Cancer yeVulva ndeye Chii? Zviratidzo, Zvinokonzera, & Kurapa

Cancer yeVulva rudzi rwekenza runokura munzvimbo dzekunze dzepabonde rechikadzi, rinonzi vulva. Izvi zvinosanganisira miromo yekunze neye mukati wevagina, clitoris, uye kuvhurwa kwevagina. Kunyange zvisiri kazhinji, inokanganisa anenge 1 muvakadzi 333 muhupenyu hwavo hwese, kunzwisisa mamiriro ezvinhu uku kunogona kukubatsira iwe kuziva zviratidzo pakutanga uye kutsvaga kurapwa kwakakodzera kana zvichidiwa.

Cancer yeVulva ndeye Chii?

Cancer yeVulva inoitika kana masero ari munyama ye vulva atanga kukura zvisina kujairika uye zvisingadzoreki. Vulva inosanganisira zvikamu zvese zvekunze zvepabonde rako rechikadzi, kubva pa mons pubis kusvika ku perineum.

Mazhinji emakemza e vulva anokura zvishoma nezvishoma kwemakore mazhinji, kazhinji anotanga sechinhu chisingaite cancer chinonzi vulvar intraepithelial neoplasia (VIN). Kuchinja uku hakusi nguva dzose kuita cancer, asi kana zvikaita, kuonekwa pakutanga kunoita kuti kurapwa kuve nekubudirira kwakanyanya.

Rudzi runowanzoitika ndiro squamous cell carcinoma, rinoumba anenge 90% yemakemza e vulva. Rudzi urwu runokura muma cell akapfava, akapfava anovhara pamusoro pe vulva.

Ndeapi Zviratidzo zveCancer yeVulva?

Zviratidzo zvecancer ye vulva zvinogona kunge zvishoma pakutanga, uye vakadzi vazhinji vanotanga kuzvifunga semamwe mamiriro ezvinhu akajairika. Chinhu chikuru ndechekuteerera kuchinja chinoramba chiripo kana kuwedzera nekufamba kwenguva.

Aya ndiwo zviratidzo zvakajairika zvaunogona kuwana:

• Kutsamwa kwenguva refu kunorasikirwa nekurapwa kwakajairika
• Kurwadziwa kana kunzwa kurwadziwa munzvimbo ye vulva
• Kubuda ropa risingabatani nemwedzi
• Kuchinja muvara weganda re vulva, kuita kuti rioneke rakajeka kana rakasviba
• Chidimbu, bhonzo, kana kukura pa vulva
• Kuchinja kwe ganda sekukora, kusviba, kana kukura kwakaita sehwati
• Kunzwa kupisa pakuita weewee
• Kubuda kwisingawanzoitika kana kunhuhwirira

Zviratidzo zvisingawanzoitika zvinogona kusanganisira bonhora rinorwadza kana kunzwa kumanikidzwa munzvimbo yepelvic. Yeuka, kuva nezviratidzo izvi hazvirevi kuti une cancer, sezvo mamiriro mazhinji anogona kukonzera matambudziko akafanana.

Ndeapi Marudzi eCancer yeVulva?

Kune marudzi akawanda ecancer ye vulva, imwe neimwe inokura kubva kumarudzi akasiyana emasero. Kunzwisisa marudzi aya kunobatsira vanachiremba kuona nzira yekurapa yakakodzera kune munhu wese.

Squamous cell carcinoma ndiro rudzi runowanzoitika, ruchiumba anenge 90% yemakemza ese e vulva. Kenza iyi inotanga muma cell akapfava, akapfava anovhara pamusoro pe vulva uye kazhinji inokura zvishoma nezvishoma.

Melanoma inoumba anenge 5% yemakemza e vulva uye inokura muma cell anogadzira pigment. Rudzi urwu runowanzova rine utsinye uye runogona kupararira nekukurumidza kupfuura squamous cell carcinoma.

Adenocarcinoma haina kujairika, inokura muma cell egland ye vulva. Rudzi urwu runowanzo tanga muBartholin glands, iyo inogadzira mvura inonyorovesa pedyo nekuvhurwa kwevagina.

Marudzi asingawanzoitika anosanganisira basal cell carcinoma, sarcoma, uye Paget's disease ye vulva. Izvi zvinoumba pasi pe 5% yemakemza ese e vulva asi zvinoda nzira dzekurapa dzakasarudzika.

Chii Chinokonzera Cancer yeVulva?

Cancer yeVulva inokura kana chimwe chinhu chakukuvadza DNA muma cell e vulva, zvichiita kuti ikure uye iwedzere zvisingadzoreki. Kunyange tisingazive nguva dzose kuti chii chakakonzera izvi, vatsvakurudzi vakawana zvinhu zvakakosha zvakati wandei.

Zvinokonzera zvikuru nezvinhu zvinobatsira zvinosanganisira:

• Human papillomavirus (HPV) chirwere, kunyanya marudzi ane ngozi yakakwira senge HPV 16 ne 18
• Vulvar intraepithelial neoplasia (VIN), mamiriro asingakonzere cancer
• Lichen sclerosus, mamiriro ekurwadziwa kwenguva refu anokanganisa ganda re vulva
• Kuchinja kwema cell nekukwegura, sezvo njodzi inowedzera zvakanyanya mushure memakore 50
• Kusvuta, kunoderedza simba re immune system rekudzivirira HPV infections
• HIV chirwere kana mamwe mamiriro anoderedza basa re immune system
• Cancer ye cervix kana vagina kare

Zvakakosha kunzwisisa kuti kuva neimwe kana kupfuura njodzi hazvirevi kuti iwe uchave necancer ye vulva. Vakadzi vazhinji vane njodzi havambofi vaine chirwere ichi, nepo vamwe vasina njodzi dzinooneka vanoita.

Rini Ufanira Kuona Chiremba Nezviratidzo zveCancer yeVulva?

Unofanira kubata nehutano hwako kana ukaona chero kuchinja kwenguva refu munzvimbo ye vulva yako. Kuongororwa pakutanga nguva dzose kuri nani kupfuura kumirira, kunyanya kana zviratidzo zvichitora kupfuura mavhiki mashoma.

Tsvaga rubatsiro rwechiremba nekukurumidza kana iwe uine kutsamwa kwenguva refu kunopindura kurapwa kwepamoyo, chero zvidimbu kana kukura zvisingawanzoitika, kana kuchinja muvara reganda kana kuumbwa. Kubuda ropa pakati pemwedzi kana mushure memenopause zvinodawo kuongororwa nekukurumidza.

Usarega kunyara kukuvhara kuti usatsvage kurapwa. Vanachiremba vakadzidziswa kubata nematambudziko aya nenzira yeprofesa uye ine tsitsi. Vakazviona zvese uye vanoda kukubatsira kuchengetedza hutano hwako nerugare rwepfungwa.

Ndeapi Njodzi dzeCancer yeVulva?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana cancer ye vulva, kunyange kuva nenjodzi hazvirevi kuti uchawana chirwere ichi. Kunzwisisa zvinhu izvi kunogona kukubatsira kuita sarudzo dzakachenjera nezvehutano hwako.

Njodzi huru dzinokosha dzinosanganisira:

• Makore anopfuura 50, nemazhinji acho achiitika muvakadzi vane makore anopfuura 65
• HPV chirwere, kunyanya zvirwere zvinoramba zviripo zvine marudzi ane ngozi yakakwira
• Nhoroondo yemamiriro ezvinhu asingakonzere cancer e vulva senge VIN
• Lichen sclerosus kana mamwe mamiriro ekurwadziwa kwenguva refu e vulva
• Kusvuta, kunowedzera njodzi kaviri nekuderedza basa re immune system
• Immune system yakasimba kubva kuHIV, kupandikirwa kwechikamu, kana mishonga
• Nhoroondo yapfuura ye cancer ye cervix, vagina, kana anal
• Vakaroorana vakawanda kana makore ekutanga pakuroorana

Vakadzi vamwe vane zvinhu zvemagene zvinogona kuwedzera njodzi yavo, kunyange izvi hazvinzwisiswi zvakanaka. Kuva nenhoroondo yemhuri ye cancer ye vulva haina kujairika asi inogona kuwedzera njodzi zvishoma mumhuri dzakati.

Ndeapi Matambudziko Anogona Kuitika eCancer yeVulva?

Kunyangwe matambudziko ecancer ye vulva achigona kubatwa nekurapwa kwakakodzera, kunzwisisa matambudziko anogona kuitika kunogona kukubatsira kushanda pedyo nechikwata chako chehutano. Mazhinji matambudziko anogona kurapwa, kunyanya kana akaonekwa pakutanga.

Matambudziko emuviri anogona kusanganisira:

• Kupararira kuma lymph nodes ari pedyo munzvimbo ye groin
• Kupararira kunzvimbo dziri pedyo senge vagina, urethra, kana anus
• Chirwere munzvimbo ye cancer, kunyanya kana tumor ichivhura
• Kunetseka nekuita weewee kana cancer ikakanganisa zvikamu zviri pedyo
• Kurwadziwa panguva yebonhora kana kunetseka nepabonde
• Kutemwa makumbo kana lymph nodes ikava yakawanda

Mumativi asingawanzoitika, cancer ye vulva inogona kupararira kune zvikamu zviri kure senge mapapu, chiropa, kana mapfupa. Nekudaro, izvi zvinowanzoitika chete nekenza yakakura, isina kurapwa.

Matambudziko anokonzerwa nekurapwa anogona kusanganisira matambudziko ekurapa maronda mushure mekuvhiya, lymphedema (kutemwa) kubva pakubviswa kwe lymph node, kana kuchinja kwe ganda kubva kurapwa neradiotherapy. Chikwata chako chekurapa chichaongorora matambudziko aya uye kupa rubatsiro rwehutano sezvinodiwa.

Cancer yeVulva Inogona Kudzivirirwa Sei?

Kunyangwe usingakwanisi kudzivirira zviitiko zvese zvecancer ye vulva, nzira dzakati wandei dzinogona kuderedza njodzi yako zvakanyanya. Mashoko akanaka ndeawo kuti nzira dzakawanda dzekudzivirira idzi dzinodzivirirawo mamwe matambudziko ehutano.

HPV jekiseni imwe yezvishandiso zvinonyanya kushanda zviripo. Jekiseni rinodzivirira marudzi ane ngozi yakakwira eHPV anowanzoita cancer ye vulva uye inokurudzirwa kune vasikana nevakomana vanotanga anenge makore 11 kana 12.

Nzira dzakachengeteka dzepabonde dzinogona kuderedza njodzi yekuparadzira kweHPV. Izvi zvinosanganisira kuderedza nhamba yevadikani vepabonde, kushandisa dziviriro senge condoms, uye kuva nehurukuro dzakavhurika nevadikani nezvenhoroondo yehutano hwepabonde.

Kusiya kusvuta kwakakosha, sezvo kusvuta kuwedzera njodzi ye cancer ye vulva uye kuita kuti muviri wako usakwanise kurwisa HPV infections. Kana uchida rubatsiro rwekusiya, zviwanikwa zvakawanda uye zvirongwa zvekupa rubatsiro zviripo.

Kuongororwa kwevakadzi nguva nenguva kunobvumira kuonekwa pakutanga kwemamiriro asingakonzere cancer. Chiremba wako anogona kuona matambudziko panguva yekuongorora pelvic usati asvika pakukura.

Kutonga mamiriro ekurwadziwa kwenguva refu e vulva senge lichen sclerosus nekurapwa kwakakodzera kunogona kuderedza njodzi ye cancer. Mamiriro ezvinhu aya anoda kuongororwa nguva nenguva nekurapwa kudzivirira kukura.

Cancer yeVulva Inoziviswa Sei?

Kuziva cancer ye vulva kazhinji kunosanganisira nhanho dzakati wandei, kutanga nekuongororwa kwakakwana uye kuenderera mberi kuongororwa kwakanyanya. Chiremba wako acashanda nenzira yakarongeka kuti azive chaizvo chiri kukonzera zviratidzo zvako.

Maitiro acho anowanzo tanga nenhoroondo yakakwana yehutano nekuongororwa kwemuviri. Chiremba wako achakubvunza nezvezviratidzo zvako, kuti wakavawana kwenguva yakareba sei, uye chero nhoroondo yehutano kana yemhuri.

Kuongororwa kwe pelvic kunobvumira chiremba wako kuona nzvimbo ye vulva uye kunzwa chero zvidimbu zvisingawanzoitika kana nzvimbo dzine hanya. Vanogona kushandisa chishandiso chinokudza chinonzi colposcope kuti vaone zviri nani nzvimbo dzine hanya.

Kana nzvimbo dzisina kujairika dzikaonekwa, biopsy ndiyo nzira yakakwana yekuziva cancer ye vulva. Panguva yekurapa uku, chikamu chidiki chenyama chinobviswa uye chinoongororwa pasi pemikroskopu ne pathologist.

Kana cancer ikasimbiswa, bvunzo dzakawanda dzinogona kudiwa kuti dzizive huwandu hwechirwere ichi. Izvi zvinogona kusanganisira CT scans, MRI, kana PET scans kuti uone kana cancer yakapararira kune dzimwe nzvimbo.

Kurapa kweCancer yeVulva ndekupi?

Kurapa kwe cancer ye vulva kunoenderana nezvinhu zvakati wandei zvinosanganisira saizi, nzvimbo, uye nhanho ye cancer, pamwe nehutano hwako hwese. Chinangwa nguva dzose ndechekubvisa cancer zvachose uchichengetedza basa rakajairika sezvinobvira.

Kuopereta ndiyo kurapwa kunowanzoitika kwe cancer ye vulva. Rudzi rwekuvhiya kunoenderana nehukuru hwe cancer nenzvimbo. Cancer diki, iri mukutanga inogona kurapwa ne local excision, kubvisa tumor chete nechikamu chidiki chenyama yakajairika.

Kune cancer yakakura kana yakakura, kuvhiya kukuru kunogona kudiwa. Izvi zvinogona kusanganisira vulvectomy, iyo inobvisa chikamu kana zvese zve vulva, dzimwe nguva pamwe ne lymph nodes iri pedyo.

Radiotherapy inoshandisa mabhuru ane simba rakakwira kuuraya masero e cancer uye inogona kushandiswa usati wavhiya kudzikisa tumors, mushure mekuvhiya kuuraya masero e cancer asara, kana se kurapwa kukuru kana kuvhiya kuchikosha.

Chemotherapy inosanganisira mishonga inouraya masero e cancer mumuviri wese. Inoshandiswa zvishoma nekurapa cancer ye vulva asi inogona kukurudzirwa pamwe chete ne radiotherapy kana kune zviitiko zvakakura.

Chikwata chako chekurapa chichavashandira pamwe newe kuti vagadzire chirongwa chako chinofunga nezve mamiriro ako chaiwo, zvaunoda, nezvinangwa zvako zvekuchengetedza hupenyu hwakanaka.

Nzira yekutora Kurapa Kwakaita Kumba Panguva yeCancer yeVulva?

Kutarisira kumba panguva yekurapa cancer ye vulva kunotarisa pakutonga zviratidzo, kutsigira kupora kwako, uye kuchengetedza hutano hwako hwese. Chikwata chako chehutano chichakupa mazano chaiwo zvichienderana nechitarisiko chako chekurapa.

Kutarisira maronda kwakakosha kana wakaita kuvhiya. Chengetedza nzvimbo yakachena uye yakaoma, tevera mirairo yechiremba wako yekushandura zvipfeko, uye tarisa zviratidzo zvechirwere senge kuwedzera kukora, kutemwa, kana kubuda kwasingawanzoitika.

Kutonga marwadzo kunogona kusanganisira mishonga yakanyorwa, asi unogona zvakare kushandisa nzira dzekufadza senge sitz baths nemvura inodziya, underwear yakasununguka yekotoni, uye kudzivirira zvinhu zvinokuvadza senge sipo ine kunhuhwirira kana douches.

Chikafu chinotamba basa rinokosha mukurapa uye kuchengetedza simba panguva yekurapa. Tarisa kudya chikafu chakaenzana chine mapuroteni akawanda, michero, nemiriwo. Gara wakanyorova uye funga nezvekuwedzera zvokudya kana zvakakurudzirwa nechikwata chako.

Kuita zvemitambo zvishoma nezvishoma, sezvakabvumidzwa nachiremba wako, kunogona kubatsira kuchengetedza simba uye manzwiro panguva yekurapa. Izvi zvinogona kusanganisira kufamba kwenguva pfupi, kutambanudza, kana mamwe mabasa asingakonzere kukuvara anonzwa akasununguka.

Usazengurire kubata nechikwata chako chehutano nemibvunzo kana zvinetso. Vanogona kupa mazano pakutonga zvinokonzerwa nemigumisiro, kana kutsvaga rubatsiro nekukurumidza, uye nzira yekuvandudza kupora kwako kumba.

Unofanira Kugadzirira Sei Kune Chiremba Wako?

Kugadzirira chiremba wako kunogona kubatsira kuve nechokwadi chekuti unowana zvakanyanya kubva panguva yako nehutano hwako. Kugadzirira kwakanaka kunotungamira muhurukuro dzakabudirira uye kuronga kwakanaka kwehutano.

Nyora zviratidzo zvako zvese, kusanganisira kuti zvakatanga riini, zvakachinja sei nekufamba kwenguva, uye chii chinoita kuti zvive nani kana zvakanyanya. Iva chaiwo nezve nguva, nzvimbo, uye kukura kuti ubatsire chiremba wako kunzwisisa mamiriro ako zvizere.

Gadzira runyorwa remishonga yese yaunotora, kusanganisira mishonga yakanyorwa, mishonga ye pamoyo, mavhitamini, uye zvinowedzerwa. Uyewo,unganidza ruzivo nezvenhoroondo yako yehutano, kusanganisira kuvhiya yapfuura, mamiriro ekurwara kwenguva refu, nenhoroondo yemhuri ye cancer.

Funga nezve mibvunzo yaunoda kubvunza chiremba wako. Mibvunzo yakajairika inogona kusanganisira bvunzo dzinoda, zvinoreva zvibereko, sarudzo dzekurapa dziripo, uye zvekutarisira panguva yekupora.

Funga nezvekukoka shamwari yakavimbika kana nhengo yemhuri kune chiremba wako. Vanogona kupa rubatsiro rwemanzwiro uye kukubatsira kuyeuka ruzivo rwakakosha rwakakurukurwa panguva yekushanya.

Rongedza nguva kubva kubasa kana maitiro akarongeka, uye gadzirira nzvimbo yako yekumba yekupora kana kuvhiya kukurudzirwa. Kuva nezvese zvakagadzirira zvisati zvaitika kunoderedza kushushikana uye kunokubvumira kuti unyatsotarisa hutano hwako.

Chii Chinonyanya Kukosha NezveCancer yeVulva?

Cancer ye vulva, kunyange isingawanzoitika, inogona kurapwa zvikuru kana ikaonekwa pakutanga. Chinhu chakakosha chokuyeuka ndechekuti zviratidzo zvinoramba zviripo zvinoda kutarisirwa kwechiremba, uye kuonekwa pakutanga kunowedzera zvikuru mhinduro dzekurapa.

Vakadzi vazhinji vane cancer ye vulva vanorarama hupenyu hwese, hutano mushure mekurapwa. Nzira dzekuvhiya dzemazuva ano uye nzira dzekurapa dzinotarisa pakuchengetedza basa uchirapa cancer zvakakwana.

Nzira dzekudzivirira senge HPV jekiseni, nzira dzakachengeteka dzepabonde, uye kutarisirwa kwechiremba nguva nenguva kunogona kuderedza njodzi yako zvakanyanya. Kune avo vakatoongororwa, kushanda pedyo nechikwata chako chehutano kunoita kuti uwane kurapwa kwakanakisa.

Yeuka kuti kuva nehanya nezvekuchinja kwe vulva kwakajairika, uye vanachiremba varipo kubatsira kugadzirisa hanya idzi nenzira yeprofesa uye ine tsitsi. Hutano hwako nerugare rwepfungwa zvinokosha kukurukura.

Mibvunzo InowanzoBvunzwa NezveCancer yeVulva

Q.1 Cancer ye vulva inokonzerwa nguva dzose neHPV here?

Kwete, kunyange HPV chirwere chiri njodzi huru ye cancer ye vulva, hachisi chikonzero chete. Anenge 40-50% yemakemza e vulva anobatanidzwa neHPV chirwere, nepo mamwe achikura nekuda kwekuchinja kwemakore, mamiriro ekurwadziwa kwenguva refu senge lichen sclerosus, kana zvimwe zvinhu. Zvimwe zviitiko zvinoitika pasina chero njodzi inoziviswa.

Q.2 Vakadzi vaduku vanogona kuwana cancer ye vulva here?

Kunyangwe cancer ye vulva ichikanganisa vakadzi vakuru, nemazhinji acho achiitika mushure memakore 50, vakadzi vaduku vanogona kuwanawo. Cancer ye vulva ine chekuita neHPV inogona kuitika muvakadzi vaduku, kunyanya avo vane immune system yakasimba. Chero zviratidzo zve vulva zvinoramba zviripo zvinofanira kuongororwa pasinei nezera.

Q.3 Ndichakwanisa kuva nevana mushure mekurapwa kwe cancer ye vulva here?

Kubereka mushure mekurapwa kwe cancer ye vulva kunoenderana nehuwandu hwekuvhiya kuno diwa. Vakadzi vazhinji vanongoda local excision vanoramba vane basa rakajairika rekuberekesa. Nekudaro, kuvhiya kukuru kunogona kukanganisa anatomy iri pedyo nekuvhurwa kwevagina. Kurukura hanya dzekuberekesa nachiremba wako usati watanga kurapwa kuti unzwisise mamiriro ako chaiwo uye utsvage sarudzo.

Q.4 Ndingave nekuongororwa kwenguva yakareba sei mushure mekurapa?

Zvirongwa zvekuongororwa zvinosiyana zvichienderana nekurapa kwako chaiwo nenjodzi, asi kazhinji zvinosanganisira kushanya kwemwedzi 3-4 kwemakore maviri ekutanga, ipapo mwedzi mitanhatu kwemakore matatu anotevera, uye gore rega rega mushure maizvozvo. Chiremba wako achakudzidzisawo nzira yekuzviongorora uye kuchinja kwaungatarisira pakati pekuongororwa.

Q.5 Cancer ye vulva inogona kudzoka mushure mekurapa here?

Sekunge cancer yakawanda, cancer ye vulva inogona kudzoka, asi huwandu hwekudzoka hwakaderera, kunyanya kune cancer iri mukutanga yakarapwa zvachose. Mazhinji ekudzoka anoitika mukati memakore maviri ekutanga mushure mekurapa. Ndosaka kutarisirwa kwenguva refu kwakakosha kwazvo kune kuonekwa pakutanga nekurapwa nekukurumidza kwe chero kudzoka.