Umgilamvu We-Vagina? Izimpawu, Izimbangela, Nokwelashwa

Umgilamvu we-vagina uhlobo lwe-kansa oluqhelile oluthuthukela ezihlangwini ze-vagina, umgudu onamandla ohlanganisa i-uterus yakho ngaphandle komzimba wakho. Nakuba kungesinye sezifo ze-kansa ze-ginecological ezingavamile, esithinta abesifazane abangaphansi kuka-1 ku-1,000, ukuqonda izimpawu zayo kungakusiza uhlale unolwazi ngempilo yakho.

Iningi le-kansa ye-vagina lithuthuka kancane ngokuhamba kwesikhathi, ngokuvamile liqala njengenguquko engaphambi kwe-kansa ekuqaleni kwe-vagina. Izindaba ezinhle ukuthi uma kubanjwe ngokushesha, i-kansa ye-vagina iyakwelashwa kakhulu, futhi abesifazane abaningi baqhubeka bephila impilo egcwele, enempilo ngemuva kokwelashwa.

Iyini i-Kansa ye-Vagina?

I-kansa ye-vagina ivela lapho amaseli avamile ezihlangwini ze-vagina aqala ukukhula ngokungavamile futhi akhe i-tumor. I-vagina yakho ihlanganiswe ngezinhlobo ezahlukene zamaseli, futhi i-kansa ingathuthuka kunoma iyiphi lezi zinhlobo zamaseli, nakuba ezinye zivame kakhulu kunabanye.

Kunezinhlobo ezimbili eziyinhloko ze-kansa ye-vagina. I-Squamous cell carcinoma yenza cishe u-85-90% wazo zonke i-kansa ye-vagina futhi ithuthukela emaseleni amakhulu, abukhali ahlanganisa i-vagina. I-Adenocarcinoma imele cishe u-10-15% yezimangalo futhi iqala emaseleni e-glandular akhiqiza i-mucus nezinye izinto ezinwetshiwe.

Izinhlobo ezingavamile zihlanganisa i-melanoma, ethuthukela emaseleni akhiqiza i-pigment, ne-sarcoma, ehlanganisa imisipha noma izihlanganisi ze-vaginal wall. Lezi zinhlobo ezingavamile zenza ngaphansi kuka-5% wazo zonke izimo ze-kansa ye-vagina.

Ziyini Izimpawu ze-Kansa ye-Vagina?

I-kansa ye-vagina ekuqaleni ngokuvamile ayibangeli izimpawu ezibonakalayo, kungakho ukuhlolwa okuvamile kwe-ginecological kubaluleke kakhulu. Uma izimpawu zivele, zingaba zingezansi futhi zidideke kalula nezinye izimo ezivamile.

Nazi izimpawu ongazihlangabezana nazo, ukhumbula ukuthi ukuba nalezi zimpawu akusho ukuthi une-kansa:

• Ukuphuza kwe-vagina okungavamile, ikakhulukazi ngemuva kwe-menopause noma phakathi kwesikhathi.
• Ukuqothuka kwe-vagina okunamanzi noma okunegazi okungaba ne-odor engavamile.
• I-lump noma i-mass ongayizwa e-vagina yakho.
• Ubuhlungu ngesikhathi sokuya ocansini.
• Ubuhlungu be-pelvic obungapheli.
• Ukuthamba okubuhlungu noma okuvamile.
• I-constipation noma ubuhlungu ngesikhathi sokuhamba kwesisu.
• Ubuhlungu emhlane noma ezinyaweni obuhlala isikhathi eside.

Kubalulekile ukuqaphela ukuthi lezi zimpawu zingabangelwa ezinye izimo eziningi, kufaka phakathi ukutheleleka, ukuguquka kwe-hormonal, noma ukukhula okuhle. Uma uhlangabezana nanoma iyiphi kulezi zimpawu, ikakhulukazi uma zihlala isikhathi esingaphezu kwamasonto ambalwa, kubalulekile ukubona umhlinzeki wakho wezempilo ukuze uhlolwe kahle.

Yini Ebanga i-Kansa ye-Vagina?

Njengoba kunjalo ngezifo eziningi ze-kansa, i-kansa ye-vagina ithuthukela lapho okuthile kubangela amaseli avamile ukushintsha nokukhula ngokungenakulawuleka. Nakuba singazi ngaso sonke isikhathi ukuthi yini ebangela lezi zinguquko, abacwaningi baye baqaphela izinto eziningana ezingandisa ingozi yakho.

I-human papillomavirus (HPV) iyisici esibaluleke kakhulu sokungena kwe-kansa ye-vagina. Izinhlobo ezithile ze-HPV ezingozi enkulu, ikakhulukazi i-HPV 16 ne-18, zingabangela ukushintsha emaseleni e-vagina okungase ekugcineni kuholele e-kansa. I-HPV ivamile kakhulu futhi isabalala ngokuthintana kocansi, kodwa iningi le-HPV infections liyaphela ngokwalo ngaphandle kokubangela izinkinga.

Ubudala busebenza, njengoba i-kansa ye-vagina ivame ukuxilongwa kwabesifazane abadlula u-60. Isistimu yakho yokutholakala nayo ibalulekile - izimo noma imithi ebuthakathaka isistimu yakho yokutholakala ingenza kube nzima emzimbeni wakho ukulwa ne-HPV infections nezinye izingozi zokuguquka kweselula.

Ukuphathwa ngaphambili nge-diethylstilbestrol (DES), i-estrogen engaqondakali enikezwe abesifazane abakhulelwe phakathi kuka-1940 no-1971, kukhuphula ingozi yohlobo oluthile lwe-kansa ye-vagina oluthiwa yi-clear cell adenocarcinoma kubantwana ababesetshenziswe esizalweni.

Ziyini Izinhlobo ze-Kansa ye-Vagina?

Ukuqonda izinhlobo ezahlukene ze-kansa ye-vagina kungakusiza uqonde kangcono ukuxilongwa kwakho nezinketho zokwelashwa. Uhlobo ngalunye luphatha ngokuhlukile futhi lungadinga izindlela ezahlukene zokwelashwa.

I-Squamous cell carcinoma yiyona evamile kakhulu, emele cishe u-85-90% wazo zonke i-kansa ye-vagina. Le kansa ithuthukela emaseleni e-squamous, okuyimaseli amancane, abukhali ahlanganisa ubuso be-vagina yakho. Ngokuvamile ikhula kancane futhi ivame ukuxhumene ne-HPV infection.

I-Adenocarcinoma yenza cishe u-10-15% ye-kansa ye-vagina futhi iqala emaseleni e-glandular akhiqiza ukukhishwa kwe-vagina. Kunezinhlobo ezimbili eziyinhloko: i-clear cell adenocarcinoma, exhunyaniswe nokuvezwa kwe-DES, nezinye i-adenocarcinomas ezingase zenzeke kunoma yiliphi isikhathi.

Izinhlobo ezingavamile zihlanganisa i-melanoma, ethuthukela emaseleni anikeza isikhumba umbala wayo futhi imele cishe u-2-3% ye-kansa ye-vagina. I-Sarcoma, ehlanganisa imisipha noma izihlanganisi ze-vaginal wall, ingavamile kakhulu futhi imele ngaphansi kuka-2% yezimangalo. Lezi zinhlobo ezingavamile ngokuvamile zidinga izindlela zokwelashwa ezikhethekile.

Nini Okufanele Ubone Udokotela Nge-Kansa ye-Vagina?

Kufanele uxhumane nomhlinzeki wakho wezempilo uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ze-vagina, ikakhulukazi uma zihlala isikhathi esingaphezu kwamasonto amabili kuya kwamathree. Nakuba iningi lezimpawu ze-vagina lingabangelwa yi-kansa, kuhlale kungcono ukuzihlola ngokushesha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma une-vaginal bleeding engavamile, ikakhulukazi uma ungumuntu omdala futhi uhlangabezana nanoma yiluphi ukuphuza. Noma yiluphi ukuqothuka kwe-vagina okungavamile, ikakhulukazi uma kukhona igazi noma kunuka okunamandla, kuphinde kudinge ukwelashwa kwezokwelapha.

Ungalindi uma uzizwa i-lump noma i-mass e-vagina yakho, uhlangabezana nobuhlungu be-pelvic obuhlala isikhathi eside, noma unebuhlungu ngesikhathi sokuya ocansini okusha noma okubi kakhulu. Ukushintsha emikhwenyeni yakho yokugeza, njengokuthamba okubuhlungu noma i-constipation ehlala isikhathi eside, kufanele kukhulunywe nodokotela wakho.

Khumbula, umhlinzeki wakho wezempilo ubone konke futhi ufuna ukukusiza uhlale unempilo. Akukho sidingo sokuzizwa uhlanya ngokuxoxa ngezimpawu ezizimele - ukuba ovulekile noqotho ngalokho okuhlangabezana nakho yindlela engcono kakhulu yokuthola ukunakekelwa okudingayo.

Ziyini Izici Zengozi ze-Kansa ye-Vagina?

Nakuba noma ubani onama-vagina angathuthukisa i-kansa ye-vagina, izinto ezithile zingandisa amathuba akho okuthuthukisa le simo. Ukuqonda lezi zici zengozi kungakusiza wenze izinqumo ezilwemi ngempilo yakho nokucinga.

Nazi izici eziyinhloko zengozi, ukhumbula ukuthi ukuba noyedwa noma ngaphezulu akusho ukuthi uzokuthuthukisa ngokuqinisekile i-kansa:

• Ubudala obungaphezu kuka-60 - iningi le-kansa ye-vagina livela kwabesifazane abadala.
• I-HPV infection, ikakhulukazi izinhlobo ezingozi enkulu njenge-HPV 16 ne-18.
• Umlando we-kansa ye-cervical noma i-vulvar noma izimo ezingaphambi kwe-kansa.
• I-hysterectomy yangaphambili, ikakhulukazi nge-kansa noma izimo ezingaphambi kwe-kansa.
• Isistimu yokutholakala ebuthakathaka evela ku-HIV, imithi yokutshalwa kwe-organ, noma ezinye izimo.
• Ukubhema, okungabuthakathaka isistimu yakho yokutholakala futhi kwenze kube lula i-HPV infections ukuhlala isikhathi eside.
• Ukuvezwa kwe-DES esizalweni (kwabesifazane abazalwe phakathi kuka-1940-1971).
• Umlando we-Pap tests engavamile noma i-cervical dysplasia.

Ezinye izici zengozi ezingavamile zihlanganisa ukucasuka kwe-vagina okuhlala isikhathi eside, abalingani abaningi bocansi (okwandisa ukuvezwa kwe-HPV), nokuba nokuhlangana kwakho kokuqala kocansi ebuntwaneni. Kubalulekile ukukhumbula ukuthi abesifazane abaningi abanezici zengozi abazithuthukisi i-kansa ye-vagina, ngenkathi abanye abesifazane abangenazo izici zengozi ezaziwayo bathuthukisa isifo.

Ziyini Izingozi Ezingase Zenzeke Nge-Kansa ye-Vagina?

Njengezinye izifo ze-kansa, i-kansa ye-vagina ingabangela ubunzima kokubili esifweni ngokwalo nakwelapho lwaso. Ukuqonda lezi zingozi ezingase zenzeke kungakusiza usebenze neqembu lakho lezokwelapha ukuze uzivimbele noma uzilawule ngokuphumelelayo.

I-kansa ngokwayo ingabangela ubunzima njengoba ikhula futhi isabalala. Ingase ivinje umgudu wakho wokuphuza, iholele ezinkingeni zezinso, noma isabalale ezitho eziseduze njenge-bladder, i-rectum, noma amathambo. I-kansa ye-vagina ephambili ingabangela ubuhlungu obukhulu futhi ithinte ikhono lakho lokuba nokuya ocansini okuhle.

Ubunzima bokwelashwa bungase buhluke kuye ngohlobo lokwelashwa olukuthola. Ukuhlinzwa kungase kuthinte umsebenzi wakho wocansi noma kubangele ukushintsha endleleni i-vagina yakho ezizwa ngayo noma isebenza ngayo. Ukwelashwa nge-radiation kungabangela ukucasuka kwesikhumba, ukukhathala, nokushintsha okungapheli kwezihlangwini ze-vagina okungase kuthinte induduzo yocansi.

I-Chemotherapy isebenzisa imithi yokubulala amaseli e-kansa futhi ngezinye izikhathi ihlanganiswe ne-radiation therapy. Lo mhlanganiso, othiwa yi-chemoradiation, ungase ube wusizo kakhulu kwezinye izinhlobo nezinyathelo ze-kansa ye-vagina.

Ezimeni eziphambili, ukwelashwa kungagxila ekulawuleni izimpawu nasekugcineni ikhwalithi yempilo kunokwelapha i-kansa. Le ndlela, ethiwa yi-palliative care, ingase ihlanganise ukulawula ubuhlungu, i-radiation yokunciphisa i-tumors, nezinye izindlela zokusekela.

Ukuhlinzwa kokwakha kabusha kungase kube yindlela ngemuva kokwelashwa ukuze kusize ukubuyisela umsebenzi we-vagina nokwenza ikhwalithi yempilo ibe ngcono. Iqembu lakho lezokwelapha lingaxoxa ngalezi zinketho nawe ngokusekelwe ekwelapheni kwakho okuthile nokuphulukiswa.

Indlela Yokwelashwa Ekhaya Ngesikhathi se-Kansa ye-Vagina?

Ukulawula ukunakekelwa kwakho ekhaya ngesikhathi sokwelashwa kwe-kansa ye-vagina kuhilela ukunakekela kokubili impilo yakho yomzimba nengqondo. Iqembu lakho lezokwelapha lizonikeza imiyalo ekhethekile ngokusekelwe ekwelapheni kwakho, kodwa kunezindlela ezijwayelekile ezingakusiza uzizwe ukhululekile.

Ukulawula ubuhlungu ngokuvamile kuyisigaba esiyinhloko sokukhathalela ekhaya. Thatha imithi ebuhlungu eyalwe ngokuvamile, futhi ungalindi kuze kube ubuhlungu obukhulu ngaphambi kokuyithatha. Ukugqoka okufudumele noma i-heating pads kungasiza ngokucasuka kwe-pelvic, kodwa hlola nodokotela wakho kuqala, ikakhulukazi uma uthola ukwelashwa nge-radiation.

Ukugcina uhlanzeke okuhle kubalulekile, kodwa yiba mnene ngendawo ehlinzwe. Sebenzisa amasoseji amnene, angenawo ama-scent futhi ugcine ugcine ukugqoka izingubo ezimnene, eziqondile ne-underwear yekotoni ukuze unciphise ukucasuka.

Ukudla kahle kungasiza umzimba wakho uphulukise futhi ugcine amandla ngesikhathi sokwelashwa. Gxila ekudleni okunomsoco, hlala unamanzi, futhi ubuze ngezinye izinto zokudla uma unezinkinga zokudla. Ukudla okuncane, okuvamile kungase kube lula ukubekezelela kunokudla okukhulu.

Ukulawula ukukhathala kubalulekile - phumula uma udinga futhi ungazicindezeli kakhulu. Ukwenza umzimba olula njengokuhamba kungasiza ngamakhono amandla, kodwa lalela umzimba wakho futhi ulungise imisebenzi njengoba kudingeka.

Ungangabazi ukufinyelela eqenjini lakho lezokwelapha ngemibuzo noma ukukhathazeka. Bangakusiza ngokuqondisa ekulawuleni imiphumela emibi futhi bazofuna ukwazi uma uhlangabezana nanoma yiziphi izimpawu ezintsha noma ezibi kakhulu.

Kufanele Uzilungiselele Kanjani Ukuya Edokotela?

Ukulungiselela ukuya ekuhlanganyeleni nodokotela kungakusiza wenze kakhulu isikhathi sakho sokuhlangana ndawonye futhi kuqinisekise ukuthi uthola lonke ulwazi olukuthola. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi zishintshile kanjani ngokuhamba kwesikhathi.

Yenza uhlu lwazo zonke imithi oyithathayo, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle komthetho, amavithamini, kanye nezinye izinto. Leli hlu lilethe nawe, noma kungcono nakakhulu, letha amabhodlela ngokwabo uma kungenzeka.

Butha ulwazi lomlando wakho wezokwelapha, kufaka phakathi ukuhlinzwa kwangaphambili, ukwelashwa kwe-kansa, nomlando womndeni we-kansa. Uma uke waba ne-Pap tests noma izinqubo ze-ginecological ngaphambili, zama ukukhumbula ukuthi zenziwe nini nokuthi zenziwe kuphi.

Bhala imibuzo ofuna ukuyibuza udokotela wakho. Ezinye ezibalulekile zingase zihlanganise: Ngiluphi uhlobo lwe-kansa ye-vagina enayo? Iliphi isigaba? Ziyini izinketho zami zokwelashwa? Ziyini imiphumela emibi yayo yonke indlela yokwelashwa? Ukwelashwa kuzothinta kanjani impilo yami yansuku zonke nobuhlobo?

Cabanga ukuletha umngani noma ilungu lomndeni omethembayo ekuhlanganyeleni. Bangakusiza ukukhumbula ulwazi oluxoxwe futhi banikeze ukwesekwa ngokomzwelo. Ungesabi ukubuza udokotela wakho ukuba aphindele ulwazi noma achaze izinto ngezindlela ezilula uma kudingeka.

Iyini Iphuzu Eliyinhloko Nge-Kansa ye-Vagina?

Into ebaluleke kakhulu okumele uyikhumbule nge-kansa ye-vagina ukuthi nakuba kuyisimo esinzima, futhi kuyinto engavamile futhi ngokuvamile iyakwelashwa kakhulu, ikakhulukazi uma kubanjwe ngokushesha. Abesifazane abaningi baqhubeka bephila impilo egcwele, enempilo ngemuva kokwelashwa.

Ukukhathalela okuvamile kwe-ginecological nokuqaphela ukushintsha emzimbeni wakho yizithulu zakho ezinhle kakhulu zokuthola ngokushesha. Ungayideli izimpawu ezihlala isikhathi eside, ngisho noma zibonakala zingaphansi noma zihlanya ukuxoxa ngazo. Umhlinzeki wakho wezempilo ulapho ukukusiza, futhi ukuthola ngokushesha ngempela kwenza umehluko emiphumeleni yokwelashwa.

Uma uthola ukuxilongwa kwe-kansa ye-vagina, khumbula ukuthi awuwedwa. Iqembu lakho lezokwelapha lizo sebenza nawe ukuze likhethe uhlelo lokwelashwa oluhle kakhulu esimweni sakho, futhi kunezinto eziningi ezitholakalayo ukukusekela ngesikhathi sokwelashwa nokuphulukiswa.

Izindlela zokuvimbela njengokugoma kwe-HPV, ukucinga okuvamile, nokugcina impilo enempilo kunganciphisa kakhulu ingozi yakho. Ngisho noma unezici zengozi, akusho ukuthi uzokuthuthukisa i-kansa - lezi zimane nje izinto ezingase zikhuphule amathuba akho.

Imibuzo Evamile Ebuzwayo Nge-Kansa ye-Vagina

UMbuzo 1: Ingabe i-kansa ye-vagina ingasabalala kwezinye izingxenye zomzimba?

Yebo, i-kansa ye-vagina ingasabalala ezithweni eziseduze njenge-bladder, i-rectum, noma i-pelvic lymph nodes, futhi ezimeni eziphambili, ezingxenyeni ezikude zomzimba njengemiphunga noma isibindi. Noma kunjalo, uma kubanjwe ngokushesha, i-kansa ye-vagina ngokuvamile ihlala e-vagina futhi ineprognosi enhle ngokwelashwa okufanele.

UMbuzo 2: Ngisazothola yini ukuya ocansini ngemuva kokwelashwa kwe-kansa ye-vagina?

Abesifazane abaningi bakwazi ukugcina ubuhlobo obunethezeka bocansi ngemuva kokwelashwa kwe-kansa ye-vagina, nakuba kungase kudingeke ukulungiswa okuthile. Imiphumela yokwelashwa ingase ihluke kuye ngohlobo nobunzima bokwelashwa olukuthola. Iqembu lakho lezokwelapha lingaxoxa ngezindlela zokusiza ukugcina umsebenzi wocansi nenduduzo, kufaka phakathi ama-vaginal dilators, ama-lubricants, nezinye izinqubo zokwakha kabusha.

UMbuzo 3: Ingabe i-kansa ye-vagina iyefa?

I-kansa ye-vagina ngokuvamile ayibhekwa njenge-kansa yefa, okusho ukuthi ngokuvamile ayihambeli emindenini njengezinye izifo ze-kansa. Iningi lezimangalo lihlobene ne-HPV infection noma ezinye izinto ezizungezile kunokuguqulwa kwe-genetic okuzuzwe.

UMbuzo 4: Mangaki izikhathi kufanele ngibe nezivivinyo zokucinga uma nginengozi enkulu?

Uma unezici zengozi ze-kansa ye-vagina, udokotela wakho angase akukhuthaze ukuhlolwa okuvamile kwe-pelvic ne-Pap tests. Isimiso esiqondile siyacishe sihluke kuye ngezici zakho zengozi nomlando wakho wezokwelapha. Abesifazane abake baba ne-hysterectomy nge-kansa noma izimo ezingaphambi kwe-kansa ngokuvamile badinga ukucinga okuqhubekayo kwe-vagina, ngenkathi labo abake baba nokuhlinzwa kwezimo ezinhle bangase bangadingi i-vaginal cytology ejwayelekile.

UMbuzo 5: Uyini umehluko phakathi kwe-kansa ye-vagina ne-kansa ye-cervical?

Nakuba zombili zithinta izingxenye zesimiso sokuzala besifazane futhi ngokuvamile zihlangene ne-HPV infection, zenzeka ezindaweni ezahlukene. I-kansa ye-cervical ithuthukela e-cervix (ingxenye engezansi ye-uterus), ngenkathi i-kansa ye-vagina ithuthukela ezindongeni ze-vagina. Ziyaphathwa ngokuhlukile futhi zinezinhlelo zokuhlola ezahlukene, nakuba zombili ziphendula kahle ekwelapheni uma kubanjwe ngokushesha.