Nā lāʻau lapaʻau

Kaukaʻi pili i pae o ka ulu ʻana o ka maʻi kanesa, ke 'ano o ka ma'i ma'i 'a'ai (pili i ka hormone a 'a'ole paha) a me ka pilikia o ka ho'i hou 'ana.

ʻAʻole i koho ʻia ka lāʻau lapaʻau e ke kauka hoʻokahi, akā ua hoʻoholo ʻia i loko o kahi hui kūkākūkā multidisciplinary e hui pū ana i nā kauka mai nā ʻano loea like ʻole (gynecologists, surgeons, radiotherapists, chemotherapists, anesthesiologists, etc.) Ke koho nei kēia mau kauka e like me nā protocols i hāʻawi ʻia, e like me i ke 'ano o ka ma'i 'a'ai endometrial. No laila, ua hoʻoholo ʻia ka hoʻolālā lapaʻau i ka ʻepekema e like me ka maikaʻi me ka hana ʻana i nā hopena ʻaoʻao e like me ka hiki.

ʻoki kino

ʻO ka hapa nui o nā wahine he ʻokiʻoki no ka wehe ʻana i ka ʻōpū (hysterectomy), a me nā ovaries a me nā paipu (hysterectomy me salpingo-oophorectomy).

Hoʻopau kēia kaʻina hana i nā kumu kūlohelohe o nā hormones sex (estrogen, progesterone a me testosterone), hiki ke hoʻoulu i nā maʻi kanesa.

Hiki ke hana ʻia kēia hana ma ka laparoscopy (nā puka liʻiliʻi ma ka ʻōpū), ma ka ʻōpū, a i ʻole ma ka laparotomy (ka wehe nui ʻana i ka ʻōpū), a na ke kauka lapaʻau e koho i ke ʻano o ka hana i mea e loaʻa ai nā hopena maikaʻi loa.

Ke hana ʻia ke ʻoki i ka wā mua o ka maʻi, lawa paha kēia lapaʻau.

ʻO ke kelepona

Loaʻa i kekahi mau wāhine me ka maʻi ʻaʻai endometrial ka lāʻau lapaʻau, ʻo ka lāʻau lapaʻau lāʻau waho a i ʻole brachytherapy. Hoʻonohonoho ʻia ka radiotherapy waho i nā manawa no 5 mau pule, me ka irradiation mai waho o ke kino, ʻoiai ʻo curia therapy ka hoʻokomo ʻana i intravaginally, kahi mea hoʻohana radioactive no kekahi mau minuke ma ka helu o hoʻokahi kau i kēlā me kēia pule no 2 a 4 mau pule. .

Chemotherapy

Hiki iā ia ke lilo i ʻāpana o ka mālama ʻana i ka maʻi maʻi endometrial, e like me nā protocols i hoʻololi ʻia i kā lākou hihia. Hāʻawi pinepine ʻia ia ma mua a ma hope paha o ka radiotherapy.

Lapaʻau Hormonal

Hoʻōla lāʻau Hone ʻo ia kekahi o nā lāʻau lapaʻau i hoʻohana ʻia i kekahi manawa. Aia ia i nā lāʻau lapaʻau me ka hopena anti-estrogenic, e ʻae ana e hōʻemi i ka hoʻoulu ʻana o nā maʻi maʻi maʻi e loaʻa i loko o ke kino.

Ke hoʻokō ʻia ka lāʻau lapaʻau, pono e ʻike i kāu kauka a i ʻole gynecologist no kahi hoʻāʻo gynecological maʻa mau, e like me nā ʻōlelo a ke kauka, i kēlā me kēia 3 a i ʻole 6 mahina no 2 mau makahiki. A laila, lawa ka hahai makahiki.

Mālama kākoʻo

Hiki i ka maʻi a me kona mau lapaʻau ke loaʻa i nā hopena nui, e like me ka hoʻololi ʻana i ka momona a me ka moekolohe, a hiki ke hoʻoulu i ka pilikia nui. Hāʻawi kekahi mau hui kākoʻo i nā lawelawe e pane i nā nīnau a hāʻawi i ka hōʻoiaʻiʻo. E ʻike i ka ʻāpana Pūʻulu Kākoʻo.

Nā hoʻokokoke ʻana

'Ōlelo aʻo no ka soy isoflavones (soy). I ka nui o nā haʻawina i ana i ka hopena o ka soy isoflavones (phytoestrogens) ma ka endometrium, ʻaʻole lākou i hoʻoulu i ka ulu ʻana o nā cell (hyperplasia) o kēia uhi o ka ʻōpū.⁸. Eia naʻe, i loko o kahi hoʻokolohua 5-makahiki me 298 mau wahine postmenopausal olakino, ua nui nā hihia o ka hyperplasia endometrial i ka hui e lawe ana i ka 150 mg o isoflavones i kēlā me kēia lā (+3,3, 0%) ma mua o ka hui placebo (XNUMX%).⁹. Hōʻike kēia ʻikepili a haute dose d'isoflavones hiki ke alakaʻi i ka wā lōʻihi hoʻonui iki aʻe i ka makaʻu o ka ma'i 'a'ai endometrial. Eia naʻe, ʻaʻohe hihia o ka maʻi maʻi endometrial ma kēia haʻawina.