Zvinokonzera, Zviratidzo, Kurapa, nekudzivirira kweVulvar Cancer
Chirwere chekuvhura chirwere chisina kuwanikwa chekenza chinokanganisa vhudzi revakadzi. Kwete kuti urege kuvhiringidzwa nemudzimai , iyo vulva inobatanidza rabia majora uye labia minora, mapepa eganda rinodzivirira hutachiona uye urethral openings.
Kune mhando dzakasiyana dzevhiri chirwere chekenza, asi squamous cell vulvar carcinoma yakawanda. Inokonzera zvinopfuura 90% zvezvirwere zvinowanikwa.
Chirwere chechironda chinonzi chechipiri chinowanzosvibisa uye chinomiririra vanenge 5% yevakadzi vane chirwere chechirwere. Mimwe mhando inosanganisira zvirwere zvePaget zvehuvha, vulvar adenocarcinoma, uye basal cell carcinoma, asi izvi hazvisi zvishoma.
Zvinokonzera uye Zvimwe Ngozi dzeVulvar Cancer
Kunyange zvazvo vatsvakurudzi vasati vamboona zvikonzero chaivo zvekuvara kwechirwere, vakaona zvizivo zvinozivikanwa zvechirwere ichi. Vulvar cancer mungozi zvinosanganisira:
- ane utachiona hwepillomavirus yevanhu (HPV)
- ane HIV
- ane lichen sclerosis, chirwere cheganda chinokanganisa nyota
- kusvuta
- nhoroondo yemhuri ye melanoma
- kuva makumi manomwe kana kupfuura (vulvar chirwere, zvisinei, zvinogona kuonekwa mune vakadzi vaduku)
Zviratidzo zveVulvar Cancer
Mumazamu okutanga, vulvar chirwere hachiwanzo zvine zviratidzo. Sezvo chirwere ichi chichipfuurira, vhudzi zviratidzo zvekurwere zvinosanganisira:
- bundu kana bump pamusana
- vulvar kutema, kupisa, kana kunzwa
- kurwadziwa panguva yekurota
- kuchinja muhutano hwehutu
- mole pamusoro pehuvha kana kuchinja pane iripo
- kubuda ropa kusina kufanana nekuenda kwako kumwedzi
Izvi zvinokonzera zvirwere zvechirwere hazvisi zvekuti zvinokonzera chirwere chechirwere uye zvinogona kufambidzana kune imwe, zvishoma kuderera. Kuzivisa zviratidzo kare kusvika kuchiremba wako anogona kubatsira munguva yekukurumidza.
Kuongororwa kweVulvar Cancer
Nhanho yekutanga mukutsvaga chirwere chekuvara ndeyekuti chiremba wako azive zviratidzo chero zvipi zvaunenge uchiri kuona. Zviratidzo zvinogona kuva izvo zvinoita kuti vakadzi vaone chiremba wavo, asi zviratidzo zvekuvhara chirwere zvinogona kuonekwa kuburikidza nemitambo yepilvic nguva dzose, kunyange kana mukadzi asina huno zviratidzo zvinooneka.
Vakadzi vanogonawo kutarisa hutano hwavo hweValvar nekugara vachiita vulvar kuzviongorora pamba. Kuita miedzo iyi nguva dzose kunobatsira mukadzi kuti anzwisise mararamiro ake, dzidza kuti chii chinowanzoitika kwaari, uye pane nguva, zvichiita kuchinja kusina kuitika kunogona kuratidza kusakanganisika.
Bhiopsy inofanirwa kudikanwa kusimbisa kuvapo kana kusavapo kwekenza. Munguva yezvinyuchi zvinoputika, chiremba anobvisa chiduku chiduku chezvinyuchi zvinotumirwa kutumirwa kubasa rekurapa kwekuongorora. Kana bhiopsy inoratidza chirwere, chirwere chacho chinobva chagadzirwa. Kutarisa kunoreva kuti kenza yakapararira sei kumasvikiro kana nhengo dziri pedyo. Mimwe miedzo inoshandiswa pakutsvaga chirwere chekuvara inogona kusanganisira:
- cystoscopy
- proctoscopy
- x-ray kuongorora mapapu
- intravenous urography (sezvaidiwa)
Kurapa kweVulvar Cancer
Zvirongwa zvekurapa mishonga yeVulvar zvinonyanya kuvimba nesero rekenza uye hutano huzhinji. Nhatu nzira dzinoshandiswa kurapa chirwere cheV vulvar: kuvhiyiwa, chemotherapy, uye remishonga inonzi radiation.
Surgery. Kuvhiya ndiyo iyo inowanzoshambadza ye vulvar chirwere chekenza. Imwe nzira yekuvhiya, kushamiswa kwemunharaunda, inosanganisira kubviswa kwechirwere chekenza pamwe nemuganhu wezvisikwa zvine utano zvakakomberedza. Lymph nodes dzinogona kubviswa
Imwe nzira yekuvhiya, a vulvectomy, ndiyo imwe nzira yevamwe vakadzi. A vulvectomy ndiko kubviswa kwezvose kana chikamu chekudya uye kunochengeterwa zvimwe zvepamusoro zvinokonzera chirwere chekenza. Kune vakadzi vane chirwere chinoshungurudza vulvectomy, chirwere chekugadzirisa vaginhi inogona kuwanikwa kuburikidza nekugadzira mapurisa epurasitiki uye ganda graft. Chemotherapy. Chemotherapy inogona kuva sarudzo kune vamwe vakadzi vane chirwere chekuvara.
Inowanzomirirwa pamwe chete nemishonga inonzi radiation kuti iwedzere kubudirira kwehutachiona hwehutachiona kana kubatsira kubvisa chirwere chikuru pamberi pokuvhiyiwa. Inogonawo kugoverwa seyadjuvant therapy kuitira kudzivirira kudzokorora.
Radiation Therapy. Radiation therapy ndiyowo nzira yekurapa chirwere chevarvar. Iyo nzira yekurapa inoshandisa mamwe marudzi akareba-masimba emaseroti kusvika pakuora maronda kana kupedza masero ekenza. Radiation therapy inoshanda nekukuvadza DNA chekenza yesero, zvichiita kuti isakwanise kuwedzera. Kunyange zvazvo rheinheti yehutachiona inogona kukanganisa masero ane utano ari pedyo, masero emukenza anonyanya kunetseka uye anowanzofa paanoitwa. Masero anopa utano akaparara panguva yemazuva ano anononoka uye anowanzokwanisika kugadzirisa zvakakwana.
- Migumisiro Yechirwere yeRadioation Therapy
- Nzira Yokuchengetedza Sei Nyuchi Dzemuviri Wemigumisiro Inokonzerwa neRadioation Therapy
Vulvar Cancer Prevention
Kunyange zvazvo pasina maitiro ekudzivirira anokonzera chirwere chechirwere, kune zvinhu zvakawanda zvatinogona kuita kuti kuderedze ngozi yedu yekuvandudza chirwere chacho. Nzira dzekuderedza ngozi yedu dzinosanganisira:
Kuderedza Dambudziko reHIVV. Kuita kuti kuwedzerwa kwako kupapillomavirus yevanhu (HPV) kunogona kuderedzawo ngozi yekuvhura chirwere. HPV ndiyo chirwere chepabonde chinotapurirwa mune zvepabonde, mune dzimwe nguva, kana chikasara chisingaoneki kana kusatorwa, chinogona kufambira mberi mumukenza wechibereki. Icho chinoshanda mukukudziridza mamwe akawanda kanzira, kusanganisira chirwere chevarvar, chiri kuongororwa.
Dzivisa Kusvuta. Sezvo tichiziva kuti kushandiswa kwefodya kunobatanidzwa kune dzimwe mhando dzekenza yevabereki, kudzivisa kusvuta inyanzvi yekugadzirisa njodzi. Kurega kusvuta kunogona kuderedza dambudziko rako rekuti kwete gynecologic kanzira chete seyechirwere chekenza asi dzimwe dzakawanda dzezvirwere nemamiriro ezvinhu zvakare.
- 5 Zvikonzero Zvikuru Zvokurega Kusvuta
- Nzira Yokugadzirira Kurega Kusvuta
Kugara Uchiona Purovicheni Miedzo. Kuva nechirwere chepilvic nguva dzose chinonyanya kukosha, kunyange kana iwe usina zviratidzo. Chirwere chepachivi chinotendera chiremba wako kutarisa kusakanganisika kunogona kutsvaga kuongororwa.
Kana uri kutarisana nezviratidzo, uzviudze kuna chiremba wako pakarepo. Usamirira kusvikira purojekiti yako inotevera yepecvic ichiita saizvozvo. A precantcerous vulvar mamiriro ezvinhu anonzi vulvar intraepithelial neoplasia (VIN) inokwanisa kuonekwa uye kurapwa isati yafambira mberi kuti iparadze chirwere, asi kana ichinge yakaongororwa nachiremba.