Zapadera kwa inu akazi: Tiyeni tidziwe za khansa ya m'mimba

Nthawi zambiri, akazi amachita manyazi pang'ono, mwinanso amaopa, kulankhula za kusintha kwa malo awo akunja a maliseche (vulva). Tangoganizirani, ngakhale mutawona chinachake monga kuyabwa, chotupa chaching'ono, kapena kusintha kwa mtundu wa khungu , nthawi zina mumanyalanyaza, mukuganiza kuti, 'Zidzachira zokha.' Koma zizindikiro izi zomwe zimaoneka ngati zazing'ono nthawi zina zimakhala chizindikiro choyamba cha vuto lalikulu lomwe sitikudziwa nkomwe. Kotero lero tikulankhula za nkhani ina yofunika kwambiri, khansa ya malo akunja a maliseche, kapena `(Vulvar Cancer)`.

Mwachidule, kodi khansa ya Vulvar ndi chiyani?

Khansa ya m'mimba ndi kukula kosalamulirika kwa maselo a khansa m'dera lakunja la maliseche a mkazi, 'vulva'. Izi ndi zosiyana ndi khansa ya m'mimba , yomwe ndi khansa yomwe imapezeka mkati mwa maliseche .

Chabwino, tsopano tiyeni tiwone zomwe zili mu gawo lakunja la maliseche (vulva).

• Kutsegula nyini : Khomo lolowera njira yochokera ku chiberekero kupita kunja.
• Makutu a m'mawere: Khungu lopindika kawiri lomwe limaoneka ngati milomo. Mbali yakunja ya mnofu imatchedwa ``Labia majora`` ndipo makutu amkati opyapyala amatchedwa ``Labia minora``.
• Chibwano: Chotupa chofewa kwambiri chokhala ndi khungu pomwe milomo yaing'ono imalumikizana.
• Mons pubis: Malo ofewa, okwezeka patsogolo pa mafupa a m'chiuno omwe amaphimbidwa ndi tsitsi panthawi ya kutha msinkhu.
• Mphuno: Khungu lomwe lili pakati pa ziwalo zoberekera zakunja ndi mphuno.

Ziwalo zimenezi zimatha kuyambitsa khansa kulikonse.

Kodi zizindikiro za khansa iyi ndi ziti?

Poyamba sizingakhale zizindikiro. Komabe, pakapita nthawi, zizindikiro zotsatirazi zingawonekere. Yang'anani ngati muli ndi chimodzi kapena zingapo mwa izi.

Kodi pali mitundu ya khansa ya m'mimba?

Inde, pali mitundu ingapo ikuluikulu ya khansa iyi.

• Squamous Cell Carcinoma: Iyi ndi mtundu wofala kwambiri. Imayamba m'maselo a khungu . Makamaka mwa atsikana, imatha kulumikizidwa ndi kachilombo kotchedwa `Human Papillomavirus (HPV).`
• Adenocarcinoma: Mtundu uwu nthawi zambiri umayamba m'matumbo a Bartholin, omwe amapezeka mbali zonse ziwiri za khomo la nyini. Nthawi zina umatha kuoneka ngati chotupa.
• Khansa ya m'magazi :Mtundu wa khansa womwe umayamba m'maselo omwe amapatsa khungu mtundu wake. Nthawi zambiri umapezeka pakhungu lomwe lili ndi dzuwa, koma nthawi zambiri sumapezeka m'malo oberekera akunja.
• Sarcoma: Mtundu wa khansa womwe umayambira m'maselo a mafupa, minofu, kapena minofu yolumikizana. Imatha kukula pa msinkhu uliwonse, ngakhale mwa ana aang'ono.

Kodi ndi zinthu ziti zomwe zimayambitsa khansa iyi komanso zomwe zimayambitsa matendawa?

Chifukwa chenicheni cha izi sichinadziwikebe, koma zinthu zina zitha kuwonjezera chiopsezo chotenga khansa iyi.

• Zaka: Kawirikawiri pakati pa akazi azaka zopitilira 70.
• Matenda a HPV: Kutenga kachilombo ka `Human Papillomavirus (HPV)` ndi chinthu chachikulu chomwe chimayambitsa matendawa.
• Kusuta: Anthu omwe amasuta ali pachiwopsezo chachikulu, makamaka omwe ali ndi kachilombo ka HPV.
• Kuchepa kwa chitetezo chamthupi: Kufooka kwa chitetezo chamthupi chifukwa cha matenda monga HIV kapena Edzi.
• Matenda a khansa: Kusintha kwa maselo komwe kumachitika khansa isanachitike, monga `Vulvar Intraepithelial Neoplasia (VIN).`
• Lichen Sclerosus: Matenda omwe amayambitsa kuonda ndi kuyabwa kwa khungu m'dera lakunja la maliseche.
• Khansa zina: Kukhala ndi mbiri ya khansa ya pachibelekero kapena ya m'chiberekero.
• Mbiri ya banja: Ngati wina m'banjamo adadwala khansa ya khansa.

Dokotala, mumazindikira bwanji izi?

Mukapita kwa dokotala, mwina adzachita mayeso ena mwa awa.

1. Mbiri ya Zachipatala: Dokotala adzakufunsani mafunso okhudza zizolowezi zanu zaumoyo ndi matenda anu.

2. Kuyezetsa Chiuno: Malo akunja a maliseche, chiberekero, nyini, ndi ziwalo zozungulira zimayezetsedwa.

3. Colposcopy: Kuyang'anitsitsa malo okayikitsa pogwiritsa ntchito chida chokulitsa (colposcope).

4. Kufufuza za khansa: Kachidutswa kakang'ono ka minofu kamatengedwa kuchokera pamalo okayikitsa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu. Kuyesaku kumagwiritsidwa ntchito kuti kutsimikizire ngati ndi khansa kapena ayi.

5. Mayeso Ojambula: Ma scan monga `(X-ray, CT, PET scans, MRIs)` amachitidwa kuti adziwe momwe khansa yafalikira.

Kodi magawo a khansa ndi ati?

Ngati mayeso atsimikizira kuti pali khansa, dokotala adzayang'ananso kukula kwa chotupacho komanso ngati chafalikira. Izi zimatchedwa 'staging'.

Kodi mankhwala ake ndi otani?

Chithandizo chimadalira zinthu zambiri, kuphatikizapo mtundu wa khansa, gawo lake, komanso thanzi lanu lonse. Pali njira zinayi zazikulu zochizira.

1. Opaleshoni

Uwu ndi mankhwala ofala kwambiri. Umaphatikizapo kuchotsa khansa ndi minofu yozungulira. Mtundu wa opaleshoni yomwe imachitika imadalira kukula ndi kufalikira kwa khansa. Mungafunike kuchotsa gawo kapena ziwalo zonse zakunja za m'mimba (vulvectomy). Ngati khansa yafalikira, ma sebaceous glands ozungulira angachotsedwenso.

2. Chithandizo cha Radiation

Kugwiritsa ntchito ma radiation, monga ma X-ray amphamvu kwambiri, kuwononga maselo a khansa. Izi zitha kuchitika popereka ma radiation kunja pogwiritsa ntchito makina kapena poika mbewu yaying'ono ya ma radiation pafupi ndi chotupacho.

3. Chithandizo cha Chemotherapy (Chemotherapy / “Chemo”)

Kupereka mankhwala omwe amapha maselo a khansa kapena kuwaletsa kukula. Mankhwalawa angaperekedwe ngati mapiritsi, jakisoni (IV), kapena nthawi zina ngati kirimu wopaka pakhungu.

4. Chithandizo cha Immunotherapy

Njira yamakono yochiritsira yomwe imalimbikitsa chitetezo cha mthupi komanso kuthandiza thupi kumenyana ndi maselo a khansa.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Mukalandira chithandizo, muyenera kuyang'aniridwa nthawi zonse. Chifukwa chake , muyenera kuwona dokotala wanu nthawi zonse (maulendo obwerezabwereza).Mayeso ayenera kuchitika miyezi itatu kapena isanu ndi umodzi iliyonse kwa zaka ziwiri zoyambirira, kenako miyezi isanu ndi umodzi kapena isanu ndi umodzi iliyonse kwa zaka zitatu kapena zisanu zotsatira.

Chithandizo chingayambitse zotsatira zina zoyipa. Ndikofunikira kusunga bala loyera mutachita opaleshoni. Komanso, kutupa kwa miyendo (Lymphedema), matenda a mkodzo, komanso kupweteka panthawi yogonana kumatha kuchitika. Uzani gulu lanu lachipatala za kusasangalala kulikonse komwe mukukumana nako . Angakuthandizeni kuthana nako.

Ndi zachilendo kukhala ndi vuto linalake la kugonana. Kusintha kwa mawonekedwe a thupi, ululu, ndi zotsatira zina zamaganizo kungachitikenso. Musachite manyazi kulankhula momasuka za izi ndi dokotala wanu, namwino, kapena mlangizi.