Ubwoko / inkondo y'umura / umurwayi / inkondo y'umura-pdq
Ibirimo
- 1 Indwara yo kuvura kanseri y'inkondo y'umura
- 1.1 Amakuru Rusange Yerekeye Kanseri Yinkondo y'umura
- 1.2 Icyiciro cya Kanseri y'inkondo y'umura
- 1.3 Kanseri y'inkondo y'umura isubirwamo
- 1.4 Incamake yo kuvura
- 1.5 Amahitamo yo Kuvura Icyiciro
- 1.6 Uburyo bwo kuvura Kanseri y'inkondo y'umura isubirwamo
- 1.7 Kanseri y'inkondo y'umura igihe utwite
- 1.8 Kumenya byinshi kuri Kanseri y'inkondo y'umura
Indwara yo kuvura kanseri y'inkondo y'umura
Amakuru Rusange Yerekeye Kanseri Yinkondo y'umura
INGINGO Z'INGENZI
- Kanseri y'inkondo y'umura ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo z'inkondo y'umura.
- Indwara ya papillomavirus (HPV) niyo mpamvu nyamukuru itera kanseri y'inkondo y'umura.
- Mubisanzwe nta bimenyetso cyangwa ibimenyetso bya kanseri y'inkondo y'umura hakiri kare ariko birashobora kumenyekana hakiri kare kwisuzumisha.
- Ibimenyetso nibimenyetso bya kanseri yinkondo y'umura harimo kuva amaraso mu gitsina no kubabara.
- Ibizamini bisuzuma inkondo y'umura bikoreshwa mu kumenya (gushakisha) no gusuzuma kanseri y'inkondo y'umura.
- Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.
Kanseri y'inkondo y'umura ni indwara ingirabuzimafatizo (kanseri) ziba mu ngingo z'inkondo y'umura.
Inkondo y'umura ni impera yo hepfo, ifunganye ya nyababyeyi (urugingo rufunitse, rumeze nk'isaro aho uruhinja rukurira). Inkondo y'umura iyobora muri nyababyeyi igana mu gitsina (umuyoboro w'amavuko).
Kanseri y'inkondo y'umura ikura buhoro buhoro mugihe runaka. Mbere yuko kanseri igaragara muri nyababyeyi, ingirangingo z'inkondo y'umura zinyura mu mpinduka zizwi nka dysplasia, aho ingirabuzimafatizo zidasanzwe zitangira kugaragara mu nyama z'inkondo y'umura. Igihe kirenze, selile zidasanzwe zirashobora guhinduka kanseri ya kanseri hanyuma zigatangira gukura no gukwirakwira cyane muri nyababyeyi no mubice bikikije.
Kanseri y'inkondo y'umura ku bana ni gake.
Reba incamake ya ikurikira kugirango umenye amakuru yerekeye kanseri y'inkondo y'umura:
- Kurinda Kanseri y'inkondo y'umura
- Kwipimisha Kanseri y'inkondo y'umura
- Kanseri idasanzwe yo kuvura abana
Indwara ya papillomavirus (HPV) niyo mpamvu nyamukuru itera kanseri y'inkondo y'umura.
Ikintu cyose cyongera amahirwe yo kwandura indwara cyitwa impanuka. Kugira ibintu bishobora guteza ibyago ntibisobanura ko uzarwara kanseri; kutagira ibyago bishobora gusobanura ko utazarwara kanseri. Vugana na muganga wawe niba utekereza ko ushobora guhura na kanseri y'inkondo y'umura.
Impamvu zishobora gutera kanseri y'inkondo y'umura zirimo ibi bikurikira:
- Kwandura papillomavirus ya muntu (HPV). Iki nicyo kintu cyingenzi gishobora gutera kanseri y'inkondo y'umura.
- Guhura nibiyobyabwenge DES (diethylstilbestrol) mugihe uri munda ya nyina.
Ku bagore banduye HPV, ibintu bikurikira bikurikira byongera ibyago byo kwandura kanseri y'inkondo y'umura:
- Kubyara abana benshi.
- Kunywa itabi.
- Gukoresha uburyo bwo kuboneza urubyaro ("Inkingi") igihe kirekire.
Hariho kandi ibintu bishobora guteza ibyago byo kwandura HPV:
- Kugira intege nke z'umubiri ziterwa na immunosuppression. Immunosuppression igabanya ubushobozi bwumubiri bwo kurwanya indwara nizindi ndwara. Ubushobozi bwumubiri bwo kurwanya ubwandu bwa HPV burashobora kugabanuka kubera immunosuppression yigihe kirekire kuva:
- kwandura virusi ya immunodeficiency ya muntu (VIH).
- gufata imiti ifasha kwirinda kwangwa ingingo nyuma yo guterwa.
- Kuba ukora imibonano mpuzabitsina ukiri muto.
- Kugira abakunzi benshi.
Ubusaza nimpamvu nyamukuru itera kanseri nyinshi. Amahirwe yo kurwara kanseri ariyongera uko ugenda ukura.
Mubisanzwe nta bimenyetso cyangwa ibimenyetso bya kanseri y'inkondo y'umura hakiri kare ariko birashobora kumenyekana hakiri kare kwisuzumisha.
Kanseri y'inkondo y'umura ntishobora gutera ibimenyetso cyangwa ibimenyetso. Abagore bagomba kwisuzumisha buri gihe, harimo ibizamini byo gusuzuma papillomavirus ya muntu (HPV) cyangwa selile zidasanzwe muri nyababyeyi. Kumenyekanisha (amahirwe yo gukira) nibyiza mugihe kanseri ibonetse hakiri kare.
Ibimenyetso nibimenyetso bya kanseri yinkondo y'umura harimo kuva amaraso mu gitsina no kubabara. Ibi bimenyetso nibindi bimenyetso bishobora guterwa na kanseri yinkondo y'umura cyangwa nibindi bihe. Menyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:
- Kuva amaraso mu gitsina (harimo kuva amaraso nyuma yo gukora imibonano mpuzabitsina).
- Gusohora mu gitsina bidasanzwe.
- Ububabare bwo mu nda.
- Kubabara mugihe cyimibonano mpuzabitsina.
Ibizamini bisuzuma inkondo y'umura bikoreshwa mu kumenya (gushakisha) no gusuzuma kanseri y'inkondo y'umura.
Uburyo bukurikira burashobora gukoreshwa:
- Ikizamini cyumubiri namateka yubuzima: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
- Ikizamini cya pelvic: Ikizamini cyigituba, inkondo y'umura, nyababyeyi, igituba cya fallopian, ovaries, na rectum. Igitekerezo cyinjijwe mu gitsina kandi umuganga cyangwa umuforomo areba mu gitsina na nyababyeyi kugira ngo agaragaze ibimenyetso byindwara. Ikizamini cya Papi yinkondo y'umura gikunze gukorwa. Muganga cyangwa umuforomo kandi yinjiza intoki imwe cyangwa ebyiri zasizwe, zometse ku ntoki z'ukuboko kumwe mu gitsina hanyuma agashyira ikindi kiganza hejuru yinda yo hepfo kugirango yumve ubunini, imiterere, n'umwanya wa nyababyeyi na ovaire. Muganga cyangwa umuforomo nawe ashyiramo urutoki rwamavuta, rwuzuye urukiramende kugirango yumve ibibyimba cyangwa ahantu hadasanzwe.

- Ikizamini cya papi: Uburyo bwo gukusanya selile ziva hejuru yinkondo y'umura nigituba. Igice cy'ipamba, umuyonga, cyangwa inkoni ntoya y'ibiti bikoreshwa mugukuraho buhoro buhoro ingirabuzimafatizo ziva munda ibyara. Utugingo ngengabuzima tureba munsi ya microscope kugirango tumenye niba bidasanzwe. Ubu buryo nabwo bwitwa Pap smear.
- Ikizamini cya papillomavirus yumuntu (HPV): Ikizamini cya laboratoire ikoreshwa mugusuzuma ADN cyangwa RNA kubwoko bumwe na bumwe bwanduye HPV. Ingirabuzimafatizo zegeranijwe ziva muri nyababyeyi na ADN cyangwa RNA ziva mu ngirabuzimafatizo zirasuzumwa kugira ngo hamenyekane niba ubwandu buterwa n'ubwoko bwa HPV bufitanye isano na kanseri y'inkondo y'umura. Iki kizamini gishobora gukorwa ukoresheje icyitegererezo cya selile zavanyweho mugihe cya Pap. Iki kizamini gishobora kandi gukorwa niba ibisubizo byikizamini cya Pap byerekana selile zimwe na zimwe zidasanzwe.
- Endocervical curettage: Uburyo bwo gukusanya selile cyangwa tissue ziva kumuyoboro winkondo y'umura ukoresheje curette (igikoresho kimeze nk'ikiyiko). Ingero za tissue zifatwa zigasuzumwa munsi ya microscope kugirango ibimenyetso bya kanseri. Ubu buryo bukorwa rimwe na rimwe icyarimwe na colposcopi.
- Colposcopi: Uburyo bukoreshwa na colposcope (igikoresho kimurika, gikuza) mugusuzuma ibyara na nyababyeyi ahantu hadasanzwe. Ingero za tissue zirashobora gufatwa ukoresheje curette (igikoresho kimeze nk'ikiyiko) cyangwa umuyonga hanyuma ukagenzurwa munsi ya microscope kugirango ibimenyetso byindwara.
- Biopsy: Niba selile zidasanzwe zibonetse mugupima Pap, umuganga arashobora gukora biopsy. Urugero rwa tissue rwaciwe muri nyababyeyi hanyuma rukareba munsi ya microscope na patologue kugirango barebe ibimenyetso bya kanseri. Biopsy ikuraho uduce duke gusa mubusanzwe ikorerwa kwa muganga. Umugore arashobora gukenera kujya mubitaro kwa biopsy yinkondo y'umura (kuvanaho urugero runini, rumeze nk'urwungano ngogozi).
Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.
Kumenyekanisha (amahirwe yo gukira) biterwa nibi bikurikira:
- Intambwe ya kanseri (ingano yikibyimba kandi niba ifata igice cyinkondo y'umura cyangwa inkondo y'umura yose, cyangwa ikwirakwira kuri lymph node cyangwa ahandi hantu mumubiri).
- Ubwoko bwa kanseri y'inkondo y'umura.
- Imyaka yumurwayi nubuzima rusange.
- Niba umurwayi afite ubwoko runaka bwa papillomavirus (HPV).
- Niba umurwayi afite virusi ikingira indwara (VIH).
- Niba kanseri imaze gupimwa cyangwa yagarutse (garuka).
Uburyo bwo kuvura buterwa nibi bikurikira:
- Intambwe ya kanseri.
- Ubwoko bwa kanseri y'inkondo y'umura.
- Icyifuzo cy'umurwayi cyo kubyara.
- Imyaka yumurwayi.
Kuvura kanseri y'inkondo y'umura mugihe utwite biterwa nicyiciro cya kanseri nicyiciro cyo gutwita. Kuri kanseri y'inkondo y'umura iboneka hakiri kare cyangwa kuri kanseri iboneka mu gihembwe cya nyuma cyo gutwita, kuvura birashobora gutinda kugeza umwana avutse. Kubindi bisobanuro, reba igice kijyanye na kanseri y'inkondo y'umura mugihe utwite.
Icyiciro cya Kanseri y'inkondo y'umura
INGINGO Z'INGENZI
- Nyuma yo gupimwa kanseri y'inkondo y'umura, hakorwa ibizamini kugira ngo hamenyekane niba kanseri ya kanseri yarakwirakwiriye muri nyababyeyi cyangwa mu bindi bice by'umubiri.
- Hariho uburyo butatu kanseri ikwirakwira mu mubiri.
- Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.
- Ingirabuzimafatizo zidasanzwe zirashobora gukora mumurongo winkondo y'umura (karcinoma mumwanya).
- Ibyiciro bikurikira bikoreshwa kuri kanseri y'inkondo y'umura:
- Icyiciro I.
- Icyiciro cya II
- Icyiciro cya III
- Icyiciro cya IV
Nyuma yo gupimwa kanseri y'inkondo y'umura, hakorwa ibizamini kugira ngo hamenyekane niba kanseri ya kanseri yarakwirakwiriye muri nyababyeyi cyangwa mu bindi bice by'umubiri.
Inzira ikoreshwa mu kumenya niba kanseri yarakwirakwiriye muri nyababyeyi cyangwa mu bindi bice by'umubiri byitwa guterana. Amakuru yakusanyirijwe mubikorwa byateguwe agena icyiciro cyindwara. Ni ngombwa kumenya icyiciro kugirango utegure kuvura.
Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa mugutegura:
- CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.
- PET scan (positron emission tomografi scan): Uburyo bwo kubona selile mbi yibibyimba mumubiri. Umubare muto wa glucose ikora radio (isukari) yatewe mumitsi. PET scaneri izenguruka umubiri kandi ikora ishusho yerekana aho glucose ikoreshwa mumubiri. Utugingo ngengabuzima twibibyimba twerekana neza cyane ku ishusho kuko zikora cyane kandi zifata glucose nyinshi kuruta selile zisanzwe.
- MRI . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).
- Ikizamini cya Ultrasound: Uburyo bukoreshwa mu majwi menshi y’amajwi (ultrasound) asohoka mu ngingo cyangwa mu ngingo imbere hanyuma agasubiramo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Iyi shusho irashobora gucapurwa kugirango irebe nyuma.
- Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri.
- Lymph node biopsy: Gukuraho ibintu byose cyangwa igice cya lymph node. Inzobere mu bijyanye n’indwara ireba lymph node tissue munsi ya microscope kugirango isuzume selile.
- Cystoscopy: Uburyo bwo kureba imbere mu ruhago na urethra kugirango urebe ahantu hadasanzwe. Cystoscope yinjizwa muri urethra mu ruhago. Cystoscope nigikoresho cyoroshye, kimeze nkigikoresho gifite urumuri na lens yo kureba. Irashobora kandi kugira igikoresho cyo gukuraho ingero za tissue, zisuzumwa munsi ya microscope kugirango ibimenyetso bya kanseri.
- Laparoscopi: Uburyo bwo kubaga kureba ingingo ziri munda kugirango hamenyekane ibimenyetso byindwara. Uduce duto (gukata) bukozwe mu rukuta rw'inda hanyuma laparoskopi (umuyoboro muto, ucanwa) winjizwa muri kimwe mu bice. Ibindi bikoresho birashobora kwinjizwa muburyo bumwe cyangwa ubundi buryo kugirango bikore inzira nko gukuraho ingingo cyangwa gufata ingero za tissue kugirango zisuzumwe munsi ya microscope kugirango ibimenyetso byindwara.
- Kwitegura kubaga mbere yo kubaga: Kubaga (kubaga) bikorwa kugirango hamenyekane niba kanseri yarakwirakwiriye mu mura cyangwa mu bindi bice by'umubiri. Rimwe na rimwe, kanseri y'inkondo y'umura irashobora gukurwaho icyarimwe. Kubaga mbere yo kubaga mbere yo kubaga bikorwa gusa murwego rwo kugerageza kwa muganga.
Ibisubizo by'ibi bizamini birarebwa hamwe n'ibisubizo bya biopsy y'umwimerere kugira ngo hamenyekane icyiciro cya kanseri y'inkondo y'umura.
Hariho uburyo butatu kanseri ikwirakwira mu mubiri.
Kanseri irashobora gukwirakwira binyuze mu ngingo, sisitemu ya lymph, n'amaraso:
- Tissue. Kanseri ikwirakwira aho yatangiriye ikurira mu turere twegereye.
- Sisitemu ya Lymph. Kanseri ikwirakwira aho yatangiriye yinjira muri sisitemu ya lymph. Kanseri inyura mu mitsi ya lymph igana mu bindi bice by'umubiri.
- Amaraso. Kanseri ikwirakwira aho yatangiriye yinjira mu maraso. Kanseri inyura mu mitsi y'amaraso igana mu bindi bice by'umubiri.
Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.
Iyo kanseri ikwirakwira mu kindi gice cy'umubiri, yitwa metastasis. Ingirabuzimafatizo za kanseri zitandukana aho zatangiriye (ikibyimba kibanza) zikanyura muri sisitemu ya lymph cyangwa maraso.
- Sisitemu ya Lymph. Kanseri yinjira muri sisitemu ya lymph, ikanyura mu mitsi ya lymph, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.
- Amaraso. Kanseri yinjira mu maraso, ikanyura mu mitsi y'amaraso, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.
Ikibyimba metastatike nubwoko bumwe bwa kanseri nkibibyimba byibanze. Kurugero, niba kanseri y'inkondo y'umura ikwirakwira mu bihaha, selile ya kanseri mu bihaha ni selile kanseri y'inkondo y'umura. Indwara ni kanseri y'inkondo y'umura, ntabwo ari kanseri y'ibihaha.
Ingirabuzimafatizo zidasanzwe zirashobora gukora mumurongo winkondo y'umura (karcinoma mumwanya).
Muri kanseri mu mwanya, ingirabuzimafatizo zidasanzwe ziboneka mu nda y'imbere y'inkondo y'umura. Utugingo ngengabuzima tudasanzwe dushobora guhinduka kanseri tugakwirakwira mu ngingo zisanzwe.
Ibyiciro bikurikira bikoreshwa kuri kanseri y'inkondo y'umura:
Icyiciro I.
Mu cyiciro cya I, kanseri yarakozwe kandi iboneka muri nyababyeyi gusa.
Icyiciro cya I kigabanyijemo ibyiciro IA na IB, hashingiwe ku bunini bw'ikibyimba hamwe n'ahantu himbitse ho gutera ibibyimba.
- Icyiciro cya IA: Icyiciro cya IA kigabanyijemo ibyiciro IA1 na IA2, hashingiwe ku ngingo yimbitse yo gutera ibibyimba.
- Mu cyiciro cya IA1, kanseri nkeya cyane ishobora kugaragara hamwe na microscope iboneka gusa mubice byinkondo y'umura. Ingingo yimbitse yibitero byibibyimba ni milimetero 3 cyangwa munsi yayo.
- Mu cyiciro cya IA2, kanseri nkeya cyane ishobora kugaragara gusa hamwe na microscope iboneka mubice byinkondo y'umura. Ingingo yimbitse yibitero byibibyimba birenze milimetero 3 ariko ntibirenza milimetero 5.
- Icyiciro IB: Icyiciro IB kigabanyijemo ibyiciro IB1, IB2, na IB3, hashingiwe ku bunini bwikibyimba hamwe n’ahantu hanini ho gutera ibibyimba.
- Mu cyiciro cya IB1, ikibyimba gifite santimetero 2 cyangwa ntoya kandi ingingo yimbitse yo gutera ibibyimba irenga milimetero 5.
- Mu cyiciro cya IB2, ikibyimba kirenze santimetero 2 ariko ntikirenza santimetero 4.
- Mu cyiciro cya IB3, ikibyimba kirenze santimetero 4.

Icyiciro cya II
Mu cyiciro cya II, kanseri yakwirakwiriye hejuru ya bibiri bya gatatu by'igitereko cyangwa ku nyama zikikije nyababyeyi.
Icyiciro cya II kigabanyijemo ibyiciro IIA na IIB, ukurikije intera kanseri imaze gukwirakwira.
- Icyiciro cya IIA: Kanseri yakwirakwiriye kuva muri nyababyeyi kugeza hejuru ya bibiri bya gatatu by'igituba ariko ntikwirakwira mu nyama zikikije nyababyeyi. Icyiciro cya IIA kigabanyijemo ibyiciro IIA1 na IIA2, ukurikije ubunini bw'ikibyimba.
- Mu cyiciro cya IIA1, ikibyimba gifite santimetero 4 cyangwa nto.
- Mu cyiciro cya IIA2, ikibyimba kirenze santimetero 4.
- Icyiciro cya IIB: Kanseri yakwirakwiriye kuva muri nyababyeyi kugeza ku nyama zikikije nyababyeyi.
Icyiciro cya III
Mu cyiciro cya III, kanseri yakwirakwiriye mu gice cya gatatu cyo mu nda ibyara na / cyangwa ku rukuta rw'inda, kandi / cyangwa yateje ibibazo by'impyiko, kandi / cyangwa irimo lymph node.
Icyiciro cya III kigabanyijemo ibyiciro IIIA, IIIB, na IIIC, ukurikije intera kanseri imaze gukwirakwira.
- Icyiciro cya IIIA: Kanseri yakwirakwiriye mu gice cya gatatu cyo mu nda ibyara ariko ntikwirakwira ku rukuta rw'imitsi.
- Icyiciro cya IIIB: Kanseri yakwirakwiriye ku rukuta rw'imitsi; na / cyangwa ikibyimba cyabaye kinini bihagije kugirango kibuze imwe cyangwa zombi cyangwa zateye impyiko imwe cyangwa zombi gukura cyangwa guhagarika akazi.
- Icyiciro cya IIIC: Icyiciro cya IIIC kigabanyijemo ibyiciro IIIC1 na IIIC2, bishingiye ku gukwirakwiza kanseri kuri lymph node.
- Mu cyiciro cya IIIC1, kanseri yakwirakwiriye mu mitsi yo mu nda.
- Mu cyiciro cya IIIC2, kanseri yakwirakwiriye mu mitsi yo mu nda hafi ya aorta.
Icyiciro cya IV
Mu cyiciro cya IV, kanseri yakwirakwiriye hejuru yigitereko, cyangwa ikwirakwira mu ruhago cyangwa urukiramende, cyangwa ikwirakwira mu bindi bice byumubiri.
Icyiciro cya IV kigabanyijemo ibyiciro IVA na IVB, ukurikije aho kanseri yakwirakwiriye.
- Icyiciro cya IVA: Kanseri yakwirakwiriye mu ngingo zegeranye, nk'uruhago cyangwa urukiramende.
- Icyiciro cya IVB: Kanseri yakwirakwiriye mu bindi bice by'umubiri, nk'umwijima, ibihaha, amagufwa, cyangwa lymph node ya kure.
Kanseri y'inkondo y'umura isubirwamo
Kanseri y'inkondo y'umura isubirwamo ni kanseri yagarutse (garuka) nyuma yo kuvurwa. Kanseri irashobora kugaruka muri nyababyeyi cyangwa mu bindi bice by'umubiri.
Incamake yo kuvura
INGINGO Z'INGENZI
- Hariho uburyo butandukanye bwo kuvura abarwayi ba kanseri y'inkondo y'umura.
- Ubwoko butanu bwo kuvura busanzwe bukoreshwa:
- Kubaga
- Imiti ivura imirasire
- Chimoterapi
- Ubuvuzi bugamije
- Immunotherapy
- Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
- Umuti wa kanseri y'inkondo y'umura urashobora gutera ingaruka.
- Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
- Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.
- Ibizamini byo gukurikirana birashobora gukenerwa.
Hariho uburyo butandukanye bwo kuvura abarwayi ba kanseri y'inkondo y'umura.
Ubwoko butandukanye bwo kuvura burahari kubarwayi barwaye kanseri y'inkondo y'umura. Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe. Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.
Ubwoko butanu bwo kuvura busanzwe bukoreshwa:
Kubaga
Kubaga (gukuraho kanseri mu gikorwa) rimwe na rimwe bikoreshwa mu kuvura kanseri y'inkondo y'umura. Uburyo bukurikira bwo kubaga bushobora gukoreshwa:
- Guhuriza hamwe: Uburyo bwo kuvanaho agace kameze nk'igice cya kanseri mu mura no mu muyoboro w'inkondo y'umura. Inzobere mu bijyanye n’indwara ireba tissue munsi ya microscope kugirango ishakishe selile. Ihuriro rishobora gukoreshwa mugupima cyangwa kuvura indwara yinkondo y'umura. Ubu buryo kandi bwitwa cone biopsy.
Guhuriza hamwe birashobora gukorwa hakoreshejwe bumwe muburyo bukurikira:
- Gukonjesha icyuma gikonje: Uburyo bwo kubaga bukoresha scalpel (icyuma gityaye) kugirango ikureho tissue idasanzwe cyangwa kanseri.
- Inzira yo gukuramo amashanyarazi (LEEP): Uburyo bwo kubaga bukoresha umuyagankuba wanyuze mu cyuma cyoroshye nk'icyuma kugirango ukureho ingirabuzimafatizo cyangwa kanseri idasanzwe.
- Kubaga Laser: Uburyo bwo kubaga bukoresha urumuri rwa lazeri (urumuri ruto rw'urumuri rwinshi) nk'icyuma kugirango ugabanye amaraso mu mitsi cyangwa ukureho igikomere cyo hejuru nk'ikibyimba.
Ubwoko bwa conisation bukoreshwa buterwa n’aho selile ya kanseri iri muri nyababyeyi nubwoko bwa kanseri yinkondo y'umura.
- Indwara ya hysterectomie yose: Kubaga gukuramo nyababyeyi, harimo na nyababyeyi. Niba nyababyeyi na nyababyeyi bikuwe mu gitsina, kubaga byitwa hysterectomy. Niba nyababyeyi na nyababyeyi bisohotse binyuze mu nda nini (gukata) mu nda, kubaga byitwa hysterectomy yo munda yuzuye. Niba nyababyeyi na nyababyeyi bisohotse hifashishijwe agace gato mu nda ukoresheje laparoskopi, kubaga byitwa laparoscopic hysterectomy.

- Indwara ya hysterectomie: Kubagwa kugirango ukureho nyababyeyi, inkondo y'umura, igice cy'igituba, hamwe n'ahantu hanini h'imitsi n'uturemangingo dukikije izo ngingo. Intanga ngore, imiyoboro ya fallopian, cyangwa hafi ya lymph node nayo irashobora gukurwaho.
- Guhindura radical hysterectomy: Kubaga kugirango ukureho nyababyeyi, inkondo y'umura, igice cyo hejuru cyigitereko, hamwe na ligaments hamwe nuduce dukikije izo ngingo. Hafi ya lymph node irashobora kandi gukurwaho. Muri ubu bwoko bwo kubaga, ntabwo ingirangingo nyinshi / cyangwa ingingo zavanyweho nko muri hysterectomy.
- Trachelectomy ikabije: Kubagwa kugirango ukure inkondo y'umura, ingirangingo zegeranye na lymph node, hamwe no hejuru yigituba. Inda na ovaries ntibikurwaho.
- Impande zombi salpingo-oophorectomy: Kubagwa kugirango ukuremo intanga ngore zombi.
- Pelvic exenteration: Kubaga kugirango ukure umura wo hepfo, urukiramende, nu ruhago. Inkondo y'umura, ibyara, intanga ngore, hamwe na lymph node hafi. Gufungura ibihimbano (stoma) bikozwe kugirango inkari nintebe bitemba biva mumubiri bijya mumufuka. Kubaga plastique birashobora gukenerwa kugirango igituba gikorwe nyuma yiki gikorwa.
Imiti ivura imirasire
Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Hariho ubwoko bubiri bwo kuvura imirasire:
- Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire kuri kanseri. Uburyo bumwe na bumwe bwo gutanga imishwarara irashobora gufasha kurinda imirasire kwangiza ingirabuzimafatizo nziza. Ubu bwoko bwo kuvura imirasire bukubiyemo ibi bikurikira:
- Imiti ivura imishwarara ikabije (IMRT): IMRT ni ubwoko bwimiti 3 (3-D) ivura imirasire ikoresha mudasobwa mugukora amashusho yubunini nuburyo imiterere yikibyimba. Imirasire yoroheje yimirasire yububasha butandukanye (imbaraga) igamije kubyimba uhereye kumpande nyinshi.
- Imiti ivura imbere ikoresha ibintu bifata radiyo bifunze inshinge, imbuto, insinga, cyangwa catheteri bishyirwa muri kanseri cyangwa hafi yayo.
Uburyo imiti ivura imirasire itangwa biterwa n'ubwoko bwa kanseri ivurwa. Imiti ivura hanze n’imbere ikoreshwa mu kuvura kanseri y'inkondo y'umura, kandi irashobora no gukoreshwa nk'ubuvuzi bwa palliative kugirango igabanye ibimenyetso kandi imibereho myiza.
Chimoterapi
Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Iyo chimiotherapie ishyizwe mumazi yubwonko, urugingo, cyangwa umwobo wumubiri nkinda, imiti yibasira kanseri ya kanseri muri utwo turere (chimiotherapie yo mukarere). Uburyo chimiotherapie itangwa biterwa nubwoko nicyiciro cya kanseri ivurwa.
Reba ibiyobyabwenge byemewe kuri kanseri y'inkondo y'umura kubindi bisobanuro.
Ubuvuzi bugamije
Ubuvuzi bugamije ni uburyo bwo kuvura bukoresha ibiyobyabwenge cyangwa ibindi bintu kugirango umenye kandi utere kanseri yihariye ya kanseri utangiza ingirabuzimafatizo zisanzwe.
Ubuvuzi bwa antibody ya Monoclonal ni ubwoko bwubuvuzi bugamije gukoresha antibodies zakozwe muri laboratoire ziva mubwoko bumwe bwimikorere yumubiri. Iyi antibodies irashobora kumenya ibintu biri muri kanseri ya kanseri cyangwa ibintu bisanzwe bishobora gufasha kanseri gukura. Antibodiyite ifata ibintu kandi ikica selile ya kanseri, ikabuza gukura kwayo, cyangwa ikabuza gukwirakwira. Antibodiyite za Monoclonal zitangwa no gushiramo. Bashobora gukoreshwa bonyine cyangwa gutwara ibiyobyabwenge, uburozi, cyangwa ibikoresho bya radio bikoresha kanseri ya kanseri.
Bevacizumab ni antibody ya monoclonal ihuza poroteyine yitwa vascular endothelial growth factor (VEGF) kandi irashobora kubuza gukura kw'imiyoboro mishya y'amaraso ibibyimba bigomba gukura. Bevacizumab ikoreshwa mu kuvura kanseri y'inkondo y'umura yanduye (ikwirakwira mu bindi bice by'umubiri) na kanseri y'inkondo y'umura igaruka.
Reba ibiyobyabwenge byemewe kuri kanseri y'inkondo y'umura kubindi bisobanuro.
Immunotherapy
Immunotherapy nubuvuzi bukoresha sisitemu yumubiri yumurwayi kurwanya kanseri. Ibintu bikozwe numubiri cyangwa bikozwe muri laboratoire bikoreshwa mukuzamura, kuyobora, cyangwa kugarura umubiri kamere irinda kanseri. Ubu bwoko bwo kuvura kanseri nabwo bwitwa biotherapy cyangwa biologique therapy.
Immune checkpoint inhibitor therapy ni ubwoko bwikingira.
- Immune checkpoint inhibitor therapy: PD-1 ni poroteyine hejuru ya selile T ifasha kugenzura ubudahangarwa bw'umubiri. Iyo PD-1 ifatanye nindi poroteyine yitwa PDL-1 kuri selile ya kanseri, ihagarika selile T kwica kanseri. Inzitizi za PD-1 zifatanije na PDL-1 kandi zemerera selile T kwica selile. Pembrolizumab ni ubwoko bwa inhibitor inhibitor ikoreshwa mu kuvura kanseri y'inkondo y'umura.

Reba ibiyobyabwenge byemewe kuri kanseri y'inkondo y'umura kubindi bisobanuro.
Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.
Umuti wa kanseri y'inkondo y'umura urashobora gutera ingaruka.
Kumakuru yingaruka ziterwa no kuvura kanseri, reba urupapuro rwuruhande rwacu.
Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.
Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.
Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.
Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.
Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.
Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.
Ibizamini byo gukurikirana birashobora gukenerwa.
Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.
Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba ubuzima bwawe bwarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.
Muganga wawe azakubaza niba ufite ibimenyetso cyangwa ibimenyetso bikurikira, bishobora gusobanura ko kanseri yagarutse:
- Kubabara mu nda, inyuma, cyangwa ukuguru.
- Kubyimba ukuguru.
- Ikibazo cyo kwihagarika.
- Inkorora.
- Kumva unaniwe.
Kuri kanseri y'inkondo y'umura, ibizamini byo gukurikirana bikorwa buri mezi 3 kugeza kuri 4 mu myaka 2 yambere, hagakurikiraho kwisuzumisha buri mezi 6. Kwisuzumisha birimo amateka yubuzima hamwe nisuzuma ryumubiri kugirango hamenyekane ibimenyetso nibimenyetso bya kanseri yinkondo y'umura yisubiramo ndetse ningaruka zo kuvura.
Amahitamo yo Kuvura Icyiciro
Muri iki gice
- Carcinoma muri Situ
- Icyiciro IA Kanseri y'inkondo y'umura
- Icyiciro IB na IIA Kanseri y'inkondo y'umura
- Icyiciro IIB, III, na IVA Kanseri y'inkondo y'umura
- Icyiciro cya IVB Kanseri y'inkondo y'umura
Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.
Carcinoma muri Situ
Kuvura kanseri mu mwanya bishobora kubamo ibi bikurikira:
- Guhuriza hamwe, nko guhuza icyuma gikonje, uburyo bwo kuzenguruka amashanyarazi (LEEP), cyangwa kubaga laser.
- Hysterectomy kubagore badashobora cyangwa batagishaka kubyara. Ibi bikorwa gusa mugihe ikibyimba kidashobora gukurwaho burundu.
- Imiti ivura imbere kubagore badashobora kubagwa.
Icyiciro IA Kanseri y'inkondo y'umura
Icyiciro cya IA kanseri y'inkondo y'umura itandukanijwe mu cyiciro cya IA1 na IA2.
Umuti wicyiciro cya IA1 urashobora kubamo ibi bikurikira:
- Guhuriza hamwe.
- Hysterectomy yuzuye hamwe cyangwa idafite salpingo-oophorectomy.
Umuti wicyiciro cya IA2 urashobora kubamo ibi bikurikira:
- Yahinduye radical hysterectomy no gukuraho lymph node.
- Trachelectomy.
- Imiti ivura imbere kubagore badashobora kubagwa.
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Icyiciro IB na IIA Kanseri y'inkondo y'umura
Kuvura icyiciro cya IB nicyiciro cya IIA kanseri yinkondo y'umura irashobora kuba ikubiyemo ibi bikurikira:
- Imiti ivura imirasire hamwe na chimiotherapie yatanzwe icyarimwe.
- Indwara ya hysterectomie ikabije no kuvanaho pelvic lymph node hamwe cyangwa idafite imishwarara ivura imitsi, hiyongereyeho chimiotherapie.
- Trachelectomy.
- Chimiotherapie ikurikirwa no kubagwa.
- Imirasire yonyine.
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Icyiciro IIB, III, na IVA Kanseri y'inkondo y'umura
Kuvura icyiciro cya IIB, icyiciro cya III, nicyiciro cya IVA kanseri yinkondo y'umura ishobora kubamo ibi bikurikira:
- Imiti ivura imirasire hamwe na chimiotherapie yatanzwe icyarimwe.
- Kubaga kugirango ukureho pelvic lymph node ikurikirwa no kuvura imirasire hamwe na chimiotherapie.
- Imiti ivura imbere.
- Igeragezwa rya chimiotherapie kugirango igabanye ikibyimba ikurikirwa no kubagwa.
- Igeragezwa rya clinique ya chimiotherapie hamwe nubuvuzi bwimirasire yatanzwe icyarimwe, hakurikiraho chimiotherapie.
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Icyiciro cya IVB Kanseri y'inkondo y'umura
Kuvura kanseri y'inkondo y'umura IVB bishobora kuba bikubiyemo ibi bikurikira:
- Ubuvuzi bwimirasire nkubuvuzi bwa palliative kugirango bugabanye ibimenyetso biterwa na kanseri no kuzamura imibereho.
- Chimiotherapie hamwe nubuvuzi bugamije.
- Chimiotherapie nkubuvuzi bwa palliative kugirango igabanye ibimenyetso biterwa na kanseri no kuzamura imibereho.
- Igeragezwa rya Clinical yimiti mishya ya anticancer cyangwa ibiyobyabwenge.
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Uburyo bwo kuvura Kanseri y'inkondo y'umura isubirwamo
Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.
Kuvura kanseri y'inkondo y'umura isubirwamo bishobora kuba bikubiyemo ibi bikurikira:
- Immunotherapy.
- Imiti ivura imirasire hamwe na chimiotherapie.
- Chimiotherapie hamwe nubuvuzi bugamije.
- Chimiotherapie nkubuvuzi bwa palliative kugirango igabanye ibimenyetso biterwa na kanseri no kuzamura imibereho.
- Kwiyongera kwa pelvic.
- Igeragezwa rya Clinical yimiti mishya ya anticancer cyangwa ibiyobyabwenge.
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Kanseri y'inkondo y'umura igihe utwite
Muri iki gice
- Amakuru Rusange Yerekeye Kanseri Yinkondo y'umura mugihe utwite
- Uburyo bwo kuvura kanseri y'inkondo y'umura mugihe utwite
- Carcinoma muri Situ Mugihe cyo Gutwita
- Icyiciro cya I Kanseri y'inkondo y'umura mugihe utwite
- Icyiciro cya II, III, na IV Kanseri y'inkondo y'umura mugihe utwite
Amakuru Rusange Yerekeye Kanseri Yinkondo y'umura mugihe utwite
Kuvura kanseri y'inkondo y'umura igihe utwite biterwa n'icyiciro cya kanseri n'igihe umurwayi atwite. Ibizamini bya biopsy na imaging birashobora gukorwa kugirango hamenyekane icyiciro cyindwara. Kugira ngo wirinde kwanduza akayoya imirasire, hakoreshwa MRI (magnetic resonance imaging).
Uburyo bwo kuvura kanseri y'inkondo y'umura mugihe utwite
Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.
Carcinoma muri Situ Mugihe cyo Gutwita
Mubisanzwe, nta muti ukenewe kuri kanseri mu gihe utwite. Colposcopi irashobora gukorwa kugirango isuzume kanseri itera.
Icyiciro cya I Kanseri y'inkondo y'umura mugihe utwite
Abagore batwite bafite intambwe ikura buhoro I kanseri yinkondo y'umura barashobora gutinda kwivuza kugeza igihembwe cya kabiri cyo gutwita cyangwa nyuma yo kubyara.
Abagore batwite bafite intambwe ikura vuba I kanseri y'inkondo y'umura irashobora gukenera kuvurwa bidatinze. Umuti urashobora kubamo:
- Guhuriza hamwe.
- Trachelectomy.
Abagore bagomba kwipimisha kugirango bamenye niba kanseri yarakwirakwiriye. Niba kanseri yarakwirakwiriye mu mitsi, hakenewe ubuvuzi bwihuse.
Icyiciro cya II, III, na IV Kanseri y'inkondo y'umura mugihe utwite
Umuti wo mu cyiciro cya II, icyiciro cya III, n'icyiciro cya IV kanseri y'inkondo y'umura igihe utwite ushobora kubamo ibi bikurikira:
- Chimiotherapie kugirango igabanye ikibyimba mugihembwe cya kabiri cyangwa icya gatatu cyo gutwita. Kubaga cyangwa kuvura imirasire birashobora gukorwa nyuma yo kubyara.
- Imiti ivura imirasire wongeyeho chimiotherapie. Vugana na muganga wawe kubyerekeye ingaruka z'imirasire ku mwana. Birashobora kuba nkenerwa kurangiza gutwita mbere yuko imiti itangira.
Kumenya byinshi kuri Kanseri y'inkondo y'umura
Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye kanseri y'inkondo y'umura, reba ibi bikurikira:
- Kanseri y'inkondo y'umura Urupapuro
- Kurinda Kanseri y'inkondo y'umura
- Kwipimisha Kanseri y'inkondo y'umura
- Kanseri idasanzwe yo kuvura abana
- Ibiyobyabwenge Byemewe Kanseri Yinkondo y'umura
- Lazeri mu kuvura Kanseri
- Sobanukirwa n'impinduka z'inkondo y'umura: Igitabo cyubuzima ku bagore
- Inkingo za Papillomavirus (HPV)
- Ikizamini cya HPV na Pap
Kumakuru rusange ya kanseri nibindi bikoresho biva mu kigo cyigihugu cya kanseri, reba ibi bikurikira:
- Ibyerekeye Kanseri
- Gutegura
- Chimiotherapie nawe: Inkunga kubantu barwaye Kanseri
- Ubuvuzi bwimirasire nawe: Inkunga kubantu barwaye Kanseri
- Guhangana na Kanseri
- Ibibazo byo Kubaza Muganga wawe kuri Kanseri
- Abacitse ku icumu n'abarezi