Kev Kho Mob Cancer Khees Xaws

Zoo Siab

• Kev kho tus mob voos qhov ncauj mob
• Tshuaj Kho Mob
• Voj cov txheej txheem ua zam electrosurgical (LEEP)
• Laser ablation
• Mob khaub thuas riam conization
• Kev phais mob rau ncauj tsev menyuam
• Ua li lub pob txha
• Hysterectomy
• Mob Trachelectomy
• Kev xav ntawm pelvic
• Kev siv hluav taws xob ntau los kho mob khees xaws ncauj tsev menyuam
• Kev siv tshuaj kho rau kev mob khees xaws ncauj tsev menyuam
• Cov tshuaj noj pab rau ncauj tsev menyuam
• Khaws cia muaj me nyuam nyob rau hauv cov poj niam uas muaj mob khees xaws ncauj tsev menyuam
• Tiv thaiv kev mob khees-xaws ncauj tsev menyuam
• Tham nrog koj tus kws kho mob

Mob ncauj tsev menyuam

Cervical cancer feem ntau muaj kev vam meej yog tias koj raug kuaj pom thaum ntxov. Ciaj sia taus feem ntau.

Pap smears tau ua rau kom muaj kev tiv thaiv ntau ntxiv thiab kev kho qhov hloov pauv ntawm cellular. Qhov no tau txo kev muaj mob khees-xaws ncauj tsev menyuam ntau nyob rau sab hnub poob.

Hom kev kho mob siv rau kev mob khees-xaws ncauj tsev menyuam yog nyob ntawm theem ntawm kev kuaj mob. Mob qog siab dua tuaj yeem kheev muaj kev sib txuam nrog kev kho mob. Cov qauv kev kho mob suav nrog:

• kev phais mob
• hluav taws xob kho
• kev kho tshuaj
• lwm yam tshuaj

Kev kho tus mob voos qhov ncauj mob

Muaj ntau txoj hauv kev los kho cov mob hlwb uas muaj nyob hauv koj lub ncauj tsev menyuam:

Tshuaj Kho Mob

Cryotherapy koom nrog kev rhuav tshem cov nqaij mos uas tsis zoo ua kom dhau los ntawm kev khov. Cov txheej txheem tsuas siv ob peb feeb thiab ua tiav siv cov tshuaj loog hauv zos.

Voj cov txheej txheem ua zam electrosurgical (LEEP)

LEEP siv hluav taws xob uas khiav mus los ntawm xaim xov hlau los tshem tawm cov nqaij mos uas tsis zoo nkauj. Zoo li kev kho mob ntsej muag, LEEP tsuas siv sijhawm li ob peb feeb thiab tuaj yeem ua rau ntawm koj tus kws kho mob lub chaw haujlwm nrog tshuaj loog hauv zos.

Laser ablation

Lasers kuj tseem siv tau los ua kom ua kom puas hlwb lossis txawv txav ntawm lub hlwb. Kev kho hluav taws xob laser siv cua sov ua kom rhuav tshem cov kab mob. Tus txheej txheem no tau ua nyob hauv tsev kho mob, thiab kev tiv thaiv tshuaj loog hauv zos lossis dav dav kuj xav tau, nyob ntawm qhov xwm txheej.

Mob khaub thuas riam conization

Cov txheej txheem no siv cov npluag me rau kom tshem tawm cov nqaij cervical tsis zoo. Zoo li laser ablation, nws tau ua hauv tsev kho mob qhov chaw, thiab yuav tsum muaj kev tso tshuaj kom tsaug zog.

Kev phais mob rau ncauj tsev menyuam

Kev phais mob rau ncauj tsev menyuam mob lub hom phiaj tshem tawm txhua daim ntaub pom mob qog nqaij hlav cancer. Qee zaum, cov qog ntshav nyob ze lossis lwm cov ntaub so ntswg kuj raug tshem tawm, qhov twg mob qog tawm ntawm ncauj tsev menyuam.

Koj tus kws kho mob yuav pom zoo kom phais raws ntau yam. Qhov no suav hais tias koj cov kabmob kheesxaws dhau los lawm, seb koj puas xav muaj menyuam, thiab koj txoj kev noj qab haus huv tag nrho.

Ua li lub pob txha

Thaum txiav me me, ib qho luaj li lub khob ntawm lub ncauj tsev menyuam tau raug tshem tawm. Nws tseem hu ua cone excision lossis cervical conization. Nws tuaj yeem siv los tshem tawm cov mob hlwb lossis mob hlwb.

Lub khob hliav qab ntawm cov nqaij me ua kom ntau npaum li cas ntawm cov nqaij mos uas tau tshem tawm ntawm qhov chaw. Cov ntaub so ntswg tsawg yog muab tshem tawm hauv qab sab.

Kev kuaj ntshav yuav tuaj yeem siv ntau hom kev qhia, suav nrog:

• voj kev sib tw electrosurgical (LEEP)
• phais laser
• txias riam conization

Tom qab txiav lub khob hliav qab, cov qog ua haujlwm tsis txaus siab raug xa mus rau tus kws tshaj lij rau kev tshuaj ntsuam. Cov txheej txheem tuaj yeem ua tau ob qho tib si kev kuaj mob thiab kho mob. Thaum tsis muaj mob qog nqaij hlav nyob rau ntawm ntug kev thaiv kab mob uas zoo li tus menyuam tshem tawm, kev kho mob ntxiv yuav tsis tsim nyog.

Hysterectomy

Hysterectomy yog kev phais mob tawm ntawm lub tsev menyuam thiab ncauj tsev menyuam. Nws zoo heev txo txoj kev pheej hmoo ntawm kev rov ua dua thaum piv rau kev phais mob hauv zos ntau dua.Txawm li cas los xij, tus poj niam tsis tuaj yeem muaj menyuam yaus tom qab phais mob hysterectomy.

Muaj ob peb txoj hauv kev sib txawv los ua tus mob hysterectomy:

• Kev phais plab huv plab tshem tawm lub tsev menyuam los ntawm txoj kev phais plab.
• Vaginal hysterectomy tshem tawm lub tsev menyuam hla lub paum.
• Laparoscopic hysterectomy siv cov cuab yeej tshwj xeeb txhawm rau tshem tawm lub tsev menyuam los ntawm ob peb txoj kev phais me me hauv ob lub plab lossis chaw mos.
• Kev phais neeg mob siv lub npab tsis sib luag coj los ntawm kws kho mob txhawm rau tshem tawm lub tsev me me los ntawm kev phais me me hauv plab.

Tej zaum kuj yuav tsum tau kho qhov phais mob hysterectomy. Nws tseem muaj ntau dua li cov qauv ntawm lub cev nqaij daim tawv. Nws tshem tawm sab qaum ntawm qhov chaw mos. Nws tseem yuav tshem tawm lwm cov ntaub so ntswg nyob ze ntawm lub tsev menyuam, xws li txoj hlab qe menyuam thiab cov qe menyuam.

Muaj qee kis, pelvic lymph nodes raug tshem tawm ib yam nkaus. Qhov no hu ua pelvic lymph node dissection.

Mob Trachelectomy

Qhov kev phais no yog lwm txoj hauv kev rau lub cev tu menyuam. Lub ncauj tsev menyuam thiab ntawm qhov chaw mos tau tshem tawm. Lub tsev menyuam thiab zes qe menyuam tseem nyob hauv qhov chaw. Qhib qhov ncauj yog siv los txuas rau lub tsev menyuam mus rau qhov chaw mos.

Cov lus sib dhos tso cai rau cov poj niam ua kom muaj peev xwm muaj menyuam. Txawm li cas los xij, kev xeeb menyuam tom qab trachelectomy tau faib ua cov kev pheej hmoo siab, vim tias muaj qhov nce ntawm kev nchuav menyuam.

Kev xav ntawm pelvic

Qhov kev phais no tsuas yog siv yog tias mob cancer kis mus. Feem ntau nws tau tshwj tseg rau ntau cov teeb meem ntau. Kev tshem tawm tshem tawm cov:

• lub tsev menyuam
• pelvic lymph node
• lub zais zis
• chaw mos
• qhov quav
• ib feem ntawm txoj hnyuv

Kev siv hluav taws xob ntau los kho mob khees xaws ncauj tsev menyuam

Hluav taws xob siv hluav taws xob siv hluav taws xob ntau los tua cov qog nqaij hlav cancer. Kev kho hluav taws xob ib txwm siv ib lub tshuab sab nraum lub cev kom xa cov nqaj sab nraud uas tau tsom mus rau qhov chaw mob qog nqaij hlav.

Kev xa hluav taws xob kuj tseem tuaj yeem muab xa khoom sab hauv los ntawm kev siv tus txheej txheem hu ua brachytherapy. Kev cog hniav uas muaj cov kua hluav taws xob tso rau hauv tsev menyuam lossis chaw mos. Nws tshuav nyob hauv qhov chaw rau lub sij hawm ua ntej muab tshem tawm. Lub sijhawm nws nyob hauv thaum nyob ntawm seb siv hluav taws xob ntau npaum li cas.

Hluav taws xob yuav muaj cov kev mob tshwm sim ntau. Feem ntau ntawm cov no yuav ploj mus tom qab kev kho mob tiav. Txawm li cas los xij, lub paum ntawm txoj kev sib tw thiab kev puas tsuaj rau lub zes qe menyuam tuaj yeem yog mus tas li.

Kev siv tshuaj kho rau kev mob khees xaws ncauj tsev menyuam

Kev siv tshuaj kho siv cov tshuaj los tua cov qog noj ntshav. Yuav siv cov tshuaj ua ntej kev phais mob kom lub pob hlav. Lawv kuj tseem tuaj yeem siv tom qab los rhuav tshem ntawm cov qog qog noj qog ntshav qog.

Muaj qee kis, kev siv tshuaj khomob nrog rau hluav taws xob tau txais kev kho mob zoo tshaj plaws rau kev mob qog nqaij hlav ncauj tsev menyuam. Qhov no hu ua concurrent chemoradiation.

Kev siv tshuaj kho mob tuaj yeem siv los kho mob khees-xaws ncauj tsev menyuam uas tau kis tawm ntawm lub ncauj tsev menyuam mus rau lwm yam kabmob thiab cov nqaij mos. Qee zaum, muab cov tshuaj sib tov ua ke kom sib xyaw. Kev siv tshuaj kho mob tuaj yeem ua rau muaj kev mob tshwm sim loj heev, tab sis cov no feem ntau ploj mus thaum kho tas.

Raws li American Cancer Society, cov kuab tshuaj uas feem ntau siv los kho mob khees xaws ncauj tsev menyuam yog:

• topotecan (Hycamtin)
• cisplatin (Platinol)
• paclitaxel (Taxol)
• gemcitabine (Gemzar)
• carboplatin (Paraplatin)

Cov tshuaj noj pab rau ncauj tsev menyuam

Ntxiv nrog rau kev siv tshuaj kho mob, lwm yam tshuaj tau ua muaj los kho mob khees xaws ncauj tsev menyuam. Cov tshuaj no poob qis rau ob hom kev kho mob: tshuaj kho kom haum thiab siv tshuaj tiv thaiv kab mob.

Cov tshuaj kho mob tshwj xeeb muaj cuab kav tshwj xeeb qhia tau thiab tua cov qog nqaij hlav cancer. Feem ntau, cov tshuaj kho mob raws hom phiaj yog cov tshuaj tiv thaiv uas tau tsim hauv chav tshuaj.

Bevacizumab (Avastin, Mvasi) yog cov tshuaj tiv thaiv uas pom zoo los ntawm FDA pom zoo los kho mob qog nqaij hlav ncauj tsev menyuam. Nws ua haujlwm los ntawm kev cuam tshuam nrog cov hlab ntshav uas pab cov kabmob hlwb ua haujlwm. Bevacizumab yog siv los kho kev mob khees-xaws lossis mob ncauj tsev me.

Siv tshuaj tiv thaiv kab mob ua rau koj tsis muaj zog siv los tiv thaiv qog nqaij hlav cancer. Ib hom tshuaj tiv thaiv feem ntau hu ua kev tiv thaiv kab mob hauv lub cev. Cov tshuaj no txuas rau cov protein tshwj xeeb rau ntawm qog nqaij hlav cancer, ua rau lub cev tiv thaiv kab mob mus nrhiav thiab tua lawv.

Pembrolizumab (Keytruda) yog ib qho tshuaj tiv thaiv kab mob hauv lub cev uas tau pom zoo los ntawm FDA pom zoo los kho mob ncauj tsev menyuam. Nws tau siv thaum muaj mob khees-xaws ncauj tsev menyuam txuas ntxiv mus txawm tias thaum kho tshuaj khomob.

Khaws cia muaj me nyuam nyob rau hauv cov poj niam uas muaj mob khees xaws ncauj tsev menyuam

Ntau yam kev kho mob ncauj tsev menyuam tuaj yeem ua rau nws tus pojniam lossis pojniam tsis muaj menyuam tomqab kho tiav lawm. Cov kws tshawb nrhiav tau txhim kho cov kev xaiv tshiab rau cov poj niam uas tau muaj kev kho mob qog nqaij hlav rau lub tsev menyuam kom tuaj yeem tiv thaiv kev muaj menyuam thiab kev ua haujlwm.

Oocytes yog qhov muaj kev pheej hmoo ntawm kev puas tsuaj los ntawm kev kho hluav taws xob lossis kev siv tshuaj kho mob. Txawm li cas los xij, lawv tuaj yeem muab cov qoob loo thiab khov khov ua ntej kev kho. Qhov no tso cai rau tus poj niam ua kom cev xeeb tub tom qab kho siv nws tus kheej lub qe.

Hauv vitro fertilization kuj yog ib qho kev xaiv. Cov poj niam lub qe tau muab tua thiab ua qe nrog cov phev ua ntej kev kho mob pib thiab tom qab ntawd ces lub embryos tuaj yeem khov thiab siv rau kev xeeb tub tom qab kho tas.

Ib txoj hauv kev uas tseem tab tom kawm yog ib yam dab tsi hu ua a. Hauv cov txheej txheem no, ovarian ntaub so ntswg yog hloov mus rau hauv lub cev. Nws txuas ntxiv tsim cov tshuaj hormones nyob rau hauv qhov chaw tshiab, thiab hauv qee kis, pojniam tseem muaj qe menyuam.

Tiv thaiv kev mob khees-xaws ncauj tsev menyuam

Muaj ntau yam uas koj tuaj yeem ua los tiv thaiv tus mob khees xaws ncauj tsev menyuam. Thawj qhov yog mus kuaj mob kheesxaws ncauj tsev menyuam xwm yeem. Kev kuaj mob tuaj yeem kuaj pom txog kev hloov pauv hauv cov keeb ntawm ncauj tsev menyuam (Pap smear) lossis kuaj pom tus kabmob HPV, uas yog qhov muaj pheej hmoo tseem ceeb rau mob qog nqaij hlav rau ncauj tsev menyuam.

Tsoomfwv Meskas Pabcuam Tiv Thaiv Kev Ua Haujlwm tau tsis ntev los no tau tso tawm tshiab hais tias feem ntau cov pojniam yuav tsum raug kuaj mob qog nqaij hlav rau ncauj tsev menyuam licas. Lub sijhawm thiab hom kev kuaj pom zoo raws li koj lub hnub nyoog:

Hnub nyoog qis dua 21: Tsis pom zoo kom kuaj mob khees xaws ncauj tsev menyuam.

Thaum muaj hnub nyoog 21 thiab 29: Kev kuaj mob kheesxaws ncauj tsev menyuam dhau los ntawm Pap smear yuav tsum tau kuaj txhua peb lub xyoos.

Thaum muaj hnub nyoog 30 thiab 65: Muaj peb txoj hauv kev los kuaj xyuas mob ncauj tsev menyuam hauv ntu hnoob nyoog no. Lawv suav nrog:

• Pap pleev txhua peb lub xyoos
• kev pheej hmoo siab mob HPV (hrHPV) kuaj txhua tsib xyoos
• kuaj Pap smear thiab hrHPV txhua tsib xyoos

Muaj hnub nyoog tshaj 65: Kuaj mob kheesxaws ncauj tsev menyuam tsis tau hais kom ntev li koj tau txais kev kuaj mob txaus ua ntej.

Muaj ib cov tshuaj tiv thaiv los tiv thaiv kev kis mob nrog hom HPV uas feem ntau yuav ua rau mob cancer. Tam sim no, nws yog rau cov tub thiab ntxhais hnub nyoog 11 thiab 12.

Txawm li cas los xij, nws tseem pom zoo rau cov txiv neej txog hnub nyoog 21 thiab poj niam txog hnub nyoog 45 xyoos uas tseem tsis tau txais nws. Yog tias koj nyob hauv thaj tsam hnub nyoog no thiab xav tau txhaj tshuaj tiv thaiv kab mob, koj yuav tsum tham nrog koj tus kws kho mob.

Nws kuj tseem muaj qee qhov kev hloov pauv ntawm lub neej uas koj tuaj yeem ua los tiv thaiv tus mob khees xaws ncauj tsev menyuam. Xyaum kev pw ua ke kom nyab xeeb thiab txiav luam yeeb kuj tseem tuaj yeem txo koj txoj kev pheej hmoo. Yog koj tam sim no haus luam yeeb, tham nrog koj tus kws kho mob txog txoj kev txiav luam yeeb kom pab koj txiav luam yeeb.

Tham nrog koj tus kws kho mob

Txoj kev kuaj seb puas muaj mob khees xaws rau ncauj tsev menyuam yog nyob ntawm theem ntawm lub sijhawm nws kuaj mob. Tsib tsib xyoos kom muaj sia nyob muaj mob qog hais tias mob qog noj ntshav ntxov ntxov.

Raws li cov American Cancer Society, 92 feem pua ​​ntawm cov poj niam uas muaj mob qog nqaij hlav hauv zos muaj sia nyob tsawg kawg yog tsib xyoos. Txawm li cas los xij, thaum mob cancer tau kis mus rau cov ntaub so ntswg nyob ze, tsib xyoo kev muaj sia nyob mus txog 56 feem pua. Yog tias nws kis mus rau thaj chaw nyob deb ntawm lub cev, nws poob rau 17 feem pua.

Tham nrog koj tus kws kho mob txog txoj kev npaj khomob uas haum rau koj. Koj cov kev kho yuav nyob ntawm:

• theem ntawm koj mob cancer
• koj li keeb kwm kho mob
• yog tias koj xav cev xeeb tub tom qab kho tas