Kanzira yemudzimai inonyadzisa neoplasm yemuviri wekutanga kana kuti yemasita mune mucous membrane yemukadzi. Gore negore, kenza yemukadzi inowanikwa mune vanenge 2 000 vakadzi, iyo inenge 3 muzana yezvose zvinokonzera maronda zvinokanganisa, zvine mhedzisiro inouraya ye5-7%. Rimwe boka revanhu vane ngozi kune vakadzi vane makore 55-65. Muzviitiko zvisingaiti, kenza inogona kuonekwa mumusikana muduku. Izvo zvinoshandiswa zvakanaka zvinowanikwa mune imwe nguva yekuongororwa.
Mhando dzechikadzi zvekenza
Zvichienderana nemhando yematukisi anokonzerwa nechirwere (histological structure of the tumor), kusiyana:
- squamous cell carcinoma yemudzimai - inobuda kubva mumasero emucherechera akavhara mukadzi kubva mukati;
- ronda mumasero ezvinyoro zvinyararire;
- tumarara mumasero ezvinyama zvisingatauri;
- chiremera mumasero ematundu anotsvaga.
Muzvikamu zvekukura, mhando dzinotevera dzechirwere chepabonde dzinoratidzika:
- Chechi isina-inoparadza (danho 0). Panguva iyi, chirwere hachikure uye chiri nemiganhu yakajeka.
- Mukana wekenza unopinda I. Chirwere ichi chinokura pamusoro pemashizha emuviri.
- Mukana wekenza unopinda II. Inowedzera kumapapu emapapu (anowanikwa pakati pemadzimai nemadziro ediki duku).
- Mukenza unopararira wepakatiro III. Chirwere ichi chinopinda mumadziro ediki duku.
- Kanzera inopararira yemuenzaniso we IV. Inopararira kune nhengo dzinopoteredza: chikafu, mukati.
Zviratidzo uye zviratidzo zvemukadzi wekenza
Matanho ekutanga emukadzi wekenza kazhinji anowanzosvibiswa. Mune ramangwana, zviratidzo zvinotevera zvinowanikwa:
- zvinorwadza zvepabonde;
- kurwadziwa munharaunda ye sacrum, small pelvis, pubis;
- kuzvimba kwemakumbo;
- kunetseka mukuzvidzivirira, nguva dzose kunyorera;
- excretions yakafanana neyekudzivirirwa panguva ye candidiasis (thrush);
- kubuda ropa, kupesana kana shure kwepabonde - ropa remavara matsvuku.
Zvinokonzera uye zvikonzero zvekudzivirira kenza kumusana
Kuonekwa kwekenza yemukati kunogona kuita kuti:
- Kubvumirwa kweamai pakuberekwa kwemimwe mishonga.
- Kutapukirwa nehutachiona hwemapilloma, hupabonde.
- Kuvharirwa nehutachiona hwehutachiwana hwehutachiwana (HIV).
- Age.
- Kanzira yemuviri uye chibereko chechirwere.
- Kujekesa (semuenzaniso, panguva yehutachire radiotherapy).
Kuongororwa kwekenza yekenza
Inosanganisira:
- kuongororwa kwemafupa maduku (vagina, chiberekiti, maovha, rectum, fallopian tubes);
- kutora smear on onococytology (Pap smear);
- bhiopsy (kukohwa kwemasero etukutu kuongororo);
- ultrasound exam;
- computed tomography.
Kuti uwane hutano hwakarurama, unoda kuziva kuti chirwere chekenza chinoratidzika sei. Muchikamu chekutanga chechirwere ichi chinogona kuva zviduku zviduku zvishoma pamucheka mukosa, mapirasi ekukura.
Kurapwa kwekenza yemukenza
Nzira yekurapa kenza inosarudzwa zvichienderana nehuwandu hwekuvhiringidza kwayo (kupararira), ukuru hwechirwere nezvimwe zvinhu. Nokudaro, nechinenge chidiki chemuviri wekukura uye nzvimbo isina kukwana, inogona kunge yakanyanyiswa, yakabviswa nemaserasi kana mvura inonzi nitrogen.
Nekuwanda kwekuvhiringidza kana kuvapo kwemasastases, kubviswa zvakakwana kwemukadzi kana chibereko kunoratidzwa. Chemotherapy inoshandiswawo kuderedza chiremara chemaitiro, asi, sekutonga, pamwe chete nemashonga ekuvhiya. Kurapa kwekenza yemukati yemukati (mushure mekubviswa kwechibereko kana chevha) zvakafanana.