Zamkatimu
Chizindikiro choyamba cha neoplasm, mwachitsanzo, kuyabwa, ndi kunyalanyazidwa ndi akazi. Pakadali pano, kuyamba kulandira chithandizo mochedwa kwambiri kumawonjezera chiopsezo cha imfa.
Kuyabwa kumawonekera poyamba. Nthawi zina zimatha ngakhale zaka zingapo. Azimayi amathandizidwa ndi dermatologists, gynecologists, amatenga mafuta odzola popanda kukayikira kuti chotupa chikukula. Patapita kanthawi adzazoloŵera mkhalidwewo ndipo amaona kuti n’zachilendo kuti nthawi zina pamakhala m’mawa. Mwadzidzidzi m'mawa ukukula, ukupweteka ndipo sikuchira.
Chenjerani ndi matenda
Matendawa makamaka amayamba chifukwa cha matenda, kuphatikizapo human papillomavirus (HPV), komanso matenda aakulu bakiteriya. Amakhulupiriranso kuti immunosuppression, mwachitsanzo, kuchepa kwa chitetezo cha mthupi, kungakhale chifukwa. - Zinthu zachilengedwe ndi mankhwala zimakhudzanso, koma makamaka ndi matenda - akuti prof. Mariusz Bidziński, Head of the Clinical Department of Gynecology at the Świętokrzyskie Cancer Center.
Kupewa khansa imeneyi, choyamba, kupewa matenda. - Apa, katemera ndi wofunikira, mwachitsanzo motsutsana ndi kachilombo ka HPV, komwe kumawonjezera chitetezo cha mthupi. Ngakhale amayi omwe apezeka kuti ali ndi matenda ena, katemera amatha kugwiritsidwa ntchito ngati prophylactically chifukwa amapangitsa amayi kukhala ndi chitetezo chokwanira - akufotokoza Prof. Bidziński. Kudziletsa komanso kupita kwa gynecologist ndikofunikira. - Koma chifukwa chakuti ndi niche neoplasm, ngakhale gynecologists sali osamala mokwanira pankhaniyi ndipo si onse omwe amatha kuyesa kusintha - katswiri wa amayi akuwonetsa. Choncho, kudziletsa ndi kuuza dokotala za matenda onse n'kofunika kwambiri.
Khansara yosowa koma yoopsa
Ku Poland, pafupifupi 300 amadwala khansa ya vulvar chaka chilichonse, choncho imakhala m'gulu la khansa yosowa. Amapezeka kwambiri mwa amayi azaka zopitilira 65, koma nthawi zina amapezekanso mwa achinyamata. - Ndikuganiza kuti amayi achikulire amadwala chifukwa samayikanso kufunika kwa thupi lawo kapena kugonana. Amasiya kusamala za chibwenzi chawo chifukwa sachitanso zogonana ndipo sakuyenera kukopa wokondedwa wawo. Ndiye, ngakhale china chake chikayamba kuchitika, sachita chilichonse kwazaka zambiri - akutero Prof. Bidziński.
Matendawa amadalira pa siteji yomwe khansayo inapezeka. Kumayambiriro kwa chitukuko, mwayi wokhala ndi moyo zaka zisanu ndi 60-70%. Khansara ikakula kwambiri, chiwerengero cha anthu opulumuka chimatsika kwambiri. Pali zotupa za vulvar zomwe zimakhala zaukali kwambiri - vulvar melanomas. - Kumene kuli mucous nembanemba, khansa imakula kwambiri, ndipo apa chiopsezo cha kulephera kwa chithandizo ndichokwera kwambiri, ngakhale titazindikira matendawa atangoyamba kumene. Kawirikawiri, nthawi zambiri ndi squamous cell carcinomas ndipo mphamvu zimadalira momwe matendawa amatchulidwira mofulumira - akufotokoza gynecologist.
Chithandizo cha khansa ya maliseche
Njira ya mankhwala zimadalira siteji kumene khansa wapezeka. - Tsoka ilo, chifukwa chakuti amayi amafotokoza mochedwa, oposa 50% a iwo ali kale ndi khansa yapamwamba kwambiri, yomwe ili yoyenera pa chithandizo chamankhwala, mwachitsanzo, kuchepetsa ululu kapena kuchepetsa kukula kwa matenda, koma osati kuchiza. - amadandaula Prof. Bidziński. Khansara ikapezeka msanga, chithandizo chake chimakhala chochepa kwambiri. Njira yayikulu yochizira ndi opaleshoni yopitilira muyeso, mwachitsanzo, kuchotsa maliseche mothandizidwa ndi radiation kapena chemotherapy. Nthawi zina sikoyenera kuchotsa vulva, ndipo mtanda wokhawo umachotsedwa. - 50% ya odwala amatha kuthandizidwa mopitilira muyeso, ndipo 50% amatha kuthandizidwa mopupuluma - akufotokoza mwachidule dokotala wachikazi. Pambuyo pa vulvectomy yayikulu, mkazi amatha kugwira ntchito bwino, chifukwa kupatula maliseche osinthika, nyini kapena mkodzo sizisintha. Komanso, ngati moyo wapamtima ndi wofunika kwambiri kwa mkazi, zinthu zomwe zachotsedwa zimatha kupangidwa ndi pulasitiki ndikuwonjezera, mwachitsanzo, labia imapangidwanso kuchokera ku dermal ndi minofu yochokera ku ntchafu kapena m'mimba.
Kumene Mungachiritse Vulva Khansa?
Prof. Janusz Bidziński akuti khansa ya vulvar imachiritsidwa bwino ku malo akuluakulu a oncology, mwachitsanzo ku Oncology Center ku Warsaw, ku Świętokrzyskie Cancer Center ku Kielce, ku Bytom, kumene kuli Vulva Pathology Clinic. - Ndikofunikira kupita ku likulu lalikulu, chifukwa ngakhale chithandizo sichinachitike kumeneko, iwo adzawatsogolera bwino ndipo zochitazo sizidzakhala mwangozi. Pankhani ya khansa ya vulvar, lingaliro ndilopita kumene amachitira ndi milandu yotereyi, ndipo kumbukirani kuti palibe ambiri mwa iwo. Ndiye zinachitikira gulu ndi wamkulu, matenda histopathological ndi bwino ndi mwayi adjuvant chithandizo ndi bwino. Ngati wodwalayo apita kuchipatala komwe madokotala alibe chidziwitso pazochitika zoterezi, opaleshoni kapena chithandizo cha adjuvant sichingabweretse zotsatira zomwe tinkaganiza komanso zomwe tinkayembekezera - akuwonjezera. Ndikoyeneranso kuyang'ana pa webusayiti ya www.jestemprzytobie.pl, yomwe imayendetsedwa ngati gawo la pulogalamu yokhazikitsidwa ndi Fundacja Różowa Konwalia im. Prof. Jan Zieliński, MSD Foundation for Women's Health, Polish Association of Oncological Nurses ndi Polish Organisation for Fighting Cervical Cancer, Flower of Femininity. Zimaphatikizapo chidziwitso chofunikira pa kupewa, kuzindikira ndi kuchiza khansa ya ziwalo zoberekera (khansa ya khomo lachiberekero, khansa ya vulvar, khansa ya ovarian, khansa ya endometrial), ndi malangizo a komwe angakapeze chithandizo chamaganizo. Kudzera pa www.jestemprzytobie.pl, mutha kufunsa mafunso kwa akatswiri, kuwerenga nkhani zenizeni za azimayi ndikugawana zomwe mwakumana nazo ndi owerenga ena omwe ali mumkhalidwe womwewo.