Ovarian cyst (ICD -10 N83.0) yog ib qho benign neoplasm uas zoo li lub qhov ncauj tshwj xeeb uas muaj kua. Qhov tseeb, qhov no yog ib yam kab mob uas tuaj yeem tshwm sim ob qho tib si hauv zes qe menyuam thiab hauv lwm lub cev. Feem ntau, cov hlwv ua haujlwm tau pib tsim hauv ib tus neeg, lawv tuaj yeem ua asymptomatic thiab ploj mus dhau sijhawm. Txawm hais tias, yog tias lawv tsim nyob rau hauv zes qe menyuam, tej zaum yuav muaj mob hauv plab plab, tawg mus rau qhov quav.
Nws yog ib qho tseem ceeb kom paub: yog tias lub cyst pib tsim nyob rau hauv ib lub cev uas muaj cov hlab ntsha, ib qho tawm mus rau hauv nws cov kab noj hniav yuav tshwm sim thiab daim ntawv hemorrhagic yuav tsim. Feem ntau, cov qog ntawm hom no tshwm sim ntawm zes qe menyuam. Yog tias tus kab mob no tshwm sim ntau dua, yuav tsum tau kho phais sai.
Hauv cov ntsiab lus kho mob, hemorrhagic cyst yog follicle (kwv yees capsule) uastsis tawg. Feem ntau, ntawm 12-14 lub voj voog ntawm kev coj khaub ncaws, nws yuav tsum tawg thiab tso lub qe loj ntawm nws tus kheej. Tab sis yog vim li cas nws tsis tawg, qhov loj ntawm lub follicle nce sai heev. Nws cov kab noj hniav muaj cov ntshav, uas, yog tias nkag mus rau hauv peritoneum, tuaj yeem ua rau mob hnyav thiab qee zaum ua rau tuag taus. Kuv puas tuaj yeem cev xeeb tub nrog hemorrhagic zes qe menyuam cyst? Cov lus teb rau lo lus nug, nrog rau cov tsos mob ntawm tus kab mob tau piav qhia hauv qab no.
Vim txoj kev loj hlob
Cov tsos mob ntawm hemorrhagic cysts ntawm zes qe menyuam feem ntau cuam tshuam nrog kev hloov pauv ntawm cov tshuaj hormones hauv cov poj niam, piv txwv li, poob phaus, mob hnyav, lossis ua haujlwm tsis zoo ntawm cov thyroid caj pas. Tsis tas li ntawd, cov xwm txheej hauv qab no ua rau tus kab mob no paub:
- rho menyuam, nchuav menyuam;
- xeeb tub;
- thaum ntxov;
- psycho-emotional disorders;
- genetic pathologies;
- failure;
- kev nyuaj siab;
- siv sijhawm ntev ntawm qee yam tshuaj hormonal;
- SARS kho nrog tshuaj tua kab mob;
- qee yam kab mob ntawm cov kab mob genitourinary, tshwj xeeb tshaj yog cov kab mob ntev;
- kev ua haujlwm ntawm lub cev xeeb tub;
- hnub nyoog hloov pauv.
Cov cyst tom qab qee lub sij hawm yam tsis muaj kev kho mob txaus tuaj yeem degenerate mus rau hauv hemorrhagic, thiab qhov no cuam tshuam los ntawm tej yam xws li: ntev.hypothermia, kev ua si lub cev ntau dhau los ntawm kev nqa thiab nqa cov khoom hnyav, ua tsis raug cai kho kab mob kis kab mob.
Muaj cov mob uas hom cyst no tau kuaj pom hauv cov poj niam uas tsis tau kho tag nrho kev sib deev kis kab mob thiab mob. Txoj kev loj hlob ntawm hom kab mob no tuaj yeem tshwm sim vim muaj qhov uas twb muaj lawm, nrog rau kev ncua sij hawm ntawm kev coj khaub ncaws thiab kev hloov ntawm cov plaub hau thiab tawv nqaij.
Symptoms of disease
Lub neoplasm pib tsim thaum pib ntawm kev coj khaub ncaws thiab yog kab mob ua haujlwm ntawm poj niam lub cev. Cov tsos mob xyaum tsis thab tus neeg mob, lub xeev ntawm kev noj qab haus huv tseem nyob rau tib theem. Kev qaug zog me ntsis tuaj yeem ua rau qaug zog lossis huab cua tsis zoo.
Yog tias lub hemorrhagic cyst tsim ntawm sab xis, tus poj niam feem ntau muaj teeb meem loj heev, vim tias cov ntshav ntws hauv cheeb tsam no cuam tshuam nrog qhov chaw ntawm peritoneal aorta. Vim li no, cov kua ntshav pib ncig ntau dua li ntawm sab laug.
Vim li ntawd, cov ntshav tuaj yeem nkag mus rau hauv cyst kab noj hniav. Nws yog qhov tsim nyog hais tias hauv txhua tus neeg mob cov tsos mob ntawm tus kab mob no tuaj yeem sib txawv heev. Yog tias muaj cov ntshav ntau ntau hauv cov cyst, muaj qhov txaus ntshai uas qee lub sijhawm nws tuaj yeem tawg. Nrog rau qhov tshwm sim no, lub cyst nce zuj zus, thiab qhov mob ua kom pom tseeb thiab pom. Cov tsos mob hauv qab no kuj tshwm sim:
- mob (ruam,rub, ntev cramps) hauv plab plab, uas tuaj yeem raug tshem tawm nrog cov tshuaj tua kab mob;
- ntshav qab zib;
- mob hnyav thaum cev xeeb tub;
- kiv taub hau, tsis nco qab;
- qhov tseem ceeb ntawm kev coj khaub ncaws ntau;
- kub uas nyuaj rau txo qis;
- voj voog irregularity;
- qis siab;
- nquag hnov mob hnyav hauv perineum;
- -mucous paug thiab terine los ntshav;
- ntuav thiab xeev siab tshwm sim hauv qee kis.
Nyob rau hauv qee qhov xwm txheej, cov kev xav rub tawm uas tshwm sim hauv plab plab ntawm cov poj niam yog "sau tawm" raws li kev ntxhov siab, vim cov tsos mob saum toj no feem ntau tshwm sim, piv txwv li, tom qab tso zis lossis thaum muaj kev sib raug zoo.
Tsuas yog kws kho mob yuav tsum tau sau ntawv kho mob rau lub zes qe menyuam cyst (sab laug thiab sab xis) tom qab txiav txim cov tsos mob. Kev noj tshuaj rau tus kheej hauv qhov no tuaj yeem ua rau muaj qhov tshwm sim.
Kev kuaj kab mob
Thaum pib, txhawm rau tsim kev kuaj mob, tus neeg mob yuav tsum tau ua tib zoo tshuaj xyuas los ntawm kws kho mob gynecologist. Feem ntau, tus neeg mob hais txog qhov nce thiab mob ntawm lub tsev menyuam appendages, nrog rau qhov mob hauv plab. Palpation ntawm cov hlab ntsha thiab zes qe menyuam dhau ntawm phab ntsa plab yuav paub tseeb tias muaj qhov kev kuaj mob no.
Thaum kuaj xyuas, nws yog ib qho tseem ceeb uas yuav tsum tau ua qhov gynecological ultrasound nrog transvaginal thiab transabdominal sensors, nrog rau dopplerography ntawm lub zes qe menyuam cuam tshuam. Cov txheej txheem no yuav pab txiav txim siab cov yam ntxwv ntawm nwsncig.
Hemorrhagic ovarian cysts feem ntau kuaj ntawm MRI. Nws muab cov lus qhia ntxiv txog qhov neoplasm.
Daim duab sonographic ntawm hemorrhagic cyst tuaj yeem sib txawv heev, nws nyob ntawm qhov ntsuas ntawm cov ntshav hauv lumen ntawm kab noj hniav. Tsis tas li ntawd, cov neoplasm tuaj yeem yog anechoic (nrog cov npoo ntshiab) lossis echogenic (nrog cov qauv denser). Feem ntau, lub cyst tuaj yeem ua tau ntau chav, sib xyaw ua ke, homogeneous, lossis txawm tias muab faib ua qee thaj tsam ntawm nws cov ntsiab lus.
Kev Tshawb Fawb Kev Tshawb Fawb
Ntxiv rau, tus kws kho mob gynecologist tuaj yeem sau tshuaj ntsuam xyuas: kuaj ntshav, kuaj qog nqaij hlav, hormonal status, nrog rau kev sim uas yuav pab txiav txim lossis paub meej tias cev xeeb tub.
Yog hais tias qhia, sib nqus resonance thiab xam tomography tuaj yeem ua tau. Nws tseem yuav ua tau zoo rau kev kuaj mob laparoscopy los txiav txim nws qhov chaw thiab qhov loj me, sim tshem cov hemorrhagic cyst thiab saib nws cov ntsiab lus.
kev xaiv kho mob
Thaum kho tus kab mob ntawm zes qe menyuam hemorrhagic yam tsis tau phais, tus neeg mob yuav tsum tau siv lub tshuab txias txias rau hauv qab ntawm lub plab kab noj hniav thiab pw ntau dua. Tus kws kho mob feem ntau sau tshuaj kho nrog tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob, cov tshuaj uas tsim cov nyhuv daws teeb meem. Tab sis nyob rau hauv lub xub ntiag ntawm cov teeb meem thiab regression ntawm lub cyst, nws yog ib qho tsim nyog yuav tsum tam sim ntawd ua ib qho ntawm cov nram qab no kev kho mob phais.
Hlubcysts
Thaum kuaj pom ib qho neoplasm me me thaum lub sijhawm kuaj thiab tsis muaj qog nqaij hlav cancer, feem ntau yuav tsum tau ua haujlwm kom tshem tawm nws.
Txoj kev kho no yog siv nyob rau hauv yuav luag txhua rooj plaub, vim nws ua rau nws muaj peev xwm tswj tau qhov kev ua haujlwm ntawm lub zes qe menyuam thiab nws cov ntaub so ntswg, tsis muaj kev cuam tshuam rau cov chaw noj qab haus huv nyob ze thiab tsis muaj kev cuam tshuam rau kev ua me nyuam. Qhov no tseem ceeb heev rau cov poj niam uas tsis tau yug.
Nrog rau lub sijhawm ntev ntawm kev loj hlob ntawm hemorrhagic cyst (ntau tshaj 3 lub hlis), tus kws kho mob tuaj yeem kuaj pom cov ntaub so ntswg hloov pauv thaum kuaj ntawm zes qe menyuam uas tshwm sim los ntawm compression ntawm qhov loj hlob neoplasm. Ua ib tug wedge resection, tus kws kho mob tuaj yeem tshem tawm tag nrho cov cyst thiab tag nrho cov khoom puas ntawm lub cev. Kev txiav yog ua tiav hauv daim duab peb sab, uas yog vim li cas lub npe ntawm kev cuam tshuam kev phais tau ploj mus.
Qhov kev ua haujlwm ntawm zes qe menyuam tau khaws cia ntau tshaj plaws, thiab tus poj niam tuaj yeem xeeb tub tom qab ib ntus. Tom qab cov neoplasm raug tshem tawm, tus neeg mob yuav tsum tau ua qee yam kev tshawb fawb histological los txiav txim qhov muaj peev xwm ntawm kev tsim cov txheej txheem malignant.
Kev tshem tawm cov cyst thiab zes qe menyuam
Nws yog ib qho tseem ceeb uas qhov kev phais no tau ua tsis tshua muaj, thiab kev tshem tawm tiav yog ua tiav rau cov poj niam muaj hnub nyoog 45 xyoos thaum fading tshwm sim. Kev ua haujlwm ntawm kev ua me nyuam, nrog rau yog tias ob peb lub neoplasms raug kuaj pom tib lub sijhawm lossis muaj kev hem thawj ntawm kev tawg ntawm lub cyst.
Nrog rau qhov teeb meem no, feem ntau, nws yog kev phais uas tau ua. Yog hais tias ib tug poj niam muaj ib lub zes qe menyuam tshem tawm thaum lub sij hawm tus txheej txheem, nws muaj peev xwm hais tias tom qab ib pliag nws yuav muaj peev xwm yug tau ib tug me nyuam. Thaum ua kev phais rau tus neeg mob thaum lub caij tsis muaj hnub nyoog, tus kws kho mob kuj tshem tawm cov hlab ntsha.
Kev tshem tawm cov kab mob hemorrhagic yog ua los ntawm kev siv cov thev naus laus zis niaj hnub siv cov txheej txheem me me uas tsis muaj ntshav poob, nti, sutures thiab teeb meem, los ntawm kev sib tsoo me me.
Lub sijhawm rov qab los
Feem ntau, qhov kev soj ntsuam tom qab tshem tawm hom cyst no yog qhov zoo. Yog tias kev kho mob tau ua kom raug thiab raws sijhawm, tej zaum yuav tsis muaj teeb meem. Kwv yees li ntawm hnub thib ob tom qab kev cuam tshuam, tus poj niam lub cev pib ua haujlwm zoo li qub.
Kho tom qab laparoscopy yog qhov nrawm heev, tab sis txhawm rau tiv thaiv cov seams los ntawm kev sib cais, cov kws kho mob pom zoo kom tsis txhob da dej kub ib ntus.
Qee qhov tshwm sim thiab teeb meem tuaj yeem tshwm sim yog tias cov qog tau tawg thiab cov ntshav nkag mus rau hauv plab. Cov kua dej yuav tsum tau muab tso tawm tam sim ntawd, nrog rau cov tshuaj tua kab mob thiab tshuaj tua kab mob yuav tsum tau noj. Qhov no yuav ua rau nws muaj peev xwm tiv thaiv kev mob ntxiv.
Yuav ua li cas ntxiv?
yav tom ntej, tus neeg mob yuav tsum tau kuaj xyuas los ntawm nws tus kws kho mob tsis tu ncua, thiab tseem tau kawm (kwv yees li 2 lub hlis) ntawm kev kho mob nrog cov vitamin complexes,tshuaj tua kab mob, lub hom phiaj yog los kho cov zes qe menyuam kom ntau li ntau tau.
Lub sijhawm no, yuav tsum ua raws li kev noj zaub mov tshwj xeeb kom muaj kev noj qab haus huv tom qab phais thiab daim siab tom qab tshuaj loog. Ua ntej tshaj plaws, nws tsim nyog noj cov zaub mov uas yuav yooj yim rau lub plab, noj hauv me me. Txhawm rau kho qhov txhab sab hauv kom sai, koj yuav tsum noj txiv hmab txiv ntoo thiab zaub nrog ntau cov vitamins.
Yuav ua li cas tsis tuaj yeem ua nrog hemorrhagic zes qe menyuam?
Ua ntej tshaj plaws, koj yuav tsum tsis txhob ncua sijhawm kuaj los ntawm gynecologist, nrog rau kev kho tus kheej. Peb tshuaj xyuas cov tsos mob ntawm zes qe menyuam cyst hauv cov poj niam thiab qhov ua rau nws tshwm sim. Qhov no yog ib yam kab mob txaus ntshai heev rau kev ua me nyuam. Yog hais tias lub neoplasm ruptures thiab kua ntws tawm ntawm nws, tus neeg mob yuav tsim peritonitis. Tab sis, raws li tau sau tseg saum toj no, cov tsos mob ntawm hom cyst ntawm zes qe menyuam yog yam ntxwv, nws yog ib qho nyuaj rau tsis pom lawv, yog li kev txhim kho ntxiv ntawm tus kab mob yuav nyob ntawm tus poj niam nkaus xwb.
Lub luag haujlwm tseem ceeb ntawm tus kws kho mob gynecologist yog kuaj xyuas qhov pib ntawm kev tsim cov hemorrhagic cyst kom ntxov li sai tau thiab, yog tias nws loj tuaj, ua kev kho mob kom zoo kom tus neeg mob tuaj yeem xeeb tub thiab yug tau tus menyuam noj qab nyob zoo. yav tom ntej!
