Ovarian cyst - ib qho neoplasm nrog cov kua dej sab hauv. Nws nyob ntawm lub cev nws tus kheej los yog hauv nws. Yeej, tsim thiab kev loj hlob ntawm lub cyst yog kiag li asymptomatic. Nws feem ntau pom tau los ntawm lub sijhawm thaum lub sijhawm kuaj gynecological.
Txawm li cas los xij, xws li neoplasm yuav tsum yog vim li cas hu rau gynecologist, vim tias qhov tshwm sim ntawm lub zes qe menyuam tawg tuaj yeem ua rau hnyav heev thiab yuav tsum tau muaj kev cuam tshuam sai.
Yog vim li cas
Muaj ntau yam laj thawj rau ruptured zes qe menyuam. Qhov tshwm sim ntawm qhov teeb meem no ua rau muaj kev cuam tshuam loj heev, yog li cov poj niam uas muaj cov neoplasm zoo li no yuav tsum tau txais kev kho mob raws sij hawm thiab saib xyuas los ntawm kws kho mob. Nws yuav tsum raug sau tseg tias tsis yog txhua hom cysts tuaj yeem ua rau tawg. Muaj qee yam kev ua haujlwm neoplasms uas tsim thiab dhau asymptomatically thiab feem ntau tsis pom los ntawm tus poj niam nws tus kheej. Txawm li cas los xij, yog tias lub cyst yog nquag nce thiab loj hlob sai, ces muaj kev pheej hmoo siab ntawm kev tawg. Nws yuav yogtshwm sim los ntawm yam xws li:
- thinning ntawm follicle plhaub;
- hormonal ntshawv siab hauv lub cev;
- ntshav txhaws pathologies;
- kev tawm dag zog lub cev;
- kev sib deev sib deev.
Yog tias lub plhaub tawg, tag nrho cov ntsiab lus ntawm cystic tsim nkag mus rau hauv lub plab kab noj hniav. Yog li ntawd, tej zaum yuav muaj kab mob ntawm lub cev. Kev mob ntawm peritoneum ua rau muaj kev hem thawj loj heev rau kev noj qab haus huv thiab lub neej ntawm tus poj niam. Yog li ntawd, thaum thawj cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob kom paub meej tias qhov kev kuaj mob thiab tau txais kev pab kho mob lossis txiav txim seb muaj teeb meem.
Cov tsos mob tseem ceeb
Qhov tshwm sim ntawm lub zes qe menyuam tawg tuaj yeem ua rau muaj kev phom sij heev. Cov tsos mob tseem ceeb heev kom paub txog lub sijhawm kom tsis txhob muaj ntshav ntau thiab kis kab mob. Cov tsos mob thiab kev loj hlob ntawm ib tug cystic tsim yog feem ntau unnoticed los ntawm ib tug poj niam, vim hais tias nws tsis muaj tej yam tshwm sim txuam nrog rau tus mob no. Txawm li cas los xij, nws tsuas yog tsis yooj yim sua kom tsis txhob hnov qab txog qhov tawg ntawm lub cyst, txij li nws ib txwm nrog los ntawm kev mob hnyav heev nyob rau hauv lub plab mog.
Kev mob yuav txawv, txhua yam nyob ntawm qhov loj hlob. Tshwj xeeb tshaj yog, yog hais tias ib tug follicular cyst tawg, ces qhov no yog ib txwm nrog los ntawm ib tug mob qhov chaw nyob rau ntawm sab laug los yog sab xis, uas yuav tawg mus rau lub qhov quav. Lwm cov tsos mob muaj xws li mob taub hau thiab kub taub hau.
Cov tsos mob hnyav duamanifests nws tus kheej nyob rau hauv cov ntaub ntawv ntawm rupture ntawm lub luteal cystic neoplasm. Nyob rau hauv cov ntaub ntawv no, ib tug poj niam muaj ib tug heev mob heev mob, nyob rau hauv lub plab mog, uas yog ib tug me ntsis ntawm so, tab sis intensifies thaum lub sij hawm kev sib deev. Tsis tas li ntawd, tus poj niam txhawj xeeb txog mob taub hau, xeev siab.
mob hnyav tshaj plaws tshwm sim thaum lub cyst tsis ua haujlwm ruptures. Tsis tas li ntawd, nws yog nrog kiv taub hau thiab xeev siab. Tus poj niam tseem yuav plam tsis nco qab. Tsis tas li ntawd, qhov kub thiab txias yog qhov qhia meej.
Dhau li ntawm qhov no, tej zaum yuav muaj lwm yam tsos mob ntawm lub zes qe menyuam ruptured cyst, qhov tshwm sim ntawm qhov txaus ntshai heev. Cov cim qhia ntawm neoplasm rupture muaj xws li:
- kev mob nkeeg thiab qaug zog hnyav;
- tawv nqaij;
- ua txhaum quav, tso zis;
- uterine los ntshav;
- kev poob siab hauv siab.
Rupture of a cyst of the right ovary tshwm sim ntau zaus tshaj sab laug. Qhov no yog vim qhov tseeb tias lub caj pas sab xis yog qhov zoo dua los ntawm cov ntshav. Cov hlab ntsha mus rau nws ncaj qha los ntawm lub aorta. Koj tuaj yeem pom cov tsos mob ntawm ruptured zes qe menyuam cyst hauv daim duab. Kev kho thiab qhov tshwm sim ntawm qhov teeb meem no nyob ntawm tus kheej tus yam ntxwv ntawm tus poj niam, txhua yam nyob ntawm qhov nyuaj ntawm kev puas tsuaj.
Diagnostics
Cov kws kho mob tuaj yeem xav tias muaj lub zes qe menyuam tawg tom qab ua kev soj ntsuam thiab tshuaj xyuas tus neeg mob. Kev kuaj mob sib txawv nrog rau lwm cov kev phais mob hnyav tsuas yog ua tau tom qab kuaj, ntsuas thiab kho vajtse.kev tshawb fawb, xws li:
- kuaj gynecological;
- kuaj mob ultrasound;
- laparoscopy;
- npau taws ntawm fornix;
- kuaj ntshav.
Gynecological kuaj qhia pom cov hlab ntsha ntawm cov hlab ntsha hauv thaj tsam ntawm qhov chaw mos fornix, mob thiab o ntawm lub posterior fornix, yog tias los ntshav hnyav. Ultrasound diagnostics qhia tau hais tias muaj kua nyob rau hauv lub plab mog. Lub puncture ua rau nws tau txais cov ntsiab lus serous lossis ntshav rau kev tshuaj xyuas. Nws kuj qhia txog kev so. Kev kuaj ntshav tuaj yeem kuaj pom ntshav ntshav thiab leukocytosis.
Nrog kev pab ntawm tomography, nws txiav txim siab seb puas muaj cyst ntawm zes qe menyuam, lossis nws puas yog lwm yam neoplasms hauv peritoneum. Koj kuj tseem yuav tau mus ntsib kws kho mob endocrinologist. Qhov no feem ntau yog qhov tsim nyog yog tias muaj kev xav tsis thoob ntawm cov kab mob hormonal. Laparoscopy yuav pab tau thaum kawg txiav txim qhov kev kuaj mob.
Txoj kev kho mob
Nws yog ib qho tseem ceeb los kho lub zes qe menyuam ruptured, qhov tshwm sim uas yuav tsum tau muab tshem tawm tam sim ntawd. Yuav tsum muaj kev ua haujlwm. Tsis tshua muaj, cov kws kho mob txwv tsis pub noj tshuaj, tshwj xeeb yog tshuaj tiv thaiv, tshuaj hormonal thiab vitamin complexes. Xws li cov txheej txheem ntawm kev kho tsuas yog tsim nyog rau kev tshem tawm qhov txaus ntshai tshwm sim ntawm qhov tawg follicular cyst. Qhov tshwm sim ntawm rupture ntawm lwm hom cystic tsim yog tshem tawm tsuas yog los ntawm kev phais.
Laparotomy feem ntau ua. Qhov no yogib tug minimally invasive ua haujlwm uas yuav tsum tau siv cov tshuaj loog. Cov txheej txheem no ua rau nws muaj peev xwm txo tau qhov tshwm sim ntawm kev raug mob rau cov ntaub so ntswg uas nyob ib sab thiab qhov chaw ntawm lub appendage, thiab tseem tso cai rau koj los kawm txog qhov tshwm sim thiab cov tsos mob ntawm ruptured zes qe menyuam cyst. Kev kho mob hauv qhov no yog xaiv cais rau txhua tus neeg mob thiab qhia txog kev sib koom ua ke.
Yog tias tus poj niam tsis tuaj yeem mus tom tsev kho mob tam sim ntawd thaum thawj cov tsos mob tshwm sim, ces cov kab mob tuaj yeem ua rau lub cev thiab lub cev. Nyob rau hauv rooj plaub no, qhov yuav tsum tau tshem tawm cov cuam tshuam zes qe menyuam yog tsis suav nrog. Yog tias tus kws kho mob gynecologist txiav txim siab tias qhov kev ua haujlwm yog qhov yuav tsum tau ntsuas, ces nws yuav tsum paub tus poj niam nrog hom thiab qhov twg ntawm cov txheej txheem no.
Txawm hais tias muaj kev kho tshuaj, nws yog ib qho tseem ceeb kom tshem tawm cov kua dej uas tau nkag mus rau hauv qhov chaw peritoneal. Yog tias qhov no tsis ua tiav, cov ntsiab lus tuaj yeem ua rau qaug zog ntawm lub cev thiab ua rau muaj kab mob ntawm cov ntaub so ntswg thiab cov kabmob ntawm cov kab mob genitourinary.
qhov xwm txheej no txaus ntshai heev, vim tias muaj teeb meem tshwm sim los ntawm nws tuaj yeem ua rau muaj kev nyuaj siab thiab tuag ntawm tus poj niam. Yog li ntawd, nws yog ib qho tseem ceeb kom txiav txim siab sai sai rau qhov yuav tsum tau tshem tawm cov kua. Tus kws kho mob tuaj yeem tshem tawm nws thaum lub sij hawm tshem tawm cov seem ntawm cystic tsim. Qee lub sij hawm nws txaus los siv cov tshuaj tsuas yog hauv cov ntsiav tshuaj lossis cov tshuaj yaug.
Tom qab kev phais lossis thaum lub sijhawm kho tshuaj, nco ntsoov ua raws li txhua tus kws kho mob cov lus qhia thiab ua rawsnrog koj nyob zoo. Yog tias koj pom cov tsos mob me me lossis yog tias koj hnov mob, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim lossis nrog tus kws kho mob gynecologist.
Muaj qee qhov kev ua haujlwm nruj me ntsis rau tus neeg mob. Ntawm cov laj thawj tseem ceeb ntawm qhov no yuav tsum tau hais txog:
- kab mob plawv thiab hlab ntsha;
- kab mob raum;
- muaj tus kab mob hnyav;
- mob hnyav anemia.
Nyob rau hauv rooj plaub no, kev kho tshuaj tau ua tiav, thiab tsuas yog tom qab qhov kev ua haujlwm raug muab. Kev kho mob ntawm cov neoplasm no yuav pab kom tsis txhob muaj qhov tshwm sim ntawm lub zes qe menyuam ruptured, tab sis nws yog ib qho tseem ceeb uas yuav tsum tau nqa tawm raws sijhawm thiab ua tiav.
Kev ua haujlwm
Txoj kev kho mob zoo tshaj plaws yuav yog kev phais. Cov txheej txheem no yog suav tias yog txoj kev ntseeg siab tshaj plaws los tiv thaiv qhov tshwm sim loj. Cov kws kho mob nyiam laparoscopy. Lub tswv yim ntawm kev ua haujlwm yuav txawv me ntsis, tab sis nws muaj ob peb kauj ruam uas yuav tsum tau ua.
Thawj zaug, tus kws kho mob tso tseg cov ntshav. Yeej, rau lub hom phiaj no, qhov chaw los ntshav yog cauterized lossis puas cov hlab ntsha raug khi. Tom qab ntawd koj yuav tsum tau kho qhov kev ncaj ncees ntawm zes qe menyuam. Kev txiav txim siab seb lub caj pas puas tuaj yeem khaws cia tag nrho yog ua los ntawm kws kho mob tom qab kuaj pom. Yog tias tus kws phais txiav txim siab tias lub zes qe menyuam tuaj yeem cawm tau, ces nws qhib lub caj pas, tshem tawm cov txheej txheem pathological ntawm cystic neoplasm, thiab tom qab ntawd txiav qhov txiav.
Yog thaj chaw puasloj heev, tus kws phais yuav sau ib qho zes qe menyuam resection, uas yog, kev tshem tawm ntawm qhov chaw puas ntawm lub cev. Tus so ntawm lub caj pas yog sutured. Yog hais tias cov txheej txheem irreversible tshwm sim nyob rau hauv lub zes qe menyuam uas tsis tso cai rau txuag lub cev, ces nws raug tshem tawm tag nrho.
Tom qab no, yuav tsum tshem tawm cov ntshav seem uas nkag mus rau hauv plab kab noj hniav tom qab lub zes qe menyuam tawg. Yog tias qhov no tsis ua tiav, nws tuaj yeem provoke tsim cov adhesions. Txhawm rau zam qhov tshwm sim tsis zoo li no, tus kws kho mob ntxuav tag nrho cov ntaub so ntswg uas nyob ib sab ntawm zes qe menyuam.
Kev rov qab los tom qab kev phais yuav siv sijhawm li 7-10 hnub. Tom qab ntawd, tus poj niam tuaj yeem rov ua lub neej zoo dua.
Txhais tau
Pom cov tsos mob ntawm tus mob hnyav no, koj yuav tsum hu rau tus kws kho mob sai sai, vim tias qhov tshwm sim ntawm kev tawg ntawm lub zes qe menyuam cyst tuaj yeem tshwm sim los ntawm qhov tshwm sim ntawm hemorrhagic shock, uas tshwm sim vim kev poob ntshav hnyav. Yog tias tsis muaj kev pabcuam raws sijhawm, tus pojniam tsuas tuaj yeem tuag. Tsuas yog phais yuav pab tau qhov no.
Txawm li cas los xij, txawm tias muaj kev cuam tshuam zoo, nws tsis tuaj yeem hais tias tus poj niam txoj kev noj qab haus huv yog qhov nyab xeeb tag nrho. Qhov tshwm sim ntawm ruptured zes qe menyuam cyst yuav tshwm sim li:
- adhesions;
- ectopic cev xeeb tub;
- kev muaj menyuam;
- relapse.
Yog tias thaum lub sijhawm ua haujlwm tus kws tshaj lij tsis tau tshem tawm tag nrho cov ntshav ntawm lub plab kab noj hniav, ces adhesions tuaj yeem tsim los ntawm nws cov khoom seem hauv lub sijhawm. Qhov no ua rau nws nyuaj heev rau tus poj niam cev xeeb tub. Nws yog txhua yam hais txogcov hlab ntsha, uas hloov lawv qhov chaw vim yog cov txheej txheem pathological.
Kev cev xeeb tub ectopic tshwm sim vim lub qe tsis tuaj yeem hla lub raj, thiab yog li ntawd tsis ncav cuag lub tsev menyuam. Qhov tshwm sim ntawm ruptured zes qe menyuam cyst tej zaum yuav infertility, raws li qhov poob ntawm lub cev no provokes ntau yam teeb meem.
Yog tias kev kho mob ua tsis tau zoo, tus poj niam yuav rov ua dua, uas cuam tshuam rau kev tsim cov adhesions lossis o hauv peritoneum.
Rupture of a cyst thaum cev xeeb tub
Ntau zaus, neoplasms ntawm gonads tsim thiab tawg thaum yug menyuam. Hauv cov poj niam lub sijhawm no, ib qho cyst endometrioid lossis cystadenoma feem ntau yog tsim.
Cov qog endometrioid tsim muaj cov kua dej tuab tuab thiab nws tshwm thaum cov keeb kwm hormonal cuam tshuam. Lub cystadenoma yog sau nrog mucus thiab hlob mus txog 12 cm nyob rau hauv lub cheeb. Nrog rau qhov mob hnyav tas li, uas qee zaum tsuas yog ua tsis tau kom dhau mus.
Yog lub zes qe menyuam tawg, qhov tshwm sim ntawm qhov tawg rau tus poj niam cev xeeb tub tuaj yeem loj heev, vim tias cov qog ruptured ua rau txhaws ntawm plab kab noj hniav nrog cov ntshav, uas ua rau mob hnyav. Yog vim li cas neoplasm uas tau tshwm sim yuav tsum tau muab tshem tawm tam sim ntawd, tsis hais lub sij hawm gestation.
Rupture of a follicular cyst
Thaum tus qauv ntawm cov neoplasm cuam tshuam,cov tsos mob tshwm sim thiab ntxhov siab. Qhov tshwm sim ntawm rupture ntawm follicular zes qe menyuam cyst yog heev loj thiab txaus ntshai. Tus poj niam tam sim ntawd ntsib kev mob paroxysmal hnyav thiab tej zaum yuav tsis nco qab. Pathology yog nrog xeev siab, kiv taub hau, xiav lossis blanching ntawm daim tawv nqaij.
Lub follicular cyst tawg feem ntau yog vim kev ua kom lub cev muaj zog, cev xeeb tub, thiab kev sib deev ntau dhau. Qhov tshwm sim ntawm rupture ntawm lub cyst ntawm txoj cai zes qe menyuam yuav tshwm sim nyob rau hauv daim ntawv ntawm infertility, anemia, peritonitis. Tsis tas li ntawd, adhesions tsim nyob rau hauv lub peritoneum thiab pelvic ntaub so ntswg.
Kev kho mob, siv tshuaj uas pab normalize cov concentration ntawm cov tshuaj hormones kev sib deev.
Rupture of an endometrioid cyst
Yog tias qhov neoplasm tawg, nws ua rau mob hnyav heev, cuam tshuam kev ua haujlwm ntawm lub plab zom mov, thiab ntuav. Tus poj niam txawm yuav tsis nco qab ib ntus.
Qhov tshwm sim ntawm kev tawg ntawm endometrioid zes qe menyuam cyst tuaj yeem tshwm sim hauv kev tsim cov adhesions hauv peritoneum. Txij li thaum xws li ib tug neoplasm tsis hnov tsw ntawm tag nrho cov kev siv tshuaj hormonal, cov qog yuav tsum tau muab tshem tawm tam sim ntawd tom qab nws nrhiav tau. Yog tias kev ua haujlwm tsis tau ua raws sijhawm, ces qhov tawg ntawm lub cyst tuaj yeem tshwm sim txhua lub sijhawm.
Rupture of a corpus luteum cyst
xws li neoplasm muaj ib qho yooj yim thiab tuab heev plhaub, yog li ntawd, thaum nws tawg, muaj zog heev tshwm sim, zoo li lub tshuab nrog lub ntsej muag liabkhoom.
Tus poj niam tsis muaj zog heev, nws yuav tsis nco qab. Lub xeev ntawm kev noj qab haus huv hloov pauv sai heev, los ntawm kev tsaug zog thiab apathy mus rau kev ntxhov siab thiab txawm tias lub xeev ntawm kev puas tsuaj. Ib qho neoplasm tuaj yeem tawg thaum ua kom nrawm nrawm, kev sib deev sib deev, lossis mob plab.
Thaum lub corpus luteum cyst ruptures, qhov tshwm sim tsis txaus ntshai. Tus kws kho mob xaiv cov kev kho mob sib cais, nyob ntawm qhov ntim ntawm cov ntshav poob thiab kev noj qab haus huv ntawm tus neeg mob.
Kev Tiv Thaiv
Vim tias qhov tshwm sim ntawm qhov ruptured cyst ntawm lub zes qe menyuam sab laug tuaj yeem loj heev thiab txaus ntshai, nws yog qhov yuav tsum tau ua cov kev tiv thaiv uas yuav tiv thaiv qhov tshwm sim ntawm qhov teeb meem. Tias yog vim li cas txhua tus poj niam muaj kev pheej hmoo yuav tsum twv yuav raug hu:
- nquag mus ntsib kws kho mob gynecologist kom tiv thaiv kev kuaj mob;
- tshawb xyuas thiab kho cov kab mob inflammatory ntawm lub genitourinary system;
- yog tias pom cyst, ua raws li txhua tus kws kho mob cov lus pom zoo;
- tshem tawm neoplasm yog tias tsim nyog;
- plawv cev xeeb tub.
Thaum qhov kev xav tias me ntsis ntawm cov kab mob ruptured, koj yuav tsum nrhiav kev pab kho mob.
Kev kuaj mob ntawm cyst rupture feem ntau yog qhov zoo yog tias tus poj niam mus ntsib kws kho mob raws sijhawm. Hauv qhov no, nws yuav ua tau kom tsis txhob muaj qhov tshwm sim loj. Tom qab kev kho mob nyuaj, nws muaj peev xwm npaj tau cev xeeb tub.
Qhov tseem ceeb tshaj plaws yog ua raws li kev tiv thaiv kev tiv thaiv thiab tiv thaiv qhov tshwm sim ntawm cov txheej txheem inflammatory.
