Izimbangela, Izimpawu, Ukwelashwa Nokuvimbela I-Vulvar Cancer
Umdlavuza weVulvar wuhlobo olungavamile lomdlavuza oluthinta ama-vulva abesifazane. Akufanele kudidaniswe ne- vagina , i-vulva ihlanganisa ama-labia ama-labia kanye ne-labia minora, amafolda esikhumba avikela ukuvuleka kwesisu nesisu.
Kunezinhlobo eziningana ze-vulvar umdlavuza, kodwa i-squamous cell vulvar carcinoma ivame kakhulu. Ilandisa ngamacala angu-90% we-diagnostic.
I-melanoma ye-vulva yiyona eyesibili evamile futhi imele cishe ama-5% wabesifazane abanomdlavuza we-vulvar. Ezinye izinhlobo zifaka izifo ze-Paget ze-vulva, vulvar adenocarcinoma, ne-basal cell carcinoma, kodwa lokhu akuvamile kakhulu.
Izimbangela Nezikhwama Ze-Vulvar Cancer
Nakuba abacwaningi bengakaboni ukuthi yiziphi izimbangela zesifo somdlavuza we-vulvar, baye baqaphela ukuthi kukhona isifo esaziwayo. Izimo zeengozi ze-Vulvar zihlanganisa:
- ukutheleleka nge- papillomavirus yomuntu (i-HPV)
- unesandulela ngculaza
- une-lichen sclerosis, isimo sesikhumba esithinta i-vulva
- ukubhema
- umlando womndeni we-melanoma
- ukuba ngu-70 noma ngaphezulu (vulvar umdlavuza, noma kunjalo, kungatholakala ukuthi kunabesifazane abasebasha)
Izimpawu ze-Vulvar Cancer
Esikhathini sokuqala, umdlavuza we-vulvar awunaso izimpawu. Njengoba lesi sifo sithuthuka, izimpawu zomdlavuza zihlanganisa:
- Gwema noma ugobe phezu kwe-vulva
- ukuvutha, ukushisa noma ukuzwela
- ubuhlungu ngesikhathi sokuvuthwa
- shintsha ekuthungeni kwe-vulva
- imvukuzane phezu kwe-vulva noma ushintsho kumlenze okhona
- ukuphuma kwegazi akuhlobene nomjikelezo wakho wokuya esikhathini
Lezi zimpawu ze-vulvar zomdlavuza akuzona kuphela umdlavuza we-vulvar futhi zingahlobene nesinye isimo, isimo esingathí sina. Izimpawu zokubika ngaphambi kwesikhathi kudokotela wakho angasiza ekutholeni ngokushesha.
Ukuxilongwa kwe-Vulvar Cancer
Isinyathelo sokuqala ekuhloleni umdlavuza we-vulvar wukuthi udokotela wakho aqaphele noma yiziphi izimpawu ongase uzibonele. Izimpawu zingase zibe yilokho okusheshayo abesifazane ukuba babone udokotela wabo, kepha izibonakaliso ze-vulvar umdlavuza zingatholakala ngokujwayelekile kwezivivinyo ze-pelvic, ngisho noma owesifazane engenazo izimpawu ezibonakalayo.
Abesifazane bangaphinde baqaphe impilo yabo ye-vulvar ngokwenza njalo izivivinywa zokuzivocavoca ekhaya. Ukwenza lezi zivivinyo njalo kusiza owesifazane ukuba aqonde isisu sakhe, afunde ukuthi yini evamile okwakhe, futhi ngokuhamba kwesikhathi, kungenzeka izinguquko ezingavamile ezingabonisa ukungavamile.
Kudingeka i-biopsy ukuqinisekisa ukutholakala noma ukungabikho komdlavuza. Ngesikhathi se-vulvar biopsy, udokotela ususa isampula encane yezinyosi ze-vulvar ukuze ithunyelwe ebhokisini le-pathology yokuhlola. Uma i-biopsy yembula umdlavuza, lesi sifo sabe sesigxile. Ukugxila kubhekisela ekutheni umdlavuza usulele kangakanani kumathisisi noma izitho eziseduze. Ezinye izivivinyo ezisetshenziselwa ukuhlonza umdlavuza we-vulvar zingabandakanya:
- i-cystoscopy
- i-proctoscopy
- Ukuhlolwa kwe-x-ray yamaphaphu
- u-urography (okudingekayo)
Ukwelapha I-Vulvar Cancer
Izinhlelo zokwelapha umdlavuza weVulvar zixhomeke kakhulu esiteji somdlavuza kanye nempilo ejwayelekile. Izindlela ezintathu ezisetshenziselwa ukwelapha umdlavuza we-vulvar: ukuhlinza, ukwelapha ngamakhemikhali, kanye nokwelashwa kwemisebe.
Ukuhlinzwa. Ukuhlinzwa yilona uhlobo oluvame kakhulu ukwelashwa komdlavuza we-vulvar. Uhlobo olulodwa lokuhlinzeka, ukucabangela kwendawo, kuhilela ukukhishwa kwamathisayi omdlavuza kanye nomkhawulo wezicubu ezinempilo ezungezile. Ama-lymph nodes angasuswa
Enye inqubo yokuhlinza, i-vulvectomy, enye enye inketho yabesifazane abathile. I-vulvectomy iyisusa sonke noma ingxenye ye-vulva futhi igcinelwe amacala aphakeme kakhulu omdlavuza we-vulv. Kulabo besifazane abaye babhekana nokuhlinzwa okwenyusa ama-vulvectomy, ukuhlinzeka ngokuhlinzwa kwangasese kungase kutholakale ngokusebenzisa amasu okuhlinzwa epulasitiki kanye nama-grafts esikhumba. I-Chemotherapy. I-Chemotherapy ingaba yindlela yokukhetha abanye besifazane abanomdlavuza we-vulvar.
Kuvame ukushiwo kanye nokwelashwa kwemisebe ukuze kukhuliswe ukusebenza kahle kwe-radiation therapy noma ukusiza ukwehlisa isisu esikhulu ngaphambi kokuhlinzwa. Kungatholakala futhi njenge- adjuvant therapy ukuvimbela ukuphindaphindiwe.
I-Radiation Therapy. Ukwelashwa kwezidakamizwa nakho kuyindlela yokwelapha umdlavuza we-vulvar. Loluhlobo lwezokwelapha lusetshenziswa izinhlobo ezithile eziphezulu zamandla emisebeni yomswakama noma ziqede amaseli omdlavuza. I-radiation therapy isebenza ngokulimaza i-DNA yesifo somdlavuza, okwenza ingakwazi ukuphindaphindeka. Nakuba ukwelapha imishanguzo kungaphazamisa amangqamuzana aphilile aseduze, amangqamuzana omdlavuza azwela kakhulu emisebeni futhi efa lapho ephathwa. Amangqamuzana anempilo awonakele ngesikhathi sokushisa imisebe aqinile futhi ngokuvamile akwazi ukululama ngokugcwele.
- Imiphumela Ebizayo Yezokwelapha Ze-Radiation
- Indlela Yokusingatha Imiphumela Yesikhumba Esibangelwa Ngokwelashwa Kwemithi
I-Vulvar Cancer Prevention
Nakuba zingekho izindlela zokuvimbela umdlavuza we-vulvar, kunezinto eziningana esingayenza ukuze sinciphise amathuba ethu okuthuthukisa lesi sifo. Izindlela zokunciphisa ingozi yethu zibandakanya:
Ukunciphisa Ingozi Ye-HPV Yakho. Ukunciphisa ukuvezwa kwakho kwi-papillomavirus yomuntu (i-HPV) kunganciphisa ingozi yomdlavuza we-vulv. I-HPV igciwane lesandulela ngculazi elivame ukuthi kwezinye izimo, lapho lingashiywanga noma lingalashwa, lingathuthuka emdlalweni wesibeletho somlomo wesibeletho. Inendima ekuthuthukiseni kwamanye amagciwane kaningi, kuhlanganise nomdlavuza we-vulvar, uphenywa.
Gwema ukubhema. Njengoba sazi ukuthi ukubhema kuhlobene nezinye izinhlobo zomdlavuza womzimba, ukugwema ukubhema kuyindlela enhle yokunciphisa ingozi. Ukuyeka ukubhema kunganciphisa ingozi yakho yezinkinga zomdlavuza we-gynecologic ezifana nomdlavuza we-vulvar kodwa nezinye izinhlobo eziningi zezifo kanye nezimo.
- Izizathu Eziyinhloko Zokuyeka Ukubhema
- Indlela Yokulungiselela Ukuyeka Ukubhema
Ukuthola Izivivinyo ZamaPelvic Okuvamile. Ukuba nokuhlolwa kwe-pelvic ejwayelekile kubaluleke kakhulu, ngisho noma ungenayo izimpawu. Ukuhlolwa kwe-pelvic kuvumela udokotela wakho ukuba abheke okungajwayelekile okungadinga ukuhlolwa okwengeziwe.
Uma ubhekene nezimpawu, zibikele kudokotela wakho ngokushesha. Ungalindi kuze kube yilapho ukuhlolwa kwakho okulandelayo kwe-pelvic ukwenza kanjalo. Isimo se-precancerous vulvar okuthiwa i-vulvar intraepithelial neoplasia (i-VIN) ingakwazi ukutholakala nokuphathwa ngaphambi kokuba iqhubekele ekwenzeni umdlavuza, kodwa kuphela uma ihlolwe udokotela.