Vulvodynia

Vulvodynia yog qhov mob tsis zoo ntawm rab qau. Nov yog thaj chaw sab nraud ntawm poj niam tus qau. Vulvodynia ua rau mob hnyav, kub hnyiab thiab ua pob ntawm rab qau.

Qhov tseeb yog vim li cas vulvodynia tsis paub. Cov kws tshawb nrhiav tabtom ua haujlwm kom paub ntxiv txog tus mob no. Cov ua yuav suav nrog:

• Kev chim siab lossis raug mob rau txoj hlab ntshav ntawm lub qau
• Hormonal hloov
• Yooj yim dhau nyob hauv lub hlwb ntawm lub qau ua rau kis mob lossis raug mob
• Tshaj ntxiv cov hlab ntsha hauv qhov chaw mos
• Lub cev hauv pem teb khov kho cov leeg
• Ua xua rau qee yam chemical
• Lub hauv paus caj ces uas ua rau rhiab lossis overreaction rau mob lossis o

Cov kab mob kis los ntawm kev sib deev (STIs) TSIS TXHOB ua rau tus mob no.

Muaj ob lub ntsiab ntawm vulvodynia:

• Laus vulvodynia. Qhov no yog qhov mob nyob hauv ib thaj tsam ntawm qhov chaw mos, feem ntau yog qhib ntawm lub qhov paum (vestibule). Qhov mob feem ntau tshwm sim vim yog siab ntawm thaj chaw, xws li los ntawm kev sib daj sib deev, ntxig rau tampon, lossis zaum ntev.
• General vulvodynia. Qhov no yog qhov mob nyob hauv thaj chaw sib txawv ntawm qhov chaw mos. Qhov mob yog pob khov, nrog qee lub sijhawm ntawm kev tso siab. Kev ntxhov siab rau qhov chaw mos, xws li los ntawm zaum ntev ntev lossis hnav cov ris luv yuav ua rau mob hnyav ntxiv.

Qhov mob ntawm vulvar feem ntau yog:

• Ntse
• Hlawv
• Khaus
• Xeb

Koj yuav mloog zoo li mob txhua lub sijhawm lossis qee lub sijhawm. Qee lub sijhawm, koj yuav hnov ​​mob ntawm thaj chaw ntawm koj lub paum thiab lub qhov quav (perineum) thiab hauv ncej puab sab hauv.

Vulvodynia tuaj yeem tshwm sim hauv cov hluas lossis cov pojniam. Cov poj niam nrog vulvodynia feem ntau yws ntawm qhov mob thaum sib deev. Nws yuav tshwm sim tom qab sib deev thawj zaug. Los yog, nws yuav tshwm sim tom qab xyoo ntawm kev sib deev.

Qee yam tuaj yeem ua rau mob tshwm sim:

• Sib deev
• Tso nrog tampon
• Hnav ris tsho kom nruj hauv qab ris lossis ris ntev
• Tso zis
• Zaum ntev
• Kev qoj ib ce lossis caij tsheb kauj vab

Koj tus kws kho mob yuav kuaj ib ce thiab nug txog koj li keeb kwm kev kho mob. Koj tus kws kho mob yuav tso zis ua kom mob tawm lub tso zis. Koj tuaj yeem muaj lwm yam kev ntsuam xyuas los txiav tawm cov poov xab kis mob lossis tawv nqaij mob.

Koj tus kws kho mob tseem yuav kuaj sim pauv paj rwb. Thaum lub sijhawm kuaj no, tus kws kho mob yuav siv lub siab mos siab muag rau ntau thaj chaw ntawm koj lub chaw mos thiab thov kom koj ntsuas koj qib mob. Qhov no yuav pab txhawm rau txheeb xyuas qee qhov mob.

Vulvodynia yog kuaj tau thaum tag nrho lwm yam ua tau raug cais tawm.

Lub hom phiaj ntawm txoj kev kho mob yog kom txo tau qhov mob thiab txo cov tsos mob. Tsis muaj ib txoj kev kho mob ua haujlwm rau txhua tus pojniam. Koj kuj tseem xav tau ntau dua ib hom kev kho mob los tswj hwm koj tus mob.

Koj yuav tau muab tshuaj rau pab txo qhov mob, suav nrog:

• Anticonvulsants
• Cov tshuaj tiv thaiv kab mob
• Kev Siv Opioids
• Cov tshuaj pleev pleev lossis pleev tshuaj pleev, xws li lidocaine oint thiab estrogen cream

Lwm yam kev khomob thiab cov hau kev uas yuav pab tau:

• Kev zaws lub cev kom ua kom cov leeg mob hauv plab haj yam muaj zog.
• Biofeedback pab txo kev mob los ntawm kev qhia koj ua kom koj lub plab pelvic pem teb khov.
• Txhaj tshuaj ntawm cov hlab ntaws kom txo qis qhov mob.
• Cov kev kho kom coj tus cwj pwm kom pab koj daws koj cov kev xav thiab cwj pwm.
• Kev noj haus hloov pauv kom tsis txhob noj zaub mov nrog oxalates, suav nrog zaub ntsuab, beets, txiv laum huab xeeb, thiab chocolate.
• Acupuncture - nco ntsoov nrhiav kws kho mob paub txog kev kho tus mob vulvodynia.
• Lwm txoj kev siv tshuaj ntxiv xws li kev so thiab kev ua kom haum.

LUB NEEJ MUAJ KEV PAUV HLOOV

Kev pauv hloov hauv lub neej tuaj yeem pab tiv thaiv kom tsis txhob muaj txiaj ntsig thiab txo cov tsos mob.

• TSIS TXHOB siv lossis xab npum lossis roj uas tuaj yeem ua rau o.
• Hnav cov ris tsho hauv qab thiab tsis txhob siv cov ntaub mos muag ntawm cov ris tsho hauv qab.
• Siv xab npus ntxhua khaub ncaws rau cov tawv nqaij rhiab thiab ob npaug yaug koj sab hauv.
• Zam cov khaub ncaws uas nruj.
• Zam kev ua si uas ua rau muaj kev ntxhov siab rau qhov chaw mos, xws li caij tsheb kauj vab lossis caij nees.
• Zam rau ntawm lub dab dej kub.
• Siv cov ntawv mos mos uas tsis muaj qhov muag ua kom yaug thiab yaug koj qhov chaw mos nrog dej txias tom qab tso zis.
• Siv tagnrho cov paj rwb tampons lossis ntaub qhwv.
• Siv cov tshuaj tiv thaiv dej kom yaj thaum sib deev. Tso zis tom qab pw ua ke los tiv thaiv UTI, thiab yaug thaj chaw nrog dej txias.
• Siv qhov txias txias ntawm koj lub hnoos qeev kom tshem tawm qhov mob, xws li tom qab sib deev lossis ua exercise (nco ntsoov muab qhwv rau qhov phuam huv - TSIS TXHOB thov ncaj qha rau koj daim tawv).

NTU

Qee tus poj niam nrog qhov chaw mos ntawm lub chaw mos yuav tau phais mob kom txo qhov mob. Qhov phais tshem tawm cov tawv nqaij thiab cov nqaij mos ntawm thaj chaw mos. Kev phais mob tsuas yog ua tiav yog tias tag nrho lwm yam kev kho mob swb.

Koj tuaj yeem daws kev ntxhov siab kev mob los ntawm koom nrog pab pawg txhawb nqa. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Cov koomhaum hauv qab no muab cov ntaub ntawv ntawm vulvodynia thiab pab pawg txhawb nqa hauv zos:

• Koom Haum Hauv Tebchaws Vulvodynia - www.nva.org

Vulvodynia yog ib hom mob nyuaj. Nws yuav siv sijhawm ntev lis piam mus txog tsheej hli mam ua tiav qee qhov kho kom zoo hlo. Txoj kev kho yuav tsis yooj yim rau tag nrho cov tsos mob. Kev sib txuam ntawm kev kho mob thiab kev ua neej hloov pauv yuav ua haujlwm zoo tshaj plaws los pab tswj tus mob.

Muaj tus mob no tuaj yeem nqa lub cev nqaij daim tawv thiab lub siab ntsws. Nws tuaj yeem ua rau:

• Kev nyuaj siab thiab ntxhov siab
• Cov teeb meem hauv kev sib raug zoo ntawm tus kheej
• Teeb meem pw tsaug zog
• Teeb meem kev sib deev

Ua haujlwm nrog tus kws kho mob tuaj yeem pab koj kom zoo dua nrog qhov muaj tus mob mus ntev.

Hu rau koj tus kws kho mob yog tias koj muaj tsos mob ntawm vulvodynia.

Kuj hu rau koj tus kws kho mob yog tias koj muaj vulvodynia thiab koj cov tsos mob mob hnyav dua.

American College ntawm Obstetricians thiab Gynecologist 'Committee ntawm Gynecologic Xyaum; Miskas Koom Haum rau Colposcopy thiab Cervical Pathology (ASCCP). Pawg Neeg Sawv Cev Tswv Yim Tsis xav 673: pheej mob ntsws. Obstet GynecolCov. 2016; 128 (3): e78-e84. PMID: 27548558 pubmed.ncbi.nlm.nih.gov/27548558/.

Bornstein J, Goldstein AT, Stockdale CK, li al. 2015 ISSVD, ISSWSH, thiab IPPS kev pom zoo cov ntsiab lus thiab kev faib tawm ntawm kev mob ntsws thiab mob ntsws qhuav. J Tsawg Genit Tract Dis. 2016; 20 (2): 126-130. PMID: 27002677 pubmed.ncbi.nlm.nih.gov/27002677/.

Stenson AL. Vulvodynia: kev kuaj mob thiab kev tswj hwm. Obstet Gynecol Clin North AmCov. 2017; 44 (3): 493-508. PMID: 28778645 pubmed.ncbi.nlm.nih.gov/28778645/.

Waldman SD. Vulvodynia. Hauv: Waldman SD, ed. Atlas ntawm Hom Mob SyndromesCov. 4 tug ed. Philadelphia, PA: Elsevier; 2019: cha 96.