Daim tawv nqaij fibroma yog cov qog zoo li benign tsim los ntawm cov ntaub so ntswg sib txuas. Nws tuaj yeem loj hlob kiag li ntawm txhua qhov ntawm tib neeg lub cev thiab ncav cuag qhov ntau thiab tsawg txog 3 cm.
Cov tsos mob thiab kuaj mob
Cov cim qhia ntawm fibroids:
- qog hlav qeeb;
- size tsis tshaj 3cm;
- muaj ciam teb meej;
- xim liab tig xim av raws li cov qog loj hlob.
Kev kuaj pom tseeb yog tsim los ntawm tus kws tshaj lij thaum ua cov kev tshawb fawb hauv qab no:
- palpation thiab kuaj pom;
- ultrasound;
- noj biopsy los txheeb xyuas cov cellular muaj pes tsawg leeg ntawm fibroma;
- yog tias tsim nyog, sab laj nrog tus kws kho mob oncologist-dermatologist.
Mild looks fibroma
Neoplasm zoo li no muaj adipose thiab cov ntaub so ntswg sib txuas. Cov qauv yog xoob ntawm cov nqaij los yog xim av. Cov kev tsim no feem ntau tshwm sim hauv thaj chaw muag heev ntawm lub cev (lub ntsej muag, daim tawv muag, caj dab, caj npab, puab tais). Cov kws tshawb fawb tau pom tias nws yog hom kab no uas tau txais los ntawm tib neeg, thiab lawv qhov tshwm sim yog txuam nrog kev tsis sib haum ntawm cov tshuaj hormones hauv lub cev.
A mos fibroma yog ib qho yooj yim rau kev raug mob: thaum tshem tawm cov khaub ncaws, shaving, da dej, thiab lwm yam. Qhov no tsis muaj kev nyab xeeb, nws yog ib qho tsim nyog yuav tsum tau sim kom tsis txhob raug mob, vim hais tias nws yog nyob rau lub sij hawm ntawm kho cov cell noj qab haus huv. degenerate rau hauv malignant sawv daws yuav.
Tshuaj zoo li fibroids
Lwm txoj hauv kev, hom kab no tseem hu ua dermatofibroma. Nws tshwm sim ntau zaus. Cov tsos mob ntawm neoplasm muaj cov fibers fibers thiab cov hlwb txuas. Lawv nto muaj ib tug du ntom qauv, thiab cov xim yog tib yam li cov tawv nqaij ntawm tib neeg. Tsis tshua muaj kev zam, cov tsiaj no sawv cev rau ib qho kev tsim tshwj xeeb nyob rau sab nraub qaum, caj npab, thiab lub xub pwg nyom. Nws tsis yog qhov tsis yooj yim rau xws li fibroma tshwm tom qab raug mob. Hom pob no yuav nyob hauv qab lossis ntawm daim tawv nqaij.
Kev tshwm sim
Tam sim no, qhov ua rau ntawm fibrous formations tsis tau kawm tiav thiab ua pov thawj. Tab sis, txawm li cas los xij, cov kws tshaj lij txheeb xyuas qhov tshwm sim:
- Qhov kev pheej hmoo tshaj plaws yog kev xeeb tub. Yog tias cov txheeb ze ze muaj cov qauv zoo sib xws, thiab ntau dua li ntau(fibromatosis), tom qab ntawd qhov tshwm sim ntawm tus kab mob no hauv lawv cov xeeb ntxwv yuav nyob hauv 70% ntawm cov neeg mob.
- Hormonal imbalance nyob rau hauv lub cev feem ntau ua rau cov formations.
- Kab tom.
- Kev muaj ntau yam kev raug mob ntawm daim tawv nqaij (abrasions, txiav, splinters).
- Rub tawv nqaij nrog khaub ncaws.
- Kho nrog β-blockers, uas tuaj yeem hloov cov qauv ntawm cov ntaub so ntswg.
Yuav ua li cas
Kev kho mob tam sim no tsuas yog tshem tawm cov fibroma, txawm tias hom neeg twg muaj lossis nyob qhov twg. Cov kws kho mob pom zoo kom tshem tawm cov neoplasms ntawm daim tawv nqaij, tsis tsuas yog los ntawm qhov pom kev zoo nkauj, tab sis feem ntau yog txhawm rau txo qis qhov tshwm sim ntawm qhov mob thiab raug mob. Tam sim no muaj ntau lub tsev kho mob uas koom nrog kev ua haujlwm me me.
Surgery
Cov kws kho mob ua kev phais tshem tawm cov fibroids nyob rau hauv rooj plaub uas cov neoplasm loj (ntau tshaj 1 cm). Hauv qhov no, tsis muaj lwm txoj kev kho mob. Tam sim no, txoj kev sparing phais kev cuam tshuam yog siv. Kev ua haujlwm yog ua raws li kev siv tshuaj loog hauv zos, feem ntau ntawm tus neeg mob sab nraud.
Nyob rau hauv tus txheej txheem ntawm tshem tawm ib tug fibroma, tus kws kho mob yuav tsum tau excise lub qog thiab siv absorbable sab hauv sutures. Tom qab ntawd lub qhov txhab raug kaw nrog cov ntaub qhwv aseptic tshwj xeeb. Tom qab 3 hnub, cov ntaub qhwv raug tshem tawm thiab kho nrog tshuaj tua kab mob. Tsis pub dhau ib lub lis piam tom qab kev phais mob, lub qhov txhab nyob rau hauv tsis muaj txoj kevrooj plaub yuav tsum tsis txhob ntub dej kom tsis txhob muaj cov kab mob nkag mus. Yog tias qhov kev ua haujlwm tau ua tiav, thiab tus neeg mob tau ua raws li tag nrho cov cai thiab cov lus pom zoo ntawm tus kws kho mob, ces yuav tsum tsis txhob muaj cov kab mob tom qab phais.
YLaser tshem tawm
Nrog rau qhov me me neoplasm ntawm tib neeg daim tawv nqaij, siv txoj kev kho laser. Cov txheej txheem yog ua los ntawm kev siv tshuaj loog hauv zos hauv qhov chaw kho mob sab nraud. Kev tshem tawm cov fibroids nrog lub laser kav li 15-20 feeb. Thaum lub sij hawm tus txheej txheem, tus neeg mob yuav hnov ib tug muaj zog warmth ntawm qhov chaw ntawm tus txheej txheem, yuav tsum tsis txhob muaj mob. Qhov tshwm sim qhov txhab yuav tsum kho nyob rau hauv ib txoj kev qhib. Tom qab 2-3 hnub, lub crust tshwm nyob rau ntawm qhov chaw ntawm qhov tshem tawm neoplasm, uas yuav tsum tau poob rau hnub 10-15th. Ib qho chaw me me feem ntau tseem nyob hauv qhov chaw ntawm cov pob zeb uas poob, uas yuav ploj mus rau rau lub hlis.
Yuav muaj teeb meem thiab tiv thaiv
Tus neeg uas muaj neoplasm ntawm daim tawv nqaij yuav tsum tau mus ntsib kws kho mob tam sim ntawd. Tom qab tag nrho, lub sijhawm ua haujlwm kom tshem tawm cov fibroids nullifies xws li teeb meem xws li:
- recurrence;
- malignancy (hloov ntawm cov hlwb benign mus rau malignant).
Tom qab tshem daim tawv nqaij fibroma, nws tseem ceeb heev kom ua raws li cov lus pom zoo los ntawm kws kho mob. Txwv tsis pub, nws muaj peev xwm qhia tau tus kab mob thib ob rau hauv lub qhov txhab, raws li qhia los ntawm cov cim hauv qab no:
- mob hnyav ntawm qhov chaw ntawm kev tshem tawm fibroma;
- muaj kuab;
- kub nce;
- tsis muaj zog.
Thaum kis tus kab mob thib ob, tus kws kho mob tau sau ntawv kho mob kom tshem tawm nws. Ib qho contraindication rau kev tshem tawm cov ntsaws ruaj ruaj yog qhov kev noj qab haus huv ntawm tus neeg mob.
Raws li kev tiv thaiv ntawm kev tsim cov qog nqaij hlav, nws tsis muaj. Yog tias koj xav tias muaj tus kab mob no, koj yuav tsum tau ntsuas ceev. Tom qab tag nrho, qhov kev phais sai sai tau ua kom tshem tawm cov fibroids lossis laser kev kho mob, qhov zoo ntawm cov tshuaj pleev ib ce yuav zoo dua.
uterine fibroids yog dab tsi?
Tus kab mob no nkag siab tias muaj cov qog nqaij hlav hauv cov phab ntsa ntawm lub tsev menyuam hauv tus poj niam. Nrog nws qhov loj me, cov qog tuaj yeem ua rau muaj kev ua txhaum ntawm kev coj khaub ncaws, ib tug poj niam muaj kev mob hauv lub nraub qaum, sab plab, thiab qee zaum muaj kev cuam tshuam hauv kev ua haujlwm ntawm cov genitourinary thiab digestive kabmob.
Tus kab mob uas tsis kho tau tshwm sim nyob rau lub sijhawm tuaj yeem ua rau muaj menyuam tsis taus thiab txawm tias tshem lub tsev menyuam. Fibroma hauv lub tsev menyuam feem ntau tshwm sim los ntawm kev raug mob, feem ntau yog nqus los yog rho menyuam tawm. Qhov no yog vim qhov tseeb tias tom qab kev kho mob, cov phab ntsa ntawm lub tsev menyuam ua rau cov kab mob pathogenic microbes thiab ntau yam kab mob.
Lub xub ntiag ntawm neoplasm nyob rau hauv lub tsev menyuam yog kuaj los ntawm gynecologist thaum kuaj. Yog tias cov qog me me, ces qhov kev kuaj mob tau tsim los ntawm ultrasound, hysteroscopy, qee zaum, laparoscopy yog ua. Lub ntsiab lus tseem ceeb yog tias fibroids tuaj yeem tshwm sim tsis tau tsuas yog hauv tsev menyuam xwb, tab sis kuj ntawm zes qe menyuam, hauv cov qog mammary thiab ntawmtawv nqaij. Cov qog tuaj yeem ua tiav lossis nodular foob. Hom thib ob yog suav tias nyuaj dua, tab sis, hmoov zoo, kho tau yooj yim.
Ua rau qog nqaij hlav hauv tsev menyuam
feem ntau ua rau yog hormonal hloov thiab caj ces predisposition.
Tsis tas li ntawd, lawv tuaj yeem ua rau muaj mob:
- nqa tawm lub caij nyoog curettage rau lub hom phiaj ntawm kev kuaj mob;
- frequent rho menyuam;
- menyuam yaus tom qab 30;
- sexual instability.
Qhov ua rau nws tshwm sim feem ntau cuam tshuam nrog qhov loj ntawm cov qog. Loj fibromas tshwm sim nyob rau hauv cov poj niam uas nws kev noj qab haus huv tsis muaj zog los ntawm ib tug loj heev lub sij hawm tom qab yug me nyuam, muaj kab mob ntawm qhov chaw mos, lub sij hawm tom qab rho menyuam, thiab cov kab mob ntev ntawm lub cev thiab qhov chaw mos.
Uterine tumor kho
Muaj ntau yam kev kho mob:
- Kev kho mob. Nws yog nqa tawm nrog kev pab los ntawm kev tiv thaiv kab mob, tsis-steroidal, thiab tshuaj hormonal.
- Txoj kev phais. Nws yog ib qho kev tshem tawm ntawm uterine fibroids.
- Kev sib xyaw ua ke. Qhov no, tus kws kho mob muab kev kho mob thiab kev phais.
Thaum lub sijhawm kho tshuaj, tus neeg mob yuav muaj kev ntxhov siab, khaus khaus, cuam tshuam ntawm kev coj khaub ncaws, qaug zog, tsaug zog, uas cuam tshuam nrog kev phiv los ntawm cov tshuaj. Kev kho phais tuaj yeem tshwm sim los ntawm kev mob tshwm sim xws li mob melos ntshav tom qab tshem tawm fibroma.
Txhua tus neeg sawv cev ntawm ib nrab zoo nkauj ntawm tib neeg tuaj yeem ntsib tus kabmob no. Yog li ntawd, nws yog ib qho tseem ceeb los saib xyuas koj cov kev noj qab haus huv thiab mus ntsib cov tsev kho mob raws sij hawm. Kev noj qab haus huv ntawm lub cev xeeb tub tsis yog tsuas yog txhim kho lub neej zoo, tab sis kuj ua rau cov poj niam muaj peev xwm xeeb tub thiab yug me nyuam noj qab haus huv.
