Ngaba kukho naluphi na utshintsho olufana nolu kumngxuma wakho wesini? Masifunde ngeVulvar Intraepithelial Neoplasia (VIN)!

Kuqhelekile ukuba uzive ukhathazekile kancinci ukuba ubona into engaqhelekanga, erhawuzelelayo, okanye indawo entsha okanye iqhuma kwi-vulva yakho, ulusu olujikeleze indawo yakho yangaphandle yesini. Ngamanye amaxesha ezi zinto zisenokungabi zinzulu kangako. Nangona kunjalo, kubaluleke kakhulu ukuba wonke umfazi aqaphele imeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yiVulvar Intraepithelial Neoplasia, okanye (VIN) ngamafutshane. Kuba lo asingomhlaza, kodwa unokuba sisandulela somhlaza.

Ithetha ukuthini kanye kanye i-(VIN)? Masiyiqonde ngokulula!

Ngamafutshane, i-VIN kuxa ezinye zeeseli eluswini lwe-vulva yakho zitshintshile ngendlela engaqhelekanga, oko kuthetha ukuba aziqhelekanga. Khumbula, i-VIN ayingomhlaza. Nangona kunjalo, ukuba ezi seli zingaqhelekanga azinyangwa, ekugqibeleni zinokukhula zibe ngumhlaza we-vulvar.

Cinga ngayo njengomngxuma omncinci endleleni. Ukuba ihlala injalo, inokukhula ibe nkulu kangangokuba imoto ayinakukwazi ukuyidlula, akunjalo? Yiyo loo nto kunjalo ngale. Kodwa eyona nto ilungileyo kukuba, ukuba le meko (i-VIN) ifunyenwe kwangethuba kwaye inyangwa ngokufanelekileyo, inokuthintelwa ngokupheleleyo ekubeni ngumhlaza. Yiyo loo nto kubalulekile ukuqaphela oku.

Ngamanye amazwi, abanye abantu bayibiza ngokuba yi (Vulvar Dysplasia). Elinye igama yi (Squamous Intraepithelial Lesion) okanye (SIL).

Ziziphi iintlobo eziphambili ze-VINs?

Kukho iintlobo ezimbini eziphambili ze-VIN ezinokuguquka zibe ngumhlaza.

1. Uhlobo oluqhelekileyo lwe-VIN (uVIN): Olu lolona hlobo luqhelekileyo lwe-VIN. Luxhaphake kakhulu kubasetyhini abakwiminyaka yabo engamashumi amane. Isizathu esiphambili soku sichongwa njengosulelo olunomngcipheko ophezulu (olunomngcipheko ophezulu) (i-Human Papillomavirus) okanye (i-HPV) . "Umngcipheko ophezulu" uthetha ukuba le ntsholongwane inokuguqula iiseli eziqhelekileyo zibe ziiseli zomhlaza. Le (uVIN) ikwabizwa ngokuba yi-(High-Grade Squamous Epithelial Lesions) okanye (i-HSIL).

2. I-VIN ehlukeneyo (i-dVIN): Olu hlobo lubonwa kwipesenti encinci kuphela yezigulane (i-VIN), malunga ne-5% . Ixhaphake kakhulu kubasetyhini abangaphezu kweminyaka engama-60 ubudala. Inxulunyaniswa nesifo solusu esidumbayo esibizwa ngokuba yi-(Lichen Sclerosus).

Ukongeza kwezi ntlobo zimbini, usenokuba neeseli ezingaqhelekanga eluswini lwelungu lakho lobufazi ezibizwa ngokuba yiLow-Grade Squamous Epithelial Lesions (LSIL). Ezi zinxulunyaniswa neentlobo zeHPV ezinobungozi obuphantsi (iintlobo ezibangela iintsumpa zesini). Nangona kunjalo, ezi seli (LSIL) azifane zibe ngumhlaza. Uninzi lwexesha, ziyaphela ngaphandle konyango.

Zithini iimpawu ze-(VIN) ukuba zikhona?

Ayinguye wonke umntu one-VIN oza kuba neempawu. Oku kuthetha ukuba imeko inokubakho ngaphandle kweempawu. Nangona kunjalo, ukuba iimpawu ziyenzeka, zingabandakanya:

• Ukurhawuzelelwa komngxuma welungu lobufazi (i-vulvitis): Olu lolona phawu luqhelekileyo. Ngamanye amaxesha ukurhawuzelelwa kunokuba nzima.
• Ukutshisa, ukuba buhlungu, okanye ukurhawuzelela emngxunyeni welungu lobufazi.
• Utshintsho lolusu: Amaqhuma amatsha, ukutshintsha kombala wolusu (omhlophe, obomvu, opinki, ongwevu, omdaka, okanye amabala amnyama).
• Intlungu ngexesha lokwabelana ngesondo.

Kubalulekile: Ukuba nje unale mpawu akuthethi ukuba une-VIN. Zinokubangelwa zezinye izizathu ezilula. Nangona kunjalo, ukuba into efana nale iyaqhubeka, ngokuqinisekileyo kungcono ukubona ugqirha uze uhlolwe.

Ibonakala njani imeko (ye-VIN)?

(VIN) ingabonakala yahlukile. Eyona nto iphambili ekufuneka uyijonge kukutshintsha kolusu olujikeleze umngxuma wakho wesini. Oku kunokubonakala ngolu hlobo:

• Amaqhuma okanye amabala athe tyaba avelayo anyuke ngaphezu kolusu.
• Iindawo ezithile zolusu zibonakala zimhlophe, zibomvu, zipinki, zingwevu, zimdaka, okanye zimnyama .
• Olu tshintsho lunokubonwa kwindawo enye okanye kwiindawo ezininzi ezijikeleze umngxuma welungu lobufazi.

Zithini izizathu ze (VIN)?

Iingcali azikafumani sizathu sibambekayo soku.

Nangona kunjalo, abantu abaninzi abafunyaniswe bene-(VIN) basulelekile yi-high-risk virus (HPV). (HPV) sisifo esidluliselwa ngesondo (STI). Sisasazeka ngokunxibelelana ngolusu nolusu. Oku kuthetha ukuba esi sifo sinokusasazeka kungekuphela nje ngokwabelana ngesondo, kodwa nangokunxibelelana ngesondo okwahlukeneyo. Esi sifo (HPV) sonyusa umngcipheko wokukhula (VIN).

Abantu abafumana i-VIN ngaphandle kosulelo lwe-HPV badla ngokuba nesifo sesikhumba esibizwa ngokuba yi-Lichen Sclerosus. Esi sifo sibangela ukudumba kolusu olujikeleze umngxuma welungu lobufazi kunye namabala arhabaxa .

Zeziphi iintlobo zeHPV ezinokubangela iVIN?

Iintlobo zeHPV eziphambili ezinobungozi obukhulu ezinxulumene neVIN ziintlobo zeHPV 16, 18, kunye no-33. Uninzi lwabantu abafunyaniswe beneVIN bosulelwe yiHPV-16.

Ziziphi ezinye izinto ezibangela umngcipheko wokukhula kwesifo (i-VIN)?

Kukho izinto ezininzi ezibangela umngcipheko ezibangela uphuhliso lwe-VIN:

• Ubuthathaka benkqubo yomzimba yokuzikhusela: Umzekelo, ukuba une-HIV okanye uthatha amayeza athintela inkqubo yakho yokuzikhusela.
• Ukuba nokurhawuzelelwa okanye ukudumba kwesikhumba okuhlala ixesha elide emngxunyeni welungu lobufazi.
• Ukutshaya: Abantu abatshayayo basengozini enkulu yokufumana i-VIN.

Ziziphi iingxaki ezinokubakho ze (VIN)?

Eyona ngozi inkulu ye-VIN kukuba ukuba ayinyangwa, ingaguquka ibe ngumhlaza. Ixesha elithathayo ukuba ibe ngumhlaza liyahluka ngokuxhomekeke kuhlobo lwe-VIN.

• Ngokwesiqhelo kuthatha iminyaka emithandathu ukuya kwesixhenxe ukuba i- (uVIN) (oko kukuthi, uhlobo lwe-(HPV)-related (VIN)) ikhule ibe ngumhlaza.
• (dVIN) idla ngokuba ngumhlazaKuthatha malunga neminyaka emibini ukuya kwemithathu.

Nangona kunjalo, ukuba zinyangwa kwangethuba, ezi seli zingaphambi komhlaza zinokuthintelwa ekubeni ziiseli ezinomhlaza.

Ungazi njani ngokuqinisekileyo ukuba unayo (i-VIN)? (Ukuxilongwa)

Ugqirha wakho uza kuqala enze uvavanyo lomzimba, abuze ngeempawu zakho, aze ajonge i-vulva yakho ukuba akukho maqhuqhuva okanye amabala akrokrisayo. Ugqirha wakho angenza uvavanyo olubizwa ngokuba yi-colposcopy . Oku kuquka ukusebenzisa isixhobo sokukhulisa esikhanyisiweyo esibizwa ngokuba yi-colposcope ukuhlola ulusu olujikeleze i-vulva okanye i-vagina yakho.

Nangona kunjalo, indlela ekuphela kwayo yokwazi ngokuqinisekileyo ukuba unayo na i-VIN kukwenza i-biopsy. Oku kuquka ukuba ugqirha athathe ulusu oluncinci kwindawo erhanelekayo aze aluthumele kwilebhu ukuze ajonge iiseli ezingaphambi komhlaza. Olu vavanyo lwenziwa yingcali yezifo.

Ziziphi iindlela zonyango (i-VIN)?

Injongo ephambili yonyango kukususa okanye ukutshabalalisa iiseli ezingaqhelekanga, ezingaphambi komhlaza. Oogqirha bazama nokugcina imvakalelo kunye nokusebenza kangangoko kunokwenzeka kumngxuma welungu lobufazi.

Kukho iindlela ezininzi zonyango:

• Utyando: Ugqirha angayinqumla indawo yesikhumba ekrokrisayo aze ayisuse. Oku kudla ngokubandakanya ukususa indawo eneeseli ezingaqhelekanga kunye nendawo encinci yesikhumba esisempilweni esijikelezileyo. Oku kuya kunciphisa amathuba okuba kubekho naziphi na iiseli ezingaqhelekanga eziseleyo.
• Ukususwa kwelaser: Endaweni yokusika ngezixhobo ezibukhali njengakwinkqubo yotyando, oku kusebenzisa umqadi welaser oshushu ukutshabalalisa izicwili ezineeseli ezingaqhelekanga. Njengakwinkqubo yotyando, umgama omncinci wolusu olusempilweni uyasuswa.
• Ikhrimu yokuthambisa: Ugqirha wakho angakunika ikhrimu efana ne -Imiquimod . Le khrimu isetyenziswa ngqo kulusu apho kukho iiseli ezingaqhelekanga. Oku kuya kubulala iiseli.
• Ukususwa kwesikhumba se-vulvectomy: Le yinkqubo engaqhelekanga kakhulu. Ukuba iiseli ezingaqhelekanga zisasazeke kwindawo enkulu yolusu ejikeleze i-vulva, lonke ulusu olungaphezulu lunokufuneka lususwe.

Ngaba (i-VIN) ingaziphilisa ngokwayo?

(VIN) inokuba ngcono ngokwayo. Kodwa oko kunqabile kakhulu. Ngokuqhelekileyo, iiseli zihlala zikwinqanaba lomhlaza okanye ziguquke zibe ngumhlaza.

Ekubeni le yingxaki enzulu, ayilunganga into yokuthatha nayiphi na ingozi. Ugqirha wakho uya kucebisa unyango. Oku kunokunceda ukunciphisa umngcipheko wokuba nomhlaza.

Yintoni onokuyilindela ukuba une (VIN)?

Ngonyango, ingqikelelo yakho ilungile kakhulu. Akunakwenzeka ukuba ungaze ube nomhlaza we-vulvar.

Kodwa, xa sele yenziwe (i-VIN),Kukho ithuba elincinci lokuba isifo siphinde sibuye. Le ngozi iphezulu nangakumbi ukuba ungumntu otshayayo.

Ugqirha wakho uza kukujonga rhoqo ukuze ajonge iiseli ezintsha ezingaphambi komhlaza. Ugqirha wakho uza kukunceda uyeke ukutshaya, nto leyo enokunciphisa amathuba okuphinda kubekho i-VIN.

Ngaba ukwakheka kwe-(VIN) kungathintelwa?

Akukho ndlela ipheleleyo yokuthintela oku. Kodwa eyona ndlela ilungileyo yokunciphisa umngcipheko wakho wokuba ne-VIN kukufumana i-HPV vaccine. Le vaccine ikukhusela kwiintlobo zeHPV ezinobungozi obuphezulu ezinokubangela umhlaza womlomo wesibeleko okanye umhlaza womngxuma welungu lobufazi.

Ungenza nezi zinto:

• Ziqhelise ngesondo elikhuselekileyo: Ukunciphisa inani lamaqabane esondo nokusebenzisa iindlela zokuthintela ezifana neekhondom akunakukuthintela ngokupheleleyo ukosuleleka yi-HPV, kodwa kunokunciphisa umngcipheko.
• Fumana unyango lwe-lichen sclerosus: Wakuba uqaphela iimpawu ze-lichen sclerosus (amabala amhlophe, aphakanyisiweyo, arhawuzelelwayo, okanye abuhlungu), bona ugqirha ukuze ufumane isifo kwaye ufumane unyango ngokukhawuleza. Ukulawula iimpawu kunokunciphisa umngcipheko wokuba ne-VIN, enokonakalisa iiseli.
• Fumana ii-Pap smears rhoqo: Ukutyelela ugqirha wezifo zabesifazane rhoqo kunokunceda ekufumaneni izicwili ezikrokrelekayo kwangethuba, xa zinokunyangwa. Oogqirha badla ngokuvavanya iintlobo zeHPV ezinobungozi xa besenza ii-Pap smears.

Ndingazinyamekela njani?

Landela imiyalelo kagqirha wakho malunga nokuba kufuneka ubonane kangaphi nogqirha wakho emva konyango (utyelelo olulandelayo). Uninzi lwabantu kuya kufuneka babonane nogqirha wabo malunga kabini ngonyaka ukuya kuthi ga kwiminyaka emihlanu emva konyango. Ukuba akukho zimpawu ze-(VIN), kunokufuneka undwendwele kube kanye ngonyaka.

Ugqirha wakho uza kukunika iingcebiso ngokusekelwe kwisifo sakho kunye nendlela osabela ngayo kunyango.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza imibuzo efana nale:

• Luhlobo luni lwe-VIN endinayo?
• Loluphi unyango olucebisayo?
• Zeziphi iziphumo ebezingalindelekanga ezinokulindelwa kunyango?
• Zeziphi iinguqu onokuzibona ukuba i-(VIN) yenziwe ngokutsha?
• Kufuneka ndize kangaphi ukuze ndihlolwe ngugqirha?

Kuqhelekile ukuziva usoyika xa ufumanisa ukuba unezicubu zesikhumba ezikrokrelekayo – nokuba asingomhlaza. Kodwa khumbula, iiseli ezingaphambi komhlaza azisoloko ziyiiseli zomhlaza. Azisoloko zisiba ngumhlaza. Nangona kunjalo, kungcono ukufumana unyango lokutshabalalisa ezo seli nokunciphisa umngcipheko wokuba nomhlaza. Ukwazi ukuba unayo (i-VIN) kuthetha ukuba ugqirha wakho ufumanise utshintsho olungaphambi komhlaza kwasekuqaleni.Oko kukuthi. Ngonyango kunye nokuhlolwa rhoqo ngugqirha, ungaphila ubomi obusempilweni obungenawo umhlaza wangasese.

Izinto ezibalulekileyo ekufuneka uzikhumbule ukuze uzithathe uye nazo ekhaya

Kulungile, masiphinde sikukhumbuze ngezinye zezinto esithethe ngazo:

• (VIN) yimeko engaphambi kokuba ibe nomhlaza ekhula eluswini lomngxuma welungu lobufazi .** Ayingomhlaza, kodwa inokuba ngumhlaza.
• Oku kudla ngokubangelwa lusulelo lwe-HPV okanye isifo solusu esibizwa ngokuba yiLichen Sclerosus.
• Iimpawu zingabandakanya ukurhawuzelela, ukutsha, ukutshintsha kombala wolusu, okanye amaqhuma kumngxuma welungu lobufazi. Ngamanye amaxesha, kusenokungabikho zimpawu konke konke.
• Ukufunyanwa kwangoko kunye nonyango kubaluleke kakhulu, kuba oku kunokuthintela umhlaza ukuba ungakhuli.
• Kukho iindlela ezahlukeneyo zonyango, kwaye ugqirha wakho uya kukhetha olukufaneleyo.
• Ukufumana isitofu sokugonya se-HPV kunceda ekunciphiseni umngcipheko wokufumana i-VIN.
• Ukuba uyatshaya, ukuyeka ukutshaya kunokunciphisa umngcipheko wokufumana i-VIN kwakhona.
• Ungakhathazeki. (I-VIN) yimeko enyangekayo ngokupheleleyo ukuba ifunyenwe kwangethuba. Thetha nogqirha wakho kwaye uthathe amanyathelo afunekayo.

Ukuba uneminye imibuzo malunga noku, ungathandabuzi ukubuza ugqirha wakho. Hlala usempilweni!

I- VIN, i-Vulvar Intraepithelial Neoplasia, iVaginal Fissure, i-HPV, umhlaza wolusu, impilo yabasetyhini, iLichen Sclerosus