Unogona Kufa Kubva kuCancer Cancer? 15 Zvinhu Zvokuziva Nezve Kuongorora uye Kudzivirira

Zvemukati

• Zvinoita here?
• Chikamu chekuongororwa chinoshanda here?
• Pane zvimwe zvinhu zvekufunga nezvazvo here?
• Ndiani anoita gomarara remuchibereko?
• Chii chinokonzera?
• Kune mhando dzakasiyana here?
• Pane chero chaungaite kuti uzvidzivirire?
• Unoziva sei kana iwe unayo?
• Ndeapi mazano ekuongorora?
• Inoonekwa sei?
• Zvinoita here kuti uwane ongororo yepapa yakajairwa asi uchiramba uine gomarara remuchibereko?
• Inorapwa sei?
• Inorapika here?
• Kudzokorora kunogona kuitika here?
• Ndeapi maonero akazara?

Zvinoita here?

Zvinoitika zvishoma kazhinji kupfuura zvazvaimboita, asi hongu, zvinokwanisika kufa kubva pagomarara remuchibereko.

IAmerican Cancer Society (ACS) inofungidzira kuti vanhu vanosvika mazana mana nemazana maviri nemakumi mashanu muUnited States vachafa negomarara remuchibereko muna2019.

Chikonzero chikuru chekuti vanhu vashoma vari kufa negomarara remuchibereko nhasi kuwedzera kwekushandisa kwePap test.

Gomarara remuromo wechibereko rakajairika munzvimbo dzisina kusimukira pasi rose. Pasi rese, vanenge vakafa nekenza yemuromo wechibereko muna 2018.

Gomarara remuchibereko rinorapika, kunyanya kana rikabatwa muchikamu chekutanga.

Chikamu chekuongororwa chinoshanda here?

Ehe. Kazhinji kutaura, gomarara rapfuura rinoonekwa, zvirinani mhedzisiro yacho. Gomarara remuchibereko rinowanzokura zvishoma nezvishoma.

Kuedzwa kwePap kunogona kuona masero asina kujairika pamuromo wechibereko vasati vaita cancer. Izvi zvinozivikanwa secarcinoma in situ kana danho 0 gomarara remuromo wechibereko.

Kubvisa aya maseru kunogona kubatsira kudzivirira cancer kubva mukukura pakutanga.

Kazhinji zvikamu zvegomarara remuromo wechibereko ndezvi:

• Chikamu 1: Cancer maseru aripo pamuromo wechibereko uye anogona kunge akapararira muchibereko.
• Chikamu chechipiri: Gomarara rapararira kunze kwemuromo wechibereko nechibereko. Haina kusvika pamadziro ehudyu kana chikamu chepazasi chemukadzi.
• Chikamu chechitatu: Gomarara rasvika pazasi remukadzi, rusvingo rwechiuno, kana kuti rwuri kubata itsvo.
• Chikamu 4: Gomarara rapararira kupfuura chiuno kusvika kumucheto wedundira, rectum, kana kune nhengo dziri kure nemapfupa.

Iwo mashanu-gore ane mwero wekupona huwandu hwakavakirwa pavanhu vanoonekwa vane chirwere checancer yechibereko kubva muna 2009 kusvika 2015 ndeiyi:

• Inowanikwa munzvimbo (yakavharirwa kumuromo wechibereko uye chibereko): 91.8 muzana
• Dunhu (yakapararira kupfuura cervix uye chibereko kunzvimbo dziri padyo): 56.3 muzana
• Kure (yakapararira kupfuura pelvis): 16.9 muzana
• Hazvizivikanwe: 49 muzana

Aya ndiwo huwandu hwekupona kunoenderana nedata kubva pagore ra2009 kusvika 2015. Kurapa kwekenza kunochinja nekukurumidza uye tarisiro yakajairika inogona kunge yakagadziriswa kubva ipapo.

Pane zvimwe zvinhu zvekufunga nezvazvo here?

Ehe. Kune zvakawanda zvinhu zvinopfuura danho izvo zvinogona kukanganisa ako wega kufungidzira.

Mimwe yacho ndeiyi:

• zera pakuongororwa
• hutano huzhinji, kusanganisira mamwe mamiriro akaita seHIV
• mhando yepapillomavirus yemunhu (HPV) inobatanidzwa
• mhando chaiyo yekenza yemuromo wechibereko
• kunyangwe ichi chiri chiitiko chekutanga kana kudzokororwa kwekare kwakarapwa gomarara remuromo wechibereko
• unokurumidza sei kutanga kurapwa

Race rinoitawo basa. Vakadzi vatema neveSpanish vane huwandu hwekufa kwecancer yechibereko.

Ndiani anoita gomarara remuchibereko?

Chero ani ane chirwere chechibereko anogona kubatwa negomarara remuchibereko. Izvi ichokwadi kana usiri pabonde pari zvino, une nhumbu, kana uri post-menopausal.

Sekureva kweACS, gomarara remuromo wechibereko harishoma kune vanhu vari pasi pemakore makumi maviri uye rinowanzoonekwa muvanhu vari pakati pemakore makumi matatu nemashanu nemakumi mana nemana.

MuUnited States, vanhu veSpanish vane njodzi yakanyanya, kozoti maAfrican-America, maAsia, Pacific Islanders, uye maCaucasus.

MaIndia ekuAmerica uye zvizvarwa zveAlaskan vane njodzi yakaderera.

Chii chinokonzera?

Zviitiko zvakawanda zvegomarara remuromo wechibereko zvinokonzerwa nehutachiona hweHPV. HPV ndiyo hutachiona hutachiona hwehutachiona, pamwe nevanhu vakawanda vanoita zvepabonde vanohuwana pane imwe nguva.

HPV iri nyore kupfuudza nekuti zvinongotora kusangana kweganda-kune-ganda kubereka. Unogona kuiwana kunyangwe iwe usina bonde rinopinda.

, HPV inozvichenesa pachayo mukati memakore maviri. Asi kana iwe uchiita zvepabonde, iwe unogona kuitenga zvakare.

Vashoma chete vanhu vane HPV ndivo vanozoita gomarara remuchibereko, asi zviitiko zvegomarara remuchibereko zvinokonzerwa nehutachiona uhu.

Izvo hazviitike nehusiku, zvakadaro. Kana uchinge watapukirwa neHIVV, zvinogona kutora makore gumi nemashanu kusvika makumi maviri kuti gomarara remuchibereko rikure, kana makore mashanu kusvika kugumi kana uine utachiona husina simba.

HPV inogona kunge ichikwanisa kufambira mberi kuenda kugomarara remuchibereko kana ukasvuta kana uine zvimwe zvirwere zvepabonde (STIs) senge chlamydia, gonorrhea, kana herpes simplex.

Kune mhando dzakasiyana here?

Kusvika kumagumi mapfumbamwe kubva gumi egomarara remuromo wechibereko ndiwo squamous cell carcinomas. Vanokura kubva kumaseru anokatyamadza mu exocervix, chikamu chechiberekero chiri padyo nemukadzi.

Mazhinji mamwe acho adenocarcinomas, ayo anokura mumasero eglandular mu endocervix, chikamu chiri padyo nechibereko.

Gomarara remuromo wechibereko rinogona zvakare kuve lymphomas, melanomas, sarcomas, kana mamwe marudzi asingawanzo.

Pane chero chaungaite kuti uzvidzivirire?

Pakave nekuderedzwa kukuru mukufa kwerufu kubvira pakaedzwa bvunzo yePap.

Chimwe chezvinhu zvakakosha iwe chaungaita kudzivirira gomarara remuchibereko kugara uchiongororwa uye kuongororwa kwePap sekurudzirwa nachiremba wako.

Dzimwe nzira dzekudzora njodzi yako dzinosanganisira:

• kubvunza chiremba wako kana uchifanira kuwana mushonga weHPV
• kuwana kurapwa kana akaremara maseru emuromo wechibereko akawanikwa
• kuenda kunoyedzwa-kwekutevera kana iwe uine isina kujairika Pap bvunzo kana yakanaka HPV bvunzo
• kunzvenga, kana kurega, kusvuta

Unoziva sei kana iwe unayo?

Gomarara rekutanga remuromo wechibereko hazviwanzo kukonzera zviratidzo, saka pamwe haugone kuona kuti unayo. Ndicho chikonzero nei zvichikosha kuti uwane bvunzo dzekugara uchiongorora.

Sezvo kenza yemuromo wechibereko ichienderera mberi, zviratidzo nezviratidzo zvinogona kusanganisira:

• kujairika kusangana nekutsi kwemukadzi kubuda
• kubuda ropa muchikadzi
• kurwadziwa panguva yekusangana
• kurwadziwa kwepamuviri

Ehe, izvo zviratidzo hazvireve kuti une gomarara remuchibereko. Izvi zvinogona kuve zviratidzo zvemamwe marapirwo emamwe mamiriro.

Ndeapi mazano ekuongorora?

Zvinoenderana neACS yekuongorora mirayiridzo:

• Vanhu vane makore makumi maviri nemasere kusvika makumi maviri nemapfumbamwe vanofanirwa kunge vaine bvunzo dzePap makore ese matatu.
• Vanhu vane makore makumi matatu kusvika makumi matanhatu nemashanu vanofanirwa kuita bvunzo yePap pamwe neiyo HPV bvunzo makore ese mashanu. Neimwe nzira, iwe unogona kuve neyePap bvunzo wega wega makore matatu.
• Kana iwe uine zvachose hysterectomy kune zvimwe zvikonzero kunze kwecancer kana precancer, hauchade kuve nePap kana HPV bvunzo. Kana chibereko chako chakabviswa, asi iwe uchine chibereko chako, kuongororwa kunofanira kuenderera mberi.
• Kana iwe uchinge wapfuura makore makumi matanhatu nemashanu, usati wawana chakakomba chakanyatsojeka mumakore makumi maviri apfuura, uye wakagara uchiongororwa kwemakore gumi, unogona kumisa kuongororwa kwegomarara remuromo wechibereko.

Iwe ungangoda kuwedzererwa kuyedzwa kana:

• Iwe uri pangozi yakanyanya yegomarara remuromo wechibereko.
• Wakave neakajairika Pap mhedzisiro.
• Wakaonekwa uine chirwere checervical precancer kana HIV.
• Wakamborapwa gomarara remuchibereko.

Chidzidzo cha2017 chakawana kuti huwandu hwevanhu vanofa nechirwere chegomarara remuchibereko, kunyanya mumadzimai echitema akura, zvinogona kunge zvakarerutswa. Taura nachiremba wako nezve njodzi yako yekuvandudza gomarara remuromo wechibereko uye uve nechokwadi chekuti uri kuwana kuongororwa chaiko.

Nhanho yekutanga inowanzo kuongororwa kwepamuviri kutarisa hutano hwese uye zviratidzo zvehosha. Chiyero cheHPV uye bvunzo yePap inogona kuitwa panguva imwe chete neyebvunzo dzechiuno.

Inoonekwa sei?

Kunyangwe bvunzo yePap inogona kutarisa masero asina kujairika, haigone kusimbisa kuti aya maseru ane cancer. Nezve izvo, iwe uchazoda kemuromo biopsy.

Mune imwe nzira inonzi endocervical curettage, sampuro yetishu inotorwa kubva mumuromo wechibereko uchishandisa chiridzwa chinonzi curette.

Izvi zvinogona kuitwa pachezvayo kana panguva yecolposcopy, uko chiremba anoshandisa chishandiso chakakwenenzverwa chishandiso kuti anyatso tarisa kumukadzi nemuromo wechibereko.

Chiremba wako angangoda kuita koni biopsy kuti uwane yakakura, yakaita koni-yakaumbwa sampuro yemuromo wechibereko. Uku kuvhiya kwekunze uko kunosanganisira scalpel kana laser.

Iyo turu inozoongororwa pasi pe microscope kutsvaga maseru ekenza.

Zvinoita here kuti uwane ongororo yepapa yakajairwa asi uchiramba uine gomarara remuchibereko?

Ehe. Bvunzo dzePap dzinogona kungokuudza chete kuti hauna cancer kana yakanyorovera maseru emuromo wechibereko izvozvi. Hazvireve kuti haugone kuita gomarara remuromo wechibereko.

Nekudaro, kana bvunzo yako yePap yakajairika uye yako HPV bvunzo isina kunaka, mukana wako wekubata gomarara remuromo wechibereko mumakore mashoma anotevera iri.

Paunenge uine yakajairwa Pap mhedzisiro asi uine tariro yeHIVV, chiremba wako anogona kukurudzira kuteedzera-kwekutarisa kuti uone shanduko. Kunyangwe zvakadaro, ungangoda imwe bvunzo kwegore.

Rangarira, gomarara remuromo wechibereko rinokura zvishoma nezvishoma, nekudaro sekureba iwe uchichengetedza kuongorora uye kuteedzera-kwekuyedza, hapana chikonzero chikuru chekushushikana.

Inorapwa sei?

Kana pachinge paonekwa kuti pane gomarara remuromo wechibereko, danho rinotevera ndere kutsvaga kuti gomarara ringave rakapararira zvakadii.

Kugadzirisa danho kunogona kutanga nematanho emiyedzo yekufungidzira kutsvaga humbowo hwecancer. Chiremba wako anogona kuwana zano riri nani padanho mushure mekuvhiya.

Kurapa gomarara remuchibereko kunoenderana nekuti yakapararira zvakadii. Sarudzo dzekuvhiya dzinogona kusanganisira:

• Kubata: Kubviswa kwechirwere chegomarara kubva pamuromo wechibereko.
• Yese hysterectomy: Kubviswa kwechibereko chechibereko uye chibereko.
• Radical hysterectomy: Kubviswa kwechibereko chechibereko, chibereko, chikamu chemukadzi, uye zvimwe zvinokomberedza mitsipa nematukisi. Izvi zvinogona zvakare kusanganisira kubviswa kwemazai, fallopian machubhu, kana ma lymph node ari padyo.
• Yakagadziriswa radical hysterectomy: Kubviswa kwechibereko chechibereko, chibereko, chikamu chepamusoro chemukadzi, mamwe maronda akapoterera uye zvinyama, uye pamwe lymph node dziri pedyo.
• Radical trachelectomy: Kubviswa kwechibereko chechibereko, zvinyama zviri padyo uye lymph node, uye kumusoro kwepamuviri.
• Bilateral salpingo-oophorectomy: Kubviswa kwemazai uye fallopian machubhu.
• Pelvic exenteration: Kubviswa kwedundira, rezasi colon, rectum, pamwe nemuromo wechibereko, nyini, mazai, uye ma lymph node ari pedyo. Kuvhura kwekugadzira kunofanirwa kuitirwa kuyerera kweweti uye chetsoka.

Mimwe mishonga inogona kusanganisira:

• Radiation kurapa: Kunangisa nekuparadza cancer maseru uye kuachengeta kubva mukukura.
• Chemotherapy: Inoshandiswa mudunhu kana nehurongwa kuuraya cancer maseru.
• Targeted Therapy: Mishonga inokwanisa kuona nekurwisa kenza isina kukuvadza kune maseru ane hutano.
• Immunotherapy: Zvinodhaka zvinobatsira immune system kurwisa gomarara.
• Kliniki miedzo: Kuedza mishonga mitsva yekurapa isati yabvumidzwa kuti ishandiswe zvakanyanya.
• Kuchengetedza kwekuchengetedza: Kurapa zviratidzo uye mhedzisiro kuvandudza hupenyu hwese.

Inorapika here?

Ehe, kunyanya kana uchionekwa uye ukarapwa padanho rekutanga.

Kudzokorora kunogona kuitika here?

Sezvo nemamwe marudzi egomarara, gomarara remuromo wechibereko rinogona kudzoka kana wapedza kurapwa. Inogona kudzoka padyo nemuromo wechibereko kana kumwe kunhu mumuviri wako. Iwe unenge uine chirongwa chekutevera-kwekushanya kunoongorora zviratidzo zvekudzokazve.

Ndeapi maonero akazara?

Gomarara remuchibereko rinokura zvishoma nezvishoma, asi chirwere chinotyisa. Maitiro emazuvano ekuongorora anoreva kuti iwe unokwanisa kuwana maseru anonamira anogona kubviswa vasati vawana mukana wekukura kuita gomarara.

Nekutanga kuongororwa uye kurapwa, iwo maonero akanaka kwazvo.

Unogona kubatsira kudzikisira mikana yako yekubatwa negomarara remuromo wechibereko kana kuibata nekukurumidza. Taura nachiremba wako nezve njodzi yako uye kuti kangani kaunofanirwa kuongororwa.