Cov kua dej ntshiab yog cov dej ntshiab uas tso tawm los ntawm daim nyias nyias ntawm lub cev kab noj hniav. Nws secretion yog qhov tshwm sim ntawm kev ua haujlwm ntawm lub cev. Cov tsos ntawm serous secretions yog txuam nrog kev pom cov ntsiab lus ntawm cov hlab ntsha, uas yog vim li cas nws muaj protein ntau nrog rau leukocytes, mesothelial hlwb thiab ib co lwm yam nyob rau hauv nws muaj pes tsawg leeg. Tawm tsam keeb kwm yav dhau los ntawm kev ua tsis tiav ntawm cov ntshav thiab lymphatic ncig, cov dej noo ntau dhau tuaj yeem ua rau hauv lub cev, uas yog nrog los ntawm ntau cov secretions.
Kev piav qhia
Tus mob no tuaj yeem tshwm sim tom qab phais. Cov tsos mob ntawm xws li secretions nyob rau hauv cov neeg mob tuaj yeem pom nyob rau hnub thib peb tom qab kev cuam tshuam. Nyob rau hauv cov txheej txheem ntawm kev kho, lawv ploj mus los ntawm peb lub lis piam tom qab kev phais. Tab sis nyob rau hauv cov ntaub ntawv ntawm ntxiv tsub zuj zuj thiab tso tawm ntawm transudate, ntxiv kev kho mob yuav tsum tau. Tom ntej no, nrhiav seb yog dab tsi ua rau serous-mucous tawm ntawm lub tsev menyuam hauv postmenopause thiab los ntawm qhov txhab.tom qab phais.
Cov tsos mob ntawm kev tso tawm tom qab phais yog dab tsi?
Ib cheeb tsam loj ntawm kev cuam tshuam kev phais yog suav tias yog cov tsos mob tseem ceeb ntawm qhov teeb meem tshwm sim. Xws li cov tsos mob feem ntau tshwm sim tom qab liposuction, nrog rau kev tawm tsam keeb kwm yav dhau los ntawm kev phais yas rau kev qhia txog kev cog qoob loo. Tom qab tshem tawm ntawm ib tug loj npaum li cas ntawm cov roj los ntawm lub internal kab noj hniav, serous ya raws pib mus rau hauv lub resulting voids. Kev taw qhia txog kev cog qoob loo kuj tseem tuaj yeem nrog cov txheej txheem tsis lees paub, vim tias cov kua dej yuav sib sau ntawm cov ntaub so ntswg thiab cov khoom txawv teb chaws.
Kev tso tawm Serous yog txiav txim siab los ntawm qhov o ntawm thaj chaw ntawm kev phais. Palpation ntawm thaj chaw no tuaj yeem ua rau muaj qhov tsis xis nyob hauv tus neeg mob. Feem ntau, mob me me nrog rau tus neeg mob thiab tsis muaj qhov siab ntawm thaj tsam ntawm edema, nws tuaj yeem nce nrog kev tawm dag zog me ntsis. Raws li cov seroma (lub npe hu ua serous fluids) dhau mus rau theem hnyav, colic tuaj yeem khaus ntau dua.
Ib qho ntawm cov cim tseem ceeb ntawm cov tsos mob ntawm seroma yog daim tawv nqaij hyperemia hauv thaj tsam ntawm kev ua haujlwm. Nrog me ntsis serous paug, cov tsos mob no feem ntau tsis tshwm sim. Nws tuaj yeem tshwm sim nyob rau hauv cov ntaub ntawv ntawm tsub zuj zuj ntawm cov dej noo ntau dhau, uas yuav qhia tau tias yuav tsum tau tshem tawm ntawm lub cev.
Kev tawm ntawm cov suture yog qhov tshwm sim tsis tshua muaj tshwm sim, qhia txog kev ua txhaum cai loj heev. Pib txoj kev kho mob feem ntau ua rau tsim ib qho fistulous tract, los ntawm cov dej noo ntau dhau pib ooze tawm.
Tom ntejTshawb nrhiav seb yog vim li cas thiaj li ua rau serous-purulent tawm ntawm lub qhov txhab tiv thaiv keeb kwm yav dhau los ntawm kev phais.
Ua rau qhov txhab tso tawm
Yog li, qhov pib, qhov sib xyaw ntawm cov kua dej muaj feem cuam tshuam ncaj qha rau lub qhov txhab dav, uas yog nrog los ntawm kev tshem tawm ntawm cov ntaub so ntswg subcutaneous. Kev phais yuav tsum tau ua nrog kev ua haujlwm zoo ntawm cov kab noj hniav sab hauv. Nws yog qhov tsis tsim nyog los cuam tshuam nrog cov ntaub so ntswg thiab siv cov cuab yeej tsis zoo. Qhov kev txiav yuav tsum tau ua kom sai thiab raug nyob rau hauv ib qho kev taw qhia. Kev siv cov cuab yeej blunt, nrog rau tus kws kho mob txhais tes tsis tu ncua, hloov qhov chaw phais mus rau hauv ib yam ntawm cov nqaij mos ntawm cov nqaij mos uas tuaj yeem los ntshav thiab raug kev puas tsuaj, uas yuav ua rau muaj cov kab mob loj heev.
Qhov txhab qhov txhab tuaj yeem nrog kev puas tsuaj ntawm cov qog ntshav qog tib lub sijhawm. Ntau qhov kev raug mob ntawm cov qog ntshav qog ua rau muaj kev tso tawm ntawm serous secretions. Tsis zoo li cov hlab ntsha, lawv tsis muaj peev xwm kho tau sai thiab yog li kho tau hauv ib hnub tom qab kev phais.
Cov ntshav ntau dhau ntawm cov ntaub so ntswg sab hauv tuaj yeem ua rau tsim cov serous paug tawm. Los ntawm me me capillaries, ntshav tuaj yeem nkag mus rau thaj chaw ua haujlwm, ua rau hemorrhages. Tom qab qee lub sijhawm, lawv zoo li yaj thiab tsim cov kua dej.
Lwm qhov piv txwv ntawm qhov tshwm sim ntawm serous-purulent tso tawm yogkev loj hlob ntawm postoperative hematoma nyob rau hauv tus neeg mob. Tawm tsam keeb kwm yav dhau los no, qhov chaw ntawm cov kab noj hniav nrog cov kua tsis yog capillaries, tab sis cov hlab ntsha loj, uas feem ntau ua rau muaj kev puas tsuaj. Nyob rau hauv cov ntaub ntawv no, serous paug tshwm tsuas yog nyob rau hauv lub thib tsib los yog xya hnub tom qab ua hauj lwm. Resorption ntawm hematoma tuaj yeem nrog los ntawm kev tsim cov kua dej. Nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas tus neeg mob zoo nyob rau thawj ob peb hnub tom qab kev phais mob txhawm rau saib xyuas qhov tshwm sim ntawm cov ntshav me me uas nyuaj rau kev kuaj pom ncaj qha thaum phais.
Lwm qhov xwm txheej dab tsi tshwm sim los ntawm qhov txhab tshwm sim tom qab phais?
Tom qab kev phais yas, qhov kev tsis lees paub ntawm kev cog lus tsis raug txiav tawm. Qee cov neeg mob tau dhau-rhiab heev rau cov ntsiab lus txawv teb chaws. Muab qhov xwm txheej no, lawv cov neeg tsim khoom siv zog siv cov khoom siv zoo tshaj plaws biomaterials, uas txo qhov kev pheej hmoo ntawm kev tsis lees paub. Tab sis, txawm li cas los xij, nws tsis tuaj yeem kwv yees nrog kev ua tiav qhov tseeb ntawm lub cev rau kev cog qoob loo. Yog li ntawd, vim qhov tsis lees txais cov khoom txawv teb chaws, serous paug kuj tseem tuaj yeem pib sau.
Tom ntej no, cia peb tham txog yuav ua li cas cov kua dej serous accumulates nyob rau hauv lub tsev menyuam, thiab nrhiav seb dab tsi yog qhov tseem ceeb ntawm cov txheej txheem pathological no.
Yuav ua li cas cov kua dej tawm hauv lub tsev menyuam?
A serometer yog ib qho kev sib sau ntawm cov kua dej hauv lub tsev menyuam.
Ntau tus xav tias xim dab tsiserous tawm ntawm lub tsev menyuam? Cov tshuaj no yog pob tshab thiab muaj ib qho tshwj xeeb muaj pes tsawg leeg zoo ib yam li ntshav ntshav.
Nruab nrab ntawm cov nqaij mos ntawm lub tsev menyuam thiab cov endometrium muaj cov serous membrane (nws yog ib zaj duab xis ntawm cov ntaub so ntswg), uas nkag mus los ntawm ntau lub capillaries. Cov pob tshab daj ntshav ntshav tuaj yeem nkag mus rau ntawm phab ntsa ntawm cov hlab ntsha me me no. Qhov no, qhov tseeb, yog tib yam serous kua. Yog tias tus poj niam muaj qhov caws pliav ntawm lub ncauj tsev menyuam lossis lwm yam tsis xws luag uas tiv thaiv kev tshem tawm cov kua dej tawm ntawm lub qhov quav, ces nws khaws cia thiab stagnates.
Kev cuam tshuam rau kev tawm ntawm cov kua dej tawm ntawm lub tsev menyuam tuaj yeem tshwm sim vim muaj cov kab mob gynecological dhau los, ntau yam haujlwm ntawm lub tsev menyuam, cov qog nqaij hlav thiab lwm yam. Qhov tshwm sim ntawm cov txheej txheem zoo li no tuaj yeem yog atrophy ntawm mucosa nrog rau kev nqaim lossis fusion ntawm cov ntaub so ntswg ntawm lub ncauj tsev menyuam. Hauv cov xwm txheej nyuaj dua, cov kua dej kuj tseem khaws cia hauv lub ncauj tsev menyuam, thiab tom qab ntawd lub npe hu ua serocervix tsim.
Vim li cas cov kua dej hauv lub tsev menyuam puas?
Nrog cov kab mob ntawm qhov chaw mos thaum yug menyuam thiab tawm tsam keeb kwm ntawm kev ntxuav, ntau tus poj niam ntsib, tab sis tsis yog txhua tus ntawm lawv khaws cov kua dej hauv lub tsev menyuam. Nws tsis yog kab mob tom qab lub cev tsis muaj zog thiab tuaj yeem tshwm sim hauv cov poj niam hluas.
Pab txhawb qhov tshwm sim ntawm serous stagnation, piv txwv li, raug rau poj niam lub cev ntawm nicotine los yog cawv, nrog rau cov tshuaj hormonal tsis zoo raws li qhov tshwm sim ntev. Kev siv tshuaj tiv thaiv kev yug menyuam premenopausal.
tso zis tawm ntawm lub tsev menyuam tom qab yug menyuam
Thaum pib ntawm qhov pib ntawm postmenopause nyob rau hauv poj niam lub cev, hormonal restructuring twb tiav lawm. Kev txo qis hauv qib ntawm cov tshuaj hormones kev sib deev cuam tshuam rau tus mob ntawm lub tsev menyuam mucosa. Kev rov ua dua tshiab ntawm endometrium yog ua tiav. Kev ntxuav ntawm uterine kab noj hniav los ntawm physiological kua kuj nres. Cov txheej txheem stagnation yog qhov ua rau cov tsos mob tsis zoo, piv txwv li, serous paug tawm ntawm lub tsev menyuam tuaj yeem pom. Nyob rau hauv txhua rooj plaub, thaum muaj kev sib txawv, qhov kev xaiv ntawm txoj kev kho yog mus cuag tus kheej.
yam uas ua rau muaj kev pheej hmoo ntawm kev tso tawm
Cov laj thawj no suav nrog cov hauv qab no:
- Kev txo qis hauv lub cev, uas ua rau muaj kev ua txhaum ntawm cov ntshav mus rau hauv nruab nrog cev. Kev hloov pauv hnub nyoog ua rau cov hlab ntsha nyias nyias, thiab ntxiv rau, qhov pom ntawm thaj chaw nthuav dav thiab nqaim. Cov ntshav ntws tuaj yeem qeeb, thiab lub siab ntawm cov phab ntsa vascular nce, thiab yog li lawv cov permeability nce.
- Cov metabolism tsis zoo nrog rau kev noj tsis txaus. Tawm tsam keeb kwm yav dhau los ntawm kev tsim txom ntawm cov khoom noj rog, cov roj cholesterol tuaj yeem tso rau hauv cov hlab ntsha. Tib neeg lub cev siv ntau lub zog rau kev ua cov khoom noj muaj roj, yog li cov khoom thauj ntawm cov hlab ntsha nce ntxiv.
- Vaginal dryness. Qhov no yog tus yam ntxwv zoo tshaj plaws ntawm cov poj niam cev xeeb tub. Thinning ntawm qhov chaw mos mucosa ua rau cov tsos ntawm microcracks, vim hais tias ntawm no, tej yam kab mob inflammatory yooj yim tshwm sim.kab mob. Tsis tas li ntawd, qhov muaj pes tsawg leeg ntawm microflora cuam tshuam. Tawm tsam keeb kwm yav dhau los ntawm tag nrho cov no, tus kab mob tuaj yeem nkag mus rau hauv lub tsev menyuam, uas yuav ua rau muaj kev hloov pauv ntawm cov ntaub so ntswg ntawm lub tsev menyuam thiab cov kab noj hniav. Cov txheej txheem douching tsuas yog ua rau qhov xwm txheej thiab ua kom qhuav.
- Kev kho mob nrog tshuaj hormonal los txo cov tsos mob menopause.
- Qhov tsos ntawm polyps, fibroids, cysts thiab endometriosis uas ua txhaum cov qauv ntawm lub tsev menyuam.
Indirect ua rau
Ntxiv rau cov no, muaj lwm yam uas tuaj yeem cuam tshuam ncaj qha rau cov tsos mob ntawm cov zis thaum cev xeeb tub:
- Kev muaj cov kab mob benign lossis malignant neoplasms hauv lub tsev menyuam, zes qe menyuam lossis cov hlab ntsha.
- Muaj kab mob los yog kab mob ntawm qhov chaw mos.
- Tsis kho endometriosis.
- Kev rho menyuam tsis ua tiav lossis kev ua haujlwm uas ua rau cov nti loj ntawm lub tsev menyuam.
- Kev mob siab rau tus cwj pwm phem. Qhov tseeb yog tias kev haus luam yeeb thiab cawv tuaj yeem ua rau o, thiab ntxiv rau, txo cov hlab ntsha.
- Tsis muaj cov vitamins thiab minerals. Nws yuav tsum raug sau tseg tias tiv thaiv keeb kwm yav dhau los ntawm cov ntsev metabolism, qhov kev pheej hmoo ntawm edema nce.
Yog li, serous tso tawm - nws yog dab tsi?
Symptomatics
Thaum pib ntawm qhov tshwm sim ntawm qhov tso tawm, thaum tsis muaj cov kua dej ntau hauv lub tsev menyuam, tus poj niam yuav tsis pom qhov teeb meem no, vim lub cev nws tus kheej tsis qhia meej txog qhov no.yuav yog. Hauv qhov chaw mos hauv cov poj niam, feem ntau tuaj yeem muaj txog li ib thiab ib nrab litres kua. Tab sis thaum serous secretions pib sib sau, cov kab mob thiab cov kab mob tsim nyob rau hauv lawv. Nyob rau tib lub sijhawm, cov kua dej nias rau ntawm phab ntsa plab, nrog rau ntawm cov kav dej tso zis, thiab tawm tsam keeb kwm ntawm tag nrho cov no, cov tsos mob tsis zoo hauv qab no tshwm sim:
- Muaj ntu tso zis.
- Txo kom zais zais zis.
- mob tso zis tshwm sim.
- Muaj mob hauv plab plab thiab hauv cheeb tsam lumbar.
- Lub plab plab nce.
- Cov kua paug tawm tshwm sim.
Nrog lub serometer, lub tsev menyuam hauv cov poj niam pib nthuav dav thiab, zoo li nws tau, thawb lub plab phab ntsa mus rau pem hauv ntej, qhov tseeb, qhov nce hauv qhov ntim ntawm lub plab yog txuam nrog qhov no. Cov kua dej tawm tawm tsam keeb kwm yav dhau no yuav muaj xim daj lossis grey. Lawv feem ntau tsis hnov tsw, tab sis yog tias muaj kab mob sib kis, nws tuaj yeem ua rau tsis kaj siab.
Yog tias muaj tus kab mob tau ntxiv rau hauv cov kua dej tso tawm, ces tus poj niam yuav muaj qhov kub thiab txias vim tias cov tshuaj lom ntawm cov kab mob nkag mus rau hauv cov ntshav nrog cov kua dej ntawm lub tsev menyuam. Cov mob hnyav ua rau muaj kab mob ntawm lub tsev menyuam thiab cov hlab ntshav.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov cov tsos mob no thiab sab laj nrog kws kho mob hauv lub sijhawm, vim tias cov kua dej tawm hauv lub cev thaum cev xeeb tub hauv cov neeg mob hnyav tuaj yeem ua rau mob hnyav heev, uas yog lub tsev menyuam tawg. Qhov no feem ntau tshwm sim tsis tau ntau zaus, txij li lub cev muaj cov leeg muaj zog heev, tab sis, txawm li cas los xij, nws ntimkuj txwv.
Peb saib seb qhov tso zis zoo li cas.
Kev kho mob
Tam sim ntawd, txhua tus poj niam yuav tsum tau ceeb toom tawm tsam qhov kev kho tsis zoo li kev siv cov tshuaj diuretics lossis tshuaj ntsuab thiab cov tshuaj pej xeem tshuaj rau kev kho mob, vim tias tag nrho cov no yuav tsis pab tshem tawm cov kua dej ntawm lub tsev menyuam.
tso zis yuav tsum tau kho los ntawm tus kws phais. Raws li ib feem ntawm kev kho mob, cov kwj dej ntawm ncauj tsev menyuam tau nthuav dav, thiab tom qab ntawd cov ntsiab lus ntawm lub tsev menyuam tau ntws tawm, tab sis cov txheej txheem kho tsis xaus rau ntawd. Tom qab tshem tawm cov kua, cov mucosal kuaj yuav tsum tau coj mus kuaj histological. Qhov no yuav ua rau nws muaj peev xwm txiav txim siab qhov laj thawj ntawm qhov sib txawv. Cov kev kuaj mob no pab txhawm rau txheeb xyuas cov txheej txheem inflammatory thiab neoplasms tshwm sim los ntawm kev kis kab mob.
Tom qab kev soj ntsuam histological qhia tias ua rau muaj cov kua dej ntau hauv lub tsev menyuam, tus poj niam yuav tsum tau kho tom qab phais. Yog hais tias cov qog nqaij hlav malignant los yog benign yog ib qho tseem ceeb ntawm cov kua dej, lawv yuav tsum tau muab tshem tawm, thiab yog hais tias nws yog ib tug kab mob, ces nws yuav tsum tau kho nrog tshuaj tua kab mob los yog tshuaj tua kab mob.
Yuav ua li cas tso zis tawm ntawm lub tsev menyuam zoo li tam sim no paub. Thaum cev xeeb tub, lawv feem ntau tshwm sim hauv cov poj niam. Cov kab mob pathological no tuaj yeem qhia txog teeb meem kev noj qab haus huv loj, yog li nrog cov tsos mob zoo li no koj yuav tsum mus ntsib kws kho mob. Pa dej ntawm lub tsev menyuam yuav tsuas yog ib ntus tshem tawm cov pob txha serouskua, thiab txhawm rau tiv thaiv qhov tshwm sim tom ntej ntawm pathology, nws yuav tsum tau tshem tawm qhov ua rau.
