Izizathu, iimpawu, unyango kunye nokukhusela iVulvar Cancer
Umdlavuza weVulvar ngumhlobo ongaqhelekanga womhlaza ochaphazela i-vulva yabasetyhini. Akunakudideka kunye nomfazi, i-vulva iquka i-labi majora kunye ne-labia minora, iifolthi zesikhumba ezikhusela ukuvuleka kwamanzi kunye nesisu.
Zininzi iintlobo zesifo somhlaza, kodwa i-squamous cell vulvar carcinoma ixhaphake kakhulu. I-akhawunti engaphezu kwe-90% yeziganeko ezixilongwa.
I-Melanoma ye-vulva yinto yesibini eqhelekileyo kwaye ibonisa malunga ne-5% yabasetyhini abanomdlavuza. Ezinye iintlobo ziquka izifo zePaget ze-vulva, vulvar adenocarcinoma, kunye ne-basal cell carcinoma, kodwa ezi ziphantsi kakhulu.
Izizathu kunye neengozi zeCululus Cancer
Nangona abaphandi bengaboni ukuba ziphi izizathu ezibangelwa ngumdlavuza we-vulvour, baye bafumanisa izinto ezinobungozi zesifo. Imiba yomngcipheko womhlaza iquka:
- usulelekile kwi- papillomavirus yabantu (HPV)
- sulelwe nguGawulayo
- ukuba ne-lichen sclerosis, imeko yesikhumba echaphazela i-vulva
- ukutshaya
- Imbali yentsapho ye-melanoma
- nokuba ngaphaya kwe-70 okanye ngaphaya (umhlaza wesifo, nangona kunjalo, unokuthi ufumaneke kubasetyhini abaselula)
Iimpawu zeVulvar Cancer
Kwizigaba zokuqala, utywala umdlavuza unqabile ukuba unayo nayiphi na impawu. Njengoko eso sifo siyaqhubeka, utywala iimpawu zomhlaza ziquka:
- ukuhluma okanye ukubola kwi-vulva
- ukutshisa, ukuvutha, okanye ukuqonda
- intlungu ngexesha lokuchama
- kutshintshwa kwindlela yokutsalwa kwe-vulva
- i-mole kwi-vulva okanye utshintsho kwi-mole ekhoyo
- ukuphuma kwegazi akuhambelani nomjikelezo wakho wokuya esikhathini
Lezi zibonakaliso zengqondo zomhlaza azixhomekekanga kuphela ekukhuseleni umdlavuza kwaye zinxulumene nomnye, imeko engathà sina. Ukuvakalisa iimpawu kwangaphambili ugqirha unokunceda ekutholeni kwangaphambili.
Ukuxilongwa kweVulvar Cancer
Isinyathelo sokuqala ekuxilongeni umdlavuza we-vulvar kukuba ugqirha wakho uyazi nayiphi na impawu onokuthi uhlangabezana nayo. Iimpawu zi nokuba yiyiphi into eyenza abafazi babone ugqirha babo, kodwa iimpawu zokuba nomhlaza zingabonwa ngokuqhelekileyo iimviwo zeplavic, nokuba ngaba ibhinqa ayinayo nayiphi na impawu ebonakalayo.
Abasetyhini banokubeka esweni i-vulvar yabo yezempilo ngokuzenza rhoqo i- vulvar iimviwo zabo ekhaya. Ukwenza olu vavanyo rhoqo kukunceda umfazi ukuba aqonde indlela yakhe yokufunda, ufunde okokuqhelekileyo kwinqwelo yakhe, kwaye emva kwexesha, kwenzeka ukuba utshintsho olungavumelekanga olungabonakalisa ukungaqhelekanga.
I-biopsy iyadingeka ukuqinisekisa ubungqina okanye ukungabikho komhlaza. Ngethuba le-vulv biopsy, ugqirha ususa isampula encinane yeesishukela esithunyelwayo kwi-lab ye-pathology lab yokuhlola. Ukuba i-biopsy ibonisa umdlavuza, eso sifo sagqitywa. Ukugxilwa kubhekiselele kwindlela umhlaza osasazeka ngayo kwimizimba okanye izitho eziseduze. Ezinye iimvavanyo ezisetyenziselwa ukuxilongwa komhlaza wesifo zingabandakanya:
- i-cystoscopy
- proctoscopy
- Ukuhlolwa kwe-x-ray yemiphunga
- i-urography (efunekayo)
Unyango lweVulvar Cancer
Izicwangciso zonyango lomhlaza weVulvar zixhomekeka kakhulu kwisigaba somhlaza kunye nempilo jikelele. Izindlela ezintathu zisetyenziselwa ukwelapha umdlavuza we-vulvar: utyando, i-chemotherapy, kunye neyeza.
Ukuhlinzwa. Ugqirha luhlobo oluqhelekileyo lwempilo yengonyango yomhlaza. Olunye uhlobo lotyando, ukulungiswa kwendawo, kubandakanya ukususwa kwamathambo enomdla kunye nomda weethambo eziphilileyo. I-lymph nodes zingasuswa
Enye inqubo yokugocwa, i-vulvectomy, yenye enye inketho kubafazi abathile. I-vulvectomy ukususwa kwayo yonke into okanye inxalenye yecala kwaye igcinwe kwiimeko eziphambili kakhulu zomhlaza wesifo. Kwabesetyhini abaye bafumana unyango olusisigxina, ukuhlinzwa ngokutsha kwamanzi kungasetyenziswa ngeendlela zobugcisa zeplastiki kunye neengqungquthela zesikhumba. Chemotherapy. I-Chemotherapy inokuba yinto yokukhetha abanye besetyhini abanomdlavuza.
Idlalwa ngokukhawuleza kunye kunye neyeza lokunyuka kwamayeza ukuze kwandiswe ukuphumelela kwonyango lwe-radiation okanye ukunceda ukunciphisa i-tumor enkulu ngaphambi kokuhlinzwa. Inokuphinda inikezwe njenge- adjuvant therapy ukukhusela ukuphindaphinda.
- Iimiphumo zangaphandle zeKhemotherapy
- Ukulahleka Kweenwele kunye neKhemotherapy: Ngaba Unokukhutshwa?
Utyando lweyeza. Uphulo lwe-radiation kwakhona lunokukhetha ukwelapha umdlavuza we-vulvar. Olu hlobo lonyango lusebenzisa ezithile iintlobo zamanzi eziphezulu eziphezulu ze-radiation ukuze zihlaziye izicubu okanye ziphelise iiseli zomhlaza. Uphulo lwe-radiation lusebenza ngokulimaza i-DNA yesifo somhlaza, okwenza ukuba singakwazi ukuphindaphinda. Nangona unyango lwe-radiation lonakalisa amangqamuzana enempilo esondeleyo, amangqamuzana omhlaza anomdla kakhulu kwiimitha kunye nokufa xa ephathwa. Iiseli eziphilileyo ezonakaliswe ngethuba lomsakazo zixhomekeke kwaye zihlala zikwazi ukubuyisela ngokupheleleyo.
- Iimiphumo ezingeNtsholongwane
- Indlela yokuLawula iimpembelelo zecala elibangelwa yi-Radiation Therapy
Vulvar Cancer Prevention
Nangona kungekho ndlela ekhuselekile yokukhusela umdlavuza, kukho izinto ezininzi esinokuzenza ukuze sinciphise umngcipheko wokuhlaselwa kwesi sifo. Izindlela zokunciphisa umngcipheko ziquka:
Ukunciphisa ingozi ye-HPV yakho. Ukunciphisa ukubonakala kwakho kumpapillomavirus yabantu (HPV) kunganciphisa umngcipheko wesifo somhlaza. I-HPV yintsholongwane exhaphakileyo ngokwesondo, ngezinye iimeko, xa ishiywe ingakhange ifumaneke okanye ingaphathwa, ingaqhubela kumhlaza womlomo wesibeleko. Inendima ekuphuhlisweni kwamanye amachiza, kuquka umhlaza wesifo, uphando.
Gwema u kutshaya. Ekubeni siyazi ukuba ukusetyenziswa kwecuba kuhlanganiswe kwezinye iintlobo zesifo somhlaza, ukuphepha ukutshaya kuyisicwangciso esihle sokunciphisa ingozi. Ukuyeka ukutshaya kunokunciphisa umngcipheko wakho wesifo somdlavuza wesifo somdlavuza kodwa uninzi nezinye izifo nezifo.
- Izizathu ezibalulekileyo zokuyeka ukutshaya
- Indlela Yokulungiselela Ukuyeka Ukubhema
Ukufumana iimviwo zePelvic rhoqo. Ukuvavanywa rhoqo kwe-pelvic kubaluleke kakhulu, nangona ungenayo nayiphi na impawu. Uvavanyo lwe-pelvic lugqirha ugqirha wakho ukuba akhangele ukungaqhelekanga okungadinga ukuvavanywa komnye.
Ukuba ufumana iimpawu, zixelele ugqirha wakho ngokukhawuleza. Musa ukulinda ukuvavanywa kwakho kwe-pelvic. Isimo se-vulgarous vulvar esibizwa ngokuba yi-vulvar intraepithelial neoplasia (VIN) inokukwazi ukufunyanwa nokuphathwa phambi kokuba iqhube phambili ekukhuseleni umdlavuza, kodwa kuphela xa ihlolwe ngugqirha.