Okuqukethwe
Uphawu lokuqala lwale neoplasm, okungukuthi ukulunywa, ukunganakwa ngabesifazane. Khonamanjalo, ukuqala ukwelashwa sekwephuzile kakhulu kwandisa kakhulu ingozi yokufa.
Ukuluma kuvela kuqala. Ngezinye izikhathi kuthatha iminyaka eminingana. Abesifazane belashwa ngodokotela besikhumba, odokotela bezifo zabesifazane, baphuza amafutha okugcoba ngaphandle kokusola ukuthi kuvela isimila. Ngemuva kwesikhashana bazojwayela lesi simo futhi bakubone njengokujwayelekile ukuthi kwesinye isikhathi kuba khona ukusa. Kusenjalo kukhule ukusa, kubuhlungu akupholi.
Qaphela izifo
Lesi sifo sibangelwa ikakhulukazi izifo, okuhlanganisa i-human papillomavirus (HPV), kanye nezifo ezibangelwa amagciwane. Kukholelwa futhi ukuthi ukuvinjelwa kokuzivikela komzimba, okungukuthi ukungaphenduli kahle kwamasosha omzimba emzimbeni, kungaba yimbangela. - Izici zemvelo namakhemikhali nazo zinomthelela, kodwa ikakhulukazi izifo - kusho u-prof. UMariusz Bidziński, Inhloko yoMnyango Wezempilo Wabesifazane esikhungweni somdlavuza sase-Świętokrzyskie.
Ukuvimbela lo mdlavuza, okokuqala, ukuvimbela izifo. – Lapha, imigomo ibalulekile, isb ngokumelene negciwane le-HPV, elibuye likhulise izivikeli mzimba zomzimba. Ngisho nakwabesifazane okutholakale ukuthi banezifo ezithile, imithi yokugoma ingasetshenziswa ngendlela yokuvimbela ngoba yenza abesifazane babe nezinga eliphezulu lokuvimbela ukuzivikela - kuchaza uProf. Bidziński. Ukuzithiba nokuvakashela udokotela wezifo zabesifazane nakho kubalulekile. - Kodwa ngenxa yokuthi i-niche neoplasm, ngisho nezazi ze-gynecologists aziqapheli ngokwanele kulokhu futhi akubona bonke abakwazi ukuhlola izinguquko - i-gynecologist ibonisa. Ngakho-ke, ukuzithiba nokutshela udokotela ngazo zonke izifo kubaluleke kakhulu.
Umdlavuza ongavamile kodwa oyingozi
E-Poland, cishe zingu-300 izigameko zomdlavuza we-vulvar minyaka yonke, ngakho-ke uyingxenye yeqembu lomdlavuza ongavamile. Kuvame kakhulu kwabesifazane abangaphezu kweminyaka engama-65, kodwa ngezinye izikhathi kutholakala nakubantu abasha. - Ngicabanga ukuthi abesifazane asebekhulile bayagula ngoba abasafaki ukubaluleka okukhulu emzimbeni wabo noma ngokobulili. Bayeka ukunaka ukusondelana kwabo ngoba abasalubhadi futhi akudingekile ukuba bathandeke kumlingani wabo. Bese kuthi noma sekuqala ukwenzeka into bangenzi lutho ngayo iminyaka - kusho uprof. Bidziński.
Ukubikezelwa kuncike esigabeni lapho umdlavuza watholakala khona. Esigabeni sokuqala sokuthuthuka, amathuba okusinda kweminyaka emihlanu angama-60-70%. Uma umdlavuza uthuthuke kakhulu, amazinga okusinda ehla kakhulu. Kunama-vulvar tumors anolaka kakhulu - i-vulvar melanomas. – Lapho kunolwelwesi lwamafinyila, umdlavuza ukhula ngamandla amakhulu, futhi lapha ingozi yokwehluleka ukwelashwa iphezulu kakhulu, ngisho noma sisibona lesi sifo kusenesikhathi. Ngokuvamile, izimo eziningi ziyi-squamous cell carcinomas futhi ukusebenza kahle kuncike ekutheni lesi sifo sichazwa ngokushesha kangakanani - kuchaza udokotela wezifo zabesifazane.
Ukwelashwa komdlavuza we-vulva
Indlela yokwelapha incike esigabeni lapho umdlavuza utholwa khona. - Ngeshwa, ngenxa yokuthi abesifazane babika sekwephuzile, abangaphezu kuka-50% babo sebevele banesigaba esithuthuke kakhulu somdlavuza, esifaneleka kuphela ukwelashwa kwe-palliative, okungukuthi ukunciphisa ubuhlungu noma ukunciphisa izinga lokukhula kwesifo, kodwa hhayi ukwelapha. - uyazisola u-prof. Bidziński. Uma umdlavuza usheshe watholakala, ukwelapha kuba nzima kakhulu. Indlela eyinhloko yokwelapha ukuhlinzwa okukhulu, okungukuthi ukususwa kwe-vulva kulekelelwa ngemisebe noma i-chemotherapy. Kunezimo lapho kungadingeki ukususa i-vulva, futhi kukhishwe kuphela isigaxa. – u-50% weziguli ungelashwa ngendlela exakile, kanti u-50% ungelashwa ngokuthopha kuphela – ufingqa udokotela wezifo zabesifazane. Ngemuva kwe-vulvectomy eqinile, owesifazane angasebenza ngendlela evamile, ngoba ngaphandle kwe-vulva eshintshiwe ngokwemvelo, isitho sangasese sowesifazane noma urethra kuhlala kungashintshile. Ngaphezu kwalokho, uma ukuphila okusondelene kubaluleke kakhulu kowesifazane, izakhi ezisusiwe zingenziwa zenziwe ngepulasitiki futhi zengezwe, isb. i-labia yakhiwa kabusha kusuka emathangeni noma emisipha yesisu.
Kuphi Ukwelapha I-Vulva Cancer?
UProf. Janusz Bidziński uthi umdlavuza we-vulvar welashwa kangcono esikhungweni esikhulu se-oncology, isb. Esikhungweni Se-Oncology e-Warsaw, e-Świętokrzyskie Cancer Centre e-Kielce, e-Bytom, lapho kukhona i-Vulva Pathology Clinic. - Kubalulekile ukuya esikhungweni esikhulu, ngoba ngisho noma ukwelashwa kungenziwanga lapho, ngokuqinisekile bazobaqondisa kahle futhi isenzo ngeke sibe ngengozi. Endabeni yomdlavuza we-vulvar, umqondo uwukuhamba lapho bebhekana nezimo ezinjalo, futhi khumbula ukuthi azikho eziningi zazo. Khona-ke ulwazi lweqembu lukhulu, ukuxilongwa kwe-histopathological kuba ngcono futhi nokufinyelela ekwelashweni kwe-adjuvant kungcono. Uma isiguli siya esibhedlela lapho odokotela bengenalo ulwazi lwalolu hlobo lwezimo, noma ukuhlinzwa noma ukwelashwa kwe-adjuvant kungase kungalethi umphumela ebesiwucabanga futhi ebesingawulindele - uyanezela. Kuyafaneleka futhi ukubheka iwebhusayithi ethi www.jestemprzytobie.pl, eqhutshwa njengengxenye yohlelo oluqaliswe yiFundacja Różowa Konwalia im. uphrof. U-Jan Zieliński, i-MSD Foundation for Women’s Health, i-Polish Association of Oncological Nurses kanye ne-Polish Organization for Fighting Cervical Cancer, Flower of Femininity. Kuhlanganisa ulwazi oludingekayo mayelana nokuvimbela, ukuxilongwa kanye nokwelashwa komdlavuza wezitho zokuzala (umdlavuza womlomo wesibeletho, umdlavuza we-vulvar, umdlavuza we-ovary, umdlavuza we-endometrial), kanye nezeluleko zokuthi ungalufuna kuphi ukusekelwa kwengqondo. Nge-www.jestemprzytobie.pl, ungabuza imibuzo kochwepheshe, ufunde izindaba zangempela zabesifazane futhi ushintshisane ngolwazi nabanye abafundi abasesimweni esifanayo.