Amaxesha amaninzi, abafazi baneentloni kancinci, mhlawumbi bade bayoyika, ukuthetha ngotshintsho olukwindawo yabo yangaphandle yesini (i-vulva). Khawuthelekelele, nokuba uqaphela into efana nokurhawuzelelwa, iqhubu elincinci, okanye utshintsho kumbala wolusu , kukho amaxesha apho ungayinaki, ucinge, 'Iza kulunga yodwa.' Kodwa ezi mpawu zibonakala zincinci ngamanye amaxesha zinokuba luphawu lokuqala lwemeko embi esingayiqondiyo. Ngoko ke namhlanje sithetha ngesinye isihloko esibaluleke kakhulu, umhlaza wendawo yangaphandle yesini, okanye `(umhlaza we-vulvar)`.
Ngamafutshane, yintoni iVulvar Cancer?
Umhlaza we-Vulvar kukukhula okungalawulekiyo kweeseli zomhlaza kwindawo yangaphandle yesini yomfazi, 'i-vulva'. Oku kwahlukile kumhlaza we-vaginal , ongumhlaza owenzeka ngaphakathi kwi-vaginal .
Kulungile, ngoku masibone ukuba yintoni emele le ndawo yangaphandle yesini (i-vulva).
- Ukuvulwa kwelungu lobufazi : Umnyango wokungena kwindlela esuka esibelekweni ukuya ngaphandle.
- ILabia: Iifolthi ezimbini zesikhumba ezibonakala ngathi zimilebe. Inxalenye engaphandle enenyama ibizwa ngokuba yi-"Labia majora" kwaye iifolthi ezingaphakathi ezincinci zibizwa ngokuba yi-"Labia minora".
- I-Clitoris: Iqhubu elinobuthathaka kakhulu eligqunywe lusu apho i-labia minora idibana khona.
- I-Mons pubis: Indawo ethambileyo nephakanyisiweyo phambi kwamathambo esinqe egqunywe buboya ngexesha lokufikisa.
- I-Perineum: Ulusu oluphakathi kwelungu lokuzala langaphandle kunye ne-anus.
Ezi ndawo zingabangela umhlaza naphi na.
Zithini iimpawu zalo mhlaza?
Kusenokungabikho zimpawu ekuqaleni. Nangona kunjalo, ekuhambeni kwexesha, ezi mpawu zilandelayo zinokuvela. Jonga ukuba unayo na enye okanye ezingaphezulu kwezi.
| Uphawu | Inkcazo |
|---|---|
| Ukutshintsha kombala wolusu | Utshintsho kumbala wolusu kwindawo yangaphandle yesini (emhlophe, ebomvu, epinki, okanye emnyama). |
| Amaqhuma okanye ukukhula okungaqhelekanga | Ukubonakala kwamaqhuqhuva arhabaxa, atyebileyo okanye ukukhula okufana neentsumpa. |
| Ukurhawuzelela okuqhubekayo | Ukurhawuzelela okungapheliyo okungekho yeza linokuyiphelisa. |
| Intlungu okanye ukudumba | Intlungu, ukuziva ubuhlungu, okanye ukudumba kuloo ndawo. |
| Ukuqina kolusu okanye izilonda | Ukutyeba kolusu, okanye ukwakheka kwesilonda esivulekileyo esingapholiyo. |
| Ukopha okungaqhelekanga | Ukopha okanye ukukhupha okungaqhelekanga okungahambelaniyo nomjikelo wokuya esikhathini. |
Khumbula, ezi mpawu zinokubangelwa zezinye iimeko zempilo, ngoko ke ngaphambi kokuba uphakuzele, kungcono ukuba ubonane nogqirha uze uthethe ngale nto.
Ngaba kukho iintlobo zomhlaza we-vulvar?
Ewe, kukho iintlobo ezininzi eziphambili zalo mhlaza.
- I-Squamous Cell Carcinoma: Olu lolona hlobo luqhelekileyo. Luqala kwiiseli zesikhumba . Ingakumbi kubasetyhini abancinci, lunokunxulunyaniswa nentsholongwane ebizwa ngokuba yi-`Human Papillomavirus (HPV).`
- I-Adenocarcinoma: Olu hlobo ludla ngokuqala kwi-Bartholin's glands, ezikumacala omabini omnyango welungu lobufazi. Ngamanye amaxesha inokufana ne-cyst.
- I-Melanoma :Uhlobo lomhlaza oluqala kwiiseli ezinika ulusu umbala walo. Ludla ngokuvela kulusu oluvezwe lilanga, kodwa alunakuvela kakhulu kwindawo yangaphandle yesini.
- I-Sarcoma: Uhlobo lomhlaza oluqala kwiiseli ezisemathanjeni, kwizihlunu, okanye kwizicwili ezidityanisiweyo. Ingakhula nakweyiphi na iminyaka, nakubantwana abancinci.
Zithini izizathu kunye nezinto ezibangela ukuba kubekho lo mhlaza?
Isizathu esichanekileyo soku asikacaci okwangoku, kodwa kukho izinto ezithile ezinokunyusa umngcipheko wokuba nalo mhlaza.
- Ubudala: Ixhaphakile phakathi kwabasetyhini abangaphezu kweminyaka engama-70 ubudala.
- Usulelo lwe-HPV: Usulelo lwe-`Human Papillomavirus (HPV)` luyimbangela enkulu yomngcipheko.
- Ukutshaya: Abantu abatshayayo basengozini enkulu, ingakumbi abo bane-HPV.
- Ukuncipha kwe-immune system: Ubuthathaka be-immune system ngenxa yeemeko ezifana ne-HIV okanye i-AIDS.
- Iimeko ezingaphambi komhlaza: Utshintsho lweeseli olwenzeka ngaphambi komhlaza, olufana ne-`Vulvar Intraepithelial Neoplasia (VIN).`
- I-Lichen Sclerosus: Imeko ebangela ukubhitya nokurhawuzelelwa kolusu kwindawo yangaphandle yesini.
- Eminye imidla: Ukuba nembali yomhlaza wesibeleko okanye wesibeleko.
- Imbali yosapho: Ukuba kukho umntu kusapho oye waba ne-melanoma.
Gqirha, uyixilonga njani le nto?
Xa ubona ugqirha, kusenokwenzeka ukuba uza kwenza ezinye zezi vavanyo.
1. Imbali Yezonyango: Ugqirha uza kukubuza imibuzo malunga nemikhwa yakho yempilo kunye nezifo.
2. Uvavanyo lwePelvic: Indawo yangaphandle yesini, isibeleko, ibhinqa, kunye namalungu angqongileyo ayahlolwa.
3. I-Colposcopy: Ukuhlolwa ngokusondeleyo kweendawo ezikrokrisayo ngesixhobo sokukhulisa (i-colposcope).
4. I-Biopsy: Inkqubo apho kuthathwa iqhekeza elincinci lesicubu kwindawo ekrokrisayo lize lihlolwe phantsi kwemakroskopu. Olu vavanyo lusetyenziselwa ukufumanisa ngokuqinisekileyo ukuba ingaba lunomhlaza okanye akunjalo.
5. Uvavanyo lweMifanekiso: Iiskeni ezifana ne-`(ii-X-ray, ii-CT, ii-PET scans, ii-MRIs)` zenziwa ukuze kufunyaniswe ukuba umhlaza usasazeke kangakanani.
Zithini izigaba zomhlaza?
Ukuba uvavanyo luqinisekisa ukuba kukho umhlaza, ugqirha uza kujonga ubungakanani bethumba kunye nokuba lisasazekile na. Oku kubizwa ngokuba yi-'staging'.
| Iqonga | Intsingiselo |
|---|---|
| Isigaba soku-1 | Umhlaza umncinci kwaye awukasasazeki ngaphaya kwendawo yangasese engaphandle. |
| Isigaba sesiBini | Umhlaza usasazeke kwizicwili ezingqongileyo, kodwa awukafikeleli kuma-lymph nodes. |
| Inqanaba lesi-3 | Olu sulelo lusasazeke nakwiindlala ze-sebaceous kwindawo ye-groin. |
| Inqanaba lesi-4 | Isasazeke kwinxalenye ephezulu yesini, kwi-urethra, kwi-anus, okanye kwizitho zomzimba ezikude. |
Zithini iindlela zonyango?
Unyango lumiselwa zizinto ezininzi, kuquka uhlobo lomhlaza, inqanaba lawo, kunye nempilo yakho iyonke. Kukho iindlela ezine eziphambili zonyango.
1. Utyando
Olu lolona nyango luqhelekileyo. Lubandakanya ukususa umhlaza kunye nezicubu ezingqongileyo. Uhlobo lotyando olwenziweyo luxhomekeke kubukhulu kunye nokusasazeka komhlaza. Kusenokufuneka ususe inxalenye okanye yonke inxalenye yesini sangaphandle (i-vulvectomy). Ukuba umhlaza usasazekile, amadlala e-sebaceous ajikelezileyo nawo anokususwa.
2. Unyango lweMisebe
Ukusebenzisa imitha, njengee-X-reyi ezinamandla aphezulu, ukutshabalalisa iiseli zomhlaza. Oku kungenziwa ngokuhambisa imitha ngaphandle kusetyenziswa umatshini okanye ngokubeka imbewu encinci yemitha kufutshane nethumba.
3. Unyango lweKhemotherapy (iKhemotherapy / “iKhemo”)
Ukunika amayeza abulala iiseli zomhlaza okanye athintele ukukhula kwazo. La mayeza anokunikwa njengeepilisi, njengenaliti (IV), okanye ngamanye amaxesha njengekhrimu esetyenziswa eluswini.
4. Unyango lwe-immunotherapy
Indlela yonyango yanamhlanje evuselela amajoni omzimba kwaye inceda umzimba ukulwa neeseli zomhlaza.
Kwenzeka ntoni emva konyango?
Emva konyango, kuya kufuneka ujongwe rhoqo. Ngoko ke , kuya kufuneka ubone ugqirha wakho rhoqo (utyelelo olulandelayo).Uvavanyo kufuneka lwenziwe rhoqo emva kweenyanga ezi-3-6 kwiminyaka emibini yokuqala, uze emva koko lwenziwe rhoqo emva kweenyanga ezi-6-12 kwiminyaka emi-3-5 ezayo.
Unyango lunokubangela ezinye iziphumo ebezingalindelekanga. Kubalulekile ukugcina inxeba licocekile emva kotyando. Kwakhona, ukudumba emilenzeni (iLymphedema), usulelo lomchamo, kunye nentlungu ngexesha lokwabelana ngesondo kunokwenzeka. Yazisa iqela lakho lezonyango malunga nokungonwabi okufumanayo . Banokukunceda ukulawula oku.
Kuqhelekile ukuba nenqanaba elithile lokungasebenzi kakuhle ngokwesondo. Utshintsho kwimbonakalo yomzimba, iintlungu, kunye nezinye iziphumo zeemvakalelo nazo zinokubonwa. Musa ukuba namahloni okuthetha ngokukhululekileyo ngale nto nogqirha wakho, umongikazi, okanye umcebisi.
Umyalezo Wokuya Ekhaya
- Ungaze ukungayinaki into yokurhawuzelelwa okuqhubekayo, ukutshintsha kombala wolusu, iintlungu, okanye amaqhuma angaqhelekanga kwindawo yangasese yangaphandle.
- Ukuba ubona naluphi na utshintsho olungaqhelekanga, ungoyiki okanye ube neentloni kwaye bonana nogqirha ngokukhawuleza.
- Ukuba umhlaza ufunyanwa kwangethuba, amathuba okunyangwa nokunyangwa kwawo aphezulu kakhulu.
- Ukuziqhelanisa nesondo esikhuselekileyo kunye nokufumana isitofu se-HPV kunokunciphisa umngcipheko walo mhlaza.
- Ukuyeka ukutshaya kubalulekile kwimpilo yakho iyonke, kunye nokunciphisa umngcipheko wakho wokuba nomhlaza.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho