Kurapa kwechiini
Kana kuongororwa kweCIN kunosimbiswa, kukanganiswa kwemunharaunda, laser kuparadzwa, cryodestruction kana electrocoagulation yekutarisa kwechionda kunowanzoitwa. Kana pasina mushonga, CIN III inopinda mukenza inopinda. Kubudirira kwehutano hwezvikamu zvepamusoro zveCIN kunobatsira zvikuru kuderedza dambudziko rekuwedzera kenza inopinda. Kunyange zvakadaro, njodzi inoramba ichikwirira kupfuura yevhareji muhuwandu hwevanhu, saka kunyanya kuongororwa kwemurwere kunokosha kwemakore mashanu mushure mokupera kwekurapa.
Microinvasive cancer
Varwere vane kenza yemakirinivasive vanoratidzwa kuwirirana kwechirwere (kubviswa kwechikamu chikuru). Kana zvikamu zve microscopy zvichiratidza kuti zvisikwa zvose zvakagadziriswa zvabviswa, kurapwa kwakanyanya hazvidiwi.
• Mufananidzo uyu unoratidza kusuruvara uye kupisa ropa pamusana pekuvhurwa kwemvura. Kuchinja kwakadaro kunonyatsoongororwa mucolposcopy, uye ipapo kurapa kwakakodzera kunorayirwa.
Zviratidzo zvekenza inoparadza
Kazhinji zviratidzo zvekushaya chirwere chekenza chemuviri zvinosanganisira:
• kubuda ropa - kunogona kuitika mushure mekuita zvepabonde (postcoital), munguva yepakatikati (mukati-kati) kana mushure mokutanga kwemwedzi (postmenopausal);
• kusununguka kwezvirwere kubva kumadzimai.
Muchikamu chekutanga chechirwere, chirwere chinorwadza kazhinji hachipo.
• Nzira dzekuvhiya kwemaresersi uchishandiswa zvipfeko zvinogona kushandiswa kuronga CIN. Kuti zvionekwe, nzvimbo dzinoshandiswa nehutachiona dzakasvibiswa nedzimwe dyes. Pamusoro pokurapwa kunobudirira uye radiotherapy.
Hysterectomy
Kuvhiya inzira yekusarudzira vakadzi vaduku, vakasimba mumuviri. Zvakanakira nzira iyi zvinosanganisira:
• kusavapo kwekuchinja kwechigadziro uye kuderedza hutachiona mushure mehutano hwemazuva;
• kuchengetedzwa kwebasa remashizha - kana chirwere chisina kuwedzera kune mavha mavari, uye haabviswi;
• hapana mungozi yekuvandudza chirwere chitsva chinokonzerwa neirradiation munguva refu.
Kupindira kwokupindira kwechirwere chemuviri wechirwere kunosanganisa hutachiona hwehutachiona (kubviswa kwechibereko) uye kusagadzikana kwemakirini emaperemvic. Chirwere chepervical chimiro chinowedzera kukura mumatumbu akaipoteredza. Tumora masero anogonawo kupararira kune lymph nodes, somuenzaniso, iri pedyo nematombo makuru emapuranga.
Zvinangwa zvekurapwa
Chinangwa chekurapwa ndiko kupedza zvachose chirwere chinouraya uye chikamu chetsika dzakanaka. Nokudaro, nechirwere chinotyisa, chirwere chechivharo, chibereko, zvivako zvakapoteredza, vaginal vault, uye lymph node yepelvic inobviswa. Bhiopsy ye para-aortic lymph nodes inogona kuitwa. Varwere vane metastases kana matumire anopfuura kudarika kwekugona kunopindira kupindira kunoda humwe hutachiona hwehutachiona. Vechidiki, vasingasviki varwere vane chirwere chekenza vasati vasvika ku-lb chikwata vanoda kuda kuramba vakabereka vanogona kubviswa pamuviri. Muchibvumirano ichi, chirwere chechivharo chinobviswa pamwechete nechikamu chepacacicical (iri pamativi emukirini) uye vaginal vault. Chikamu chinosara chechikadzi chinosanganiswa mumuviri wekuberekwa uye suture inowanikwa pamucheto wakadzika wechibereko kuti uchengetedze kukwanisa kwayo kutakura pamuviri. Mapirasi lymph nodes anogona kubviswa endoscopically. Munguva yekuzvitakura, murwere anonyatsocherechedza kuti asave nekutyisidzika kwekusununguka pamuviri, uye kuberekwa kune chikamu chekudya. Zvisinei, kubudiswa kwechirwere hachiratidziri kuvarume vose vakadzi, uye hutachiona hwehutachiona hunoramba huri nzira yekusarudza. Chinangwa chemishonga inonzi radiation ndiyo kuparadzwa kwemasimba masero, uyewo irradiation yemasukisi umo chirwere chakaipa chingapararira. Pazvikamu zvemukenza, izvo zvinopesana nezvakaitwa mukuvhiya, uye pamwe nekufamba kwenguva refu.
Migumisiro Yechiri
Zvimwe zvinokonzerwa nemishonga inonzi radiation:
• hove;
• Kuramba uchidzoka;
• Kuchema uye kuderedza mukadzi (izvi zvinogona kutungamirira ku dyspareunia - zvinorwadza zvinorwadza panguva yepabonde).
Therapy Therapy
Zvidzidzo zvenguva pfupi zvakaratidza kuti kusanganiswa kwe radiotherapy uye chemotherapy pamwe ne cisplatin (platinum-based drug) inobvumira mhinduro dzakanaka kupfuura radiotherapy chete. Kufanirwa kwevarwere vane chirwere chepachirwere chechibereki kunowanzoenderana nechikamu chemuitiro wakaipa panguva yekurapa. Kana chirwere chacho chakapararira kune lymph nodes, makore mashanu ekupona kwehupenyu akaderedzwa hafu pazvikamu chimwe nechimwe maererano nehuwandu hweFIGO. Kusanganisira para-aortic lymph nodes inoratidza kuwanda kwehuwandu hwehutachiona - vashoma vaswere vanorarama kwenguva refu kupfuura makore mashanu mushure mekunge vaongororwa. Kuziva kwemasimba masero muropa kana lymph chiratidzo chekuita kwemaitiro emakirini. Chiyero chekuparadzaniswa kwechirwere (sekuda kwechimiro chayo chiri pedo nemasikirwo chaiwo) chinonyanya kukosha. Kufanirwa kwemashure emakirini echechi hakusi kunakidza kudarika zviremara zvakasiyana kwazvo.