Cervical Cancer Kurapwa

Zvemukati

• Kurapa kwezvipembenene zvemumuromo zvecancer
• Cryotherapy
• Loop electrosurgical excision nzira (LEEP)
• Laser ablation
• Kutonhora banga banga
• Kuvhiya gomarara remuchibereko
• Cone biopsy
• Hysterectomy
• Trachelectomy
• Pelvic exenteration
• Radiation kurapwa kwegomarara remuromo wechibereko
• Chemotherapy kurapwa kwegomarara remuromo wechibereko
• Mishonga yekenza yechibereko
• Kuchengetedza kubereka mumadzimai ane gomarara remuromo wechibereko
• Kudzivirira gomarara remuromo wechibereko
• Taura nachiremba wako

Gomarara remuromo wechibereko

Kurapa kenza yemuromo wechibereko inowanzo kubudirira kana iwe ukabatwa mumatanho ekutanga. Kupona kwemitengo kwakanyanya kwazvo.

Pap smears zvakatungamira mukuwedzera kwekuonekwa uye kurapwa kwema precancerous maseru shanduko. Izvi zvaderedza kuitika kwechirwere chegomarara remuchibereko munyika dzekuMadokero.

Rudzi rwemushonga unoshandiswa pagomarara remuromo wechibereko unobva padanho rekuongororwa. Dzimwe kenza dzepamberi dzinowanzoda mubatanidzwa wemishonga. Mishonga yakakwana inosanganisira:

• kuvhiya
• radiation kurapwa
• chemotherapy
• mimwe mishonga

Kurapa kwezvipembenene zvemumuromo zvecancer

Kune nzira dzinoverengeka dzekurapa maseru anonamira anowanikwa mumuromo wechibereko chako:

Cryotherapy

Cryotherapy inosanganisira kuparadzwa kweasina kujairika echibereko zvinyama kuburikidza nechando. Maitiro acho anongotora maminetsi mashoma uye anoitwa uchishandisa anesthesia yemuno.

Loop electrosurgical excision nzira (LEEP)

LEEP inoshandisa magetsi anomhanyisa kuburikidza netambo tambo kuti ibvise isina kujairika yemuromo wechibereko. Kunge cryotherapy, LEEP inongotora maminetsi mashoma uye inogona kuitwa kuhofisi yechiremba wako neinesthesia yemuno.

Laser ablation

Lasers inogona zvakare kushandiswa kuparadza zvisina kujairika kana preancerous maseru. Laser therapy inoshandisa kupisa kuparadza masero. Maitiro aya anoitwa muchipatara, uye yemuno kana yakajairwa yokutindivadza ingangodiwa, zvinoenderana nemamiriro ezvinhu.

Kutonhora banga banga

Maitiro aya anoshandisa scalpel kubvisa zvisina kujairika kervical cervical tishu. Kunge laser ablation, inoitwa muchipatara, uye general anesthesia inogona kudikanwa.

Kuvhiya gomarara remuchibereko

Kuvhiya kwegomarara remuromo wechibereko kunovavarira kubvisa zvese zvinoonekwa zvegomarara. Dzimwe nguva, lymph node dziri padyo kana zvimwe zvinyama zvinobviswawo, uko kenza yapararira kubva pamuromo wechibereko.

Chiremba wako anogona kukurudzira kuvhiyiwa zvichibva pane zvinoverengeka zvinhu. Izvi zvinosanganisira kukura kwekenza yako, kunyangwe iwe uchida kuva nevana, uye hutano hwako hwese.

Cone biopsy

Munguva yekoni biopsy, chikamu chakaita kunge koni chechivharo chinobviswa. Inodanwawo kunzi kukoniwa kudzvanywa kana kubereka kwechibereko. Inogona kushandiswa kubvisa maseru anononoka kana ane cancer.

Iko koni chimiro cheiyo biopsy inowedzera huwandu hwetissue inobviswa pamusoro. Zvishoma zvinyama zvinobviswa kubva pasi pechiso.

Cone biopsies inogona kuitwa uchishandisa akawanda matekinoroji, kusanganisira:

• loop electrosurgical excision (LEEP)
• laser kuvhiya
• kutonhora banga banga

Mushure mekoni biopsy, masero asina kujairika anotumirwa kune nyanzvi kuti iongororwe. Maitiro acho anogona kuve ese ari maviri maitiro ekuongorora uye kurapwa. Kana pasina kenza kumucheto kwechikamu chakaumbwa-koni chakabviswa, kumwe kurapwa kunogona kusakosha.

Hysterectomy

Hysterectomy ndiko kubviswa kwechibereko uye chibereko. Iyo inoderedza zvakanyanya njodzi yekudzokazve kana ichienzaniswa nekuvhiyiwa kwakawanda kwenzvimbo.Zvisinei, mukadzi haagoni kuva nevana mushure mekuvhiyiwa.

Kune nzira dzinoverengeka dzakasiyana dzekuita hysterectomy:

• Abdominal hysterectomy inobvisa chibereko kuburikidza nepadumbu
• Vaginal hysterectomy inobvisa chibereko kuburikidza nemukadzi.
• Laparoscopic hysterectomy inoshandisa zviridzwa zvakasarudzika kubvisa chibereko kuburikidza nemaitiro akati wandei mudumbu kana mumukadzi.
• Robotic kuvhiya inoshandisa ruoko rwe robhoti rinotungamirwa nachiremba kubvisa chibereko kuburikidza nekucheka kudiki mudumbu.

Yakanyanya hysterectomy dzimwe nguva inodiwa. Yakanyanya kuwanda kupfuura yakajairwa hysterectomy. Inobvisa chikamu chepamusoro chemukadzi. Inobvisawo mamwe matissue ari padyo nechibereko, senge fallopian machubhu uye maovari.

Mune zvimwe zviitiko, iyo pelvic lymph node inobviswa zvakare. Izvi zvinonzi pelvic lymph node dissection.

Trachelectomy

Uku kuvhiya ndeimwe nzira kune hysterectomy. Cervix nechikamu chepamusoro chemukadzi chinobviswa. Chibereko nemazai zvakasara munzvimbo. Kuvhura kwekugadzira kunoshandiswa kubatanidza chibereko nemukadzi.

Trachelectomies inobvumira vakadzi kuchengetedza kugona kwekuita vana. Nekudaro, nhumbu mushure me trachelectomy dzinoiswa seyakanyanya njodzi, sezvo paine huwandu hwakawanda hwekuparara.

Pelvic exenteration

Kuvhiya uku kunongoshandiswa chete kana gomarara rapararira. Inowanzo chengeterwa mamwe kesi epamberi. Exenteration inobvisa iyo:

• chibereko
• pelvic lymph nodes
• dundira
• nyinyo
• rectum
• chikamu chekoloni

Radiation kurapwa kwegomarara remuromo wechibereko

Radiation inoshandisa akakwira-simba matanda kuparadza gomarara maseru. Kurapa kwechinyakare kwechinyakare kunoshandisa muchina uri kunze kwemuviri kuburitsa danda rekunze iro rakanangana nenzvimbo ine gomarara.

Radiation inogona zvakare kununurwa mukati uchishandisa nzira inonzi brachytherapy. Chinhu chinodyarwa chine radioactive zvinhu chinoiswa muchibereko kana mukadzi. Inosiyiwa panzvimbo kwenguva yakatarwa isati yabviswa. Iyo nguva yenguva yasara mukati inogona kutsamira pane iyo radiation radiation.

Radiation inogona kuve nemhedzisiro mhedzisiro. Mazhinji eaya anoenda kana kurapwa kwapera. Nekudaro, kudzika kwemadzimai uye kukuvara kwemazai kunogona kugara zvachose.

Chemotherapy kurapwa kwegomarara remuromo wechibereko

Chemotherapy inoshandisa mishonga kuuraya cancer maseru. Zvinodhaka zvinogona kupihwa usati wavhiyiwa kudzikisa mamota. Inogona zvakare kushandiswa mushure mekubvisa yakasara microscopic cancer maseru.

Mune zvimwe zviitiko, chemotherapy inosanganiswa nemwaranzi inopihwa senzira yekurapa yekenza yemuromo wechibereko. Izvi zvinonzi zvinowirirana chemoradiation.

Chemotherapy inogona kushandiswa kurapa gomarara remuromo wechibereko iro rapararira kubva pamuromo wechibereko kuenda kune dzimwe nhengo nematukisi. Dzimwe nguva, mubatanidzwa wechemotherapy zvinodhaka zvinopihwa. Chemotherapy zvinodhaka zvinogona kukonzera mhedzisiro, asi izvi zvinowanzoenda kana kurapwa kwapera.

Sekureva kweAmerican Cancer Society, iyo chemotherapy mishonga inowanzo shandiswa pakurapa kenza yemuchibereko inosanganisira:

• topotecan (Hycamtin)
• cisplatin (Platinol)
• paclitaxel (Mutero)
• gemcitabine (Gemzar)
• carboplatin (Paraplatin)

Mishonga yekenza yechibereko

Pamusoro pemakemikari ekurapa, mimwe mishonga yave kuwanikwa yekurapa gomarara remuromo wechibereko. Iyi mishonga inowira pasi pemhando mbiri dzakasiyana dzerapi: yakanangwa kurapa uye immunotherapy.

Targeted therapy mishonga inokwanisa kuratidza nekurwisa maseru ekenza. Kazhinji, zvinangwa zvekurapa zvinodhaka ndizvo antibody zvinogadzirwa murabhoritari.

Bevacizumab (Avastin, Mvasi) antibody iyo FDA-inogamuchirwa kurapa gomarara remuchibereko. Inoshanda nekupindira nemidziyo yeropa iyo inobatsira maseru ane gomarara kukura. Bevacizumab inoshandiswa kurapa kenza yemukondombera inodzokororwa.

Immunotherapy zvinodhaka shandisa immune system yako kubatsira kurwisa cancer maseru. Rudzi rwekurwisa immunotherapy runonzi immune checkpoint inhibitor. Iyi mishonga inonamatira kune yakasarudzika protein pane maseru ekenza, ichibvumira maseru ekudzivirira kuti awatsvage nekuvauraya.

Pembrolizumab (Keytruda) is immune checkpoint inhibitor yakave FDA-inogamuchirwa kurapa gomarara remuromo wechibereko. Inoshandiswa kana gomarara remuromo wechibereko richiramba richienderera mberi panguva kana mushure memakemikari.

Kuchengetedza kubereka mumadzimai ane gomarara remuromo wechibereko

Mishonga yakawanda yegomarara remuchibereko inogona kuita kuti zviome kana kuti zvisakwanise kuti mukadzi abate pamuviri mushure mekunge kurapwa kwapera. Vatsvagiri vari kuvandudza sarudzo itsva dzevakadzi vakamborapwa gomarara remuromo wechibereko kuchengetedza kubereka nekushanda pabonde.

Oocytes ari panjodzi yekukuvara kubva kune radiation radiation kana chemotherapy. Nekudaro, ivo vanogona kukohwewa uye kuomeswa nechando vasati varapwa. Izvi zvinobvumidza mukadzi kubata pamuviri mushure mekurapwa achishandisa mazai ake ega.

In vitro fertilization zvakare sarudzo. Mazai evakadzi anokohwewa nekuiswa hurume nehurume kurapwa kusati kwatanga uye ipapo mazai aya anogona kuomeswa nechando uye kushandiswa kwepamuviri mushure mekurapa kwapera.

Imwe sarudzo ichiri kudzidza chinhu chinonzi a. Mune ino hunyanzvi, ovarian tishu inoiswa mumuviri. Inoenderera kuburitsa mahormone munzvimbo nyowani, uye mune dzimwe nguva, vakadzi vanoramba vachibuda.

Kudzivirira gomarara remuromo wechibereko

Pane zvinhu zvaunogona kuita kubatsira kudzivirira gomarara remuchibereko. Chinhu chekutanga kutora kugara uchiongororwa gomarara remuromo wechibereko. Screenings inogona kuona shanduko mumasero emuromo wechibereko (Pap smear) kana kuona hutachiona hweHIVV, yakakosha njodzi kune gomarara remuchibereko.

U.S. Preventive Services Task Force ichangobva kuburitsa nyowani pamusoro pekuti vakadzi vanofanirwa kuvhenekwa gomarara remuchibereko kangani. Iyo nguva uye mhando yekutarisa yakakurudzirwa zvinoenderana nezera rako:

Pasi pemakore 21: Kenza yemuromo wechibereko haina kuongororwa.

Pakati pemakore 21 ne29: Kenza yemukondombera kuongorora kuburikidza nePap smear kunofanirwa kuitwa makore ese matatu.

Pakati pemakore makumi matatu nemakumi matanhatu nematanhatu: Pane zvitatu zvingasarudzwa zvekuongororwa gomarara remuromo wechibereko mukati meiyi nguva bracket. Zvinosanganisira:

• Pap smear makore ese matatu
• yakanyanya njodzi HPV (hrHPV) kuyedza makore ese mashanu
• zvese Pap smear uye hrHPV kuyedza makore mashanu ese

Anopfuura makore makumi matanhatu nemashanu: Kenza yemuromo wechibereko haiongororwe sekureba sekunge iwe wagamuchira zvakakwana pamberi pekuongororwa.

Mushonga unowanikwawo kudzivirira hutachiona nemhando dzeHIVV dzinogona kukonzera gomarara. Parizvino, ndezvevakomana nevasikana vane makore gumi nerimwe ne12.

Zvisinei, zvinokurudzirwawo kuvarume kusvika pamakore makumi maviri nerimwe uye vakadzi kusvika pamakore makumi mana nemashanu vasati vazvigamuchira. Kana iwe uri mukati mezera iri uye uchida kubayiwa jekiseni, unofanirwa kutaura nachiremba wako.

Kune zvakare mamwe mashoma mararamiro ehupenyu aunogona kuita kubatsira kudzivirira gomarara remuchibereko. Kudzidzira bonde rakachengeteka uye kurega kuputa kunogona zvakare kudzora njodzi yako. Kana iwe parizvino uchiputa, taura nachiremba wako nezve chirongwa chekurega kuputa kuti chikubatsire kurega.

Taura nachiremba wako

Maonero egomarara remuchibereko rinoenderana nedanho panguva yaanoonekwa. Makore mashanu ekupona kwecancer anoonekwa kuti ekutanga akanakisa.

Sekureva kweAmerican Cancer Society, makumi mapfumbamwe kubva muzana evakadzi vane kenza dzemuno vanorarama makore mashanu. Nekudaro, kana gomarara rapararira kumatukisi ari padyo, makore mashanu ekupona anodonha kusvika pa56 muzana. Kana yakapararira kunzvimbo dziri kure kwazvo dzomuviri, inodonha kusvika pa17 muzana.

Taura nachiremba wako nezve chirongwa chekurapa chakakukodzera. Masarudzo ako ekurapa anoenderana ne:

• danho rekenza yako
• nhoroondo yako yekurapa
• kana iwe uchida kubata pamuviri mushure mekurapwa