Kodi pali kusintha kulikonse konga kumeneku m'mimba mwanu? Tiyeni tiphunzire za Vulvar Intraepithelial Neoplasia (VIN)!

Ndizachilendo kukhala ndi nkhawa pang'ono ngati muwona chinthu chachilendo, kuyabwa, kapena malo atsopano kapena chotupa pa maliseche anu, khungu lozungulira malo anu oberekera akunja. Nthawi zina zinthu izi sizingakhale zazikulu kwambiri. Komabe, ndikofunikira kwambiri kuti mkazi aliyense adziwe za vuto lomwe tikambirane lero, lotchedwa Vulvar Intraepithelial Neoplasia, kapena (VIN) mwachidule. Chifukwa iyi si khansa, koma ikhoza kukhala chiyambi cha khansa.

Kodi (VIN) imatanthauza chiyani kwenikweni? Tiyeni timvetse mosavuta!

Mwachidule, VIN ndi pamene maselo ena pakhungu la maliseche anu asintha mwanjira yosadziwika bwino, zomwe zikutanthauza kuti si abwinobwino. Kumbukirani, VIN si khansa. Komabe, ngati maselo achilendowa sachiritsidwa, pamapeto pake amatha kukhala khansa ya maliseche.

Taganizirani ngati dzenje laling'ono pamsewu. Ngati likhalabe choncho, likhoza kukula kwambiri moti galimoto silingathe kudutsamo, eti? Umu ndi momwe zilili ndi ili. Koma chinthu chabwino kwambiri ndichakuti, ngati vuto ili (VIN) litapezeka msanga ndikuchiritsidwa bwino, likhoza kupewedwa kotheratu kuti lisapitirire kukhala khansa. Ndicho chifukwa chake ndikofunikira kudziwa izi.

Mwa kuyankhula kwina, anthu ena amatchanso kuti (Vulvar Dysplasia). Dzina lina ndi (Squamous Intraepithelial Lesion) kapena (SIL).

Kodi mitundu ikuluikulu ya ma VIN ndi iti?

Pali mitundu iwiri ikuluikulu ya VIN yomwe ingasanduke khansa.

1. Mtundu wamba wa VIN (uVIN): Uwu ndi mtundu wofala kwambiri wa VIN. Umapezeka kwambiri mwa akazi azaka za m'ma 40. Chifukwa chachikulu cha izi chimadziwika kuti ndi matenda oopsa kwambiri (high-risk) (Human Papillomavirus) kapena (HPV) . "High-risk" amatanthauza kuti kachilomboka kangasinthe maselo abwinobwino kukhala maselo a khansa. Uwu (uVIN) umatchedwanso (High-Grade Squamous Epithelial Lesions) kapena (HSIL).

2. VIN yosiyana (dVIN): Mtundu uwu umapezeka mwa odwala ochepa okha (VIN), pafupifupi 5% . Umapezeka kwambiri mwa akazi azaka zopitirira 60. Umagwirizanitsidwa ndi vuto la kutupa pakhungu lotchedwa (Lichen Sclerosus).

Kuwonjezera pa mitundu iwiriyi, mungakhalenso ndi maselo osazolowereka pakhungu la nyini yanu otchedwa Low-Grade Squamous Epithelial Lesions (LSIL). Izi zimagwirizana ndi mitundu ya HPV yomwe ili ndi chiopsezo chochepa (mitundu yomwe imayambitsa ziphuphu zoberekera). Komabe, maselo awa (LSIL) samakhala khansa nthawi zambiri. Nthawi zambiri, amatha popanda chithandizo chilichonse.

Kodi zizindikiro za (VIN) ndi ziti ngati zilipo?

Si aliyense amene ali ndi VIN amene amakumana ndi zizindikiro. Izi zikutanthauza kuti vutoli likhoza kukhalapo popanda zizindikiro zilizonse. Komabe, ngati zizindikirozo zichitika, zingaphatikizepo:

• Kuyabwa kwa nyini (vulvitis): Ichi ndi chizindikiro chofala kwambiri. Nthawi zina kuyabwako kumakhala kosapiririka.
• Kumva kutentha, zilonda, kapena kuyabwa m'mimba.
• Kusintha kwa khungu: Ziphuphu zatsopano, kusintha kwa mtundu wa khungu (zoyera, zofiira, pinki, imvi, zofiirira, kapena mawanga akuda).
• Ululu panthawi yogonana.

Chofunika: Kungoti muli ndi zizindikirozi sizikutanthauza kuti muli ndi VIN. Zingayambitsidwenso ndi zifukwa zina zosavuta. Komabe, ngati vuto ngati ili likupitirira, ndi bwino kupita kwa dokotala kukayezetsa.

Kodi udindo wa (VIN) umawoneka bwanji?

(VIN) ingawoneke mosiyana. Chinthu chachikulu chomwe muyenera kuyang'ana ndi kusintha kwa khungu lozungulira khomo lanu la nyini. Izi zitha kuwoneka ngati:

• Matumbo kapena mawanga osalala omwe akuwonekera kumene pamwamba pa khungu.
• Mbali zina za khungu zimaoneka zoyera, zofiira, pinki, imvi, zofiirira, kapena zakuda .
• Kusintha kumeneku kungaonekere pamalo amodzi okha kapena m'malo angapo ozungulira khomo la nyini.

Kodi zifukwa za (VIN) ndi ziti?

Akatswiri sanapezebe chifukwa chilichonse chomwe chimayambitsa izi.

Komabe, anthu ambiri omwe amapezeka ndi kachilombo ka (VIN) amakhala ndi kachilombo koopsa kwambiri (HPV). (HPV) ndi matenda opatsirana pogonana (STI). Amafalikira kudzera mu kukhudzana ndi khungu ndi khungu. Izi zikutanthauza kuti kachilomboka kangathe kufalikira osati kudzera mu kugonana kokha, komanso kudzera mu kugonana kwina kosiyanasiyana. Matendawa (HPV) amawonjezera chiopsezo chotenga kachilombo ka (VIN).

Anthu omwe ali ndi VIN popanda matenda a HPV nthawi zambiri amakhala ndi vuto la khungu lotchedwa Lichen Sclerosus. Vutoli limayambitsa kutupa kwa khungu lozungulira chiberekero ndi mawanga ozungulira .

Ndi mitundu iti ya HPV yomwe imayambitsa kwambiri VIN?

Mitundu yayikulu ya HPV yomwe ili pachiwopsezo chachikulu yokhudzana ndi VIN ndi mitundu ya HPV 16, 18, ndi 33. Anthu ambiri omwe amapezeka ndi VIN amakhala ndi kachilombo ka HPV-16.

Ndi zinthu zina ziti zomwe zimawonjezera chiopsezo cha matenda (VIN)?

Pali zinthu zingapo zomwe zimayambitsa matenda a VIN:

• Chitetezo chamthupi chofooka: Mwachitsanzo, ngati muli ndi kachilombo ka HIV kapena mukumwa mankhwala omwe amaletsa chitetezo chamthupi chanu.
• Kukhala ndi kuyabwa kapena kutupa kwa khungu pa khomo la nyini kwa nthawi yayitali.
• Kusuta: Anthu omwe amasuta ali pachiwopsezo chachikulu chotenga VIN.

Kodi mavuto omwe angakhalepo chifukwa cha (VIN) ndi ati?

Chiwopsezo chachikulu cha VIN ndichakuti ngati sichinachiritsidwe, chingasanduke khansa. Nthawi yomwe imatenga kuti izi zikhale khansa imasiyana malinga ndi mtundu wa VIN.

• Nthawi zambiri zimatenga zaka zisanu ndi chimodzi mpaka zisanu ndi ziwiri kuti (uVIN) (kutanthauza, mtundu wa (HPV)-related (VIN)) ukhale khansa.
• (dVIN) nthawi zambiri imakhala khansaZimatenga pafupifupi zaka ziwiri kapena zitatu.

Komabe, ngati atalandira chithandizo msanga, maselo amenewa omwe asanafike khansa amatha kupewedwa kuti asasinthe kukhala maselo a khansa.

Kodi mungadziwe bwanji ngati muli ndi (VIN)? (Kuzindikira)

Dokotala wanu adzachita kaye mayeso akuthupi, kufunsa za zizindikiro zanu, ndikuyang'ana maliseche anu ngati pali zotupa kapena mawanga okayikitsa. Dokotala wanu angachitenso mayeso otchedwa colposcopy . Izi zimaphatikizapo kugwiritsa ntchito chida chowunikira chotchedwa colposcope kuti aone khungu lozungulira maliseche anu kapena nyini yanu.

Komabe, njira yokhayo yodziwira ngati muli ndi VIN ndikuchita biopsy. Izi zimaphatikizapo dokotala kutenga khungu laling'ono kuchokera pamalo okayikitsa ndikulitumiza ku labu kuti akawone maselo omwe angayambitse khansa. Kuyesaku kumachitika ndi katswiri wa matenda.

Kodi mankhwala a (VIN) ndi otani?

Cholinga chachikulu cha chithandizo ndi kuchotsa kapena kuwononga maselo osazolowereka, omwe angayambitse khansa. Madokotala amayesetsanso kusunga momwe angathere kumva ndi kugwira ntchito m'mimba.

Pali njira zingapo zochizira:

• Opaleshoni: Dokotala amatha kudula malo okayikitsa a pakhungu ndikuchotsa. Izi nthawi zambiri zimaphatikizapo kuchotsa malo omwe ali ndi maselo osazolowereka ndi malo ochepa a khungu labwino kuzungulira. Izi zichepetsa mwayi wa maselo osazolowereka otsala.
• Kuchotsa khungu pogwiritsa ntchito laser: M'malo modula ndi zida zakuthwa monga momwe zimakhalira pochita opaleshoni, izi zimagwiritsa ntchito kuwala kwa laser kotentha kuti kuwononge minofu yomwe ili ndi maselo osazolowereka. Monga momwe zimakhalira pochita opaleshoni, khungu laling'ono lathanzi limachotsedwa.
• Kirimu wopaka pakhungu: Dokotala wanu angakulembereni kirimu ngati Imiquimod . Kirimuyu amapakidwa mwachindunji pakhungu pomwe pali maselo olakwika. Izi zidzapha maselowo.
• Kuchotsa khungu la vulvectomy: Iyi ndi njira yosowa kwambiri. Ngati maselo osazolowereka afalikira kudera lalikulu la khungu lozungulira vulva, khungu lonse la pamwamba lingafunike kuchotsedwa.

Kodi (VIN) ingathe kudzichiritsa yokha?

(VIN) imatha kuchira yokha. Koma zimenezo sizichitika kawirikawiri. Nthawi zambiri, maselo amakhalabe pamlingo woti asakhale ndi khansa kapena amasanduka khansa.

Popeza ili ndi vuto lalikulu, si bwino kutenga chiopsezo chilichonse. Dokotala wanu mwina angakulangizeni chithandizo. Izi zingakuthandizeni kuchepetsa chiopsezo chanu chokhala ndi khansa.

Kodi mungayembekezere chiyani ngati muli ndi (VIN)?

Mukalandira chithandizo, zotsatira zake zimakhala zabwino kwambiri. Mwina simudzakhala ndi khansa ya m'mimba.

Koma, ikapangidwa (VIN), imapangidwaPali mwayi wochepa woti matendawa abwererenso. Chiwopsezochi chimakhala chachikulu kwambiri ngati ndinu wosuta.

Dokotala wanu adzakuyang'anirani nthawi zonse kuti aone ngati pali maselo atsopano omwe angayambitse khansa. Dokotala wanu adzakuthandizaninso kusiya kusuta, zomwe zingachepetse mwayi woti VIN ibwererenso.

Kodi kupangika kwa (VIN) kungalepheretsedwe?

Palibe njira 100% yopewera izi. Koma njira yabwino kwambiri yochepetsera chiopsezo chanu chokhala ndi VIN ndikutenga katemera wa HPV. Katemerayu amakutetezani ku mitundu ya HPV yomwe ingayambitse khansa ya pachibelekero kapena khansa ya m'mimba.

Mukhozanso kuchita izi:

• Chitani zogonana zotetezeka: Kuchepetsa chiwerengero cha ogonana nawo komanso kugwiritsa ntchito njira zotchingira monga makondomu sikungalepheretse matenda a HPV kwathunthu, koma kungachepetse chiopsezo.
• Pezani chithandizo cha matenda a lichen sclerosus: Mukangoona zizindikiro za matenda a lichen sclerosus (mabala oyera, okwezeka, oyabwa, kapena opweteka), pitani kwa dokotala kuti akuthandizeni ndikupeza chithandizo mwamsanga. Kuwongolera zizindikiro kungachepetse chiopsezo cha matenda a VIN, omwe angawononge maselo.
• Yesani mayeso a Pap smear nthawi zonse: Kupita kwa dokotala wa matenda a akazi nthawi ndi nthawi kungathandize kuzindikira minofu yokayikitsa msanga, pamene ingachiritsidwe. Madokotala nthawi zambiri amayesanso mitundu ya HPV yomwe ili pachiwopsezo chachikulu akamachita mayeso a Pap smear.

Kodi ndimadzisamalira bwanji?

Tsatirani malangizo a dokotala wanu okhudza kangati komwe muyenera kukaonana ndi dokotala wanu mukatha kulandira chithandizo (maulendo obwerezabwereza). Anthu ambiri amafunika kukaonana ndi dokotala wawo kawiri pachaka kwa zaka zisanu mukatha kulandira chithandizo. Ngati palibe zizindikiro za (VIN), mungafunike kukaonana ndi dokotala kamodzi pachaka.

Dokotala wanu adzakupatsani malangizo kutengera matenda anu komanso momwe mwayankhira chithandizo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mungathe kufunsa mafunso monga awa:

• Kodi ndili ndi mtundu wanji wa VIN?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi ndi zotsatirapo ziti zomwe zingayembekezeredwe kuchokera ku chithandizochi?
• Ndi kusintha kotani komwe mungadziwe ngati (VIN) yapangidwanso?
• Kodi ndiyenera kubwera kangati kudzandiona kuchipatala?

Ndizachibadwa kuchita mantha mukazindikira kuti muli ndi minofu yokayikitsa ya pakhungu - ngakhale si khansa. Koma kumbukirani, maselo oyambitsa khansa nthawi zonse si maselo a khansa. Sikuti nthawi zonse amakhala khansa. Komabe, ndi bwino kupeza chithandizo chowononga maselo amenewo ndikuchepetsa chiopsezo chanu chokhala ndi khansa. Kudziwa kuti muli ndi (VIN) kumatanthauza kuti dokotala wanu wazindikira kusintha koyambirira kwa khansa.Ndiko kuti. Mukalandira chithandizo komanso kukayezetsa nthawi zonse, mutha kukhala ndi moyo wathanzi wopanda khansa ya m'mimba.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira kuti mupite nazo kunyumba

Chabwino, tiyeni tikukumbutseninso zina mwa zinthu zomwe takambirana:

• (VIN) ndi matenda omwe amayamba pakhungu la nyini .** Si khansa, koma imatha kukhala khansa.
• Izi nthawi zambiri zimachitika chifukwa cha matenda a HPV kapena matenda a pakhungu otchedwa Lichen Sclerosus.
• Zizindikiro zake zingakhale kuyabwa, kutentha, kusintha kwa mtundu wa khungu, kapena ziphuphu m'mimba. Nthawi zina, sipangakhale zizindikiro konse.
• Kuzindikira msanga ndi kulandira chithandizo n'kofunika kwambiri, chifukwa izi zingalepheretse khansa kukula.
• Pali njira zingapo zochiritsira, ndipo dokotala wanu adzasankha chomwe chikukuyenererani.
• Kulandira katemera wa HPV kumathandiza kuchepetsa chiopsezo cha matenda a VIN.
• Ngati mukusuta, kusiya kusuta kungachepetsenso chiopsezo chokhala ndi VIN kachiwiri.
• Musadandaule. (VIN) ndi matenda ochiritsika kwathunthu ngati apezeka msanga. Lankhulani ndi dokotala wanu ndipo chitanipo kanthu kofunikira.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wanu. Khalani ndi thanzi labwino!

VIN , Vulvar Intraepithelial Neoplasia, Vaginal Fissure, HPV, Khansa ya Khungu, Thanzi la Akazi, Lichen Sclerosus