Poj niam txoj kev noj qab haus huv yog fraught nrog ntau yam secrets thiab uncertainties. Txhua tus poj niam thoob plaws hauv nws lub neej tau ntsib ntau yam teeb meem gynecological uas tuaj yeem daws tau yooj yim teeb meem lossis nqa cov khoom tsim nyog rau kev loj hlob ntawm cov kab mob loj. Thawj cov cim qhia ntawm cov teeb meem hauv lub cev tsim kom zoo yog cov paug tawm tsis tshwj xeeb.
Feem ntau cov kab mob cuam tshuam nrog kev coj khaub ncaws - txhua hli cov ntshav tawm ntawm qhov chaw mos. Lawv muaj qhov chaw mos zais cia thiab tsis lees txais cov mucous txheej ntawm lub tsev menyuam, tsim los ntawm kev tawg ntawm lub qe tsis muaj menyuam. Kev coj khaub ncaws li qub kav li 3 mus rau 5 hnub, txog li 50 ml ntawm kev tso tawm tawm ib hnub. Ib tug poj niam uas muaj hnub nyoog yug me nyuam tsuas yog thaum cev xeeb tub xwb.
Ntau zaus cov qauv ntawm cov zais zis, lawv lub sijhawm thiab qhov xwm txheej yuav hloov. Yog tias koj pom qhov tso tawm tsaus nti es tsis txhob coj khaub ncaws lossis thaum lub sijhawm lawv, qhov no tuaj yeem nrog ntau yam laj thawj. Tshawb nrhiav keeb kwm yav dhau thiabcia peb saib seb nws ua phem rau hauv kab lus no.
Thaum tsis txhob txhawj?
Nyob rau qee kis, kev tso zis tsaus nti tsis muaj kev coj khaub ncaws tuaj yeem tsim nyog. Tsis muaj laj thawj txaus ntshai thaum:
- Tom qab ob peb hnub tom qab tso tawm, kev coj khaub ncaws pib.
- tsaus nti ntawm cov ris tsho hauv qab tau tshwm sim tam sim tom qab kev coj khaub ncaws thiab sai sai.
- Koj nyuam qhuav hais lus zoo rau nkauj xwb. Kev tso tawm tom qab thawj zaug kev sib deev yog suav tias yog qhov qub.
- Kev tso tawm ua ntej los ntawm kev sib deev ntev ntev. Nyob rau hauv rooj plaub no, kev puas tsuaj rau qhov chaw mos mucosa, uas yog vim li cas qhov paug tshwm sim.
- Koj siv tshuaj tiv thaiv kev yug menyuam, suav nrog thaj ua rau thaj, coils lossis tshuaj. Tom qab ntawd me ntsis tso tawm tuaj yeem cuam tshuam thaum lub caij cev khaub ncaws.
- Lub sijhawm lactation. Tsaus nti tawm los ntawm kev coj khaub ncaws tuaj yeem qhia tau tias lub cev tseem tsis tau los ua zoo tom qab yug menyuam.
Thaum twg suab tswb?
Yog tias koj tsis yog ib yam ntawm cov khoom hauv cov npe saum toj no, koj yuav tsum tau teem sijhawm nrog tus kws kho mob gynecologist. Kev tso tawm hais txog qhov tshwm sim loj thaum:
- tsaus nti ntawm cov ris tsho hauv qab tshwm hauv nruab nrab ntawm lub voj voog, tab sis koj tsis noj tshuaj hormonal.
- Lawv nrog khaus, kub hnyiab thiab qhuav hauv qhov chaw mos, mob hauv plab thiab thaum sib deev.
- Lub cev kub nce.
- Tseem muaj kev cia siab tias yuav muaj menyuam. Tom qab ntawd qhov tso tawm tuaj yeem ua rau muaj kev hem thawj nchuav menyuam.
- Kev tso tawm tshwm tom qab txhua qhov kev sib deev nrog tus txij nkawm.
- Koj muaj hnub nyoog 45 xyoos thiab tsis tau muaj koj lub sijhawm dhau ib xyoos.
- Cov paug tawm los hauv cov hlab ntsha thiab nrog cov ntxhiab tsw tsw qab.
Kev tshwm sim
Yog li, dab tsi ua rau qhov tso zis tsaus nti tsis yog kev coj khaub ncaws? Cov laj thawj tuaj yeem sib txawv, feem ntau yog kev phais sai ua ntej qhov pib tawm, cev xeeb tub (xws li ectopic), lub sijhawm pub niam mis lossis tus poj niam hnub nyoog.
Cov tsos ntawm stains ntawm cov ris tsho hauv qab kuj ua rau muaj kev cuam tshuam los ntawm lwm yam, xws li:
- noj tsis raug lossis tshaib plab.
- Tsiv mus rau lwm thaj chaw huab cua lossis mus so.
- noj tshuaj los yog tshuaj hormonal.
- mob siab rau lub cev ua si.
- kab mob sib kis.
- Kev ntxhov siab lossis kev hloov pauv kev ua neej.
- Failure nyob rau hauv metabolic system.
- Kev mob npaws thiab qaug rau lub cev.
Thick tawm nrog los ntawm txhaws thiab streaks yuav qhia tau tias kev laus ntawm cov hlwb endometrial. Thaum cev xeeb tub, cov cell exfoliated tsis tuaj yeem tawm nrog rau cov secretions. Yog tias tsis yog tag nrho cov hlwb tau tawm mus thaum cev xeeb tub, ces cov hlwb uas twb dhau los lawm yuav raug tsis lees paub hauv nruab nrab ntawm kev coj khaub ncaws. Lawv tuaj yeem yog xim av lossis dub.
Cov xwm txheej zoo li no feem ntau tshwm sim rau cov poj niam thaum pib cev xeeb tub. Thaum lub sij hawm no, tsimLub voj voog mus ntev yog tawg, kev coj khaub ncaws tsis tshua muaj zog, thiab cov hlwb tsis tuaj yeem tawm tag nrho. Qhov no yog cov qauv, tab sis yog tias kev coj khaub ncaws xaus li ib xyoos dhau los, thiab qhov tso tawm rov ua rau nws tus kheej hnov, koj yuav tsum hu rau gynecologist.
Tsis txhob txhawj yog tias koj muaj cov xim xim av tom qab koj lub sijhawm. Qhov tso tawm hauv ob peb hnub yog suav tias yog tus qauv. Yog tias lawv kav ntev dua peb hnub tom qab kev coj khaub ncaws, koj yuav tsum mus ntsib kws kho mob. Lwm qhov yog tias cov stains ntawm koj lub ris tsho hauv qab tau ntes koj tam sim ntawd hauv nruab nrab ntawm lub voj voog. Tom qab ntawd cov kab mob no tuaj yeem raug liam rau txhua yam:
- Cervical cancer lossis erosion yog tias koj pom qhov tso tawm tom qab txhua qhov kev sib deev.
- Kab mob vim kev sib deev. Kev tso tawm yog nrog khaus, kub hnyiab, tsis xis nyob thaum tso zis thiab thaum sib deev.
- Kev cev xeeb tub lossis nchuav menyuam.
- Endometritis, uas yog nrog los ntawm kev mob hauv lub zes qe menyuam.
tso tawm tuaj yeem yog qhov tshwm sim ntawm microtrauma ntawm qhov chaw mos, uas tshwm sim los ntawm douching, kev sib deev lossis kev kuaj mob gynecological. Qhov tseem ceeb tshaj plaws yog los xyuas kom meej tias thaj chaw raug mob tsis dhau los ua qhov chaw rau kev loj hlob ntawm tus kab mob.
Tub xim av lossis xim dub tawm
Feem ntau, qhov ntxoov ntxoo ntawm qhov tso tawm tsis cuam tshuam rau kev kuaj mob. Lawv cov xim yog cuam tshuam los ntawm tus nqi ntawm cov ntshav tsis lees paub. Qhov tso zis tsaus nti tuaj yeem qhia qhov tshwm sim ntawm cov kab mob hauv qab no:
EndometriosisEndometriosis
Dub xim av tawm los ntawm kev coj khaub ncaws tuaj yeem tshwm sim los ntawm kev phais hauv plab hnyuv. Piv txwv li:
- Scraping nyob rau hauv kev kuaj mob.
- Kev phais rau ectopic cev xeeb tub.
- Laparoscopy tshem tawm cov cyst.
- Kev tshem tawm cov polyps hauv lub tsev menyuam.
- Kev rho menyuam tawm.
Nyob rau hauv cov xwm txheej no, cov xim av tsaus nti tawm ntawm kev coj khaub ncaws yam tsis muaj qhov mob yog ib hom tshuaj ntxuav lub cev los ntawm qhov tshwm sim ntawm kev phais. Cov xim ntawm qhov tso tawm tuaj yeem ncav cuag dub, thiab lub sijhawm mus txog 10 hnub. Yog tias qhov tso tawm liab liab thiab tsw tsw phem, nws yog qhov qhia tias muaj tus kab mob thiab koj yuav tsum tau teem sijhawm nrog koj tus kws kho mob tam sim ntawd.
Kev tso tawm thaum muaj kev sib deev
Nrog rau lub neej kev sib deev hauv tus poj niam uas tsis quav ntsej cov tshuaj tiv thaiv kab mob, qhov chaw tsaus nti es tsis txhob coj khaub ncaws tuaj yeem tshwm sim los ntawm cev xeeb tub, cev xeeb tub ectopic lossis nchuav menyuam. Muaj cov xwm txheej thaum kev sib deev lub neej tsis tu ncua, nkawm niam txiv tsis muaj kev tiv thaiv, thiab tus poj niam muaj kev ncua sijhawm rau hnub tseem ceeb. Tom qab ntawd nws pom qhov tso tawm tsaus nti, uas tuaj yeem yog qhov sib txawv. Cov paug tawm mus, thiab lawv qhov chaw yog coj los ntawm kev coj khaub ncaws li qub. Cov txheej txheem zoo li no qhia txog qhov tsis ua haujlwm hormonal ib ntus hauv tus poj niam lub cev.
Thaum tsaus nti tawm tshwm sim tsis yog kev coj khaub ncaws, thiab kev coj khaub ncaws tsis tuaj tom qab lawv, nws raug nquahu kom kuaj cev xeeb tub thiab ua qhov ntsuas hCG. Qhov no yuav qhia tau tias thaum pib cev xeeb tub, thaum lub qe fetal tsim thiab qee cov ntshav raug tso tseg. Yog tias qhov kev kuaj pom zoo, qhov tso tawm yog qhov txaus ntshai thiab yog ib qho cim ntawm pathology - lawv qhia tias tus poj niam lub cev tsis muaj cov tshuaj hormones txaus rau kev noj qab haus huv ntawm cev xeeb tub. Rau lub fetus ntawm tus poj niam cev xeeb tub, cov sij hawm thaum cev xeeb tub tau tshwm sim yav dhau los yog qhov txaus ntshai heev thiab tuaj yeem ua rau cov txheej txheem endometrial detachment.
Kev xeeb tub ectopic kuj tuaj yeem ua rau tawm. Qhov kev sim yuav zoo, tab sis tsuas yog ultrasound tuaj yeem kuaj pom qhov txawv txav. Yog li ntawd, nws yog ib qho tseem ceeb, tom qab ua kev ntsuam xyuas hauv tsev, hu rau gynecologist rau kev soj ntsuam xyuas. Nrog rau qhov muaj zog hypothermia ntawm lub cev, tus poj niam yuav pom meager tsaus xim av tawm los ntawm kev coj khaub ncaws thiab ua tsis tiav ntawm lub voj voog. Qhov no yog ib qho qhia tseeb ntawm qhov mob ntawm ncauj tsev menyuam los yog appendages.
Tom qab kev sib deev yam tsis muaj hnab looj tes nrog ib tus khub nug, cov zis tsaus nti tuaj yeem tshwm sim tsis yog kev coj khaub ncaws, uas yog nrog:
- Kub thiab khaus ntawm qhov chaw mos (sab hauv thiab tawm).
- Paj thaum tso zis.
- mob plab plab.
- Kev txiav thaum sib deev.
Qhov muaj ob lossis ntau qhov tsos mob los ntawm daim ntawv teev npe qhia tias muaj cov kab mob sib deev. Nws tuaj yeem ua syphilis, gonorrhea, trichomoniasis, chlamydia thiab lwm yam kab mob. Nws yog qhov ceev kom tiv tauj ib tus kws kho mob gynecologist uas yuav muab xa mus rau kev kuaj.
Yog qhov ntsuas tsis zoo
Yog tias koj xav tias qhov kev kuaj cev xeeb tub hauv tsev pom tau qhov tsis zoo, tsis txhob sotus nqi. Nrog lub cev xeeb tub ectopic, qhov kev kuaj yuav pom ib daim kab xev. Nws cov ntsiab lus thaum ntxov tuaj yeem nrog kev mob cyclic hauv plab plab, feem ntau ib tug ntxhais muaj qee yam zoo li toxicosis. Lub cev ua rau lub cev tsis muaj zog los ntawm kev tsim cov tshuaj hormones tsim nyog rau kev loj hlob ntawm tus me nyuam hauv plab, tab sis nrog kev kawm ectopic, lub embryo yog tsau tsis nyob rau hauv lub tsev menyuam, tab sis nyob rau hauv lub fallopian raj.
Fallopian tubes tsis nquag ncab, tab sis tus menyuam hauv plab tseem loj tuaj. Yog li ntawd, cov phab ntsa ntawm cov hlab ntsha tau raug puas ntsoog, thiab cov ntshav tawm los ntawm qhov tsaus ntuj (yuav luag dub) zais cia. Lawv tuaj yeem tshwm sim thaum lub caij cev xeeb tub thiab tom qab ntawd. Lub cev xeeb tub ectopic yog qhov txaus ntshai tsis yog rau kev noj qab haus huv nkaus xwb, tab sis kuj rau lub neej ntawm tus poj niam, thiab nws qhov tshwm sim tuaj yeem kuaj pom los ntawm ultrasound thiab thaum kuaj hCG. Peb yuav tsum ua qhov no tiag tiag.
tso zis tom qab cev xeeb tub
Cov poj niam muaj qhov tso tawm tsaus nti tom qab yug menyuam uas kav ntev li 14 hnub. Lawv hu ua lochia thiab tej zaum yuav xim av thiab muaj cov hlab ntsha. Qhov no yog ib qho txheej txheem ib txwm nyob rau hauv lub cev uas npaj ib tug poj niam rau normalization ntawm kev coj khaub ncaws. Yog hais tias tus poj niam pub niam mis thiab tus me nyuam tsuas yog pub niam mis xwb yam tsis muaj zaub mov ntxiv, yuav tsum tsis muaj sij hawm.
Cov txheej txheem voj voog normalization kuj tseem nrog cov ntsiab lus tsaus nti. Yog tias tsis muaj kev tiv thaiv kev sib deev tshwm sim thaum lub sijhawm no, kev kuaj cev xeeb tub yuav tsum tau ua. Hauv cov poj niam uas tau yug me nyuam, ovulation tshwm sim ua ntej qhov pib ntawm cev xeeb tub, thiab yuav muaj kev xeeb tub tshiab. Yog tias qhov ntsuas tsis zoo, tab sis tsaus nti tawm ntawm kev coj khaub ncaws tsis nres rau ob peb lub voj voog thiab ua tuab, qhov no yog vim li cas mus ntsib kws kho mob.
Kev tso tawm thaum tsis muaj kev sib deev
Yog tus poj niam uas muaj xim av tsaus nti es tsis coj khaub ncaws tsis muaj kev sib deev, kev xeeb tub thiab kev sib deev raug txiav tawm. Txawm li cas los xij, ib daim ntawv teev cov laj thawj uas tseem tshuav:
- Kev poob phaus thiab kev tshaib plab.
- Kev ua haujlwm dhau los lossis kev ntxhov siab.
- Anemia.
- Vitamin-poor diet.
- Hormonal tsis ua haujlwm.
- YEndometritis.
- Ovarian cyst.
- Tshuaj ntsuab ntawm daim tawv nqaij.
- kev tawm dag zog ntau dhau.
EndometriosisEndometriosis
Tej zaum qhov phem tshaj plaws uas tso tawm tuaj yeem qhia tau tias yog qog nqaij hlav. Kev mob qog noj ntshav hauv tsev menyuam tuaj yeem nrog tsis tau tsuas yog los ntawm cov pob tsaus nti ntawm cov ris tsho hauv qab ua ntej kev coj khaub ncaws, tab sis kuj los ntawm kev tawm mus tas li. Nws yuav tsum nco ntsoov tias feem ntau gynecological pathologies ua rau tsaus xim av tawm.
Hnub nyoog hloov pauv
Nyob rau hauv cov ntxhais uas nyuam qhuav pib hluas, tsaus nti tawm es tsis txhob coj khaub ncaws yog ib qho tshwm sim. Lub voj voog ntawm kev coj khaub ncaws tsuas yog tsim, ovulation yuav tshwm sim lossis tsis tshwm sim. Hauv thawj xyoo tom qab pib ntawm kev coj khaub ncaws, koj tsis tas yuav txhawj xeeb txog cov secretions. Tab sis yog tias qhov tso tawm mus ntxiv rau ntau tshaj ib xyoos thiab twb dhau los ua tus cwj pwm, qhov no yog vim li cas thiaj mus ntsib kws kho mob gynecologist.
Scanty tsaus nti tawm es tsis txhob coj khaub ncaws rau cov poj niam tshaj 40 xyoo tuaj yeem qhia txog kev ua haujlwm ntawm zes qe menyuam thiab kev hloov hauv cov tshuaj hormonal. Tsis ntev los no, cov kws kho mob tau sau tseg tias muaj hnub nyoog qis dua - yog tias ua ntej nws tshwm sim hauv cov poj niam tom qab 45 xyoo, tam sim no thawj cov tsos mob tshwm sim ntawm 38-40 xyoo.
Tshuaj thiab tshuaj tiv thaiv kab mob
Cov ntxhais uas nyuam qhuav pib noj tshuaj tiv thaiv kab mob hauv qhov ncauj tab tom xav paub yog vim li cas qhov tso zis tsaus nti es tsis txhob coj khaub ncaws? Cov ntsiav tshuaj tuaj yeem ua rau cov tshuaj hormonal tsis ua haujlwm, uas yog vim li cas tso zis tshwm. Tsis tas li ntawd, thaum noj cov tshuaj tiv thaiv kab mob, kev ua haujlwm ntawm zes qe menyuam feem ntau ua rau cov ntxhais thiab endometrial atrophy tshwm sim.
tsaus nti ntawm cov ris tsho hauv qab tuaj yeem tshwm sim vim noj tshuaj tsis tsim nyog yog tias tus poj niam nws tus kheej tau sau cov tshuaj lossis tus kws kho mob tau sau cov tshuaj tsis raug. Ib qho tsis ua raws li kev coj khaub ncaws lossis kev tso tawm tuaj yeem ua rau muaj kev noj tshuaj tsis tu ncua. Tsis tas li ntawd, kev ua haujlwm ntawm cov zais zis tuaj yeem nyob ntawm kev siv lwm cov tshuaj tiv thaiv kab mob lossis tshuaj tua kab mob. Cov tshuaj noj zaub mov kuj tsis tshua muaj tshwm sim rau kev coj khaub ncaws tsis xwm yeem lossis tawm tsaus nti.
Yog hais tias 3-4 lub voj voog sib law liag ntawm kev coj khaub ncaws tsis xwm yeem lossis xim av tawm los ntawm lawv, koj yuav tsum mus ntsib kws kho mob gynecologist thiab nug kom sau lwm cov tshuaj. Tsaus nti tawm los ntawm kev coj khaub ncaws tuaj yeem tshwm sim los ntawm qhov tsis txaus ntawm cov tshuaj hormones hauv poj niam lub cev. Nrog ntshav qab zib, hormonal deficiencythyroid caj pas, qis prolactin feem ntau pom pom.
Yog tias koj muaj qhov tso tawm tsaus nti hloov koj lub sijhawm, tab sis tsis muaj ib qho ntawm cov saum toj no siv rau koj, sim tos ob peb hnub - tej zaum koj yuav lig me ntsis thiab qhov tso tawm yog qhov ua ntej rau koj lub sijhawm. Txwv tsis pub, nco ntsoov mus ntsib kws kho mob. Kev noj qab haus huv yog yam poj niam yuav tsum tau saib xyuas ua ntej. Tus kws kho mob gynecologist yuav tsum tau mus ntsib tsawg kawg ib xyoos ib zaug, txawm tias tsis muaj qhov tsis xis nyob. Kev kuaj pom tus kab mob thaum ntxov thiab txo qis hauv cov paj yog yooj yim dua li kev kho mob ntev thiab mob.
