Ubwoko / igituba / umurwayi / kuvura-kuvura-pdq

Kuva ku rukundo.co
Simbukira kugendagenda Simbuka gushakisha
Uru rupapuro rurimo impinduka zitarangwamo ibisobanuro.

Kuvura Kanseri ya Vulvar (®) - Indwara y'abarwayi

Amakuru Rusange Yerekeye Kanseri ya Vulvar

INGINGO Z'INGENZI

  • Kanseri ya Vulvar n'indwara idasanzwe aho ingirabuzimafatizo (kanseri) ziba mu ngingo z'igituba.
  • Kugira virusi ya intraepithelial neoplasia cyangwa kwandura HPV birashobora kongera ibyago byo kurwara kanseri.
  • Ibimenyetso bya kanseri yigituba harimo kuva amaraso cyangwa guhinda mugace ka vulvar.
  • Ibizamini bisuzuma igituba bikoreshwa mugupima kanseri yigituba.
  • Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kanseri ya Vulvar n'indwara idasanzwe aho ingirabuzimafatizo (kanseri) ziba mu ngingo z'igituba.

Kanseri ya Vulvar igaragara mu gitsina cyo hanze cy'umugore. Igituba kirimo:

  • Iminwa yimbere ninyuma yigituba.
  • Clitoris (inyama zoroshye hagati yiminwa).
  • Gufungura ibyara na glande.
  • Mons pubis (agace kegeranye imbere yamagufwa yigituba ahinduka umusatsi mugihe cyubwangavu).
  • Perineum (agace kari hagati yigituba na anus).
Anatomy yigituba. Igituba kirimo mons pubis, clitoris, gufungura urethral, ​​iminwa yimbere ninyuma yigituba, gufungura ibyara, na perineum.

Kanseri ya Vulvar ikunze kwibasira iminwa yo hanze. Kenshi na kenshi, kanseri yibasira iminwa y'imbere, imitsi, cyangwa glande.

Kanseri ya Vulvar isanzwe ikora buhoro buhoro mumyaka myinshi. Ingirabuzimafatizo zidasanzwe zirashobora gukura hejuru yuruhu rwa vulvar igihe kirekire. Iyi miterere yitwa vulvar intraepithelial neoplasia (VIN). Kuberako bishoboka ko VIN ihinduka kanseri ya vulvar, ni ngombwa kwivuza.

Kugira virusi ya intraepithelial neoplasia cyangwa kwandura HPV birashobora kongera ibyago byo kurwara kanseri.

Ikintu cyose cyongera ibyago byo kwandura byitwa 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 n'akaga. Impamvu zishobora gutera kanseri ya virusi zirimo ibi bikurikira:

  • Ubusaza.
  • Kugira indwara ya papillomavirus (HPV).
  • Kugira vulvar intraepithelial neoplasia (VIN).
  • Kugira amateka yigituba.

Ibindi bishobora guteza ingaruka zirimo ibi bikurikira:

  • Kugira abakunzi benshi.
  • Gukora imibonano mpuzabitsina ya mbere ukiri muto.
  • Kugira amateka y'ibizamini bidasanzwe bya Pap (Pap smears).

Ibimenyetso bya kanseri yigituba harimo kuva amaraso cyangwa guhinda mugace ka vulvar.

Kanseri ya Vulvar akenshi ntabwo itera ibimenyetso cyangwa ibimenyetso hakiri kare. Ibimenyetso nibimenyetso bishobora guterwa na kanseri ya vulvar cyangwa nibindi bihe. Menyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:

  • Ikibyimba cyangwa gukura ku gituba gisa n'intambara cyangwa ibisebe.
  • Kwikinisha mu gace ka vulvar katagiye.
  • Kuva amaraso bitajyanye n'imihango (ibihe).
  • Ububabare mu gace ka vulvar.

Ibizamini bisuzuma igituba bikoreshwa mugupima kanseri yigituba.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:

  • Ikizamini cyumubiri namateka yubuzima: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma igituba 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 pelvic. Umuganga cyangwa umuforomo ashyiramo intoki imwe cyangwa ebyiri zasizwe, zuzuye intoki z'ukuboko kumwe mu gitsina hanyuma agakanda ku nda yo hepfo n'ukundi kuboko. Ibi bikorwa kugirango wumve ubunini, imiterere, n'umwanya wa nyababyeyi na ovaries. Igituba, inkondo y'umura, imiyoboro ya fallopian, na rectum nabyo birasuzumwa.
  • 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.
  • Ikizamini cya papillomavirus yumuntu (HPV): Ikizamini cya laboratoire ikoreshwa mugusuzuma ADN cyangwa RNA kubwoko bumwe na bumwe bwanduye HPV. Ingirabuzimafatizo zegeranijwe ziva mu gituba na ADN cyangwa RNA ziva mu ngirabuzimafatizo zirasuzumwa kugira ngo hamenyekane niba ubwandu buterwa n'ubwoko bwa papillomavirus bwa muntu bufitanye isano na kanseri ya virusi. Iki kizamini gishobora gukorwa ukoresheje icyitegererezo cya selile zavanyweho mugihe cya Pap. Iki kizamini nacyo gishobora gukorwa niba ibisubizo byikizamini cya Pap byerekana selile zidasanzwe zidasanzwe.
  • Biopsy: Gukuraho ingirabuzimafatizo cyangwa ingirabuzimafatizo mu gituba kugira ngo zishobore kurebwa munsi ya microscope na psychologue kugira ngo barebe ibimenyetso bya kanseri.
  • 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.
  • MRI . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).
  • 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.

Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Amahitamo yo kuvura no kuvura biterwa nibi bikurikira:

  • Niba kanseri yarakwirakwiriye mu turere twegereye cyangwa mu bindi bice by'umubiri.
  • Niba kanseri yarakwirakwiriye mu mitsi.
  • Niba kanseri imaze gupimwa cyangwa yagarutse (garuka).

Icyiciro cya Kanseri ya Vulvar

INGINGO Z'INGENZI

  • Nyuma yo gupimwa kanseri ya vulvar, hakorwa ibizamini kugirango hamenyekane niba kanseri ya kanseri yakwirakwiriye mu gituba cyangwa mu bindi bice by'umubiri.
  • Hariho uburyo butatu kanseri ikwirakwira mu mubiri.
  • Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.
  • Muri vulvar intraepithelial neoplasia (VIN), selile zidasanzwe ziboneka hejuru yuruhu rwigituba.
  • Ibyiciro bikurikira bikoreshwa kuri kanseri ya vulvar:
  • Icyiciro I.
  • Icyiciro cya II
  • Icyiciro cya III
  • Icyiciro cya IV
  • Kanseri ya vulvar isubirwamo ni kanseri yagarutse (garuka) nyuma yo kuvurwa.

Nyuma yo gupimwa kanseri ya vulvar, hakorwa ibizamini kugirango hamenyekane niba kanseri ya kanseri yakwirakwiriye mu gituba cyangwa mu bindi bice by'umubiri.

Inzira ikoreshwa mu kumenya niba kanseri yarakwirakwiriye mu gituba 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:

  • 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 yerekana ibimenyetso bya kanseri.
  • Proctoscopy: Uburyo bwo kureba imbere muri rectum na anus kugirango ugenzure ahantu hadasanzwe, ukoresheje proctoscope. Proctoscope nigikoresho cyoroshye, kimeze nkigikoresho gifite urumuri na lens yo kureba imbere yurukiramende na anus. Irashobora kandi kugira igikoresho cyo gukuraho ingero za tissue, zisuzumwa munsi ya microscope kugirango ibimenyetso bya kanseri.
  • Isanduku ya x-ray: X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice biri mumubiri. Kugira ngo kanseri yibasire, x-imirasire irashobora gufatwa mu ngingo no mu magufwa imbere mu gituza.
  • Pyelogramu yimitsi (IVP): Urukurikirane rwa x-imirasire yimpyiko, ureteri, nimpago kugirango umenye niba kanseri yarakwirakwiriye muri izi ngingo. Irangi ritandukanye ryatewe mumitsi. Nkuko irangi ritandukanye rinyura mu mpyiko, ureteri no mu ruhago, x-imirasire ifatwa kugirango harebwe niba hari ibibujijwe. Ubu buryo bwitwa kandi urography.
  • Biopsy: Kuvana ingirabuzimafatizo cyangwa ingirabuzimafatizo mu ruhago cyangwa urukiramende kugira ngo bishobore kurebwa munsi ya microscope na psychologue kugira ngo barebe ibimenyetso bya kanseri, niba bikekwa ko kanseri yakwirakwiriye.

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 ya vulvar ikwirakwira mu bihaha, selile ya kanseri mu bihaha ni selile kanseri. Indwara ni kanseri ya metastatike, ntabwo ari kanseri y'ibihaha.

Muri vulvar intraepithelial neoplasia (VIN), selile zidasanzwe ziboneka hejuru yuruhu rwigituba.

Utugingo ngengabuzima tudasanzwe ntabwo ari kanseri. Vulvar intraepithelial neoplasia (VIN) irashobora guhinduka kanseri igakwirakwira mu ngingo. VIN rimwe na rimwe yitwa icyiciro 0 cyangwa kanseri mu mwanya.

Ibyiciro bikurikira bikoreshwa kuri kanseri ya vulvar:

Icyiciro I.

Mu cyiciro cya I, kanseri yarakozwe. Ikibyimba kiboneka gusa mu gituba cyangwa kuri perineum (agace kari hagati yurukiramende nigituba). Icyiciro cya I kigabanyijemo ibyiciro IA na IB.

Ingano ya Tumor ikunze gupimwa muri santimetero (cm) cyangwa santimetero. Ibiribwa bisanzwe bishobora gukoreshwa mu kwerekana ubunini bwikibyimba muri cm harimo: amashaza (cm 1), ibishyimbo (cm 2), umuzabibu (cm 3), walnut (cm 4), lime (cm 5 cyangwa 2 santimetero), igi (cm 6), amashaza (cm 7), n'imbuto (cm 10 cyangwa santimetero 4).
  • Mu cyiciro cya IA, ikibyimba gifite santimetero 2 cyangwa ntoya kandi cyakwirakwije milimetero 1 cyangwa munsi yacyo mu ngingo ya viva cyangwa perineum. Kanseri ntiyakwirakwiriye mu mitsi.
  • Mu cyiciro cya IB, ikibyimba kirenze santimetero 2 cyangwa cyakwirakwije milimetero zirenga 1 mu nyama za virusi cyangwa perineum. Kanseri ntiyakwirakwiriye mu mitsi.
Millimetero (mm). Ikaramu ikarishye igera kuri mm 1, ingingo nshya ya crayon igera kuri mm 2, naho gusiba ikaramu nshya ni mm 5.

Icyiciro cya II

Mu cyiciro cya II, ikibyimba nubunini bwose kandi cyakwirakwiriye mu gice cyo hepfo cya urethra, igice cyo hepfo yigituba, cyangwa anus. Kanseri ntiyakwirakwiriye mu mitsi.

Icyiciro cya III

Mu cyiciro cya III, ikibyimba ni ubunini kandi gishobora kuba cyarakwirakwiriye mu gice cyo hepfo cya urethra, igice cyo hepfo yigituba, cyangwa anus. Kanseri yakwirakwiriye kuri imwe cyangwa nyinshi hafi ya lymph node. Icyiciro cya III kigabanyijemo ibyiciro IIIA, IIIB, na IIIC.

  • Mu cyiciro cya IIIA, kanseri iboneka muri lymph 1 cyangwa 2 ntoya ya milimetero 5 cyangwa muri lymph node imwe ya milimetero 5 cyangwa nini.
  • Mu cyiciro cya IIIB, kanseri iboneka muri 2 cyangwa nyinshi zitwa lymph node zifite milimetero 5 cyangwa nini, cyangwa muri lymph 3 cyangwa nyinshi zirenze milimetero 5.
  • Mu cyiciro cya IIIC, kanseri iboneka mu mitsi ya lymph kandi ikwirakwira hejuru yinyuma ya lymph.

Icyiciro cya IV

Mu cyiciro cya IV, ikibyimba cyakwirakwiriye mu gice cyo hejuru cya urethra, igice cyo hejuru cy'igituba, cyangwa mu bindi bice by'umubiri. Icyiciro cya IV kigabanyijemo ibyiciro IVA na IVB.

  • Mu cyiciro cya IVA:
  • kanseri yakwirakwiriye mu murongo wa urethra yo hejuru, mu gitsina cyo hejuru, uruhago, cyangwa urukiramende, cyangwa ifatanye n'amagufwa yo mu nda; cyangwa
  • kanseri yakwirakwiriye hafi ya lymph node kandi lymph node ntabwo yimuka cyangwa yakoze ibisebe.
  • Mu cyiciro cya IVB, kanseri yakwirakwiriye mu mitsi yo mu nda cyangwa mu bindi bice by'umubiri.

Kanseri ya vulvar isubirwamo ni kanseri yagarutse (garuka) nyuma yo kuvurwa.

Kanseri irashobora kugaruka mu gituba cyangwa mu bindi bice by'umubiri.

Incamake yo kuvura

INGINGO Z'INGENZI

  • Hariho uburyo butandukanye bwo kuvura abarwayi ba kanseri ya virusi.
  • Ubwoko bune bwo kuvura busanzwe bukoreshwa:
  • Kubaga
  • Imiti ivura imirasire
  • Chimoterapi
  • Immunotherapy
  • Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
  • Umuti wa kanseri ya vulvar 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 ya virusi.

Ubwoko butandukanye bwo kuvura burahari kubarwayi barwaye kanseri ya virusi. 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 bune bwo kuvura busanzwe bukoreshwa:

Kubaga

Kubaga nubuvuzi bukunze kugaragara kuri virusi ya intraepithelial neoplasia (VIN) na kanseri ya vulvar.

Bumwe mu buryo bukurikira bwo kubaga bushobora gukorwa mu kuvura VIN:

  • Gutandukanya gutandukanya ibisebe: Uburyo bwo kubaga kugirango ukureho igikomere.
  • Kwiyegereza kwagutse: Uburyo bwo kubaga kugirango ukureho uruhu rwatewe na VIN hamwe na tissue zisanzwe ziwukikije.
  • 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.
  • Ultrasound yo kubaga ibyifuzo: Uburyo bwo kubaga kumena ikibyimba mo uduce duto ukoresheje kunyeganyega neza. Uduce duto twibibyimba twogejwe tugakurwaho no kunwa. Ubu buryo butera kwangirika kwinyuma hafi.
  • Uruhu rwa vulvectomy: Igice cyo hejuru cyuruhu rwa vulvar aho VIN iboneka ikurwaho. Uruhu ruvuye mu bindi bice byumubiri rushobora gukenerwa kugirango rutwikire aho uruhu rwakuwe.

Intego yo kubaga kanseri ya vulvar ni ugukuraho kanseri zose nta gutakaza imikorere yimibonano mpuzabitsina yumugore. Bumwe mu buryo bukurikira bwo kubaga bushobora gukorwa mu kuvura kanseri ya virusi:

  • Kwiyegereza kwagutse: Uburyo bwo kubaga kugirango ukureho kanseri hamwe na zimwe mu ngingo zisanzwe zikikije kanseri.
  • Kwikuramo gukabije: Uburyo bwo kubaga kugirango ukureho kanseri hamwe nudusimba twinshi dusanzwe tuyikikije. Hafi ya lymph node mumatako nayo irashobora gukurwaho.
  • Vulvectomy: Uburyo bwo kubaga gukuraho igice cyangwa byose byigituba:
  • Hahinduwe radical vulvectomy: Kubaga kugirango ukureho igituba kinini. Hafi ya lymph node irashobora kandi gukurwaho.
  • Radve vulvectomy: Kubaga kugirango ukureho igituba cyose. Hafi ya lymph node nayo ikurwaho.
  • Pelvic exenteration: Uburyo bwo 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 mu gikapu cyo gukusanya.

Muganga amaze gukuraho kanseri zose zishobora kugaragara mugihe cyo kubagwa, abarwayi bamwe bashobora guhabwa chimiotherapie na / cyangwa imiti ivura imirasire nyuma yo kubagwa kugirango bice selile zose zisigaye. Umuti watanzwe nyuma yo kubagwa, kugirango ugabanye ibyago ko kanseri izagaruka, byitwa kuvura indwara.

Imiti ivura imirasire

Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire yumubiri hamwe na kanseri.

Ubuvuzi bwo hanze bushobora kandi gukoreshwa nkubuvuzi bwa palliative kugirango bugabanye ibimenyetso kandi bizamura imibereho.

Chimoterapi

Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa guhagarika ingirabuzimafatizo. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Chimiotherapie yibanze kuri kanseri ya vulvar irashobora gukoreshwa kuruhu muri cream cyangwa amavuta yo kwisiga. Uburyo chimiotherapie itangwa biterwa nubwoko nicyiciro cya kanseri ivurwa.

Reba Ibiyobyabwenge Byemewe Kuvura Kanseri ya Vulvar 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.

Imiquimod ni ubudahangarwa bw'umubiri ukoreshwa mu kuvura ibikomere kandi bigashyirwa ku ruhu muri cream.

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Umuti wa kanseri ya vulvar 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.

Ni ngombwa kugira ibizamini bikurikirana buri gihe kugirango tumenye kanseri ya virusi ikunze kubaho.

Umuti wa Vulvar Intraepithelial Neoplasia (VIN)

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Ubuvuzi bwa vulvar intraepithelial neoplasia (VIN) bushobora kubamo ibi bikurikira:

  • Kubaga bishobora kuba bimwe muri ibi bikurikira:
  • Gutandukanya ibisebe.
  • Kwaguka kwinshi.
  • Kubaga Laser.
  • Ultrasound yo kubaga ibyifuzo.
  • Uruhu rwinshi.
  • Immunotherapy hamwe na imiquimod yibanze.

Kuvura Icyiciro cya I na II Kanseri ya Vulvar

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Kuvura kanseri yo mu cyiciro cya mbere na kanseri yo mu cyiciro cya II ishobora kuba ikubiyemo ibi bikurikira:

  • Kubaga (kwaguka kwagutse).
  • Kubaga (radical local excision hamwe no gukuraho lymph node mu kibero no mu kibero cyo hejuru).
  • Kubaga (byahinduwe na radical vulvectomy cyangwa radical vulvectomy hamwe no gukuraho lymph node mu kibero no mu kibero cyo hejuru). Imiti ivura imirasire irashobora gutangwa.
  • Kubaga (radical local excision no gukuraho sentinel lymph node) hakurikiraho kuvura imirasire mubihe bimwe na bimwe.
  • 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.

Kuvura Icyiciro cya III Kanseri ya Vulvar

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Kuvura kanseri yo mu cyiciro cya III bishobora kuba bikubiyemo ibi bikurikira:

  • Kubaga (byahinduwe na radical vulvectomy cyangwa radical vulvectomy hamwe no gukuraho lymph node mu kibero no mu kibero cyo hejuru) hamwe no kuvura imirasire.
  • Imishwarara yimiti cyangwa chimiotherapie hamwe nubuvuzi bwimirasire ikurikirwa no kubagwa.
  • Imiti ivura imirasire hamwe na 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.

Kuvura Icyiciro cya IVA Kanseri ya Vulvar

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Kuvura kanseri yo mu cyiciro cya IVA bishobora kuba bikubiyemo ibi bikurikira:

  • Kubaga (radical vulvectomy cyangwa pelvic exenteration).
  • Kubaga no kuvura imirasire.
  • Imishwarara yimiti cyangwa chimiotherapie hamwe nubuvuzi bwimirasire ikurikirwa no kubagwa.
  • Imiti ivura imirasire hamwe na 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.

Kuvura Icyiciro cya IVB Kanseri ya Vulvar

Nta buryo busanzwe bwo kuvura kanseri yo mu cyiciro cya IVB. Chimiotherapie yarizwe kandi irashobora gukoreshwa niba umurwayi ashobora kubyihanganira.

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.

Umuti wa Kanseri ya Vulvar isubirwamo

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Kuvura kanseri ya virusi ikunze kugaragara irashobora kubamo ibi bikurikira:

  • Kubaga (kwaguka kwagutse) hamwe no kuvura imirasire.
  • Kubaga (radical vulvectomy na pelvic exenteration).
  • Ubuvuzi bwa chimiotherapie hamwe nimirasire hamwe no kubagwa.
  • Imiti ivura imirasire hamwe na chimiotherapie.
  • Kuvura imirasire no kubaga.
  • Ubuvuzi bwimirasire nkubuvuzi bwa palliative kugirango ugabanye ibimenyetso kandi uzamure ubuzima.

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.

Kumenya byinshi kuri Kanseri ya Vulvar

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye kanseri ya virusi, reba ibi bikurikira:

  • Urupapuro rwa Kanseri ya Vulvar
  • Lazeri mu kuvura Kanseri
  • Ibiyobyabwenge Byemewe kuvura Kanseri ya Vulvar
  • HPV na Kanseri
  • Kubara Tomografiya (CT) Gusikana na Kanseri
  • Immunotherapy yo kuvura Kanseri

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


Ongeraho igitekerezo cyawe
urukundo.co yakira ibitekerezo byose . Niba udashaka kumenyekana, iyandikishe cyangwa winjire . Nubuntu.

Yakuwe kuri " http://urukundo.co/index.php?title=Ubwoko/vulvar/patient/vulvar-umuti-pdq&oldid=37564 "