He aha ka Kanesa Endometrial? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka kanesa endometrial kahi ʻano kanesa e hoʻomaka ana i ka papa o ka ʻōpū, i kapa ʻia ʻo ka endometrium. Hoʻonui mau kēia pūnaewele a hāʻule i kēlā me kēia mahina i kou wā o ka malama, akā i kekahi manawa, hiki i nā sela i loko o kēia papa ke ulu kūpono ʻole a lilo i kanesa.

ʻO ka ʻoiaʻiʻo maikaʻi, loaʻa pinepine ʻia ka kanesa endometrial i ka wā mua no ka mea e hoʻokumu pinepine ana i nā hōʻailona maopopo e like me ke kahe koko maʻamau ʻole. I ka wā e ʻike mua ʻia ai, maikaʻi loa ka lapaʻau, a nui nā kānaka e ola i nā ola piha a olakino ma hope o ka lapaʻau.

He aha ka kanesa endometrial?

Hoʻomohala ʻia ka kanesa endometrial i ka wā e hoʻomaka ai nā sela i loko o ka endometrium ke ulu ma waho o ke kaohi. E noʻonoʻo i kou endometrium e like me ka pepa o loko o kou ʻōpū e kūkulu ʻia i kēlā me kēia mahina e hoʻomākaukau no ka hiki ʻana o ka hāpai ʻana.

ʻO kēia kanesa ka ʻano kanesa o ka ʻōpū maʻamau loa, e pili ana i kahi wahine 1 i 36 i ko lākou ola. ʻO ka hapa nui o nā hihia e loaʻa i nā wāhine ma hope o ka menopause, ma waena o nā makahiki 50 a 70, ʻoiai hiki ke loaʻa i kēlā me kēia makahiki.

Aia ʻelua ʻano nui o ka kanesa endometrial. ʻOi aku ka maʻamau o nā kanesa ʻano 1 a ulu mālie pinepine, ʻoiai ʻaʻole maʻamau nā kanesa ʻano 2 akā ʻoi aku ka ikaika a hiki ke pālahalaha wikiwiki.

He aha nā hōʻailona o ka kanesa endometrial?

ʻO ka hōʻailona mua maʻamau ka kahe koko vaginal maʻamau ʻole, ʻoi aku ma hope o ka menopause. Ke hāʻawi nei kou kino iā ʻoe i kahi hōʻailona nui e pono ai ka nānā, a ʻo ka hopu ʻana i ka wā mua e hana i kahi ʻokoʻa nui i ka holomua o ka lapaʻau.

Eia nā hōʻailona nui e nānā ai:

• Ke kahe koko mai loko mai o ka pūhaka ma hope o ka pau ʻana o ka manawa hānau
• Ke kahe koko ma waena o nā manawa hānau, a i ʻole nā manawa hānau nui a lōʻihi aku ma mua o ka maʻamau
• Kahe wai mai loko mai o ka pūhaka ʻaʻole maʻamau, hiki ke wai, poni, a i ʻole he ʻala ikaika
• ʻEha a i ʻole kaomi ma ka pelvis
• ʻEha i ka wā e mimi ai
• Paʻakikī ke hoʻopau loa i ka mimi
• Pau ke kaupaona me ke kumu ʻole
• Luhi ʻole e hoʻomaikaʻi me ka hoʻomaha

ʻO nā hōʻailona liʻiliʻi paha e komo pū ana ka pupu ʻana, ka manaʻo piha koke i ka ʻai ʻana, a i ʻole nā ​​hoʻololi i nā maʻamau o ka ʻōpū. Hiki nō hoʻi i kēia mau hōʻailona ke hōʻailona o nā kūlana ʻē aʻe, no laila ʻaʻole pono e manaʻo ʻoe he kanesa.

E hoʻomanaʻo he nui nā kūlana e hiki ke hana i nā hōʻailona like, a hiki i kāu kauka ke kōkua i ka hoʻoholo ʻana i ke kumu o kāu mau hōʻailona. ʻO ka mea nui ʻaʻole e nānā ʻole i nā hoʻololi mau i kou kino, ʻoi aku hoʻi ka kahe koko ʻaʻole maʻamau.

He aha nā ʻano o ka kanesa endometrial?

Ua māhele ʻia ka kanesa endometrial i ʻelua ʻano nui ma muli o ke ʻano o nā sela kanesa ma lalo o ka microscope a me ke ʻano o kā lākou hana. ʻO ka hoʻomaopopo ʻana i kou ʻano e kōkua i kāu hui lapaʻau e hana i ka papahana mālama maikaʻi loa no ʻoe.

ʻO nā kanesa endometrial Type 1 kahi 80% o nā hihia a pau. Hoʻomāhuahua mālie kēia mau kanesa a pili pinepine ʻia i ka nui o ka estrogen i ke kino. Pane maikaʻi pinepine lākou i ka mālama ʻana, ʻoi aku hoʻi i ka wā i hopu ʻia ai i ka wā mua.

ʻOi aku ka liʻiliʻi o nā kanesa endometrial Type 2 akā ʻoi aku ka ikaika. ʻAʻole pili pinepine kēia mau kanesa i nā pae estrogen a hiki ke pālahalaha wikiwiki i nā ʻāpana ʻē aʻe o ke kino.

I loko o kēia mau māhele nui ʻelua, aia kekahi mau ʻano kikoʻī. ʻO ka ʻano maʻamau loa ʻo ka endometrioid adenocarcinoma, kahi i komo i loko o ka Type 1. ʻO nā ʻano ʻē aʻe e komo pū ana ka serous carcinoma, clear cell carcinoma, a me ka carcinosarcoma, kahi i manaʻo ʻia he kanesa Type 2.

He aha ke kumu o ka kanesa endometrial?

Hoʻomaka ka maʻi kanesa o ka endometrium i ka wā e loaʻa ai kekahi mea e hoʻololi ai i ka DNA i loko o nā cell endometrial, e alakaʻi ana i ka ulu a me ka hoʻonui ʻana me ka manaʻo ʻole. ʻOiai ʻaʻole mākou i ʻike mau i ke kumu o kēia, ua ʻike nā mea noiʻi i kekahi mau mea e hiki ke hoʻonui i ka pilikia.

ʻO ka mea nui loa ka lōʻihi o ka hōʻike ʻana i ka estrogen me ka lawa ʻole o ka progesterone e kaulike ai. Hoʻoulu ka estrogen i ka ulu ʻana o ka endometrium, a i ka wā ʻaʻole lawa ka progesterone e mālama i kēia ulu, hiki i nā cell ke hoʻomaka e ulu kūpono ʻole ma hope o kekahi manawa.

He nui nā kūlana a me nā kūlana e hiki ai ke alakaʻi i kēia kaulike hormonal:

• ʻAʻole i hāpai keiki ma mua (hoʻonui ka hāpai keiki i ka nui o ka progesterone)
• Hoʻomaka koke ka menstruation (ma mua o 12 makahiki) a i ʻole menopause ma hope (ma hope o 52 makahiki)
• Polycystic ovary syndrome (PCOS), kahi e hiki ai ke hoʻopilikia i ka ovulation
• Obesity, no ka mea, hana ka momona i ka estrogen
• Ke lawe nei i ka lāʻau estrogen replacement me ka ʻole o ka progesterone
• Kekahi mau lāʻau lapaʻau e like me ka tamoxifen i hoʻohana ʻia no ka mālama ʻana i ka maʻi kanesa o ka umauma

Hiki i kekahi mau kumu genetic ke pāʻani pū kekahi. Hoʻonui nui ka Lynch syndrome, kahi kūlana hoʻoilina e pili ana i ka hoʻoponopono ʻana i ka DNA, i ka pilikia o ka maʻi kanesa o ka endometrium. Eia kekahi, ʻo ka loaʻa ʻana o ka mōʻaukala ʻohana o ka maʻi kanesa o ka endometrium, colorectal, a i ʻole ovarian paha e hoʻonui i kou pilikia.

He mea nui e hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia e hōʻoiaʻiʻo ʻoe e loaʻa i ka maʻi kanesa. He nui nā kānaka me nā mea pilikia he nui ʻaʻole loaʻa i ka maʻi kanesa o ka endometrium, ʻoiai kekahi poʻe me nā mea pilikia liʻiliʻi e loaʻa.

I ka wā e ʻike ai i ke kauka no ka maʻi kanesa o ka endometrium?

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe kekahi kahe koko vaginal maʻamau ʻole, ʻoiai inā ua hala kāu menopause. ʻO ka liʻiliʻi o ka spotting ma hope o ka menopause e pono ai ke kamaʻilio me kāu mea lawelawe ola.

Inā mau nō ʻoe i ka manawa, e ʻike i kāu kauka inā ʻike ʻoe i ke kahe koko ma waena o nā manawa, nā manawa nui loa ma mua o ka maʻamau, a i ʻole nā ​​manawa lōʻihi ma mua o ka maʻamau. Pono e nānā ʻia nā loli i kāu ʻano maʻamau.

Mai kali inā ʻike ʻoe i ka ʻeha o ka pelvis ʻaʻole e hala, ʻoiai inā hele pū me nā hōʻailona ʻē aʻe e like me ka hoʻokuʻu ʻana a i ʻole ke kahe koko maʻamau ʻole. ʻOiai he mau wehewehe maʻamau kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka nānā ʻana iā lākou.

Pono nō hoʻi ʻoe e kūkākūkā i kāu mau mea pilikia me kāu kauka i nā kipa maʻamau. Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o ka maʻi kanesa endometrial, ovarian, a i ʻole colorectal, a i ʻole inā loaʻa iā ʻoe ka maʻi Lynch, hiki i kāu kauka ke ʻōlelo aku i ka nānā pinepine.

He aha nā mea pilikia no ka maʻi kanesa endometrial?

Hiki i ka hoʻomaopopo ʻana i kāu mau mea pilikia ke kōkua iā ʻoe a me kāu kauka e hoʻoholo pono e pili ana i ka nānā ʻana a me ka pale ʻana. ʻAʻohe o kekahi mau mea hiki iā ʻoe ke kaohi, ʻoiai ʻo nā mea ʻē aʻe e pili ana i nā koho nohona hiki iā ʻoe ke hoʻopilikia.

ʻO nā mea pilikia nui loa ʻaʻole hiki iā ʻoe ke hoʻololi:

• Makahiki (ʻoi aku ka nui o nā hihia ma hope o ka menopause)
• ʻAʻole i hāpai keiki
• Hoʻomaka nā manawa ma mua o 12 mau makahiki a i ʻole ka hiki ʻana i ka menopause ma hope o 52 mau makahiki
• Mōʻaukala ʻohana o ka maʻi kanesa endometrial, ovarian, a i ʻole colorectal
• Maʻi Lynch a i ʻole nā ​​kūlana genetic ʻē aʻe
• Ka lāʻau radiation mua i ka pelvis

ʻO nā mea pilikia pili ola a me ke olakino e hoʻonui paha i ka pilikia:

• Momona, ʻoiai ka lawe ʻana i ke kaumaha hou a puni kou waenakonu
• Diabetes, ʻoi aku ka maʻi diabetes Type 2
• Ke koko kiʻekiʻe
• Ke lawe ʻana i ka estrogen me ka ʻole o ka progesterone no ka hoʻololi hormone
• Ke lawe ʻana i ka tamoxifen no ka mālama ʻana i ka maʻi kanesa umauma
• Loaʻa ka polycystic ovary syndrome (PCOS)

Aia kekahi mau mea e ho'emi maoli ai i kou pilikia, e like me ka hāpai keiki ʻana, ka hoʻohana ʻana i nā papa hāpai ʻole, a i ʻole ka hoʻohana ʻana i kahi hāmeʻa intrauterine (IUD) e hoʻokuʻu ana i ka progestin. Hiki nō hoʻi i ka hana kino a me ka mālama ʻana i ka kaumaha olakino ke kōkua i ka ho'emi ʻana i kou pilikia.

He aha nā pilikia hiki ke loaʻa mai ka maʻi kanesa endometrial?

ʻOiai pinepine ka hopu ʻana i ka maʻi kanesa endometrial i ka wā mua a me ka mālama ʻana me ka holomua, he mea maʻamau ke noʻonoʻo e pili ana i nā pilikia hiki ke loaʻa. Hiki i ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e hana pū me kāu hui lapaʻau e pale a mālama paha iā lākou me ka maikaʻi.

ʻO ka pilikia nui loa ka pālahalaha ʻana o ka maʻi kanesa i nā ʻāpana ʻē aʻe o kou kino. Maʻamau ka maʻi kanesa endometrial i ka wā mua i ka ʻōpū wale nō, akā inā waiho ʻole ʻia, hiki ke pālahalaha i nā kino kokoke e like me nā ovaries, nā fallopian tubes, a i ʻole nā lymph nodes.

Hiki i ka maʻi kanesa holomua ke pālahalaha i nā wahi mamao aku, e komo pū ana:

• Ka ʻōpū a me ka pelvis
• Nā māmā
• Ke ate
• Nā iwi
• Ka lolo (ʻoiai he mea maʻamau ʻole kēia)

Hiki nō hoʻi ke loaʻa nā pilikia e pili ana i ka mālama ʻana, ʻoiai ke hana nui nei kāu hui lapaʻau e ho'emi i kēia mau mea. Hiki i ka ʻoki kino ke alakaʻi i nā pilikia e like me ka maʻi, ka koko, a i ʻole ka hōʻino ʻana i nā kino kokoke.

Hiki i ka radiation therapy ke hana i ka luhi, nā loli o ka ʻili, a i ʻole nā pilikia o ka ʻōpū a me ka ʻeke mimi.

Hiki i ka chemotherapy ke hana i nā hopena ʻaoʻao e like me ka nausea, ka luhi, ka nalowale o ka lauoho, a me ka hoʻonui ʻana i ka pilikia o ka maʻi. Eia naʻe, he mau manawa wale nō kēia mau hopena ʻaoʻao a hiki ke mālama ʻia me ka mālama kōkua a me nā lāʻau lapaʻau.

ʻO ka ʻoiaʻiʻo maikaʻi, i ka wā e hopu ʻia ai ka maʻi kanesa endometrial i ka wā mua, ua ho'ōla ʻia ka hapa nui o nā kānaka a ʻaʻole i loaʻa nā pilikia koʻikoʻi. Kōkua ka mālama hoʻomau mau i ka hopu ʻana i nā pilikia i ka wā mua.

Pehea e hiki ai ke pale ʻia ka maʻi kanesa endometrial?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i ka maʻi kanesa endometrial, aia kekahi mau ʻanuʻu hiki iā ʻoe ke hana e ho'emi i kou pilikia. He nui o kēia mau hana e pōmaikaʻi pū ana i kou olakino a me kou ola maikaʻi holoʻokoʻa.

ʻO ka mālama ʻana i kahi kaumaha olakino kekahi o nā mea nui loa āu e hiki ai ke hana. Hoʻonui ka kaumaha nui i ka hana ʻana o ka estrogen, ka mea hiki ke hoʻokiʻekiʻe i kou pilikia. Hiki i ka lilo ʻana o kahi kaumaha iki ke hana i kahi ʻokoʻa inā ʻoi aku ʻoe i kou kaumaha kūpono.

Kōkua ka hana kino maʻamau ma nā ʻano he nui. Kōkua ka hoʻoikaika kino i ka mālama ʻana i kahi kaumaha olakino, hiki ke kōkua i ka hoʻoponopono ʻana i nā hormones, a ua hōʻike ʻia e hōʻemi i ka pilikia o kekahi mau ʻano o ka maʻi kanesa, me ka maʻi kanesa endometrial.

Inā ke noʻonoʻo nei ʻoe i ka lāʻau hoʻololi hormone no nā hōʻailona menopause, e kūkākūkā i nā koho me kāu kauka. Hoʻonui ka lawe ʻana i ka estrogen wale nō i ka pilikia o ka maʻi kanesa endometrial, akā hiki i ka lawe ʻana me ka progesterone ke kōkua i ka pale ʻana i kēia pilikia.

Hiki i nā papa hana hānau ke hoʻoemi maoli i kou pilikia o ka maʻi kanesa endometrial, me ka pale ʻana no nā makahiki ma hope o kou haʻalele ʻana i ka lawe ʻana iā lākou. Eia naʻe, loaʻa iā lākou nā pilikia ʻē aʻe, no laila e kūkākūkā inā kūpono kēia koho no kou kūlana.

Inā loaʻa iā ʻoe ka maʻi diabetes, hiki i ka mālama pono ʻana i kou kō koko ke kōkua i ka hōʻemi ʻana i kou pilikia. E hana pū me kāu hui olakino e hoʻokele pono i kāu maʻi diabetes ma o ka ʻai, ka hoʻoikaika kino, a me ka lāʻau lapaʻau e like me ka pono.

Pehea ka ʻike ʻia ʻana o ka maʻi kanesa endometrial?

Hoʻomaka ka ʻike ʻana i ka maʻi kanesa endometrial ma kahi kamaʻilio maʻamau e pili ana i kou mau hōʻailona a me kahi nānā kino. Makemake kāu kauka e hoʻomaopopo i kou mau hōʻailona, mōʻaukala ʻohana, a me nā pilikia āu e loaʻa ai.

ʻO ka hana mua ka nānā pelvic maʻamau, kahi e nānā ai kāu kauka i kou uterus, ovaries, a me nā ʻāpana pelvic ʻē aʻe no nā hemahema. Hiki iā lākou ke hana pū i kahi hoʻokolohua Pap, ʻoiai ʻaʻole kēia e ʻike pololei i ka maʻi kanesa endometrial.

Inā manaʻo kāu kauka he maʻi kanesa endometrial, e manaʻo ʻia e ʻōlelo ʻo ia i nā hoʻokolohua hou aku:

• Ka hoʻohana ʻana i ka ultrasound transvaginal e ana i ka mānoanoa o kou papa endometrial
• Biopsy endometrial, kahi e lawe ʻia ai kahi ʻāpana liʻiliʻi o ka pūnaewele no ka nānā ʻana
• Hysteroscopy, kahi e hoʻokomo ʻia ai kahi tubo māmā, lahilahi ma o kou vagina e nānā i loko o kou uterus
• Ka dilation a me ka curettage (D&C) inā ʻaʻole lawa ka pūnaewele i hāʻawi ʻia e ka biopsy

Inā loaʻa ka maʻi kanesa, e kōkua nā hoʻokolohua hou aʻe e hoʻoholo i ke kahua a me ka nui o ka maʻi. Hiki paha kēia i nā CT scan, MRI, nā X-ray umauma, a i ʻole nā ​​hoʻokolohua koko e nānā i nā māka tumor.

E haʻi aku nā hopena biopsy i kāu kauka i ke ʻano o ka maʻi kanesa endometrial āu i loaʻa ai a pehea ka ikaika o kona ʻano. ʻO kēia ʻike, i hui pū ʻia me nā hoʻokolohua kiʻi, e kōkua i ka hoʻoholo ʻana i ke ala lapaʻau maikaʻi loa no kou kūlana kūikawā.

He aha ka lapaʻau no ka maʻi kanesa endometrial?

ʻO ka lapaʻau no ka maʻi kanesa endometrial e hilinaʻi ana i nā mea he nui, me ke ʻano a me ke kahua o ka maʻi kanesa, kou olakino holoʻokoʻa, a me kou makemake ponoʻī. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka hapa nui o nā maʻi kanesa endometrial i hopu ʻia i ka wā mua ke loaʻa ka lapaʻau maikaʻi loa.

ʻO ka ʻoki kino ka lapaʻau nui no ka hapa nui o nā maʻi kanesa endometrial. ʻO ka hana maʻamau loa ka hysterectomy, kahi e wehe ʻia ai ka uterus a me ka cervix. Hiki i kāu kauka ke wehe pū i nā ovaries a me nā fallopian tubes, ʻoiai inā ua hala ʻoe i ka menopause.

I ka wā o ka ʻoki kino, e nānā pū kāu kauka i nā lymph nodes kokoke e ʻike inā ua pālahalaha ka maʻi kanesa. E kōkua kēia ʻike i ka hoʻoholo ʻana inā pono ʻoe i ka lapaʻau hou aʻe ma hope o ka ʻoki kino.

Hiki i nā lapaʻau hou aʻe ke komo pū:

• Radiation therapy e pepehi i nā cell kanesa i koe
• Chemotherapy no nā maʻi kanesa holomua a i ʻole ikaika
• Hormone therapy no kekahi mau ʻano o ka maʻi kanesa endometrial
• Nā lāʻau lapaʻau i hoʻopili ʻia e hoʻouka i nā hiʻohiʻona cell kanesa kūikawā
• Immunotherapy e kōkua i kou ʻōnaehana pale e hakakā i ka maʻi kanesa

E hana kāu onkologist i kahi hoʻolālā lapaʻau i kūpono loa i kou kūlana. E noʻonoʻo lākou i nā mea e like me kou makahiki, kou olakino holoʻokoʻa, ke ʻano a me ke kahua o kāu kanesa, a me kou mau pahuhopu pilikino a me kou makemake.

He nui nā kānaka me ka kanesa endometrial i ka wā mua e pono wale i ka ʻoki kino a ua manaʻo ʻia ua hoʻōla ʻia. Hiki i kekahi poʻe ʻē aʻe ke pono i nā lapaʻau hou aku, akā ʻoiai ʻo ka kanesa endometrial holomua hiki ke hoʻōla ʻia a mālama ʻia paha ma ke ʻano he kūlana maʻi lōʻihi.

Pehea e mālama ai i ka kanesa endometrial ma ka home?

ʻO ka mālama ʻana iā ʻoe iho ma ka home i ka wā o ka lapaʻau kanesa endometrial he ʻāpana nui ia o kāu hoʻolālā mālama holoʻokoʻa. Hiki i nā ʻano hana maʻalahi ke kōkua iā ʻoe e ʻoluʻolu a kākoʻo i ke kaʻina hoʻōla o kou kino.

E hoʻokūkū i ka ʻai ʻana i nā meaʻai momona e kākoʻo i kou ikehu a me kou ʻōnaehana pale. E koho i nā ʻano huaʻai, nā huaʻai, nā huaʻai holoʻokoʻa, a me nā protein liʻiliʻi. Inā hoʻopilikia ka lapaʻau i kou makemake aiʻole e hoʻokumu i ka nausea, e ho'āʻo e ʻai i nā ʻai liʻiliʻi a pinepine aku.

E noho ikaika e like me ka hiki i loko o kou pae ʻoluʻolu. Hiki i ka hoʻoikaika māmā e like me ka hele wāwae ke kōkua i ka mālama ʻana i kou ikaika, hoʻomaikaʻi i kou manaʻo, a hoʻemi i ka luhi. E nīnau mau i kāu hui lapaʻau ma mua o ka hoʻomaka ʻana i kahi papa hana hoʻoikaika hou.

ʻO ka mālama ʻana i nā hopena ʻaoʻao he mea nui ia no kou ʻoluʻolu a me kou olakino:

• E hoʻomaha i ka wā e pono ai ʻoe, akā e ho'āʻo e mālama i kekahi mau hana i kēlā me kēia lā
• E noho wai ma ka inu ʻana i ka wai nui i ka lā holoʻokoʻa
• E hoʻohana i nā ʻano hoʻomaha e like me ka hanu hohonu a i ʻole ka noʻonoʻo e hoʻokele i ke kaumaha
• E mālama i kāu mau hōʻailona a me nā hopena ʻaoʻao e kaʻana like me kāu hui lapaʻau
• E lawe i nā lāʻau e like me ka mea i kuhikuhi ʻia
• E hele i nā hālāwai hoʻomau a pau

Mai kānalua e hoʻokaʻaʻike aku i kāu hui olakino inā loaʻa iā ʻoe nā hopohopo a i ʻole inā ʻoi aku ka ʻino o nā hōʻailona. Aia lākou e kākoʻo iā ʻoe ma kēlā me kēia ʻanuʻu o kāu lapaʻau a me ka hoʻōla.

E noʻonoʻo e komo i kahi hui kākoʻo a i ʻole e hoʻopili me nā mea ola mai ke kanesa ʻē aʻe. Hiki ke kōkua nui ka kaʻana like ʻana i nā ʻike a me nā ʻōlelo aʻo me nā poʻe e hoʻomaopopo ana i kāu mea e hele nei.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai me ke kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai me ke kauka ke kōkua iā ʻoe e hoʻohana pono i kou manawa pū a hōʻoia iā ʻoe e loaʻa iā ʻoe ka ʻike a me ka mālama āu e pono ai. Hiki i ka hoʻomākaukau iki ke hōʻemi i ka hopohopo a kōkua iā ʻoe e ʻike ʻoi aku ka mana.

E kākau i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai lākou, pehea ka pinepine o ka hanana ʻana, a he aha ka mea e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi ʻole paha. E kūikawā e pili ana i nā ʻano kahe koko, nā pae ʻeha, a me nā loli ʻē aʻe āu i ʻike ai.

E hōʻiliʻili i ka ʻike nui e kaʻana like me kāu kauka:

• Kāu moʻolelo lapaʻau piha, me nā hana ʻoki a i ʻole nā ​​​​lapaʻau ma mua
• ʻO nā lāʻau āpau āu e lawe nei i kēia manawa, me nā mea hoʻohui
• Ka moʻolelo ʻohana o ke kanesa, ʻoiai ʻo ka endometrial, ovarian, a i ʻole colorectal cancer
• Kāu moʻolelo menstrual, me ka makahiki o ka manawa mua a me ka menopause
• Ka moʻolelo hāpai a me ka hoʻohana ʻana i nā hormones

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau. Mai hopohopo e nīnau i nā nīnau he nui - makemake kāu kauka e kōkua iā ʻoe e hoʻomaopopo i kou kūlana. E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui.

Inā ʻoe e ʻike ana i kahi loea, e lawe mai i nā kope o nā hopena hoʻokolohua ma mua, nā haʻawina kiʻi, a i ʻole nā ​​​​hōʻike pathology. Kōkua kēia i kāu kauka hou e hoʻomaopopo i kāu kiʻi lapaʻau piha me ka ʻole o ka hana hou ʻana i nā hoʻokolohua pono ʻole.

E kākau i kāu mea e manaʻo ai e hoʻokō i ka wā o ka kipa, inā paha ia e loaʻa ana i kahi ʻike, e hoʻomaopopo ana i nā koho lapaʻau, a i ʻole e kūkākūkā ana i kāu mau hopohopo e pili ana i nā hōʻailona.

He aha ka mea nui e lawe aku e pili ana i ke kanesa endometrial?

ʻO ka mea nui loa e hoʻomanaʻo ai e pili ana i ka maʻi kanesa o ka endometrium, ʻo ia ka hopu mua ʻana e hoʻolilo i kahi ʻokoʻa nui i ka holomua o ka mālama ʻana. Loaʻa ka hapa nui o nā maʻi kanesa o ka endometrium i ka wā mua no ka mea e hana ana i nā hōʻailona i ʻike ʻia, ʻoiai kahe koko maʻamau ʻole.

Mai hoʻowahāwahā i nā hōʻailona mau, ʻoi aku hoʻi kahe koko mai ka pepeiao wahine ma hope o ka menopause a i ʻole nā ​​hoʻololi nui i kou ʻano menstrual. ʻOiai he mau wehewehe maikaʻi ʻole kēia mau hōʻailona, ​​pono mau lākou i ka nānā ʻana o ke kauka.

Hiki ke mālama nui ʻia ka maʻi kanesa o ka endometrium, ʻoi aku hoʻi i ka wā i hopu ʻia ai i ka wā mua. He maikaʻi loa ka helu ola ʻelima makahiki no ka maʻi kanesa o ka endometrium i ka wā mua, a nui nā kānaka e ola mau ana i nā ola piha a olakino ma hope o ka mālama ʻana.

E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia e manaʻo ai e loaʻa iā ʻoe ka maʻi kanesa, a hiki iā ʻoe ke lawe i nā hana e hōʻemi ai i kou pilikia ma o ka mālama ʻana i ke kaumaha olakino, ka noho ʻana i ka hana, a me ka hana pū ʻana me kāu kauka e hoʻokele i nā kūlana olakino ʻē aʻe.

E hilinaʻi i kou kino a mai kānalua e ʻimi i ka mālama olakino i ka wā ʻaʻole kūpono kekahi mea. Aia kāu hui mālama ola e kākoʻo iā ʻoe, e pane i kāu mau nīnau, a e hāʻawi i ka mālama maikaʻi loa no kou kūlana pilikino.

Nā nīnau pinepine e pili ana i ka maʻi kanesa o ka endometrium

Hiki ke ho'ōla piha ʻia ka maʻi kanesa o ka endometrium?

ʻAe, hiki pinepine ke hoʻōla piha ʻia ka maʻi kanesa o ka endometrium, ʻoi aku hoʻi i ka wā i hopu ʻia ai i ka wā mua. ʻOi aku ma mua o 95% ka helu ola ʻelima makahiki no ka maʻi kanesa o ka endometrium i ka wā mua. ʻOiai ke holomua aʻe ka maʻi kanesa, hiki ke mālama holomua ʻia nā kānaka he nui a i ʻole e ola me ka maʻi kanesa i mālama ʻia ma ke ʻano he kūlana maʻi no nā makahiki he nui.

E pono anei iaʻu kahi hysterectomy no ka maʻi kanesa o ka endometrium?

ʻO ka hapa nui o nā kānaka me ka maʻi kanesa o ka endometrium e pono ai ka hysterectomy ma ke ʻano he hapa o kā lākou mālama. Hoʻoneʻe kēia ʻoki kino i ka ʻōpū, kahi i hoʻomaka ai ka maʻi kanesa, a ʻo ia ke ala maikaʻi loa e mālama ai i ka maʻi. E kūkākūkā kāu kauka ʻoki kino i ke ʻano kūikawā o ka ʻoki kino e kūpono loa i kou kūlana, ʻo ia paha e komo pū ana i ka wehe ʻana i nā ovaries a me nā fallopian tubes.

Hiki iaʻu ke loaʻa nā keiki ma hope o ka mālama ʻana i ka maʻi kanesa o ka endometrium?

ʻAʻole maikaʻi, ʻo ka mālama maʻamau no ka maʻi kanesa o ka endometrium e pili pinepine ana i ka wehe ʻana i ka ʻōpū, kahi e hiki ʻole ai ke hāpai. Eia naʻe, no ka maʻi kanesa i ka wā mua loa i nā wāhine ʻōpio e makemake nui ana e loaʻa nā keiki, hiki i kekahi mau kauka ke noʻonoʻo i nā mālama mālama hānau me ka hoʻohana ʻana i ka hormone therapy. Pono kēia i ka kūkākūkā akahele me kahi loea a me ka nānā pono.

Pehea pinepine wau e pono ai i ka mālama hahai ma hope o ka mālama ʻana?

ʻO ka mālama hahai e pili pinepine ana i nā hālāwai maʻamau i kēlā me kēia 3-6 mahina no nā makahiki mua ma hope o ka mālama ʻana, a laila emi pinepine ma hope o kekahi manawa. E hana kāu kauka i nā hoʻokolohua kino, hiki ke kauoha i nā hoʻokolohua kiʻi, a e nānā i nā hōʻailona o ka hoʻi ʻana mai o ka maʻi kanesa. Hoʻomau ka hapa nui o nā kānaka i kekahi ʻano o ka mālama hahai no ka liʻiliʻi o ʻelima mau makahiki ma hope o ka mālama ʻana.

He aha nā manawa e hoʻi mai ai ka maʻi kanesa o ka endometrium?

ʻO ka pilikia o ka hoʻi ʻana mai o ka maʻi kanesa o ka endometrium e hilinaʻi nui ana i ke kahua a me ke ʻano o ka maʻi kanesa i ka wā i ʻike mua ʻia ai. No nā maʻi kanesa i ka wā mua, haʻahaʻa, ʻo ka pilikia o ka hoʻi hou ʻana he haʻahaʻa loa - emi iho ma mua o 5%. No nā maʻi kanesa holomua a i ʻole ʻino, hiki ke kiʻekiʻe ka pilikia, akā hiki i kāu oncologist ke hāʻawi iā ʻoe i ka ʻike kikoʻī e pili ana i kou hihia ponoʻī.