Khansara ya nthendayi ndi chifuwa chachikulu cha ziwalo zoberekera zakunja. Matendawa ndi osowa kwambiri (omwe amawerengera 4% mwa mankhwala omwe amachititsa kuti thupi likhale lopweteka kapena awiri pa akazi 100,000). Zimakhudza makamaka akazi omwe ali ndi zaka 55-75 ndipo ndi 15 peresenti ya amayi omwe ali ndi zaka zoposa 40.
Zingakhale ndi mawonekedwe a squamous cell carcinoma a nthendayi (yomwe imakhudza kwambiri chikopa ndi khungu la ziwalo zoberekera zakunja), komanso imafalikira ku zigawo zakuya za epidermis. Vuto lokhala ndi chotupa m'moyo wonse ndi 0.2%, ndipo chiŵerengero cha imfa mwa matendawa sichidutsa miyezi isanu ndi itatu pa anthu 100,000 omwe ali ndi matenda, ngati ali ndi matenda oyenera.
Zizindikiro za khansa yowopsa
Chizindikirochi chimatchulidwa, ngakhale, ngakhale izi, mu 66% za matendawa amapezeka pamapeto a matendawa. Alamu yoyamba ikuwomba kupweteka kwambiri m'dera la kunja kwa thupi, zomwe zingayambe kuwonjezereka mwa kugwiritsa ntchito sopo kuti ukhale wathanzi kwambiri, mutatha kupanikizika kapena kugonana, komanso usiku. Azimayi ambiri samapereka chizindikiro chimenechi molondola. M'masitepe a pambuyo pake, mimba, zilonda zazing'ono kapena zisindikizo zowawa zimawoneka. Malo akhoza kukhala osiyana: madzulo a vaginayi, clitoris, pa lalikulu kapena labia yaying'ono.
Zifukwa ndi zifukwa za chitukuko cha khansa yowopsa
- Kugonjetsedwa ndi kachilombo koyambitsa matenda a munthu ( HIV ).
- Zaka.
- Trophic amasintha khungu (kupatulira, kupota, ndi zina zotero).
- Kugonjetsedwa ndi kachilombo koyambitsa matenda a papilloma, opatsirana pogonana.
- Kusintha mobwerezabwereza kwa kugonana.
- Kusuta.
Zotsatira ndi kuganizira za khansa yotentha
- Gawo I liri ndi zochepa zazikulu zowononga (zosaposa 2 mm m'mimba mwake) ndi malo ochepa (pakati pa vagina ndi anus).
- Gawo lachiwiri likudziwika ndi kuchepa kwapadera, koma zazikulu zazikulu zowononga (kuposa 2 mm m'mimba mwake).
- Gawo lachitatu limaonetsa kufalikira kwa chotupa cha msinkhu uliwonse kumaliseche, urethra, anus. Pakhoza kukhalanso ndi metastases (yachiwiri tumor sites) m'magulu a chikazi ndi a inguinal.
- Gawo lachinayi limadziwika ndi metastases ku ziwalo zina, kufalikira kwa chotupa cha kukula kwake kwa chikhodzodzo, kachilomboka.
Kuzindikira kwa khansa yotentha kumachitika panthawi iliyonse ndipo imaphatikizapo izi:
- Kufufuza kwa wodwalayo pogwiritsa ntchito galasi lokulitsa kapena chipangizo chapadera (colposcopy);
- zithupi (kusonkhanitsa maselo a minofu kuti afufuze);
- kutenga masewera pamthambo ( zimakulolani kuti muzindikire kusintha kwa maselo).
Kuchiza kwa khansa ya vulv
Kusankha njira ya chithandizo kumadalira malo a chotupa ndi siteji ya matenda. Pa gawo loyamba, opaleshoni (opaleshoni) ndi njira yothandiza. Ngati chotupacho ndi chotupa chochepa (zosakwana 2 mm), ndiye kuti chotupacho chichotsedwa. Nthawi zina, vulvectomy imachitidwa (kuchotsedwa kwa ziwalo zakunja zakunja).
Gawo lachiwiri ndi lachitatu likuwonetsa chithandizo chophatikizana, kuphatikizapo njira zopaleshoni ndi mankhwala opatsirana ndi dzuwa (kuchepetsa kukula kwa chotupa). Pakati pachinayi cha matendawa mumaphatikizapo njira zopangira opaleshoni, mankhwala opatsirana pogwiritsa ntchito mankhwala komanso mankhwala a chemotherapy.
N'zotheka kuchiza khansara ya vulvar ndi mankhwala ochiritsira, komabe osati monga njira yosiyana, koma monga njira yowonjezera. "Ochiritsa anthu" amapereka maphikidwe ambiri: tincture wa hemlock, tincture ya birch bowa chaga, decoctions za zitsamba (calendula, elecampane, immortelle, chitsamba chowawa, viburnum), etc. Komabe, ndalama za anthu ziyenera kutengedwa pokhapokha atakambirana ndi dokotala yemwe akupezekapo.