Lub ncauj tsev menyuam mob hnyav yog ib yam kab mob gynecological txaus ntshai uas tuaj yeem ua rau muaj menyuam tsis taus lossis mob oncological. Cov txheej txheem niaj hnub tso cai rau koj kom tshem tau cov teeb meem tag nrho. Nws yog ib qho tseem ceeb tsis txhob ncua kev kho mob thiab nrhiav kev pab thaum thawj cov tsos mob tshwm sim.
Kev piav qhia ntawm cov txheej txheem pathological
Kev loj hlob ntawm dysplasia yog hais tias yog qhov kev hloov pauv ntawm qhov chaw mos ntawm lub tsev menyuam epithelium. Nrog rau lub sijhawm tshawb pom tus kab mob, cov txheej txheem pathological tuaj yeem nres tag nrho. Yog tias koj tsis kam kho, irreversible precancerous txheej txheem pib ntawm lub ncauj tsev menyuam. Muaj kev hem thawj rau tus neeg mob txoj sia.
Hmoov tsis zoo, thaum ntxov ntawm tus kab mob, dysplasia yuav tsis tshwm sim nws tus kheej li cas. Ib txoj hauv kev tiv thaiv kom ntseeg tau yog qhov tsis tu ncua (tsawg kawg ib zaug txhua 6 lub hlis) kev kuaj mob los ntawm tus kws kho mob gynecologist.
Cov txheej txheem pathological cuam tshuam rau cov txheej txheem cellular ntawm cov mucous membrane ntawm lub cev muaj npe, hauvtsis zoo li erosion, nyob rau hauv uas qhov lesion yog feem ntau txuam nrog mechanical puas. Tus kab mob no feem ntau kuaj tau rau cov poj niam uas muaj hnub nyoog yug menyuam. Kev txheeb xyuas qhia tau hais tias qhov mob hnyav uterine dysplasia tshwm sim hauv ib tus poj niam hauv ib txhiab. Tus kab mob no tseem tuaj yeem ua rau muaj menyuam tsis taus.
theem ntawm kev txhim kho kab mob
Tus kab mob tuaj yeem cuam tshuam ntau txheej txheej ntawm uterine epithelial hlwb. Nyob ntawm qhov tob ntawm cov txheej txheem pathological, muaj peb theem ntawm dysplasia:
- Daim ntawv me me yog tus cwj pwm los ntawm kev hloov me ntsis hauv cov mucosa. Qhov thib peb ntawm lub epithelium ntawm lub cev raug cuam tshuam.
- Thaum kev hloov pauv tshwm sim nyob rau hauv qis thiab nruab nrab peb ntawm lub epithelium, lawv hais txog kev mob dysplasia.
- Yog tias qhov txhab cuam tshuam rau txhua txheej ntawm lub cell epithelium, kev kuaj mob ntawm "mob hnyav dysplasia" raug tsim. Cov mob no suav hais tias yog qhov txaus ntshai heev, muaj kev pheej hmoo siab ntawm oncological teeb meem.
Nrog dysplasia hnyav, hlab ntsha, hlab ntsha, cov leeg tsis muaj kev cuam tshuam, xws li mob qog noj ntshav hauv tsev menyuam, txawm li cas los xij, kev kho tsis raug yuav ua rau muaj tus kabmob sai sai.
Nquag, uterine epithelial hlwb muaj ib puag ncig zoo li qub. Nrog rau txoj kev loj hlob ntawm cov txheej txheem pathological, cov hlwb ua tiaj tus, thiab cov epithelium nws tus kheej ua tsis zoo, nrog ntau cov nuclei. Thaum kawm, nws nyuaj rau qhov txawv ntawm cov npoo ntawm cov txheej txheem.
Vim li cas dysplasia tshwm sim?
Feem ntau, mob ncauj tsev menyuam mob hnyav yog tshwm sim los ntawm tib neeg papillomavirus tsis kuaj pom raws sijhawm. Hauv 95% ntawm cov neeg mob kom kuaj tau cov kab mob microfloraua tiav txawm nyob rau hauv kev tshuaj ntsuam dav dav. Txawm li cas los xij, qhov muaj tus kab mob hauv cov ntshav tsis tau txhais hais tias tus poj niam yuav tau kho tus kab mob txaus ntshai. Lub xeev ntawm tus neeg mob lub cev tiv thaiv kab mob tseem ceeb heev. Yog hais tias ib tug neeg ua lub neej nquag, noj tag nrho thiab so kom zoo, qhov kev pheej hmoo ntawm kev tsim cov txheej txheem pathological hauv lub cev yuav txo qis.
Qhov tseem ceeb ua rau muaj kev pheej hmoo ntawm kev tsim lub ncauj tsev menyuam dysplasia Kev haus luam yeeb, ob qho tib si nquag thiab tsis ua haujlwm. Cov ntxhais uas muaj qhov pib ntawm kev sib deev thaum ntxov kuj muaj kev pheej hmoo ntawm kev tsim kab mob. Lwm yam tsis zoo muaj xws li: kev yug menyuam ntxov lossis kev rho menyuam tawm, kev raug mob rau lub tsev menyuam (nrog rau kev phais), cov kab mob ntev ntawm lub cev xeeb tub, txhua lub xeev ntawm kev tiv thaiv kab mob.
Yuav ua li cas thiaj paub tus kab mob
Thaum ntxov, tus kab mob xyaum tsis muaj qhov tshwm sim hauv kev kho mob. Hauv 10% ntawm kev sib deev ncaj ncees, ib txoj kev latent ntawm lub ncauj tsev menyuam loj dysplasia tau pom. Nws feem ntau tuaj yeem xav tias muaj mob vim qhov tseeb tias, tawm tsam keeb kwm yav dhau los ntawm kev txo qis hauv kev tiv thaiv hauv zos, tus kab mob thib ob koom nrog thaj tsam cuam tshuam. Feem ntau, cov tsos mob ntawm colpitis tshwm sim, xws li kub hnyiab thiab khaus hauv qhov chaw mos, tawm nrog cov ntxhiab tsw tsis zoo (lawv yuav muaj cov ntshav impurities).
Nrog focal hnyav dysplasia, yuav luag tsis mob. Muaj tsawg zaus, tej zaum yuav muaj qhov tsis xis nyob me ntsis hauv plab plab, xws li thaum lub sij hawm los ntshav. Tawm tsam keeb kwm ntawm tus kab mob tuaj yeem txhim kho thiabLwm cov txheej txheem pathological ntawm cov kabmob ntawm cov menyuam yaus. Feem ntau cov poj niam raug kuaj pom muaj kab mob hauv qhov chaw mos, chlamydia, gonorrhea.
Instrumental diagnostics
Vim qhov tseeb tias lub ncauj tsev menyuam mob hnyav tuaj yeem tshwm sim yam tsis muaj cov tsos mob pom tseeb, kev kuaj mob thiab cov txheej txheem kuaj mob tseem ceeb heev. Hauv cov ntxhais uas niaj hnub mus ntsib kws kho mob gynecologist, qhov kev pheej hmoo ntawm kev tsim tus kab mob no tsawg. Tus kws kho mob tshwj xeeb yuav tuaj yeem xav tias thawj theem ntawm dysplasia twb tau kuaj xyuas tus neeg mob ntawm lub rooj zaum gynecological uas siv cov iav qhov chaw mos. Yog vim li cas rau kev tshawb fawb tob tuaj yeem yog cov cim hauv qab no - ci ntsa iab nyob ib puag ncig sab nraud ntawm lub tsev menyuam, kev hloov pauv ntawm cov xim ntawm epithelium, ib qho chaw tsis paub keeb kwm.
Yog xav tias mob dysplasia hnyav heev, tus poj niam kuj yuav tau txhaj tshuaj colposcopy. Txoj kev tshawb no yog ua los ntawm kev siv cov khoom siv kho qhov muag tshwj xeeb. Daim duab loj ntawm lub ncauj tsev menyuam ntawm lub ncauj tsev menyuam tau tshwm sim ntawm lub vijtsam saib.
Lab kuaj mob
Cov kab mob epithelial dysplasia hnyav tuaj yeem lees paub los ntawm kev kuaj cytological ntawm Pap smear. Thaum lub sij hawm soj ntsuam ntawm lub rooj zaum gynecological, tus kws kho mob yuav siv sij hawm ib tug scraping los ntawm ntau qhov chaw ntawm lub epithelium. Cov khoom siv roj ntsha uas tshwm sim tau raug tshuaj xyuas hauv lub tshuab tsom. Yog tias cov hlwb atypical muaj nyob hauv nws, lawv tuaj yeem txheeb xyuas tau yooj yim. Nrog kev pab los ntawm kev tshawb fawb cytological, nws tseem tuaj yeem txiav txim siab tus kab mob papillomavirus.
MuajIb txoj kev qhia paub txog kev kuaj mob ncauj tsev menyuam dysplasia yog kev kuaj mob histological. Thaum kuaj xyuas, tus kws kho mob gynecologist siv ib daim ntawm cov ntaub so ntswg epithelial, qhov twg cov txheej txheem pathological tuaj yeem tsim kho. Cov txheej txheem kuj ua rau nws muaj peev xwm mus ntes malignant hlwb. Kev tshawb fawb txog kev tiv thaiv kab mob PCR tso cai rau koj los txiav txim siab txog kev kho mob thiab lees paub qhov kev kuaj mob.
Kev kho mob ntawm ncauj tsev menyuam dysplasia
Kev xaiv ntawm txoj kev kho tus kab mob nyob ntawm lub hnub nyoog ntawm tus neeg mob, qhov twg ntawm qhov txhab, thiab qib ntawm cov txheej txheem pathological. Thaum ntxov, nws muaj peev xwm tiv tau tus kab mob nrog kev pab ntawm cov tshuaj. Kev kho mob yog ua raws li tus neeg mob sab nraud. Ib tug poj niam kuj yuav tsum ua raws li cov lus qhia dav dav. Ib ntus yuav tsum tso tseg kev sib deev intimacy, mus ntsib lub sauna thiab solarium. Kev tawm dag zog ntau dhau kuj yog contraindicated.
Vitamins, tshuaj hormonal npaj, immunomodulators, probiotics thiab prebiotics pab kho cov kab mob epithelium. Tsis tas li ntawd, kev kho antiviral yog nqa tawm. Nrog dysplasia thaum ntxov, txhais tau tias "Acyclovir", "Viferon" tau siv dav.
Surgery
Severe squamous dysplasia yog ib qho laj thawj rau kev kho mob phais. Kev cuam tshuam tuaj yeem ua tau ntau txoj hauv kev. Yog tias thaj chaw cuam tshuam tsis dav, tus kws kho mob yuav txiav txim siab ua diathermocoagulation. Cov txheej txheem cuam tshuam nrog cauterization ntawm thaj chaw puas siv cov hluav taws xob qis tam sim no. Kev phais yog ua raws li tshuaj loog hauv zosthiab tsis ua rau mob. Lwm txoj hauv kev yuav yog cov txheej txheem cryodestruction - thaj chaw puas raug puas tsuaj los ntawm cov kua nitrogen.
Nyob rau hauv cov xwm txheej nyuaj tshaj plaws, kev kho mob phais yog ua nyob rau hauv cov tshuaj loog hauv zos siv lub scalpel. Lub ncauj tsev menyuam cuam tshuam nrog dysplasia yog kiag li excised. Xws li kev cuam tshuam kev phais feem ntau yog siv nrog thaj tsam loj ntawm kev puas tsuaj.
Tom qab ua haujlwm, tus poj niam yuav tsum tau nyob hauv tsev kho mob ib ntus. Tus neeg mob tuaj yeem yws yws ntawm qhov mob hauv plab hauv plab ntawm qhov mob hnyav, tawm ntshav tawm ntawm qhov chaw mos. Tam sim ntawd tom qab kev cuam tshuam, lub cev kub tuaj yeem nce mus txog 38 degrees. Ob peb hnub, tus neeg mob tus mob rov zoo li qub.
Kev kho neeg pej xeem rau dysplasia
Yog kuaj mob dysplasia hnyav, kev kho mob tsuas yog ua los ntawm tus kws kho mob uas tsim nyog. Koj yuav tsis muaj peev xwm tiv tau tus kab mob ntawm koj tus kheej. Txawm li cas los xij, ua ke nrog kev kho ib txwm siv, cov tshuaj pej xeem tuaj yeem siv tau tom qab kev sab laj nrog tus kws kho mob gynecologist. Kev tshuaj xyuas qhia tau hais tias qhov chaw mos tampons soaked nyob rau hauv aloe kua txiv pab nres cov txheej txheem ntawm degeneration ntawm epithelial hlwb. Rau cov hom phiaj tshuaj, nws yog ib qhov tsim nyog los xaiv cov nroj tsuag uas nws muaj hnub nyoog tshaj tsib xyoos. Tampon hloov ob zaug ib hnub. Kev kho mob yog ib hlis.
Celandine muaj cov khoom zoo zoo. Cov nroj tsuag yog dav siv rau papillomas thiab condylomas. Lub celandine yuav tuaj cawm thiabnrog cervical dysplasia. Swabs nrog decoction ntawm celandine yuav pab txo qis qhov tshwm sim ntawm dysplasia. Hauv nws daim ntawv ntshiab, cov kua txiv hmab txiv ntoo tsis tuaj yeem siv. Nws tuaj yeem ua rau mob hnyav heev. Ib tablespoon ntawm qhuav raw cov ntaub ntawv yog poured rau hauv ib khob dej kub, coj mus rau ib tug boil thiab boil rau lwm 15 feeb. Npaj broth yuav tsum tau txias thiab lim. Nrog cov cuab yeej no, koj tuaj yeem douching ob zaug ib hnub.
Dav siv dav hauv cov kab mob gynecological ntawm lub tsev menyuam toj roob hauv pes. Rau douching, ib qho tshuaj infusion yog npaj. Ib tablespoon ntawm raw cov ntaub ntawv yog poured nrog ib khob ntawm boiling dej thiab insisted nyob rau hauv ib tug thermos rau tsib teev. Tom qab ntawd cov khoom raug lim thiab siv ob zaug ib hnub.
cawv tincture ntawm cov nroj tsuag tuaj yeem noj qhov ncauj los txhawb lub cev tiv thaiv. Cov tshuaj tiav tuaj yeem yuav ntawm lub tsev muag tshuaj. Nws yog tsim nyog los noj 15 tee ntawm tincture ob zaug ib hnub twg. Lub sijhawm kho yog peb lub lis piam.
Cov teeb meem ntawm ncauj tsev menyuam dysplasia
Cov txheej txheem mob qog noj ntshav yog qhov teeb meem txaus ntshai tshaj plaws ntawm dysplasia. Txawm li cas los xij, oncology tshwm sim tsuas yog thaum tsis muaj kev kho mob zoo. Qhov kev pheej hmoo ntawm mob qog noj ntshav hauv tsev menyuam yuav nce ntxiv yog tias tus neeg mob muaj cov tshuaj genetic predisposition rau tus kab mob no. Adenoma nrog mob hnyav dysplasia yuav tsum tau kho tam sim ntawd. Hmoov tsis zoo, cov teeb meem mob qog noj ntshav feem ntau tshwm sim thaum lub xyoo yug me nyuam thiab ua rau muaj menyuam tsis taus hauv cov poj niam.
Txawm tias dysplasia lossis mob qog noj ntshav tau tswj hwm, qhov kev pheej hmoo ntawm cov teeb meem tseem nyob. Ua ntej, tom qabkev cuam tshuam kev phais, nti tseem nyob ntawm lub epithelium. Thiab nws kuj cuam tshuam qhov pib ntawm cev xeeb tub noj qab nyob zoo. Qhov thib ob, ib txwm muaj kev pheej hmoo ntawm kev rov qab los. Tom qab tag nrho, tib neeg papillomavirus tsis tuaj yeem kho. Yog li ntawd, ib tug poj niam uas twb tau ntsib dysplasia ib zaug yuav tsum mus ntsib kws kho mob gynecologist ntau zaus rau kev kuaj xyuas.
Severe gastric dysplasia
Pathological kev loj hlob ntawm cov epithelium kuj tuaj yeem pom ntawm cov mucous ntawm lwm cov kabmob. Qhov no yog ib qho pathology uas cov hlwb hloov pauv, maj mam hloov cov ntaub so ntswg noj qab haus huv. Txoj kev loj hlob ntawm tus kab mob ncaj qha nyob ntawm ecology thiab qhov xwm ntawm tus neeg mob noj zaub mov. Mob plab dysplasia feem ntau yog ib qho teeb meem ntawm gastritis thiab ulcers. Thiab cov kab mob no tuaj yeem tshwm sim los ntawm kev siv cov khoom tsis zoo: cov khoom noj ceev, cov khoom ua tiav ib nrab. Cov cwj pwm tsis zoo kuj ua rau tsis zoo rau lub plab epithelium.
Nyob rau theem pib, kev kho kom zoo yog ua tiav. Yog tias plab hnyuv dysplasia khiav, nws tsis tuaj yeem ua yam tsis muaj kev phais.
Npaj dysplasia
mob hnyav dysplasia ntawm txoj hnyuv loj yog lwm yam kab mob uas tshwm sim los ntawm kev loj hlob txawv txav ntawm cov hlwb epithelial. Ib yam li yav dhau los, kev noj zaub mov tsis txaus feem ntau ua rau muaj tus kab mob. Kev siv cov khoom carcinogenic ua rau muaj kev pheej hmoo ntawm cov txheej txheem malignant hauv lub cev. Lub luag haujlwm tseem ceeb kuj tau ua los ntawm kev yug me nyuam. Txoj kev kho yog xaiv raws li daim ntawv thiab theem ntawm cov txheej txheem pathological.
Kev tiv thaiv ntawm ncauj tsev menyuam dysplasia
Yog tus neeg mobib zaug twb tau nrog dysplasia, kev tiv thaiv yooj yim yuav pab kom tsis txhob rov qab los. Nws yog ib qho tseem ceeb kom tsis tu ncua mus ntsib ib tug gynecologist rau kev tiv thaiv kev kuaj. Ib tug poj niam yuav tsum zam kev sib deev xws li kev sib deev, noj zoo, tso tus cwj pwm phem. Yog tias koj muaj cov tsos mob tsis zoo, koj yuav tsum nrhiav kev pab kho mob.
