Chero shanduko isina kujairika inoitika mumuromo wechibereko, inova chikamu chezasi chechibereko chinonzi gomarara remuchibereko. Inowanikwa zvakanyanya muvakadzi uye inokonzerwa nehutachiona hweHPV. Vanhukadzi vanosvika 660 000 vari kubatwa negomarara remuromo wechibereko, uye huwandu hwerufu huri kuwedzera pasi rose. Panguva yekutanga, inogona kurapwa nenzira dzakadzama sekuongorora, kurapa, nezvimwe. Yakanakisa cervical. kenza kurapwa inogona kubatsira vakadzi kurarama hupenyu hwakanaka.
Mhando dzeCervical Cancer
Yakakamurwa kuva mhando dzinotevera dzinoenderana nechitarisiko chayo.
- Squamous Cell Carcinomas: Zvinoitika nekuda kwekuwanda kwekugadzirwa kwemaseru esquamous, ayo anotanga mumucheka wechibereko.
- Adenocarcinoma: Zvinoitika zviya zvinobudisa machuru.
- Mixed Carcinomas: Inosanganisira histotypes mbiri dzinoti, squamous cell carcinomas uye adenocarcinomas.
Zvinokonzera Cervical Cancer
Zvinowanzoitika kune vane HIV kwete vakadzi vasina HIV.
- Avo vanhu vanoita zvepabonde uye vanofambidzana nevakawanda vanoita zvepabonde vanotapukirwa neHuman Papillomavirus. Matambudziko ayo anokuvadza anokonzera kuchinja kusingawanzoitiki mumuromo wechibereko.
- Munhu ane immune system isina simba anogona kusangana negomarara iri. Imhaka yekuti utachiona hweHIV hunonetesa masoja ezvirwere.
- Kuchinja muDNA
- Kushandisa mapiritsi ekudzivirira kubata pamuviri
- Kuzvara vana vakawanda
- kusvuta
- Kutsenga fodya
- Kunwa doro
Zviratidzo zveCervical Cancer
Zviratidzo zvaro hazvionekwi padanho rekutanga. Nekudaro, hezvino zvimwe zviratidzo zvekutanga-danho uye kenza yepamusoro:
- Kubuda ropa kwakanyanya panguva yekutevera kunogara kwenguva yakareba.
- Pelvic kurwadziwa uye kusagadzikana
- Kuzvimba kwemakumbo
- Nhamo panguva yepabonde
- Zvisina kujairika zvinobuda munhengo yesikarudzi kunosanganisira ropa rine munhuwi wakashata.
- Zvinorwadza mumimba
- Kurwadza ura
- Kutadza kubuda weti
Chirwere cheCervical Cancer chingaongororwa sei?
Dzimwe bvunzo dzekutanga dzinofanirwa kuitwa kuti dziongorore uye kurapwa nekukurumidza.
- Biopsy
- Kuongorora kwepanyama
- MRI uye PET-CT scan
- Colposcopy
- Pap smear
Sarudzo dzeCervical Cancer Treatment
Pane zvimwe zvinhu zvinofanirwa kutariswa usati watanga kurapwa. Zvakadai sematanho, zera, hutano, chirongwa chekurapa chinoshanda, nezvimwe.
Matanho eCervical Cancer
- Chikamu I: Masero egomarara kana matishu anongowanikwa mumuromo wechibereko.
- Chikamu chechipiri: Muchikamu chino, inopararira kunze kwepamusoro pemuromo wechibereko, iyo inokanganisa matishu akapoteredza chibereko.
- Chikamu chechitatu: Padanho rechitatu, inosvika kumadziro epelvic, ayo anosanganisirawo lymph nodes.
- Stage IV: Idanho rechina regomarara remuromo wechibereko iro rinokura zvisingadzoreki kupfuura chiuno. Inokurumidza kupararira kune dundira kana rectum nedzimwe nhengo dzemuviri.
Mhando dzeMarapirwo eCervical Cancer
Kune marudzi akasiyana ekurapa anogona kushandiswa kurapa gomarara remuchibereko, aya ndeaya anotevera:
Radiation Therapy
Mukurapa kwemwaranzi iyi, mwaranzi yakakwira yemwaranzi inoshandiswa kuuraya maseru ane cancer.
- Internal Radiation Therapy: Chinhu chine radioactive chinoiswa mumidziyo yakaita semakatheta, tsono nezvimwewo, zvinoiswa munzvimbo ine gomarara resikarudzi kana muromo wechibereko.
- External Radiation Therapy: Iyo 3-D radiation therapy yeIMRT iyo inoshandiswa kupa ekunze radiation kubva kunze kwemuviri kuenda kunzvimbo yebundu pasina kukuvadza mamwe matishu ane hutano.
Surgery
Zvinoonekwa semushonga mukuru kana gomarara remuromo wechibereko rikaonekwa nguva ichiripo. Kune marudzi akasiyana ekuvhiya:
- Hysterectomy: Kuvhiyiwa kweHysterectomy inoitwa kuburikidza nenhengo yemukadzi uko kunodiwa kuvhiya. Musikarudzi iyi, cervix, fallopian tubes, dundira, rectum nenzvimbo dzakabatwa negomarara.
- Kuchema: In kurira, simbi inotonhora inoongorora inoshandiswa iyo inoiswa mumuromo wechibereko kuti iparadze kana kukuvadza masero ane kenza nekuaomesa nechando.
- Conization: Cervical conization icone biopsy umo chidimbu chakaita sekoni chetishu chinobviswa pamuromo wechibereko nekushandisa scalpel (cold knife conization). Inobatsira kubvisa magomarara ekutanga uye mapre-cancer.
Targeted Therapy
Mune izvi, mimwe mishonga inoshandiswa kunanga iyo chaiyo mapuroteni uye ma enzymes ane basa rekusimudzira kukura kwekenza maseru.
Kurapwa
Mishonga yemakemikari inotorwa nemuromo kana intravenous iyo inobatsira kumisa kukura kwekenza maseru kana matishu. Dzimwe nguva, chemotherapy inopihwa nemamwe marudzi ekurapa kuti iwane mhedzisiro yayo.
immunotherapy
Mishonga iyi inobatsira immune system yemunhu kuziva maseru ane gomarara uye nekuaparadza pakupedzisira. Inobatsira immune system yemurwere kurwisa cancer. Kune kumwe kushanda kwemishonga yeimmunotherapy, sePembrolizumab.
Gomarara Remuchibereko Rinogona Kudziviswa Sei?
Mamwe matanho anofanirwa kutorwa kuderedza njodzi yegomarara remuromo wechibereko:
- Kuongorora bvunzo
- HPV Vaccination
- Kutora matanho ekuzvidzivirira pakuita bonde
- Rega kusvuta, fodya, uye doro
Clinical Trials
Miedzo yemakiriniki izvidzidzo zvetsvakiridzo zvine chekuita nekuvandudza kurapwa kwazvino. Tsvakurudzo dzakasiyana-siyana dzinoitwa pahwaro hwe rudzi rwekenza, zera remurwere, nezvimwewo. Tsvakurudzo yaro inoratidza kana kurapwa kunoshanda uye kwakachengeteka kana kwete.
Kuchengeta Kutevera Panguva uye Mushure meKurapwa
Zvakakosha zvikuru kuti murwere atevere kuongororwa nguva nenguva nekuti zvakakosha kuti aone chirwere ichi, danho racho uye kuti mishonga iri kushanda zvakadii. Zvichabatsirawo kuziva nezve shanduko uye zviratidzo zvekudzokororwa kwegomarara remuchibereko.
