Kodi magawo a khansa ya pachibelekero ndi yotani? Kodi siteji yanga ya matendawa ikutanthauzanji?
Zotsatira za khansa yachiberekero
Khansara ya chiberekero, mofanana ndi khansa zambiri, imagawanika mu magawo chifukwa cha khansara yaikulu komanso momwe imafalikira kutali. Kupanga malo ndi chimodzi mwa zinthu zofunika kwambiri pakupeza chithandizo choyenera cha khansara komanso kukonzekera msinkhu, choncho, chinthu chofunika kwambiri ngati wina atapezeka kuti ali ndi matendawa.
Kuphatikizanso ndi njira imene madokotala amatha kulongosola mwatsatanetsatane - kapena momwe munthu ayenera kuyerekezera.
Njira yomwe amagwiritsidwa ntchito kwambiri ndi khansara ya chiberekero imatumizidwa ku njira ya Figo yomwe imayimira International Federation of Gynecology and Obstetrics.
Kuwonjezera pa magawo, ambiri mwa magawowa ali ndi gawo lochepa, kuthetsa kusiyana pakati pa khansa ndi kuthandiza kusankha chithandizo. Zigawo izi zimachokera ku stage 0 zomwe ndi khansara yomwe siidapweteka, mpaka ku gawo la IV, lomwe limatengedwa ndi khansa ya mthupi .
Gawo 0
Komanso imatchedwa kuti carcinoma mu situ, siteji 0 imatanthawuza kuti maselo a khansa amapezeka pokhapokha m'mimba mwa chiberekero ndipo sanagonjetse matenda ozama. Gawo ili la khansara limaonedwa kuti silowopseza, ndi gawo lililonse lopanda maziko 0 limaonongeka. Panakhala kutsutsana kwakukulu podziwa ngati izi ndizo khansara kapena kuti ndizomwe zimakhala zosaopsa .
Gawo I
Pa stage 1, maselo a khansa amakhalapo pamimba ndipo sakuyenda kwina.
Maselo a khansa alowa m'chiberekero , ndipo maselo salinso pamwamba. Gawo ili lagonjetsedwa:
Gawo IA - Gawo IA ndilo gawo loyambirira la khansa yapachiberekero yosautsa. Khansara sichikhoza kuwonetsedwa ndi maso ndipo imatha kudziwika pansi pa microscope. Gawo ili likuphatikizidwa mopitirira ndi kukula mu:
- Gawo IA1 - Malo othawirako sali oposa 3 mm mozama ndipo osapitirira 7 mm m'lifupi.
- Gawo IA2 - Malo othawirako ndi aakulu kuposa 3 mm koma osapitirira 5 mm kuya, ndipo osapitirira 7 mm m'kati mwake.
Gawo IB - Gawo ili limaphatikizapo zotupa zomwe zili zazikulu kuposa stage IA ndipo zingakhale zosaoneka popanda microscope
- Gawo IB1 - Izi zotupa zimangowoneka pansi pa microscope. Kuwombera sikukwera 5 mm kuya ndipo sikunapitilira 7 mm kupitirira, kapena kumawoneka pansi pa microscope koma osachepera 4 cm mu kukula.
- Gawo IB2 - Ziphuphuzi zikhoza kuwonedwa popanda microscope ndipo zikuluzikulu kuposa masentimita 4 mu kukula.
Gawo II
Mu gawo lachiwiri khansa ya chiberekero, maselo afalikira kunja kwa chiberekero koma sanafalikire ku khoma lachitsulo kapena m'mimba mwachitsikana.
Gawo IIA - Khansayi yafalikira kupitirira chibelekero mpaka pamwamba pa 2/3 ya vagina, koma sinafalikire pachiberekero. Izi zikuphatikizidwanso ndi kukula mu:
- Gawo IIA1 - Chotupacho chikhoza kuwonedwa popanda microscope koma si oposa 4 cm mu kukula.
- Gawo IIA2 - Chotupacho chikhoza kuwonedwa popanda microscope ndipo ndiposa 4 cm mu kukula.
Gawo IIB - Khansara yafalikira kumatenda ozungulira chiberekero ndi pamwamba pa 2/3 ya vagin, koma osati ku khoma lachiuno.
Gawo III
Pa gawo lachitatu, kuphatikizapo kufalikira monga momwe tafotokozera pamwamba pa 2/3 a ma vagina ndi minofu kuzungulira chiberekero , khansa izi zikhoza kufalikira kumtunda wa 1/3 wa chikazi, khoma lachiuno, ndi / kapena akhoza kukhala ndi impso. Izi zikuphatikizidwanso ndi kufalikira ku:
Gawo IIIA - Mankhwalawa akhoza kufalikira kumtunda wa 1/3 wa chikazi, koma osati ku khoma lachiuno.
Gawo IIIB - Pali zifukwa zingapo zomwe zikhoza kukhalira kuti khansa ya chiberekero ikhale gawo la IIIB. Chimodzi chimakhala ngati chabaya khoma lamkati. Zina ndizoti zatsekereza chimodzimodzi kapena maulendo onse awiri (ma tubes omwe amachokera ku impso kupita ku chikhodzodzo) kotero kuti adayambitsa impso kapena kusiya kugwira ntchito komanso mwachizolowezi.
Gawo IV
Mu gawo lachisanu ndi chiwindi khansara ya khonde lachiberekero chifuwa chafalikira kupyola m'dera la chiberekero chomwe chimaphatikizapo khoma la chikhodzodzo kapena kachilomboka kapena kufalikira kumadera ena a thupi.
Gawo IVA - Khansayi yafalikira kotero kuti inayambitsa chikhodzodzo kapena kachilomboka kapena zonse (kufalikira ku ziwalo zapafupi zapafupi.)
Gawo IVB - Ma khansawa afalikira kumadera akutali a thupi, mwachitsanzo, maselo am'mimba kumadera akutali a thupi, kapena mapapo, chiwindi, kapena mafupa.
Zotsatira Zotsatira
Tsopano popeza mukudziŵa za masitepe a kansara ya chiberekero, kodi mungatani ?
Ngati, mmalo mwake, mukungophunzira za khansa ya pachibelekero, onetsetsani kuti mumaphunzira za njira zothetsera khansara ya chiberekero komanso omwe ayenera kutenga katemera wa kanseri . Ndipo onetsetsani kuti mukudziŵa zizindikiro za khansara ya chibelekero - ngakhale mutaponya.
Zotsatira:
National Cancer Institute. Chithandizo cha khansa yachiberekero - Health Professional Version (PDQ). Kusinthidwa 02/04/16.