Ingabe unezinguquko ezinjengalezi emngxunyeni wakho wesitho sangasese sowesifazane? Ake sifunde nge-Vulvar Intraepithelial Neoplasia (VIN)!

Kuvamile ukuzizwa ukhathazekile kancane uma ubona into engajwayelekile, elumayo, noma indawo entsha noma iqhubu embotsheni yakho yokuzala, isikhumba esizungeze indawo yakho yokuzala yangaphandle. Ngezinye izikhathi lezi zinto zingase zingabi zimbi kangako. Kodwa-ke, kubaluleke kakhulu ukuthi wonke owesifazane aqaphele isimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-Vulvar Intraepithelial Neoplasia, noma (VIN) ngamafuphi. Ngoba lokhu akuwona umdlavuza, kodwa kungaba yisandulela somdlavuza.

Kusho ukuthini ngempela ukuthi (i-VIN)? Masiyiqonde kalula!

Kalula nje, i-VIN yilapho amanye amangqamuzana esikhumbeni se-vulva yakho eshintshe ngendlela engavamile, okusho ukuthi awavamile. Khumbula, i-VIN ayiwona umdlavuza. Kodwa-ke, uma lawa maseli angavamile engelashwa, angagcina eseba umdlavuza we-vulvar.

Cabanga ngakho njengomgodi omncane emgwaqweni. Uma uhlala unjalo, ungakhula ube mkhulu kangangokuthi imoto ayikwazi ukuwudlula, akunjalo? Yilokho okwenzekayo ngalesi simo. Kodwa into engcono kakhulu ukuthi, uma lesi simo (i-VIN) sitholakala kusenesikhathi futhi selashwa kahle, singavinjelwa ngokuphelele ekubeni umdlavuza. Yingakho kubalulekile ukuqaphela lokhu.

Ngamanye amazwi, abanye abantu bayibiza nangokuthi (i-Vulvar Dysplasia). Elinye igama elithi (i-Squamous Intraepithelial Lesion) noma (i-SIL).

Yiziphi izinhlobo eziyinhloko zama-VIN?

Kunezinhlobo ezimbili eziyinhloko ze-VIN ezingaphenduka umdlavuza.

1. Uhlobo olujwayelekile lwe-VIN (uVIN): Lolu uhlobo oluvame kakhulu lwe-VIN. Luvame kakhulu kwabesifazane abaseminyakeni yabo yo-40. Imbangela eyinhloko yalokhu ibhekwa njengokutheleleka okuyingozi kakhulu (okuyingozi kakhulu) (i-Human Papillomavirus) noma (i-HPV) . "Ingozi ephezulu" isho ukuthi leli gciwane lingaguqula amaseli ajwayelekile abe amaseli omdlavuza. Lokhu (uVIN) kubizwa nangokuthi (i-High-Grade Squamous Epithelial Lesions) noma (i-HSIL).

2. I-VIN ehlukanisiwe (i-dVIN): Lolu hlobo lubonakala kumaphesenti amancane kuphela eziguli (i-VIN), cishe u-5% . Luvame kakhulu kwabesifazane abangaphezu kweminyaka engu-60. Luhlotshaniswa nesifo sesikhumba esivuvukalayo esibizwa ngokuthi (i-Lichen Sclerosus).

Ngaphezu kwalezi zinhlobo ezimbili, ungase ube namaseli angajwayelekile esikhumbeni sesitho sakho sangasese sowesifazane abizwa ngokuthi i-Low-Grade Squamous Epithelial Lesions (LSIL). Lawa ahlotshaniswa nezinhlobo ze-HPV ezinobungozi obuphansi (izinhlobo ezibangela izinhlungu zesitho sangasese sowesifazane). Kodwa-ke, lawa maseli (LSIL) awavamile ukuba nomdlavuza. Esikhathini esiningi, ayaphela ngaphandle kokwelashwa.

Ziyini izimpawu ze-(VIN) uma zikhona?

Akuwona wonke umuntu one-VIN ozobhekana nezimpawu. Lokhu kusho ukuthi lesi simo singaba khona ngaphandle kwezimpawu. Kodwa-ke, uma kuvela izimpawu, zingase zihlanganise:

• Ukuluma komgodi wesitho sangasese sowesifazane (i-vulvitis): Lolu uphawu oluvame kakhulu. Ngezinye izikhathi ukuluma kungaba nzima ukubekezelela.
• Umuzwa wokushisa, ubuhlungu, noma ukuqaqamba embotsheni yesitho sangasese sowesifazane.
• Izinguquko zesikhumba: Amaqhubu amasha, ukushintsha kombala wesikhumba (okumhlophe, okubomvu, okupinki, okumpunga, okunsundu, noma amabala amnyama).
• Ubuhlungu ngesikhathi socansi.

Okubalulekile: Ukuthi nje unalezi zimpawu akusho ukuthi une-VIN. Zingabangelwa nezinye izimbangela ezilula. Kodwa-ke, uma into efana nale iqhubeka, kungcono kakhulu ukubona udokotela bese uyahlolwa.

Sibukeka kanjani isimo (se-VIN)?

(i-VIN) ingabukeka ngendlela ehlukile. Into eyinhloko okufanele uyibheke izinguquko esikhumbeni esizungeze umgodi wakho wesitho sangasese sowesifazane. Lokhu kungabukeka kanje:

• Amaqhubu noma izindawo ezisicaba ezivele zivele ngaphezu kwesikhumba.
• Izingxenye zesikhumba zibonakala zimhlophe, zibomvu, zipinki, zimpunga, zinsundu, noma zimnyama .
• Lezi zinguquko zingabonakala endaweni eyodwa noma ezindaweni eziningana ezizungeze umgodi wesitho sangasese sowesifazane.

Yiziphi izimbangela ze-(VIN)?

Ochwepheshe abakakatholi imbangela eyodwa yalokhu.

Kodwa-ke, abantu abaningi abatholakala benalo (i-VIN) batheleleka ngegciwane eliyingozi kakhulu (i-HPV). (i-HPV) iyigciwane elidluliselwa ngocansi (i-STI). Lisakazeka ngokuthintana kwesikhumba nesikhumba. Lokhu kusho ukuthi leli gciwane lingasakazeka hhayi ngocansi kuphela, kodwa futhi nangokuxhumana okuhlukahlukene ngokocansi. Lokhu kutheleleka (i-HPV) kwandisa ingozi yokutheleleka (i-VIN).

Abantu abathola i-VIN ngaphandle kokutheleleka nge-HPV bavame ukuba nesifo sesikhumba esibizwa ngokuthi i-Lichen Sclerosus. Lesi simo sibangela ukuvuvukala kwesikhumba esizungeze umgodi wesitho sangasese sowesifazane kanye namabala anamabala .

Yiziphi izinhlobo ze-HPV okungenzeka kakhulu ukuthi zibangele i-VIN?

Izinhlobo ze-HPV eziyingozi kakhulu ezihlotshaniswa ne-VIN yizinhlobo ze-HPV 16, 18, kanye no-33. Iningi labantu abatholakale bene-VIN batheleleke nge-HPV-16.

Yiziphi ezinye izinto ezandisa ingozi yokuthuthukisa isifo (i-VIN)?

Kunezici eziningana eziyingozi ezifaka isandla ekwakhiweni kwe-VIN:

• Isimiso somzimba sokuzivikela esibuthakathaka: Isibonelo, uma unegciwane lesandulela ngculazi noma uthatha imithi ecindezela isimiso somzimba wakho sokuzivikela.
• Ukuba nokulunywa noma ukuvuvukala kwesikhumba okuhlala isikhathi eside emngxunyeni wesitho sangasese sowesifazane.
• Ukubhema: Abantu ababhemayo basengozini enkulu yokuthola i-VIN.

Yiziphi izinkinga ezingaba khona ze-(VIN)?

Ingozi enkulu ye-VIN ukuthi uma ingelashwa, ingaphenduka umdlavuza. Isikhathi esithathayo ukuze lokhu kube umdlavuza siyahlukahluka kuye ngohlobo lwe-VIN.

• Ngokuvamile kuthatha iminyaka eyisithupha kuya kweyisikhombisa ukuthi i- (uVIN) (okungukuthi, uhlobo lwe-(HPV)-related (VIN)) ikhule ibe umdlavuza.
• (i-dVIN) ivame ukuba umdlavuzaKuthatha cishe iminyaka emibili kuya kwemithathu.

Kodwa-ke, uma elashwa kusenesikhathi, la maseli angaphambi komdlavuza angavinjelwa ekubeni amaseli anomdlavuza.

Wazi kanjani ukuthi unesiqiniseko sokuthi une-(VIN)? (Ukuxilongwa)

Udokotela wakho uzoqala ngokukwenza ukuhlolwa ngokomzimba, abuze ngezimpawu zakho, bese ehlola i-vulva yakho ukuthi ayinazo yini izigaxa noma amabala asolisayo. Udokotela wakho angenza nokuhlolwa okubizwa ngokuthi i-colposcopy . Lokhu kuhilela ukusebenzisa ithuluzi elikhanyayo nelikhulisayo elibizwa ngokuthi i-colposcope ukuhlola isikhumba esizungeze i-vulva noma isitho sangasese sowesifazane.

Kodwa-ke, okuwukuphela kwendlela yokwazi ngokuqinisekile ukuthi une-VIN yini ukwenza i-biopsy. Lokhu kuhilela udokotela ukuthatha ucezu lwesikhumba endaweni esolisayo bese eluthumela elabhorethri ukuze ahlole amangqamuzana angaphambi komdlavuza. Lokhu kuhlolwa kwenziwa yisazi sezifo.

Yiziphi izindlela zokwelapha (i-VIN)?

Umgomo oyinhloko wokwelashwa ukususa noma ukubhubhisa amaseli angajwayelekile, angaphambi komdlavuza. Odokotela bazama nokugcina umuzwa kanye nokusebenza okuningi ngangokunokwenzeka embotsheni yesitho sangasese sowesifazane.

Kunezindlela eziningana zokwelapha:

• Ukuhlinzwa: Udokotela angasika indawo yesikhumba esolisayo bese eyisusa. Lokhu kuvame ukuhilela ukususa indawo enamaseli angajwayelekile kanye nendawo encane yesikhumba esinempilo esizungezile. Lokhu kuzonciphisa amathuba okuba nanoma yimaphi amaseli angajwayelekile asele.
• Ukususwa kwesikhumba nge-laser: Esikhundleni sokusika ngamathuluzi abukhali njengasekuhlinzeni, lokhu kusebenzisa umsebe we-laser oshisayo ukubhubhisa izicubu eziqukethe amangqamuzana angavamile. Njengasekuhlinzeni, ingxenye encane yesikhumba esinempilo iyasuswa.
• Ukhilimu wesikhumba: Udokotela wakho angase akunike ukhilimu ofana ne -Imiquimod . Lokhu kufakwa ngqo esikhumbeni lapho kutholakala khona amangqamuzana angavamile. Lokhu kuzobulala amangqamuzana.
• Ukususwa kwesikhumba se-vulvectomy: Lena inqubo engavamile kakhulu. Uma amangqamuzana angajwayelekile esakazeke endaweni enkulu yesikhumba ezungeze i-vulva, lonke ungqimba oluphezulu lwesikhumba kungadingeka lususwe.

Ingabe i-(VIN) ingaziphilisa ngokwayo?

(i-VIN) ingathuthuka yodwa. Kodwa lokho akuvamile kakhulu. Ngokuvamile, amangqamuzana ahlala esigabeni somdlavuza noma aphenduke umdlavuza.

Njengoba lokhu kuyinkinga enkulu, akuwona umqondo omuhle ukuthatha noma yiziphi izingozi. Udokotela wakho cishe uzoncoma ukwelashwa. Lokhu kungasiza ekunciphiseni ingozi yakho yokuba nomdlavuza.

Yini ongayilindela uma une-(VIN)?

Uma welashwa, isibikezelo sakho sihle kakhulu. Cishe ngeke ube nomdlavuza we-vulvar.

Kodwa, uma (i-VIN) isidaliwe, iyakhiwa.Kunethuba elincane lokuthi lesi sifo siphinde sibuye. Le ngozi iphakeme nakakhulu uma ubhema.

Udokotela wakho uzokugada njalo ukuze ahlole amangqamuzana amasha angaphambi komdlavuza. Udokotela wakho uzokusiza futhi ukuthi uyeke ukubhema, okunganciphisa amathuba okuthi i-VIN iphinde ikhule.

Ingabe ukwakheka kwe-(VIN) kungavinjelwa?

Ayikho indlela eyi-100% yokuvimbela lokhu. Kodwa indlela engcono kakhulu yokunciphisa ingozi yakho yokuthola i-VIN ukuthola umuthi wokugomela i-HPV. Lo muthi wokugomela ukuvikela ezinhlotsheni ze-HPV eziyingozi kakhulu ezingabangela umdlavuza wesibeletho noma umdlavuza womlomo wesibeletho.

Ungenza futhi lezi zinto:

• Yenza ucansi oluphephile: Ukunciphisa inani labalingani bocansi nokusebenzisa izindlela zokuvimbela njengekhondomu akukwazi ukuvimbela ngokuphelele ukutheleleka kwe-HPV, kodwa kunganciphisa ingozi.
• Thola ukwelashwa kwe-lichen sclerosus: Lapho nje ubona izimpawu ze-lichen sclerosus (amabala amhlophe, aphakanyisiwe, alumayo, noma abuhlungu), bona udokotela ukuze uthole ukuxilongwa nokwelashwa okusheshayo. Ukulawula izimpawu kunganciphisa ingozi yokuthola i-VIN, engalimaza amangqamuzana.
• Thola ukuhlolwa kwe-Pap njalo: Ukuvakashela udokotela wezifo zabesifazane ngezikhathi ezithile kungasiza ekutholeni izicubu ezisolisayo kusenesikhathi, lapho zingelashwa khona. Odokotela bavame ukuhlola nezinhlobo ze-HPV eziyingozi kakhulu lapho benza ukuhlolwa kwe-Pap.

Ngizinakekela kanjani?

Landela imiyalelo kadokotela wakho mayelana nokuthi kufanele ubonane kangaki nodokotela wakho ngemva kokwelashwa (ukuvakashelwa okulandelayo). Iningi labantu kuzodingeka libonane nodokotela wabo cishe kabili ngonyaka kuze kube yiminyaka emihlanu ngemva kokwelashwa. Uma kungekho zimpawu ze-(VIN), kungadingeka ukuthi uvakashele kanye ngonyaka kuphela.

Udokotela wakho uzokweluleka ngokusekelwe ekuxilongweni kwakho kanye nendlela osabela ngayo ekwelashweni.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza imibuzo efana nale:

• Nginaluphi uhlobo lwe-VIN?
• Yikuphi ukwelashwa okuncomayo?
• Yimiphi imiphumela emibi engalindelwa ekwelashweni?
• Yiziphi izinguquko ongazibona uma i-(VIN) isidalwe kabusha?
• Kukangaki ngidinga ukuza ukuzohlolwa udokotela?

Kuvamile ukuzizwa wesaba uma uthola ukuthi unezicubu zesikhumba ezisolisayo – noma ngabe akuyona umdlavuza. Kodwa khumbula, amangqamuzana angaphambi komdlavuza awawona njalo amangqamuzana omdlavuza. Awahlali eba umdlavuza. Kodwa-ke, kungcono ukuthola ukwelashwa okuzobhubhisa lawo maseli futhi kunciphise ingozi yakho yokuba nomdlavuza. Ukwazi ukuthi unayo (i-VIN) kusho ukuthi udokotela wakho usethole izinguquko ezingaphambi komdlavuza kusenesikhathi.Okusho ukuthi. Ngokwelashwa nokuhlolwa njalo kwezokwelapha, ungaphila impilo enempilo engenawo umdlavuza wesitho sangasese sowesifazane.

Izinto ezibaluleke kakhulu okufanele uzikhumbule ukuze uziyise ekhaya

Kulungile, ngakho ake sikukhumbuze futhi ngezinye zezinto esixoxe ngazo:

• (VIN) yisimo esingaphambi kokuba nomdlavuza esikhula esikhumbeni somgodi wesitho sangasese sowesifazane .** Akuyona umdlavuza, kodwa ingaba umdlavuza.
• Lokhu kuvame ukubangelwa ukutheleleka kwe-HPV noma isifo sesikhumba esibizwa ngokuthi i-Lichen Sclerosus.
• Izimpawu zingase zihlanganise ukulunywa, ukusha, ukushintsha kombala wesikhumba, noma amaqhubu embotsheni yesitho sangasese sowesifazane. Ngezinye izikhathi, kungase kungabi nazimpawu nhlobo.
• Ukutholwa kusenesikhathi kanye nokwelashwa kubaluleke kakhulu, njengoba lokhu kungavimbela umdlavuza ukuthi ungakhuli.
• Kunezindlela eziningana zokwelapha, futhi udokotela wakho uzokhetha eyodwa ekufanele kakhulu.
• Ukuthola umuthi wokugomela i-HPV kusiza ekunciphiseni ingozi yokuthola i-VIN.
• Uma ubhema, ukuyeka ukubhema kunganciphisa nengozi yokuthola i-VIN futhi.
• Ungakhathazeki. (I-VIN) yisimo esingelapheka ngokuphelele uma sitholakala kusenesikhathi. Khuluma nodokotela wakho bese uthatha izinyathelo ezidingekayo.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela wakho. Hlala uphilile!

I- VIN, i-Vulvar Intraepithelial Neoplasia, i-Vaginal Fissure, i-HPV, umdlavuza wesikhumba, impilo yabesifazane, i-Lichen Sclerosus