʻokomo nā helu helu ola i nā hihia hou loa, ke hoʻohana ʻia nā lāʻau hou.

E hāʻawi aku kāu kauka iā ʻoe i kahi manaʻo i ka mea e manaʻo ai e pili ana i nā kikoʻī o kāu ʻike a me kāu hoʻolālā lapaʻau.