I-cancer ye-vulva iyisisu esibi sezitho zangasese zangaphandle zesifazane. Lesi sifo asivamile kakhulu (kubheka 4% yazo zonke izifo ezingezansi zokuhlukunyezwa komzimba noma amacala angu-2-3 ngabesifazane abangu-100 000). Lithinta ikakhulukazi abesifazane abaneminyaka engama-55-75 kanti kuphela amacala angu-15% - abesifazane abangaphansi kweminyaka engama-40.
Kungaba nesimo se-squamous cell carcinoma ye-vulva (esithinta ungqimba ophezulu kakhulu wesikhumba kanye nezibilini zamangqamuzana ezitho zangasese zangaphandle), kodwa futhi isakazeka emigqeni ejulile ye-epidermis. Ingozi yokuthuthukisa isifo kulo lonke impilo ingu-0.2%, kanti izinga lokufa lesi sifo alidluli ama-0.5 amacala abantu abayizinkulungwane eziyi-100 abagulayo, uma kutholakala ukuxilongwa ngesikhathi esifanele.
Izimpawu zesifo somdlavuza
Lesi sibonakaliso sisho, naphezu kwalokhu, kuma-66% amacala ukuxilongwa kwenziwa ezinxenyeni zokugcina zesifo. I-alamu yokuqala iyayiluma ebuhlungu endaweni yangaphandle yobulili, engasetshenziswa ngokusebenzisa insipho ukuhlanzeka okuncane, emva kokucindezeleka noma ukulala, nasebusuku. Abaningi besifazane abanikezi ngalokhu uphawu olufanele. Ezingeni zamuva ze-vulva, ukupenda, izilonda ezincane noma izibonakaliso ezibuhlungu zivela. Indawo ingahle ihluke: kusihlwa kwesidumbu, i-clitoris, ku-labia enkulu noma encane.
Izimbangela nezici zokuthuthukiswa komdlavuza we-vulvar
- Ukutheleleka ngegciwane lesandulela ngculazi (i- HIV ).
- Ubudala.
- Izinguquko zeTrophic esikhumbeni (ukucwiliswa, ukucubungula, njll).
- Ukutheleleka ngegciwane lesifo se-papilloma, isandulela ngculazi.
- Ukushintshwa okuvamile kwabalingani bobulili.
- Ukubhema.
Izigaba nokuxilongwa komdlavuza we-vulvar
- Isigaba I sibonakala ngamasayizi omzimba amancane (angabi ngaphezu kuka-2 mm ububanzi) nendawo encane (phakathi kwebesifazane ne-anus).
- Isigaba sesibili sibonakala ngokulinganiselwe kwendawo, kodwa ubukhulu bezinsalela (ngaphezu kuka 2 mm ububanzi).
- Isigaba III sichaza ukusabalala kwesimila kwanoma yisiphi isayizi ku-vaginal, urethra, anus. Kungenzeka futhi kube nama-metastase (amasayithi wesibili amathumba) emantanjeni angama-femal kanye nama-inguinal lymph nodes.
- Isigaba IV sibonakala nge-metastases kwezinye izitho, ukusakazwa kwesisu noma kunoma yisiphi isayizi esikhwameni, umhlanga.
Ukuxilongwa komdlavuza we-vulvar kunokwenzeka kunoma yisiphi isigaba futhi kuhlanganisa:
- Ukuhlolwa kwesiguli usebenzisa ingilazi yokukhulisa noma ithuluzi elikhethekile (colposcopy);
- i-biopsy (iqoqo lamangqamuzana omzimba wokuhlola);
- ukuthatha i- oncocytology ( senza ukuthi uhlole ushintsho kumaseli).
Ukwelashwa komdlavuza we-vulvar
Ukukhetha indlela yokwelapha kuncike ekutheni indawo ye-tumor kanye nesigaba sesifo. Esigabeni sokuqala, ukuhlinzwa (ukusebenza) kuyindlela ephumelelayo. Uma i-tumor iyisisu esincane (esingaphansi kwe-2 mm), khona-ke kuphela isisu sisusiwe. Kwezinye izimo, i-vulvectomy yenziwa (ukususwa kwezitho zangasese zangaphandle).
Izigaba zesithathu nezesithathu zikhombisa ukwelashwa okuhlangene, kuhlanganise izindlela zokuhlinza kanye nokwelashwa kwemisebe (ukunciphisa ubukhulu besisu). Esigabeni sesine salesi sifo kuhlanganisa izindlela zokuhlinza, ukwelapha imisebe kanye ne-chemotherapy.
Kungenzeka ukwelapha umdlavuza we-vulvar ngamakhambi omuntu, kodwa, hhayi njengendlela ehlukile, kodwa njengendlela eyengeziwe. "Abahlengikazi bezinkampani" banikeza izindlela eziningi zokupheka: i-tincture ye-hemlock, i-tincture ye-birch amakhowe we-mushroom, ama-decoctions yamakhambi (i-calendula, i-elecampane, i-immortelle, umhlonyane, i-viburnum), njll. Nokho, izimali zabantu kufanele zithathwe kuphela ngemva kokubonisana nodokotela oya khona.