Vese varume nevakadzi vanotambura nenyaya dzakasiyana dzine chekuita nehutano umo vulvar cancer ndeimwe yacho. Igomarara rinokonzera ndufu dzakawanda munyika yedu. Dambudziko iri rinoitika nekuda kwefodya kana utachiona hweHIV. Munhu akambosangana nedambudziko iri anogona kurapwa gomarara repavulvar kana mamwe marapiro akasiyana.

Zvakadaro, gomarara remudumbu chirwere chisingawanikwe uye kazhinji chinobata vakadzi. Inobata nhengo yesikarudzi yemukadzi. Zvinoitika apo masero asina kujairika anokura asingadzoreki munzvimbo iyi nenzira yebundu. Zvikonzero zvedambudziko iri hutachiona hweHPV uye kutsamwa kusingaperi. Kukurumidza kuonekwa kwegomarara revulvar kwakakosha pakupora.

Mhando dzeVulvar Cancer

Gomarara iri nderemhando dzakasiyana, dzinoti:

Squamous Cell Carcinoma: Ndiro gomarara rinonyanyozivikanwa, iro rinobata squamous masero muvhavha. Dambudziko iri rinoitika nekuda kwemaronda kana mapundu munzvimbo iyi, asingarapike kana kudzivirirwa nachiremba.
Melanoma: Inoitika mu melanocytes, iyo inotungamirira kune ganda pigmentation muvarwere. Gomarara iri harina kunyanya kuwanda uye rinovaitira hasha. Inoratidzika senzvimbo ine rima uye isina kurongeka mubeche.
Basal Cell Carcinoma: Ndicho kenza yeganda iyo inoitika mu basal cells, chikamu chepasi chekunze kweganda. Dambudziko iri rinokura zvishoma nezvishoma uye rinotungamirira kukuvadzwa kwenharaunda muvulva.
Chirwere chePaget: Dambudziko iri harisi nyore uye rinononoka kukura, iro rinowanzobata pamusoro peganda muvhavha. Zvinotungamirira kumarwadzo uye kuputika muvakadzi, izvo zvinogona kurapwa kuburikidza nekuvhiyiwa kana imiquimod cream. Ichi chirwere chePaget chakafanana nechirwere chePaget chiri muzamu.
Sarcoma: Ikenza isingawanzo vulvar inoitika mumamhasuru kana mutsinga dzeropa. Dambudziko iri rinokonzera kuzvimba kana bundu munzvimbo yehuro.

Zviratidzo zveVulvar Cancer

Zviratidzo zvinoitika nekuda kwegomarara iri ndezvizvi:

Skin Discoloration: Kutsvuka kusina kujairika, kukora, kana kushanduka ruvara muganda rebeche rinogona kunge riri chiratidzo uye chiratidzo chegomarara remudumbu.
Kuzvimba: Kana gomarara rikabatwa mumalymph nodes ari pedyo, saka rinogona kuzvimba munzvimbo yevulva kana groin.
Bundu kana Kukura: Mapundu anogona kurwadza, kuoma, kana kusamira zvakanaka. Inogona kuonekwa uye haigoni kuenda.
Abnormal Discharge: Kubuda kusina kujairika kunogona kujeka, kuve neropa, uye kuve nekunhuhwirira kusina kujairika, uko kunogona kuperekedzwa nezvimwe zviratidzo. Izvi zvinotungamirira kumigumisiro inokuvadza muvarwere.
Itching kana kusagadzikana: Itching munzvimbo yevulvar inogona kuve yakaoma uye inoenderera, ichikonzera kusagadzikana mumunhu. Ndicho chimwe chiratidzo chinoitika nekuda kwegomarara iri.
Maronda kana Maronda: Maronda kana maronda anoitika nekuda kwegomarara remudumbu, iro risingarapike nyore. Zvinogona kurwadza kana kubuda ropa muvarwere.

Kuongororwa kweVulvar Cancer

Vulvar cancer inogona kuongororwa nenzira dzinoverengeka:

Cystoscopy: Inzira yekuongorora gomarara remudumbu mumanera nemuurethra. Chiremba anoshandisa chubhu yakavhenekerwa kutarisa dambudziko iri.
Biopsy: Nzira iyi inoedza gomarara repavulvar nekubvisa sampuli yetishu kubva muvhu. Inoitirwa muhofisi yenyanzvi yezvehutano kana mukamuri yekuvhiya.
Colposcopy: Iyi nzira inoongorora gomarara munhengo yesikarudzi, vulva, nemumuromo wechibereko. Inosanganisira chiridzwa chakasarudzika chinozivikanwa secolposcope kuongorora dambudziko iri.
MRI Scan: MRI inogadzira mifananidzo yakachinjika ine magineti akasimba uye masaisai eredhiyo. Iro nzira yakakosha yekurapa cancer yevulvar. Scan iyi inoratidza zvakare kuti gomarara rakabata uropi nemuzongoza.
CT Scan: Iyo bvunzo yeX-ray inobatsira mukuona gomarara revulvar kana lymph nodes yakakura muvarwere. Inotarisa gomarara mumalymph nodes nedzimwe nhengo dzemuviri. Iyi nzira inobatsira pakurapa hombe dzegomarara remudumbu.
PET Scan: Iyo inobatsira yekufungidzira bvunzo inodzora vulvar cancer mumalymph nodes nedzimwe nhengo dzemuviri. Iyi nzira inoshandiswa nenzira yeshuga yeradioactive, iyo inoiswa muropa. Inogadzira mifananidzo yenzvimbo dzakakanganiswa kuti ipe ruzivo runobatsira pamusoro pavo.
Proctoscopy: Iyi nzira inosanganisira kurapa gomarara revulvar rinopararira kune rectum uye anus. Ichubhu yakatetepa uye yakavhenekerwa inoshandiswa pakurapa.

Kurapa KweVulvar Cancer

Kune mhando dzakasiyana dzekurapa kenza ye vulvar , idzo dzinotevera:

Surgery

Iyo yekutanga kurapwa kwegomarara revulvar, iyo inosanganisira akati wandei maitiro:

Kubvisa Lymph Nodes: Kana ma lymph nodes akabatwa nekuda kwekenza yevulvar, saka inofanira kubviswa, iyo inobatsira mukuderedza ngozi yayo.
Kubvisa Vulva Chikamu kana Yese Vulva: Paunenge uchirwara negomarara rakakura, ipapo Vulvectomy ndiyo yakanakisa sarudzo yekurapa. Kuvhiya kunosanganisira kubviswa kwemboro. Partial vulvectomy ndiko kubviswa kwechikamu chemboro, nepo radical vulvectomy iri kubviswa kwebeche rose.
Kubviswa kweCancer uye Dzimwe Hutano Tissues: Kubvisa kunosanganisira kucheka muganho wematishu anotaridzika ane hutano, ayo anovimbisa kubviswa kwemaseru ekenza. Iyi nzira inozivikanwa zvakare sekubvisa kwakakura kwenzvimbo kana kuchekwa kwakadzama.

Radiation Therapy

Mushonga uyu unoshandisa matanda esimba ane simba, anounzwa kubva kuX-rays, protons, etc. Murwere anofanira kurara patafura panguva yekurapa nemwaranzi. Muchina unofamba uchimutenderedza uye unopenya chaiwo mapoinzi emuviri. Radiation therapy inoshandiswa kuuraya masero egomarara anowanikwa akatenderedza lymph nodes. Inobatanidza nechemotherapy kurapa dambudziko iri.

Kurapwa

Inoshandisa mishonga yakasimba inorapa kenza yemudumbu inokanganisa dzimwe nhengo dzemuviri. Chemotherapy inosanganiswa nemwaranzi kurapa kenza yemudumbu yakakura kana kenza yakakomberedza ma lymph nodes.

immunotherapy

Mushonga uyu unobatsira masoja emuviri kurwisa zvirwere nekurwisa utachiona nemamwe masero egomarara. Masero aya anorarama nekuhwanda kubva kuhurongwa uhu. Inobatsira zvakare pakurapa kwegomarara revulvar.

Targeted Therapy

Inoshandisa mishonga yemishonga inotarisa chaiwo mamorekuru aripo mumasero egomarara. Izvi zvinovharisa mishonga iyi inotungamirira kurufu mumasero aya. Iyo zvakare inobata gomarara re vulvar zvakafanana ne immunotherapy.

Nzira yekudzivirira Vulvar Cancer?

Vulvar Cancer inogona kudzivirirwa nenzira dzinotevera:

Pelvic Exam: Chiremba anotarisa njodzi uye zviratidzo kuburikidza nenhoroondo yezvehutano yakazara. Mushure maizvozvi, anozoongorora dambudziko iri kuburikidza nebvunzo dzepelvic. Idanho rekutanga mukudzivirira gomarara iri muvarwere. Chiremba anozovhenekawo Pap kana HPV kusikarudzi nemuromo wechibereko.
Dzivisa Fodya: Kusvuta fodya kunotungamirira kungozi yekuwedzera kwegomarara revulvar. Kana usingakwanisi kurega, saka bvunza mutapi wako wehutano. Dambudziko iri rinogona kugadziriswa kuburikidza nemishonga uye nekupangwa mazano.
Lower HPV Infection Ngozi: HPV inowedzera njodzi yegomarara revulvar nekuda kwekusangana pabonde. Kana iwe uchida kuderedza dambudziko iri, tevera matanho aya:

Shandisa Kondomu: Kondomu rinogona kubatsira panjodzi yeHPV, asi haripe dziviriro yakazara kubva mudambudziko iri.
Wana HPV Vaccine: Iyo Vaccine inopa dziviriro kubva kuhutachiona nekuda kwegomarara revulvar. Unogona kutaura nemutarisiri wako wehutano nezve HPV jekiseni.