Zimayambitsa, Zizindikiro, Chithandizo, ndi Kupewa Khansara ya Vulvar
Khansara yotupa ndi khansa yosawerengeka yomwe imakhudza amayi ambiri. Osati kusokonezeka ndi vaginja , mphutsi imaphatikizapo majaya a labiya ndi labia minora, zikopa za khungu zomwe zimatetezera mazenera ndi ziwalo zobisika.
Pali mitundu yosiyanasiyana ya khansa, koma squamous cell vulvar carcinoma ndi yofala kwambiri. Amapereka zochitika zoposa 90 peresenti zazopezeka.
Chilombo cha malanoma ndi chachiwiri ndipo chikuimira pafupifupi 5% mwa amayi omwe ali ndi khansa ya vulv. Mitundu ina imaphatikizapo Matenda a Paget a vulva, vulvar adenocarcinoma, ndi basal cell carcinoma, koma izi sizikhala zofala kwambiri.
Zifukwa ndi Zoopsa za Khansa ya Vulvar
Ngakhale ofufuza asanathe kudziwa zomwe zimayambitsa khungu la khansa, adziŵitsa zomwe zimayambitsa matendawa. Zomwe zimayambitsa matenda a khansa ndizo:
- kukhala ndi kachilombo ka papillomavirus ya munthu (HPV)
- ali ndi HIV
- kukhala ndi lichen sclerosis, vuto la khungu lomwe limakhudza mimba
- Kusuta
- mbiri ya banja la khansa ya khansa
- pokhala 70 kapena kupitirira (vulvar khansa, komabe, amatha kupezeka ndi atsikana achichepere)
Zizindikiro za Khansa ya Vulvar
Kumayambiriro koyamba, chifuwa cha khansa sichikhala ndi zizindikiro zilizonse. Pamene matendawa akupita, zizindikiro za khansa ndizo:
- Pukuta kapena kutuluka pamphuno
- kutentha, kuyaka, kapena kukhudzidwa
- ululu panthawi ya kukodza
- kusintha mu mawonekedwe a nkhanza
- mole pa mphuno kapena kusintha pa mole yomwe ilipo
- magazi omwe sali okhudzana ndi kusamba kwanu
Izi zowononga zizindikiro za khansa sizimangokhalira kugwidwa ndi khansa ndipo zimatha kugwirizana ndi vuto linalake. Kufotokozera zizindikiro mwamsanga kwa dokotala wanu kungathandize kuthandizira msanga.
Kuzindikira kwa Vulvar Cancer
Choyamba pakupeza khansa ya vulvar ndi dokotala kuti adziwe zizindikiro zirizonse zomwe mukukumana nazo. Zizindikiro zikhoza kukhala zomwe zimawathandiza amayi kukaonana ndi dokotala, koma zizindikiro zowononga khansa zitha kuzindikiridwa kudzera mu mayeso a pakhosi, ngakhale ngati mayi alibe zizindikilo.
Akazi angathe kuyang'anitsitsa thanzi lawo pochita zofuna zawo nthawi zonse kunyumba. Kuchita mayeso nthawi zonse kumathandiza mkazi kumvetsa kutengera kwake, kuphunzira zomwe zimakhala zachilendo, komanso pakapita nthawi, zotheka kusintha kosasintha zomwe zingasonyeze kuti ndizosazolowereka.
Chidziwitso n'chofunika kuti zitsimikizire kukhalapo kapena kusapezeka kwa khansa. Panthawi ya chiwopsezo, dokotala amachotsa kachilombo kakang'ono ka minofu kuti katumizidwe ku labata la zofufuzira. Ngati biopsy imawulula khansara, matendawa amatha. Kuwunikira kumatanthawuza momwe khansara yathawira ku matenda kapena ziwalo zapafupi. Mayesero ena omwe amagwiritsidwa ntchito pofufuza khansa ya vulva angaphatikizepo:
- cystoscopy
- proctoscopy
- Kufufuza mapiritsi a x-ray
- malingaliro oipa (monga momwe akufunira)
Kuchiza kwa Khansa ya Vulvar
Mapulogalamu a khansa yowononga khansa amadalira kwambiri pa siteji ya khansa komanso thanzi labwino. Njira zitatu zimagwiritsidwa ntchito pochiza khansa ya vulvar: opaleshoni, chemotherapy, ndi mankhwala opatsirana pogwiritsa ntchito mankhwala.
Opaleshoni. Kuchita opaleshoni ndi mtundu wochuluka kwambiri wa mankhwala opatsirana khansa. Mtundu umodzi wa opaleshoni, kutengeka kwanuko, kumaphatikizapo kuchotsedwa kwa minofu ya khansa limodzi ndi mitsempha yathanzi yowzungulira. Mafupa amphongo angachotsedwe
Njira ina yopaleshoni, vulvectomy, ndiyo njira ina kwa amayi ena. A vulvectomy ndi kuchotseratu zonse kapena gawo la nkhanza ndipo amasungidwa ndi matenda akuluakulu a khansa. Kwa amayi omwe adagwiridwa ndi opaleshoni ya vulvectomy, opaleshoni yokonzanso mmimba ikhoza kupezeka pogwiritsa ntchito njira zopaleshoni zapulasitiki ndi zojambula za khungu. Chemotherapy. Chemotherapy ikhoza kukhala mwayi kwa amayi ena omwe ali ndi khansa ya vulv.
Nthawi zambiri amalembedwa pamodzi ndi mankhwala othandizira mazira kuti awonjezere mphamvu ya mankhwalawa kapena kuthandiza kuchepetsa chifuwa chachikulu asanachitike opaleshoni. Zingaperekedwe ngati mankhwala a adjuvant pofuna kupewa kubwereza.
Mankhwala Opanga Mafuta. Thandizo la ma ARV ndilo njira yothandizira khansa ya vulv. 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.
- Zotsatira Zotsata Mankhwala Opatsira Mafuta
- Mmene Mungasamalire Zotsatira Zachikopa Zomwe Zimayambitsa Chithandizo cha Mvula
Vulvar Prevention Cancer Prevention
Ngakhale kuti palibe njira zotetezera zowononga khansa, pali zinthu zingapo zomwe tingachite kuti tipewe chiopsezo chotenga matendawa. Njira zochepetsera chiopsezo ndizo:
Kuchepetsa Vuto Lanu la HPV. Kulepheretsa kuwonetsetsa kwanu kwa papillomavirus ya munthu (HPV) kungathandizenso kuchepetsa chiopsezo chotenga khansa. HPV ndi kachilombo ka HIV komwe kawirikawiri, kamene kamasiyidwa mosadziwika kapena kusatengedwera, ingapitirire ku khansa ya pachibelekero. Ndilo gawo pa chitukuko cha khansa zambiri, kuphatikizapo khansa ya vulv, ikufufuzidwa.
Pewani Kusuta. Popeza tikudziwa kuti kugwiritsira ntchito fodya kumagwirizana ndi mitundu ina ya khansa, kumapewa kusuta ndi njira yabwino yochepetsera chiopsezo. Kusiya kusuta kungachepetse chiopsezo chanu cha khansa ya amayi okhaokha monga khansa ya vulvar koma mitundu yambiri ya matenda ndi mikhalidwe.
- Zifukwa Zopangira Kusiya Kusuta
- Kodi Mungakonzekere Bwanji Kusiya Kusuta?
Kuyezetsa Zitsanzo Zachiwawa Nthawi Zonse. Kukhala ndi kuyezetsa magazi nthawi zonse ndikofunikira kwambiri, ngakhale kuti mulibe zizindikiro zilizonse. Kuyezetsa magazi kumathandiza dokotala wanu kuyang'ana zovuta zomwe zingafunikire kufufuza.
Ngati muli ndi zizindikiro, muwauze dokotala nthawi yomweyo. Musamayembekezere mpaka kuyezetsa kwanu kwachiwiri kuti mutero. Chinthu chodziwika bwino chomwe chimatchedwa vulvar intraepithelial neoplasia (VIN) chikhoza kuzindikiridwa ndi kuchiritsidwa musanapitirizebe kupweteka khansa, koma kokha ngati katayidwa ndi dokotala.