Kiisaska badankood ee kansarka naasuhu waxa ay ku kiciyaan hormoonka hormoonada iyo progesterone. Hormoon daaweynta, oo loo yaqaan 'therapy for endocrine therapy', ayaa loo isticmaalaa in laga saaro ama lagu xakameeyo hormoonnada iyo in la joojiyo ama la yareeyo koritaanka unugyada kansarka. Haddii kansarkaagu yahay hoormoon xasaasi ah, markaa daaweynta hoormoonka waxay noqon kartaa qayb ka mid ah qorshahaaga daaweynta.
Haddii dhakhtarkaagu kuu qoro tan koowaad ee kansarka naasahaaga, u qorshee qaadashada daaweynta hoormoonka shan sano ka dib markaad dhameeysid daaweyntaada koowaad.
Faa'iidada ugu weyn ee noocan daaweynta ah waa in laga hortago estrogen ka soo qaadashada unugyada kansarka ee dareeraha leh, taas oo yareyneysa khatartaada inaad dib u soo noqoto. Kansarka naasaha oo ah 'estrogen-receptor negative', daaweynta hormoonku ma shaqeynayo.
Daawooyinka ama Qalliinka
Hormoonada waxaa lagu yareyn karaa daroogooyinka iyo / ama qalliin. Haweenka ka horreeya dumarka, ugxan-yari waxay abuuraan inta ugu badan ee estrogen iyo, ka dib markii daaweynta asaasiga ah, qaadashada Tamoxifen ay ku filnaan doonto inay joojiso estrogen-ka unugyada kansarka.
Haddii loo baahdo, haweenka da'da yar ee qaba kansarka naasaha ee 'estrogen-sensitive nervous', ugxan-yari ayaa si ku-meel-gaar ah loogu xiri karaa cirbadaha xakameynta ugxanta. Dumarka khatarta sare leh, ugxan-yari waxaa laga yaabaa in qaliinka laga saaro (oophorectomy). Oophorectomy waa tallaabo muhiim ah oo aad ku qaadato maaddaama aadan mar dambe bacrimin doonin. Kala hadal dhakhtarkaaga kahor intaadan bilaabin daaweynta.
Maandooriyaha Hormoodka Hormoonku
Laba daroogo oo daawooyin ah ayaa loo isticmaalaa daaweynta hoormoonka waxaana lagu siinayaa iyadoo lagu saleynayo xaaladaada menopausal iyo baaritaankaaga kansarka naasaha: Isbeddelada Estrogen Isu-duwaha Qalabka (SERMs) iyo Aromatase Inhibitors (AIs).
Saameynada Caadiga ah
Haysashada ugxan-sidahaaga ayaa xiran ama lagaa saarayaa ama qaadashada daaweynta hoormoonka waxay keeni kartaa cudurrada maskaxda . Laga yaabee inaadan helin dhammaan calaamadaha menopause, laakiin waxaa jira waxyeelo caadi ah oo aad la kulmi karto noocaan daaweynta:
- Saacadaha kulul
- Dhidid habeenkii ah
- Niyad jabka
- Qalitaanka siilka
- Daal
Isticmaalka Daawada
Qalabka hormoonka ah waxaa loo isticmaalaa qalliinka kadib iyo daaweyn kale oo ku saabsan kansarka naasaha. Caawimaadyadani waxay ka hortagayaan soo noqoshada ama soo noqnoqoshada cudurada kansarka naasaha noolaha ee estrogen-receptor, joojinta estrogen si kor loogu qaado kobcinta unugyada kansarka ka soo baxa.
Haddii dhakhtarkaagu kuu qoro daawooyinka anti estrogen adiga, waxaa muhiim ah inaad si joogto ah u qaadato iyo inta aad u baahan tahay.
| Kansarka naasaha hore | ||
| Menopausal Xaaladda | Maandooriyaha Anti-Estrogen | Mudada mudada |
| Pre- | Tamoxifen | 2 - 5 sano * |
| Pre- | Isku-darka daroogooyinka xakameynta ugxanta, SERMs iyo AI | 5 sano (tijaabo caafimaad) |
| Kaddib | Aromatase Inhibitor | 5 sano. Ku sii wadista 5 dheeraad ah waxay hagaajin kartaa badbaadada aan nooleyn. |
| * Tamoxifen waxaa la siin karaa laba sano waxaana ku xiga Aromasin muddo saddex sano ah, xaaladaha qaarkood. Dumarka lagu daaweeyo tamoxifen muddo shan sano ah, ama sii wadata tamoxifen ama isbedelka AI shan sano oo dheeraad ah waxay wax ku ool u tahay hoos u dhigista khatarta soo noqoshada, waxaana jira xog ku talinaysa horumarinta guud ahaan badbaadada, sidoo kale. | ||
| Cudurka qaaxada | ||
| Menopausal Xaaladda | Maandooriyaha Anti-Estrogen | Mudada mudada |
| Mid kasta | Tamoxifen | Ilaa imminka wax ku ool ah |
| Mid kasta | Qiyaasta dhexdhexaadka ah iyo qiyaasta dheer ee estrogens | Ilaa imminka wax ku ool ah |
| Mid kasta | Ka hortagga Aromatase | Ilaa imminka wax ku ool ah |
| Kaddib | Dareemida Faslodex | Cudurku uma jawaabi karo Tamoxifen ama Fareston |
| Mid kasta | Megace | Cudurku kama sii jawaabo daweynta hormoonnada kale |
| Mid kasta | Androgens (hormuunada labka ah) | Isticmaalka ka dib daaweynta hormoonnada kale ee kale waxay noqdeen wax aan fiicnayn |
| Pre- | Isku-darka daroogooyinka xakameynta ugxanta, SERMs iyo AI | Ilaa imminka wax ku ool ah |
Ogsoonow in guud ahaan, bukaanka leh khatarta sare ee qanjidhada (xayawaanka cudurada "egnode positive or T3 ama ka sareeya), si loo yareeyo khatarta soo noqoshada, mudada daaweynta hoormoonka waa in lagu kordhiyo ilaa toban sano.
> Isha:
> Machadka Kansarka Qaranka. Hormoon Daaweynta Kansarka Naasaha.