Ndezvipi zvikamu zvemukenza wemucheche? Chikwata changu chechirwere chinorevei?
Zvikamu zveCervical Cancer
Mukenza wechibereki, kufanana nekenza yakawanda, yakakamurwa kuva zvikamu zvichienderana nekukura kwekenza uye yakareba sei. Kuronga ndeimwe yezvinhu zvakakosha pakugadzirisa kurapa kwakanaka kwekenza uye kusarudza kwakarurama kwemukati, naizvozvo, chinhu chakakosha apo mumwe munhu anotanga kuonekwa ane chirwere chacho.
Kufambisawo inzira iyo vanachiremba vanogona kufanotaura kufungidzira - kana kuti munhu anotarisirwa kuita sei nehutano.
Nzira inowanzoshandiswa nekenza yemukomana inotaurirwa kuFio system inomirira International Federation of Gynecology and Obstetrics.
Mukuwedzera kune zvikamu, dzakawanda zvezvikamu izvi zvine shwere-shato, zvinowedzera kukanganisa pakati pekenza uye kubatsira kusarudza kurapwa. Iyi nhanho inobva kuchikwata chechipiri iyo inenge isingaiti kanzira, kusvika pachitanhatu IV, iyo inonzi inosangana nekenza yemusana .
Nhanho 0
Iyo inonziwo carcinoma in situ, danho 0 inoreva kuti masero anouraya anowanikwa chete pamucheka wemukati uye haana kupinda mukati maviri matema. Iyi nhanho yekenza inofungidzirwa isiri iyo inopisa, uye chero imwe nhanho iri mberi kwechikwata 0 inofungidzirwa kusingaiti. Pakave nekukakavadzana kukuru pamusoro pekuti iyi ichokwadi chekenza here kana kuti inongova chigarire .
Stage I
Muchitsauko I, masero ekenza anenge aripo mumuviri wemukati uye haana kuenda kune imwe nzvimbo.
Makero anokonzera kenza akapinda mumuviri wemukati , uye masero haasisiri pamba. Iyi danho rakaputsika mu:
Nhanho IA - Nhanho IA ndiyo danga rekutanga remusana wechirwere chechibereki. Kenza haikwanise kuonekwa nenzira isina meso uye inogona kuonekwa chete pasi pe microscope. Iyi danho rinowedzera kuputsika nehukuru ku:
- Nhanho IA1 - Nzvimbo inopinda inenge isingasviki 3 mm yakadzika uye isingasviki 7 mm yakafara.
- Nhanho IA2 - Nharaunda inopinda yakareba kupfuura 3 mm asi kwete kupfuura 5 mm mukati, uye kwete kupfuura 7 mm yakafara.
Chikamu IB - Iyi danho rinosanganisira matumire ayo akareba kudarika sendima IA uye inogona kana kuti isingaoneki pasina microscope
- Dhigirii IB1 - Izvi zvipembenene zvinogona kuonekwa chete pasi pemakroscope. Kupindira hakusi kupfuura 5 mm mukati uye kwete kupfuura 7 mm yakafara, kana kuti inogona kuonekwa pasi pe microscope asi iri pasi pe4 cm muhukuru.
- Chikamu IB2 - Izvi zvinotapukira zvinogona kuonekwa pasina microscope uye zvakakura kudarika 4 cm muhukuru.
Stage II
Mumutambo wechipiri wechirwere chechibereki, masero akapararira kunze kwechirwere asi haana kupararira kumadziro emapurvic kana kuti chetatu chechikadzi.
Nhanho IIA - Iyi kanhara yakapararira mberi kwechivharo kusvika kune yepamusoro 2/3 yemukadzi, asi haina kupararira chakakomberedza chibereko. Izvi zvinowedzera kuputsika pasi nekusvika mukati:
- Chikamu IIA1 - Chirwere ichi chinogona kuonekwa pasina microscope asi haisi kupfuura masendimita 4 muhukuru.
- Chikamu IIA2 - Chirwere chinogona kuonekwa pasina microscope uye inopfuura 4 cm muhukuru.
Nhanho IIB - Mucheche wakapararira kumatumbu akakomberedza chibereko uye chepamusoro 2/3 chemukadzi, asi kwete kumusana wepilvic.
Stage III
Muchitsauko III, kunze kwekupararira sezvakataurwa pamusoro apa kusvika kumusoro 2/3 emudzimai uye kumasukirwo akakomberedza chibereko , idzi kenza zvinogona kupararira kumucheto wechina wepakati pemadzimai, kumadziro emasipiresi, uye / kana kuti inogona kusanganisira itsvo. Izvi zvinowedzera kuputsika pasi nekupararira mukati:
Nhanho IIIA - Iyi kanhara inogona kunge yakapararira kumucheto wechina wepakati pemukadzi, asi kwete kumusana wepilvic.
Chikamu IIB - Kune zvikonzero zvishomanana nei chirwere chemukondombera chichatsanangurwa sechitambo IIIB. Chimwe chacho ndechekuti chakasvikira rusvingo rwepelvic. Imwe yacho ndeyekuti yakavhara rimwe kana kuti maviri (iyo tubes inofamba kubva kubva muinso kusvika kune chidzitiro) zvakadai kuti yakonzera kuti itsvo dziwedzere kana kuti dzisiye kushanda pamwe chete.
Stage IV
Muchitsauko IV chirwere chekenza chechirwere chirwere chakapararira kunze kwenharaunda yemukati mutezo kunosanganisira rusvingo rwechidzitiro kana rectum kana kupararira kune dzimwe nzvimbo dzomuviri.
Nhanho IVA - Iyi kanhara yakapararira kuitira kuti yakapinda kana chikafu kana rectum kana kuti zvose (kupararira kune pedo nhengo dzepasi.)
Nhanho IVB - Aya kanzira yakapararira kune nzvimbo dziri kure dzomuviri, somuenzaniso, lymph nodes mune imwe nzvimbo iri kure yemuviri, kana mapapu, chiropa, kana mapfupa.
Zvitsva Zvitsva
Iye zvino zvaunoziva zvikamu zvekenza yemucheche, chii chinosarudzwa nemishonga ?
Kana, pane kudaro, uri kungodzidza nezvekenza yemukomana, ita nechokwadi kuti unodzidza nezvenzira dzokudzivisa chirwere chepachirwere, uyewo ndiani anofanira kuwana chirwere chepachirwere chechibereki . Uye ona kuti unoziva zviratidzo zvekenza yemukomana - kunyange iwe ukawana pfuti.
Sources:
National Cancer Institute. Cervical Cancer Treatment - Health Professional Version (PDQ). Updated 02/04/16.