Risk yam thiab tiv thaiv kev mob qog noj ntshav endometrial (lub cev ntawm lub tsev menyuam)

Risk yam thiab tiv thaiv kev mob qog noj ntshav endometrial (lub cev ntawm lub tsev menyuam)

Risk yam tseem ceeb 

  • rog. Qhov no yog qhov kev pheej hmoo loj, vim tias cov ntaub so ntswg adipose ua rau cov tshuaj estrogen, uas txhawb kev loj hlob ntawm lub tsev menyuam hauv plab (endometrium);
  • Hormone hloov kho nrog tshuaj estrogen ib leeg. Kev kho tshuaj hormones nrog tshuaj estrogen ib leeg, yog li tsis muaj progesterone, tau qhia meej meej nrog kev pheej hmoo nce ntawm kev mob qog noj ntshav lossis mob ntshav qab zib ntau ntau. Yog li nws tsuas yog pom zoo rau cov poj niam uas tau tshem lub tsev menyuam tawm.2 ;
  • Kev noj zaub mov muaj roj ntau dhau. Los ntawm kev pab txhawb kom hnyav dhau thiab rog, thiab muaj peev xwm ua tau ncaj qha rau cov metabolism hauv cov tshuaj estrogen, cov rog hauv kev noj zaub mov, noj ntau dhau, ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav endometrial;
  • Kev kho Tamoxifen. Cov poj niam noj lossis tau noj tamoxifen los tiv thaiv lossis kho mob qog noj ntshav mis yog qhov pheej hmoo ntau dua. Ib ntawm 500 tus poj niam kho nrog tamoxifen txhim kho qog noj ntshav endometrial1. Qhov kev pheej hmoo no feem ntau suav tias yog qis dua piv rau cov txiaj ntsig uas nws coj los.
  • Tsis muaj kev tawm dag zog.

 

Kev tiv thaiv

Ntsuas ntsuas

Nws yog ib qho tseem ceeb kom ua sai sai rau a txawv txav ntawm qhov chaw mos, tshwj xeeb tshaj yog nyob rau hauv poj niam postmenopausal. Koj yuav tsum tau sab laj nrog koj tus kws kho mob sai. Tsis tas li, nws yog ib qho tseem ceeb uas yuav tau sab laj nrog kws kho mob tas li thiab muaj mus tas li kev kuaj mob gynecological, thaum lub sijhawm kws kho mob tshuaj xyuas qhov chaw mos, lub tsev menyuam, zes qe menyuam thiab zais zis.

Rooj Siv Ceeb Toom. Pap smear, feem ntau hu ua Pap test (Pap smear), tsis tuaj yeem kuaj pom tias muaj cov qog nqaij hlav hauv lub tsev menyuam. Nws tsuas yog siv los tshuaj xyuas kab mob qog noj ntshav ntawm daim ntawv lub tsev menyuam (nkag mus rau lub tsev menyuam) thiab tsis yog cov endometrium (sab hauv lub tsev menyuam).

Canadian Cancer Society pom zoo tias cov poj niam uas muaj kev pheej hmoo siab dua ntawm kev mob qog noj ntshav endometrial ntsuas nrog lawv tus kws kho mob muaj peev xwm tsim kom muaj kev taug qab tus kheej.

Kev ntsuas tiv thaiv yooj yim

Txawm li cas los xij, poj niam tuaj yeem txo qhov kev pheej hmoo ntawm kev txhim kho mob qog noj ntshav endometrial los ntawm kev ntsuas hauv qab no. Nco ntsoov tias ntau tus poj niam uas muaj kev pheej hmoo yuav tsis muaj mob qog noj ntshav hauv tsev

Saib xyuas kom noj qab haus huv Kev rog yog ib qho tseem ceeb ntawm kev pheej hmoo mob qog noj ntshav hauv cov poj niam tom qab cev xeeb tub. Cov kws tshawb fawb hauv tebchaws Swedish tau tshuaj xyuas cov ntaub ntawv kabmob kis los ntawm European Union lub tebchaws thiab tshawb pom tias 39% ntawm cov qog nqaij hlav endometrial hauv cov tebchaws no tau txuas rau qhov hnyav dhau.3.

Tsis tu ncua koom nrog kev tawm dag zog lub cev. Cov poj niam uas qoj ib ce tsis tshua muaj kev pheej hmoo. Ntau qhov kev tshawb fawb qhia tias tus cwj pwm no txo ​​qis kev pheej hmoo ntawm kev mob qog noj ntshav endometrial.

Siv ib kev kho cov tshuaj hormones tsim nyog tom qab lawm. Rau cov poj niam uas xaiv los pib kho tshuaj hormone thaum lub caij cev xeeb tub, txoj kev kho no yuav tsum muaj cov tshuaj progestin. Thiab qhov no tseem yog rooj plaub niaj hnub no. Qhov tseeb, thaum kho cov tshuaj muaj tsuas yog tshuaj estrogen, nws ua rau muaj kev pheej hmoo mob qog noj ntshav ntau ntxiv. Estrogens ib leeg tseem qee zaum tau sau tseg, tab sis tshwj tseg rau cov poj niam uas tau tshem lub tsev menyuam tawm (hysterectomy). Yog li ntawd lawv tsis muaj kev pheej hmoo mob qog noj ntshav ntxiv lawm. Qhov tshwj xeeb, qee tus poj niam yuav xav tau kev kho tshuaj hormone tsis muaj progestin vim muaj kev phiv los ntawm progestin2. Hauv qhov no, cov kws saib xyuas kev noj qab haus huv pom zoo tias kev tshuaj xyuas endometrial txhua xyoo los ntawm kws kho mob, raws li kev tiv thaiv kev ntsuas.

Txais yuav ntau npaum li qhov ua tau noj tshuaj tua kab mob qog noj ntshav. Raws li feem ntau ntawm cov txiaj ntsig ntawm kev tshawb fawb kab mob sib kis, kev tshawb fawb tsiaj thiab kev kawm nyob rau hauv vitro, cov kws tshawb fawb thiab kws kho mob tau tshaj tawm cov lus pom zoo los txhawb kev noj zaub mov uas pab lub cev tiv thaiv kev mob qog noj ntshav4-7 . Nws kuj tseem ntseeg tias kev zam los ntawm kev mob qog noj ntshav tuaj yeem txhawb nqa, tab sis qhov no tseem yog qhov kev xav. Saib daim ntawv Tailor-made diet: cancer, tsim los ntawm kws noj zaub mov Hélène Baribeau.

haisCov. Noj Los Noj tshuaj tiv thaiv estrogen-progestogen (tshuaj tiv thaiv kev yug menyuam, ntiv nplhaib, thaj) rau ob peb xyoos txo qhov kev pheej hmoo mob qog noj ntshav.

 

Sau ntawv cia Ncua