Maxay kordhinaysaa halista kansarka endometrial?
Kansarka endometrial waa kansar ku dhaca maqaarka ilmagaleenka, endometrium . Waa nooca ugu badan ee kansarka uterineinka dumarka. Sababaha tooska ah ee kansarka endometrial lama yaqaan, laakiin dhakhaatiirtu waxay qeexeen dhowr waxyaalood oo halis u ah.
In kasta oo arrimo halis ah ay kor u qaadi karaan fursadaha aad ku kobcin karto kansarka dhimirka, macnaheedu maahan inaad heli doonto ama ay sababeen kansarka.
Society Cancer Society wuxuu xusay in haween badan oo qaba hal ama waxyaabo badan oo halis ah aysan waligood lahayn kansar heerkul ah, halka haweenka qaba kansarku aysan lahayn wax halis ah.
Cudurka Ostrogen wuxuu Kordhi Karaa Khatarta Kansarka Cudurka Kansarka
Inkastoo aynaan awoodin in aan si sax ah u cadeyno waxa keena kansarka endometrial, daraasadaha waxay soo jeedinayaan in heerarka sare ee estrogen iyo mudada dheer ee soo-gaadhista estrogen ee sanooyin badan ay la xiriiri karaan horumarinta kansarka endometrial.
Estrogen waa hormoon dabiici ah oo laga sameeyey ugxan-yaryar, oo ay weheliso hormoonada hoormoonka. Heerarka hoormoonadani waxay u socdaan muddada wareegga bisha. Waqtiga iyo kadib dhalmada, jidhku wuxuu joojiyaa soo saaridda hormoonadaan. Tani waa waxa keena saameynta menopause, sida hargabka kulul, dhidid habeenkii, iyo qallayl siilka .
Sababaha aad u yeelan karto heerarka estrogen ee sarreeya ama soo-gaadhista waqti dheer:
- Cudurka Estrogen-Only Therapy: Si loo yareeyo dhibaatooyinka soo noqnoqda ee cilladda menopause, haweenka qaarkood ayaa lagu daaweeyaa daaweynta hoormoonka. Tani waxay noqon kartaa estrogen ama estrogen oo ay weheliso progestin (version version synthetic of progesterone), iyada oo ku xidhan haddii ay weli hayso ilmo-galeenka. Cudurka Estrogen wuxuu sababi karaa in xuubka ilmagaleenka uu koro (endometrial hyperplasia) haddii haweeney weli ay leedahay ilmo galeenka, sidaas darteed waxay u baahan doontaa inay qaadato progestin si looga hortago. Waxaa jira halis ah in uu ku dhaco kansarka ilmo-galeenka haddii ay taasi dhacdo. Sidaa darteed, qaadashada estrogen adiga oo aan helin gargaarka progestin haddii aad weli ku jirto ilmo-galeenka ayaa kordhin kara halista kansarka endometrial.
- Cayilka: Inkasta oo ugxan-yari ayan soo saarin estrogen ka dib markii ay caado-joonyadu marba marka ka dambeeyeen, estrogen ayaa wali laga heli karaa jirka oo ku jira unug (adegyo). Tani waa wax caadi ah haweenka oo dhan. Cilmi-baadhayaashu waxay aaminsanyihiin in sababta oo ah dumarka caga-mareenku ay leeyihiin unugyo dheeri ah, waxay halis dheeraad ah u yihiin in ay yeeshaan kansarka qanjirada 'endometrial' sababta oo ah waxay heystaan heerar badan oo hiddaha ah. Nasiib darro, dumarka cayayaanka ah iyo sidoo kale waxay leeyihiin kansarka endometrial khatarta sare ee dhimashada cudurka. Maskaxda ku hay in haweenka miisaan caafimaad qaba ay sidoo kale u nugul yihiin kansarka endometral - maaha mid gaar ah haweenka cirfiidka ah.
- Sanado badan oo Haween ah: Biloowga caadada ama bilowga menopause goor dambe waxay sidoo kale kordhisaa halista kansarka endometrial. Mar labaad, estrogen waa arrin sababta ay tani u kordhin karto khatartaada. Dumarka caadada qabta, endometrium waxay u egtahay in estrogen marxalad kasta. Cirbadaha badan ee aad qabtid, qiyaasta estrogen ee ka soo baxa waayo aragnimada endometrium.
- PCOS ama Neefsasho aan caadi ahayn: Dumarka la kulma ugxanta caadig la'aanta ah, sida kuwa qaba xanuunka 'polycystic syndrom syndrom' (PCOS), waxay la kulmaan halis dheeraad ah ee kansarka endometrial. Haweenkaas waxaa loo yaqaan 'estrogen' oo loo yaqaan 'estrogen' waxaana lagu dhiirigeliyaa koritaanka (dhumucdinta) ee marinka dhalmada. Si kastaba ha noqotee, haddii dhididdu aysan dhicin, maqaarka sonometray aan la daadin (sida caadiga ah, haweenka ku dhalaalaya) oo waxay la kulmaan estrogen badan. Natiijadu waxay noqon kartaa hyperplasia endometria, taas oo keeni karta kansarka endometrial.
- Waligaa Uur U Hayso: Dumarka aan weligood uur lahayn waxay ku jiraan khatar sare, gaar ahaan kuwa qaba xanuunka dhalmo la'aanta. Fikradda ka danbeysa arrintan halista ah waa dumarka aan waligood uur laheyn inay dhalaan ugxan aan caadi ahayn, taas oo kor lagu sharxay.
- Tamoxifen Isticmaal: Tamoxifen waa daroogo daaweyn ah oo daaweyn ah oo badanaa loo qoro dumarka qaba kansarka naasaha. Waxay ku xidhan tahay qabtayaasha estrogen ee unugyada qaarkood, xannibista estrogen ee ka soo horjeeda iyo kobcinta unugyada. Tani waxay ka hortagtaa estrogen in ay kor u qaaddo koritaanka noocyada kansarka naasaha. Nasiib darro, Tamoxifen waxay sidoo kale kicin kartaa koritaanka endometrium.
Ciladaha kale ee Halista Kansarka Kansarka
Estrogen maaha halista kaliya ee halista kansarka endometrial. Cilmi-baarayaashu waxay aqoonsadeen qodobo kale oo halis u ah cudurka:
- Cudurka macaanka: Cilmi baaris ayaa muujisay in dumarka sonkorowga qabaa ay halis ugu jiraan kansarka endometrial. Tani waxay noqon kartaa sababta oo ah cayilka iyo sonkorowga ayaa la xiriira.
- Taariikhda Caafimaadka Taariikhda Kansarka ama Naas-nuujinta Umil: Dumarka ku dhacay kansarka naasaha ama ugxan-sidaha ayaa leh wax yar oo kordhin kara khatarta ah inay ku dhacdo kansarka sanbabada. Saddexda cudurba dhammaantood waxay wadaagaan waxyaabo isku mid ah.
- Lynch Syndrome: Sidoo kale loo yaqaan HNPCC (kansarka mindhicirka unugyada lafdhabarka ah), Lynch syndrome waa xaalad hidde ah oo kor u qaadeysa khatarta kansarka, gaar ahaan kansarka mindhicirka. Cudurka Lynch wuxuu inta badan saameeyaa habka dheef-shiidka, laakiin wuxuu kaloo kordhiyaa halista kansarka ugxan-sidaha iyo endometrial ee haweenka.
> Isha:
> "Endometrial (Uterine) Cancer," Society Cancer Society, 3/17/2015.