Dab tsi yog qhov no pathology? Nws txaus ntshai npaum li cas thiab puas kho tau? Cov no yog cov lus nug ntau. Cia peb tshawb nrhiav lawv kom ntxaws ntxiv hauv kab lus no. Vulvar cancer yog ib hom qog nqaij hlav uas tshwm sim sab nraud ntawm daim tawv nqaij thiab mucous daim nyias nyias ntawm qhov chaw mos. Txhua xyoo, cov kws kho mob tshwj xeeb txheeb xyuas ntau tshaj li plaub txhiab tus neeg mob uas muaj mob nrog cov kab mob no. Qhov pib ntawm kev tuag nyob rau hauv ib xyoos, txawm tias muaj kev pab, raug pom nyob rau hauv txhua tus neeg mob thib tsib. Xws li kev tuag siab yog txuam nrog qhov tseeb tias cov neeg mob tsis tig mus rau cov kws kho mob tshwj xeeb rau lub sijhawm ntev. Qhov tshwm sim ntawm tus cwj pwm zoo li no rau kev noj qab haus huv, hmoov tsis, yog kev poob siab. Raws li qhov tshwm sim, kev tsis saib xyuas ntawm tib neeg ua rau qhov tseeb tias qhov pib ua haujlwm ntawm tus kab mob yog kho tsis tau.
cov ntaub ntawv dav dav
Qhov tshwm sim ntawm qhov mob qog noj ntshav hauv peb lub tebchaws yog kwv yees li tsib feem pua. Epidemiology qhia tau hais tias qhov tshwm sim ntawm tus kab mob hauvcov teb chaws vam meej siab dua lwm lub ntiaj teb. Raws li rau cov poj niam Asian, lawv qhov xwm txheej tsis tshaj li ib thiab ib nrab feem pua.
Cov pab pawg pheej hmoo feem ntau suav nrog cov neeg laus uas muaj hnub nyoog tshaj rau caum-tsib xyoos, txij li thaum nws yog lub hnub nyoog no uas keeb kwm hormonal hauv cov poj niam tau hloov pauv tseem ceeb. Vulvar squamous cell carcinoma yog qhov tsawg heev hauv cov tub ntxhais hluas lossis cov poj niam muaj hnub nyoog. Xav txog lub hnub nyoog ntawm cov neeg mob, nws tuaj yeem xav tias malignancy tshwm tawm tsam keeb kwm ntawm dystrophic degeneration los ntawm kev laus. Rau ntau yam laj thawj, cov neeg laus tsis tshua muaj peev xwm tig mus rau gynecologists, uas ua rau tsis quav ntsej txog pathology.
mob qog noj ntshav Vulvar tsis kis rau cov neeg nyob ib puag ncig (cov duab qhia txog thaj chaw cuam tshuam tau nthuav tawm hauv kab lus). Nws tsis yooj yim sua kom kis tau los ntawm cov tee dej hauv huab cua, tab sis muaj qee cov kab mob sib kis uas ua rau nws tsim, piv txwv li, human papillomavirus lossis AIDS.
Type of cancer
Cov nram qab no hom mob qog noj ntshav vulvar yog qhov txawv, uas yog raws li nws cov qauv histological, thiab ntxiv rau, cov kev taw qhia ntawm kev loj hlob thiab lwm yam nta. Yog li, daim duab cytological tso cai rau peb paub qhov txawv ntawm cov kab mob hauv qab no:
- Squamous form.
- Basal cell ntau yam.
- Kev muaj melanoma.
- Kev txhim kho ntawm Paget's disease.
- Zoo ntawm adenocarcinoma.
- Zoo ntawm Bartholin gland carcinoma.
Squamous cell cancer hnub nosuav txog yim caum feem pua ntawm tag nrho cov mob, thiab lwm hom tsiaj muaj tsawg dua. Raws li cov txheej txheem ntawm cov kev taw qhia ntawm germination ntawm pathology, exophytic thiab endophytic cov ntaub ntawv yog txawv. Kev faib tawm thoob ntiaj teb qhia txog kev nthuav dav ntawm cov txheej txheem no, thiab nws yuav siv rau hauv tus account:
- Qhov loj ntawm cov qog thawj zaug.
- Qib ntawm cov qog ntshav qab zib koom nrog.
- Presence of metastases.
Cov tsos mob thiab cov cim qhia ntawm pathology
Nyob rau theem pib ntawm kev mob qog noj ntshav vulvar, cov neeg mob yuav tsis muaj kev tsis txaus siab kiag li. Qee lub sij hawm lub forerunners ntawm txoj kev loj hlob ntawm xws li ib tug pathology yog leukoplakia nrog rau kraurosis thiab lichen sclerosus. Feem ntau thawj theem ntawm tus kab mob yog asymptomatic.
Cov tsos mob thawj zaug ntawm mob qog noj ntshav vulvar yog qhov khaus khaus nrog qhov tsis xis nyob lossis kub hnyiab hauv qhov chaw mos. Mob feem ntau tshwm tom qab. Outwardly, thawj qhov kev hloov pauv tuaj yeem nyuaj rau kev kuaj xyuas yam tsis muaj kev ntsuam xyuas, tab sis qee zaum koj tuaj yeem pom tias lub pob tau tshwm sim hauv thaj chaw inguinal hauv daim ntawv ntawm cov qog ntshav loj uas tsis mob.
Qhov pom tshwm sim thawj zaug yog pob ntawm cov mucosa, uas yooj yim rau kev kuaj pom: nws txaus tsuas yog ua tib zoo tshuaj xyuas qhov chaw mos. Hmoov tsis zoo, qhov no ua tiav lig dhau lawm. Cov pob ntawd muaj xim dawb-greyish tint. Cov tsos mob zoo sib xws tau pom tawm tsam keeb kwm ntawm leukoplakia.
Cov cim qhia ntawm qhov chaw mos mob qog noj ntshav nrog kev loj hlob exophytic yog qhov tshwm sim ntawm qhov mob, rwj, thiab ntxiv rau, purulent, ntshav tawm, uas qhia tau tias kev lwj ntawm cov qog nqaij hlav cancer tau pib. Endophytic sprouting yog yam ntxwv los ntawm o nrog rau cov ntsaws ruaj ruaj thiab infiltrate. Tom qab kev tshwm sim muaj xws li qaug zog, qaug zog thiab tsis kub. Nyob rau hauv lub davhlau ya nyob twg, cov tsos mob tshwm sim sai heev, uas feem ntau yog qhia los ntawm kev qaug zog heev. Tej zaum kuj yuav poob phaus sai thiab tsis muaj zog ntawm cov mem tes nrog ua pa luv ntawm qhov kev tawm dag zog me ntsis. Vim li ntawd, feem ntau tuag tshwm sim.
Koj tuaj yeem pom cov tsos mob ntawm mob qog noj ntshav hauv cov duab uas tau nthuav tawm hauv kab lus.
Qhov laj thawj tseem ceeb
Lub etiology nrog rau cov laj thawj tseem ceeb ntawm cov kab mob no tseem tsis tau kawm tiav txog hnub no. Muaj tseeb, hauv tsib caug feem pua ntawm cov neeg mob, papillomatosis pom nyob rau hauv lub cev. Nws tus kab mob yog tus kab mob papillomavirus. Nws tuaj yeem kis tau los ntawm kev sib cuag lossis kev sib cuag hauv tsev. Muaj ntau hom kab mob uas ua rau tsim cov warts thiab qhov chaw mos warts, uas muaj cov theem siab ntawm oncogenicity. Feem ntau qhov no pathology pib nrog cov tsos ntawm papillomatous loj hlob. Nkag mus rau hauv lub epithelium, tus kab mob hloov cov qauv ntawm tib neeg DNA, uas tuaj yeem ua rau dysplasia nrog kev sib faib nrawm. Qhov cuam tshuam ntawm qhov teeb meem no nyob rau hauv qhov tseeb tias yog tias mob qog noj ntshav hauv plab tau kuaj pom nyob rau hauv ib tug poj niam hluas, ces tus kab mob papillomavirus kuj tau kuaj pom muaj yim caum feem pua. Niaj hnub no, ntau tshaj cuaj caum feem pua ntawm tag nrho cov pej xeem hauv ntiaj teb tau kis nws.
mob qog noj ntshav Vulvar feem ntau tuaj yeem tau txais txiaj ntsig. Hereditary predisposition tau sau tseg hauv peb caug feem pua ntawm cov neeg mob. Qhov no yog qhov hu ua intraepithelial neoplasia.hom. Cov noob uas provokes nws tseem tsis tau raug txheeb xyuas. Psychosomatics piav qhia tias cov qog nqaij hlav malignant yog tsim los ntawm kev puas siab puas ntsws, uas feem ntau tsis nco qab. Thiab lawv kuj tuaj yeem tshwm sim vim tsis muaj kev saib xyuas lossis kev hlub. Yog li, raws li qee qhov kev qhia, kev ntxub ntxaug, kev npau taws thiab kev khib ntawm lwm tus tuaj yeem ua rau cov txheej txheem oncological.
Vulvar cancer theem
Nyob rau hauv kev kho tus kab mob no, qib ntawm qhov muaj feem ntau ntawm neoplasm ua lub luag haujlwm tseem ceeb. Cov theem hauv qab no yog qhov txawv:
- Zero theem ntawm pathology yog tus yam ntxwv los ntawm qhov txhab ntawm lub epithelium nkaus xwb.
- Thaum thawj theem, qhov loj ntawm cov qog tsis pub tshaj ob centimeters thiab tsis ncav cuag lub qhov ncauj nws tus kheej.
- Thaum theem ob, qhov loj ntawm cov qog twb pib tshaj ob centimeters.
- theem thib peb yog tus cwj pwm los ntawm kev loj hlob ntawm cov qog nyob rau hauv cov ntaub so ntswg nyob sib ze, piv txwv li, hauv thaj tsam ntawm qhov chaw mos lossis qhov quav, thiab lwm yam, ib sab ntawm qhov mob ntawm cov qog nqaij hlav.
- Nyob rau theem plaub, cov qog tuaj yeem loj hlob mus rau lwm yam kabmob, thiab ntxiv rau, cov pob txha. Hauv qhov no, cov qog ntshav qab zib cuam tshuam los ntawm metastases ntawm ob sab tuaj yeem raug sau tseg.
Nyob rau theem pib, nrog rau kev kho raws sijhawm, kev ciaj sia ntawm cov neeg mob yog cuaj caum-yim feem pua. Nws yuav tsum raug sau tseg tias neoplasm tuaj yeem kis thoob plaws lub cev hauv ob peb lub hlis. Feem ntau, cov kws kho mob kuaj pom cov metastases nyob deb ntawm lub ntsws. Hmoov tsis, theem kawg yog yuav luag tsis yooj yim suaib qho kev kho mob, qhov no, cov kws kho mob cov tub rog tau qhia tsuas yog txhawm rau txo tus mob ntawm tus neeg mob.
Yuav ua li cas thiaj pom cov tsos mob ntawm qhov ncauj qhov ntswg?
Diagnosis
Kev tau txais ib qho anamnesis, nrog rau kev xam phaj tus neeg mob, txiav txim siab qhov kev hloov pauv ntawm cov txheej txheem pathological nrog rau cov txheej txheem ntawm tus kab mob thiab qhov zoo ntawm qhov tsim. Nyob rau hauv qhov xwm txheej uas xav tias mob qog noj ntshav ntawm qhov chaw mos, kev kuaj xyuas kom meej qhov kev kuaj mob yuav suav nrog cov txheej txheem hauv qab no:
- Kev kuaj gynecological uas qhia txog kev hloov pauv sab nraud.
- Kev ua ntawm palpation nrog kev txiav txim siab ntawm qhov loj inguinal, thiab ntxiv rau, femoral lymph nodes.
- Kev ua colposcopy los txiav txim seb tus qog puas loj tuaj.
- Ua haujlwm vulvoscopy, uas pab tshawb xyuas cov hlwb hloov pauv rau dysplasia.
- Kev ua cytology smear nrog rau kev kuaj Pap lossis kuaj cov qog nqaij hlav cancer thiab piav qhia lawv cov qauv.
- Biopsy thiab histological kuaj.
- Ua kev kuaj ultrasound ntawm lub plab mog, thiab ntxiv rau, cov qog nqaij hlav, uas tso cai rau kev kuaj pom ntawm metastases.
Thaum mob qog noj ntshav vulvar pib metastasize rau thaj chaw nyob sib ze, qhov kev kuaj mob muaj cov txheej txheem hauv qab no:
- Kev kuaj xyuas qhov quav digital.
- X-rays ntawm lub ntsws.
- Kev ua haujlwm ureteroscopy.
- Computer thiabmagnetic resonance imaging, uas, nyob rau hauv lem, tso cai rau kev tshawb nrhiav ntawm metastases nyob deb.
Kev xaus nrog kev ntsuas tus kab mob ncaj qha nyob ntawm tag nrho cov tsos mob thiab cov ntaub ntawv kuaj mob. Tsis tas li ntawd, nws yuav tsum tau coj mus rau hauv tus account lub sijhawm ntawm pathology nrog rau kev noj qab haus huv ntawm tus neeg mob.
Vulvar cancer kho li cas?
Kev kho mob
Tus kab mob no yog ib qho txaus ntshai heev, tab sis tus kab mob kho tau, txawm li cas los xij, yog tias nws raug kuaj pom thaum ntxov. Yog hais tias tus pathology tsis kho, nws yuav ua rau tuag taus. Nws yuav tsum raug sau tseg tias kev tuag nrog kev tsis saib xyuas tus kab mob no tuaj yeem tshwm sim hauv ib xyoos.
Lub sijhawm kom muaj sia nyob, thiab ntxiv rau, txhawm rau tiv thaiv kev txhim kho kabmob kheesxaws tshwm sim yog tias tus neeg tsis pib tus kabmob, tab sis sab laj tus kws kho mob kom tau txais kev kho mob tsim nyog. Tsis muaj teeb meem koj yuav tsum sim tshem tawm tus kab mob koj tus kheej los ntawm kev noj cov tshuaj tua kab mob, lossis nrhiav kev kho kom zoo hauv cov zaub mov uas tau muab los ntawm cov tshuaj niaj hnub. Hauv qhov xwm txheej zoo li no, tsuas yog kev kho mob muaj peev xwm ntawm cov kws kho mob uas tsim nyog yuav tsum tau muab. Kev kho mob qog noj ntshav Vulvar yuav tsum ua tiav.
Kev txhim kho niaj hnub hauv thaj chaw xws li gynecology, phais thiab oncology pab kho thiab kov yeej cov kab mob. Kev kho mob tactic yog kev sib xyaw ua ke, uas yuav pab txo qis kev mob qog noj ntshav, tso cai rau lub cev rov zoo, thiab ntxiv rau,ua neej ntev. Yog li, kev kho mob suav nrog cov hauv qab no:
- Kev phais tshem tawm ntawm kev tsom xam thiab metastasis.
- Tshuaj kho nrog cytostatics.
- Kev kho mob hluav taws xob.
- Kev ntsuas qhov mob nyem.
Kev rov qab los ntawm cov neeg mob tshwm sim tam sim tom qab kev phais mob qog noj ntshav ntawm lub qhov ncauj, uas lub cev nrog cov qog ntshav hauv cheeb tsam raug tshem tawm. Qee lub sij hawm nws tsuas yog hais txog kev kho mob. Kev rov qab ua haujlwm tom qab ua haujlwm feem ntau pom nyob rau hauv xya feem pua ntawm cov neeg mob. Nws tsis tuaj yeem kwv yees lub sijhawm ntawm lawv qhov tsos, tab sis qee zaum cov kws kho mob yuav tsum tau ua haujlwm rau cov neeg mob dua.
Launched, tab sis tib lub sijhawm uas mob qog noj ntshav tsis tuaj yeem tseem xav tau kev kho mob palliative. Kev kho hluav taws xob feem ntau yog sau tseg, thiab cov kev ua ncaj qha los ntawm oncologists yog tsom rau kev txo qis kev txom nyem ntawm tus neeg mob. Tshuaj kho mob kuj muaj rau mob qog noj ntshav vulvar.
Muaj Teeb Meem
Kev kho rau cov kab mob no, uas suav nrog hluav taws xob nrog cov tshuaj khomob, tuaj yeem ua rau muaj ntau yam kev mob tshwm sim nrog rau kev tsis zoo ntawm lub neej zoo ntawm cov neeg mob. Piv txwv li, vim qhov kev tshem tawm ntawm qhov chaw mos, o ntawm ob txhais ceg nrog o thiab divergence ntawm postoperative sutures, raws li zoo raws li tsub zuj zuj ntawm cov kua nyob rau hauv lub cheeb tsam ntawm lub cheeb tsam tej zaum yuav tshwm sim.
Kev ua haujlwm tsis zoo tuaj yeem tshwm sim thaum cov hlab ntsha puas lawm. Cov neeg mob yuav hnov mob nrog tingling nyob rau hauv qhov chaw ntawm daim tawv nqaij puas. Tsis tas li ntawd, lub suture yuav tsis kho zoo. Raws li ib feem ntawm kev tiv thaiv, nws raug pom zoo kom lubricate daim tawv nqaij nrog ib tug balm hu ua "Vinilin". Hiav txwv buckthorn roj kuj tsim nyog. Kev siv tshuaj khomob thiab kev kho hluav taws xob rau kev mob qog noj ntshav ntawm lub qhov ncauj tuaj yeem ua rau muaj ntau yam teeb meem, suav nrog cov hauv qab no:
- Txuag lub cev tiv thaiv kab mob.
- Kev txhim kho ntshav qab zib.
- Tshuaj plaub hau poob.
- Qhov tshwm sim ntawm kev ua haujlwm ntawm cov hnyuv.
- Saib qhov nqaim ntawm qhov chaw mos.
- Qhov tshwm sim ntawm qhov kub hnyiab thaum tso zis.
- Pom qhov tsis muaj zog, chim siab, tsis txaus siab thiab kev ntxhov siab.
Txhua lub sijhawm tom qab phais mob, cov neeg mob xav tau kev saib xyuas tshwj xeeb hauv kev cuam tshuam rau lawv tus kheej, thiab ntxiv rau - kev saib xyuas los ntawm cov neeg ua haujlwm kho mob thiab, tau kawg, cov neeg hlub.
Nyob rau theem siab ntawm mob qog noj ntshav vulvar (daim duab tuaj yeem pom tau yooj yim), cov neeg mob yuav muaj kev tsis xis nyob hauv lub cev. Hauv qhov no, lo lus nug ntawm yuav ua li cas qhov mob tuaj yeem daws tau yog qhov cuam tshuam tshaj plaws. Qee lub sij hawm, kev siv cov tshuaj uas tsis yog-narcotic analgesics tsis ua rau muaj kev ntxhov siab ntxiv lawm. Cov tshuaj muaj zog, xws li Buprenorphine lossis Morphine, tau muab rau cov neeg mob nruj me ntsis raws li kws kho mob tau sau ntawv rau tus kheej.
tshuaj kho mob tuaj yeem ua rau mob me ntsis, nrog rau qee qhov kev mob tshwm sim xws li qhov muag tsis pom kev, kiv taub hau, xeev siab, ntshav siab, qhov ncauj qhuav thiab nqhis dej heev.
Tsis yog txhua tus paub tias mob qog noj ntshav vulvar zoo li cas.
Yuav ua li cas muaj tseeb yog cev xeeb tub tom qab pathology?
Qhov teeb meem no tseem tsis tau kawm txaus, vim tus kab mob no tsis tshua muaj tshwm sim hauv cov poj niam hnub nyoog qis dua. Qhov no pathology yog ntau dua li hu ua "senile" kab mob.
Txawm li cas los xij, feem ntau cov kws kho mob ntseeg tias kev npaj cev xeeb tub tsuas yog ua tau tom qab ua tiav tag nrho cov kev kho mob nyuaj, thiab, ntxiv rau, thaum kawg ntawm lub sijhawm rov ua haujlwm. Yog li ntawd, lub sij hawm rov qab los yog ntev heev thiab nyob ntawm peb mus rau tsib xyoos. Ua ntej npaj cev xeeb tub, cov poj niam yuav tsum tau mus rau qhov kev ntsuam xyuas tiav, feem ntau los ntawm gynecologist, nrog rau tus kws kho mob oncologist nrog tus kws kho caj ces. Qhov no yog qhov yuav tsum tau txhawm rau txhawm rau txhawm rau tshawb pom qhov zais cia uas tuaj yeem ua mob rau tus menyuam lossis ua rau muaj kev rov qab los ntawm pathology.
Ntau zaus, cov kab mob no tuaj yeem kuaj tau thaum cev xeeb tub. Hauv cov xwm txheej zoo li no, koj tsis tuaj yeem tsis kam ua cov tshuaj khomob. Txoj kev kho no tsis muaj qhov tsis zoo rau kev loj hlob ntawm tus menyuam hauv plab.
ntsuas kev tiv thaiv
Tus kab mob loj no tiv thaiv thiab tswj tau li cas? Kev tiv thaiv kab mob oncological pab kom tsis txhob raug cuam tshuam rau cov teeb meem, tiv thaiv koj tus kheej los ntawm lawv. Txhawm rau tiv thaiv qhov tshwm sim ntawm mob qog noj ntshav vulvar, cov kws kho mob pom zoo kom tshem tawm lossis tsawg kawg txo cov txiaj ntsig ntawm cov xwm txheej txaus ntshai, thiab ntxiv rau, kho cov kab mob hauv lub sijhawm. Ua ntej tshaj plaws, koj yuav tsum txiav luam yeeb, tshem tawm qhov hnyav dhau, zamnkag mus rau hauv lub cev ntawm txhua yam carcinogens. Tsis tas li ntawd, nws tsis tuaj yeem tso cai rau kev ua txhaum ntawm qib ntawm cov tshuaj hormones thiab txhim kho cov teeb meem nrog cov hlab ntsha. Nov yog qee cov lus qhia los pab tiv thaiv kab mob qog noj ntshav:
- Muab lub cev pw tsaug zog zoo.
- Kev noj qab haus huv thiab noj qab nyob zoo txhua hnub.
- khoom noj kom raug nrog rau kev kuaj xyuas tsis tu ncua.
Tus kab mob no yuav tsum tau kho thaum pib. Yog li kev tshem tawm nws yuav yooj yim dua thiab siv tau ntau dua. Hauv qhov no, txhua tus poj niam tom qab tsib caug yuav tsum mus ntsib kws kho mob gynecologist ob zaug hauv ib xyoos.
Yuav ua li cas rau qhov mob qog noj ntshav ntawm qhov ncauj?
Lub neej expectancy thiab prognosis
Kev ciaj sia ntawm cov neeg mob ua haujlwm uas tsis muaj cov qog ntshav qog ntshav feem ntau yog nce txog cuaj caum feem pua. Yog tias cov qog ntshav qab zib tau koom nrog hauv cov txheej txheem pathological, ces qhov ciaj sia taus raug txo mus rau tsib caug feem pua.
Vulvar cancer tshuaj xyuas
Feem ntau, kev tshuaj xyuas txog kev kho mob ntawm cov kab mob no tau tso tseg los ntawm cov ntxhais ntawm cov niam muaj mob uas yuav tsum mob qog noj ntshav. Zoo li lwm yam mob qog noj ntshav, daim ntawv no tau kho tau zoo tsuas yog nyob rau theem pib, tam sim tom qab kev ua haujlwm, uas tau tshaj tawm hauv cov lus. Tom qab kev kho mob, cov poj niam yuav tsim ntau yam teeb meem nyob rau hauv daim ntawv ntawm anemia, plaub hau poob, xav tsis muaj zog thiab qaug zog.
Hauv peb lub tebchaws, kwv yees li tsib feem pua ntawm cov poj niam raug mob qog noj ntshav vulvar. Hauv qhov no, nws yog ib qho tseem ceeb heev uas yuav tsum tau kuaj xyuas los ntawm gynecologist tsis tu ncuatxoj kev loj hlob ntawm xws li ib tug txaus ntshai pathology. Tsis tas li ntawd, tsis txhob saib tsis taus cov khoom noj kom raug, kev noj qab haus huv ntawm lub neej thiab ua raws li cov qauv kev pw tsaug zog. Ib tug poj niam yuav tsum saib xyuas nws txoj kev noj qab haus huv tsis yog thaum nws tseem hluas, tab sis thoob plaws hauv nws lub neej.
