Mukati
Chiratidzo chekutanga cheneoplasm iyi, kureva kukwenya, inoregeredzwa nevakadzi. Zvichakadaro, kutanga kurapwa kwanonoka zvakanyanya kunowedzera njodzi yerufu.
Itching inotanga. Dzimwe nguva zvinotora kunyange makore akawanda. Vakadzi vanorapwa nedermatologists, gynecologists, vanotora mafuta ekuzora pasina kufungidzira kuti bundu riri kukura. Mushure mechinguva vanozojaira mamiriro acho uye voona seyakajairika kuti dzimwe nguva kune mangwanani. Kamwe kamwe mangwanani anokura, anorwadza uye haapore.
Ngwarira zvirwere
Chirwere ichi chinonyanya kukonzerwa nehutachiona, kusanganisira papillomavirus yemunhu (HPV), pamwe chete nehutachiona hwehutachiona. Zvinotendwawo kuti immunosuppression, kureva kushayikwa kwekudzivirira kwemuviri nemuviri, inogona kunge iri chikonzero. - Zvakatipoteredza uye makemikari zvinhu zvinewo kukanganisa, asi kunyanya hutachiona - anodaro prof. Mariusz Bidziński, Mukuru weDhipatimendi reClinical yeGynecology paŚwiętokrzyskie Cancer Center.
Kudzivirirwa kwegomarara iri, chekutanga, kudzivirira utachiona. - Pano, majekiseni akakosha, semuenzaniso kurwisa hutachiona hweHPV, iyo inowedzerawo kudzivirira kwemuviri. Kunyange muvakadzi vakaonekwa kuti vane zvimwe zvirwere, mishonga yekudzivirira inogona kushandiswa prophylactically nokuti inoita kuti vakadzi vave nepamusoro pekudzivirira kwekudzivirira - anotsanangura Prof. Bidziński. Kuzvidzora uye kushanya kune gynecologist kwakakoshawo. - Asi nekuda kwekuti iyo niche neoplasm, kunyange gynecologists havana kungwarira zvakakwana munyaya iyi uye havasi vose vanokwanisa kuongorora shanduko - gynecologist inotaura. Nokudaro, kuzvidzora uye kuudza chiremba nezvezvirwere zvose zvinonyanya kukosha.
Kenza isingawanzoitiki asi ine ngozi
MuPoland, kune mazana matatu ezviitiko zvegomarara re vulvar gore rega rega, saka ndezveboka rekenza isingawanzo. Inowanzoonekwa muvakadzi vanopfuura makore makumi matanhatu nemashanu, asi dzimwe nguva inowanikwawo kune vechidiki. - Ini ndinofunga kuti vakadzi vakuru vanorwara nekuti ivo havachabatike zvakanyanya kukosha kumuviri wavo kana pabonde. Vanorega kuva nehanya nehukama hwavo hwepedyo nekuti havachaiti bonde uye havafanirwe kukwezva kune mumwe wavo. Zvino, kunyangwe kana chimwe chinhu chatanga kuitika, hapana chavanoita kwemakore - anodaro Prof. Bidziński.
Kufungidzira kunoenderana nedanho rakaonekwa gomarara. Muchikamu chekutanga chekufambira mberi, mikana yekupona kwemakore mashanu ndeye 60-70%. Kana gomarara richiwedzera, huwandu hwekupona hunodzikira zvakanyanya. Kune vulvar tumors ane hasha zvikuru - vulvar melanomas. -Iko kune mucous membranes, gomarara rinokura zvakanyanya, uye pano njodzi yekutadza kurapwa yakanyanya, kunyangwe tikaona chirwere ichi padanho rekutanga. Kazhinji, zviitiko zvakawanda ndeye squamous cell carcinomas uye kushanda kunoenderana nekukurumidzira kutsanangurwa kwechirwere - anotsanangura gynecologist.
Kurapa kenza yemudumbu
Nzira yekurapa inobva pane danho rinoonekwa kenza. - Sezvineiwo, nekuda kwekuti vakadzi vanononoka, vanopfuura 50% vavo vatova nedanho repamusoro regomarara, iro rakakodzera chete kurapwa kwepalliative, kureva kuderedza marwadzo kana kuderedza chiyero chekukura kwechirwere, asi kwete kurapwa. – regrets Prof. Bidziński. Kana kenza rikakurumidza kubatwa, kurapwa kunenge kushoma. Nzira huru yekurapa kuvhiyiwa kwakadzama, kureva kubviswa kwechibereko kunowedzerwa nemwaranzi kana chemotherapy. Pane zviitiko apo hazvidikanwi kubvisa vulva, uye chete bundu rinobviswa. - 50% yevarwere vanogona kurapwa zvakanyanya, uye 50% inogona kurapwa chete nerunyararo - inopfupisa chiremba wechikadzi. Mushure mekuvhiyiwa kukuru, mukadzi anogona kushanda zvakajairika, nekuti kunze kweiyo anatomical yakashandurwa vulva, vheji kana weti inoramba isina kushanduka. Uyezve, kana hupenyu hwepedyo hwakakosha kumukadzi, zvinhu zvakabviswa zvinogona kuiswa mupurasitiki uye kuwedzera, semuenzaniso, labia inovakwa patsva kubva kune dermal uye muscular flaps yakatorwa kubva pachidya kana mudumbu tsandanyama.
Ndekupi Kurapa Vulva Cancer?
Prof. Janusz Bidziński vanoti gomarara remudumbu rinorapwa zvakanyanya munzvimbo huru yeoncology, semuenzaniso muOncology Center muWarsaw, muŚwiętokrzyskie Cancer Center muKielce, kuBytom, uko kune Vulva Pathology Clinic. - Zvakakosha kuenda kune imwe nzvimbo huru, nokuti kunyange kana kurapwa kusina kuitwa ikoko, ivo vachavatungamirira zvakanaka uye chiito chacho hachizoiti netsaona. Panyaya yegomarara rehulvar, pfungwa ndeyekuenda kwavanobata nezviitiko zvakadaro, uye rangarira kuti hakuna mazhinji acho. Ipapo chiitiko chechikwata chakakura, iyo histopathological diagnostic iri nani uye kuwanikwa kwekurapwa kweadjuvant kuri nani. Kana murwere akaenda kuchipatara uko vanachiremba vasina ruzivo mumhando iyi yezviitiko, kana kuvhiyiwa kana kurapwa kweadjuvant kungasaunza mhedzisiro yataifungidzira uye yaizotarisirwa - anowedzera. Zvakakoshawo kutarisa pawebhusaiti www.jestemprzytobie.pl, inomhanya sechikamu chechirongwa chinoitwa neFundacja Różowa Konwalia im. Prof. Jan Zieliński, iyo MSD Nheyo yeHutano hwevakadzi, iyo Polish Association yeOncological Nurses uye yePolish Organisation for Fighting Cervical Cancer, Ruva reChikadzi. Inosanganisira ruzivo rwakakosha pamusoro pekudzivirira, kuongororwa uye kurapwa kwegomarara renhengo dzekubereka (gomarara remuchibereko, kenza yevulvar, kenza yeovarian, kenza yeendometrial), uye zano rekuti ungatsvaga kupi rubatsiro rwepfungwa. Kuburikidza newww.jestemprzytobie.pl, unogona kubvunza mibvunzo kune nyanzvi, kuverenga nyaya dzevakadzi chaidzo uye kuchinjana zviitiko nevamwe vaverengi mumamiriro akafanana.