Ib qho zes qe menyuam neoplasm yog ib qho kev loj hlob ntawm cov ntaub so ntswg uas tshwm sim los ntawm qhov txawv txav ntawm tes. Rau kev tiv thaiv, tus poj niam raug pom zoo kom mus ntsib kws kho mob gynecologist tsawg kawg ib xyoos ib zaug thiab kuaj xyuas ultrasound. Cov qog nqaij hlav tuaj yeem ua rau mob qog noj ntshav lossis mob qog noj ntshav. Ovarian neoplasms raws li ICD-10, kev faib tawm thoob ntiaj teb ntawm cov kab mob, muaj tus kheej tus lej C56 lossis D27, uas yuav raug kaw rau hauv tus neeg mob daim npav. Thawj ntawm lawv txhais tau hais tias nws yog oncology, thiab lub thib ob - hais tias lub qog yog benign. Cov tsos mob ntawm tus kab mob yuav txawv, tab sis ib tug poj niam yuav tsum paub qhov tseem ceeb.
YMalignant neoplasms
Oncology yog qhov txaus ntshai heev, hauv daim ntawv siab nws ua rau metastasis thiab tuag ntawm tus poj niam. Malignant neoplasms ntawm zes qe menyuam nyob rau hauvthawj zaug tsis muaj tsos mob. Qee cov neeg mob tsuas hnov mob me ntsis lossis qaug zog me ntsis, uas lawv feem ntau tsis cuam tshuam qhov tseem ceeb rau. Sij hawm dhau mus, cov qog loj tuaj, tus poj niam mus ntsib kws kho mob.
Ntau zaus, malignant neoplasms ntawm zes qe menyuam raug kuaj pom tsuas yog nyob rau theem ntawm kev lwj. Nyob rau hauv cov ntaub ntawv no, qhov kev cia siab ntawm oncologists yog tsis zoo, txij li thaum lub qog twb tswj kom metastasize. Txhua tus poj niam yuav tsum nco ntsoov tias nws yog ib qho tsim nyog yuav tsum tau mus ntsib kws kho mob gynecologist tsis tu ncua, qhov no yuav tso cai rau kuaj pom tus kab mob thaum ntxov.
Oncologists txheeb xyuas ntau yam uas feem ntau ua rau pom cov qog qog nqaij hlav ntawm zes qe menyuam:
- mob plab pelvic inflammatory;
- menopause;
- kev kho mob mus sij hawm ntev;
- kev hloov pauv;
- kev cuam tshuam hauv kev coj khaub ncaws;
- noj tshuaj hormonal yam tsis tau nrog kws kho mob;
- ua haujlwm txaus ntshai;
- haus luam yeeb thiab haus cawv.
Cov qog nqaij hlav muaj ntau dua rau cov poj niam uas nyob hauv cov cheeb tsam uas tsis zoo. Lub impetus rau mob qog noj ntshav tuaj yeem ua rau muaj kev ntxhov siab tas li thiab lub cev tsis muaj zog. Yog tias muaj qog nqaij hlav qog nqaij hlav hauv theem 1 lossis 2, ces tus poj niam muaj txoj hauv kev muaj sia nyob, nrog rau cov ntaub ntawv ntawm oncology, qhov kev mob tshwm sim tsis zoo.
Nyob zoo neoplasms
qog nqaij hlav ntawm lub cev xeeb tub tuaj yeem ua tautsis yog mob qog noj ntshav xwb. Benign neoplasms ntawm zes qe menyuam yog kev loj hlob ntawm zes qe menyuam cov ntaub so ntswg vim muaj kev cuam tshuam hauv cell division. Kev loj hlob ntawm cov qog nqaij hlav uas tsis yog oncological tuaj yeem nrog qhov mob hauv plab, kev coj khaub ncaws tsis zoo, muaj menyuam tsis taus thiab lwm yam tsos mob. Yog hais tias ib tug benign neoplasm ntawm zes qe menyuam yog xav tias, tus kws kho mob muab tshuaj ntsuam xyuas. Feem ntau cov no yog ultrasound, kev txiav txim ntawm cov qog nqaij hlav, laparoscopy, MRI thiab kuaj ntawm qhov chaw mos.
Gynecologists txheeb xyuas ntau yam uas tuaj yeem ua rau pom qhov zoo ntawm zes qe menyuam neoplasms:
- nce qib estrogen hauv cov poj niam;
- kev cuam tshuam hauv kev coj khaub ncaws;
- early menopause;
- mob plab pelvic inflammatory;
- kev muaj menyuam;
- kev rho menyuam tawm ntau ntau;
- uterine fibroids;
- mob ntshav qab zib mellitus;
- kab mob thyroid.
Cov qog feem ntau tshwm sim hauv cov neeg mob uas muaj tus kab mob papillomavirus tib neeg. Kuj tseem muaj kev pheej hmoo yog cov poj niam uas tau kuaj pom tias muaj hom 2 herpes. Cov neeg mob tuaj yeem yws yws ntawm qhov mob hauv plab hauv plab, qhov kev xav ntawm lub zais zis lossis cov hnyuv. Cov poj niam uas sim xeeb tub yuav muaj teeb meem xeeb tub. Hauv cov menyuam ntxhais hluas, thaum muaj qhov benign neoplasm ntawm zes qe menyuam tshwm sim, kev puberty ntxov ntxov tshwm sim.
hormone-producing neoplasms
Qhov laj thawj tseem ceeb ntawm cov qog yog kab mob caj ces. Hormone-produced neoplasm ntawm sab laug zes qe menyuam (los yogntawm sab xis) tej zaum yuav tshwm sim los ntawm cov hauv qab no predisposing yam:
- teeb meem thaum cev xeeb tub, xws li preeclampsia;
- kab mob siab ntev;
- kev tiv thaiv qis;
- kev coj khaub ncaws tsawg dua 24 hnub;
- cov txheej txheem mob hauv plab;
- kev kho mob ntawm uterine fibroids;
- Nyem pib ntawm kev coj khaub ncaws.
qog nqaij hlav tuaj yeem tshwm sim los ntawm tus poj niam nyob hauv thaj chaw uas muaj hluav taws xob. Qhov tsis zoo yog qhov tsis tu ncua ntawm tus neeg mob hauv lub xeev ntawm kev ntxhov siab. Yog hais tias ib tug poj niam xav tias ib tug qog, piv txwv li, ib tug inflammatory neoplasm ntawm lub zes qe menyuam, ces nws yuav tsum hu rau ib tug gynecologist. Tus kws kho mob yuav qhia cov kev kuaj hauv qab no:
- magnetic resonance imaging;
- qog nqaij hlav;
- ultrasound;
- laparoscopy nrog biopsy.
Cov poj niam yuav muaj qee yam tsos mob, xws li los ntshav hauv tsev menyuam, o ntawm lub mis, lossis nce libido. Hauv cov ntxhais hluas, cov tshuaj hormones tsim ntawm zes qe menyuam neoplasms ua rau muaj menyuam ntxov ntxov. Qee zaum, cov kua dej tuaj yeem tshwm sim hauv tus poj niam lub plab, uas yog, ascites. Qee lub sij hawm tus kab mob ua rau lub mis txo qis thiab cov tsos ntawm cov plaub hau loj hlob tuaj. Qee hom ntawm cov tshuaj hormones tsim neoplasms tuaj yeem degenerate rau hauv cov qog nqaij hlav cancer.
YMetastatic neoplasms
Kab mob yog qhov tshwm simkev loj hlob ntawm cov qog nqaij hlav cancer hauv lwm lub cev. Thaum xub thawj, lub neoplasm ntawm txoj cai zes qe menyuam los yog sab laug pib yam tsis muaj cov tsos mob tshwm sim. Tsuas yog tom qab tus poj niam pib hnov lub siab los yog mob, nrog rau kev nce hauv qhov loj ntawm lub plab. Feem ntau metastatic neoplasms pom nyob rau hauv ob lub zes qe menyuam. Tus neeg mob, nrog kev noj qab haus huv txaus, raug qhia rau kev kho mob phais, nrog rau kev kho mob thiab hluav taws xob.
Feem ntau tus kab mob no tau kuaj pom hauv cov poj niam hnub nyoog 45 txog 60 xyoo. Yav dhau los, nws tau ntseeg tias metastatic neoplasms ntawm txoj cai zes qe menyuam lossis sab laug yog qhov tsawg heev. Tam sim no oncologists nco ntsoov tias muaj kev nce ntxiv hauv cov neeg mob uas kuaj pom tus kab mob no. Cov kws kho mob qhia cov poj niam kom saib xyuas cov cim hauv qab no:
- poob phaus tsis tsim nyog;
- chim siab;
- tsis muaj zog;
- poob qab los;
- faus;
- hyperthermia;
- menstrual irregularity;
- mob hauv zes qe menyuam;
- cem quav;
- urinary ntshawv siab.
Yog tias kev kho tsis tau ua tiav thiab cov qog tseem tshuav tsis muaj kev saib xyuas, ces ascites yuav pib. Yog tias muaj qhov sib tw ntawm ob txhais ceg ntawm neoplasm, ces cov tsos mob yuav hnyav dua: mob taub hau, nce plawv dhia, ntuav. Cov qog loj tuaj sai sai, yog tias nws tawg, ces peritonitis yuav pib. Nyob rau theem kawg ntawm kev mob qog noj ntshav, tus neeg mob ua rau mob plab hnyuv, nws tsis muaj zog heev, nws qhov hnyav poob sai heev.
Ovarian cysts
mob feem ntauyog asymptomatic, tab sis tej zaum yuav tshwm sim nrog mob plab. Ib qho neoplasm ntawm txoj cai zes qe menyuam lossis sab laug yog qee zaus nrog kev ua txhaum ntawm kev coj khaub ncaws. Tej zaum yuav muaj teeb meem tso zis.
Ovarian cyst yog ib qho neoplasm nyob rau hauv daim ntawv ntawm cov qog zoo li kab noj hniav ntawm ib ceg, ntim nrog kua. Nws nyhav nce loj thiab yog benign. Cysts tuaj yeem ntswj lossis tawg, yog tias qhov no tshwm sim, peritonitis yuav tsim.
Feem ntau, lub zes qe menyuam neoplasm tsis ua rau nws tus kheej xav tau, pathology yog asymptomatic, tab sis qee zaum ib tug poj niam them nyiaj rau cov cim hauv qab no:
- mob plab plab. Lawv tuaj yeem tshwm sim, piv txwv li, los ntawm kev sib tw ntawm cyst qia lossis rupture ntawm nws daim nyias nyias.
- Kev nce lossis hloov qhov sib npaug ntawm lub plab. Cov cim no tuaj yeem cuam tshuam nrog ob qho tib si nce qhov loj ntawm lub cyst, thiab nrog rau cov kua dej ntau hauv lub plab kab noj hniav - ascites.
- Kev coj khaub ncaws tsis xwm yeem. Cov cysts tuaj yeem cuam tshuam rau lub sijhawm, lawv tuaj yeem ploj tag nrho lossis dhau los ua ntau heev.
- Squeezing internal organ. Cov cyst tuaj yeem cuam tshuam rau txoj hnyuv lossis lub zais zis. Qhov no ua rau cem quav lossis teeb meem tso zis.
Qee zaum, cov poj niam pib loj hlob lub cev plaub hau nyob rau hauv ib tug txiv neej qauv. Lub suab kuj tuaj yeem loj hlob ntxhib thiab clitoris tuaj yeem loj tuaj. Feem ntau, neoplasms ntawm lub tsev menyuam thiab zes qe menyuam raug phais, tab sis kev kho mob tsis suav nrog.
Cov tsos mob qog nqaij hlav
Kev kuaj mobneoplasms nyob rau hauv zes qe menyuam nyob rau hauv cov poj niam, txawm tias tag nrho cov possibilities ntawm niaj hnub tshuaj, yog heev nyuaj. Yog hais tias tus qog yog malignant, ces nws yog ib qho tseem ceeb heev uas yuav tsum tau soj ntsuam nws nyob rau hauv lub sij hawm thaum ntxov, vim hais tias mob cancer siab heev tsis yog ib txwm kho tau. Cov poj niam raug qhia kom mus ntsib gynecologist tsis tu ncua thiab ua ultrasound. Tam sim no, 83% ntawm oncology tau kuaj pom nyob rau theem kawg, thaum cov tshuaj twb tsis muaj zog lawm.
Yog hais tias tus neeg mob, piv txwv li, muaj ib tug benign neoplasm ntawm txoj cai zes qe menyuam, ces cov tsos mob yuav mob heev. Vim li no, tus poj niam feem ntau ncua sij hawm mus ntsib kws kho mob, thiab hauv tsev kho mob nws yuav tsis tau mus rau tus kws kho mob oncologist lossis gynecologist tam sim ntawd. Feem ntau, ib qho neoplasm tau pom los ntawm kev sib tsoo, piv txwv li, thaum lub plab ua haujlwm nrog lwm tus kab mob.
Yog hais tias ib tug poj niam muaj oncology los yog ib tug kab mob nyob rau hauv ciam teb, ces cov tsos mob feem ntau yog vivid. Nyob rau hauv thawj theem, cov neeg mob feem ntau tsis pom dab tsi txawv txawv nyob rau hauv lawv tus mob, txij li thaum benign neoplasms, txawm nyob rau lub sij hawm ntawm rebirth, tsis ua teeb meem rau lawv cov tswv. Yog hais tias ib tug poj niam sim xeeb tub thaum lub sij hawm no, ces, feem ntau, nws cov kev sim yuav tsis ua tiav. Nrog oncology, infertility yuav nrog mob nyob rau hauv lub plab mog thiab dawb paug tawm ntawm qhov chaw mos. Gynecologists sau npe cuam tshuam hauv kev coj khaub ncaws nyob rau theem no tsuas yog ob peb tus poj niam xwb.
Caus ntawm neoplasms
Cov qog zes qe menyuam tam sim no tau kuaj pom sib npaug ntawm cov poj niam uas muaj hnub nyoog yug menyuam,zoo li tom qab menopause. Neoplasms tuaj yeem ua rau mob qog noj ntshav thiab benign. Tab sis, txawm tias muaj ntau yam tsos mob tshwm sim, nws yog ib qho tsim nyog yuav tsum kuaj mob qog noj ntshav sai sai, vim tias thaum pib, kev kho mob yuav ua rau muaj txiaj ntsig zoo sai dua.
Muaj ntau ntau yam vim li cas cov poj niam tsim neoplasms, tab sis gynecologists tau txheeb xyuas qhov tseem ceeb:
- kev hloov pauv;
- smoking;
- kev quav cawv;
- early menopause;
- repeated surgical rho menyuam;
- phais plab;
- mob ntshav qab zib mellitus;
- kab mob sib deev;
- cov txheej txheem mob hauv plab.
Kev loj hlob tshiab ntawm zes qe menyuam tseem tsis tau kawm los ntawm gynecologists, yog li lawv tsis tuaj yeem tsim cov laj thawj tseeb rau lawv qhov tsos. Muaj kev pheej hmoo yog cov poj niam uas muaj kev xeeb tub thawj zaug, tsis muaj kev coj khaub ncaws thiab nquag o ntawm lub plab hnyuv siab raum. Qee cov kab mob tuaj yeem ua rau zes qe menyuam, xws li tib neeg papillomavirus, teeb meem thyroid, lossis hom 2 herpes.
Diagnosis
Tus kws kho mob gynecologist tuaj yeem kuaj pom qhov neoplasm ntawm zes qe menyuam thaum kuaj tus poj niam ntawm lub rooj zaum. Txawm hais tias kev nce qib hauv kev kho mob, kev kuaj mob ntawm qhov chaw mos tsis tau poob nws qhov tseeb. Nrog rau kev kuaj ob txhais tes gynecological, tus kws kho mob yuav tuaj yeem txiav txim siab qhov sib xws ntawm neoplasm, nws qhov loj me thiab kev txav mus los. Tab sis ntawm palpation nws tsis tuaj yeem kuaj pom cov qog uas me dhau,tsuas yog cov uas loj dua yog palpable. Tab sis txoj kev kuaj mob zoo li no nyuaj rau cov neeg mob uas muaj adhesions siab heev hauv lub plab mog thiab cov poj niam rog.
Nws tuaj yeem txiav txim siab qog qog noj ntshav pom los ntawm tus kws kho mob gynecologist lossis tus kws kho mob benign siv qhov chaw mos-qhov quav. Yog hais tias spikes yog palpable nyob rau tom qab ntawm lub neoplasm, nws arches dai los yog cov mucous daim nyias nyias loj hlob mus rau hauv txoj hnyuv, ces feem ntau nws yog oncology.
Txhawm rau kom paub meej cov txiaj ntsig ntawm kev kuaj mob gynecological, tus kws kho mob tau sau ib qho ultrasound rau tus neeg mob. Txoj kev no yog qhov yooj yim heev thiab qhia tau zoo heev. Thaum siv cov cuab yeej siv niaj hnub no uas tsim kom muaj kev tsim kho peb sab, nws muaj peev xwm ua kom pom tseeb ntawm lub txaj vascular ntawm neoplasm ntawm zes qe menyuam. Tus kws kho mob tuaj yeem ntsuas qhov piv ntawm cov ntaub so ntswg ib txwm muaj thiab pathological, nrog rau lawv qhov tob.
Laparoscopy kuj tseem siv los kuaj xyuas zes qe menyuam neoplasms. Qhov tseeb ntawm txoj kev yog 96.5%. Tab sis txoj kev kuaj mob no tsis tau qhia rau cov poj niam uas muaj mob qog noj ntshav zes qe menyuam. Qhov no yog vim lub fact tias thaum lub capsules ntawm ib co qog nqaij hlav puas lawm, noob ntawm ib ncig ntawm cov ntaub so ntswg tshwm sim. Yog li ntawd, yog tias thaum lub sijhawm ua haujlwm nws tau pom tias cov qog yog malignant, ces cov kws kho mob yuav tsum mus rau laparotomy.
Kev kho mob
Kev kho mob nyob ntawm seb tus kab mob siab npaum li cas thiab hom qog. Cov lus pom zoo kho mob rau benign zes qe menyuam neoplasms txawv ntawm cov uas tau txais los ntawm cov neeg mob nrogoncology. Feem ntau, ib tug poj niam tau muab kev kho mob rau qhov teeb meem. Nrog benign neoplasm, ib qho adnexectomy yog ua - tshem tawm cov qog nrog rau lub zes qe menyuam. Qhov no feem ntau txaus kom tus neeg mob mus kho sai sai.
Yog tias nws tau tshwm sim tias neoplasm yog malignant, ces kev kho mob yuav txawv. Nyob rau tib lub sijhawm, lub tsev menyuam, zes qe menyuam thiab cov hlab ntsha fallopian raug tshem tawm. Tom qab ntawd, tus poj niam tau muab tshuaj kho mob - kev kho mob nrog cov tshuaj uas ua rau cov qog nqaij hlav. Qee zaum, kev kho hluav taws xob kuj yuav raug pom zoo, nws muaj qhov cuam tshuam tsis zoo rau neoplasm nrog kev pab ntawm hluav taws xob. Nyob rau hauv cov xwm txheej uas cov qog ua rau cov tshuaj hormones, tus kws kho mob yuav xaiv cov tshuaj uas yog.
Kev kho mob qog noj ntshav muaj kev phiv:
- kev puas tsuaj loj hauv kev noj qab haus huv;
- hair poob;
- nausea, ntuav.
Qee zaum tus neeg mob tsim cov qog tshiab vim raug hluav taws xob. Tab sis tsis muaj kev kho mob, tus poj niam nrog oncology yuav tuag sai sai. Yog li ntawd, koj yuav tsum tau siv lub sijhawm no, uas yuav pab kho kev noj qab haus huv.
kev kho neeg zoo
Oncology yog ib qho mob hnyav heev, yog li kev xaiv kev kho tus kheej tsis tsim nyog. Cov tshuaj niaj hnub muaj ntau yam zaub mov txawv uas tsom rau kev sib ntaus sib tua ntawm zes qe menyuam neoplasms. Tab sis koj tuaj yeem siv cov nyiaj no tsuas yog tom qab kev sab laj nrog tus kws kho mob oncologist lossis gynecologist. Thiab ntau dua li ntawd, nws tsis tuaj yeem hloov kho tshuaj khomob lossis phais nrog cov zaub mov noj tshuaj.kev cuam tshuam. Tom qab kev sab laj nrog kws kho mob, cov tshuaj no tuaj yeem ntxiv nrog kev kho mob ib txwm muaj.
Aloe yog qhov zoo rau zes qe menyuam neoplasms, nrog rau cov kab mob malignant. Cov nroj tsuag txhawb kev tiv thaiv thiab txhim kho kev noj qab haus huv ntawm cov neeg mob uas tau txais kev kho mob chemotherapy. Herbalists paub tseeb tias aloe muaj txiaj ntsig zoo hauv kev kho mob oncology. Txhawm rau npaj cov tshuaj, cov nplooj thickest thiab juiciest raug coj mus, lawv ntxuav, qhuav thiab khaws cia hauv lub tub yees rau 12 hnub. Tom qab ntawd, aloe yog crushed nyob rau hauv ib tug nqaij grinder. Tom qab ntawd 1 liter ntawm av nplooj nrog kua yog tov nrog 1 liter ntawm zib mu thiab 1 lub raj mis ntawm grape wine. Cov tshuaj yog insisted rau 10 hnub, thiab ces lawv haus 1 tablespoon 3 zaug ib hnub twg rau 3 lub hlis.
Phytotherapists hais lus zoo txog cov kua txiv beet hauv kev kho mob ntawm ntau yam malignant neoplasms, nrog rau cov qog ntawm zes qe menyuam hauv cov poj niam. Nws siv pib nrog 1-2 tablespoons ib hnub twg. Cov nyiaj no maj mam hloov mus rau 2 khob ib hnub. Herbalists pom zoo haus cov kua txiv hmab txiv ntoo tshiab tom qab nws tau nyob hauv lub tub yees rau ob peb teev. Qhov no yog qhov tsim nyog kom tag nrho cov tshuaj lom uas muaj nyob hauv nws ploj ntawm cov tshuaj.
Gynecologist pom zoo
qog nqaij hlav feem ntau tshwm sim hauv cov neeg uas muaj keeb kwm yav dhau los. Tab sis qhov no tsis yog ib kab lus, koj tsuas yog yuav tsum tau tshem tawm qee qhov cuam tshuam los ntawm koj lub neej, thiab kev pheej hmoo ntawm kev txhim kho oncology yuav txo qis.
Gynecologists qhia cov poj niam kom tso tus cwj pwm phem xws li haus luam yeeb thiabhaus cawv. Nws raug nquahu kom pib ua si kis las, xws li taug kev lossis ua luam dej. Cov zaub mov tsis zoo yuav tsum raug cais tawm ntawm kev noj zaub mov: khoom noj ceev, rog, zaub mov kib.
Ib tug poj niam txoj kev noj qab haus huv yuav tau txais txiaj ntsig los ntawm cov tshuaj hormonal niaj hnub no. Lawv tsis tsuas yog tiv thaiv kev xeeb tub uas tsis xav tau, tab sis kuj txo qis qhov tshwm sim ntawm cov qog ntawm zes qe menyuam. Ib tug poj niam yuav tsum tsis txhob muaj kev rho menyuam. Tsawg kawg yog 2 zaug hauv ib xyoos, koj yuav tsum mus ntsib kws kho mob gynecologist thiab kuaj xyuas ultrasound.
Nws raug nquahu kom tus poj niam pub ntshav rau cov tshuaj hormones ib ntus txhawm rau txhawm rau txheeb xyuas qhov ua txhaum cai raws sijhawm. Thiab yog hais tias tus kab mob no tseem pom, ces tus neeg mob yuav tsum ua raws li tag nrho cov lus pom zoo rau kev kho mob ntawm zes qe menyuam neoplasms.
