Zimayambitsa, Zizindikiro, Chithandizo, ndi Kuteteza
Khansara ya azimayi ndi mtundu wosawerengeka wa khansara yomwe imapangika m'mimba mwa amayi. Osati kusokonezeka ndi nthendayi, umaliseche ndi njira yopapatiza, yomwe imatuluka kuchokera pachibelekero mpaka kunja kwa thupi. Ndilo mainchesi 2 mpaka 4 kutalika. Amatchulidwanso ngati njira yobadwa.
Zifukwa ndi Zoopsa za Khansa ya Vaginal
Ngakhale kuti ochita kafukufuku sangathe kudziwa chomwe chimayambitsa khansa ya vaginayi, adzidziŵa zambiri zomwe zimayambitsa matendawa.
Chinthu chowopsa ndi chinthu chomwe chimapangitsa kuti mukhale ndi matenda koma sizitsimikizo kuti mudzalandira. Zowopsa za khansa ya umuna ndi izi:
- Matenda a HPV
- Kuchokera kwa mankhwala (synthetic estrogen yoperekedwa kwa amayi asanakwane 1971 panthawi yoyembekezera kuteteza kupititsa padera, koma potsiriza kumayambitsa mavuto a thanzi kwa mayi woyembekezera ndi mwana wamwamuna / mwana wamwamuna amene amamutenga)
- anapezeka ndi khansara ya chiberekero
- kugwiritsiridwa ntchito kwa ubongo wa pessary
- Kusuta
- HIV / AIDS
Zizindikiro za Khansa ya Vaginal
Kumayambiriro koyamba, khansa ya m'mimba sizimayambitsa zizindikiro zonse. Pamene matendawa akupita, zizindikiro zimayamba kuonekera. Zizindikiro za kugonana kwa khansa zimakhala ndi magazi osakwanira kapena kutaya magazi , ululu wamimba , chifuwa, chifuwa, kapena zilonda m'mimba, ndi ululu panthawi yogonana.
Zizindikiro izi sizimangokhalira khansa ya kumuna; Ndipotu, zimakhala zizindikiro zina, zovuta kwambiri.
Kuzindikira Khansa Yamagetsi
Ngati mukuganiza kuti khansa ikugwiriridwa, kupitanso patsogolo kuli kofunika kutsimikiza kuti palibe kapena kukhalapo kwa khansara.
Zomwe zimapezeka muyezeso wam'mimba ndi / kapena mapiritsi a Pap ndizo zoyesedwa zoyamba kuonetsa mbendera zofiira.
Pulogalamu ya colposcopy ikhoza kuchitidwa kuti alole dokotalayo kuti awone chiberekero ndi makoma a ubeni kwambiri. Colposcopy imagwiritsa ntchito microscope ngati chida chotchedwa colposcope kuti ayang'ane zolakwika. Pakati pa colposcopy, chiwerewere cha vaginayi chikhoza kuchitika kumadera alionse okayikira.
Chiwopsezo chimaphatikizapo kuchotsa zitsanzo za minofu kuti ziphunzire pansi pa microscope. Vuto lachikazi lachitsikana lachitidwa mofulumira kwambiri ndipo kawirikawiri silikusowa kupweteka.
Ngati biopsy ikutsimikizira khansa, siteji ya matendawa idzadziwika. Kuwongolera kumatanthawuza magulu a momwe khansara yafalikira kutali ndi matenda oyandikana nawo. Ngati mukuganiza kuti khansa ikupangidwira, kuyesedwa kwachipatala kungakhale kofunikira kuti mudziwe siteji ya khansa.
Kuchiza kwa Khansa ya Vaginal
Ndondomeko yanu yamankhwala imadalira mtundu wa khansara, siteji, ndi thanzi labwino. Njira zoyamba zothandizira khansa ndi opaleshoni komanso mankhwala opatsirana pogonana.
Opaleshoni ya khansa ya vaginja imasiyanasiyana pakati pa amayi omwe amawapeza. Mtundu wa opaleshoni wosankhidwa umalemera kwambiri kukula ndi siteji ya chotupacho. Kachidule, khansa ya m'mimba mwachisawawa imangotenga opaleshoni yapamwamba yochotsa opaleshoni kuti ichotse mitsempha ya khansa, pamene maulendo apamwamba angapangitse chithandizo chamankhwala choopsa, monga vaginectomy yochuluka (kuchitidwa opaleshoni ya gawo kapena vaginja onse). Izi zikhoza kukhala kuwonjezera pa hysterectomy kwambiri ndi lymphadenectomy (kuchotsedwa kwa ma lymph nodes pafupi).
- Mmene Mungapezere Opaleshoni Yaikulu
- Mmene Mungayankhire ndi Kuopa Kwambiri Opaleshoni
- Zosintha Mungathe Kuchita Zowonjezera Zotsatira Zanu Zopangira Opaleshoni
Mankhwala othandizira ma ARV ndi njira yothandizira khansa ya m'mimba. Mankhwalawa amagwiritsira ntchito mitundu yambiri ya mphamvu ya mphamvu ya ma radiation kuti iwononge matenda kapena kuthetsa maselo a khansa. Mankhwalawa amachititsa kuti DNA iwonongeke. Ngakhale mankhwala opatsirana pogwiritsa ntchito ma radiation angasokoneze maselo a thanzi lapafupi, maselo a khansa ndi ofunika kwambiri poizoni komanso amafa akamapatsidwa mankhwala. Ma cell wathanzi omwe amawonongeka pa nthawi ya ma radiation ndi othandiza ndipo nthawi zambiri amatha kuchira.
Mitundu iwiri ikuluikulu ya mankhwala opatsirana ndi ma radiation ndi mankhwala omwe amawotcha mazira ndi mazira, omwe amatchedwanso brachytherapy.
Mu khansa ya m'mimba, kuwala kwapansi kwapansi kumakhala kofala kwambiri kusiyana ndi kuwala kwadothi.
- Zotsatira Zotsata Mankhwala Opatsira Mafuta
- Mmene Mungasamalire Zotsatira Zachikopa Zomwe Zimayambitsa Chithandizo cha Mvula
Chemotherapy ndi njira ya chithandizo kwa amayi ena omwe ali ndi kansa ya m'mimba, koma ndi zochepa kwambiri zomwe zimagwiritsidwa ntchito kuposa opaleshoni ndi ma radiation. Amapatsidwa kwa amayi omwe amavutika ndi khansa yapamwamba komanso nthawi zambiri amagwiritsidwa ntchito ndi mankhwala opatsirana pogonana.
Kupewa Khansara Yamagulu
Chifukwa sitidziwa zomwe zimayambitsa khansa yachitetezo, chitetezo chabwino chomwe tili nacho pa matendawa ndicho kupeŵa zifukwa zomwe zingayambitse matendawa. Kumbukirani kuti amayi ena omwe ali ndi khansa alibe chiwopsezo cha matendawa, choncho sungapewe vuto lililonse.
Pofuna kuchepetsa chiopsezo chokhala ndi khansa, muyenera kupewa HIV. Kulepheretsa kuchuluka kwa ogonana nawo omwe muli nawo komanso kuonetsetsa kuti mnzanuyo akuvala kondomu panthawi yogonana ndi njira zabwino zothetsera vutoli. Njira inanso yowonongera HPV ndi katemera wa Gardasil , a FDA amavomereza katemera wa HPV. Katemerayu amateteza matenda awiri a HPV okhudzana ndi khansa ya pachibelekero, koma akhoza kutetezedwa ku khansa yokhudzana ndi HIV. Chithandizochi chikupezeka kwa atsikana omwe ali ndi zaka 9 kupyolera mwa amayi mpaka zaka 27.
Njira inanso yochepetsera chiopsezo cha khansa ya kumuna ndiyo kupewa kusuta. Ngati simusuta, musayambe ndipo ngati mukusuta, kumbukirani kuti sikuchedwa kwambiri kusiya. Kupewa fodya osati kungokuthandizani kuteteza khansa ya vagin, kudzakuthandizani kupewa matenda ena ambiri.
Pomalizira, kupeza mapiritsi a Pap nthawi zonse ndikofunikira kwa thanzi lanu lachibadwa. Ngakhale kuti Pap smear imadziwika bwino chifukwa chozindikira kusintha kwachiberekero, zimatha kuona kusintha kwa maselo a abambo omwe angapitirire ku khansa ngati sangasiyidwe. Mwamwayi, izi si zoona kwa khansa ya mtundu uliwonse.
Zotsatira:
American Cancer Society. Ndondomeko Yothandiza: Khansa ya Vaginal. 12 July 2006.
National Cancer Institute. Khansa ya Vaginal (PDQ®): Chithandizo; 23 May 2008.