Kanzira yehavha ndeye chiremara chakaipa chemadzimai echibereki chekunze chekadzi. Chirwere chacho hachiwanzoviki (kuverenga 4% yezvose zvinokanganisa zvirwere zvepabonde kana 2-3 madzimai nevakadzi 100 000). Inosanganisa zvikuru vakadzi vane makore 55-75 uye chete mu15% yemhosva - vakadzi vasati vava nemakore makumi mana.
Inogona kuva nechimiro che squamous cell carcinoma chekuvhara (chinokonzera chikamu chepamusoro cheganda uye mucous membrane yezvimwe nhengo dzomukati dzomukati), asiwo zvinopararira mumadzika akadzika epidermis. Dambudziko rekudzivirira chiremera muupenyu hwose ndi 0.2%, uye chiyero chekufa kubva muchirwere hachidariki 0.5 mamiriyoni evanhu vane zviuru zana vane chirwere, mune imwe nguva yekuongorora.
Zviratidzo zvekuvhara chirwere
Chiratidzo chinodamwa, zvisinei, pasinei neizvi, muna 66% yezviitiko kuongororwa kunoitwa mumatanho ekupedzisira echirwere. Irosi yekutanga inotambudza inzvimbo yekunze kwekunamata, iyo inogona kusimbiswa nokushandisa sipo yehutano hwepedyo, mushure mekushungurudzika kana kuita zvepabonde, uye usiku. Vazhinji vakadzi havaiti chiratidzo ichi chinoreva. Mune zvikamu zvekupedzisira zvekuvhara, kutengesa, maronda maduku kana zviratidzo zvinorwadza zvinooneka. Nzvimbo yacho inogona kunge yakasiyana: pamasikati emukadzi, clitoris, pane yakakura kana duku.
Zvinokonzera uye zvikonzero zvekufambira kwechirwere chekenza
- Kuvharirwa nehutachiona hwehutachiwana hwehutachiwana ( HIV ).
- Age.
- Trophic inoshandiswa paganda (kuponda, kupera, nezvimwewo).
- Kutapukirwa nehutachiona hwemapilloma, hupabonde.
- Kakawanda kuchinja kune vakaroorana navo.
- Kusvuta.
Nhanho uye kuongororwa kwekuvhura chirwere
- Nhanho I inoratidzirwa nediki duku remakumbo (kwete kupfuura 2 mm muhupamhi) uye nzvimbo yakakosha (pakati pemukadzi uye anus).
- Chikamu chechipiri chinoratidzwawo nekusawana nzvimbo, asi huru yemavhutu yakakura (kupfuura 2 mm muupamhi).
- Nhanho yechitatu inofananidzira kupararira kwetukutu hwehupi hupi hukuru kumadzimai, urethra, anus. Ikoko kunogonawo kuva nemastasimasi (yechipiri tumor sites) mumakumbo echikadzi uye inguinal lymph nodes.
- Nhanho IV inoratidzika nemasitasti kune dzimwe nhengo, kupararira kwemuviri wehupi chero upi hwechidimbu kusvika kumubhedha, rectum.
Kuongororwa kwechirwere chekenza kunoita chero ipi zvayo uye kunosanganisira:
- Kuongororwa kwemurwere uchishandisa girazi rinokudzwa kana chimbo chinokosha (colposcopy);
- bhiopsy (kukohwa kwemasero etukutu kuongororo);
- kutora smear oncocytology (inokubvumira kuti uone kuchinja mumasero).
Kuchengetedzwa kwechirwere chirwere
Kusarudzwa kwemuitiro wehutano kunobva pane nzvimbo yemarara uye danho rechirwere. Mutsara wokutanga, chirongwa (opera) inzira inoshanda. Kana chironda ichi chiri tumarara duku (pasi pe2 mm), zvino chete tumarara inobviswa. Mune zvimwe zviitiko, a vulvectomy inobviswa (kubviswa kwekunze kwema genitalia).
Chikamu chechipiri nechechitatu chinoratidzira kushandiswa, kusanganisira nzira dzokuvhiya uye remishonga inonzi radiation (kuti kuderedza ukuru hwechiremera). Pakati pechikamu chechina chechirwere ichibatanidza nzira dzokuvhiya, remishonga yehutachiona uye chemotherapy.
Zvinokwanisika kurapa chirwere cheV vulvar nemishonga yevanhu, zvisinei, kwete senzira yakasiyana, asi seimwe nzira inowedzera. "Vanhu vanorapa" vanopa mapeji akawanda: tincture yehemlock, tincture ye birch mushroom chaga, decoctions yemishonga (calendula, elecampane, immortelle, gavakava, viburnum), nezvimwe zvakadaro, mari yevanhu inofanira kutorwa mushure mekunge taurirana nechiremba anouya.