Mune zviitiko zvakawanda, chirwere chepachivande chechikadzi chinonzi metastatic, izvi zvinokonzerwa nekuti kuipa kunoratidzira kubva pamuviri uye chirwere chinopfuurira kumadziro edzimai. Chimiro chemuitiro wekenza chinokanganisa kunyanya kwechikadzi chechikamu chechitatu chiri munharaunda.
Uyewo, kenza yemudzimai, zvichienderana nemamiriro ayo, inogoverwa kuva exophytic uye endophytic maitiro ekufambira mberi. Imwe nzira yekufambira mberi ndeyekuti pamadziro echinhu chiremara chinopararira semapurry kukura kunofanana neholiflower. Uye chimiro chekupedzisira chekukura chiri muchokwadi chokuti kubva pakutanga chaiyo tsvina inowedzera mumatumbu, iyo inokonzera kuchinja kwemashupu aya.
Urongwa hwehutachiona hwechikadzi pane hwaro hwe:
0 danho - intraepithelial cancer (preinvasive carcinoma);
Nhanho 1 - imwe yakakura uye yakakura kusvika kumamita maviri, haina kuwedzera iyo submucosal layer yakadzika, metastasis haina kuonekwa.
Chikamu chechipiri - chiremara chinenge chakaita mamita maviri masendimita, izvo zvisingaregi kumadziro epevicvic, matetasiti emunharaunda haasati asarudzwa.
Chigadziko chechitatu chiremera chemhando ipi neipi yeparavaginal inopinda iyo inowedzera kune rusvingo rwepasvivi uye ine mafashamba emasipotasi emunharaunda.
Chikamu chechina - huwandu hupi hwechiremera chinokura muzvikamu zvinotevera musuo (mucous membrane yechipfuva, urethra, rectum) uye tissue (pelvic bone, perineum) nemagadzirirwo ematunhu akasiyana.
Kuongororwa uye kliniki yemukenza wekenza. Chirwere chemukadzi wekenza mumatangiro ekutanga chinoramba chisingaoneki. Sezvo kenza inowedzera, leukemia, kusununguka kwechikadzi kubva kumukadzi. Nokudaro, kurwadziwa mune nzvimbo dzakagadziriswa, sacrum uye nzvimbo yepasicheni inowedzera, kukanganiswa uye kugadzirisa zvinetso zvinoputsika, mushure mokunge bhuruu kana ruvara rutsvuku ruchiyerera.
Muchipatara mamiriro ezvinhu, kuongororwa kwechirwere chepabonde hakuiti kuti matambudziko. Inowanikwa panguva yekuongororwa kwechikadzi chiremba nehutachi, hunyoro hwakaumbwa, hune maitiro eti, kana kuti chironda chinopa ropa nemiganhu-dense-dense uye pasi yakaoma.
Cytological examination, kureva kuti, biopsy, kana chidimbu chemuviri chinoparadzaniswa nechironda kana chirwere chekuongorora kunosarudza basa guru pakuratidza kuti chinonyanya kuipa kana chiremara chechiremera ichi.
Kujekesa kana chirongwa chacho chiri kupararira, kureva kuvapo kwemafashoni emasitosti emagetsi, uye cystoscopy inoshandiswa kutsvaga mamiriro ezvimwe nhengo dzakapoteredza nhengo.
Kuchengetedza kubvira kwechirwere chemasastatic, ultrasound yezviputi, mazamu ekuongorora (mammary gland), kuongorora kujekesa kwechikamu chemucosa pamadziro emakona uye chibereko chechirwere chinoitwa. Hysteroscopy sezvinorayirwa nachiremba.
Kurapwa kwekenza yemukenza. Kusarudzwa kwenzira yekurapa kwechirwere chepabonde kunobva pakupararira, danho rekugadzirwa kwekenza, kugarisana kana kumira kwechikadzi chechiini, zvisinei nhengo dzakapoteredza dzinobatanidzwa mukugadzirisa uye, kutanga kune dzose, mamiriro ezvinhu emukadzi anorwara.
Mukurapa kwechirwere ichi chirwere chinoshandiswa chinoshandiswa, kupindira kwekuvhiya ndiko kuti, kuparadzaniswa kwehutachiona hwehutachiona hwemadzimai mukati mehutano hwakagadzikana, kurapwa nekubatsirwa kweaasiti yaaser. Uyewo pamucheto wekutanga wekenza, 5% mafuta e-fluorouracil anorayirwa zuva rimwe nerimwe kwemazuva gumi nemana.
Kurapa kwechirwere kunoramba iri nzira yakakura yokurapa vaginal oncology, asi chirongwa chakadaro chinogadzirirwa pachavo kune mumwe mukadzi anorwara. Chirwere chepachigarire chakaparadzana kuva miviri miviri: yekutanga uye yechipiri (metastatic). Nzira yakakosha yepachirwere chekenza pakati pemakondani ose emadzimai ekuberekwa ari 1-2%, inowanikwa kunyanya chero ipi zvayo, asi kunyanya mumakore 50-60.