Lub vulva tsim cov txheej txheem ntawm sab nraud genitalia ntawm tus poj niam, thiab suav nrog / nkag siab: 

• labia majora thiab labia minora;
• cov leeg;
• urinary meatus uas yog qhov chaw tawm ntawm cov zis;
• thiab thaum kawg qhov nkag mus rau qhov chaw mos kuj tseem hu ua vestibule ntawm qhov chaw mos. 

Vulvectomy yog ib qho kev phais uas tshem tawm qhov chaw mos los yog tag nrho. Yog li ntawd, muaj ntau hom vulvectomy. 

Ib qho yooj yim vulvectomy koom nrog tshem tawm tag nrho lub paum, tab sis tawm hauv feem ntau ntawm cov ntaub so ntswg hauv qhov chaw. Cov kws kho mob nquag ua hom kev phais no kom tshem tawm VIN (vulvar intraepithelial neoplasia) uas muaj nyob hauv ntau qhov chaw ntawm qhov chaw mos.

Cov vulvar intraepithelial neoplasms no tseem yog kab mob benign. Txawm li cas los xij, lawv zaus nce ntxiv, tshwj xeeb yog cov neeg mob hluas. Qhov no txuas nrog kev txhim kho ntawm qhov chaw mos vim yog HPV (Human papillomavirus). Koj kuj yuav tsum paub tias qee cov ntawv VIN tuaj yeem ua rau mob qog noj ntshav. Kuj tseem muaj ob hom radical vulvectomy.

Radical ib nrab vulvectomy yuav tshem tawm ib feem ntawm qhov chaw mos thiab cov ntaub so ntswg nyob tob dua hauv cov qog. Qee zaum cov clitoris kuj raug tshem tawm. Qhov tseeb yog hom kev siv ntau tshaj plaws ntawm kev ua pauj rau hauv cov ntsiab lus ntawm kev kho mob qog noj ntshav ntawm lub qhov quav.

Thaum kawg, tag nrho cov kev siv tshuaj tua kab mob hauv lub cev yog tshem tawm tag nrho lub paum, labia majora thiab labia minora, ntawm cov ntaub so ntswg uas tob dua hauv qab qhov paum thiab hauv qhov quav.

Vulvectomy yog ua vim muaj cov kab mob precancerous thiab mob qog noj ntshav hauv qhov chaw mos. Qhov kev phais no muaj ob lub ntsiab lus tseem ceeb:

• Los yog nws tso cai rau tshem tawm cov qog, nrog rau cov npoo ntawm cov ntaub so ntswg ib puag ncig;
• Xijpeem nws lub hom phiaj txhawm rau txo qhov mob lossis txo cov tsos mob, thiab hauv qhov no nws yog kev phais mob me me.

Ua ntej ua haujlwm, qee cov tshuaj yuav tsum tau tso tseg, xws li qee yam tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob (uas ua rau cov ntshav muaj kua ntau dua). Nws kuj tseem pom zoo kom tsis txhob haus luam yeeb tsawg kawg 4 txog 8 lub lis piam ua ntej kev phais. Hauv txhua qhov xwm txheej, yuav tsum tau saib xyuas kom ua raws tus kws kho mob cov lus qhia. 

Kev phais yuav tshwm sim los yog:

• nyob rau hauv lub regional tshuaj loog (uas tom qab ntawd cuam tshuam rau tag nrho lub cev hauv qab);
• lossis feem ntau ua kom loog (tus neeg mob tsaug zog tag). 

Tus kws phais tshem tawm qhov chaw mos los yog ib feem ntawm qhov chaw mos ua ntej kaw qhov incision los yog incisions nrog ib tug suture los yog staples. Cov haujlwm no kav ntev li ntawm 1 txog 3 teev. Muaj tsawg zaus, nws yog ib qho tsim nyog yuav tsum tau ua cov tawv nqaij grafts ntxiv, thiaj li yuav tau kaw qhov txhab. 

Feem ntau, cov tshuaj kho mob tau muab rau tom qab lub sijhawm ua haujlwm tau zoo hauv kev tswj hwm qhov mob. Qhov ntev nyob hauv tsev kho mob feem ntau yog 1 txog 5 hnub, nws tuaj yeem sib txawv raws li hom kev cuam tshuam uas tau ua. 

Tom qab phais, koj yuav tsum cia siab tias muaj cov khoom siv sib txawv:

• Yog li, kev daws teeb meem tso cai rau tus neeg mob tso dej thiab yuav raug tshem tawm sai li sai tau thaum nws tuaj yeem haus tau txaus thiab rov noj dua qub ib txwm muaj;
• Kev hnav khaub ncaws kuj tuaj yeem siv rau lub qhov txhab, thiab tshem tawm tom qab ob peb hnub;
• Staples, yog tias muaj, raug tshem tawm hauv 7-10 hnub ntawm kev phais;
• Cov kua dej hauv lub cev, uas yog cov raj nyob hauv puab tais, tuaj yeem teeb tsa thaum tus kws phais neeg tau tshem tawm ib lossis ntau lub qog ntshav hauv lub cev: cov hlab no tso cai rau tshem tawm cov kua uas tau sau hauv thaj chaw ua haujlwm thiab yuav raug tshem tawm hauv ob peb hnub. tom qab phais; 
• Thaum kawg, lub zais zis catheter tau teeb tsa rau hauv koj lub zais zis: nws tso cai tshem tawm cov zis thiab yuav raug tshem tawm tom qab 24 lossis 48 teev tom qab vulvectomy. Qee zaum, lub zais zis catheter tuaj yeem nyob hauv qhov chaw ntev dua.

Los ntshav tom qab kev ua haujlwm tsis tshua muaj thiab tsis muaj ntau. Cov kws tu neeg mob ntxuav qhov chaw ua haujlwm, qhov chaw mos, 3 zaug hauv ib hnub thaum nyob hauv tsev kho mob, uas pab lub qhov txhab zoo. Kev rov qab los noj zaub mov yog ua tam sim ntawd feem ntau, thiab nws yog kws kho mob lossis kws saib xyuas neeg mob uas yuav qhia tus neeg mob thaum rov pib noj thiab haus. Nws kuj tseem yuav tsum tau pib mob siab ntxiv, thiab, ntxiv rau, ua pa tawm dag zog. Nws muaj peev xwm hais tias thaum koj rov qab los tsev, cov tshuaj anticoagulant pib hauv tsev kho mob yuav txuas ntxiv: cov no ua rau nws muaj peev xwm tiv thaiv kev tsim cov ntshav txhaws.

Kev phais Vulvar tseem yog kev kho mob zoo tshaj plaws rau tus mob qog noj ntshav no. Nws muaj cov txiaj ntsig zoo heev, tshwj xeeb tshaj yog tiv thaiv VIN, vulvar intraepithelial neoplasia uas, raws li twb tau hais los lawm, feem ntau tseem tsis loj heev tab sis nws qhov zaus hloov zuj zus. Txawm li cas los xij, vulvectomy ib txwm tso rau tom qab, txawm hais tias zoo nkauj, ua haujlwm tau thiab pom tseeb ntawm lub hlwb.

Ib qho ntxiv, thaum yuav tsum tau ua kom tag nrho qhov kev phais mob, nws tuaj yeem ua rau lub qhov paug hnyav heev, tab sis kuj tseem ua rau muaj kev poob qis ntawm kev ua niam txiv.

Kev rov qab mus ntev ntawm cov neeg mob uas tau dhau ib nrab lossis tag nrho tshem tawm ntawm qhov paum yog qhov tseem ceeb, vim tias muaj qhov pheej hmoo pheej hmoo ntawm kev rov tshwm sim, rau qhov chaw mos intraepithelial neoplasia tshwj xeeb. Kev txhaj tshuaj tiv thaiv HPV zoo li yuav muaj qhov txiaj ntsig zoo ntawm kev txo qis qhov tshwm sim ntawm hom mob qog noj ntshav ntawm qhov ncauj, yam tsawg kawg rau cov ntawv uas tshwm sim los ntawm tus kab mob.

Kev mob tshwm sim los ntawm kev kho mob qog noj ntshav vulvar yuav tshwm sim. Txhua tus poj niam yuav pom lawv txawv. Cov kev phiv no tuaj yeem tshwm sim thaum phais, qee zaum tom qab, lossis ob peb hnub lossis ntau lub lis piam tom qab. Qee zaum kuj muaj cov teebmeem lig, uas tshwm sim ntau lub hlis lossis ntau xyoo tom qab kev phais.

Nov yog cov kev phiv sib txawv uas tuaj yeem tshwm sim tom qab vulvectomy: 

• mob;
• qhov txhab kho mob tsis zoo;
• kev puas tsuaj rau cov hlab ntsha uas ua rau loog los yog tingling;
• kev hloov pauv ntawm kev ua haujlwm ntawm lub paum thiab nws qhov tsos (tshwj xeeb tshaj yog yog tias kev phais mob tau dav, thiab ua piv txwv piv txwv los ntawm lub dav hlau ntawm cov zis uas mus rau ib sab). 

Tsis tas li ntawd, cov kab mob tuaj yeem tshwm sim, lossis lymphedema, uas yog hais tias o vim muaj cov kua dej lymphatic hauv cov ntaub so ntswg. Thaum kawg, vulvectomy tuaj yeem muaj kev phiv los ntawm kev sib deev, nws twb tau hais lawm, thiab tshwj xeeb tshaj yog kev hloov kho ntawm kev ntshaw thiab lus teb.

Feem ntau cov kev mob tshwm sim ploj mus ntawm lawv tus kheej lossis thaum kho, txawm hais tias qee qhov tuaj yeem ua rau lub sijhawm ntev lossis tseem nyob ruaj khov. Hauv txhua qhov xwm txheej, nws yog qhov tseem ceeb ceeb toom rau pab neeg saib xyuas kev noj qab haus huv uas tau saib xyuas txoj haujlwm sai sai li sai tau thaum tus neeg mob ua haujlwm tau ntsib ib qho ntawm cov kev mob tshwm sim no. Qhov teeb meem tau hais sai dua, pab neeg kho mob sai dua tuaj yeem ua rau pom tias yuav daws tau li cas.