Hauv kev xyaum urological, muaj cov kab mob xws li kab mob paraurethral. Tus kab mob no yog nyob ntawm qhov txhaws ntawm cov qog nyob ze ntawm cov zis hauv cov poj niam. Qhov no pathology yog heev tsawg. Tias yog vim li cas tus kab mob no feem ntau tsa ntau cov lus nug ob qho tib si hauv kev kuaj mob thiab hauv txoj hauv kev los daws nws.
Kev piav qhia tus kab mob
Yuav kom nkag siab tias lub cyst paraurethral yog dab tsi, nws yog qhov yuav tsum tau xav txog lub cev ntawm tus poj niam lub cev. Lub urethra (urethra) yog surrounded los ntawm ntau cov qog. Lawv hu ua paraurethral. Hauv kev xyaum kho mob, lawv feem ntau hu ua Skene cov qog, tom qab lub npe ntawm tus kws tshawb fawb tau piav qhia txog lawv.
Lawv muaj lub cev zoo li txiv hmab txiv ntoo. Lawv zoo sib xws hauv cov qauv rau cov txiv neej prostate. Ntau cov sinuses, ducts tsim ib tug dav network ntawm tubular channels. Lawv nyob ib puag ncig lub urethra ntawm sab thiab nraub qaum phab ntsa. Cov ducts ntawm cov qog yog kiag li emptied rau hauv lub urethra. zais cia,uas lawv tsim tiv thaiv cov urethra los ntawm pathogenic microorganisms. Tsis tas li ntawd xwb, nws ua rau muaj kev cuam tshuam rau kev sib deev.
Cov qog nqaij daim tawv tau hloov pauv hauv lub neej. Thaum cev xeeb tub, lawv nce mus rau qhov loj tshaj plaws. Tom qab yug me nyuam, lawv undergo involution. Menopause yog tus cwj pwm los ntawm lawv cov atrophy. Yog vim li cas qhov cyst feem ntau pom nyob rau hauv cov poj niam uas muaj hnub nyoog me nyuam.
Qee zaum lub caj pas lub qhov hluav taws xob ua rau txhaws. Nyob rau hauv cov ntaub ntawv no, lub zais cia accumulates nyob rau hauv lawv, thiab tsis mus rau hauv lub urethra. Qhov no yog li cas ib tug paraurethral cyst yog tsim. Qhov kev tsim no yog ib puag ncig me me. Nws yog elastic heev rau qhov kov. Feem ntau, lub cyst yog nyob ze ntawm qhov tawm ntawm cov zis, ze ntawm daim tawv nqaij. Txawm li cas los xij, muaj cov xwm txheej thaum pom muaj nyob hauv cov txheej sib sib zog nqus.
Ua rau mob
Muaj ntau qhov chaw paub txog kev tsim cov kab mob paraurethral hauv cov poj niam.
Kev txhim kho ntawm pathology tuaj yeem ua raws li:
- kab mob inflammatory ntawm lub urethra;
- kev raug mob thaum yug los los ntawm episiotomy (perineal incision);
- bruises, ntau yam kev raug mob ntawm cov urethra;
- microtrauma ntawm cov urethra provoked los ntawm kev sib deev ntxhib;
- mob ntev pathologies uas ua rau txo qis hauv kev tiv thaiv;
- raug mob thaum lub sijhawm ua haujlwm;
- mob ntshav qab zib mellitus;
- qee yam khoom tu cev;
- kab mob sib deev.
yam ntxwv tsos mob
Pathology tuaj yeem ua tsis tau tiav. Qhov no tau pom yog tias tus me me paraurethral cyst raug kuaj pom. Cov tsos mob ntawm cov kab mob loj heev tau hais ntau dua, thiab ua rau cov poj niam tsis xis nyob.
Cov lus tsis txaus siab tshaj plaws txog cov xwm txheej hauv qab no:
- o ntawm thaj tsam ntawm cyst tsim;
- dysuria;
- ntau yam urinary disorders;
- tsis xis nyob thaum taug kev, kev sib deev;
- urinary incontinence;
- mob thaum tso zis, qee zaum mob;
- o ntawm cov zis;
- hematuria (ntshav hauv zis);
- kev kub ntxhov, mob hauv cheeb tsam kev kawm;
- urinary incontinence;
- xav kom puv thaj tsam ntawm lub cyst;
- tso zis tsis muaj zog;
- xav txog lub cev txawv teb chaws hauv thaj tsam ntawm cov zis;
- siab rhiab heev ntawm thaj chaw paraurethral tshwm sim los ntawm induration;
- cov txheej txheem kis kab mob hauv thaj tsam ntawm lub cyst, uas tuaj yeem ua rau suppuration;
- urethral diverticulum tsim;
- muaj qhov zais cia (nqhis lossis purulent);
- hloov pauv hauv cov hlwv (hyperplastic, neoplastic);
- tsim ntawm qog nqaij hlav (tsis tshua muaj heev).
Yog hais tias qhov kev piav qhia saum toj no tsis xis nyob hauv cov zis hauv cov poj niam tau pom, ces koj yuav tsum paub tias kev rov qab los thiab kev kho tus kheej rau tus kab mob yog qhov tsis zoo. Yog li ntawd, nws yog qhov tsim nyogNrhiav kev kho mob.
Kev faib kab mob
Ob daim ntawv yog tus yam ntxwv ntawm pathology:
- daim tawv nqaij. Lawv yog tsim los ntawm blockage ntawm cov qog, localized nyob rau hauv lub cheeb tsam ntawm lub urethra. Nyob rau hauv tsos, lawv zoo li lub hnab.
- Cysts ntawm Gartner txoj kev. Xws li formations yog tsim los ntawm qhov txawv txav ntawm lub genitourinary system. Lawv qhov tsos yog nyob ntawm qhov sib xyaw ntawm cov phab ntsa ntawm qhov chaw mos thiab cov urethra. Qhov no ua rau muaj qhov sib txuam ntawm qhov zais cia, tawm tsam qhov cyst tsim.
Txawm hais tias tus kab mob no zoo li cas, kev kawm tsis tuaj yeem daws nws tus kheej. Cov kws kho mob hais tias kev nyob ntev ntawm ib lub cyst ze ntawm qhov urethra yog qhov txaus ntshai heev. Pathology tuaj yeem ua rau kev txhim kho ntawm o lossis suppuration. Nws yuav tsum tsis txhob hnov qab tias lub cyst paraurethral yog ib qho chaw zoo nyob rau hauv uas cov zis stagnation accumulates. Ntawm chav kawm, tiv thaiv keeb kwm yav dhau ntawm xws li chaw kho mob, cov kab mob sib kis. Cov txheej txheem inflammatory yuav provoke ib abscess. Thiab nws yog qhov tsis txaus siab heev yog tias lub cyst tawg. Hauv qhov no, cov ntsiab lus purulent qhib rau hauv cov zis thiab diverticulitis tsim.
theem ntawm kev nce qib
Cov kws kho mob paub qhov txawv ntau theem ntawm kev loj hlob ntawm tus kab mob:
- Thawj theem. qog ua kab mob. Raws li qhov tshwm sim, cov kab mob hauv lub genitourinary system pib tsim. Qee zaum lawv yog asymptomatic. Tab sis feem ntau nws yog nyob rau theem no uas thawj qhov tsis xis nyob yuav tshwm sim hauv cov zis hauvpoj niam. Raws li txoj cai, cov neeg mob yws yws ntawm qhov tso tawm, mob thaum tso zis.
- theem thib ob. Lub cyst pib loj hlob tuaj. Cov tsos mob saum toj no ntawm tus kab mob yog nrog los ntawm qhov mob ntawm lub plab hauv plab, tsis xis nyob thaum muaj kev sib deev. Foci ntawm qhov mob ntev tuaj yeem tshwm sim nyob ib puag ncig kev tsim.
Txoj kev kuaj mob
Yog tias muaj qhov tsis xis nyob hauv thaj chaw pelvic, koj yuav tsum tau mus rau gynecologist tam sim ntawd. Tus kws kho mob yuav kuaj xyuas, thiab yog tias nws pom muaj kab mob, ces koj yuav raug pom zoo hu rau tus kws kho mob urologist.
Tab sis yuav tsum npaj rau qhov tseeb tias txhua lub tsev kho mob urological yuav muab kev kuaj xyuas kom paub meej tias qhov kev kuaj mob, xws li:
- urinalysis;
- Ultrasound ntawm lub plab pelvic;
- tso zis kab lis kev cai (bacteriological);
- MRI;
- tso zis cytology;
- uroflowmetry;
- urethral swab;
- Yurethrocystoscopy.
Kev kho mob
Lub cyst tsis tuaj yeem ntsws ntawm nws tus kheej. Kev kho mob yuav tsis muab qhov no thiab. Thiab tib lub sijhawm, nws yuav tsum nco ntsoov tias kev kawm yog qhov txaus ntshai heev. Tom qab tag nrho, txhua lub sijhawm suppuration tuaj yeem pib. Thiab, ntawm chav kawm, nws tsis tsim nyog tos kom txog thaum lub cyst tawg.
Xav txog tag nrho cov saum toj no, nws yuav tsum to taub nruj me ntsis tias nrog kev kawm zoo li no, nws yuav tsum tau hu rau tus kws tshaj lij tam sim ntawd. Kom meej meej to taub: tib txoj kev ntawm kev soj ntsuam nrog ib tug paraurethal cyst yog phaiskev cuam tshuam. Nws tsis tuaj yeem kho tus kab mob hauv lwm txoj kev.
Kev ua haujlwm cuam tshuam me ntsis. Thaum lub sij hawm nws, lub cyst raug tshem tawm, nws cov phab ntsa yog ua tib zoo excised. Tom qab ob peb hnub, lub qhov txhab tom qab phais kho. Cov neeg mob uas tau txais qhov kev cuam tshuam no raug qhia kom tsis txhob muaj kev sib deev rau 2 lub hlis.
Txawm tias xaiv qhov chaw kho mob urological, tsuas yog kev phais kom tshem tawm cov cyst. Hmoov tsis zoo, electrocoagulation, ntau yam punctures, kev kho laser tsis tso cai kom ua tiav kev kho kom zoo. Cov txheej txheem no tsuas yog txo tus neeg mob ntawm cov tsos mob tsis zoo ib ntus xwb.
Thaum muaj kab mob lossis mob, tus neeg mob tau muab tshuaj ua ntej thiab tom qab ua haujlwm.
Muaj feem cuam tshuam
Nws yuav tsum tau hais tias lub cyst paraurethral tuaj yeem ua rau muaj teeb meem tsis zoo txawm tias tom qab phais.
Qhov tshwm sim ntawm qhov tsis zoo yog nyob ntawm qhov tsim nws tus kheej, nws qhov loj me, muaj cov txheej txheem sib kis, thiab qhov chaw nyob.
Cov teeb meem tsis zoo uas tshwm sim los ntawm kev ua haujlwm tuaj yeem yog:
- rov kis tus kab mob;
- painful urethral syndrome;
- hematoma;
- xiav;
- cyst recurrence;
- urethral nruj (xws li nqaim yog nrog los ntawm kev mob);
- urethro- thiab vesicovaginal fistulas.
tiv thaiv kab mob
Tau kawg, peb yuav tsum tsis txhob hnov qab txog cov kev ntsuas uas tso cai rau peb kom tsis txhob muaj qhov tshwm sim ntawm pathology. Nws yog qhov yooj yim dua los tiv thaiv kev tsim cystic dua li daws nws tom qab.
Cov kws kho mob pom zoo cov tshuaj tiv thaiv hauv qab no:
- kho raws sijhawm ntawm o ntawm cov zis, qhov chaw mos, zais zis;
- tshem tawm cov kab mob sib deev (chlamydia, ureaplasmosis, mycoplasmosis, trichomoniasis);
- ua raws li txoj cai huv;
- siv tsuas yog ris tsho hauv qab;
- kev tshuaj xyuas prophylactic ntawm urologist thiab gynecologist.
Kev nkag mus rau cov kws kho mob raws sijhawm yuav ua rau nws yooj yim dua thiab nrawm dua rau kev hloov pauv kev phais. Yog li ntawd, yog tias koj muaj cov tsos mob tsis zoo, koj yuav tsum tsis txhob ncua mus ntsib kws kho mob. Nco ntsoov, qhov nrawm dua koj tshem tawm ntawm cov kab mob, qhov ntau dua qhov muaj feem ntawm kev zam kom tsis txhob muaj qhov tshwm sim tsis zoo.
