Zviratidzo zvikuru zvegomarara remuromo wechibereko

Zvemukati

• Zvekuita kana paine fungidziro
• Ndiani ari panyatwa yegomarara
• Gomarara remuromo wechibereko
• Kurapwa kunoitwa sei
• 1. Kubata
• 2. Hysterectomy
• 3. Trachelectomy
• 4. Pelvic exenteration
• 5. Radiotherapy uye Chemotherapy

Iko kazhinji hakuna zviratidzo zvekutanga zvegomarara remuromo wechibereko, pamwe nemazhinji emakesi anoonekwa panguva yePap smear kana chete mumatanho epamberi ekenza. Nekudaro, pamusoro pekuziva kuti zviratidzo zvegomarara remuromo wechibereko ndezvei, chinhu chakakosha ndechekugara uchibvunza kuna gynecologist kuti aite pap smear uye otanga kurapwa kwekutanga, kana zvichinge zvaratidzwa.

Nekudaro, painokonzeresa zviratidzo, gomarara remuromo wechibereko rinogona kukonzera zviratidzo zvakadai se:

1. Vaginal kubuda ropa pasina chikonzero pachena uye kunze kwekuenda kumwedzi;
2. Akachinja kusangana nekutsi kwemukadzi kubuda, ine hwema hwakaipa kana ruvara rwebrown, semuenzaniso;
3. Nguva dzose kurwadziwa kwepamuviri kana kwepamuviri, izvo zvinogona kuwedzera kana uchishandisa imba yekugezera kana panguva yekudyidzana;
4. Kunzwa kumanikidzwapasi peguvhu;
5. Kunyanya kuwedzerwa kukurudzira weti, kunyange usiku;
6. Kukurumidza kurasikirwa uremu pasina kuve pane chikafu.

Muzviitiko zvakanyanyisa, umo mukadzi ane chirwere chegomarara repamuromo wechibereko, zvimwe zviratidzo zvinogona kuonekawo, zvakadai sekuneta zvakanyanya, kurwadziwa nekuzvimba mumakumbo, pamwe nekurasikirwa zvisina weti weti kana mutsvina.

Zviratidzo nezviratidzo izvi zvinogona kukonzerwawo nemamwe matambudziko, akadai secandidiasis kana hutachiona hwevakadzi, uye anogona kunge asina hukama nekenza, saka zvinokurudzirwa kubvunza chiremba wezvevakadzi kuti aite chirwere chakakodzera. Tarisa uone zviratidzo zvinomwe zvinogona kuratidza mamwe matambudziko muchibereko.

Zvekuita kana paine fungidziro

Kana kanopfuura chimwe chezviratidzo izvi chikaonekwa, zvinokurudzirwa kuenda kuna gynecologist kunoongororwa kuongororwa kwakadai sepapa smears kanacolposcopy ine biopsy uterine tishu uye ongorora kana paine cancer cancer. Dzidza zvakawanda nezve maitirwo ebvunzo aya.

Iyo Pap smear inofanirwa kuitwa gore rega rega kwemakore matatu akateedzana. Kana pasina shanduko, bvunzo rinofanira kungoitwa makore ese matatu.

Ndiani ari panyatwa yegomarara

Kenza yeUterine inowanzoitika kune vakadzi vane:

• Zvirwere zvepabonde, senge chlamydia kana gonorrhea;
• Hutachiona hweHIVV;
• Vakawanda vanoita zvepabonde.

Pamusoro pezvo, vakadzi vanoshandisa zvekudzivirira kubata mukanwa kwemakore akawanda vane mukana wakakura wekenza, uye nguva yekushandisa ikareba, ndipo panyanya mukana wekenza.

Gomarara remuromo wechibereko

Mushure mekuita kuongororwa, chiremba anowanzo rongedza gomarara remuromo wechibereko zvinoenderana nedanho rekuvandudza:

• Tx:Bundu repuraimari harizivikanwe;
• T0: Hapana humbowo hwebundu rekutanga;
• Tis kana 0: Carcinoma in situ.

Chikamu 1:

• T1 kana ini: Cervical carcinoma chete muchibereko;
• T1 a kana IA: Invasive carcinoma, inoonekwa chete nemaikorosikopu;
• T1 a1 kana IA1: Stromal inopinda kusvika 3 mm yakadzika kana inosvika ku7 mm yakatwasuka;
• T1 a2 kana IA2: Stromal inopinda pakati pe3 ne5 mm yakadzika kana inosvika ku7 mm yakatambarara;
• T1b kana IB: Kliniki inoonekwa maronda, chete pamuromo wechibereko, kana microscopic lesion yakakura kupfuura T1a2 kana IA2;
• T1b1 kana IB1: Kliniki inoonekwa lesion ine 4 cm kana zvishoma muhukuru hwayo;
• T1b2 IB2: Kliniki inoonekwa lesion yakakura kupfuura 4 cm.

Chikamu chechipiri:

• T2 kana II: Bundu rinowanikwa mukati nekunze kwechibereko, asi harisvike pamadziro echiuno kana chetatu chezasi chemukadzi;
• T2a kana IIA:Pasina kupinda kwe parametrium;
• T2b kana IIB: Nekupinda kweparametrium.

Chikamu chechitatu:

• T3 kana III:Bundu rinowedzera kumadziro emukati, rinokanganisa chikamu chepazasi chemukadzi, kana chinokonzeresa mutsvo.
• T3a kana IIIA:Bundu rinokanganisa chikamu chepazasi chemukadzi, pasina kuwedzerwa kumadziro epanhengo;
• T3b kana IIIB: Bundu rinosvika parusvingo rwechiuno, kana kukonzera shanduko muitsvo

Chikamu 4:

• T4 kana VAT: Bundu rinopinda mudundira kana rectal mucosa, kana iro rinopfuura kupfuura chiuno.

Kunze kwekuziva mhando yegomarara remuchibereko iro mukadzi anaro, zvakakoshawo kuti uzive kana paine hutachiona hwehutachiona uye metastase kana kwete, nekuti zvinobatsira kuona mhando yekurapa kunodiwa nemukadzi.

Kurapwa kunoitwa sei

Kurapa kwegomarara remuchibereko kunoenderana padanho rine bundu, kunyangwe paine metastases yechirwere, zera uye hutano huzhinji hwemukadzi.

Sarudzo huru dzekurapa dzinosanganisira:

1. Kubata

Conization inosanganisira kubviswa kwechikamu chidiki-chakaita sekoni chechibereko. Kunyangwe iri nzira yakanyanya kushandiswa kubhaopsy uye ichisimbisa kuongororwa kwecancer, conization inogona zvakare kutariswa senzira yekurapa kwakajairika mune kesi dzeHSIL, inova yepamusoro-giredhi squamous intraepithelial lesion, iyo isati yatarisirwa sekenza, asi iyo inogona kuchinja kuva kenza. Ona kuti chibereko chinoenderana sei.

2. Hysterectomy

Hysterectomy ndiyo mhando huru yekuvhiya inoratidzirwa pakurapa gomarara remuromo wechibereko, iro rinogona kushandiswa mumatanho ekutanga kana epamberi uye ayo anowanzoitwa mune imwe yeanotevera nzira:

• Yese hysterectomy: inobvisa chibereko chete nemuromo wechibereko uye inogona kuitwa nekucheka dumbu, neparaposcopy kana kuburikidza nemukanwa wemukadzi. Inowanzo shandiswa kurapa kenza yemuromo wechibereko mudanho IA1 kana nhanho 0.
• Radical hysterectomy: pamusoro pechibereko nemuromo wechibereko, chikamu chepamusoro chemukadzi uye matukisi akapoterera, anogona kukanganiswa nekenza, anobviswawo. Muzhinji, kuvhiyiwa uku kunokurudzirwa kenza zviitiko mumatanho IA2 uye IB, ichiitwa chete nekucheka dumbu.

Izvo zvakakosha kuti urangarire kuti mune ese marudzi emhando yehutachiona mazai uye machubhu zvinongobviswa chete kana zvikave zvakakanganiswa nekenza kana kana zviine mamwe matambudziko. Ona mhando dzehyssterectomy uye kutarisirwa mushure mekuvhiyiwa.

3. Trachelectomy

Trachelectomy ndeimwe mhando yekuvhiya inobvisa chete chibereko uye chechitatu chepamusoro chevakadzi, zvichisiya muviri wechibereko wakamira, izvo zvinobvumidza mukadzi kuti agone kubata mushure mekurapwa.

Kazhinji, kuvhiya uku kunoshandiswa mune zviitiko zvegomarara remuromo wechibereko zvakaonekwa kare uye, nekudaro, hazvisati zvabata zvimwe zvivakwa.

4. Pelvic exenteration

Pelvic exenteration kuvhiya kwakanyanya uko kunogona kuratidzwa mumamiriro apo kenza inodzoka uye inobata dzimwe nzvimbo. Mukuvhiya uku, chibereko, muromo wechibereko, ganglia yechiuno chinobviswa, uye zvinogona zvakare kudikanwa kubvisa dzimwe nhengo dzakadai seovari, machubhu, nyini, dundira uye chikamu chemugumo wemukati.

5. Radiotherapy uye Chemotherapy

Kurapa ne radiotherapy kana chemotherapy kunogona kushandiswa zvese zvisati zvaitika uye mushure mekurapwa kwekuvhiya, kubatsira kurwisa kenza, kunyanya kana iri mumatanho epamberi kana kana paine bundu metastases.