Mitundu / vulvar / patient / vulvar-treatment-pdq

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Chithandizo cha Khansa ya Vulvar (®) -Patient Version

Zambiri Za Khansa ya Vulvar

MFUNDO ZOFUNIKA

  • Khansara ya Vulvar ndi matenda osowa omwe mumakhala maselo owopsa (khansa) m'matumba amkati.
  • Kukhala ndi vulvar intraepithelial neoplasia kapena matenda a HPV kumatha kuwonjezera ngozi ya khansa ya vulvar.
  • Zizindikiro za khansa ya kumaliseche kumaphatikizapo kutuluka magazi kapena kuyabwa m'dera lamaliseche.
  • Kuyesa komwe kumayang'ana maliseche kumagwiritsidwa ntchito pozindikira khansa ya kumaliseche.
  • Zinthu zina zimakhudzanso madandaulo (mwayi wochira) ndi njira zamankhwala.

Khansara ya Vulvar ndi matenda osowa omwe mumakhala maselo owopsa (khansa) m'matumba amkati.

Khansa ya Vulvar imapangika kumaliseche kwakunja kwa mkazi. Kumaliseche kumaphatikizapo:

  • Milomo yamkati ndi yakunja ya nyini.
  • Clitoris (tcheru minofu pakati pa milomo).
  • Kutsegula kwa nyini ndi ma gland ake.
  • Mons pubis (malo ozungulira kutsogolo kwa mafupa a pubic omwe amakhala okutidwa ndi tsitsi atha msinkhu).
  • Perineum (dera lomwe lili pakati pa maliseche ndi anus).
Anatomy ya maliseche. Kumaliseche kumaphatikizaponso ma pubis, clitoris, kutsegula kwa urethral, ​​milomo yamkati ndi yakunja ya nyini, kutsegula kwa ukazi, ndi perineum.

Khansa ya Vulvar nthawi zambiri imakhudza milomo yakunja yamaliseche. Nthawi zambiri, khansa imakhudza milomo yamkati mwa nyini, clitoris, kapena gland.

Khansa ya Vulvar nthawi zambiri imayamba pang'onopang'ono kwa zaka zambiri. Maselo achilendo amatha kumera pakhungu nthawi yayitali. Matendawa amatchedwa vulvar intraepithelial neoplasia (VIN). Chifukwa ndizotheka kuti VIN itha kukhala khansa ya mimbulu, ndikofunikira kupeza chithandizo.

Kukhala ndi vulvar intraepithelial neoplasia kapena matenda a HPV kumatha kuwonjezera ngozi ya khansa ya vulvar.

Chilichonse chomwe chimakulitsa chiopsezo chotenga matenda chimatchedwa chiopsezo. Kukhala ndi chiwopsezo sikutanthauza kuti udzakhala ndi khansa; kusakhala ndi zoopsa sikutanthauza kuti simudzakhala ndi khansa. Lankhulani ndi dokotala ngati mukuganiza kuti mutha kukhala pachiwopsezo. Zowopsa za khansa ya kumaliseche ndi izi:

  • Ukalamba.
  • Kukhala ndi matenda a papillomavirus (HPV).
  • Kukhala ndi vulvar intraepithelial neoplasia (VIN).
  • Kukhala ndi mbiri yazomenyera maliseche.

Zina mwaziwopsezo zomwe zingachitike ndi izi:

  • Kukhala ndi zibwenzi zambiri.
  • Kugonana koyamba mudakali aang'ono.
  • Kukhala ndi mbiri yoyesedwa kwachilendo kwa Pap (Pap smears).

Zizindikiro za khansa ya kumaliseche kumaphatikizapo kutuluka magazi kapena kuyabwa m'dera lamaliseche.

Khansa ya Vulvar nthawi zambiri siyimayambitsa zizindikilo kapena zizindikilo zoyambirira. Zizindikiro zimatha chifukwa cha khansa ya kumaliseche kapena zinthu zina. Funsani dokotala ngati muli ndi izi:

  • Bulu kapena chotupa pankhungu chomwe chimawoneka ngati nkhwangwa kapena chilonda.
  • Kuyabwa m'dera lamaliseche lomwe silipita.
  • Magazi osagwirizana ndi msambo (nthawi).
  • Ululu m'dera la vulvar.

Kuyesa komwe kumayang'ana maliseche kumagwiritsidwa ntchito pozindikira khansa ya kumaliseche.

Mayeso ndi njira zotsatirazi zitha kugwiritsidwa ntchito:

  • Kuyezetsa thupi komanso mbiri yaumoyo: Kuyesedwa kwa thupi kuti muwone ngati muli ndi thanzi labwino, kuphatikiza kuyang'ana kumaliseche ngati muli ndi matenda, monga zotupa kapena china chilichonse chomwe chikuwoneka chachilendo. Mbiri yokhudzana ndi thanzi la wodwalayo komanso matenda am'mbuyomu komanso chithandizo chamankhwala adzachitidwanso.
  • Kuyezetsa magazi: Kuyesa kumaliseche, khomo pachibelekeropo, chiberekero, machubu, mazira, ndi thumbo. A speculum amalowetsedwa mumaliseche ndipo dokotala kapena namwino amayang'ana kumaliseche ndi chiberekero ngati ali ndi matenda. Kuyezetsa magazi kwa khomo pachibelekeropo kumachitika nthawi zambiri. Dotolo kapena namwino amalowetsanso chala chimodzi kapena ziwiri zopaka mafuta, zokutira zanja lamanja kumaliseche ndikuyika dzanja linalo pamimba pamunsi kuti mumve kukula, mawonekedwe, ndi malo oberekera komanso thumba losunga mazira. Dotolo kapena namwino amalowetsanso chala chopaka mafuta, chopukutira mu rectum kuti amve ziphuphu kapena malo abwinobwino.
Kuyesa kwapelvic. Dokotala kapena namwino amalowetsa chala chimodzi kapena ziwiri zopaka mafuta, zokutidwa ndi dzanja limodzi kumaliseche ndikudina pamimba pamunsi ndi dzanja linalo. Izi zachitika kuti mumve kukula, mawonekedwe, ndi mawonekedwe a chiberekero ndi thumba losunga mazira. Nyini, khomo pachibelekeropo, machubu opatsira mazira oyenda, ndi thumbo timayang'ananso.
  • Kuyesedwa kwa pap: Njira yosonkhanitsira maselo kumtunda kwa khomo pachibelekeropo ndi kumaliseche. Chidutswa cha thonje, burashi, kapena ndodo yaying'ono yamatabwa imagwiritsidwa ntchito kupeputsa bwino ma cell kuchokera pachibelekero ndi kumaliseche. Maselo amayang'aniridwa ndi microscope kuti adziwe ngati ali achilendo.
  • Kuyezetsa kwa papillomavirus ya anthu (HPV): Kuyesa kwa labotale komwe kumayang'aniridwa ndi DNA kapena RNA ngati kuli mitundu ina ya matenda a HPV. Maselo amatengedwa kuchokera kumaliseche ndipo DNA kapena RNA yochokera m'maselo amawunika kuti adziwe ngati matenda amayamba chifukwa cha mtundu wina wa papillomavirus womwe umalumikizidwa ndi khansa ya kumaliseche. Mayesowa atha kugwiritsidwa ntchito pogwiritsa ntchito maselo omwe adachotsedwa paphunziro la Pap. Kuyesaku kutha kuchitidwanso ngati zotsatira za mayeso a Pap zikuwonetsa maselo ena achilendo a vulvar.
  • Biopsy: Kuchotsa maselo kapena ziphuphu kuchokera kumaliseche kuti athe kuwonedwa ndi microscope ndi wodwala kuti aone ngati ali ndi khansa.
  • Colposcopy: Njira yomwe colposcope (chida chowala, chokulitsira) imagwiritsidwa ntchito poyang'ana kumaliseche ndi khomo lachiberekero kuti kuli malo abodza. Zitsanzo zamatenda zimatha kutengedwa pogwiritsa ntchito chida chochiritsa (chooneka ngati supuni) kapena burashi ndikuyang'aniridwa ndi microscope ngati pali matenda.
  • MRI (magnetic resonance imaging): Njira yomwe imagwiritsa ntchito maginito, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi zingapo za malo amkati mwa thupi. Njirayi imatchedwanso nuclear magnetic resonance imaging (NMRI).
  • CT scan (CAT scan): Njira yomwe imapanga zithunzi zingapo zamatupi amthupi, zojambulidwa mosiyanasiyana. Zithunzizo zimapangidwa ndi kompyuta yolumikizidwa ndi makina a x-ray. Utoto ukhoza kulowetsedwa mumtsempha kapena kumeza kuti ziwalo kapena ziwalo ziwoneke bwino. Njirayi imatchedwanso computed tomography, kompyuta tomography, kapena kompyuta axial tomography.
  • PET scan (positron emission tomography scan): Njira yopezera maselo oyipa mthupi. Gulu laling'ono la shuga (radio) limabayidwa mumtsempha. Chojambulira cha PET chimazungulira thupi ndikupanga chithunzi cha komwe glucose imagwiritsidwa ntchito mthupi. Maselo otupa owopsa amawonekera pachithunzichi chifukwa amakhala otanganidwa ndipo amatenga shuga wambiri kuposa momwe maselo amachitira.

Zinthu zina zimakhudzanso madandaulo (mwayi wochira) ndi njira zamankhwala.

Njira zakulosera zamankhwala ndi chithandizo zimadalira izi:

  • Kaya khansara yafalikira kumadera oyandikana kapena mbali zina za thupi.
  • Kaya khansara yafalikira ku ma lymph node.
  • Kaya khansa yapezeka kumene kapena yabwereranso (bwererani).

Magawo a Khansa ya Vulvar

MFUNDO ZOFUNIKA

  • Khansa ya vulvar itapezeka, amayesedwa kuti apeze ngati maselo a khansa afalikira mkati mwa maliseche kapena mbali zina za thupi.
  • Pali njira zitatu zomwe khansa imafalikira mthupi.
  • Khansa imatha kufalikira pomwe idayamba kupita mbali zina za thupi.
  • Mu vulvar intraepithelial neoplasia (VIN), maselo osadziwika amapezeka pamtunda wa khungu.
  • Magawo otsatirawa amagwiritsidwa ntchito pa khansa ya vulvar:
  • Gawo I
  • Gawo II
  • Gawo III
  • Gawo IV
  • Khansa yaposachedwa ya vulvar ndi khansa yomwe yabwereranso (kubwerera) itachiritsidwa.

Khansa ya vulvar itapezeka, amayesedwa kuti apeze ngati maselo a khansa afalikira mkati mwa maliseche kapena mbali zina za thupi.

Njira yomwe amagwiritsidwa ntchito pofufuza ngati khansara yafalikira mkati mwa maliseche kapena mbali zina za thupi amatchedwa staging. Zomwe amapeza kuchokera pakukonzekera zimatsimikizira gawo la matendawa. Ndikofunikira kudziwa siteji kuti mukonzekere chithandizo. Mayeso ndi njira zotsatirazi zitha kugwiritsidwa ntchito pokonza:

  • Cystoscopy: Njira yoyang'ana mkati mwa chikhodzodzo ndi urethra kuti muwone ngati pali zovuta zina. Cystoscope imayikidwa kudzera mu urethra kupita mu chikhodzodzo. Cystoscope ndi chida chopyapyala, chokhala ngati chubu chokhala ndi kuwala ndi mandala owonera. Ikhozanso kukhala ndi chida chothandizira kuchotsa minofu, yomwe imayang'aniridwa pansi pa chizindikiro cha khansa.
  • Proctoscopy: Njira yoyang'ana mkati mwa rectum ndi anus kuti muwone malo osakhazikika, pogwiritsa ntchito proctoscope. Proctoscope ndi chida chopyapyala, chokhala ngati chubu chokhala ndi kuwala ndi mandala owonera mkati mwa rectum ndi anus. Ikhozanso kukhala ndi chida chothandizira kuchotsa minofu, yomwe imayang'aniridwa ndi microscope ngati ili ndi khansa.
  • X-ray pachifuwa: X-ray ndi mtundu wa mphamvu yamphamvu yomwe imatha kupyola thupi ndikupita mufilimu, ndikupanga chithunzi cha madera omwe ali mthupi. Kuti apange khansa ya kumaliseche, ma X-ray amatha kutengedwa ndi ziwalo ndi mafupa mkati mwa chifuwa.
  • Intravenous pyelogram (IVP): Mndandanda wa ma x-ray a impso, ureters, ndi chikhodzodzo kuti mudziwe ngati khansara yafalikira ku ziwalozi. Utoto wosiyana umabayidwa mumtsempha. Pamene utoto wosiyanitsa umadutsa mu impso, ureters ndi chikhodzodzo, ma x-ray amatengedwa kuti awone ngati pali zotchinga zilizonse. Njirayi imatchedwanso intravenous urography.
  • Biopsy: Kuchotsa maselo kapena ziphuphu kuchokera mu chikhodzodzo kapena m'matumbo kotero kuti amatha kuwonedwa ndi microscope ndi wodwalayo kuti aone ngati ali ndi khansa, ngati akuganiza kuti khansa yafalikira pamenepo.

Pali njira zitatu zomwe khansa imafalikira mthupi.

Khansa imatha kufalikira kudzera mu minofu, ma lymph system, ndi magazi:

  • Minofu. Khansara imafalikira kuchokera pomwe idayamba ndikukula kupita kumadera oyandikana nawo.
  • Lymph dongosolo. Khansara imafalikira kuchokera pomwe idayamba polowa m'mitsempha. Khansara imadutsa m'mitsempha yamafuta kupita mbali zina za thupi.
  • Magazi. Khansara imafalikira kuchokera pomwe idayamba ndikulowa m'magazi. Khansara imadutsa m'mitsempha yamagazi kupita mbali zina za thupi.

Khansa imatha kufalikira pomwe idayamba kupita mbali zina za thupi.

Khansa ikafalikira mbali ina ya thupi, imatchedwa metastasis. Maselo a khansa amachoka pomwe adayamba (chotupa choyambirira) ndikuyenda mumitsempha kapena magazi.

  • Lymph dongosolo. Khansara imalowa mumitsempha, imadutsa m'mitsempha yamafuta, ndikupanga chotupa (chotupa cha metastatic) gawo lina la thupi.
  • Magazi. Khansara imalowa m'magazi, imadutsa m'mitsempha yamagazi, ndikupanga chotupa (chotupa cha metastatic) gawo lina la thupi.

Chotupa cha metastatic ndi khansa yofanana ndi chotupa chachikulu. Mwachitsanzo, ngati khansa ya kumaliseche ikufalikira m'mapapu, maselo a khansa m'mapapo kwenikweni ndi maselo a khansa ya vulvar. Matendawa ndi khansa ya m'matumbo, osati khansa ya m'mapapo.

Mu vulvar intraepithelial neoplasia (VIN), maselo osadziwika amapezeka pamtunda wa khungu.

Maselo achilendowa si khansa. Vulvar intraepithelial neoplasia (VIN) itha kukhala khansa ndipo imafalikira m'minyewa yapafupi. VIN nthawi zina amatchedwa siteji 0 kapena carcinoma in situ.

Magawo otsatirawa amagwiritsidwa ntchito pa khansa ya vulvar:

Gawo I

Pachigawo choyamba, khansa yapanga. Chotupacho chimapezeka kokha kumaliseche kapena perineum (dera pakati pa rectum ndi nyini). Gawo I lagawika magawo IA ndi IB.

Kukula kwa zotupa nthawi zambiri kumayeza masentimita (cm) kapena mainchesi. Zakudya zodziwika bwino zomwe zitha kugwiritsidwa ntchito posonyeza kukula kwa chotupa mu cm zimaphatikizapo: nsawawa (1 cm), chiponde (2 cm), mphesa (3 cm), mtedza (4 cm), laimu (5 cm kapena 2) mainchesi), dzira (6 cm), pichesi (7 cm), ndi manyumwa (masentimita 10 kapena mainchesi 4).
  • Pa gawo IA, chotupacho chili 2 sentimita kapena ocheperako ndipo chafalikira millimeter 1 kapena kuchepera mu minofu ya maliseche kapena perineum. Khansa siinafalikire kumatenda am'mimba.
  • Pachigawo cha IB, chotupacho chimakhala chachikulu kuposa masentimita awiri kapena chafalikira kuposa 1 millimeter munthawi ya maliseche kapena perineum. Khansa siinafalikire kumatenda am'mimba.
Mamilimita (mm). Pensulo yakuthwa ili pafupifupi 1 mm, krayoni yatsopano ndi pafupifupi 2 mm, ndipo chofufutira pensulo chatsopano ndi pafupifupi 5 mm.

Gawo II

Gawo lachiwiri, chotupacho ndi kukula kwake ndipo chafalikira kumunsi kwa mkodzo, kumunsi kwa nyini, kapena kumatako. Khansa siinafalikire kumatenda am'mimba.

Gawo III

Mu gawo lachitatu, chotupacho ndi kukula kwake ndipo chikhoza kufalikira kumunsi kwa mkodzo, kumunsi kwa nyini, kapena kumatako. Khansa yafalikira ku ma lymph node amodzi kapena angapo apafupi. Gawo lachitatu lagawidwa magawo IIIA, IIIB, ndi IIIC.

  • Mu gawo IIIA, khansa imapezeka mu 1 kapena 2 ma lymph node omwe ndi ocheperako kuposa 5 millimeter kapena lymph lymph node yomwe ili 5 millimeter kapena yokulirapo.
  • Gawo IIIB, khansa imapezeka mu ma 2 kapena kuposa ma lymph node omwe ali mamilimita 5 kapena okulirapo, kapena m'matumba atatu kapena kupitilira apo omwe ndi ocheperako mamilimita 5.
  • Gawo lachiwiri la IIIC, khansa imapezeka m'mitsempha yam'mimba ndipo imafalikira kunja kwa ma lymph node.

Gawo IV

Pa gawo IV, chotupacho chafalikira kumtunda kwa mkodzo, kumtunda kwa nyini, kapena mbali zina za thupi. Gawo IV limagawika magawo a IVA ndi IVB.

  • Mu gawo IVA:
  • khansara yafalikira m'kati mwa mkodzo wapamwamba, nyini, chikhodzodzo, kapena thumbo, kapena yagwirizana ndi fupa la m'chiuno; kapena
  • khansara yafalikira ku ma lymph node omwe ali pafupi ndipo ma lymph node sakusuntha kapena apanga zilonda.
  • Mu gawo la IVB, khansa yafalikira ku ma lymph node mumchiuno kapena mbali zina za thupi.

Khansa yaposachedwa ya vulvar ndi khansa yomwe yabwereranso (kubwerera) itachiritsidwa.

Khansara imatha kubwereranso kumaliseche kapena mbali zina za thupi.

Chithandizo Chosankha Mwachidule

MFUNDO ZOFUNIKA

  • Pali mitundu yosiyanasiyana ya chithandizo cha odwala khansa ya vulvar.
  • Mitundu inayi yamankhwala omwe amagwiritsidwa ntchito amagwiritsidwa ntchito:
  • Opaleshoni
  • Thandizo la radiation
  • Chemotherapy
  • Chitetezo chamatenda
  • Mitundu yatsopano yamankhwala ikuyesedwa m'mayesero azachipatala.
  • Kuchiza khansa ya kumaliseche kumatha kuyambitsa mavuto.
  • Odwala angaganize zopita nawo kukayezetsa.
  • Odwala amatha kulowa m'mayesero azachipatala asanayambe, asanayambe, kapena atayamba kulandira chithandizo cha khansa.
  • Mayeso otsatirawa angafunike.

Pali mitundu yosiyanasiyana ya chithandizo cha odwala khansa ya vulvar.

Pali mitundu yosiyanasiyana ya chithandizo kwa odwala omwe ali ndi khansa ya vulvar. Mankhwala ena ndi ofanana (mankhwala omwe akugwiritsidwa ntchito pano), ndipo ena akuyesedwa m'mayesero azachipatala. Kuyesedwa kwachipatala ndi kafukufuku wofufuza wothandizira kusintha chithandizo chamakono kapena kupeza zidziwitso zamankhwala atsopano kwa odwala khansa. Pamene mayesero azachipatala awonetsa kuti chithandizo chatsopano ndichabwino kuposa chithandizo chamankhwala, chithandizocho chitha kukhala chamankhwala wamba. Odwala angaganize zopita nawo kukayezetsa. Mayesero ena azachipatala ndi otseguka kwa odwala omwe sanayambe kulandira chithandizo.

Mitundu inayi yamankhwala omwe amagwiritsidwa ntchito amagwiritsidwa ntchito:

Opaleshoni

Opaleshoni ndi njira yodziwika bwino yothandizira khansa ya vulvar intraepithelial neoplasia (VIN) ndi khansa ya vulvar.

Imodzi mwama opaleshoni otsatirawa atha kuchitidwa kuti athetse VIN:

  • Kulekanitsa kupatukana kwa chotupa: Njira yochitira opaleshoni yochotsa chotupa chodetsa nkhawa.
  • Kudandaula kwina konse: Njira yochotsera khungu lomwe lakhudzidwa ndi VIN ndi minofu ina yozungulira.
  • Opaleshoni ya Laser: Njira yochitira opaleshoni yomwe imagwiritsa ntchito mtanda wa laser (kamtengo kakang'ono kowala kwambiri) ngati mpeni wopangira zopanda magazi m'magazi kapena kuchotsa zotupa zapamtunda monga chotupa.
  • Cholinga cha opaleshoni ya Ultrasound: Njira yochitira opaleshoni yotyola chotupacho kukhala zidutswa zazing'ono pogwiritsa ntchito kunjenjemera kwabwino kwambiri. Zidutswa tating'onoting'ono timakokololedwa ndikuchotsedwa. Njirayi imawononga pang'ono minofu yapafupi.
  • Skinning vulvectomy: Mbali yayikulu ya khungu la vulvar pomwe VIN imapezeka imachotsedwa. Zomangirira khungu kuchokera kumadera ena a thupi angafunikire kuphimba malo omwe khungu lidachotsedwa.

Cholinga cha opareshoni ya khansa ya kumaliseche ndikuchotsa khansa yonse popanda kutaya chilichonse chogonana cha mayi. Imodzi mwama opaleshoni otsatirawa atha kuchitidwa kuti athetse khansa ya kumaliseche:

  • Kudandaula kwapafupi: Njira yochotsera khansa ndi ziwalo zina za khansa.
  • Kudandaula kwakukulu kwanuko: Njira yochotsera khansara ndi minofu yambiri yozungulira. Ma lymph node omwe ali pafupi nawo amatha kuchotsedwanso.
  • Vulvectomy: Njira yochitira opaleshoni yochotsa gawo kapena maliseche onse:
  • Kusinthidwa kwakukulu vulvectomy: Opaleshoni kuti achotse zambiri zamaliseche. Ma lymph node apafupi amathanso kuchotsedwa.
  • Radical vulvectomy: Opaleshoni kuti achotse kumaliseche konse. Ma lymph node apafupi nawonso amachotsedwa.
  • Mkwiyo wa m'mimba: Njira yochotsera m'matumbo, m'matumbo, ndi m'chikhodzodzo. Khomo lachiberekero, nyini, thumba losunga mazira, ndi ma lymph node omwe ali pafupi nawonso amachotsedwa. Malo otsegulira (stoma) amapangidwira mkodzo ndi chopondapo kutuluka mthupi ndikupita m'thumba lakusonkhanitsira.

Dokotala atachotsa khansa yonse yomwe imawonekera panthawi yochitidwa opaleshoni, odwala ena amatha kupatsidwa chemotherapy ndi / kapena mankhwala a radiation atachitidwa opaleshoni kuti aphe maselo aliwonse a khansa omwe atsala. Chithandizo chomwe chimaperekedwa pambuyo pa opareshoni, kuti muchepetse chiopsezo kuti khansa ibwererenso, amatchedwa adjuvant therapy.

Thandizo la radiation

Thandizo la radiation ndi chithandizo cha khansa chomwe chimagwiritsa ntchito ma x-ray amphamvu kapena mitundu ina ya radiation kuti iphe ma cell a khansa kapena kuti asakule. Mankhwala ochiritsira akunja amagwiritsa ntchito makina kunja kwa thupi kuti atumize cheza chakuthupi cha thupi lomwe lili ndi khansa.

Thandizo la radiation lakunja litha kugwiritsidwanso ntchito ngati mankhwala ochepetsa nkhawa kuti athetse zofooka ndikukhala ndi moyo wabwino.

Chemotherapy

Chemotherapy ndi chithandizo cha khansa chomwe chimagwiritsa ntchito mankhwala kuletsa kukula kwa maselo a khansa, mwina popha ma cell kapena poyimitsa ma cell kuti asagawane. Chemotherapy ikamamwa pakamwa kapena kulowetsedwa mumtsempha kapena minofu, mankhwalawa amalowa m'magazi ndipo amatha kufikira ma cell a khansa mthupi lonse (systemic chemotherapy). Matenda apamwamba a chemotherapy a khansa ya vulvar atha kugwiritsidwa ntchito pakhungu kapena zonona. Momwe chemotherapy imaperekedwa imadalira mtundu ndi gawo la khansa yomwe ikuchitidwa.

Onani Mankhwala Omwe Amavomerezedwa Kuchiza Khansa ya Vulvar kuti mumve zambiri.

Chitetezo chamatenda

Immunotherapy ndi chithandizo chomwe chimagwiritsa ntchito chitetezo cha mthupi cha wodwalayo kuthana ndi khansa. Zinthu zomwe thupi limapanga kapena zopangidwa mu labotale zimagwiritsidwa ntchito kukulitsa, kuwongolera, kapena kubwezeretsa chitetezo chamthupi cha khansa. Chithandizo cha khansa choterechi chimatchedwanso biotherapy kapena biologic therapy.

Imiquimod ndimasinthidwe amthupi omwe amagwiritsidwa ntchito pochiza zilonda zam'mimba ndipo amagwiritsidwa ntchito pakhungu mu kirimu.

Mitundu yatsopano yamankhwala ikuyesedwa m'mayesero azachipatala.

Zambiri zamayeso azachipatala zimapezeka patsamba la NCI.

Kuchiza khansa ya kumaliseche kumatha kuyambitsa mavuto.

Kuti mumve zambiri zamankhwala obwera chifukwa cha khansa, onani tsamba lathu la Zotsatira Zotsatira.

Odwala angaganize zopita nawo kukayezetsa.

Kwa odwala ena, kutenga nawo mbali pakuyesa chithandizo chachipatala kungakhale njira yabwino kwambiri yothandizira. Mayesero azachipatala ndi gawo limodzi la kafukufuku wa khansa. Mayesero azachipatala amachitika kuti apeze ngati mankhwala atsopano a khansa ndi otetezeka komanso ogwira ntchito kapena abwinoko kuposa mankhwala wamba.

Njira zambiri zamankhwala zochiritsira khansa zimachokera kumayeso am'mbuyomu azachipatala. Odwala omwe amatenga nawo mbali pachipatala atha kulandira chithandizo chofananira kapena kukhala oyamba kulandira chithandizo chatsopano.

Odwala omwe amatenga nawo mbali pazoyeserera zamankhwala amathandizanso kukonza momwe khansa idzathandizire mtsogolo. Ngakhale mayesero azachipatala satsogolera kuchipatala chatsopano, nthawi zambiri amayankha mafunso ofunikira ndikuthandizira kupititsa patsogolo kafukufuku.

Odwala amatha kulowa m'mayesero azachipatala asanayambe, asanayambe, kapena atayamba kulandira chithandizo cha khansa.

Mayesero ena azachipatala amangophatikizapo odwala omwe sanalandire chithandizo. Mayesero ena amayesa chithandizo kwa odwala omwe khansa yawo sinakhale bwino. Palinso mayesero azachipatala omwe amayesa njira zatsopano zothetsera khansa kuti isabwererenso (kubwerera) kapena kuchepetsa zovuta zoyambitsidwa ndi khansa.

Mayesero azachipatala akuchitika m'malo ambiri mdziko muno. Zambiri zamayeso azachipatala othandizidwa ndi NCI zitha kupezeka patsamba lofufuza zamankhwala la NCI. Mayesero azachipatala othandizidwa ndi mabungwe ena amapezeka patsamba la ClinicalTrials.gov.

Mayeso otsatirawa angafunike.

Ena mwa mayesero omwe adachitika kuti apeze khansa kapena kuti adziwe momwe khansa iliri angabwerezedwenso. Mayesero ena adzabwerezedwa kuti awone momwe mankhwalawa akugwirira ntchito. Zisankho zakuti mupitilize, kusintha, kapena kusiya kulandira chithandizo zitha kutengera zotsatira za mayeso awa.

Kuyesaku kumangopitilira kuchitika nthawi ndi nthawi mankhwala atatha. Zotsatira zamayesowa zitha kuwonetsa ngati vuto lanu lasintha kapena ngati khansa yabwereranso (bwererani). Mayesowa nthawi zina amatchedwa kuyesa kutsata kapena kukayezetsa.

Ndikofunika kukhala ndi mayeso owunika pafupipafupi kuti muwone ngati ali ndi khansa yapafupipafupi.

Kuchiza kwa Vulvar Intraepithelial Neoplasia (VIN)

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Chithandizo cha vulvar intraepithelial neoplasia (VIN) chingaphatikizepo izi:

  • Opaleshoni itha kukhala imodzi mwa izi:
  • Kulekanitsa kotulutsa zilonda.
  • Kudumphadumpha konseko.
  • Opaleshoni ya Laser.
  • Cholinga cha opaleshoni ya Ultrasound.
  • Khungu la vulvectomy.
  • Immunotherapy ndimatenda imiquimod.

Kuchiza kwa Magawo I ndi II Khansa ya Vulvar

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Kuchiza kwa khansa ya khansa ya siteji I komanso khansa yachiwiri ya khansa ingaphatikizepo izi:

  • Kuchita opaleshoni (kudodometsa kwakukulu kwanuko).
  • Opaleshoni (kutsekemera kopitilira muyeso ndikuchotsa ma lymph m'mimba ndi ntchafu).
  • Opaleshoni (kusinthidwa kwakukulu vulvectomy kapena radical vulvectomy ndikuchotsa ma lymph node mu kubuula ndi ntchafu). Thandizo la radiation lingaperekedwe.
  • Opaleshoni (kukokomeza kwakomweko ndikuchotsa sentinel lymph node) kutsatiridwa ndi mankhwala a radiation nthawi zina.
  • Thandizo la radiation lokha.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Kuchiza kwa Gawo lachitatu la khansa ya Vulvar

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Chithandizo cha khansa yamphesa yachitatu ingaphatikizepo izi:

  • Opaleshoni (kusintha kwakukulu kwa vulvectomy kapena radical vulvectomy ndikuchotsa ma lymph nodes mu kubuula ndi ntchafu) kapena wopanda radiation radiation.
  • Mankhwala a radiation kapena chemotherapy ndi radiation radiation amatsatiridwa ndi opaleshoni.
  • Thandizo la radiation kapena chemotherapy.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Kuchiza kwa Gawo la IVA Vulvar Cancer

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Chithandizo cha khansa yapamtunda ya IVA ingaphatikizepo izi:

  • Kuchita Opaleshoni (radical vulvectomy kapena mafupa a m'chiuno).
  • Opaleshoni ndi radiation radiation.
  • Mankhwala a radiation kapena chemotherapy ndi radiation radiation amatsatiridwa ndi opaleshoni.
  • Thandizo la radiation kapena chemotherapy.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Kuchiza kwa Gawo la IVB Khansa ya Vulvar

Palibe mankhwala ochiritsira a khansa ya IVB ya khansa ya abambo. Chemotherapy yaphunziridwa ndipo itha kugwiritsidwa ntchito ngati wodwalayo angalekerere.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Kuchiza kwa Khansa Yaposachedwa ya Vulvar

Kuti mumve zambiri zamankhwala omwe atchulidwa pansipa, onani gawo la Chisankho Chachidule.

Chithandizo cha khansa yapakhungu yobwereranso komwe mungaphatikizepo ndi izi:

  • Opaleshoni (yotakata m'deralo) kapena popanda mankhwala a radiation.
  • Opaleshoni (kwakukulu vulvectomy ndi mafupa a m'chiuno).
  • Chemotherapy ndi mankhwala a radiation pogwiritsa ntchito kapena popanda opaleshoni.
  • Thandizo la radiation kapena chemotherapy.
  • Thandizo la radiation ndi opaleshoni.
  • Thandizo la radiation ngati mankhwala ochepetsa nkhawa kuti athetseretu kusintha komanso kukhala ndi moyo wabwino.

Gwiritsani ntchito kusaka kwathu kwamankhwala kuti mupeze mayesero azachipatala omwe amathandizidwa ndi NCI omwe akulandira odwala. Mutha kusaka mayesero kutengera mtundu wa khansa, zaka za wodwalayo, komanso komwe mayeserowo akuchitika. Zambiri pazokhudza mayesero azachipatala zimapezekanso.

Kuti mudziwe zambiri za khansa ya Vulvar

Kuti mumve zambiri kuchokera ku National Cancer Institute yokhudza khansa ya m'mimba, onani izi:

  • Tsamba Loyambira Khansa ya Vulvar
  • Lasers mu Chithandizo cha Khansa
  • Mankhwala Ovomerezeka Kuchiza Khansa ya Vulvar
  • HPV ndi Khansa
  • Computed Tomography (CT) Zithunzi ndi Khansa
  • Immunotherapy Kuchiza Khansa

Kuti mumve zambiri za khansa ndi zinthu zina zochokera ku National Cancer Institute, onani izi:

  • Za Khansa
  • Kusinthana
  • Chemotherapy and You: Kuthandiza Anthu Omwe Ali Ndi Khansa
  • Thandizo la Radiation ndi Inu: Thandizo kwa Anthu Omwe Ali ndi Khansa
  • Kulimbana ndi khansa
  • Mafunso oti mufunse dokotala wanu za khansa
  • Kwa Opulumuka ndi Owasamalira


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