Txhua tus neeg sawv cev ntawm kev sib deev tsis muaj zog yuav tsum mus ntsib kws kho mob hauv lub cev tsis tu ncua thiab saib xyuas lub xeev ntawm lawv cov poj niam txoj kev noj qab haus huv. Ntau yam mob ntawm lub ncauj tsev menyuam tuaj yeem pom, thiab ib qho ntawm lawv yog ib qho uas lub ncauj tsev menyuam dilated. Nws tseem ceeb heev kom nkag siab qhov nws hais. Qhov ntawd yog qhov peb yuav pom hauv kab lus no. Peb yuav pom cov laj thawj ntawm qhov tshwm sim no, nrog rau kev xav txog kev kuaj mob thiab cov txheej txheem rau nws txoj kev kho mob. Ua tib zoo nyeem cov ntaub ntawv uas tau muab los tiv thaiv thiab tuav koj tus kheej kom ntau li ntau tau.
kwj dej ncauj tsev menyuam yog dab tsi
Qhov tseeb, cov poj niam feem ntau tsuas muaj lub tswv yim dav dav ntawm cov qauv ntawm lawv cov kev ua me nyuam. Thiab hais txog dab tsi lub kwj dej ntawm ncauj tsev menyuam yog (txawm hais tias nws yog nthuav los yog tsis, tus gynecologist yuav qhia rau koj), feem ntau ntawm kev sib deev ncaj ncees tsis txawm xav txog nws. Tab sis qhov no lub cev ntawm lub cev xeeb tub plays nyob rau hauv lub cev heevlub luag haujlwm tseem ceeb.
Lub ncauj tsev menyuam muaj cov qauv nthuav dav. Nws yog ib tug hollow channel, uas yuav muab piv rau ib tug spindle nrog ob constrictions ntawm qhov kawg. Cov kab noj hniav zoo li no nyob hauv thaj tsam ntawm lub tsev menyuam, thiab muaj qhov ntev li ntawm plaub mus rau tsib centimeters. Txawm li cas los xij, yog tias tus poj niam yug me nyuam los yog rho menyuam, ces lub ncauj tsev menyuam kwj dej tuaj yeem ncav cuag li xya mus rau yim centimeters. Qee zaum, nws yuav raug ncua. Lub tsev me nyuam kwj dej yog kev sib txuas ntawm lub tsev menyuam thiab qhov chaw mos.
Sab hauv ntawm kab noj hniav nws tus kheej muaj cov hlwb epithelial uas tsim cov mucous tshwj xeeb. Cov ntaub so ntswg no muaj cov receptors tshwj xeeb uas tuaj yeem teb rau qib ntawm cov tshuaj hormones hauv lub cev. Tias yog vim li cas tus nqi thiab viscosity ntawm cov hnoos qeev nyob ntawm seb tus poj niam lub cev xeeb tub yog dab tsi rau lub sijhawm.
Raws li koj paub, kev txiav txim siab xeeb tub ntawm lub sijhawm luv luv tsis yog ib txoj haujlwm yooj yim. Txawm li cas los xij, tus kws kho mob paub txog yuav tuaj yeem txiav txim siab qhov no los ntawm cov xim ntawm cov mucosa. Yog hais tias fertilization tshwm sim, feem ntau nws yuav siv sij hawm ib tug bluish tint.
Txawm hais tias lub ncauj tsev menyuam loj tuaj lossis tsis tuaj yeem txiav txim tau tsuas yog thaum mus ntsib kws kho mob gynecologist. Tus kws kho mob ntxig daim iav rau hauv qhov chaw mos, thiab yog li tshuaj xyuas qhov nkag mus rau hauv kab noj hniav. Yog hais tias tus ntxhais tseem tsis tau yug me nyuam, ces qhov nkag yuav zoo li ib qho chaw me me. Tab sis rau tus poj niam yug me nyuam, nws yuav tig mus rau hauv qhov sib txawv me me.
Yuav ua li cas ua
Qee zaum gynecologists hais li ntawdlub tsev menyuam kwj dej ntawm lub ncauj tsev menyuam yog dilated. Qhov no txhais li cas, koj tuaj yeem nyeem rau. Nyob rau lub sijhawm no, nws tsim nyog nrhiav seb qhov haujlwm ntawm lub cev hollow no ua haujlwm li cas. Wb mus saib lawv ib leeg.
Kev Tiv Thaiv thiab Tiv Thaiv Kev Ua Haujlwm
Nws yog nyob rau hauv qhov chaw no uas muaj cov hnoos qeev tshwj xeeb tsim tawm, uas ua rau muaj kev tiv thaiv zoo heev tiv thaiv ntau yam kab mob thiab kab mob uas nkag mus rau hauv lub cev los ntawm sab nraud. Xws li cov hnoos qeev muaj peev xwm tsim tau lub cork uas muab kev tiv thaiv txhim khu kev qha. Nyob rau tib lub sijhawm, cov kab noj hniav no muaj nws tus kheej lub cev tiv thaiv kab mob uas muaj peev xwm tsim cov kab mob tiv thaiv kab mob. Nws yog ua tsaug rau cov kwj dej ntawm ncauj tsev menyuam uas cov poj niam cev xeeb tub tuaj yeem ua rau tsis muaj menyuam.
Txhob Cia Siab
Ntau tus neeg mob xav paub yog vim li cas lub ncauj tsev menyuam thiaj li nthuav dav. Nws yog ib qho tseem ceeb heev kom paub seb qhov no puas yog ib txwm muaj lossis kab mob txhawm rau kom nkag siab txog lub xeev ntawm koj txoj kev noj qab haus huv.
Raws li koj paub, txhawm rau kom muaj kev xav tshwm sim, nws yog ib qho tseem ceeb heev uas cov phev cell mus deb deb ntawm qhov chaw mos los ntawm lub ncauj tsev menyuam. Peb twb tau hais tias muaj ntau cov hnoos qeev tau tsim nyob rau hauv qhov chaw no, uas ua haujlwm tiv thaiv.
Txawm li cas los xij, nyob rau qee hnub ntawm lub voj voog (ua ntej ovulation tshwm sim), cov hnoos qeev pib nyias, uas ua rau muaj alkaline ntau dua. Txhawm rau kom cov phev hla mus rau lub qe, nws yog ib qho tseem ceeb heev uas cov kwj dej ntawm lub ncauj tsev menyuam yog me ntsis dilated. Qhov no yog dab tsi contributes rau qhov pib ntawm conception. Yog li ntawd, yog tias nkawm niam txiv txiav txim siab kom muaj menyuam, nws yog ib qho tseem ceeb heev uas yuav tau xaiv qhov zoo tshaj plawslub sijhawm zoo rau qhov no. Los ntawm txoj kev, cov hnoos qeev tsim los ntawm cov channel tuaj yeem tshem tawm cov phev uas tsis muaj zog thiab tsis muaj zog, yog li tsuas yog qhov muaj zog tshaj plaws thiab noj qab haus huv yuav txav mus rau lawv lub hom phiaj.
tso zis muaj nuj nqi
ntshav thiab kab mob qog nqaij hlav dhau los ntawm lub ncauj tsev menyuam. Yog hais tias cov channel nyob rau hauv ib tug pathological lub xeev, ces cov zis ntawm cov secretions yuav impaired, uas txhais tau hais tias muaj ib tug siab tshwm sim ntawm inflammatory thiab kis kab mob.
Birth way
Yog hais tias lub tsev me nyuam kwj dej tau nthuav dav thoob plaws, feem ntau qhov no qhia tias qhov pib ntawm kev yug menyuam. Thaum lub sij hawm yug me nyuam, centralization thiab shortening ntawm lub ncauj tsev menyuam tshwm sim ncaj qha thaum contractions.
Yuav ua li cas to taub tias lub ncauj tsev menyuam dilated
Tej zaum yuav muaj ntau qhov laj thawj rau qhov tshwm sim no. Nyob rau hauv ib txwm tsim nulliparous poj niam, qhov siab tshaj plaws ntawm cov kwj dej feem ntau yog mus txog yim millimeters. Txawm li cas los xij, yog tias daim duab no nce, qhov no yuav qhia tau tias muaj pathology. Yog tias tus neeg sawv cev ntawm kev sib deev muaj zog muaj lub cev xeeb tub, ces lub ncauj tsev menyuam kaw. Tab sis qhov nthuav dav feem ntau pom nyob rau hauv xws li:
Internal os nthuav dav mus rau ob millimeters. Tib lub sijhawm, cov kwj dej ntawm ncauj tsev menyuam tau nthuav dav hauv nruab nrab thib peb
- Slit-zoo li nthuav dav nyob rau sab sauv thib peb kuj tseem tuaj yeem pom, uas feem ntau yog nrog los ntawm kev ua haujlwm ntawm lub qog ua haujlwm.
- Dilations suav nrog cov ntaub ntawv thaum lub ncauj tsev menyuam kwj dej yog dilated raws nws qhov ntev. Tib lub sijhawm, kujmuaj softening ntawm uterus thiab shortening ntawm nws caj dab.
- Tseem muaj ib yam mob uas lub ncauj tsev menyuam kwj dej yog funnel-puab thiab lub internal os raug kaw.
Yog vim li cas rau kev nthuav dav
Qhov tseeb, muaj ntau ntau yam uas tshwm sim rau lub xeev no. Yog hais tias lub tsev me nyuam kwj dej tsis dilated, qhov no txhais li cas? Feem ntau, yog tias nws raug kaw thiab cov ntaub ntawv ntsaws rau hauv nws qhov kawg, qhov no qhia tias tus poj niam tau xeeb tub. Txawm li cas los xij, yog tias cov channel nthuav dav thaum cev xeeb tub nws tus kheej, qhov no yuav qhia tau tias nws cuam tshuam.
Tseem muaj lwm yam laj thawj rau kev nthuav dav. Xav txog qhov twg:
- Muaj polyps lossis cysts hauv lub ncauj tsev menyuam. Hauv qhov no, feem ntau cov kwj dej ntawm ncauj tsev menyuam yog dilated thiab cov ntsiab lus anechoic muaj. Cov ntsiab lus no feem ntau suav nrog kua lossis ntshav.
- Kev tshwm sim ntawm lwm yam benign formations hauv kwj dej, xws li sarcoma lossis fibroma. Txawm li cas los xij, qhov tshwm sim ntawm cov qog nqaij hlav malignant tsis suav nrog.
Dilation tuaj yeem tshwm sim thaum muaj cov kab mob xws li endometriosis thiab adenomyosis, nrog rau qhov tshwm sim ntawm cov kab mob inflammatory thiab kev sib deev pathologies
Cov poj niam ntawm kev sib deev ncaj ncees muaj peev xwm xeeb tub, nthuav dav tuaj yeem pom tom qab rho menyuam, yug menyuam, thiab tseem nyob rau qee qhov kev kuaj mob. Txawm li cas los xij, tus mob sai sai rov qab los zoo li qub, vim lub cev xav tau kev kho kom rov zoolub sij hawm.
Thaum thaum cev xeeb tub tshwm sim, ob qho tib si nthuav thiab nqaim ntawm cov channel tuaj yeem tshwm sim. Feem ntau, nyob rau hauv cov poj niam postmenopausal, lub ncauj tsev menyuam kwj dej tsis dilated. Nws txhais li cas? Qhov no qhia tau hais tias lub hnub nyoog ntawm poj niam xeeb tub dhau lawm, thiab qib ntawm poj niam cov tshuaj hormones hauv lub cev tau txo qis. Cov channel tuaj yeem nqaim mus rau ntau tshaj peb millimeters. Tom qab ntawd, nws qhov kev loj hlob feem ntau yog pom.
Qhov phom sij nyob qhov twg
Yog hais tias lub tsev me nyuam kwj dej yog loj, thiab qhov seem ntawm qhov ntsuas yog qhov qub, feem ntau qhov no tsis ua rau muaj kev hem thawj rau kev sib deev ncaj ncees. Txawm li cas los xij, feem ntau qhov tshwm sim no qhia tias qee cov txheej txheem pathological tau pom nyob rau hauv cov poj niam cev xeeb tub uas xav tau kev kuaj mob thiab xaiv txoj kev kho kom zoo.
Yog lub ncauj tsev menyuam nthuav dav thaum cev xeeb tub, qhov no tuaj yeem ua rau muaj kev phom sij loj. Xav txog yam uas yuav muaj kev pheej hmoo yog:
- Yog tias tus poj niam nyob rau theem pib ntawm cev xeeb tub, ces tsuas muaj qhov pheej hmoo loj ntawm kev rho menyuam tawm. Thaum kuaj xyuas ultrasound, qhov tshwm sim xws li uterine hypertonicity feem ntau kuj kuaj tau.
- Muaj qhov tshwm sim xws li isthmic-cervical insufficiency, uas tuaj yeem kuaj tau pib txij li peb lub hlis thib ob ntawm cev xeeb tub. Feem ntau, qhov tshwm sim no ua rau nws cuam tshuam, vim tias tus menyuam yuav yug ntxov ntxov.
Yog vim li cas yog tus poj niam cev xeeb tub raug kuaj pom muaj qhov tshwm sim xws liKev nthuav dav ntawm lub ncauj tsev menyuam kwj dej, nws yog ib qho tseem ceeb heev uas yuav tsum tau ua txhua yam kev kuaj mob hauv lub sijhawm thiab maj mam sau cov kev kho mob uas tsim nyog rau tus neeg mob.
Kev ntsuas ntsuas ntsuas
Feem ntau, thaum lub sijhawm kuaj gynecological thawj zaug, kev hloov pauv tuaj yeem pom tsuas yog tias cov os sab nraud nyob hauv lub xeev nthuav dav. Tab sis kom tau txais txiaj ntsig zoo dua, cov txheej txheem kuaj mob xws li ultrasound feem ntau ua. Cov txheej txheem ntawm kev ntsuas lub ncauj tsev menyuam yog hu ua cervicometry. Cov txiaj ntsig siab tshaj plaws tuaj yeem ua tiav los ntawm kev ua MRI ntawm lub plab hnyuv siab raum. Feem ntau, cov txheej txheem zoo li no tau ua tiav yog tias tus neeg mob twb tau pom tias muaj cov txheej txheem pathological hauv cov txheej txheem kev xeeb tub.
Nws tseem ceeb heev uas yuav tsum tau siv lub swab. Nrog nws, koj tuaj yeem txiav txim siab qhov muaj cov txheej txheem inflammatory, nrog rau cov kab mob sib deev.
txoj kev kho
Vim yog vim li cas cov kwj dej ntawm ncauj tsev menyuam dilated, thiab yuav xaiv txoj kev kho mob. Yog tias pom pom muaj polyps lossis qog zoo li hauv nws, ces qhov no, cov kws kho mob feem ntau siv rau kev phais. Nyob rau tib lub sijhawm, kev sib deev ncaj ncees muaj lub sijhawm los khaws cov haujlwm ntawm lub cev xeeb tub. Txawm li cas los xij, yog tias cov formations tau dhau los ua qhov tsis zoo, ces qhov no yuav tsum muaj kev cuam tshuam radical, uas feem ntau yog nrog kev siv hluav taws xob thiab tshuaj khomob.
Nyob rau hauv lub xub ntiag ntawm endocervix cysts, nrog rau cov kab mob cervicitis, cov kws kho mob feem ntau sau cov txheej txheem kev kho mob, uas suav nrogLawv cov tshuaj tua kab mob, nrog rau cov tshuaj tiv thaiv kab mob ("Azithromycin", "Cefixime", "Erythromycin", "Doxycycline"). Yog tias tus poj niam tau kuaj pom tias muaj tus kab mob sib deev, ces qhov no nws yuav tsum tau sau npe. Tib lub sijhawm, nws tus khub sib deev yuav tsum tau kuaj, thiab yog tias tsim nyog, pib kho.
Yog hais tias ib tug poj niam tau kuaj pom tias muaj adenomyosis, ces nyob rau hauv cov ntaub ntawv no ib tug complex conservative kev kho mob, nyob rau hauv uas anti-inflammatory thiab hormonal tshuaj yog siv ("Marvelon", "Dufaston", "Anteovin", "Dysmenorm. "). Qee qhov xwm txheej, cov kws kho mob kuj pom zoo tias cov poj niam tau txais kev kho mob ntxiv, uas suav nrog kev siv cov tshuaj vitamin, tshuaj absorbable, thiab kho lub cev. Yog tias txoj kev kho mob tsis zoo tsis muab cov txiaj ntsig zoo, ces qhov no, cov kws kho mob txiav txim siab ua kev phais.
Yog tias kuaj pom qhov nthuav dav ntawm lub ncauj tsev menyuam thaum lub sijhawm cev xeeb tub, yog li qhov no tus poj niam yuav tsum raug xa mus rau tsev kho mob sai, vim qhov no muaj kev pheej hmoo siab nchuav menyuam lossis yug ntxov ntxov. Hauv qhov no, tus neeg mob tau muab tshuaj hormonal, antispasmodics, vitamins, thiab txhua yam ua tau los tiv thaiv placental insufficiency. Yog tias tsim nyog, xws likev tiv thaiv:
- Kev siv cov stitches tshwj xeeb ntawm lub ncauj tsev menyuam, uas feem ntau raug tshem tawm thaum peb caug-yim lub lim tiam ntawm cev xeeb tub;
- Qee zaum tus pessary raug teeb tsa. Cov txheej txheem no suav nrog muab lub nplhaib tshwj xeeb latex rau ntawm lub ncauj tsev menyuam, uas tsis tso cai rau nws qhib. Feem ntau, txoj kev no yog siv los ntawm nws tus kheej, thiab qee zaum ua ke nrog suturing.
Cov Lus Qhia
Txhua tus poj niam yuav tsum saib xyuas nws txoj kev noj qab haus huv, suav nrog kev noj qab haus huv ntawm lub cev xeeb tub. Nws yog ib qho tseem ceeb heev kom tsis tu ncua mus ntsib ib tug gynecologist rau ib tug niaj hnub kuaj. Feem ntau, kev nthuav dav ntawm cov kwj dej ntawm ncauj tsev menyuam tsis tshwm sim ntawm nws tus kheej (tshwj tsis yog, ntawm chav kawm, qhov no siv rau cov txheej txheem ntawm kev yug menyuam). Feem ntau, nws qhia tau hais tias cov kab mob sib kis thiab inflammatory txheej txheem, nrog rau cov benign lossis malignant formations, muaj nyob rau hauv cov poj niam cev xeeb tub. Yog li ntawd, tsis txhob las mees mus ntsib gynecologist, tshwj xeeb tshaj yog rau cov poj niam thaum cev xeeb tub. Kev tshuaj ntsuam xyuas thiab kev kho mob raws sij hawm tuaj yeem tiv thaiv koj txoj kev noj qab haus huv, nrog rau lub neej ntawm koj tus menyuam hauv plab.
Saib xyuas koj txoj kev noj qab haus huv tam sim no. Qhov no yuav pab koj tshem tawm cov kev pheej hmoo thiab kev phom sij ntxiv. Saib xyuas koj tus kheej.
