Mhando / vulvar / murwere / vulvar-kurapwa-pdq

Vulvar Cancer Kurapa (®) -Patient Shanduro

General Ruzivo nezveVulvar Cancer

PFUNGWA DZINOKOSHA

• Kenza yeVulvar chirwere chisingawanzo umo maseru (gomarara) akashata anoumba mumatumbu ehusvu.

• Kuva nevevvar intraepithelial neoplasia kana hutachiona hweHIVV kunogona kuwedzera njodzi yekenza yemukaka.

• Zviratidzo zvegomarara revhevha zvinosanganisira kubuda ropa kana kuchenesa munzvimbo yevarwere.

• Kuyedza kunoongorora huturu kunoshandiswa kuongorora gomarara reruzevha.

• Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye sarudzo dzekurapa.

Kenza yeVulvar chirwere chisingawanzo umo maseru (gomarara) akashata anoumba mumatumbu ehusvu.

Kenza yeVulvar inogadzirwa mumukadzi wepanze genitalia. Iyo vulva inosanganisira:

• Miromo yemukati neyekunze yemukadzi.

• Clitoris (inonamira nyama pakati pemiromo).

• Kuvhura kwevakadzi uye maronda ayo.

• Mons pubis (iyo nzvimbo yakatenderedzwa pamberi pemapfupa epubiki anozofukidzwa nevhudzi pakuyaruka).

• Perineum (iyo nzvimbo iri pakati peguze neanus).

Anatomy yeiyo vulva. Iyo vulva inosanganisira iyo mons pubis, clitoris, urethral kuvhura, yemukati neyekunze miromo yemukadzi, kuvhura kwemukadzi, uye perineum.

Kenza yeVulvar inowanzo bata muromo wekunze wemukadzi. Zvishoma pane, kenza inokanganisa yemukati yemadzimai miromo, clitoris, kana vaginal gland.

Kenza yeVulvar inowanzo kuumba zvishoma nezvishoma pamusoro pemakore mazhinji. Masero asina kujairika anogona kukura pamusoro peganda revhavha kwenguva yakareba. Aya mamiriro anonzi vulvar intraepithelial neoplasia (VIN). Nekuti zvinokwanisika kuti VIN ive gomarara revolvar, zvakakosha kuti uwane kurapwa.

Kuva nevevvar intraepithelial neoplasia kana hutachiona hweHIVV kunogona kuwedzera njodzi yekenza yemukaka.

Chero chipi zvacho chinowedzera njodzi yako yekuwana chirwere chinonzi njodzi chinhu. Kuva nenjodzi hazvireve kuti uchawana gomarara; kusava nenjodzi hazvireve kuti hauzobatwe negomarara. Taura nachiremba wako kana iwe uchifunga kuti ungave uri panjodzi. Njodzi zvinhu zvegomarara remukaka zvinosanganisira zvinotevera:

• Kukwegura.

• Kuve nehutachiona hwevanhu papillomavirus (HPV).

• Kuva ne vulvar intraepithelial neoplasia (VIN).

• Kuve nenhoroondo yegenital warts.

Zvimwe zvinogona kuisa njodzi zvinosanganisira zvinotevera:

• Kuva nevakawanda pabonde.

• Kuita zvekutanga kusangana pabonde uchiri mudiki.

• Kuve nenhoroondo yekusajairika kwePap bvunzo (Pap smears).

Zviratidzo zvegomarara revhevha zvinosanganisira kubuda ropa kana kuchenesa munzvimbo yevarwere.

Kenza yeVulvar kazhinji haina kukonzera zviratidzo zvekutanga kana zviratidzo. Zviratidzo nezviratidzo zvinogona kukonzerwa negomarara revulvar kana nemamwe mamiriro. Tarisa nachiremba wako kana iwe uine chero chinotevera:

• Bundu kana kukura paguze rinoratidzika kunge wart kana ulcer.

• Kuchema munzvimbo yevulvar isingaendi.

• Kubuda ropa zvisina hukama nekuenda kumwedzi (nguva).

• Marwadzo munzvimbo yevhavha.

Kuyedza kunoongorora huturu kunoshandiswa kuongorora gomarara reruzevha.

Iyi inotevera bvunzo uye maitiro anogona kushandiswa:

• Kuongorora kwepanyama uye nhoroondo yehutano: Kuongororwa kwemuviri kutarisa zviratidzo zvehutano, kusanganisira kuongorora kubwinya kwezviratidzo zvehosha, zvakadai semapundu kana chero chinhu chinoratidzika sechisina kujairika. Nhoroondo yemaitiro ehutano hwemurwere uye kurwara kwakapfuura uye kurapwa kuchatorwawo.

• Pelvic bvunzo: Kuongororwa kwemukadzi, chibereko, chibereko, fallopian machubhu, ovari, uye rectum. A speculum inowanikwa mukati memukadzi uye chiremba kana mukoti anotarisa kumukadzi nemuromo wechibereko kune zviratidzo zvehosha. Kuedzwa kwePap kwechibereko chechibereko kunowanzoitwa. Chiremba kana mukoti vanoisawo rimwe kana maviri akazorwa mafuta, zvigunwe zvakaiswa ruoko rweumwe ruoko mukati memukadzi uye anoisa rumwe ruoko pamusoro pezasi peguvhu kuti unzwe kukura, chimiro, uye chinzvimbo chechibereko nemazai. Chiremba kana mukoti anoisawo chigunwe chakazorwa mafuta, chakapfekerwa muguruva kuti unzwe mabundu kana nzvimbo dzisina kujairika.

Kuongorora kwepelvic. Chiremba kana mukoti vanoisa imwe kana miviri yakazorwa mafuta, zvigunwe zvakaiswa ruoko rweumwe ruoko mukati memukadzi uye kutsikirira padumbu rezasi nerumwe ruoko. Izvi zvinoitwa kuti unzwe kukura, chimiro, uye chinzvimbo chechibereko nemazai. Iyo vagina, cervix, fallopian machubhu, uye rectum inoongororwawo.

• Pap bvunzo: Maitiro ekuunganidza maseru kubva pamusoro pemuromo wechibereko nemukadzi. Chidimbu chekotoni, bhurasho, kana kamuti kadiki kanoshandiswa kupuruzira zvinyoronyoro masero kubva mumuromo wechibereko nemukadzi. Masero anotariswa pasi pe microscope kuti aone kana asina kujairika

• Human papillomavirus (HPV) bvunzo: Kuongororwa kwerabhoritari kunoshandiswa kuongorora DNA kana RNA kune mamwe marudzi ehutachiona hweHIVV. Masero anounganidzwa kubva kuburiro uye DNA kana RNA kubva mumasero anoongororwa kuti aone kana hutachiona hunokonzerwa nemhando yepillomavirus yemunhu inosanganiswa negomarara revhu. Muedzo uyu unogona kuitwa uchishandisa muyenzaniso wemasero akabviswa panguva yePap bvunzo. Bvunzo iyi inogona kuitwawo kana mhedzisiro yePap bvunzo ichiratidza zvimwe zvisina kujairika maseru evarume.

• Biopsy: Kubviswa kwemasero kana zvinyama kubva kuburi kuitira kuti zvionekwe pasi pe microscope nachiremba kuti aone zviratidzo zvegomarara.

• Colposcopy: Maitiro ekuti colposcope (chishandiso chakavhenekerwa, chinokudza) inoshandiswa kutarisa kusangana nekutsi kwemukadzi uye chibereko munzvimbo dzisina kujairika. Masampuli enyama anogona kutorwa achishandisa mushonga (chipenga chakaita kunge chipunu) kana bhurasho woongororwa pasi pe microscope kuti uone zviratidzo zvechirwere.

• MRI (magnetic resonance imaging): Maitiro anoshandisa magineti, masaisai eredhiyo, uye komputa kugadzira yakateedzana mifananidzo yakajeka yenzvimbo dziri mukati memuviri. Iyi nzira inonziwo nyukireya magnetic resonance imaging (NMRI).

• CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, inotorwa kubva kumakona akasiyana. Mifananidzo yacho inogadzirwa nekombuta yakabatana neiyo x-ray muchina. Dhayi inogona kuiswa jekiseni kana kumedzwa kubatsira nhengo kana zvinyama kuratidza zvakajeka. Iyi nzira inonziwo computed tomography, computerized tomography, kana komputa axial tomography.

• PET scan (positron emission tomography scan): Iyo nzira yekuwana yakaipa malonda maseru mumuviri. Chishoma che radioactive glucose (shuga) inoiswa mutsinga. Iyo PET scanner inotenderera yakatenderedza muviri uye inogadzira mufananidzo wepo glucose iri kushandiswa mumuviri. Malignant tumarara maseru anoratidza kupenya mumufananidzo nekuti anoshanda uye anotora glucose yakawanda kupfuura zvinoita maseru akajairwa.

Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye sarudzo dzekurapa.

Kufungidzira uye sarudzo dzekurapa dzinoenderana nezvinotevera:

• Kunyangwe kenza yapararira kunzvimbo dziri padyo kana zvimwe zvikamu zvemuviri.

• Kunyangwe iyo cancer yakapararira kune iyo lymph node.

• Kunyangwe kenza ichangobva kuongororwa kana kuti yadzokazve (dzoka).

Matanho eVulvar Cancer

PFUNGWA DZINOKOSHA

• Mushure mokunge gomarara revhevha raonekwa, kuongororwa kunoitwa kuti uone kana gomarara maseru rapararira mukati mehutachiona kana kune zvimwe zvikamu zvemuviri.

• Pane nzira nhatu dzinopararira negomarara mumuviri.

• Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

• Mune vulvar intraepithelial neoplasia (VIN), masero asina kujairika anowanikwa pamusoro peganda revhavha.

• Matanho anotevera anoshandiswa pagomarara revhu:

• Chikamu I

• Chikamu II

• Chikamu chechitatu

• Chikamu IV

• Gomarara rinowanzoitika vulvar igomarara rakadzokazve (radzoka) mushure mekurapwa.

Mushure mokunge gomarara revhevha raonekwa, kuongororwa kunoitwa kuti uone kana gomarara maseru rapararira mukati mehutachiona kana kune zvimwe zvikamu zvemuviri.

Maitiro anoshandiswa kutsvaga kana gomarara rapararira mukati memukadzi kana kune dzimwe nhengo dzemuviri inonzi staging. Ruzivo rwakaunganidzwa kubva munzira yekugadzwa rinotara danho rechirwere. Izvo zvakakosha kuti uzive nhanho kuitira kuronga kurapwa. Iyi inotevera bvunzo uye maitiro anogona kushandiswa mune yekuratidzira maitiro:

• Cystoscopy: Maitiro ekutarisa mukati mechiropa uye urethra kutarisa nzvimbo dzisina kujairika. Iyo cystoscope inoiswa kuburikidza neiyo urethra kupinda mudundira. Iyo cystoscope chishoma, chubhu-senge chiridzwa chine mwenje uye lens yekuona. Inogona zvakare kuve nechishandiso chekubvisa matissue sampuli, ayo anoongororwa pasi pezviratidzo zvegomarara.

• Proctoscopy: Maitiro ekutarisa mukati meye rectum uye anus kutarisa nzvimbo dzisina kujairika, uchishandisa proctoscope. Proctoscope chinhu chakaonda, chubhu-senge ine mwenje uye lens yekuona mukati meiyo rectum uye anus. Iyo inogona zvakare kuve nechishandiso chekubvisa matissue sampuli, ayo anoongororwa pasi pe microscope yezviratidzo zvegomarara.

• Chest x-ray: X-ray imhando yesimba remagetsi rinogona kupfuura nemuviri uye kupinda mufirimu, richiita mufananidzo wenzvimbo dziri mukati memuviri. Kugadzirira kenza yevulvar, x-ray inogona kutorwa yenhengo nemapfupa mukati mechipfuva.

• Intravenous pyelogram (IVP): akateedzana e-ray-itsvo, ureters, uye dundira kuti uone kana gomarara rapararira kunhengo idzi. Dhayi rakasiyana rinoiswa mutsinga. Sezvo dhayi yekusiyanisa ichifamba kuburikidza neitsvo, ureters uye dundira, x-ray inotorwa kuti uone kana paine chero mabhureki. Iyi nzira inonziwo intravenous urography.

• Biopsy: Kubviswa kwemasero kana zvinyama kubva mudundira kana puru kuitira kuti zvionekwe pasi pe microscope nachiremba kuti aone zviratidzo zvecancer, kana zvichifungidzirwa kuti gomarara rapararira ipapo.

Pane nzira nhatu dzinopararira negomarara mumuviri.

Kenza inogona kupararira kuburikidza nematinji, iyo lymph system, uye neropa:

• Tishu. Kenza inopararira kubva kwayakatanga nekukura ichipinda munzvimbo dziri pedyo.

• Lymph maitiro. Kenza inopararira kubva kwayakatanga nekupinda muiyo lymph system. Kenza inofamba nemumidziyo yema lymph ichienda kune dzimwe nhengo dzemuviri.

• Ropa. Kenza inopararira kubva payakatanga nekupinda muropa. Kenza inofamba nemidzi yeropa ichienda kune dzimwe nhengo dzemuviri.

Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

Kana kenza ikapararira kune chimwe chikamu chemuviri, inonzi metastasis. Cancer maseru anotsemuka kubva kwaakatanga (iro bundu rekutanga) uye achifamba kuburikidza neye lymph system kana ropa.

• Lymph maitiro. Gomarara rinopinda mu "lymph system", rinofamba nemumidziyo ye "lymph", uye rinogadzira bundu (metastatic tumor) mune chimwe chikamu chemuviri.

• Ropa. Kenza inopinda muropa, inofamba nemutsinga dzeropa, yoita bundu (metastatic tumor) mune chimwe chikamu chemuviri.

Iyo metastatic bundu irwo rudzi rwecancer seyakanyanya bundu. Semuenzaniso, kana gomarara revhu richipararira mumapapu, masero emukenza mumapapu ndiwo masero emukenza evhiraivha. Hosha iyi metastatic vulvar cancer, kwete yemapapu cancer.

Mune vulvar intraepithelial neoplasia (VIN), masero asina kujairika anowanikwa pamusoro peganda revhavha.

Aya maseru asina kujairika haasi gomarara. Vulvar intraepithelial neoplasia (VIN) inogona kuita kenza uye inopararira mumatumbu ari pedyo. VIN dzimwe nguva inonzi danho 0 kana carcinoma in situ.

Matanho anotevera anoshandiswa pagomarara revhu:

Chikamu I

Muchikamu chekutanga, kenza yakaumbwa. Bundu iri rinowanikwa chete muhuze kana perineum (nzvimbo iri pakati perece pamwe nemukadzi). Chikamu I chakakamurwa muzvikamu IA uye IB.

Saizi yemamota inowanzo kuyerwa mukati masendimita (cm) kana inches. Zvekudya zvakajairika zvinogona kushandiswa kuratidza kukura kwemarara mumasendimita zvinosanganisira: pizi (1 cm), nzungu (2 cm), mazambiringa (3 cm), walnuts (4 cm), lime (5 cm kana 2 masendimita), zai (6 cm), peach (7 cm), uye grapefruit (10 cm kana 4 inches).

• Muchikamu IA, bundu iri 2 masendimita kana diki uye rakaparadzira 1 millimeter kana zvishoma kupinda munyama yeiyo vulva kana perineum. Kenza haina kupararira kune iyo lymph node.

• Muchikamu IB, bundu rakakura kupfuura masendimita maviri kana rakapararira anopfuura millimeter rimwe munyama yemhopo kana perineum. Kenza haina kupararira kune iyo lymph node.

Mamirimita (mm). Penzura yakapinza ingangoita 1 mm, krayoni nyowani ingangoita 2 mm, uye iripi yepenzura nyowani ingangoita 5 mm.

Chikamu II

Muchikamu chechipiri, bundu iri chero saizi uye rakapararira muchikamu chezasi cheweti, chikamu chepazasi chemukadzi, kana anus. Kenza haina kupararira kune iyo lymph node.

Chikamu chechitatu

Muchikamu chechitatu, bundu iri chero saizi uye rinogona kunge rakapararira muchikamu chezasi cheiyo urera, chikamu chepazasi chemukadzi, kana anus. Kenza yakapararira kune imwe kana kupfuura mairi lymph node. Chikamu chechitatu chakakamurwa muzvikamu IIIA, IIIB, uye IIIC.

• Muchikamu IIIA, kenza inowanikwa mune 1 kana 2 lymph node idiki kudarika mamirimita mashanu kana mune imwe lymph node iri mamirimita mashanu kana hombe.

• Muchikamu IIIB, gomarara rinowanikwa mune maviri kana anopfuura ma lymph node ayo ari mashanu mamirimita kana akakura, kana mu3 kana anopfuura ma lymph node ari madiki pane mashanu mamirimita.

• Muchikamu IIIC, kenza inowanikwa mune lymph node uye yakapararira kune yekunze nzvimbo yeiyo lymph node.

Chikamu IV

Muchikamu IV, bundu rakapararira muchikamu chepamusoro cheweti, chikamu chepamusoro chemukadzi, kana kune zvimwe zvikamu zvemuviri. Chikamu IV chakakamurwa muzvikamu IVA uye IVB.

• Muchikamu IVA:

• gomarara rapararira mukati memukoto weti urethra yepamusoro, nyinyo, bladder, kana rectum, kana kubatirira pfupa repachiuno; kana

• gomarara rapararira kune ma lymph node ari padyo uye ma "lymph node" haachinjiki kana kuita ulcer.

• Muchikamu IVB, gomarara rapararira kuma lymph node mumapapiro kana kune zvimwe zvikamu zvemuviri.

Gomarara rinowanzoitika vulvar igomarara rakadzokazve (radzoka) mushure mekurapwa.

Gomarara rinogona kudzoka muhutsi kana kune dzimwe nhengo dzemuviri.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

• Kune mhando dzakasiyana dzekurapa kwevarwere vane gomarara revulvar.

• Mhando ina dzekurapa kwakajairika dzinoshandiswa:

• Kuvhiya

• Radiation kurapa

• Chemotherapy

• Immunotherapy

• Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

• Kurapa kwegomarara revulvar kunogona kukonzera mhedzisiro.

• Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

• Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

• Yekutevera-bvunzo inogona kudikanwa.

Kune mhando dzakasiyana dzekurapa kwevarwere vane gomarara revulvar.

Mhando dzakasiyana dzekurapa dzinowanikwa kune varwere vane gomarara revulvar. Mamwe marapirwo akajairwa (iko kurapwa kwazvino kwashandiswa), uye kumwe kuedzwa mumakiriniki ekuedzwa A kurapwa kiriniki kuyedzwa chidzidzo chekutsvaga chakaitirwa kubatsira kuvandudza marapirwo azvino kana kuwana ruzivo marapirwo matsva evarwere vane gomarara. Kana kiriniki miedzo ikaratidza kuti kurapwa kutsva kuri nani pane kwese kurapwa, kurapwa kutsva kunogona kuve kwakajairwa kurapwa. Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.

Mhando ina dzekurapa kwakajairika dzinoshandiswa:

Kuvhiya

Kuvhiya ndiko kwakanyanya kurapwa kweiyo vulvar intraepithelial neoplasia (VIN) uye gomarara revhu.

Imwe yeanotevera marudzi ekuvhiya anogona kuitwa kurapa VIN:

• Kuparadzanisa kusiiwa kwechironda: Nzira yekuvhiya kubvisa chironda chekushushikana.

• Kunakidzwa kwese kwenzvimbo: Nzira yekuvhiya kubvisa nzvimbo yeganda rakakanganiswa neVIN uye mamwe eakajairwa matishu akarikomberedza

• Kuvhiyiwa kweLaser: Maitiro ekuvhiya anoshandisa laser beam (danda rakamanikana rechiedza chakasimba) sebanga rekucheka zvisina ropa muzvinyama kana kubvisa maronda epamhepo akaita semota.

• Ultrasound yekuvhiya aspiration: Maitiro ekuvhiya kupwanya bundu kuita zvidimbu zvidiki uchishandisa kudedera kwakanaka kwazvo. Zvidimbu zvidiki zvebundu zvinoshambidzwa nekubviswa nekusveta. Maitiro aya anokonzeresa kukuvara kudiki kune tishu.

• Skinning vulvectomy: Iyo yepamusoro yepamusoro yeganda revhavha iyo iyo VIN inowanikwa inobviswa. Ganda rekunyorera kubva kune zvimwe zvikamu zvemuviri zvinogona kudikanwa kuvhara nzvimbo iyo ganda rakabviswa.

Chinangwa chekuvhiyiwa gomarara revulvar kubvisa kenza yese pasina kurasikirwa kwevakadzi pabonde. Imwe yemhando dzinotevera dzekuvhiya dzinogona kuitwa kurapa chirwere chegomarara.

• Kunakidzwa kwese kwenzvimbo: Maitiro ekuvhiya kubvisa gomarara uye mamwe ezvinyama zvakajairika zvakakomberedza kenza

• Radical yemukati kuburitsa: Maitiro ekuvhiya kubvisa kenza uye huwandu hwakawanda hwenyama hwakaipoteredza. Nhengo dzepedyo lymph node mune iyo groin dzinogona zvakare kubviswa.

• Vulvectomy: Inzira yekuvhiya kubvisa chikamu kana yese yeanhengo:

• Yakagadziriswa radical vulvectomy: Kuvhiya kuti ubvise yakawanda yeiyo vulva. Nhengo dzepedyo dzinogona kubviswa.

• Radical vulvectomy: Kuvhiya kubvisa iyo yose vulva. Nhengo dzepedyo lymph node dzinobviswawo.

• Pelvic exenteration: Nzira yekuvhiya kubvisa yakaderera colon, rectum, uye bladder. Cervix, vagina, ovaries, uye ma lymph node ari padyo anobviswawo. Chakavanzika chekuvhura (stoma) chinoitirwa weti uye chigaro kuyerera kubva mumuviri kuenda muhomwe yekuunganidza.

Mushure mekunge chiremba abvisa kenza yese inoonekwa panguva yekuvhiyiwa, vamwe varwere vanogona kupihwa chemotherapy uye / kana radiation radiation mushure mekuvhiyiwa kuuraya chero gomarara maseru akasara. Mushonga wakapihwa mushure mekuvhiyiwa, kudzikisa njodzi yekuti gomarara richadzoka, inonzi adjuvant therapy.

Radiation kurapa

Radiation kurapa kurapwa kenza iyo inoshandisa yakakwira-simba x-rays kana mamwe marudzi e radiation kuuraya cancer maseru kana kuachengeta iwo kuti asakure. External radiation therapy inoshandisa muchina uri kunze kwemuviri kutumira radiation kune nzvimbo yemuviri nekenza.

Kunze kweradiotherapy kurapwa kunogona zvakare kushandiswa senge palliative kurapa kubvisa zviratidzo uye nekuvandudza hupenyu hwehupenyu.

Chemotherapy

Chemotherapy mushonga wekenza unoshandisa mishonga kumisa kukura kwemasero ekenza, kungave nekuuraya maseru kana nekumisa maseru kubva pakupatsanuka. Kana chemotherapy ikatorwa nemuromo kana kujowa mutsinga kana mhasuru, mishonga inopinda muropa uye inogona kusvika masero emukenza mumuviri wese (systemic chemotherapy). Nyaya yepamusoro chemotherapy yekenza yevhavha inogona kuiswa kune ganda mukirimu kana mafuta. Nzira iyo chemotherapy inopihwa inoenderana nerudzi uye nhanho yekenza iri kurapwa.

Ona Zvinodhaka Zvinotenderwa Kurapa Kenza yeVulvar kuti uwane rumwe ruzivo.

Immunotherapy

Immunotherapy kurapwa kunoshandisa immune system yemurwere kurwisa gomarara. Zvinhu zvinogadzirwa nemuviri kana kugadzirwa murabhoritari zvinoshandiswa kusimudzira, kunongedza, kana kudzorera kudzivirira kwemuviri kurwisa kenza. Rudzi rwekurapa kenza urwu rwunonziwo biotherapy kana biologic therapy.

Imiquimod is immune immune modifier inoshandiswa kurapa vulvar maronda uye inoiswa kune iro ganda mune kirimu.

Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.

Kurapa kwegomarara revulvar kunogona kukonzera mhedzisiro.

Kuti uwane ruzivo nezve mhedzisiro inokonzerwa nekurapwa kwegomarara, ona yedu Side Mhedzisiro peji.

Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

Kune vamwe varwere, kutora chikamu mumuedzo wekiriniki inogona kunge iri sarudzo yekurapa yakanyanya kunaka. Kliniki miedzo chikamu chekenza tsvagiridzo. Zvemakiriniki miedzo inoitwa kuti uone kana marapirwo matsva egomarara akachengeteka uye achishanda kana zvirinani pane akajairwa kurapwa.

Mazhinji emazuva ano marapirwo akajairwa ekenza akavakirwa pamavambo emakiriniki ekuedzwa. Varwere vanotora chikamu mukuyedzwa kwekiriniki vanogona kuwana kurapwa kwakaringana kana kuve pakati pevekutanga kurapwa kutsva.

Varwere vanotora chikamu mumiedzo yekiriniki zvakare vanobatsira kugadzirisa marapirwo achaitwa kenza mune ramangwana. Kunyangwe kana miedzo yemakiriniki isinga tangire kumarapirwo matsva anoshanda, anowanzo pindura mibvunzo yakakosha uye anobatsira kufambisira mberi kutsvagurudza.

Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

Mimwe miedzo yekiriniki inosanganisira chete varwere vasati vagamuchira kurapwa. Mimwe miedzo yekuedza kurapwa kwevarwere vane kenza haina kuve nani. Kune mamwezve emakiriniki miedzo inoedza nzira nyowani dzekumisa cancer kubva kudzokororazve (kudzoka) kana kudzikisira mhedzisiro yemakenza kurapwa.

Kuedzwa kwemakiriniki kuri kuitika munzvimbo zhinji dzenyika. Ruzivo nezve kiriniki miedzo inotsigirwa neNCI inogona kuwanikwa paNCI yekiriniki miedzo yekutsvaga peji rewebhu. Kliniki miedzo inotsigirwa nemamwe masangano inogona kuwanikwa pane yeClinicalTrials.gov webhusaiti.

Yekutevera-bvunzo inogona kudikanwa.

Mimwe miedzo yakaitwa kuongorora gomarara kana kutsvaga danho rekenza inogona kudzokororwa. Dzimwe bvunzo dzinodzokororwa kuitira kuti vaone kuti kurapa kuri kushanda sei. Sarudzo nezvekuti uenderere mberi, shandura, kana kumisa kurapwa kunogona kunge kuchibva pamhedzisiro yeiyi bvunzo.

Mimwe bvunzo ichaenderera ichiitwa nguva nenguva mushure mekunge kurapwa kwapera. Mhedzisiro yeiyi bvunzo inogona kuratidza kana mamiriro ako achinja kana kana gomarara radzoka (dzoka). Iyi bvunzo dzimwe nguva inonzi yekuteedzera-bvunzo kana kuongorora-kumusoro.

Izvo zvakakosha kuti uve neakajairwa ekutevera-bvunzo kuti uongorore unowanzoitika vulvar cancer.

Kurapa kweVulvar Intraepithelial Neoplasia (VIN)

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kweVulvar intraepithelial neoplasia (VIN) inogona kusanganisira zvinotevera:

• Kuvhiya kunogona kuve imwe yeanotevera:

• Yakaparadzaniswa kubviswa kwezvironda.

• Kunakidzwa kwese kwenzvimbo.

• Laser kuvhiya.

• Ultrasound yekuvhiya aspiration.

• Kugadzira vulvectomy.

• Immunotherapy ine misoro imiquimod.

Kurapa kweMatanho I uye II Vulvar Cancer

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kwechitsauko I kenza yevarwere uye nhanho II kenza yevhavha inogona kusanganisira zvinotevera:

• Kuvhiya (yakawandisa yemukati kubviswa).

• Kuvhiya (kwakasarudzika kwemukati kubviswa nekubviswa kwema lymph node muguyo nepamusoro chidya).

• Kuvhiya (yakashandurwa radical vulvectomy kana radical vulvectomy nekubviswa kwema lymph node muguyo nepamusoro chidya). Radiation kurapwa kunogona kupihwa.

• Kuvhiya (kwakanyanya kuseka kwenzvimbo kubviswa uye kubviswa kwe sentinel lymph node) inoteverwa ne radiation radiation mune dzimwe nguva.

• Radiation kurapa chete.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa kweStage III Vulvar Cancer

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kwedanho III vulvar cancer inogona kusanganisira zvinotevera:

• Kuvhiya (yakagadziridzwa radical vulvectomy kana radical vulvectomy nekubviswa kwema lymph node muguyo nepamusoro chidya) pamwe kana pasina radiation radiation.

• Radiation therapy kana chemotherapy uye radiation radiation inoteverwa nekuvhiya.

• Radiation therapy ine kana isina chemotherapy.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa kweStage IVA Vulvar Cancer

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kwedanho IVA vulvar cancer inogona kusanganisira zvinotevera:

• Kuvhiya (radical vulvectomy kana pelvic exenteration).

• Kuvhiya uye radiation radiation.

• Radiation therapy kana chemotherapy uye radiation radiation inoteverwa nekuvhiya.

• Radiation therapy ine kana isina chemotherapy.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa kweStage IVB Vulvar Cancer

Iko hakuna kweyakajairwa kurapwa kweiyo danho IVB vulvar kenza. Chemotherapy yakadzidzwa uye inogona kushandiswa kana murwere achigona kuzvitsungirira.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa kweRazvino Vulvar Cancer

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kwekenza yemunharaunda inowanzoitika inogona kusanganisira zvinotevera:

• Kuvhiya (yakafararira yemuno kubviswa) ine kana isina radiation radiation.

• Kuvhiya (radical vulvectomy uye pelvic exenteration).

• Chemotherapy uye radiation radiation pamwe kana pasina kuvhiyiwa.

• Radiation therapy ine kana isina chemotherapy.

• Radiation kurapwa uye kuvhiyiwa.

• Radiation kurapa senge palliative kurapwa kubvisa zviratidzo uye nekuvandudza hupenyu hwehupenyu.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kuti Udzidze Zvakawanda Nezve Vulvar Cancer

Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezve gomarara revulvar, ona zvinotevera:

• Vulvar Kanzera Kumba Peji

• Lasers muCancer Kurapa

• Zvinodhaka Zvinotenderwa Kurapa Vulvar Cancer

• HPV neCancer

• Computed Tomography (CT) Scans uye Cancer

• Immunotherapy Kurapa Cancer

Kuti uwane ruzivo rwekenza uye zvimwe zviwanikwa kubva kuNational Cancer Institute, ona zvinotevera:

• Nezve Kenza

• Stage

• Chemotherapy uye Iwe: Tsigiro Yevanhu Vane Kenza

• Radiation Therapy uye Iwe: Rutsigiro rweVanhu Vane Kenza

• Kurarama neCancer

• Mibvunzo Yekubvunza Wako Chiremba nezveCancer

• Kune Vakapona uye Vanotarisira

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