Umhlaza wesisu

I-Cancer ye-vagina yinto engathandekiyo ye-oroplasm ye-primary or metastatic nature in the membrane of vaginal. Ngonyaka, umhlaza wesisu ufumaneka kwii-2 000 zabesetyhini, ezimalunga ne-3% yazo zonke izicubu ezinobunzima, ezine-5-7%. Iqela elijongene nobungozi obukhethekileyo ngabafazi abasema-55-65. Kwiimeko ezinqabileyo, umdlavuza unokufumaneka kwiintombazana eziselula. Ukugxekwa kulungile xa kwenzeka ukuxilongwa ngexesha elifanelekileyo.

Iintlobo zesifo somhlaza wesisu

Ngokuxhomekeke kwiintlobo zezicubu ezichaphazelekayo nge-tumor (isakhiwo sakhe sengqondo sesisu), ukwahlula:

• i-squamous cell carcinoma ye- vagina - ivela kwiiseli ze-mucous lining the vagina ngaphakathi;
• i-tumor kwiiseli zeesisu zomzimba zomzimba;
• i-tumor kwiiseli zeengxube zeglandular;
• i-tumor kwiiseli zamathambo ezinqabileyo.

Kwizigaba zokuphuhliswa, ezi zilandelayo:

1. Umhlaza ongena-invasive (isigaba 0). Kule nqanaba, i-tumor ayikhuli kwaye imida ecacileyo.
2. Isigaba somhlaza I. I-tumor iyakhula ngaphezu kwezicubu zomzimba zesisu.
3. Isigaba somhlaza wesi-II. Yandisa kwizicubu ezibonakalayo (eziphakathi kwezilwanyana kunye neendonga zeplasvis encinci).
4. Umdlavuza ochaphazelekayo wesigaba se-III. I-tumor iyangena kwiindonga ze-pelvis encinci.
5. Umdlavuza omangalisayo wesigaba se-IV. Isasazeka kwizitho ezingummelwane: isisu, isisu.

Iimpawu kunye neempawu zesifo somhlaza wesisu

Izigaba zokuqala zomhlaza wesibeleko zivame ukuxhatshazwa. Kwixesha elizayo, iimpawu ezilandelayo zivela:

• buhlungu;
• intlungu kwindawo yesigrum, i-pelvis encinci, i-pubis;
• ukuvuvuka kwemilenze;
• ubunzima ekuchaseni, ukucoca rhoqo;
• izikhetho ezifana nezicatshulwa ngexesha le-candidiasis (thrush);
• ukuphuma kwegazi, ngokukhawuleza okanye emva kokulala ngokwesini - igazi lombala obomvu obomvu.

Iimbangela kunye neemeko zokuphuhliswa ngumhlaza wesisu

Ukubonakala komhlaza wesisu kunokufaka isandla kwi:

1. Ukwamkelwa komama ngexesha lokukhulelwa kwamachiza.
2. Usulelo lwegciwane lesifo se-papilloma, isasazeka ngesondo.
3. Usulelo lwegciwane lesandulela ngculaza (HIV).
4. Ubudala.
5. Umhlaza womzimba kunye nomlomo wesibeleko.
6. Irradiation (umzekelo, nge-radiotherapy ye-pelvic).

Ukuxilongwa kwesifo somhlaza wesisu

Ndakanya:

• Uviwo lwe-pelvis encinci (ibhinqa, umlomo wesibeleko, ama-ovari, i-rectum, i-fallopian tubes);
• ukuthatha i-smear kwi- oncocytology (iPap smear);
• i-biopsy (ukuqokelela kweeseli zamathambo ukuhlolwa);
• uvavanyo lwe-ultrasound;
• i-tomography.

Ukuxilongwa ngokuchanekileyo, kufuneka ukwazi ukuba umhlaza wesisu unjani. Kwizigaba zokuqala zesi sifo kungaba zilonda ezincinane kwi-mucosa, ukukhula kwamapilisi. Kwimigangatho emva - iimpawu zobukhulu obuhlukahlukeneyo.

Unyango lomhlaza wesisu

Indlela yokwenza unyango lomhlaza ikhethwe ngokuxhomekeka kwinqanaba lokungahambi (ukusasazeka), ubuninzi be-tumor nezinye izinto. Ngaloo ndlela, ngesayizi esincinci se-tumor kunye nendawo ephantsi, inokuthi ihlelwe yinto encinci, isuswe yi-laser okanye i-nitrogen ene-liquid.

Ngomlinganiselo omkhulu wokungabikho okanye ukungena kwamatastas, ukususwa ngokupheleleyo kwesini okanye isisu kubonisiwe. I-Chemotherapy isetyenziselwa ukunciphisa ubukhulu be-tumor, kodwa, njengommiselo, ngokubambisana neendlela zokutyanda. Unyango lomhlaza wesibeletho samanzi (emva kokususwa kwesibindi okanye i-vulva) iyafana.