Vulvar cancer - zvinokonzera, zviratidzo, kuongororwa uye kurapwa

Gomarara remudumbu ibundu risingawanzo zivikanwa renhengo dzesikarudzi dzekunze dzemukadzi: the labia uye clitoris. Ngozi yekukura kwayo inowedzera mushure memakore makumi matanhatu. Pakutanga, chirwere chacho hachina asymptomatic. Kana ukaona zviratidzo zvekuzvidya mwoyo, unofanira kukurumidza kuonana nachiremba. Nei zvichikosha? Chii chakakosha kuziva?

1. Chii chinonzi vulvar cancer?

Gomarara remudumbu iro risiri kujairika uye risingaperi bundu cell kuwanda yakabva ku vulvar epithelial masero chirwere chisingawanzoitiki. Iyo inoverengera akati wandei muzana yeakaipa neoplasms ari munzvimbo yepabonde.

Iri boka rezvipembenene zveganda revulvar rinoratidzwa nekukura zvakanyanya kana kuonda kwe epithelium. Zvinosanganisira:

• squamous cell hyperplasia: HPV DNA inowanzowanikwa mumaseru ayo. Squamous cell carcinoma igomarara rinonyanya kuitika remudumbu uye rinoitika muzvikamu zvinopfuura makumi mapfumbamwe kubva muzana.
• zvishoma kazhinji lichen sclerosus.

2. Zviratidzo zvechirwere chegomarara

Gomarara remudumbu rinogona kukura asymptomatic, inogonawo kuperekedzwa nezviratidzo zvakadai se:

• itching
• bheka,
• kusagadzikana
• kurwadziwa

Maoko emboro anoita sei? Zvichienderana nedanho rechirwere, kuongororwa kwechiremba kunoitwa kurwara, dombo rekudonha kana kukura kwecauliflower.

3. Zvikonzero zvegomarara remudumbu

Zvizhinji zve precancerous conditions of the vulva zvinokura nekuda kweutachiona. HPV virus (rudzi 16). Boka rechipiri re vulvar neoplasms rinosanganisira zvipembenene zvisingabatanidzi neHPV uye zvinomuka pavhu re substrate. kusingaperi kuzvimba kuchinja.

Zvakawanda ngozi zvinhu kuwana vulvar cancer. Vanogona kubatsira zvose mukukura kwechirwere chechirwere uye kukurumidza kwemaitiro ayo.

Zvikuru izera. Gomarara remudumbu rakawanda rinoitika kuvakadzi vanopfuura makore makumi matanhatu ekuberekwa, kunyangwe chirwere ichi chichionekwawo mumadzimai echidiki. Huwandu hukuru hwekenza yegomarara re vulvar inowanikwa muvakadzi vane makore 60-70 makore.

Imwe njodzi ndeye hosha dzinotapukira. Nhoroondo yehutachiona hweherpes simplex virus (HSV) rudzi rwechipiri, kunyanya papillomavirus yemunhu (HPV) mhando 2 ne16, nesyphilis kana inguinal granulomaasiwo chlamydial zvirwere. Hukama huri pakati pehutachiona hweHPV uye kukura kwegomarara remuvhu, rinoitika kakawanda muvarwere vechidiki vanoputa fodya uye vane nhamba huru yevanoita zvepabonde, zvakasimbiswa.

Hazvina zvazvinoreva genetic factorkunyanya kuchinja mune p53 gene. Kuchinja kwekuita kwayo kunogona kutungamirira kukuberekwa kusingadzorwi kwemasero asina kukwana uye, pakupedzisira, kukura kwekenza.

4. Kuongororwa kwekenza yevulvar

Kurongeka kwegomarara revulvar kunoenderana nedanho rechirwere neoplastic process. Zvisinei, zvinofanira kusimbiswa kuti kazhinji chirwere chacho chinowanikwa chete padanho repamusoro. Nyaya iyi yakaomeswa nenyaya yekuti hapana bvunzo dzekutariswa kwekutanga kuonekwa kwevulvar tumors.

Sezvatotaurwa, zvichienderana nedanho rechirwere, kuongororwa kwechiremba kunoratidza maronda, kupinza kana cauliflower kukura. Mamwe maongororo akadzama anobva akurudzirwa.

Mimwe miedzo yakaitwa pavarwere vane vulvar cancer inosanganisira:

• pap smear,
• vulvoscopy,
• transvaginal swab,
• radiograph yechipfuva,
• Ultrasound yemudumbu mudumbu.

Chero shanduko inoshungurudza muvhavha inosimbiswa ne histological kuongorora kwemuenzaniso wakatorwa.

5. Vulvar Cancer Treatment

Kuvhiya kurapwa kunogona kubva pane zvese kubviswa kwerondakubviswa kwakasimba kwebeche. Kuwanda kwekushanda kunoenderana nehukuru hwebundu, nzvimbo yekutarisa kwechirwere, mamiriro e lymph nodes uye mamiriro ose emukadzi.

Iyo adjuvant kurapwa ndeye radiation therapy mushure mekuvhiya kubviswa kwe metastatic lymph nodes. Izvo zvakare kurapa kwakanyanya kana kuvhiyiwa kusingagoneki.

Kune rimwe divi, chemotherapy inoshandiswa isati yavhiyiwa kuderedza kuwanda kwebundu uye kuwedzera mukana wekuvhiyiwa. Independent vulvar cancer chemotherapy Inoshandiswawo muvarwere vakadzokera shure vasingapindure kumishonga yemusoro.

Mune varwere vanorambidzwa kuvhiyiwa kana kurapwa neradiation, palliative care. Zvadaro chemotherapy inopiwa kumisa kufambira mberi kwechirwere.

Gomarara reVulvar metastasizes kuburikidza ne lymphatic system. Kusava nehanya nekuchinja kwakaitika kunogona kukonzera kupararira kwechirwere kune matishu akavakidzana uye kukonzera kuchinja mune dzimwe nhengo. Kana zvikaonekwa pakutanga muvulva, izvi hazvibatanidzi metastases kune lymph nodeskufungidzira kwakanaka.

Unoda kubvunza chiremba, e-kuburitswa kana e-prescription? Enda kuwebhusaiti abcZdrowie Tsvaga chiremba uye nekukasika ronga kusangana kwevarwere nenyanzvi kubva kuPoland yese kana teleportation.