Chirwere chemhondi
Chii chinonzi kenza yemuromo?
Chii chinonzi kenza yemuromo?
Gomarara remuchibereko rinoitika apo maseru anochinja mumuromo wechibereko chemukadzi, izvo zvinobatanidza chibereko chake nesikarudzi yake. Gomarara iri rinogona kukanganisa matishu akadzama echibereko chake uye rinogona kupararira kune dzimwe nhengo dzemuviri wake (metastasize), kazhinji mapapu, chiropa, dundira, chibereko, uye rectum.
Zviitiko zvakawanda zvegomarara remuromo wechibereko zvinokonzerwa nehutachiona nemapillomavirus emunhu (HPV), inodzivirirwa nemushonga wekudzivirira.
Gomarara remuchibereko rinokura zvishoma nezvishoma, saka panowanzove nenguva yekuitsvaga nekuirapa isati yakonzera matambudziko akakomba. Inouraya vakadzi vashoma uye vashoma gore rega rega, nekuda kwekuvandudzwa kuongorora kuburikidza nePap bvunzo.
Vakadzi vane makore makumi matatu nemakumi matatu nemana ekuberekwa vanowanzozviwana. Kupfuura 35% yezviitiko zvitsva zviri mumadzimai anopfuura makore makumi matanhatu nemashanu, zvisinei, kunyanya avo vanga vasiri kuongororwa nguva nenguva.
Gomarara repamuromo wechibereko rudzi rwegomarara rwunotangira mumuromo wechibereko. Chibereko chechibereko chiburi chinobatanidza chikamu chepazasi chechibereko chemukadzi kumukadzi. Makondombera mazhinji emuromo wechibereko anotanga mumasero ari pamusoro pemuromo wechibereko.
Cervix inogadzirwa nezvikamu zviviri uye yakavharwa nemhando mbiri dzakasiyana dzemasero.
- The endocervix ndiko kuvhura kwechibereko chechibereko chinotungamira muchibereko. Yakavharwa ne glandular masero.
- The exocervix (kana ectocervix) ndicho chikamu chekunze chechibereko chinogona kuonekwa nachiremba panguva yekuongororwa kweseculum. Yakavharwa mukati squamous masero.
Nzvimbo inosangana iyi mhando mbiri dzemasero inonzi "the." shanduko nzvimbo. Iyo chaiyo nzvimbo yenzvimbo yekushandurwa inochinja sezvaunokura uye kana iwe uchizvara. Makondombera mazhinji emuromo wechibereko anotanga mumasero ari munzvimbo yekushandurwa.
Pre-kenza yemuromo wechibereko
Pre-kenza yemuromo wechiberekoMasero munzvimbo yekushandurwa haangoerekana achinja kuita cancer. Pane kudaro, masero akajairika emuromo wechibereko anotanga zvishoma nezvishoma kugadzirisa zvisina kujairika zvinonzi pre-cancer. Vanachiremba vanoshandisa akati wandei mazwi kutsanangura izvi pre-cancerous shanduko, kusanganisira remuromo wechibereko intraepithelial neoplasia (CIN), squamous intraepithelial lesion (SIL), uye zvinyadzi.
Kana pre-cancer ichiongororwa murabhorari, akaiswa mukero we1 kusvika ku3 zvichibva nekuti yakawanda sei yemuviri wechibereko inoratidzika kunge isina kujairika.
- MuCIN1 (inonziwo nyoro dysplasia kana yakaderera giredhi SIL), kwete yakawanda yetishu inotaridzika kunge isina kujairika, uye inoonekwa seyakanyanya kukomba yechibereko pre-cancer.
- MuCIN2 kana CIN3 (inonziwo zvine mwero / zvakanyanya dysplasia kana yepamusoro-giredhi SIL) mamwe materu anotaridzika asina kujairika; yepamusoro-giredhi SIL ndiyo yakakomba pre-cancer.
Kunyange hazvo gomarara remuromo wechibereko richitangira kubva mumasero ane pre-cancer cancer shanduko (pre-cancer), chete vamwe vevakadzi vane pre-cancer yegomarara remuromo wechibereko ndivo vanozoita gomarara. Kune vakadzi vazhinji, pre-cancer cancer maseru anoenda pasina kurapwa. Asi, mune vamwe vakadzi pre-cancer inoshanduka kuita yechokwadi (invasive) cancer. Kurapa remuromo remukondombera-kenza kunogona kudzivirira ingangoita ese cancer yekenza.
Shanduko dzisati dzave negomarara dzinogona kuonekwa nePap bvunzo uye kurapwa kuitira kudzivirira cancer kubva mukukura. Maona Vanogona Kenza Cervical Kenza Inodzivirirwa? Pre-cancerous shanduko inowanikwa pane yako Pap bvunzo uye chaiwo marapirwo e pre-cancer anokurukurwa muPap Test uye Kushanda-kweasina kujairika Pap Bvunzo Mhedzisiro.
Mhando dzechirwere chekervical
Gomarara remuromo wechibereko uye remukondombera pre-cancer zvinorongedzwa nemabatirwo avanotarisisa murabhoru nemaikorosikopu. Mhando huru dzekenza yemukondombera ndeye squamous cell carcinoma uye adenocarcinoma.
- Yakawanda (kusvika pa9 kubva pagumi) cancer yegomarara iri squamous cell carcinomas. Aya kanzura anokura kubva kumasero ari mu exocervix. Squamous cell carcinomas kazhinji inotanga munzvimbo yekushandurwa (uko exocervix inobatana ne endocervix).
- Mazhinji emamwe makondombera emuromo wechibereko ari adenocarcinomas. Adenocarcinomas ndiwo kanzira dzinokura kubva mumasero eglandular. Cervical adenocarcinoma inokura kubva mumaseru-anogadzira gland maseru endocervix.
- Zvishoma pane zvakajairika, cancer yegomarara ine maficha eese squamous cell carcinomas uye adenocarcinomas. Aya anonzi adenosquamous carcinomas or yakavhenganiswa carcinomas.
Kunyangwe dzinenge dzese kenza dzemumuromo wechibereko dziri squamous cell carcinomas kana adenocarcinomas, mamwe marudzi ekenza zvakare anogona kukura mumuromo wechibereko. Aya mamwe marudzi, senge melanoma, sarcoma, uye lymphoma, zvinowanzoitika mune dzimwe nhengo dzomuviri.
Ndezvipi zvinhu zvine njodzi zvegomarara remuromo wechibereko?
Dzinenge dzose kanzura dzemumuromo wechibereko dzinokonzerwa nepillomavirus yevanhu (HPV), hutachiona hwakajairika hunogona kutapurirwa kubva kune mumwe munhu kuenda kune mumwe panguva yepabonde. Kune akawanda marudzi eHPV. Dzimwe mhando dzeHIVV dzinogona kukonzera shanduko pamuromo wechibereko chemukadzi dzinogona kukonzeresa kugomarara remuromo wechibereko nekufamba kwenguva, nepo mamwe marudzi anogona kukonzera genital kana ganda warts.
HPV yakajairika zvekuti vanhu vazhinji vanoiwana pane imwe nguva muhupenyu hwavo. HPV inowanzo kukonzera pasina zviratidzo saka haugone kutaura kuti unayo. Kune vazhinji vakadzi, HPV ichaenda yega; zvisinei, kana zvikasaita, pane mukana wekuti nekufamba kwenguva zvinogona kukonzera gomarara remuchibereko.
Zvimwe zvinhu zvinogona kuwedzera njodzi yako yekenza yemuchibereko-
- Kuva neHIV (hutachiona hunokonzera AIDS) kana chimwe chiitiko chinoita kuti zviomere muviri wako kurwisa matambudziko ehutano.
- Kusvuta.
- Kushandisa mapiritsi ekudzivirira kubereka kwenguva yakareba (makore mashanu kana anopfuura).
- Kubereka vana vatatu kana kudarika.
- Kuva nevakawanda wovata navo pabonde.
Ndezvipi zvikonzero zvegomarara remuromo wechibereko?
Gomarara remuromo wechibereko rinotanga apo masero ane hutano mumuromo wechibereko anovandudza shanduko (maNNN) muDNA mavo. Sero reDNA rine rairo dzinotaurira sero zvekuita.
Masero ane hutano anokura uye kuwanda pamwero wakatarwa, pakupedzisira achifa panguva yakatarwa. Iko kushanduka kunotaurira maseru kuti akure uye awande kunze kwekudzora, uye haafe. Iwo maseru akaunganidzwa anoita saizi (bundu). Cancer masero anopinda matukisi ari padyo uye anogona kubva pabundu kuti apararire (metastasize) kumwe kunhu mumuviri.
Hazvina kujeka kuti chii chinokonzera gomarara remuchibereko, asi zvine chokwadi chekuti HPV inoita basa. HPV yakajairika, uye vanhu vazhinji vane hutachiona havaite gomarara. Izvi zvinoreva kuti zvimwe zvinhu - zvakaita sekwaunogara kana mararamiro aunosarudza - zvinotarisawo kuti uchaita gomarara remuchibereko here.
Mushonga wechibereko kurapwa
Gomarara remuchibereko rinorapika zvikuru kana ukaribata nekukurumidza. Mishonga mina mikuru ndeiyi:
- sejari
- radiation therapy
- chemotherapy
- yakanangwa kurapwa
Dzimwe nguva kurapwa uku kunosanganiswa kuti kuve nekubudirira.
Surgery
Chinangwa chekuvhiya ndechokubvisa yakawanda yekenza sezvinobvira. Dzimwe nguva chiremba anogona kubvisa chete nzvimbo yemuromo wechibereko iyo ine cancer maseru. Kune kenza yakapararira zvakanyanya, kuvhiyiwa kunogona kusanganisira kubvisa chibereko chechibereko uye zvimwe nhengo mupapa.
Radiation therapy
Radiation inouraya cancer maseru uchishandisa yakakwira-simba X-ray matanda. Inogona kuendeswa kuburikidza nemuchina kunze kwemuviri. Inogona zvakare kununurwa kubva mukati memuviri uchishandisa chubhu yesimbi yakaiswa muchibereko kana mukadzi.
Kurapwa
Chemotherapy inoshandisa mishonga kuuraya cancer maseru mumuviri wese. Vanachiremba vanopa kurapwa uku mumatunhu. Iwe unozowana chemo kwenguva yakati. Iwe unobva wamisa kurapwa kuti upe muviri wako nguva yekupora.
Targeted therapy
Bevacizumab (Avastin) mushonga mutsva unoshanda mune imwe nzira kubva kune chemotherapy uye radiation. Iyo inovhara kukura kwemidziyo mitsva yeropa iyo inobatsira iyo cancer kuti ikure uye irarame. Mushonga uyu unowanzo kupihwa pamwechete nekemotherapy.
Kana chiremba wako akawana maseru anonamira mukati memuromo wechibereko anogona kurapwa. Ona kuti ndedzipi nzira dzinomisa maseru aya kuti asashanduke kuita cancer.
Ndeapi matanho ecancer yechibereko?
Mushure mokunge iwe waonekwa, chiremba wako achapa kenza yako danho. Chikamu chinotaurira kana gomarara rapararira, uye kana zvirizvo, kuti rakapararira zvakadii. Kugadzira kenza yako kunogona kubatsira chiremba wako kuti awane kurapwa kwakakodzera kwauri iwe. Kenza yemuromo wechibereko ine zvikamu zvina:
- Stage 1: Gomarara idiki. Inogona kunge yakapararira kune iyo lymph node. Haina kupararira kune dzimwe nhengo dzomuviri wako.
- Stage 2: Kenza yacho yakakura. Inogona kunge yakapararira kunze kwechibereko uye chibereko kana kune iyo lymph node. Haisati yasvika kune dzimwe nhengo dzemuviri wako.
- Stage 3: Gomarara rapararira kuchikamu chezasi chemukadzi kana kuti muchiuno. Inogona kunge ichivharira ureters, machubhu anotakura weti kubva kuitsvo kuenda kudundira. Haina kupararira kune dzimwe nhengo dzomuviri wako.
- Stage 4: Gomarara rinogona kunge rakapararira kunze kwepachechi kunhengo dzakaita semapapu ako, mapfupa, kana chiropa.
Kuongororwa kwemukenza wechibereki
Kuongorora bvunzo kunogona kubatsira kuona gomarara remuchibereko uye maseru anonamira anogona rimwe zuva kukura kuva gomarara remuchibereko. Yakawanda mirayiridzo inoratidza kutanga kuongorora kwecancer yechibereko uye shanduko yepamberi pazera makumi maviri nerimwe.
Kuongorora bvunzo kunosanganisira:
- Pap bvunzo. Munguva yePap bvunzo, chiremba wako anokwenya nekukwesha maseru kubva pamuromo wako wechibereko, ayo anobva aongororwa murabhoritari kuti awane kusarongeka. Pap test inokwanisa kuona masero asina kumira zvakanaka mumuromo wechibereko, anosanganisira masero egomarara nemaseru anoratidza shanduko dzinowedzera njodzi yegomarara remuchibereko.
- HPVDNA muedzo. Ongororo yeHPV DNA inosanganisira yekuongorora maseru anotorwa kubva kumuromo wechibereko kuti ane utachiona here nemhando ipi zvayo yeHPV iyo inogona kukonzera gomarara remuchibereko.
Kurukurai nezvekusarudza gomarara remuromo wechibereko nachiremba wako.
Kana kenza yemuchibereko ichifungidzirwa, chiremba wako angangotanga nekunyatsoongorora chibereko chako. Chishandiso chakakosha (colposcope) chinoshandiswa kutarisa masero asina kujairika.
Munguva yecolposcopic bvunzo, chiremba wako anogona kutora sampuro yemumuromo maseru (biopsy) yekuyedzwa kwerabhoritari. Kuti uwane tishu, chiremba wako anogona kushandisa:
- Bhawa biopsy, izvo zvinosanganisira kushandisa chakapinza chishandiso kubaya zvidiki zvidiki zvechibereko zvinyama.
- Endocervical curettage, iyo inoshandisa diki, chipunu chakaita sechiridzwa (curet) kana bhurasho rakatetepa kukwenya sampuro yetishu kubva pamuromo wechibereko.
Kana iyo punch biopsy kana endocervical curettage iri kunetsa, chiremba wako anogona kuita imwe yeiyi bvunzo inotevera:
- Magetsi waya chiuno, iyo inoshandisa tambo yakatetepa, yakaderera-magetsi magetsi kuti iwane chidiki chemuenzaniso. Kazhinji izvi zvinoitwa pasi peanesthesia yemuno muhofisi.
- Cone biopsy (kusangana), inova nzira inobvumidza chiremba wako kuti awane zvakadzama maseru emuromo wechibereko pakuongororwa kwerabhoritari. Koni biopsy inogona kuitwa muchipatara pasi peanesthesia.
Kudzivirirwa kwekenza yemumuromo
Kuti uderedze njodzi yako yekenza yemuromo wechibereko:
- Bvunza chiremba wako nezve iyo HPV vaccin. Kuwana jekiseni rekudzivirira hutachiona hweHPV kunogona kuderedza njodzi yako yegomarara remuromo wechibereko nemamwe magomarara ane chekuita neHPV. Bvunza chiremba wako kana jekiseni reHPV rakakodzera iwe.
- Iva neyakajairwa Pap bvunzo. Pap bvunzo dzinogona kuona mamiriro ekunze emuromo wechibereko, saka anogona kuongororwa kana kurapwa kuitira kudzivirira gomarara remuchibereko. Masangano mazhinji ezvokurapa anoratidza kutanga kwePap bvunzo pazera remakore makumi maviri nerimwe nekudzidzokorora makore mashoma.
- Dzidzira bonde rakachengeteka. Deredza njodzi yako yegomarara repamuromo wechibereko nekutora matanho ekudzivirira kutapuriranwa pabonde, sekushandisa kondomu pese paunoita bonde uye kudzikamisa huwandu hwevanosangana navo pabonde.
- Usapute. Ukasasvuta, usatanga. Kana iwe ukasvuta, taura nachiremba wako nezve nzira dzekukubatsira iwe kurega.
Kuti uwane ruzivo nezve kurapwa kwecancer yechibereko uye rwechipiri pfungwa, tifonere pa96 1588 1588 kana kunyorera info@cancerfax.com.
- Makomendi Akavharwa
- July 28th, 2020
