Sarcoma ya thupi la chiberekero ndi chotupa chosavuta kwambiri, chomwe chimapezeka pa atatu kapena asanu peresenti ya matenda onse a khansa ya thupi. Matendawa amadziwika ndi kuchuluka kwa metastasis ndi kubwereza. Koposa zonse, matenda owopsawa amakhudza amai pa nthawi ya mtsogoleri wamantha.
Zizindikiro
Pa nthawi yoyamba, zizindikiro za uterine sarcoma ndizochepa. Kawirikawiri, dokotala ayenera kuyankhulana patapita miyezi ingapo mliriwu utayamba kukula. Mkaziyo akuzindikira kuti nyemba zimakhala madzi, fungo losasangalatsa likuwonekera, nthawizina kutuluka kwa magazi kumawoneka mu zobisika. Kusamba kumakhala kusweka, ndipo m'mimba pamimba nthawi zonse zimapweteka. Maphunziro am'tsogolo amadziwika ndi zofooka, kusala kudya, kulemera, kuoneka kwa magazi m'thupi, zomwe sizikhudzana ndi magazi. Ngati chiberekero cha sarcoma chimafika pachiwindi, mapapo kapena ziwalo zina, ndiye kuti zizindikiro zambiri zimawoneka kuti ndizosiyana ndi zilonda za mtundu winawake.
Zizindikiro za uterine sarcoma ndi zofanana ndi za matenda monga uterine fibroids , chotupa choyambitsa mazira, endometrial polyps , ndi zotupa za chiberekero pafupi ndi chiberekero. Matendawa amodzimodzi amafanana ndi mimba ya uterine.
Zifukwa zomwe zimayambitsa chiberekero cha sarcoma kapena chiberekero sichikudziwika ndi sayansi. Komabe, amayi omwe anali ndi nthawi yoyamba kumapeto kwa msambo, ndi omwe anabereka atakwanitsa zaka 35, anali ndi zolakwika, kuchotsa mimba, fibroids, ali pangozi.
Njira Zogwiritsira Ntchito
Chinthu choyamba chimene mkazi ayenera kuchita ndi kukaonana ndi azimayi ndi wazamagulu. Ngati zokayikitsa zatsimikiziridwa, kufufuza njira zosiyanasiyana za ma laboratory zidzafunika. Izi zimaphatikizapo maphunziro ake, omwe amawotchedwa endometrium kapena chotupacho atachotsedwa pa opaleshoni, komanso maphunziro a immunohistochemical kuti adziwe mtundu wa sarcoma. Ngati kuli kotheka, dokotalayo adzayendetsa phokoso la hysteroscopy, kutanthauzira hysteroscope ya khoma la uterine, hysterocervicalography, computed tomography, MRI, kumveka, ultrasound tomography ndi mapu a Doppler, komanso mapuloteni a mapaipi komanso chiwindi cha chiwindi kuti athandizire kudziwa kutalika kwa mitsempha.
Chithandizo
Chithandizo cha uterine sarcoma ndi njira monga mankhwala ndi mankhwala, kupititsa patsogolo ndikofunika kwambiri, osachepera kawiri pa chaka kuti akacheze mayi wina. Pankhaniyi, matendawa adzawonekera pachiyambi, zomwe zimapangitsa kuti chithandizo cha mankhwala chitheke.
Sarcoma - chotupa chimakhala chopweteka kwambiri. Zimangowamba mosavuta m'ziwalo zozungulira, mwamsanga zimatulutsa metastases, kufalitsa kudzera m'matenda a mitsempha ndi mitsempha, zomwe zimakhudza mafupa, mafupa, chiwindi ndi mapapo.
Chizindikiro chabwino kwambiri kwa odwala omwe ali ndi chiberekero chotchedwa endometrial stromal sarcoma ndi chakuti amayi 57% amakhala zaka zisanu kapena kuposerapo. Chiwerengero chofanana cha amayi omwe amapezeka ndi leiomyosarcoma ndi 48%. Chinthu chabwino kwambiri cha odwala matenda a carcinosarcoma sichiposa 27%, komanso omwe amapezeka ndi endometrial sarcoma. Njira yabwino kwambiri ya uterine sarcoma, yomwe imachokera ku nthenda ya fibromatous, ngati palibe metastases.
Ngati matenda a endocrine amapezeka ndi kuwongolera m'nthawi yake, endometritis, uterine fibroids, endometriosis ndi mapuloteni otchedwa endometrial amachiritsidwa, nthenda ya matenda a chilengedwe imachepa kwambiri. Njira zothandizira ndizoyenera kusankha njira za kulera komanso kupewa mimba.