Atresia (fusion) ntawm lub ncauj tsev menyuam tuaj yeem ua rau nws ua tiav lossis ib feem, uas ua rau muaj kev cuam tshuam rau kev tso tawm ntawm kev coj khaub ncaws. Muaj atresia ntawm lub tsev me nyuam kwj dej, thiab muaj atresia ntawm lub tsev menyuam. Los ntawm nws keeb kwm, qhov nqaim ntawm txoj kev ntawm lub ncauj tsev menyuam tuaj yeem ua rau thiab tau txais. Tsis ua tiav cauterization thiab curettage tuaj yeem ua rau nqaim thiab txawm tias kis tau ntawm lub ncauj tsev menyuam. Txhawm rau rov qab kho nws qhov patency, lawv mus rau qhov haujlwm hu ua bougienage ntawm lub ncauj tsev menyuam kwj dej.
Yog vim li cas thiaj kis tau
Yam cuam tshuam rau qhov tshwm sim ntawm atresia:
- Cov txheej txheem mob ntawm lub ncauj tsev menyuam.
- Scarring los ntawm cov txheej txheem pathological.
- Cov kab mob me me (mob, kab mob diphtheria).
- YMalignant neoplasms, endometritis, endocervicitis.
- Arisingthaum yug me nyuam los yog rho menyuam raug mob.
- Kev kub nyhiab ntawm cov kwj dej mucosa tshwm sim los ntawm cov tshuaj.
- Electrocoagulation ntawm channel.
- Spontaneous age-related atresia.
Tom qab bougienage ntawm lub ncauj tsev menyuam kwj dej, txhua txoj haujlwm feem ntau rov qab los.
Cov qauv ntawm lub ncauj tsev menyuam
Ib ntu me me ntawm lub ncauj tsev menyuam thiab lub tsev menyuam, kwv yees li 1 cm, hu ua isthmus. Ntawm no, nyob rau hauv lub cheeb tsam ntawm lub isthmus, lub internal pharynx yog nyob. Qhov qis ntawm lub uterine kab noj hniav thiab lub isthmus tsim qhov hu ua qis ntu, uas ua lub luag haujlwm tseem ceeb hauv kev xeeb tub thiab kev yug menyuam.
Lub ncauj tsev menyuam qis nqis mus rau hauv qhov chaw mos, thaum lub sab saud nce siab. Nyob rau hauv cov ntxhais nulliparous, raws li txoj cai, nws muaj ib tug conical duab. Tom qab yug me nyuam, lub ncauj tsev menyuam ua dav, siv lub tog raj kheej, cov kwj dej kuj muaj cov duab cylindrical. Sab nraud pharynx yog qhov qhib ntawm lub ncauj tsev menyuam, pom thaum kuaj qhov chaw mos. Hauv cov neeg mob yug menyuam, cov os sab nraud siv qhov sib txawv, yog vim li cas qhov no yog qhov tawg ntawm lub ncauj tsev menyuam thaum yug menyuam. Nulliparous ntxhais muaj pinpoint pharynx.
Bougienage ntawm lub ncauj tsev menyuam kwj dej yog siv ntau zaus. Peb yuav piav qhia txog txoj hauv kev kom ntxaws ntxiv hauv qab no.
Diagnosis
txhawm rau tshuaj xyuas lub uterine kab noj hniav, ntau yam kev ua haujlwm tau ua, xws li kev soj ntsuam lub tsev menyuam kab noj hniav, nws qhov kev tshem tawm, kev qhia tshuaj, kua dej rau kev kuaj mob, kev tshuaj ntsuam xyuas ntawm lub tsev menyuam kab noj hniav, ntau yam haujlwm - tag nrho cov kev ua haujlwm no tau ua nrog. expansion ntawm lub ncauj tsev menyuam kwj dej. Ua tawm yam tsis muajKev cob qhia kom raug, kev tshaj lij thiab kev muaj peev xwm, xws li kev tswj hwm tuaj yeem ua rau muaj kev raug mob ntawm cov kwj dej mucosa thiab, vim li ntawd, ua rau kev nqaim thiab fusion ntawm kwj dej.
Raws li tau hais los saum no, ib qho ntawm qhov ua rau atresia ntawm lub ncauj tsev menyuam kwj dej yuav yog qhov mob ntawm cov kwj dej mucosa - endocervicitis. Tus kab mob no feem ntau tshwm sim los ntawm cov kab mob cocci, rods, qee zaum kab mob. Feem ntau, endocervicitis ua ke nrog lwm cov kab mob inflammatory (piv txwv li, colpitis, salpingoophoritis, endometritis).
Cov neeg mob yws yws ntawm mucopurulent tawm, tsis nrog mob. Hauv kev kuaj xyuas, o thiab hyperemia ntawm cov mucous daim nyias nyias thiab ntau qhov tso tawm yog pom tau. Ib qho kev ncua sij hawm ntawm tus kab mob tuaj yeem ua rau kev sib kis ntawm cov txheej txheem mus rau cov leeg phab ntsa, cov qog. Hauv qhov no, bougienage ntawm lub ncauj tsev menyuam kwj dej yog qhia.
Endocervicitis yog kuaj tau raws li kev kuaj mob, kuaj cov smear ntawm qhov chaw mos thiab lub ncauj tsev menyuam. Nyob rau lub sijhawm mob hnyav, cov tshuaj tua kab mob thiab cov txheej txheem hauv zos tau muab rau kev kho mob. Kev kho mob ntawm daim ntawv ntev yuav tsum tau txhaj tshuaj tiv thaiv kab mob rau hauv lub ncauj tsev menyuam, kev kho lub cev, kev siv dej hauv zos nrog kev daws ntawm protargol, kev kho mob ntawm lub ncauj tsev menyuam nrog kev daws nyiaj.
Primary artresia
Kev kuaj mob ntawm thawj atresia tshwm sim thaum thawj coj khaub ncaws. Cov poj niam cev xeeb tub, tsis nrhiav txoj hauv kev tawm, accumulates nyob rau hauv lub uterine kab noj hniav, overflowing nws thiab stretching. Nyob rau tib lub sijhawm, kev noj qab haus huv dav dav raug kev txom nyem loj heev. NtawmKev kis ntawm cov ntshav los ntawm cov hlab ntsha tuaj yeem pib purulent o ntawm cov hlab ntsha.
Yog hais tias lub bougienage ntawm lub tsev me nyuam kwj dej tsis tau ua nyob rau lub sij hawm no, lub txim yuav muaj kev puas tsuaj.
Secondary artresia
Secondary atresia yuav tsis tshwm sim ntev. Thiab qhov kev kuaj mob tau tsim thaum tus neeg mob pib kuaj xyuas kev xeeb tub. Cov ntshav ntim rau hauv cov hlab ntsha ua rau muaj kev cuam tshuam, ua rau lub qe nkag mus rau hauv lub tsev menyuam tsis tau.
Ultrasound, soj ntsuam, MRI, hystrosalpingoscopy thiab ureteroscopy tuaj yeem paub meej qhov kev kuaj mob ntawm atresia.
Kev ua kom lub ncauj tsev menyuam qis - stenosis - yog ib qho teeb meem loj rau kev nkag mus ntawm cov spermatozoa rau hauv tsev menyuam, uas ua rau muaj menyuam tsis taus. Thiab vim muaj kev cuam tshuam ntawm cov hlab ntsha, lub qe tsis tuaj yeem nkag mus rau hauv lub tsev menyuam kab noj hniav, uas tseem ua rau fertilization ua tsis tau. Stenosis yog tshem tawm nrog kev pab los ntawm ib tug manipulation hu ua "bougienage ntawm lub ncauj tsev menyuam kwj dej".
Lwm qhov ua rau atresia yog neoplasms. Cov qog nqaij hlav uas paub zoo tshaj plaws yog adenocarcinoma. Cov tsos mob ntawm tus kab mob: poob phaus, anemia vim los ntshav ntev, mob hauv plab plab.
Cov qog nqaij hlav zoo uas cuam tshuam rau qhov tshwm sim ntawm atresia: myoma, fibroma, polyps, cysts, fibromyoma, leiomyoma, thiab endometriosis. Cov tsos mob ntawm cov kab mob no muaj ntau haiv neeg: cov no yog mob thaum lub sij hawm cev xeeb tub thiab kev sib deev kev sib deev, ntshav smearing, impaired defecation thiab tso zis.txhais tau tias zoocov qog yog tsim los ntawm kev soj ntsuam histological ntawm cov ntsiab lus ntawm cov kwj dej scraping. Kev tshuaj xyuas thiab kev kho mob tshwm sim hauv kev tswj qhov muag.
Thaum yug menyuam, kuaj xyuas kev tshem tawm, rho menyuam thiab lwm cov txheej txheem kho mob, nrog rau kev tiv thaiv tsis raug, kev raug mob ntawm lub ncauj tsev menyuam tuaj yeem tshwm sim, uas tuaj yeem ua rau atresia.
Npaj rau kev phais
Cov kab mob no tuaj yeem raug tshem tawm siv cov txheej txheem bougienage lossis laser recanalization.
Kev ua haujlwm bougienage tau ua raws li kev tshuaj loog, cov kev sim hauv qab no yuav tsum tau ua rau nws siv:
- suav ntshav tag;
- tshuaj ntsuam kab mob;
- ntshav rau syphilis thiab HIV;
- colposcopy;
- tshuaj tiv thaiv kab mob siab B thiab C;
- coagulogram;
- -Vaginal thiab ncauj tsev menyuam;
- ECG;
- fluorography;
- bacteriological los ntawm qhov chaw mos thiab CC;
- ntshav rau biochemistry;
- ultrasound;
- kev sib tham tshwj xeeb.
Tab sis qee zaus nws muaj peev xwm ua rau bougienage lub ncauj tsev menyuam yam tsis muaj tshuaj loog. Xav paub ntau ntxiv tom qab.
Yuav ua li cas mus?
Rau kev ua haujlwm ntawm bougienage, tus neeg mob tau mus pw hauv tsev kho mob. Cov txheej txheem yuav siv sij hawm li 30 feeb thiab ua raws li kev siv tshuaj loog hauv zos lossis dav dav. Thaum lub kwj dej kaw tag, kev ua haujlwm yog ua raws li kev siv tshuaj loog, nrog rau me ntsis nqaim, tshuaj loog hauv zos txaus. Tus neeg mob nyob rau ntawm lub rooj zaum gynecological, qhov chaw ua haujlwm, qhov chaw ntawm qhov chaw mos, kho nrog tshuaj tua kab mob, ces lidocaine yog txau. Ib qho tshuaj loog yog tswj hwm thiab cov txheej txheem nthuav dav nws tus kheej pib nrog kev qhia txog qhov nqaim tshaj plaws bougienage nozzle ua ntej, ua tiav txoj kab uas hla ntawm lub nozzles (nruab nrab, dav). Qhov kev nthuav dav ntawm txoj kev maj mam ua rau muaj kev kho mob maj mam.
Tom qab siv tshuaj loog, tus neeg mob tau tawm hauv ib hnub, thiab tom qab tshuaj loog hauv zos - tam sim ntawd. Yog li ntawd, bougienage ntawm lub ncauj tsev menyuam kwj dej tsis muaj tshuaj loog yog qhov zoo dua. Kev tshuaj xyuas tau lees paub tias qhov nyob hauv kev kho mob sab nraud yog 7-10 hnub. Hauv zos, txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau epithelialization, cov tshuaj tiv thaiv kab mob thiab qhov txhab kho qhov txhab raug kho kom txog thaum lub ncauj tsev menyuam raug kho kom zoo. Nyob rau hauv cov ntaub ntawv ntawm rov tshwm sim ntawm atresia, ib qho khoom siv alloplastic kwj dej yog implanted.
ntsuas tiv thaiv kev kis kab mob thiab nqaim ntawm txoj kev
- Tshuaj mob mob thiab mob ntev ntawm lub tsev menyuam thiab ncauj tsev menyuam.
- Muab kev kuaj mob rau lub sijhawm kuaj xyuas thiab kho cov kab mob gynecological thiab qog.
- Muaj peev xwm thiab tsim nyog tshem tawm, rho tawm kom tsis txhob raug mob. Kev xa me me nrog maj mam qhib lub ncauj tsev menyuam.
- Kev piav qhia kom tsis suav nrog kev tswj tsis tau ntawm kev siv douching nrog cov kev daws teeb meem hnyav uas tsis tau npaj rau qhov no, thiab tshuaj tiv thaiv kab mob.
rautiv thaiv tus kab mob tseem ceeb los ntawm menyuam yaus, ib tus yuav tsum ua raws li kev noj qab haus huv ntawm lub neej, ua si kis las, thiab zam kom tsis txhob muaj kev kis kab mob. Thaum cev xeeb tub, sim tsis txhob kis tus kab mob teratogenic uas cuam tshuam rau tus menyuam hauv plab.
Cervical Canal bougienage: price
Tus nqi nyob ntawm lub tsev kho mob thiab thaj chaw. Tus nqi qis kawg nkaus yog 600 rubles, tus nqi siab tshaj plaws yog 2000 rubles.
Bougienage ntawm lub ncauj tsev menyuam kwj dej: tshuaj xyuas
Txoj kev nthuav dav ntawm lub ncauj tsev menyuam tau siv sijhawm ntev. Kev tshuaj xyuas feem ntau yog qhov zoo. Cov poj niam yooj yim zam rau nws, nws tsis tshua muaj teeb meem. Tshwj xeeb tshaj yog tias qhov nqaim tsis dhau qhov hais tau thiab siv tshuaj loog hauv zos.
