Kwiimeko ezininzi, isifo se-vaginal isital metastatic, oku kubangelwa ukuba inkqubo enobungozi emzimbeni kunye nomlomo wesibeleko udlulela kwiindonga zesini. Ifom ye-metastatic yomhlaza ichaphazela ikakhulukazi ibhinqa lesithathu esezantsi kwingingqi yombutho.
Kwakhona, umhlaza wesisu, ngokwempawu zawo, ulwahlulo lweengqungquthela zokuphuhlisa. Uhlobo lwe-Exophytic lwentuthuko kukuba kwiindonga zesiswini isisu sisasazeka njengokukhula kwamapilisi afana ne-cauliflower. Yaye uhlobo lokukhula lwe-endophytic lukwimeko yokuba ukususela kwangaphambili inkqubo ye-tumor ihluma kuma-tissue aphantsi, obangela ukuguqulwa kwezi thuthi.
Ukwahlulelwa komhlaza wesisu ngesiseko se:
0 isigaba - umdlavuza we-intraepithelial (preinvasive carcinoma);
Isigaba soku-1 - isithuba esingaphantsi kweesentimitha ezimbini, asiyijulise ubunzulu bezantsi, i-metastasis ayitholakali.
Isigaba sesi-2 - i-tumor enobubanzi bengu-centimitha engaphezu kweesentimitha, ezingenanga kwindonga ye-pelvic, ii-metastase zengingqi azikwazanga.
Isigaba sesi-3 sihlamba saluphi na ubungakanani kunye nomgca wokungena ngaphakathi ofikelela eludongeni lwe-pelvic kwaye unemastastas ehambayo yesithili.
Isigaba sesi-4 - nayiphi na ubukhulu besifo esilala kwizitho ezingasemva kwendlu (umlenze we-mucous of bladder, urethra, rectum) kunye nezicubu (bone pelvic, perineum
Ukuxilongwa kunye nekliniki yomhlaza wesisu. Isifo somdlavuza wesisu kwisigaba sokuqala sihlala singenasifo. Njengoko umhlaza ukhula, i-leukemia, ukukhulelwa kwamanzi ngokwesisu. Emva koko, intlungu kwiindawo ezinobungozi, i-sacrum kunye nommandla we-pubic uyongezwa, iingxaki zokucoca kunye neentolitiki ziphulwa, emva koko i-blue flow or foot foot flow.
Kwiimeko zeklinikhi, ukuxilongwa komhlaza wesisu akubangele ubunzima. Itholakala ngexesha loviwo logqirha wesigxina ngesilwanyana esinobunzima, esinobunzima, esinesimo seqhina, okanye isilonda esisuka kunye nemiphetho enobunzima kunye nesiseko esibi.
Ukuhlolwa kwe-Cytological, oko kukuthi, i-biopsy, xa iqela leethambo lihlukana nesilonda okanye isisu ngenxa yoviwo luya kuthatha indima ebalulekileyo ekutyhiliseni ukuba ingaba yinto enobungozi okanye ubunzima obubuhlungu besifo.
Ukucacisa ukuba ngaba inkqubo i sasazekayo, oko kukuthi ubukho beemastascopy zesithili, kwaye i-cystoscopy isetyenziselwa ukuchonga isimo sezakhiwo ezizungezile.
Ukukhuphela ngaphandle kwimeko yesifo se-metastatic, i-ultrasound yeengxowa ze-pelvic, ukuhlolwa kwebele (izilonda zamathambo), ukuxilongwa ngokuhlukileyo kwento ekhoyo yecandelo le-mucosa yeendonga zesigidi kunye nomlomo wesibeleko. I-Hysteroscopy njengalathiswa ngugqirha.
Unyango lomhlaza wesisu. Ukukhethwa kwendlela yokonyango lomhlaza wesisu kuxhomekeke ekusasazeni, isigaba sokuphuhliswa komhlaza, ukuhlaliswa kwendawo okanye ukuyeka kwesilonda sesisu, nokuba ngaba izitho ezijikelezayo zibandakanyeka kwinkqubo kwaye, okokuqala, imeko epheleleyo yowesifazane ogulayo.
Xa unyango lwesifo sifakelwa ukukhutshwa komzimba, ukungenelela okuphazamisayo oko kukuthi, ukutshatyalaliswa kwimbumba enesifo esithintekileyo kwisisu ngaphakathi kwimizimba enempilo, unyango ngoncedo lwe-laser laser. Kwakhona kwinqanaba lokuqala lomhlaza, i-5% ye-fluorouracil amafutha ayimiselwe imihla ngemihla kwiintsuku eziyi-14.
Ulwaphulo lwe-radiation luseyona ndlela eyona ndlela yokwelapha i-oncology ye-vaginal, kodwa inkqubo enjalo iqulunqwe ngamnye kumfazi ngamnye ogulayo. Umhlaza wesifo somhlaza unokwahlulo ezimbini: eziprayimari nezesekondari (metastatic). Inqanaba eliphambili lomdlavuza wesisu phakathi kwazo zonke iisondo zamalungu omzimba wesini, i-1-2%, ivela ikakhulu kunanoma yimaphi ubudala, kodwa ngokubanzi kwiminyaka engama-50 ukuya kuma-60.