YIb tug urethral caruncle yog polyp nyob rau hauv lub urethra. Tus kab mob no cuam tshuam rau cov poj niam nkaus xwb. Neoplasm tshwm sim feem ntau tom qab menopause. Thaum hluas thiab menyuam yaus hnub nyoog, caruncle tau sau tseg tsis tshua muaj. Pathology tuaj yeem ua asymptomatic rau lub sijhawm ntev. Feem ntau, ib tug polyp nyob rau hauv lub urethra yog pom los ntawm lub caij nyoog thaum lub sij hawm kuaj los ntawm gynecologist. Xws li polyps yog benign. Txawm li cas los xij, nyob rau hauv cov xwm txheej tsis zoo, cov qog hlwb tuaj yeem rov tsim dua tshiab. Qhov no yog fraught nrog tshwm sim ntawm urethral cancer. Yog li ntawd, caruncle yuav tsum tau kho raws sijhawm.
Qhov no yog dab tsi?
Caruncle ntawm cov urethra hauv cov poj niam yog ib puag ncig qog ntawm ib tug luv luv thiab dav stalk. Lub neoplasm muaj ib tug mucous daim nyias nyias thiab muaj ntau cov hlab ntsha. Qhov no yog cov qog me me, nws qhov loj yog feem ntautsuas yog ob peb millimeters, nyob rau hauv tsawg zaus ncav cuag ib txoj kab uas hla ntawm 1-1.5 cm. Lub polyp muaj ib tug mos mos qauv thiab ib tug reddish xim. Thaum tuav ob txhais ceg, cov xim ntawm neoplasm yuav yog xim liab los yog dub. Hauv cov duab, qhov no neoplasm zoo ib yam li lub nplhaib. Daim duab ntawm urethral caruncle tuaj yeem pom hauv qab no.
Feem ntau cov ntaub ntawv polyp nyob rau sab nraum qab ntawm phab ntsa hauv qab ntawm cov kwj dej tso zis. Yog li ntawd, cov qog tau pom tau yooj yim thaum kuaj gynecological.
Yog vim li cas
Feem ntau, caruncle ntawm cov urethra yog tsim thaum lub sij hawm cev xeeb tub. Qhov no yog vim muaj kev hloov pauv hauv keeb kwm hormonal hauv poj niam lub cev. Thaum cev xeeb tub, qib ntawm estrogen txo qis, uas ua rau muaj kev cuam tshuam ntawm elasticity ntawm cov ntaub so ntswg ntawm cov urethra thiab nws prolapse (prolapse). Vim li no, mucosa feem ntau raug mob. Cells raug hloov pauv degenerative. Yog li ntawd, kev pheej hmoo ntawm polyps nce.
Tseem muaj lwm yam tsis zoo uas tuaj yeem ua rau lub ntsej muag ntawm caruncle:
- Kev raug mob ntawm cov urethra. Cov kab mob hauv cov urethra tuaj yeem tshwm sim thaum lub sij hawm dhau ntawm pob zeb, tom qab yug me nyuam los yog kev sib deev. Thaum lawv kho, cov ntaub so ntswg loj tuaj thiab polyps tshwm sim.
- Kab mob. Nyob rau hauv cystitis los yog urethritis, cov ntaub so ntswg ntawm lub urinary ib ntsuj av yog tas li irritated los ntawm cov kab mob toxins. Qhov no tuaj yeem ua rau pom cov tsos mob zoo li neoplasms hauv kwj dej.
- kab mob sib kis. Urethral caruncle feem ntau tshwm sim hauv cov neeg mob ntshav qab zib mellitus thiab autoimmune pathologies. Cov kab mob no txolub cev tiv thaiv kab mob thiab cuam tshuam rau cov metabolism. Yog li ntawd, urethral mucosa tuaj yeem hloov pauv pathological.
Feem ntau, qhov tshwm sim ntawm polyp yuav tsum raug rau ntau yam tsis zoo. Cov hnub nyoog txog kev hloov pauv hauv cov urethra ua rau hnyav dua los ntawm kev raug mob, kis kab mob, nrog rau cov kab mob autoimmune thiab endocrine pathologies.
Symptoms
Raws li twb tau hais lawm, tus kab mob no tuaj yeem tshwm sim tau ntev yam tsis muaj cov tsos mob tshwm sim. Ib qho polyp feem ntau pom tau los ntawm lub caij nyoog thaum lub sijhawm kuaj. Feem ntau ntawm cov neeg mob nyob rau theem pib tsis muaj kev tsis txaus siab thiab cov txheej txheem tso zis tsis cuam tshuam.
Txawm li cas los xij, raws li polyp loj hlob, cov kab mob hauv qab no tshwm sim:
- los ntshav los ntawm urethra;
- nquag tso zis;
- mob thiab kub hnyiab hauv cov zis (tshwj xeeb tshaj yog thaum tso zis);
- nyuaj tso zis;
- puab xim tso zis;
- nquag cystitis thiab urethritis.
Thaum cov qog loj hlob mus txog 1-1.5 cm, tus neeg mob yuav muaj kev tsis xis nyob txawm tias hnav ris tsho hauv qab. Ib tug txawv teb chaws lub cev yog hnov nyob rau hauv lub urethra. Cystitis thiab urethritis yog mob hnyav, nrog kev qaug zog, ua daus no thiab kub nce siab.
Kev nyuaj siab
urethral caruncle txaus ntshai npaum li cas? Yog tsis muaj kev kho mob, polyp hauv cov zis tuaj yeem ua rau muaj teeb meem loj:
- ntshav qab zib. Yog tias tus mob polyp nrog los ntshav ntau zaus, tus neeg mob cov qib hemoglobin poob qis. Qhov twgtsis muaj zog, qaug zog thiab nquag kiv taub hau raug sau tseg. Tus mob no tshwm sim nrog lub sijhawm ntev ntawm tus kabmob.
- Purulent cystitis thiab urethritis. Polypous formations nyob rau hauv lub urethra thiab ib tug ntev ncua sij hawm nyob rau hauv lub outflow ntawm cov zis tsim ib qho chaw zoo rau kev yug me nyuam ntawm cov kab mob pathogenic. Yog li ntawd, cov txheej txheem inflammatory hauv cov zis feem ntau nrog suppuration.
- Malignant degeneration ntawm qog hlwb (malignancy). Qhov no yog qhov teeb meem txaus ntshai tshaj plaws ntawm caruncle. Hauv cov mob hnyav heev, polyp tuaj yeem hloov mus ua mob qog noj ntshav urethral. Ib qho cim ntawm tus kab mob zoo li no yog kev nce ntshav los ntawm cov zis. Nyob rau hauv lub neej yav tom ntej, tus neeg mob qhov mob yuav nce, urethra yuav edematous, thiab cov qog nqaij hlav nyob ze nce.
Diagnosis
A polyp feem ntau kuaj pom thaum kuaj gynecological. Cov neoplasm no feem ntau nyob hauv cov zis qis thiab pom meej meej.
Tus neeg mob xav tau kev sab laj nrog tus kws kho mob urologist. Koj yuav tsum xeem dhau qhov kev xeem hauv qab no:
- tshuaj ntsuam zis rau cov kab mob (bakposev). Cov kev tshawb fawb no tau sau tseg rau polyp nyuaj los ntawm cystitis lossis urethritis.
- Kev kuaj ntshav rau cov tshuaj estrogens. Kev poob qis hauv cov poj niam cov tshuaj hormones yog ib qho laj thawj tseem ceeb rau kev tsim cov qog.
- Kev kuaj ntshav endoscopic ntawm cov urethra. Cov txheej txheem no tso cai rau koj los tshuaj xyuas cov qog kom meej yog tias cov polyp nyob tob hauv kwj dej.
- Biopsy. Ib qho me me ntawm cov polyp raug coj mus kuaj thiab cov ntaub so ntswg raug tshuaj xyuas hauv lub tshuab tsom. Nws pab raws sijhawmtxheeb xyuas malignancy ntawm caruncle ntawm urethra nyob rau hauv ib tug poj niam. Daim duab ntawm daim duab histological nrog polyp tuaj yeem pom hauv qab no.
Cov kev tshawb fawb no ua rau nws paub qhov txawv ntawm cov qog nqaij hlav cancer, papillomas, nrog rau cov leeg varicose hauv qhov chaw mos.
kev kho mob
Yog tias caruncle me me thiab tsis ua rau tus neeg mob tsis xis nyob, ces cov kws kho mob pom zoo kom saib xyuas zoo. Nyob rau hauv cov ntaub ntawv no, ib tug poj niam yuav tsum tsis tu ncua mus ntsib ib tug gynecologist thiab urologist. Cov kws tshaj lij yuav saib xyuas tus mob thiab kev loj hlob ntawm polyp.
Nyob rau hauv menopause, hormonal kho ntawm caruncle ntawm lub urethra yog nqa tawm. Qhia tshuaj estrogens:
- "Klimonorm";
- "Klimadinon";
- "Premarin";
- "Klimara";
- "Ovestin".
Cov tshuaj no yog kev kho mob hloov pauv. Lawv pab ntxiv qhov tsis txaus ntawm poj niam cov tshuaj hormones thiab nres qhov kev loj hlob ntawm polyp.
Lawv kuj siv tshuaj kho hauv zos (creams) nrog estrogens:
- "Estrace";
- "Estrogel";
- "Ogen";
- "Estraderm".
Txhawm rau txo qhov mob thiab mob, cov tshuaj tau sau rau hauv daim ntawv tshuaj pleev:
- "Levomekol";
- Y"Cycloferon";
- Y"Viferon".
Yog tias caruncle nrog cystitis lossis urethritis,tshuaj tua kab mob yog qhia. Kev xaiv tshuaj yog nyob ntawm qhov txiaj ntsig ntawm kev kuaj zis rau cov kab mob bacteremia.
Kev ua haujlwm
Yog cov qog loj thiab ua rau tsis xis nyob rau tus neeg mob, ces kev phais tshem tawm ntawm polyp yog qhia. Txoj haujlwm no yog ua los ntawm cov hauv qab no:
- Cryodestruction. Cov qog yog raug rau cov kua nitrogen. Qhov no ua rau kev puas tsuaj ntawm nws cov hlwb. Muaj tsawg zaus, xws li kev phais mob yog qhov nyuaj los ntawm purulent urethritis.
- Laser cauterization. Cov polyp raug rhuav tshem los ntawm qhov kub thiab txias. Tom qab ua haujlwm no, tsis muaj qhov tshwm sim tsis zoo.
- Kev txiav txim. Raws li kev siv tshuaj loog hauv zos lossis hauv zos, cov polyp raug tshem tawm siv cov cuab yeej phais. Qhov kev ua haujlwm no zoo, tab sis raug mob. Tom qab kev phais, los ntshav los ntawm cov urethra, o ntawm cov ntaub so ntswg, nqaim ntawm lub lumen ntawm lub urethra yog ua tau.
Tom qab kev phais, kev rov ua dua ntawm urethral caruncle hauv cov poj niam yog qhov tsawg heev. Kev tshuaj xyuas ntawm kev ua haujlwm qhia tau hais tias feem ntau ntawm cov neeg mob tsis muaj kev rov loj hlob ntawm cov qog. Txawm li cas los xij, qhov txiaj ntsig zoo ntawm kev kho mob tsuas yog ua tau yog tias qhov ua rau ntawm caruncle tsim ib txhij tshem tawm. Yog li ntawd, nyob rau lub sijhawm postoperative, nws yog ib qho tsim nyog yuav tau noj tshuaj kom normalize hormonal theem thiab txo o.
Kev Tiv Thaiv
Txhawm rau tiv thaiv qhov tshwm sim ntawm caruncle ntawm cov urethra, nws yog ib qho tsim nyog yuav tsum tsis tu ncua kev soj ntsuam kev tiv thaiv los ntawm gynecologist. Qhov no tseem ceeb heevrau cov poj niam hnub nyoog 45-50 xyoo, xws li cov neeg mob muaj kev pheej hmoo. Tus kws kho mob tshwj xeeb yuav kuaj tau tus mob polyp thaum ntxov thiab kho nws raws sijhawm.
Yog tias tus kws kho mob pom zoo tias tus poj niam tau txais kev kho tshuaj hormone hloov thaum lub sijhawm cev xeeb tub, ces nws yuav tsum tau noj cov tshuaj tsis tu ncua. Qhov no yuav pab normalize cov tshuaj estrogen thiab tiv thaiv kev tsim ntawm polyps nyob rau hauv lub urethra.
