Chithandizo chamankhwala

Chithandizo chimadalira siteji ya chitukuko cha khansa, mtundu wa khansa (yodalira mahomoni kapena ayi) ndi chiopsezo choyambiranso.

Kusankha mankhwala si opangidwa ndi dokotala mmodzi, koma anaganiza mu multidisciplinary kukaonana msonkhano kubweretsa pamodzi madokotala angapo akatswiri osiyanasiyana (gynecologists, madokotala opaleshoni, radiotherapists, chemotherapists, anesthesiologists, etc.) Madokotala awa amasankha malinga ndi ndondomeko anapereka, malinga ndi ku mtundu wa khansa ya endometrial yomwe ikukhudzidwa. Njira yothandizira mankhwalawa imatsimikiziridwa mwasayansi kwambiri kuti ikhale yothandiza momwe zingathere pamene imayambitsa zotsatira zochepa momwe zingathere.

opaleshoni

Amayi ambiri amachitidwa opaleshoni kuchotsa chiberekero (hysterectomy), komanso mazira ndi machubu (hysterectomy ndi salpingo-oophorectomy).

Njirayi imachotsa magwero achilengedwe a mahomoni ogonana (estrogen, progesterone ndi testosterone), omwe amatha kuyambitsa maselo a khansa.

Opaleshoniyi ikhoza kuchitidwa ndi laparoscopy (zotsegula zazing'ono zam'mimba), nyini, kapena laparotomy (kutsegula kwakukulu m'mimba), ndipo kusankha mtundu wa opaleshoni kumapangidwa ndi dokotala wa opaleshoni kuti apeze zotsatira zabwino.

Pamene opaleshoni ikuchitika kumayambiriro kwa matendawa, mankhwalawa angakhale okwanira.

Radiotherapy

Amayi ena omwe ali ndi khansa ya endometrial amalandiranso chithandizo cha radiation, kaya ndi ma radiation akunja kapena brachytherapy. Ma radiotherapy akunja amapangidwa m'magawo kwa masabata a 5, ndi kuwala kochokera kunja kwa thupi, pomwe curia therapy imakhala ndi kulowetsa m'mitsempha, chogwiritsira ntchito radioactive kwa mphindi zingapo pamlingo wa gawo limodzi pa sabata kwa masabata awiri mpaka anayi. .

mankhwala amphamvu

Ikhozanso kukhala gawo la chithandizo cha khansa ya endometrial, malinga ndi ndondomeko zomwe zimasinthidwa kuti zigwirizane ndi vuto lawo.

Chithandizo cha mahomoni

Hormone mankhwala ndi imodzi mwamankhwala omwe nthawi zina amagwiritsidwa ntchito. Zimapangidwa ndi mankhwala okhala ndi anti-estrogenic, zomwe zimalola kuchepetsa kukopa kwa maselo a khansa omwe angakhalepo m'thupi.

Chithandizocho chikachitika, ndikofunikira kukaonana ndi dokotala kapena gynecologist kufufuza kwazimayi pafupipafupi, malinga ndi malangizo a dokotala, miyezi 3 kapena 6 iliyonse kwa zaka ziwiri. Pambuyo pake, kutsata kwapachaka kumakhala kokwanira.

Kusamalira

Matendawa ndi machiritso ake akhoza kukhala ndi zotsatirapo zazikulu, monga kusintha chonde ndi kugonana, ndipo zingayambitse nkhawa zambiri. Mabungwe angapo othandizira amapereka chithandizo kuti ayankhe mafunso ndikupereka chilimbikitso. Onani gawo la Magulu Othandizira.

Njira zowonjezera

Chenjezo pa soya isoflavones (soya). Mu maphunziro ambiri amene anayeza zotsatira za soya isoflavones (phytoestrogens) pa endometrium, iwo sanalimbikitse kukula kwa maselo (hyperplasia) wa akalowa chiberekero cha chiberekero.⁸. Komabe, mu mayesero azaka 5 ndi amayi 298 athanzi la postmenopausal, panali milandu yambiri ya endometrial hyperplasia m'gulu lomwe limatenga 150 mg ya isoflavones patsiku (+3,3, 0%) kuposa gulu la placebo (XNUMX%).⁹. Deta iyi ikuwonetsa kuti a mlingo wa isoflavones akhoza, m'kupita kwa nthawi, kungayambitse chiopsezo chowonjezeka pang'ono khansa ya endometrial. Komabe, panalibe milandu ya khansa ya endometrial mu phunziroli.