Nyob rau hauv tsab xov xwm peb yuav xav txog ib qho mucinous zes qe menyuam.
Yog tias muaj qhov tsis ua haujlwm hormonal tshwm sim hauv tus poj niam lub cev ntawm qee theem ntawm cov txheej txheem ovulatory, ib qho kev tsim kho zoo nyob rau hauv daim ntawv ntawm lub cyst yuav tshwm sim nyob rau hauv zes qe menyuam, uas yog ib hom npuas uas muaj cov ntsiab lus kua.
Ovarian cysts tuaj ntau yam:
- functional - luteal thiab follicular;
- endometrioid;
- dermoid;
- paraovarian;
- serous;
Qee cov kab mob cystic ploj mus ntawm lawv tus kheej tom qab ob peb lub caij coj khaub ncaws lossis kho tshuaj, lwm tus yuav tsum tau phais.
yam ntxwv dav dav ntawm cov kab mob no
Ib tug mucinous zes qe menyuam cyst (cystadenoma) yog ib qho epithelial ntau yam ntawm benign zes qe menyuam cyst. Cov ntsiab lus ntawm cov neoplasm no muaj cov kua mucous - mucin, uas yog tsim los ntawm cov hlwb epithelial. Zoo sib xwscov qog tuaj yeem loj hlob mus rau qhov loj, nyob rau hauv thawj theem nws loj hlob yam tsis muaj tsos mob thiab feem ntau yog kuaj pom ntawm ultrasound scan los yog ntawm gynecologist lub sij hawm. Nrog rau qhov loj me me, cov qog tau tshwm sim los ntawm kev rub qhov mob, tso zis ntau zaus, kev xav ntawm qhov hnyav hauv cov hnyuv, thiab ua txhaum ntawm cov quav.
Qhov txawv ntawm tus kab mob zes qe menyuam
Lub ntsiab txawv ntawm lub zes qe menyuam mucinous yog:
- Oval or round shape.
- Feem ntau - ntau chav tsev, uas yog, muaj qhov sib faib hauv lub cyst.
- Npaj npaim.
- kev loj hlob.
- Tau txog 40 cm inch.
- Cov cyst no tshwm sim li ntawm 20% ntawm tus neeg mob.
- Muaj peev xwm hloov mus rau hauv cov qog nqaij hlav oncological.
Mucinous ovarian cyst yog tus cwj pwm los ntawm kev ua rau degeneration rau hauv cov qog nqaij hlav cancer. Yog tias kuaj pom, tus poj niam yuav tsum tau kho tam sim.
Ua rau daim ntawv no ntawm cyst
Ib qho laj thawj txhim khu kev qha ntawm txoj kev loj hlob ntawm mucinous cyst ntawm lub zes qe menyuam sab laug lossis sab xis tsuas yog tsim los ntawm tus kws tshaj lij, txawm li cas los xij, qhov yuav tsum tau ua ua ntej rau cov txheej txheem pathological no yuav ua raws li hauv qab no:
- Cov tshuaj hormonal nyob rau hauv poj niam lub cev, provoked los ntawm tsis muaj ovulation, pib thaum ntxov ntawm cev xeeb tub, thiab lwm yam.
- Cov txheej txheem ua mob ntawm cov xwm txheej mob ntev hauv cov plab hnyuv siab raum (adnexitis, endometriosis, o ntawm lub cev ntawm lub tsev menyuam, fibroids, thiab lwm yam).
- Kev ua txhaumCov txheej txheem metabolic, rog rog, ntshav qab zib kuj tuaj yeem ua rau cysts.
- Abortion.
- Climacteric change.
- Hereditary predisposition ntawm cov caj ces los yog congenital, tsim nyob rau theem ntawm embryo txoj kev loj hlob.
- Kev siv cov tshuaj tiv thaiv kab mob hauv lub cev tsis raug, kev teeb tsa tsis zoo ntawm cov kauv.
- Kev tiv thaiv kab mob tsis muaj zog.
Kev kuaj mob ntawm no pathology
Ib daim duab ntawm lub zes qe menyuam mucinous tuaj yeem ntshai tsis yog lub plawv dhia xwb. Txawm li cas los xij, nyob rau theem pib ntawm qhov tshwm sim, tus kab mob no yuav tsis tshwm sim nws tus kheej hauv kev kho mob, thiab feem ntau kuaj pom thaum lub sij hawm niaj hnub ultrasound scan lossis ntawm gynecologist lub sij hawm. Cov tsos mob ntawm txoj kev loj hlob ntawm no benign tsim tshwm sim thaum nws loj hlob thiab yog yus muaj los ntawm cov tsos mob nram qab no:
- plab o;
- mob, rub qhov mob hauv nruab nrab ntawm lub plab, lossis tsuas yog ntawm ib sab, hauv thaj tsam ntawm zes qe menyuam;
- tso zis tsis yooj yim, tso zis ntau zaus;
- tas li ntawm txoj hnyuv puv;
- cem quav;
- nausea;
- qaug zog dhau, qaug zog.
Yog tias cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob tshwj xeeb. Cov xwm txheej zoo li no tuaj yeem txhais tau tias kev tsim cov cystic twb tau mus txog qhov loj me thiab qhov kev sib txuam ntawm cov khoom nruab nrog cev thiab cov hlab ntsha nyob ze pib.
Txoj hauv kev zoo tshaj plaws los kuaj xyuas cov kab mob notxheej txheem thaum ntxov - kev tshuaj xyuas kev tiv thaiv ntawm gynecologist ib zaug txhua rau lub hlis.
Ntxiv rau qhov ultrasound thiab cov tsos mob sab nraud, cov hauv qab no yog siv los kuaj mob:
- ua qhov kuaj ntshav kuaj kom txiav txim siab tus oncomarker CA-125;
- ob txhais tes gynecological kuaj ntawm zes qe menyuam;
- Magnetic resonance lossis xam tomography.
Kev kuaj mob laparoscopy yog ib txoj hauv kev zoo los tsim kom muaj hom kab mob benign.
Yuav muaj teeb meem ntawm cov formations
Zoo ib yam li lwm hom hlwv zes qe menyuam, mucinous cysts tuaj yeem ua rau muaj teeb meem hauv qab no:
- txhim kho tus txheej txheem malignant;
- kev muaj menyuam;
- ceg twist;
- miscarriage;
- tawg ntawm cystic tsim.
Cov teeb meem saum toj no tuaj yeem tshwm sim los ntawm cov hauv qab no:
- kuaj mob lig;
- kev ua lub cev hnyav;
- xeeb tub;
- psycho-emotional overload.
Kev kho ntawm zes qe menyuam mucinous
Thaum qhov tshwm sim ntawm zes qe menyuam neoplasm tshwm sim, feem ntau, siv txoj kev kho mob nyuaj, suav nrog ob theem:
- phais tshem tawm ntawm pathological neoplasm;
- kev kho mob hauv daim ntawv ntawm kev kho tshuaj hormone.
Ua ntej muab tshuaj kho rau tus neeg mob, tus kws kho mob tshwj xeeb yuav tsum ua qhov kev kuaj mob histological ntawm cov qog, piv txwv li, xyuas kom meej tias nws yog qhov zoo thiab tsis suav nrog kev txhim kho ntawm cov txheej txheem oncological.
Npaj rau kev phais kho mob ntawm pathology
Ua ntej ua haujlwm kom tshem tawm cov cyst ntawm lub zes qe menyuam sab xis lossis sab laug, tus neeg mob tau txais qee cov txheej txheem kev npaj thiab ua tiav ntau qhov kev sim kuaj:
- kuaj ntshav dav dav thiab biochemical;
- general urinalysis;
- kuaj ntshav rau kev txiav txim siab ntawm oncomarkers CA 125;
- tshawb nrhiav STD;
- smear rau microflora thiab kuaj cytological ntawm smear ntawm lub ncauj tsev menyuam;
- kev txiav txim siab ntawm Rh yam thiab hom ntshav;
- kev tsom xam;
- gynecological kuaj ntawm qhov chaw mos los ntawm colposcopy;
- endometrial biopsy.
Tam sim ua ntej kev phais, koj yuav tsum:
- tau txais kev sab laj nrog tus kws tshuaj loog;
- ntxuav cov hnyuv nrog ib qho enema;
- tshem tawm pliaj plaub hau;
- tsis kam haus thiab noj.
Ntxiv rau, ib qho tseem ceeb ntawm kev npaj ua ntej yog kev xav ntawm tus neeg mob. Nws yuav tsum tau nco ntsoov tias hom cystic formations no tsuas yog kho tau los ntawm kev tshem tawm, thiab qhov tshwm sim sai dua, qhov tsis zoo yuav tshwm sim rau tus poj niam lub cev.
Kev ua laparoscopy
Laparoscopic phais yog suav tias yog ib qho ntawm cov kev phais mob tsawg kawg nkaus. Kev ua haujlwm yog ua los ntawm kev siv cov cuab yeej nyias nyias thiab lub koob yees duab me me, uas tau muab tso rau hauv lub plab kab noj hniav los ntawm kev txiav me me ntawm lub cev.
Tag nrho kev tswj hwm yuav tshwm sim nyob rau hauv cov tshuaj loog. Ib yam li ntawd, txawm tias loj neoplasms tuaj yeem raug tshem tawm. Ua ntej extraction, cov qog yog muab tso rau hauv ib lub hnab ntim, emptied nyob rau hauv nws, thiab tsuas yog tom qab ntawd nws raug tshem tawm sab nraud. Tus neeg mob tus mob tau saib xyuas thoob plaws hauv kev kho mob phais.
Qhov zoo ntawm cov txheej txheem no yog raws li hauv qab no:
- ob peb teev tom qab kev cuam tshuam, tus poj niam tuaj yeem taug kev, noj;
- Peb hnub tom qab kev tswj hwm, nrog rau qhov muaj txiaj ntsig zoo, tus neeg mob tau tawm hauv tsev.
Lub sijhawm rov qab los
Cov txheej txheem ntawm kev rov ua haujlwm tom qab kev phais kho mob ntawm cov qog nqaij hlav ntawm lub zes qe menyuam sab xis lossis sab laug yuav siv sijhawm, raws li txoj cai, tsis pub ntau tshaj ib hlis. Me me incisions ntawm lub cev zoo sai heev, txo qhov kev pheej hmoo ntawm kis kab mob. Yog tias tsim nyog, tus poj niam tau muab tshuaj tua kab mob.
Cov lus qhia dav dav rau cov neeg mob nyob rau theem ntawm kev kho kom rov zoo:
- tshem tawm kev tawm dag zog ntau dhau, suav nrog kev cob qhia kis las;
- tsis txhob nqa khoom hnyav;
- txwv cawv thiab zaub mov nyuaj;
- qee zaum, cov kws kho mob pom zoo kom cov neeg mob hnav cov ntaub qhwv tom qab phais.
Kev ntsuas rau mucinous zes qe menyuam
Thaum cov poj niam hluas tsis muaj menyuam, kev kho lub cev tuaj yeem ua tiav. Yog tias cov qog ntawm zes qe menyuam tsis tau dhau mus rau theem oncological, ces kev khaws cia ntawm kev ua me nyuam ntawm zes qe menyuam yog ua tau. Hauv qhov no, qhov kev cia siab rau cov txheej txheem phais yog qhov zoo heev.
Cov poj niam thaum cev xeeb tub raug tshem tawm tag nrho ntawm lub tsev menyuam thiab nws cov appendages. Kev rov qab los tom qab kev ua haujlwm zoo li no yuav siv sijhawm kwv yees li 2 lub hlis.
Yuav kom tsis txhob rov muaj dua, txhua tus neeg mob raug pom zoo kom mus kuaj kev tiv thaiv.
Cyst thaum cev xeeb tub
Thaum cev xeeb tub, kev pheej hmoo ntawm kev loj hlob lossis torsion ntawm cov kab mob neoplasm no nce ntxiv. Kev npaj ua haujlwm kom tshem tawm cov qog no hauv qhov xwm txheej no feem ntau pab kom tsis txhob muaj teeb meem ntau.
Cov qog nqaij hlav zoo ntawm hom mucinous thaum cev xeeb tub tuaj yeem ua rau nchuav menyuam. Yog li ntawd, ua ntej xeeb tub, nws raug nquahu kom kuaj xyuas, thiab, yog tias tsim nyog, kho.
