Gomarara reVulvar

Gomarara reVulvar igomarara rinotangira muhuze. Kenza yeVulvar inowanzo bata marabi, mapanga eganda kunze kwemukadzi. Mune zvimwe zviitiko, gomarara revhu rinotanga pane clitoris kana mumasero pamativi ekuvhurika kwemukadzi.

Makenza mazhinji evhavha anotanga mumasero eganda anonzi squamous masero. Mamwe marudzi ekenza anowanikwa pane iyo vulva ndeaya:

• Adenocarcinoma
• Basal cell carcinoma
• Melanoma
• Sarcoma

Kenza yeVulvar ishoma. Njodzi zvinhu zvinosanganisira:

• Utachiona hwevanhu papilloma (HPV, kana genital warts) hutachiona mumadzimai ari pasi pemakore makumi mashanu
• Husingaperi ganda shanduko, senge lichen sclerosis kana squamous hyperplasia mune vakadzi vanopfuura makore makumi mashanu
• Nhoroondo yekenza yechibereko kana gomarara remukadzi
• Kusvuta

Vakadzi vane chirwere chinonzi vulvar intraepithelial neoplasia (VIN) vane njodzi huru yekuva nekenza yemhombwe inopararira. Mazhinji kesi eVIN, zvakadaro, haatombo tungamira kukenza.

Zvimwe zvinogona kuisa njodzi zvinogona kusanganisira:

• Nhoroondo yezvisina kujairika Pap smears
• Kuva nevakawanda pabonde
• Kutanga kuita bonde pa16 kana mudiki

Vakadzi vane chirwere ichi vanowanzo kuve nekurwadziwa kutenderera nyini kwemakore. Vanogona kunge vakashandisa mafuta ekuzodza akasiyana. Vanogona zvakare kunge vachibuda ropa kana kubuda kunze kwenguva yavo.

Dzimwe shanduko dzeganda dzinogona kuitika dzakatenderedza vulva:

• Mole kana freckle, inogona kunge iri pink, tsvuku, chena, kana grey
• Kukora kweganda kana bundu
• Ganda rakaonda (ulcer)

Zvimwe zviratidzo:

• Kurwadziwa kana kutsva neweti
• Marwadzo nekusangana pabonde
• Kunhuwirira kusingawanzo

Vamwe vakadzi vane chirwere chegomarara havana zviratidzo.

Iyi miedzo inotevera inoshandiswa kuongorora chirwere chegomarara:

• Biopsy
• CT scan kana MRI yepelvis kutsvaga chirwere chegomarara
• Kuongorora kwepelvic kutsvaga chero shanduko yeganda
• Positron emission tomography (PET) scan
• Colposcopy

Kurapa kunosanganisira kuvhiyiwa kubvisa masero ekenza. Kana bundu racho rakakura (anopfuura 2 cm) kana rakura zvakadzika muganda, ma "lymph node" ari munzvimbo yekugomera anogona kubviswa.

Radiation, iine kana isina chemotherapy, inogona kushandiswa kurapa:

• Mamota epamberi asingakwanise kurapwa nekuvhiya
• Gomarara reVulvar rinodzoka

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Vazhinji vakadzi vane gomarara revulvar vanoonekwa uye vanorapwa vachiri padanho vanoita zvakanaka. Asi mhedzisiro yemukadzi zvinoenderana ne:

• Kukura kwebundu
• Rudzi rwegomarara revhevha
• Kunyangwe kenza yapararira

Gomarara rinowanzodzoka kana padyo nenzvimbo yebundu repakutanga.

Zvinetso zvinogona kusanganisira:

• Kupararira kwekenza kune dzimwe nzvimbo dzomuviri
• Zvimwe zvinokanganisa radiation, kuvhiyiwa, kana chemotherapy

Fonera wako mupi wezvehutano kana iwe uine chimwe chezviratidzo izvi kweanopfuura mavhiki maviri:

• Kunetseka kwenzvimbo
• Ganda ruvara shanduko
• Sore pane iyo vulva

Kudzidzira bonde rakachengeteka kunogona kudzora njodzi yako yekenza yevulvar. Izvi zvinosanganisira kushandisa makondomu kuzvidzivirira kubva kuzvirwere zvepabonde.

Mushonga unowanikwa kudzivirira kune mamwe marudzi ehutachiona hweHIVV. Mushonga uyu unobvumidzwa kudzivirira gomarara remuromo wechibereko uye nhumbu. Inogona kubatsira kudzivirira mamwe kanzira yakabatana neHPV, senge kenza yevulvar. Mushonga unopihwa vasikana vadiki vasati vaita bonde, uye kune vechidiki nevakadzi kusvika pamakore makumi mana nemashanu.

Kazhinji bvunzo dzepelvic dzinogona kubatsira kuona gomarara revulvar pachikamu chekutanga. Pakutanga kuongororwa kunovandudza mikana yako yekuti kurapwa kuchabudirira.

Kenza - vulva; Kenza - perineum; Kenza - vulvar; Genital warts - chirwere chegomarara; HPV - chirwere chegomarara

• Mukadzi perineal anatomy

Frumovitz M, Bodurka DC. Neoplastic zvirwere zveiyo vulva: lichen sclerosus, intraepithelial neoplasia, chirwere chepaget, uye carcinoma. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chits.

Jhingran A, Russell AH, Seiden MV, uye al. Gomarara remuromo wechibereko, chibereko, uye nyinyo. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chap 84.

Koh WJ, Greer Kuva, Abu-Rustum NR, et al. Kenza yeVulvar, Shanduro 1.2017, NCCN Clinical Practice Guidelines muOncology. J Natl Compr Cancer Netw. 2017; 15 (1): 92-120. PMID: 28040721 pubmed.ncbi.nlm.nih.gov/28040721/.

National Cancer Institute webhusaiti. Vulvar cancer cancer (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/vulvar/hp/vulvar-treatment-pdq. Yakagadziridzwa Ndira 30, 2020. Yakasvika muna Ndira 31, 2020.