I-Gynaecologic Oncology

Ukwelashwa Komdlavuza Wabesifazane e-Hyderabad

Izifo ezithinta izifo zabesifazane ziyisifo sesibili esivame kakhulu phakathi kwabesifazane baseNdiya. Kubalulekile ukwelapha le midlavuza kusenesikhathi. Izibhedlela ze-CARE zihlinzeka ngezinsizakalo zokuhlinza ezikhethekile zokuxilongwa komdlavuza wezifo zabesifazane, ukuhlelwa, ukwelashwa nokunakekelwa. Lokhu kuhlanganisa:

• Umdlavuza wesibeletho

• Umdlavuza we-Endometrial

• Cancer wesibeletho

• Umdlavuza we-Vaginal

• I-Vulva Cancer

Umnyango wethu uhlinzeka ngezinhlobonhlobo ezigcwele zezindlela zokuhlinza ezisezingeni eliphezulu, kusukela ekuhlinzweni kwe-laparoscopic (imbobo yokhiye) yomdlavuza womlomo wesibeletho nowe-endometrial kuya ku-ultra-radical pelvic kanye nokuhlinzwa kwesisu komdlavuza wesibeletho. Sigcizelela ngokulinganayo i-oncology yokuvimbela futhi siqhuba amakamu okuhlola umdlavuza mahhala futhi sisebenzisa i-colposcopy yesimanje ukuze sihlole futhi selaphe umdlavuza wangaphambi komdlavuza kanye nomdlavuza wangaphambi kwesikhathi.

Ithimba lethu lihlanganisa odokotela abahlinzayo bomdlavuza we-gynecological, medical & i-radiation oncologists, ochwepheshe abahlengikazi basemtholampilo, izazi ze-radioologists, izazi zezifo, kanye abelaphi phakathi kwabanye. Ithimba elixube izigwegwe lizosebenzisana nalaba besifazane ngesinyathelo ngasinye ekuphathweni kokunakekelwa kwabo kanye nokuhlunyeleliswa kwezimilo. Abagulela ukufa baphinde banikezwe ukunakekelwa kwe-palliative, ukuphathwa kwezinhlungu, nokunakekelwa ekhaya.

I-Gynecologic Cancers

Umdlavuza we-gynecological ngokuvamile usakazekela ku-pelvis, ephakathi kwamathambo e-hip ngaphansi kwesisu. Umdlavuza we-gynecological ngokuvamile uhlasela abesifazane, kuhlanganise nomdlavuza wesibeletho, umdlavuza wesibeletho, kanye nomdlavuza wesibeletho (endometrial). Ngaphezu kwalezi zomdlavuza ezingavamile, kukhona umdlavuza we-vulva, ubulili, i-trophoblastic yokukhulelwa. izimila, kanye namashubhu e-fallopian.

umdlavuza womlomo wesibeletho

Umdlavuza womlomo wesibeletho uwuhlobo lomdlavuza otholakala kumaseli esibeletho (intamo yesibeletho), ingxenye engezansi yesibeletho sowesifazane edlulela endaweni yakhe yangasese. Abesifazane abathinteka kakhulu umdlavuza womlomo wesibeletho baphakathi kweminyaka engama-30 no-45 ubudala. Abangaphansi kweminyaka engama-25 abavamile ukuthinteka.

Isifo esithathelwana ngocansi esibizwa nge-Human Papillomavirus (HPV) sibanga umdlavuza womlomo wesibeletho. Emzimbeni womuntu, lapho igciwane le-HPV lidalulwa, amasosha omzimba avimbela noma yimiphi imiphumela eqeda amandla yegciwane. Ngenani elincane labesifazane, igciwane lihlala emizimbeni yabo isikhathi eside futhi lilandisa ngenqubo yokudala amangqamuzana omdlavuza.

Iqembu lamagciwane e-HPV asakazeka ngokuthintana okuqondile nesikhumba somuntu, futhi ngokuvamile azisuleleka ngokwawo. Abahlinzeki bethu be-gynecologic oncology bahlinzeka ngokuhlolwa komdlavuza womlomo wesibeletho kanye nemigomo ye-HPV ukusiza ukwehlisa ingozi yokuba nomdlavuza womlomo wesibeletho.

Izimpawu ezibalulekile zomdlavuza womlomo wesibeletho

Izimpawu noma izimpawu zomdlavuza womlomo wesibeletho ngokuvamile aziveli zisencane. Kwezinye izimo, umdlavuza womlomo wesibeletho awubonisi zimpawu kuze kube yilapho isifo sesithuthukile. Abesifazane kufanele bahlele izikhathi zokuhlolwa kwezimpawu zomlomo wesibeletho ngokushesha ngangokunokwenzeka.

• Uphawu oluyinhloko okufanele uluqaphele ukopha kwesitho sangasese sowesifazane, okwenzeka ngemva kokuhlangana ngokocansi. Ngezinye izikhathi, njengaphakathi kokuya esikhathini noma ngemva kokunqamuka kokuya esikhathini, kufanele uqaphele ukopha okungadingekile.

• Ukuphuma ukopha noma amanzi amaningi esithweni sangasese sangasese esinephunga elibi.

• Ngesikhathi socansi, ubuhlungu noma ukungakhululeki ku-pelvis.

Siphakamisa ukuhlolwa kokuhlolwa ukopha okungavamile esithweni sangasese kwabesifazane abasengozini yokutheleleka nge-HPV. Odokotela bezifo zabesifazane esibhedlela i-CARE benza i-colposcopy ukuhlola amangqamuzana omdlavuza womlomo wesibeletho. 

Umdlavuza we-Endometrial

Umdlavuza we-Endometrial kwenzeka esibelethweni, isitho esingenalutho, esimise okwepheya esinqeni esinesibopho sokuthwala umbungu. Ulwelwesi (endometrium) lwesibeletho yilapho umdlavuza we-endometrial noma umdlavuza wesibeletho uqala khona. Njengomdlavuza we-endometrial, ama-sarcoma esibelethweni nawo aqala esibelethweni kodwa awavamile kakhulu kunalawa.

Abesifazane be-post-menopausal banamathuba amaningi okuba nomdlavuza wesibeletho kunabesifazane banoma iyiphi enye iminyaka. Owesifazane okutholwe ukuthi unomdlavuza wesibeletho munye kwabangu-4 ngemuva kokuya esikhathini.

Izimpawu zomdlavuza wesibeletho

Owesifazane angakwazi ukubona umdlavuza we-endometrial kusenesikhathi ngokopha okungavamile esithweni sangasese. Uma umdlavuza wesibeletho utholwa kusenesikhathi, ongoti be-oncologist bangasikhipha isibeletho ukuze belaphe lesi sifo.

Izimpawu zihlanganisa,

• Ukopha okungavamile kwesitho sangasese sowesifazane ngemva kokuya esikhathini.

• Ukopha phakathi nenkathi.

• Ubuhlungu be-pelvic.

• Amabala egazi ansundu ngokumnyama ekuphumeni kwesitho sangasese sowesifazane.

Umdlavuza we-Ovarian

Umdlavuza we-gynecological okwenzeka kuma-ovari waziwa ngokuthi umdlavuza we-ovarian. Abesifazane banoma ibuphi ubudala bangaba nomdlavuza wesibeletho, kodwa iningi labo liphakathi kweminyaka engama-50 nengama-60. Ama-ovari amabili atholakala nhlangothi zombili zesibeletho ohlelweni lokuzala lwabesifazane. Lezi zikhiqiza amaqanda, estrogenkanye nama-hormone e-progesterone.

Kujwayelekile ukuthi umdlavuza wesibeletho ungabonwa uze udlulele esiswini nasesinqeni. Lapho umdlavuza wesibeletho utholwa ekuqaleni kwawo futhi usakazekela esibelethweni kuphela, ungelapheka ngempumelelo. Njengoba umdlavuza wesibeletho ukhula, kuba nzima kakhulu ukuwelapha futhi maningi amathuba okuba ubulale.

Izimpawu zomdlavuza we-ovarian:

• Ukuvuvukala kwesisu noma ukuvuvukala

• Ngenkathi udla ngokushesha uzizwa esuthi

• Ukwehla kwesisindo

• Ukungakhululeki ku-pelvis

• Ukuchama njalo

• Ukushintsha kwemikhuba yamathumbu njenge ukuqunjelwa

• Ukuhlungu obusemhlane

• Ukopha okungavamile

• Ukuphefumula ubunzima

• Ukuzithoba

Kuye ngesigaba somdlavuza, ochwepheshe bezifo zabesifazane bangasebenzisa i-chemotherapy noma ukuhlinzwa ukwelapha umdlavuza wesibeletho.

Ukuxilongwa komdlavuza we-gynecological

Ngaphezu kwamathuluzi nokuhlolwa okusetshenziselwa ukuxilonga umdlavuza wabesifazane, ezinye izici ziyacatshangelwa, okuhlanganisa umlando wezokwelapha wesiguli kanye nesimo sezempilo sisonke. Ochwepheshe ku CARE Izibhedlela dala Ukwelashwa Komdlavuza Wabesifazane e-Hyderabad esigulini ngasinye somdlavuza ngokusekelwe ekuxilongeni okuningiliziwe.

Umdlavuza we-gynecological ungatholakala ngokusebenzisa izivivinyo ezilandelayo:

• I-Transvaginal ultrasound: I-oncologist ye-gynecologic isebenzisa i-ultrasound ukuthatha isithombe sezicubu zakho zangasese ezilimele noma ze-pelvic ukuze inqume ukuthi i-cyst noma isimila sikhona.

• I-Endoscopy: Ukubona ngeso lengqondo uhlelo lokuzala lwabesifazane ngeshubhu eliguquguqukayo nelincane ukuze kutholakale amangqamuzana omdlavuza.

• Izifundo zokufanekisa 

• Kusetshenziswa i-Computerized Tomography (CT), Magnetic Resonance Imaging (MRI) kanye nePositron Emission Tomography (PET).

Ukuhlolwa kwezicubu zamangqamuzana kungakwazi ukubona izakhi zofuzo zesimila kanye nezinye izici, okuvumela ochwepheshe ukuba bahlele ukwelashwa kuyena ngakunye.

Ukwelashwa komdlavuza wabesifazane

Umdlavuza we-gynecologic ungelashwa ngezindlela eziningi, kuye ngohlobo lwawo nokusabalala kwawo. Abesifazane abanomdlavuza we-gynecologic bangathola uhla oluphelele lwezinketho ezisebenzayo nezintsha Zokwelashwa Ngomdlavuza Wabesifazane e-Hyderabad e-CARE Hospitals, okuhlanganisa ukuhlinzwa kwe-laparoscopic, ukuhlinzwa kokugcina inzalo, kanye imiphumela emibi yokwelashwa ngamakhemikhali.

Ukuhlinzwa okuthuthukisiwe kwe-laparoscopic

Ukwelapha izicubu zomdlavuza, ukuhlinzwa kwe-laparoscopic kuyindlela ephumelelayo nengena kancane kancane. Uma kuqhathaniswa nezinye izindlela zokwelapha, lena idinga ukuhlala esibhedlela okumbalwa, ukungaphatheki kahle, kanye nesikhathi esifushane sokululama. Ngesikhathi sokususwa kwe-laparoscopic yamaseli alimele ezithweni ze-pelvic, ithimba lethu lochwepheshe be-gynecologic oncology basebenzisa indlela ye-laparoscopic ngempumelelo.

Odokotela bezifo zabesifazane basebenzisa indlela ye-laparoscopic ukuze basuse amaseli alimele ngesikhathi sokuhlinzwa kwe-laparoscopic. Ngenxa yalokho, ochwepheshe bayakwazi ukusebenza ngokunemba okukhulu nangokunemba ngaphandle kokubangela ukuhlukumezeka okungadingekile ezicutshini ezizungezile.

I-Intraoperative radiation therapy

Umdlavuza welashwa ngalokhu kwelashwa ngemisebe ngokusebenzisa ama-x-reyi anamandla amakhulu. Ubuchwepheshe obuthuthukisiwe obufana nalobu bungase bungabi yindlela ezigulini ezingakwazi ukwelashwa ngaphandle kokukhipha izicubu ezilimele eqhumeni lokuqala. Imisebe ihanjiswa ngqo endaweni yesimila ngodokotela bethu abahlinzayo besebenzisa imishini ephezulu. Izibhedlela ze-CARE ngesinye sezikhungo zezokwelapha ezihamba phambili eNdiya ezinikeza le nketho yokwelashwa.

Ukwelashwa ngamakhemikhali

Ukusebenzisa le ndlela yokwelapha, uhlobo olukhethekile lomuthi lusetshenziselwa ukuncipha noma ukususa umdlavuza. Imvamisa, imishanguzo esetshenziswa ngale ndlela amaphilisi noma imithi oyiphuza nsuku zonke, kodwa ijovwa ngqo emithanjeni yakho. Umdlavuza we-ovary welashwa nge-chemotherapy eqondiswa ngqo esiswini.

Ukwelashwa kweHormone

Ama-hormone asetshenziswa kule nqubo ukuvimbela ukuphindeka kwezinhlobo ezahlukene zomdlavuza we-gynecologic.

Ukunakekelwa kwangemva kokuhlinzwa ngemva kwekhemo noma ukuhlinzwa kwe-Gynaecologic Oncology

Ukunakekelwa kwangemva kokuhlinzwa ngemva kokwelashwa ngamakhemikhali noma ukuhlinzwa ku-oncology yabesifazane kubalulekile ekululameni nokunciphisa ingozi yezinkinga. Nazi izici ezibalulekile zokunakekelwa:

• Ukuphathwa kobuhlungu
  • Imithi: Izidambisi zobuhlungu ezinqunyiwe, ezihlanganisa ama-opioid nama-non-opioid analgesics.
  • Izindlela ezingezona ezemithi: Amaphakethe eqhwa, ukwelapha ukushisa, nezindlela zokuphumula.
• Ukunakekelwa Kwesilonda
  • Ukunakekelwa kokusikwa: Gcina indawo yokuhlinza ihlanzekile futhi yomile. Landela imiyalelo ethile yokushintsha izingubo.
  • Ukuqapha: Qaphela izimpawu zokutheleleka (ubomvu, ukuvuvukala, ubuhlungu obuningi, ukuphuma kwamanzi, ukushisa).
• Umsebenzi womzimba
  • Ukuhlanganisa kusenesikhathi: Kukhuthazwa ukuvimbela amahlule egazi nokuthuthukisa ukululama, ngokuvamile kuqalwa ngemisebenzi elula.
  • Ukwanda kancane kancane: Khulisa kancane kancane amazinga omsebenzi njengoba kubekezelelwa futhi njengoba kunconywe abahlinzeki bezempilo.
• Nutrition
  • Ukudla okulinganiselayo: Ibalulekile ekwelapheni, ngokugcizelela amaprotheni, amavithamini, namaminerali.
  • I-Hydration: Gcina uketshezi olwanele.
  • Izidlo ezikhethekile: Uma kunconyiwe, landela noma yimiphi imikhawulo ethile yokudla noma iziqondiso ezinikeziwe.
• Ukuqapha kanye Nokulandelela
  • Ukuqokwa okuvamile: Ukuvakasha kokulandelela ne-oncologist kanye nodokotela ohlinzayo ukuze kuqashwe ukululama.
  • Ukuhlolwa kwegazi nokuthwebula izithombe: Kungase kudingeke ukuhlola ukululama futhi kutholwe noma yiziphi izinkinga kusenesikhathi.
• Ukuvimbela Ukutheleleka
  • Inhlanzeko: Gcina inhlanzeko yomuntu siqu.
  • Gwema ukuchayeka: Gwema izindawo eziminyene kanye nabantu abagulayo, ikakhulukazi ngesikhathi sokwelashwa ngamakhemikhali lapho amasosha omzimba esengozini.

Izibhedlela ze-CARE Ongoti bomdlavuza wezifo zabesifazane belapha zonke izinhlobo nezinhlobo zomdlavuza nge-chemotherapy, i-intraoperative radiation therapy, imithi, nokuhlinzwa. Ngokwezincomo zikadokotela, izinsiza zokweseka ezifana nokuhlolwa kofuzo, ukwelulekwa, nosizo lwezezimali nazo ziyatholakala. Sinikeza isevisi yokweseka ephelele ukusiza umndeni wakho ugxile ekwelapheni kanye nempilo.