Lub cyst yog ib qho tsim uas muaj cov tshuaj ntsiav thiab cov kab noj hniav uas muaj cov kua dej. Nws tuaj yeem tshwm sim hauv txhua lub cev. Qhov xwm ntawm cov cysts yog qhov yooj yim benign, tab sis qee hom tuaj yeem rov qab los. Nws txuas nrog lub hauv paus lossis ob txhais ceg. Nws tuaj yeem yog ib leeg thiab ntau yam, feem ntau qhov mob yog unilateral. Ob sab cyst yog tsawg. Nyob rau hauv lub zes qe menyuam, ntau dua li lwm tus, ib qho kev tsim tshwm sim ntawm sab xis vim yog cov ntshav ntau dua. Kev kuaj mob ua ntej menopause los yog tom qab. Feem ntau, qhov loj ntawm zes qe menyuam yog me me, tab sis tuaj yeem ncav cuag txoj kab uas hla ntawm 20 cm.
Etiology ntawm qhov tshwm sim
Qhov ua rau niaj hnub no tseem tsis tau paub txog qhov tseeb, tab sis qhov tseem ceeb tseem ceeb tam sim no yog hormonal ntshawv siab, pathologies ntawm zes qe menyuam lawv tus kheej, noj tshuaj hormones, hnyav nce thiab nquag rho menyuam.
Yuav ua rau zes qe menyuam mob? Qhov no yog cov tsos mob tseem ceeb. Nrog rau cov hlwv, muaj kev cuam tshuam rau kev ua me nyuam.
Types of cysts
Cov pab pawg tseem ceeb ntawm cov hlwv ua ke ua 2 pawg loj - ua haujlwm thiab tsis ua haujlwm (organic). Lawv txawv ntawm cov qauv, yog vim li cas, tab sis lub tsev kho mob ntawm txhua yam yog tib yam.
thawj pab pawg suav nrog follicular, luteal, polycystic. Rau cov organic - endometrioid, dermoid, mucinous, paraovarian. Functional cysts muaj peev xwm yaj ntawm lawv tus kheej thiab teb zoo rau kev kho cov tshuaj hormones. Raws li rau cov kab mob organic, kev kho mob tsis ua haujlwm rau lawv, tsuas yog tshem tawm xwb.
Follicular cyst
Nws dhau los ua qhov tshwm sim ntawm kev ua txhaum ntawm ovulatory theem ntawm lub voj voog, thaum lub qe tsis tawm ntawm lub hauv paus loj. Xws li cov follicle tsis rupture thiab degenerates mus rau hauv lub cyst uas "nyob" rau li 3 lub hlis. Tom qab ntawd nws daws spontaneously dhau ntau lub voj voog. Lub tsev kho mob tsis tshua muab, tab sis yog tias nws tshwm sim, nws tau nthuav tawm thaum tsis muaj kev tshwm sim hauv thawj lub hlis vim nws qhov me me. Tom qab ntawd, nrog txoj kab uas hla ntawm 3 cm, qhov mob me me tshwm sim hauv plab plab, hnyav hauv plab, thiab mob plab hauv plab.
Txhua cov tsos mob nce tom qab ovulatory theem. Mob tuaj yeem ua rau hnyav dua los ntawm kev tawm dag zog lub cev, taug kev nrawm thiab thaum sib deev, nrog hypothermia. Pathology tshwm sim nyob rau hauv lub hnub nyoog fertile thiab nyob rau hauv cov hluas.
Luteal cyst
Ntawm no, cov follicle mature tawg tag, qe tawm, tab sis dajlub cev ntawm qhov kawg ntawm luteal theem tsis regress. Lub cyst pib loj hlob ncaj qha los ntawm corpus luteum. Qhov laj thawj yog qhov tsis txaus ntawm hormonal. Nws yuav siv sij hawm ntau lub voj voog kom txog thaum nws daws tau.
polycystic
Muaj ntau lub hlwv ntawm no ntawm 1 lossis 2 zes qe menyuam. Qhov tseeb etiology tsis paub, tab sis tshwm sim thaum theem ntawm cov txiv neej cov tshuaj hormones hauv cov ntshav siab.
Lub plab mob tsis tu ncua, hauv qab. Qhov tshwm sim yog infertility. Zoo kho nrog cov tshuaj hormones.
YHemorrhagic cysts
Lawv ua haujlwm zoo, lawv tuaj yeem ua ntau hom. Nyob rau hauv lawv muaj ib tug ntshav kua. Nrog rau lub voj voog tsis ua haujlwm, kev mob siab thiab mob khaub thuas.
YOrganic cysts
Lawv muaj kev phom sij ntau dua vim tias muaj peev xwm ua phem. Cov tsos mob tseem ceeb ntawm xws li cysts yog mob. Tsis tas li ntawd, lawv ua rau muaj kev cuam tshuam hauv lub cev xeeb tub:
- MC ua tsis tiav thiab kev coj khaub ncaws ntau;
- kev tso tawm tom qab kev coj khaub ncaws.
Kev kho mob feem ntau yog phais.
Mucinosis
Nyob rau kev loj hlob zuj zus, rov yug dua tshiab. Sib txawv ntawm lwm hom multi-chamber. Raws li txoj cai, tshwm sim thaum cev xeeb tub. Slime puv.
Mob hauv cov hlwv mucinous radiate rau ob txhais ceg. Kev ua haujlwm ntawm cov kabmob hauv nruab nrog cev raug cuam tshuam.
YDermoid cyst
Nws yog tsim los ntawm cov kab mob khaubncaws sab nraud povtseg, yog li nws yog congenital. Qhia nws tus kheej thaum muaj hnub nyoog 15-25 xyoos.
Nws muaj cov tshuaj ntsiav uas muaj cov mos mos lossis pob txha cov ntaub so ntswg, plaub hau, rau tes, rog, thiab lwm yam. Nws loj hlob sai, ua rau muaj kev xav hnyav hauv plab, tso zis ntau zaus.thiab quav quav. tshwm sim ntau zaus ntawm sab xis.
YEndometrioid neoplasm
Feem ntau dhau los ua qhov teeb meem ntawm endometriosis. Cov kab noj hniav ntawm lub cyst muaj cov kua dej xim av los yog cov ntshav (cov ntsiab lus chocolate).
YParaovarian cyst
Qhov no yog qhov chaw ntawm lub cyst ntawm zes qe menyuam thiab cov hlab ntsha, nyob rau hauv cov nplooj ntawv ntawm lub uterine ligament. Nws muaj cov ntsiab lus pob tshab nrog ntau cov protein. Sib txawv hauv kev loj hlob qeeb heev thiab nruj zoo zoo. Tsis muaj kev yug dua tshiab. Kev tshem tawm tsuas yog los ntawm kev phais. Feem ntau tshwm sim thaum cev xeeb tub. Tsis cuam tshuam nrog kev xeeb tub, kuaj pom ntxov ntawm ultrasound.
Pob zes qe menyuam ua mob rau poj niam?
Nws ncaj qha nyob ntawm hom cyst. Kev mob tshwm sim los ntawm qhov mob tsis xwm yeem mus tas li lossis tsis tuaj yeem tiv taus, tsis tuaj yeem ua rau poob siab (nrog teeb meem).
Tab sis txawm li cas los xij, algia ib txwm pib hauv plab plab, tom qab ntawd nce thiab ntws. Nrog kev loj hlob sai, qhov mob ua rau wandering. Tsis tas li ntawd, qhov no feem ntau qhia tau tias muaj kev ua phem ntawm kev kawm.
Cov tsos mob tshwm sim dav dav
Yuav ua rau zes qe menyuam mob thiab vim li cas? Lub stalk ntawm cystic neoplasm muaj cov hlab ntsha xaus, yog li mob cystic feem ntau tshwm sim.
Cov tsos mob yog qhov tshwj xeeb:
- hnyav hauv plab plab;
- kos thiab mob tsis xwm yeem lossis mob tas li;
- vaginal tawm tsis cuam tshuam rau MC;
- ncig tawg;
- dyspareunia;
- plab hnyuv loj;
- dysuria thiab quav quav nrog nyiam cem quav;
- kwv yees kub.
Ib lub zes qe menyuam puas tuaj yeem mob hnyav? Lub sharpness ntawm qhov mob syndrome nyob rau hauv zes qe menyuam cyst yog txiav txim los ntawm tus nqi ntawm nws txoj kev loj hlob, localization, qauv thiab tus cwj pwm. Kev mob hnyav thiab ntse tuaj yeem ua tau yog tias muaj teeb meem ntawm lub cyst - rupture ntawm lub capsule los yog torsion ntawm ceg. Kev mob hnyav tuaj yeem ua rau qaug zog.
Pob zes qe menyuam puas tuaj yeem mob yog tias nws loj? Kev hnov mob tshwm sim thaum qhov loj ntawm qhov tsim yog ntau tshaj 4 cm. Nyob rau hauv rooj plaub no, nws pib ua rau lub siab ntawm cov ntaub so ntswg. Cov mob no hu ua physiological rau lawv ua.
Sensations nrog ntau hom formations
Puas mob plab nrog zes qe menyuam thiab nrog qhov twg ntxiv? Follicular thiab luteal muab qhov tsis xwm yeem, mob me me hauv plab plab, ntau qhov nco txog qhov tsis xis nyob hauv sab.
Ib lub zes qe menyuam puas ua rau mob hauv siab? Qhov no tshwm sim ntau zaus thaum lub sij hawm ovulatory.
Mucinous formations yog tus cwj pwm los ntawm kev xav ntawm lub plab hauv plab. Nrog rau qhov loj ntawm lub cyst, nws mob ntau dua vim lub siab ntawm cov nqaij nruab nrog cev thiab cov nqaij mos.
Puas mob plab nrog lub zes qe menyuam ntawm mucinous keeb kwm, thiab qhov mob zoo li cas? Qhov mob syndrome no qhia nrog irradiation rau ob txhais ceg - ncej puab thiab puab tais. Nws tawg hauv qhov xwm txheej.
Nrog rau cov kab mob endometrioid, mob nqaij, nco txog kev spasms, tuaj yeem ua rau mob ceg. Qhov mob syndrome tshwm sim nyob rau theem thib ob ntawm lub voj voog, thiab qhov nce ntxiv tshwm sim thaum lub sijhawmlub sij hawm ua poj niam. Kev tsis xis nyob ntev li ob peb hnub thiab rov tshwm sim ib ntus.
Ib lub cyst paraovarian feem ntau yog asymptomatic lossis ua rau mob ib ntus ntawm lub plab, sab thiab sacrum, ywj siab ntawm theem ntawm kev coj khaub ncaws. Lawv nce nrog kev ua ub no thiab thauj khoom, tuav cov khoom nruab nrog cev thiab nres nws tus kheej.
Puas yog zes qe menyuam corpus luteum (luteal) cyst mob? Yog tias tsis muaj teeb meem, qhov mob yuav tsis tuaj lossis mob me. Pathology yog tus cwj pwm los ntawm kev ncua ntev ntawm kev coj khaub ncaws.
Nrog mob polycystic, qhov mob yog me ntsis, nws tuaj yeem tawg mus rau thaj tsam pelvic thiab lumbar.
Nrog kev tsim dermoid, qhov mob muaj zog, ntev thiab tsis tu ncua. Muab rau sacrum, coccyx thiab sab nraub qaum. Lub cyst muaj cov kua qaub zoo li cov kua qaub.
Poob lub zes qe menyuam
Txhua qhov mob yog sab xis. Thaum cev xeeb tub thiab tom qab lawv, qhov mob yuav nce ntxiv. Nws dhau los ua qhov nthuav tias sab xis ntawm zes qe menyuam ib txwm mob ntau dua, vim cov ntshav tau zoo dua.
Cyst ntawm sab laug
Puas yog cyst ntawm sab laug zes qe menyuam mob? Kev kos duab tshwm sim zoo ib yam li ntawm sab laug ntawm lub plab plab, tab sis nws tsis tshua muaj kev cuam tshuam ntau dua li ntawm sab xis sab xis. Lub plab yuav loj tuaj, tsam plab, puv thiab nthuav dav.
Kev mob nrog kev nyuaj
Thaum muaj teeb meem tshwm sim, qhov mob tshwj xeeb tshaj tawm thiab ci ntsa iab. Lub zes qe menyuam puas tuaj yeem mob thaum txhais ceg twist? Muaj tseeb tiag, thiab qhov mob hnyav yog li ntawdNws yog unbearable thiab tsis tuaj yeem daws tau los ntawm ib qho tshuaj analgesics. Cov tsos mob ntxiv tshwm sim:
- fever;
- xeev siab thiab ntuav;
- qaug zog, kiv taub hau;
- daim tawv nqaij daj ntseg thiab npog nrog hws daj ntseg;
- siab txo;
- tachycardia;
- tso zis ntau zaus;
- thirst;
- xav cem quav;
- vaginal mucus;
- tso tseg tsis nco qab.
Visually, lub plab yuav asymmetrical. Qhov xwm txheej yog qhov ceev thiab yuav tsum tau ua haujlwm ceev. Circulatory tsis ua hauj lwm vim torsion ntawm lub pedicle ua rau cov ntaub so ntswg necrosis.
Rupture of a cyst
Thaum lub cyst capsule ruptures, muaj ib tug ntse mob nyob rau hauv daim ntawv ntawm contractions, uas radiates rau ceg thiab lub qhov quav. Feem ntau, qhov rupture ntawm lub capsule tshwm sim nyob rau hauv nruab nrab ntawm lub voj voog. Cov tsos mob ntawm qhov teeb meem no zoo ib yam li torsion ntawm ceg, tab sis tsis yog cov ntaub so ntswg necrosis, peritonitis tshwm sim. Qhov no tshwm sim vim qhov tseeb tias cov ntsiab lus ntawm cov cyst feem ntau raug pov rau hauv lub plab kab noj hniav. Yuav tsum tau ua sai sai ntawm no thiab.
Kev kub ntxhov
Kev pab xwm txheej kub ntxhov tsuas yog muab los ntawm kws kho mob xwb, yog li kev pab ntawm lwm tus tsuas yog hu lub tsheb thauj neeg mob, muab tus poj niam xis nyob thiab siv qhov txias rau qhov chaw mob - lub tshuab cua txias lossis lub pob dej khov. Ua ntej cov kws kho mob tuaj txog, nws zoo dua tsis txhob noj cov tshuaj tua kab mob kom lub tsev kho mob kom huv si.
Yuav ua li cas hom kev ua haujlwm tau rau cov hlwv?
Nrog cystic formations, cov hauv qab no yog ua tauKev cuam tshuam kev phais:
- Kev tshem tawm tag nrho cov cyst tsis cuam tshuam rau cov ntaub so ntswg - cystectomy. Lub cyst capsule tsuas yog husked. Kev yug me nyuam tsis cuam tshuam.
- Oophorectomy - tshem tawm ntawm zes qe menyuam (ua tiav lossis ib nrab).
- Yog tias cov appendages raug tshem tawm nrog nws, kev ua haujlwm hu ua adnexectomy.
Yuav ua li cas rau qhov mob ntawm cov hlwv tsis yooj yim?
Mob yog vim li cas mus ntsib kws kho mob. Tsis txhob haus ib khob tshuaj thiab nyob hauv tsev.
Cov tshuaj kho mob tsuas yog kho cov tsos mob xwb. Nws txo qhov mob tab sis tsis kho lub cyst.
Koj tuaj yeem noj tshuaj loog tsuas yog raws li kws kho mob tau sau tseg, thaum tus poj niam tau saib xyuas los ntawm gynecologist tsis tu ncua thiab qhov mob yog vim qhov txo qis hauv lub cyst. Yam koj tus kws kho mob yuav pom zoo:
- txhawm rau txheeb xyuas koj cov haujlwm hauv ib qho kev npaj;
- tsis txhob deev ntau dhau;
- siv cov cua sov qhuav.
Koj tuaj yeem noj cov tshuaj tiv thaiv kab mob ("Acetaminophen", "Ibuprofen", "Indomethacin"), tshuaj hormonal ("Dufaston") thiab tshuaj tua kab mob xws li "No-shpy".
Puas yog zes qe menyuam mob tom qab tshem tawm cyst? Tom qab kev phais, qhov mob feem ntau ploj mus. Nrog laparoscopy, lawv ploj mus tom qab 3-4 hnub; nrog kev phais plab, lawv tuaj yeem nyob tau ib hlis.
Pob zes qe menyuam puas mob thaum nws daws tau? Yog tias nws me me, nws lub voj vooglub neej luv luv. Nrog rau resorption ntawm xws formations, cov tsos mob ntawm tus mob tej zaum yuav tsis. Thiab dab tsi tshwm sim nyob rau hauv ib txwm version:
- restoration ntawm MC;
- no dyspareunia;
- normalize xaiv.
Resorption tshwm sim hauv 2-4 lub voj voog lossis thaum kho nrog tshuaj hormonal.
Ntau tus neeg nug cov lus nug: "Puas yog lub zes qe menyuam puas tuaj yeem mob thaum lub sijhawm resorption?" Qhov no yog txhais raws li nram no - yog hais tias nws mob nyob rau hauv lub plab mog, ces muaj resorption. Feem ntau, qhov mob nrog qhov tshwm sim no yog qhov tsis zoo. Ib tug poj niam paub txog qhov tsis muaj cyst uas twb tau teem tseg lawm.
Pob zes qe menyuam puas mob ua ntej coj khaub ncaws? Feem ntau ib tug poj niam xav tias rub thiab mob ib ce ua ntej tuaj txog ntawm kev npaj coj khaub ncaws ib txwm.
Thaum pib cev xeeb tub, qhov mob feem ntau nce ntxiv. Koj tuaj yeem noj cov tshuaj uas tsis yog steroids lossis tshuaj loog tsuas yog mob me. Nws yuav tsum raug sau tseg tias qhov tsis xis nyob yuav tsum tau kuaj xyuas.
