Ezimweni eziningi, isifo esingokwemvelo se-vagin yisimiso se-metastatic, lokhu kungenxa yokuthi inqubo embi emzimbeni nomlomo wesibeletho udlulela ezindongeni zesifazane. Ifomu le-metastatic lomdlavuza lithinta ikakhulukazi isiswini sesithathu esingaphansi esifundeni seva.
Futhi, umdlavuza wesifazane, ngokuvumelana nezici zawo, uhlukaniswe izinhlobo ze-intophytic kanye ne-endophytic yentuthuko. Ifomu le-Exophytic yentuthuko iwukuthi ezindongeni zesiswini lesi sifo sisakazeka njengamahlumela e-papillary afana ne-cauliflower. Futhi uhlobo lokugcina lwe-endophytic lukhona lokuthi kusukela ekuqaleni ekuqaleni inqubo ye-tumor ihluma zibe izicubu ezingaphansi, okudala ukuguquka kwezicubu.
Ukuhlukaniswa komdlavuza wesifazane ngesisekelo se:
Umdlavuza we-intraepithelial 0 (i-carinoma esengaphambili);
Isiteji soku-1 - i-outgrowth enobubanzi obungamamitha amabili, ayijulisi isendlalelo esingaphansi kwe-submucosal, i-metastasis ayitholakali.
Isiteji sesi-2 - isisu esinesisindo esingaphezu kwamamitha amabili, esingenakudlulela odongeni lwama-pelvic, amaminerasi wesifunda nawo awanqunywa.
Isiteji sesi-3 siyisimungulu nanoma yisiphi isayizi esinamapayipi angena emaphandleni afinyelela eludongeni lwama-pelvic futhi anezimboni zesimanje zesifunda.
Isiteji sesi-4 - noma yisiphi isayizi se-tumor esakhula ibe yizitho ezilandelayo (ubundlwana obunamaqabunga, isisthra, rectum) kanye nezicubu (bone pelvic, perineum) ne-metastases ehleliwe yesifunda.
Ukuxilongwa kanye nomtholampilo wesifo somdlavuza wesifazane. Isifo somdlavuza wesifazane esiswini ekuqaleni sihlala singenasifo. Njengoba umdlavuza uqala, i-leukemia, ukukhulelwa kwamagciwane okuphuma ngaphakathi kwesisu. Ngemuva kwalokho, ubuhlungu ezindaweni ezingasetshenzisiwe, i-sacrum kanye nesifunda sezishicilelo siyongezwa, izinkinga zokuvuthwa nezigqoko ziphulwa, ngemuva kwalokho ukugeleza kwezinyawo eziluhlaza okwesibhakabhaka noma kumhlophe kuyaphuma.
Ezimweni zomtholampilo, ukuxilongwa komdlavuza wesisu akubangele ubunzima. Itholakala ngesikhathi sokuhlolwa kwesidakamizwa sowesifazane ngesisu esinesifo sofuba, esinobunyovu, esinesimo sefindo, noma i-ulcer ephuma ngamaphethelo enesisindo kanye nesisekelo esiqinile.
Ukuhlolwa kwe-Cytological, okungukuthi, i-biopsy, lapho ucezu lwezicubu ezihlukaniswa nesilonda noma isisu ngenxa yokuhlolwa kuthatha indima ebalulekile ekudaluleni ukuthi isimo esibi noma esibi salesi sifo.
Ukucacisa ukuthi ngabe le nqubo isakazeka yini, okungukuthi kukhona ukutholakala kwe-metastases yesifunda, futhi i-cystoscopy isetshenziselwa ukucacisa isimo sezingxenye ezizungezile zomphakathi.
Ukukhipha isifo se-metastatic, i-ultrasound yezitho zangasese, ukuhlolwa kwebele (izilonda ezincelisayo), ukuxilongwa okuhlukile kokukhipha ucezu lwe-mucosa wezindonga zesikhumba nomlomo wesibeletho. I-hysteroscopy njengoba iqondiswa udokotela.
Ukwelashwa komdlavuza wesifazane. Ukukhethwa kwendlela yokwelashwa komdlavuza wesifazane kuncike ekusakazeni, isiteji sokuthuthukiswa komdlavuza, ukwakheka kwendawo noma ukumiswa kwesibeletho sangasese, kungakhathaliseki ukuthi izitho ezizungezile zihilelekile kule nqubo futhi, okokuqala, isimo sesimo somuntu ogulayo.
Ekusetshenzisweni kwalesi sifo sokuguqulwa kwesifo sisetshenziswa, ukungenelela okuhlinzekwa okuwukuthi, ukuhlukaniswa kwesibindi segciwane lesandulela ngculaza ngaphakathi kwamathissi enempilo, ukwelashwa ngosizo lwe-laser acid. Kanti futhi ekuqaleni kwesifo somdlavuza, amafutha angama-5% e-fluorouracil anqunywe nsuku zonke izinsuku ezingu-14.
Ukwelashwa kwezidakamizwa kuyisindlela esiyinhloko yokwelapha isisu somzimba wesifazane, kodwa uhlelo olunjalo luhlanganiswa ngabesifazane abagulayo ngabanye. Umdlavuza we-vaginal uhlukaniswe ngamafomu amabili: okuyisisekelo nesekondari (imetastatic). Indlela esemqoka yomdlavuza wesifazane phakathi kwazo zonke izinhlobo zomdlavuza wesitho sowesifazane ngokobulili yi-1-2%, kwenzeka ikakhulu kunanoma yisiphi isikhathi, kodwa ikakhulukazi eminyakeni engu-50-60.