Umdlavuza wesifazane

I-Cancer ye-vagin isifo esibuhlungu se-primary or metastatic nature embranini yomsindo wesifazane. Ngonyaka, umdlavuza wesifazane utholakala kubafazi abangaba ngu-2 000, okuyi-3% yazo zonke izicubu zomzimba ezibulalayo, ezinomphumela obulalayo we-5-7%. Iqembu eliyingozi elikhethekile ngabesifazane abaneminyaka engu-55-65. Ezimweni ezingavamile, umdlavuza ungatholakala kumantombazane amancane. I-prognosis iyakhuthaza uma kwenzeka ukuxilongwa okufika ngesikhathi.

Izinhlobo zomdlavuza wesisu

Kuye ngezinhlobo zezicubu ezithinteka yi-tumor (isakhiwo sakhe se-tumor), hlukanisa:

• i-squamous cell carcinoma ye- vaginal - ivela emangqamuzaneni emigodi yokulala emzimbeni kusukela ngaphakathi;
• i-tumor emangqamuzaneni amathisamu ashubile;
• i-tumor emangqamuzaneni amathisamu amancane;
• i-tumor emangqamuzaneni amathishu ahlukumezekile.

Ezigabeni zentuthuko, lezi zinhlobo ezilandelayo zomdlavuza wesisu zihlukile:

1. Umdlavuza ongenawo umonakalo (isigaba se-0). Kulesi sigaba, i-tumor ayikhuli futhi inemingcele ecacile.
2. Isigaba somdlavuza esimangalisa I. I-tumor ikhula phezu kwezicubu ezinamaqabunga ezitho zangasese.
3. Umdlavuza omangalisayo wesigaba II. Ihlanganisa izicubu ezibonakalayo (ezitholakala phakathi kwesifazane kanye nezindonga zesikhumba esincane).
4. Umdlavuza omangalisayo wesigaba III. I-tumor ingene ezindongeni zesikhumba esincane.
5. Umdlavuza omangalisayo wesigaba se-IV. Isakazeka ezingxenyeni ezingomakhelwane: isisu, isisu.

Izimpawu nezibonakaliso zomdlavuza wesisu

Izinyathelo zokuqala zomdlavuza wesisu zivame ukungena. Esikhathini esizayo, izimpawu ezilandelayo zivela:

• ubulili obubuhlungu;
• ubuhlungu esifundeni se-sacrum, isikhumba esincane, i-pubis;
• ukuvuvukala kwemilenze;
• ubunzima ekunqandeni, ukuvuthwa njalo;
• ukukhipha okufana nokufihla ngesikhathi se-candidiasis (thrush);
• ukuphuma kwegazi, ngokuzenzekelayo noma emva kocansi - igazi lombala obomvu obomvu.

Izimbangela kanye nezici zokuthuthukiswa komdlavuza wesifazane

Ukubonakala komdlavuza wesisu kungabangela:

1. Ukungena komama ngesikhathi sokukhulelwa kwemithi ethile.
2. Ukutheleleka ngegciwane lesifo se-papilloma, isandulela ngculazi.
3. Ukutheleleka ngegciwane lesandulela ngculazi (i-HIV).
4. Ubudala.
5. I-Cancer yomzimba nomlomo wesibeletho.
6. I-irradiation (ngokwesibonelo, phakathi ne-rayotherapy ye-pelvic).

Ukuxilongwa komdlavuza wesifazane

Kufaka:

• Ukuhlolwa kwesifuba esincane (ubulili, umlomo wesibeletho, ama-ovaries, i-rectum, ama-tubes fallopian);
• ukuthatha i- oncocytology (i-Pap smear);
• i-biopsy (iqoqo lamangqamuzana omzimba wokuhlola);
• ukuhlolwa kwe-ultrasound;
• ikhompyutha ye-tomography.

Ukuze uthole ukuxilongwa okunembile, udinga ukwazi ukuthi umdlavuza wesisu ubukeka kanjani. Ezikhathini zokuqala zalesi sifo kungaba izilonda ezincane ezilula emanzini, ukukhula kwamapilisi. Esikhathini sesigaba esilandelayo - izimpawu zamasayizi ahlukene.

Ukwelashwa komdlavuza wesifazane

Indlela yokwelashwa komdlavuza ikhethwa kuye ngokuthi izinga lokuhlasela (ukusakaza), ubukhulu besisu kanye nezinye izici. Ngakho-ke, ngesayizi esincane kakhulu se-tumor kanye nendawo elinganiselwe, kungase kube ingxenye encane, isuswe i-laser noma i-nitrogen enamandla.

Ngezinga elikhulu lokungahambi noma ukutholakala kwe-metastase, ukususwa okuphelele kwesiswini noma kwesibeletho kuboniswa. I-Chemotherapy isetshenziselwa ukunciphisa usayizi we-tumor, kodwa, njengombuso, ngokuhambisana nezinqubo zokuhlinzwa. Ukwelashwa komdlavuza wesibeletho sangasese (ngemuva kokususwa kwesibeletho noma inhlanzi) kuyafana.