Contents
Nā pilikia a me ka pale ʻana i ka maʻi ʻaʻai endometrial (ke kino o ka kōpū)
Nā mea pilikino
- obesity. ʻO kēia kahi kumu pilikia nui, ʻoiai ka momona o ka adipose momona e hana ai i ka estrogen, kahi e hoʻoulu ai i ka ulu ʻana o ka uhi uterine (ka endometrium);
- ʻO ka Hormone replacement therapy me ka estrogen wale nō. ʻO ka hormone therapy me ka estrogen wale nō, no laila me ka ʻole o ka progesterone, pili pono me ka piʻi nui o ka maʻi maʻi endometrial a i ʻole hyperplasia. No laila, ʻōlelo ʻia no nā wahine i wehe ʻia ka ʻōpū.2 ;
- ʻO kahi meaʻai nui loa i ka momona. Ma ka hāʻawi ʻana i ke kaumaha nui a me ka momona, a ma ka hana pololei ʻana i ka metabolism o ka estrogen, ʻo nā momona i loko o ka ʻai, hoʻopau nui ʻia, hoʻonui i ka hopena o ka maʻi maʻi endometrial;
- Hoʻomaʻo Tamoxifen. ʻOi aku ka pilikia o nā wahine e lawe ana a lawe paha i ka tamoxifen no ka pale ʻana a mālama ʻana paha i ka maʻi maʻi umauma. Hoʻokahi o 500 mau wahine i mālama ʻia me tamoxifen e hoʻomōhala i ka maʻi ʻaʻai endometrial1. Manaʻo ʻia he haʻahaʻa kēia pilikia i ka hoʻohālikelike ʻia i nā pono e lawe mai ai.
- Ka nele o ka hoʻoikaika kino.
Kāohi
Nā hana kānana |
He mea nui e pane koke i a kahe koko, keu hoʻi i ka wahine postmenopausal. Pono ʻoe e nīnau koke i kāu kauka. Eia kekahi, he mea nui e nīnau pinepine i ke kauka a loaʻa i kahi maʻamau hoʻāʻo gynecological, kahi e nānā ai ke kauka i ka ʻōpū, ka ʻōpū, nā ovaries a me ka ʻōpū. ʻLelo aʻoaʻo. ʻAʻole hiki i ka pap smear, i kapa mau ʻia he hoʻāʻo Pap (Pap smear), ʻaʻole hiki ke ʻike i ka loaʻa ʻana o nā maʻi maʻi maʻi i loko o ka ʻōpū. Hoʻohana wale ʻia ia e pale i nā maʻi ʻaʻai o ka hala ʻōpū (ke komo i loko o ka ʻōpū) ʻaʻole nā mea o ka endometrium (i loko o ka ʻōpū). Paipai ke Kānāʻau Kanaka Kanaka Kanada i nā wahine me ka weliweli o ka maʻi ʻaʻai endometrial e loiloi me kā lākou kauka i ka hiki ke hoʻokumu i kahi ukali pilikino. |
Nā hana pale maʻamau |
Eia nō naʻe, hiki i nā wahine ke hōʻemi i ka makaʻu o ka ulu ʻana i ka maʻi ʻaʻai endometrial e nā hana aʻe. E hoʻomanaʻo i ka nui o nā wahine me nā kumu pilikia ʻaʻole e loaʻa i ka maʻi maʻi endometrial E mālama pono i ka kaumaha ʻO ka nui o nā mea pilikia nui no ka maʻi ʻaʻai endometrial i nā wahine postmenopausal. Ua kālailai nā kānaka noiʻi Suède i nā ʻikepili epidemiological mai nā ʻāina o ʻEulopa a ua ʻike he 39% o nā maʻi ʻaʻai endometrial i kēia mau ʻāina e pili ana i ka nui o ke kaupaona.3. Hana pinepine i nā hana kino. ʻO nā wahine e hoʻomaʻamaʻa mau i ka liʻiliʻi o ka makaʻu. Hōʻike kekahi mau haʻawina e hōʻemi ana kēia maʻamau i ka hopena o ka maʻi maʻi endometrial. e ka ka lāʻau hormone kūpono ma hope o ka menopause. No nā wahine i koho e hoʻomaka i ka hormone therapy i ka wā menopause, pono e loaʻa i kēia lapaʻau kahi progestin. A ʻo kēia nō ka hihia i kēia lā. ʻOiaʻiʻo, i ka loaʻa ʻana o ka hormone therapy i ka estrogen wale nō, hoʻonui ia i ka pilikia o ka maʻi maʻi endometrial. ʻO Estrogens wale nō ke kuhikuhi ʻia i kekahi manawa, akā mālama ʻia no nā wahine i wehe ʻia ka ʻōpū (hysterectomy). No laila ʻaʻole lākou i makaʻu i ka maʻi ʻaʻai endometrial. ʻO ka mea ʻē aʻe, pono paha kekahi mau wahine i ka hormone therapy me ka ʻole o ka progestin ma muli o nā hopena ʻaoʻao i hana ʻia e ka progestin2. I kēia hihia, paipai nā luna olakino i ka loiloi endometrial e hana ʻia i kēlā me kēia makahiki e ke kauka, ma ke ʻano he mea pale. E lawe i ka meaʻai anticancer e like me ka hiki. Ma muli o nā hopena o nā noiʻi epidemiological, nā noiʻi holoholona a me nā noiʻi ma ka vitro, ua hoʻopuka nā mea noiʻi a me nā kauka i nā ʻōlelo paipai e paipai i ka ʻai ʻana o nā meaʻai e kōkua ai i ke kino e pale aku i ka maʻi ʻaʻai4-7 . Manaʻo ʻia he hiki ke hāpai ʻia ke kala ʻana mai ka maʻi ʻaʻai, akā he kuhiakau kēia. E nānā i ka pepa ʻai i hana ʻia e Tailor-made: cancer, i hoʻolālā ʻia e ka mea ʻai meaʻai ʻo Hélène Baribeau. hoʻopuka. Lālau nā mea hōʻemi estrogen-progestogen (ka lāʻau kaohi hānau, ke komo lima, pale) no kekahi mau makahiki e hōʻemi ana i ka makaʻu o ka maʻi ʻaʻai endometrial. |