Kansarka Vulvar

Kansarka Vulvar waa kansar ka bilaabma xubinta taranka dumarka. Kansarka Vulvar wuxuu badanaa ku dhacaa faruuryaha cambarka, foorarka maqaarka siilka. Xaaladaha qaarkood, kansarka xubinta taranka dumarka wuxuu ka bilaabmaa kintirka ama qanjidhada dhinacyada furitaanka siilka.

Badanaa kansarrada xubinta taranka waxay ka bilaabmaan unugyada maqaarka ee loo yaqaanno squamous cells. Noocyada kale ee kansarrada laga helo xubinta taranka dumarka waa:

• Adenocarcinoma
• Kansarka unugyada 'Basal cell carcinoma'
• Melanoma
• Sarcoma

Kansarka Vulvar waa dhif. Waxyaabaha halista keena waxaa ka mid ah:

• Fayraska papilloma-ka ee bini-aadamka (HPV, ama burooyinka xubnaha taranka) ee ku dhaca haweenka ka yar da'da 50
• Isbedelada maqaarka ee joogtada ah, sida lichen sclerosis ama hyperplasia squamous ee haweenka ka weyn da'da 50
• Taariikhda kansarka xubinta taranka dumarka ama kansarka siilka
• Sigaar cabid

Haweenka qaba xaalad loo yaqaan 'vulvar intraepithelial neoplasia (VIN)' waxay leeyihiin halis sare oo ah inuu ku dhaco kansarka xubinta taranka ee faafa. Inta badan kiisaska VIN, in kastoo, weligood u horseedin kansar.

Waxyaabaha kale ee halista keeni kara waxaa ka mid ah:

• Taariikhda Pap smears aan caadi ahayn
• Lahaanshaha lamaanayaal badan oo galmo ah
• Sameynta galmada ugu horreysa markay tahay 16 ama kayar

Haweenka qaba xaaladan waxay badanaa ku cuncunayaan agagaarka xubinta taranka muddo sanado ah. Waxaa laga yaabaa inay isticmaaleen kiriimyo maqaarka kala duwan. Waxay sidoo kale yeelan karaan dhiig ama dheecaan ka baxsan caadadooda.

Isbedelada kale ee maqaarka ee ku dhici kara agagaarka cambarka:

• Mole ama frecklele, oo noqon kara casaan, casaan, cadaan, ama cawl
• Maqaarka oo sii adkaada ama buro
• Maqaarka oo xanuun (boog)

Calaamadaha kale:

• Xanuun ama gubasho leh kaadi
• Xanuun galmo
• Ur aan caadi ahayn

Haweenka qaarkood ee qaba kansarka xubinta taranka dumarka ma laha wax astaamo ah.

Tijaabooyinka soo socda ayaa loo isticmaalaa in lagu baaro kansarka xubinta taranka dumarka:

• Biopsy
• CT scan ama MRI ee miskaha si loo eego faafitaanka kansarka
• Baaritaanka miskaha si loo fiiriyo wixii isbeddel ah ee maqaarka ku dhaca
• Baadhitaanka 'Positron emission tomography' (PET) iskaanka
• Koobi-koobiye

Daaweyntu waxay ku lug leedahay qalliin si looga saaro unugyada kansarka. Haddii buro weyn tahay (in ka badan 2 cm) ama ay si qoto dheer ugu koro maqaarka, qanjirada qanjirada ee aagga gumaarka ayaa sidoo kale laga saari karaa.

Shucaac, leh ama aan lahayn kemotherabi, ayaa loo isticmaali karaa in lagu daaweeyo:

• Burooyinka horumarsan ee aan lagu daaweyn karin qalliin
• Kansarka Vulvar ee soo noqda

Waad yareyn kartaa diiqada jirrada adoo ku biiraya kooxda taageerta kansarka. La wadaagida dadka kale ee leh khibradaha guud iyo dhibaatooyinka ayaa kaa caawin kara inaadan kali dareemin.

Badanaa dumarka qaba kansarka xubinta taranka dumarka ee la ogaado laguna daweeyo marxaladda hore si fiican ayey u fiicnaadaan. Laakiin natiijada haweeneydu waxay kuxirantahay:

• Cabirka buro
• Nooca kansarka xubinta taranka dumarka
• Haddii kansarku faafay

Kansarku sida caadiga ah wuxuu ku soo noqdaa ama ku dhowaadaa goobta burooyinka asalka ah.

Dhibaatooyinka waxaa ka mid noqon kara:

• Ku faafida kansarka meelaha kale ee jirka
• Dhibaatooyinka ay keento shucaaca, qalliinka, ama kiimoteraabiga

Wac daryeel caafimaad bixiyahaaga haddii aad isku aragto mid ka mid ah astaamahan wax ka badan 2 toddobaad:

• Xanaaqa deegaanka
• Midabka maqaarka oo isbeddela
• Ku xanuunaya xubinta taranka dumarka

Ku tababarista galmada badbaadada leh waxay yareyn kartaa halista aad ugu jirto kansarka xubinta taranka dumarka. Tan waxaa ka mid ah isticmaalka cinjirka galmada si looga ilaaliyo cudurada galmada lagu kala qaado (STIs).

Tallaal ayaa la heli karaa si looga hortago noocyada qaar ee infekshinka HPV. Tallaalka waxaa loo ansaxiyay si looga hortago kansarka ku dhaca makaanka afkiisa iyo burooyinka xubnaha taranka. Waxay kaa caawin kartaa kahortaga kansarrada kale ee ku xiran HPV, sida kansarka xubinta taranka. Tallaalka waxaa la siiyaa gabdhaha yar yar ka hor intaanay galmo ahaan firfircoonayn, iyo dhalinyarada iyo haweenka ilaa iyo 45 jirka ah.

Imtixaanada miskaha ee caadiga ah waxay kaa caawin karaan in lagu ogaado kansarka xubinta taranka marxalad hore. Ogaanshaha hore wuxuu hagaajiyaa fursadahaaga in daaweyntu guuleysan doonto.

Kansarka - siilka; Kansarka - perineum; Kansarka - vulvar; Burooyinka xubnaha taranka - kansarka xubinta taranka dumarka; HPV - kansarka xubinta taranka dumarka

• Jirka xubinta taranka dumarka

Frumovitz M, Bodurka DC. Cudurada neoplastic ee cambarka: lichen sclerosus, neoplasia intraepithelial, cudurka paget, iyo kansarka. Gudaha: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Cilmiga Haweenka oo dhameystiran. 7aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 30.

Jhingran A, Russell AH, Seiden MV, iyo al. Kansarrada ilma-galeenka afkiisa, siilka, iyo siilka. Gudaha: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 84.

Koh WJ, Greer BE, Abu-Rustum NR, iyo al. Kansarka Vulvar, Nooca 1.2017, NCCN Tilmaamaha Tababarka Caafimaadka ee Oncology. J Natl Compr Canc Netw. 2017; 15 (1): 92-120. PMID: 28040721 pubmed.ncbi.nlm.nih.gov/28040721/.

Websaydhka Machadka Kansarka Qaranka. Daaweynta kansarka Vulvar (PDQ) - nooca caafimaadka mihnadeed. www.cancer.gov/types/vulvar/hp/vulvar-treatment-pdq. La cusbooneysiiyay Janaayo 30, 2020. Waxaa la helay Janaayo 31, 2020.