Zowopsa komanso kupewa khansa ya endometrial (thupi la chiberekero)

Zowopsa komanso kupewa khansa ya endometrial (thupi la chiberekero)

Zowopsa 

  • kunenepa. Ichi ndi chiopsezo chachikulu, monga minofu ya mafuta adipose imapanga estrogen, yomwe imayambitsa kukula kwa chiberekero cha uterine (endometrium);
  • Chithandizo cha mahomoni cholowa m'malo ndi estrogen yokha. Kuchiza kwa mahomoni ndi estrogen yokha, motero popanda progesterone, kumalumikizidwa momveka bwino ndi chiopsezo chowonjezeka cha khansa ya endometrial kapena hyperplasia. Choncho amalangizidwa kwa amayi okha omwe achotsa chiberekero.2 ;
  • Zakudya zokhala ndi mafuta ambiri. Pothandizira kulemera kwakukulu ndi kunenepa kwambiri, ndipo mwinamwake pochita mwachindunji pa kagayidwe ka estrogen, mafuta muzakudya, omwe amadyedwa mopitirira muyeso, amawonjezera chiopsezo cha khansa ya endometrial;
  • Chithandizo cha Tamoxifen. Amayi omwe amwa kapena kumwa tamoxifen kuti apewe kapena kuchiza khansa ya m'mawere ali pachiwopsezo chachikulu. Mmodzi mwa amayi 500 aliwonse omwe amathandizidwa ndi tamoxifen amakhala ndi khansa ya endometrial1. Chiwopsezochi nthawi zambiri chimawonedwa kukhala chochepa poyerekeza ndi phindu lomwe limabweretsa.
  • Kusachita zolimbitsa thupi.

 

Prevention

Njira zowunika

Ndikofunikira kuchitapo kanthu mwachangu a magazi osadziwika, makamaka kwa mayi wosiya kusamba. Ndiye muyenera kufunsa dokotala mwamsanga. Komanso, ndikofunika kukaonana ndi dokotala nthawi zonse ndikukhala ndi nthawi zonse kufufuza kwazimayi, pamene dokotala amafufuza nyini, chiberekero, thumba losunga mazira ndi chikhodzodzo.

Chenjezo. Pap smear, yomwe nthawi zambiri imatchedwa Pap test (Pap smear), siingathe kuzindikira kukhalapo kwa maselo a khansa mkati mwa chiberekero. Amangogwiritsidwa ntchito powunika khansa cha pass chiberekero (cholowera ku chiberekero) osati cha endometrium (mkati mwa chiberekero).

Bungwe la Canadian Cancer Society limalimbikitsa kuti amayi omwe ali ndi chiopsezo chowonjezereka cha khansa ya endometrial awunike ndi dokotala wawo kuthekera kokhazikitsa zotsatila zaumwini.

Njira zodzitetezera

Komabe, amayi amatha kuchepetsa chiopsezo chokhala ndi khansa ya endometrial ndi njira zotsatirazi. Dziwani kuti amayi ambiri omwe ali ndi chiopsezo sadzakhala ndi khansa ya endometrial

Khalani ndi kulemera kwabwino Kunenepa kwambiri ndi chimodzi mwazinthu zomwe zimayambitsa khansa ya endometrial mwa amayi omwe ali ndi postmenopausal. Ofufuza aku Sweden adasanthula zomwe zachitika m'maiko a European Union ndipo adapeza kuti 39% ya khansa ya endometrial m'maikowa imalumikizidwa ndi kunenepa kwambiri.3.

Chitani zinthu zolimbitsa thupi nthawi zonse. Azimayi amene amachita masewera olimbitsa thupi nthawi zonse amakhala pachiopsezo chochepa. Kafukufuku wambiri amasonyeza kuti chizolowezichi chimachepetsa chiopsezo cha khansa ya endometrial.

Tengani mankhwala oyenera a mahomoni pambuyo pa kusintha kwa thupi. Kwa amayi omwe amasankha kuyamba mankhwala a mahomoni panthawi yosiya kusamba, mankhwalawa ayenera kukhala ndi progestin. Ndipo zimenezi zikadali choncho mpaka pano. Zoonadi, pamene chithandizo cha mahomoni chinali ndi estrogen yokha, chinawonjezera chiopsezo cha khansa ya m'mimba. Ma Estrogen okha nthawi zina amalembedwa, koma amasungidwa kwa amayi omwe achotsa chiberekero (hysterectomy). Choncho salinso pachiopsezo cha khansa ya endometrial. Mwapadera, amayi ena angafunikire chithandizo cha mahomoni popanda progestin chifukwa cha zotsatirapo zoyambitsidwa ndi progestin2. Pankhaniyi, akuluakulu azachipatala amalimbikitsa kuti kuwunika kwa endometrial kuchitidwe chaka chilichonse ndi dokotala, ngati njira yodzitetezera.

Landirani momwe mungathere zakudya zolimbana ndi khansa. Malingana ndi zotsatira za maphunziro a epidemiological, maphunziro a zinyama ndi maphunziro mu m'galasi, ofufuza ndi madokotala apereka malingaliro olimbikitsa kudya zakudya zomwe zimathandiza thupi kupewa khansa4-7 . Amakhulupiriranso kuti kukhululukidwa kwa khansa kumatha kulimbikitsidwa, koma izi zimakhala zongopeka. Onani tsamba la Chakudya Chopangidwa ndi Tailor: khansa, yopangidwa ndi katswiri wazakudya Hélène Baribeau.

ndemanga. Kutenga estrogen-progestogen kulera (mapiritsi oletsa kubereka, mphete, chigamba) kwa zaka zingapo amachepetsa chiopsezo cha khansa ya m'mimba.

 

Siyani Mumakonda