Cov kev xav tsis zoo nyob rau hauv qis plab poj niam muaj ntau dua li cov txiv neej. Qhov no yog vim muaj cov yam ntxwv ntawm lub cev xeeb tub, nrog rau kev ua haujlwm cyclic ntawm zes qe menyuam. Mob nyob rau hauv lub plab mog yuav tshwm sim nyob rau hauv cov poj niam tsis tsuas yog vim pathological mob, tab sis kuj nyob rau hauv tsis muaj teeb meem kev noj qab haus huv. Txhawm rau txiav txim siab vim li cas lub zes qe menyuam rub, koj yuav tsum tau kuaj xyuas los ntawm gynecologist. Qhov teeb meem no tuaj yeem txhim kho rau ntau yam. Kev kos duab tshwm sim ob qho tib si thaum lub sij hawm ovulation thiab ua poj niam, thiab thaum cev xeeb tub. Qee zaum, lawv qhov tshwm sim tsis cuam tshuam nrog lub voj voog hormonal.
Vim li cas zes qe menyuam mob: ua rau poj niam
Teeb meem nrog poj niam kev noj qab haus huv kev sib deev yog qhov yuav tsum tau ua ua ntej rau kev txhim kho kev xeeb tub, mob ntev thiab kab mob oncological. Hmoov tsis zoo, xws li pathologies tau kuaj pom ntau dua hauv cov hluas thiab nruab nrab hnub nyoog. Txhawm rau zam qhov teeb meem txaus ntshai, koj yuav tsum mus ntsib kws kho mob gynecologist thaumqhov tsos ntawm thawj cov tsos mob ntawm tus kab mob. Txawm li cas los xij, xws li kev tsis txaus siab xws li rub lub plab hauv plab, zes qe menyuam lossis thaj tsam lumbar tsis yog ib txwm qhia txog kev txhim kho ntawm tus mob pathological. Qee zaum cov tsos mob no yog ib txwm tshwm sim ntawm kev hloov pauv hormonal txhua hli. Koj yuav tsum tau mus kuaj xyuas kom paub tias yog vim li cas lub zes qe menyuam raug mob. Cov poj niam yog vim li cas hauv qab no:
- Ovulation period.
- Premenstrual Syndrome.
- Cov txheej txheem mob tshwm sim los ntawm hypothermia.
- Nyob rau lub sijhawm mob.
- Cov kab mob inflammatory mob tshwm sim los ntawm cov kab mob tshwj xeeb (cov kab mob venereal).
- Kev hloov pauv uas nrog cev xeeb tub.
- Hormonal pathologies - zes qe menyuam ua haujlwm, hypothyroidism.
- kab mob oncological.
- Benign neoplasms - cysts.
- Kev phais mob hnyav - ectopic cev xeeb tub, zes qe menyuam apoplexy.
Tag nrho cov xwm txheej no tuaj yeem ua rau rub qhov mob, yog li tsuas yog kws kho mob tuaj yeem txiav txim siab qhov ua rau lawv tshwm sim.
Ovarian tsis xis nyob thaum lub sij hawm ovulation
Raws li koj paub, txhua tus poj niam uas muaj hnub nyoog me nyuam muaj lawv tus kheej lub cev ntaj ntsug. Nws muaj 3 theem. Nyob rau txhua lub sijhawm ntawm kev coj khaub ncaws, tus poj niam yuav yws yws tias nws lub zes qe menyuam raug rub. Ovulation yog nrog los ntawm qhov mob ntau zaus. Nws yog tus cwj pwm los ntawm kev tso tawm ntawm lub qe mus rau hauv lub plab kab noj hniav. Cov txheej txheem nonrog rau kev hloov pauv hauv gonads. Qhov tseem ceeb follicle ruptures thaum lub qe tawm. Qee cov poj niam nyob rau lub sijhawm no muaj qhov tsis txaus ntseeg rub qhov mob hauv thaj tsam sab xis lossis sab laug inguinal. Kev hnov mob tsis zoo tshwm sim nyob rau sab uas qhov rupture ntawm follicle tshwm sim. Yog hais tias lub zes qe menyuam raug mob, qhov no txhais tau hais tias cov kab mob cell tau matured nyob rau hauv nws. Kev tsis xis nyob me ntsis hauv plab plab thaum lub sij hawm ovulation yog suav tias yog ib txwm. Yog tias qhov mob rub me me thiab kav ntev li 1-2 hnub, ces nws yog physiological.
Ovulation tshwm sim hauv nruab nrab ntawm kev coj khaub ncaws. Ntxiv nrog rau qhov tsis xis nyob hauv thaj tsam zes qe menyuam, nws yog nrog rau lwm yam cim. Ntawm lawv - nce kev sib deev muaj siab, tso tawm pob tshab tuab mucus los ntawm qhov chaw mos. Ovulation kav tsuas yog 1 hnub xwb, lub sijhawm no qhov tshwm sim ntawm kev xeeb menyuam mus txog qhov siab tshaj plaws.
Vim li cas lub zes qe menyuam rub ua ntej kev coj khaub ncaws?
Mob hnov qab ntawm qhov rub tawm tuaj yeem tshwm sim tom qab ovulation. Thaum lub sij hawm no, ib tug loj npaum li cas ntawm cov tshuaj hormones - progesterone raug tso tawm. Thaum tsis muaj cev xeeb tub, tus poj niam lub cev npaj rau kev tsis lees paub ntawm endometrium - kev coj khaub ncaws. Cov poj niam thaum lub sij hawm no feem ntau yws yws tias sab laug zes qe menyuam raug rub (los yog sab xis, nyob ntawm qhov chaw ntawm cov follicle tseem ceeb). Qee lub sij hawm tsis xis nyob qhia qhov pib ntawm cev xeeb tub. Hauv qhov no, rub qhov mob tshwm sim vim qhov kev taw qhia ntawm lub qe fetal. Yog hais tias cev xeeb tub tsis tshwm sim, ces tsis xis nyob tshwm sim vim rupture ntawm lub follicle.
Lub zes qe menyuam yog lub qog ntawm cov poj niam cev xeeb tub hauv qhov kev hloov pauv tshwm simtas li. Kev mob tuaj yeem tsis tuaj yeem nrog ovulation, tab sis tseem txuas ntxiv rau ob peb hnub tom qab nws. Tom qab tag nrho, cov ntaub so ntswg ntawm lub caj pas ua rau lub cev puas tsuaj thaum lub sij hawm rupture ntawm lub follicle. Kev kho mob tshwm sim nyob rau lub sij hawm luv luv thiab tsis nrog qhov mob hnyav.
Yog tias tsis xis nyob txuas ntxiv mus ntev, koj yuav tsum sab laj nrog kws kho mob gynecologist. Tsis tas li ntawd, cov lus qhia rau kev sab laj tus kws kho mob yog rub qhov mob ntawm kev siv siab, uas yog qhov xwm txheej tas mus li. Lawv tuaj yeem qhia qhov tshwm sim ntawm cystic formations, txheej txheem inflammatory, qhov pib ntawm cev xeeb tub ectopic. Tag nrho cov pathologies no yuav tsum tau kho tam sim.
Kev mob ntawm zes qe menyuam thaum cev xeeb tub yog qhov qub
Ib yam mob uas yuav tsum tau saib xyuas tshwj xeeb ntawm ib tus neeg noj qab haus huv yog cev xeeb tub. Rub lub zes qe menyuam thaum lub sijhawm no hauv ntau tus poj niam. Feem ntau, cov tsos mob zoo sib xws tshwm sim thaum pib lossis thaum kawg ntawm cev xeeb tub. Qhov tseeb, qhov tsis xis nyob uas tus poj niam pom tau tias yog mob hauv zes qe menyuam yog txuam nrog ncab ntawm ligaments ntawm lub tsev menyuam. Qhov tseeb yog tias thaum nqa tus menyuam, kev hloov pauv tseem ceeb tshwm sim thoob plaws hauv lub cev, suav nrog hauv qhov chaw mos. Feem ntau, cov neeg mob mus ntsib kws kho mob nrog kev tsis txaus siab xws li rub lub zes qe menyuam ua ntej kev coj khaub ncaws. Hauv ntau tus poj niam, cov tsos mob zoo sib xws qhia txog kev xeeb tub. Cov kev hloov pauv cuam tshuam nrog kev nqa tus menyuam tau tshwm sim hauv thawj peb lub hlis twg. Thaum lub fetus loj tuaj, zes qe menyuam pib stretch upward. Thaum cev xeeb tub, lawv tsis tso cov tshuaj estrogen, yog li thaumThaum tsis muaj kab mob, cov gonads yuav tsum tsis txhob hnov qab.
Feem ntau, qhov tsis xis nyob hauv plab plab yog tshwm sim los ntawm pob txha. Lawv nyob hauv ib qho chaw zoo li lub zes qe menyuam. Vim li no, qhov mob tau yooj yim tsis meej pem nrog qhov tsis xis nyob uas tau pom nrog adnexitis thiab lwm yam pathologies ntawm gonads. Txawm li cas los xij, muaj qhov ua tau tias tus poj niam tau rub lub zes qe menyuam. Thaum cev xeeb tub, kev loj hlob ntawm pathologies xws li cyst lossis o ntawm appendages yog qhov ua tau. Yog li ntawd, nws tsim nyog qhia koj tus kws kho mob txog txhua qhov tsos mob tshiab.
Pathological mob thaum cev xeeb tub
Mob ntawm cov poj niam cev xeeb tub yog qhov txaus ntshai heev. Yog hais tias lub zes qe menyuam rub nyob rau hauv cov theem thaum ntxov, koj yuav tsum tau xyuam xim rau qhov siv ntawm tsis xis nyob. Kev mob me me tuaj yeem qhia tau tias kev cog qoob loo ntawm embryo rau hauv cov ntaub so ntswg uterine. Txawm li cas los xij, qhov tsis xis nyob no dhau mus sai. Yog tias qhov mob ntev li ob peb hnub lossis hnyav dua, koj yuav tsum mus ntsib kws kho mob tam sim.
Ib yam uas yuav ua rau muaj kev phom sij rau lub neej yog kev xeeb tub ectopic. Qhov no txhais tau hais tias tus me nyuam hauv plab yog txuas nrog cov ntaub so ntswg ntawm lub appendages. Feem ntau, kev xeeb tub yog kuaj pom, tab sis nws txoj kev loj hlob hauv cov ntaub so ntswg ntawm zes qe menyuam tsis suav nrog. Kev loj hlob ntawm lub embryo ua rau stretching thiab rupture ntawm lub appendages. Cov cim qhia ntawm cev xeeb tub tau raug sau tseg, xws li nce qib hCG hauv cov zis, xeev siab, ncua sij hawm cev xeeb tub thiab lub tsev menyuam loj.
Yog tias lub zes qe menyuam rub ntev ntev, qhov no yuav qhia tauadnexitis. Cov txheej txheem inflammatory thaum cev xeeb tub yog qhov txaus ntshai tshwj xeeb, vim nws ua rau muaj teeb meem. Tsis tas li ntawd, ntau cov tshuaj yog contraindicated thaum nqa tus menyuam. Mob nyob rau sab laug ntawm lub plab tuaj yeem pom nrog cem quav vim ncab ntawm txoj hnyuv sigmoid.
Gynecological zes qe menyuam pathology
Gynecological pathologies suav nrog mob salpingo-oophoritis, mob cystic hauv zes qe menyuam, nrog rau cov kab mob sib deev. Feem ntau, cov poj niam tsim cov txheej txheem inflammatory. Lawv yog tshwm sim los ntawm hypothermia, urinary ib ntsuj av tau kab mob, tsis zoo tus kheej tu cev, thiab lwm yam. Yog hais tias txoj cai zes qe menyuam mob, adnexitis yuav tsum tau sib txawv los ntawm o ntawm lub appendix ntawm caecum (appendicitis). Cov tsos mob tsis zoo nyob rau hauv qis plab nrog salpingo-oophoritis yog nrog rau lwm cov tsos mob. Cov no muaj xws li: kub taub hau, kev coj khaub ncaws tsis xwm yeem, tawm qhov chaw mos.
tsis xis nyob hauv endocrine pathologies
Qee zaum, lub zes qe menyuam raug rub vim yog cov tshuaj hormonal. Txij li cov qog nqaij hlav yog cov kabmob endocrine, lawv txoj haujlwm yog nyob ntawm kev ua haujlwm ntawm cov qog pituitary. Kev cuam tshuam hormonal tuaj yeem ua rau txo qis hauv cov tshuaj estrogen hauv zes qe menyuam. Qhov no, nyob rau hauv lem, yog fraught nrog infertility thiab kev loj hlob ntawm lwm yam pathological mob.
Kev tso tawm ntau dhau ntawm poj niam txiv neej cov tshuaj hormones kuj ua rau lub cev tsis zoo. Hyperestrogenism yog ib qho ntawm cov tseem ceeb predisposing yamnyob rau hauv txoj kev loj hlob ntawm oncological txheej txheem ntawm lub ncauj tsev menyuam, endometrium thiab zes qe menyuam. Tsis tas li ntawd, hormonal tsis txaus tuaj yeem ua rau mob qog noj ntshav.
Txhob mob tom qab cov txheej txheem kho mob
Kev mob ntawm zes qe menyuam tau pom ob peb hnub tom qab siv tshuaj. Cov no suav nrog cov txheej txheem xws li hauv vitro fertilization, tshem tawm cystic formations, ligation ntawm cov hlab ntsha fallopian, thiab lwm yam. Lub sij hawm rov qab los tom qab muaj kev cuam tshuam ntawm kev phais ntawm cov appendages yog nrog los ntawm qhov mob. Feem ntau, qhov no txuas ntxiv rau 2-3 hnub. Nyob rau hauv cov ntaub ntawv no, yuav tsum tsis muaj pronounced nce nyob rau hauv kub thiab lwm yam inflammatory tsos mob. Ib qho ntawm cov theem ntawm IVF txheej txheem yog kev hloov ntawm embryos mus rau hauv lub uterine kab noj hniav. Cov txheej txheem no yog nrog los ntawm cov lus teb hormonal los ntawm zes qe menyuam. Yog li ntawd, qhov mob me me yog suav tias yog ib txwm nyob rau hauv rooj plaub no.
Cov tsos mob ntawm zes qe menyuam pathologies
Ib yam tseem ceeb uas qhov mob ntawm lub cev tuaj yeem paub qhov txawv ntawm qhov mob pathological yog qhov muaj cov tsos mob sib xws. Tsis xis nyob, pom nyob rau hauv tus qauv, tsis yog nrog rau lwm yam cim qhia ntawm pathology. Yog tias muaj lwm yam tsos mob ntxiv rau rub qhov mob, koj yuav tsum sab laj nrog gynecologist kom sai li sai tau. Cov tsos mob ntawm cov kab mob ntawm cov poj niam cev xeeb tub muaj xws li:
- Ua npaws thiab qaug zog.
- kev coj khaub ncaws tsis zoo.
- Kev mob hnyav thaum sib deev, ua si lub cev.
- tso zis tso quavxim txawv txawv thiab muaj ntxhiab tsw.
- Paj thaum tso zis.
Thaum cov tsos mob tshwm sim, koj yuav tsum tau kuaj los ntawm gynecologist. Qee zaum, yuav tsum sab laj nrog lwm tus kws tshaj lij - tus kws kho mob tshwj xeeb, kws kho mob nephrologist, kws kho mob endocrinologist, kws kho mob oncologist.
Teeb meem ntawm gynecological pathologies
Yog tias lub zes qe menyuam rub tau ntev, muaj teeb meem tshwm sim. Ntawm lawv - infertility, kev loj hlob ntawm mob qog noj ntshav, mob phais mob. Cov lus qhia rau kev saib xyuas xwm txheej ceev yog: mob hnyav hauv lub zes qe menyuam, nro hauv plab cov leeg thiab ua npaws. Tus mob no hu ua "mob plab hauv gynecology." Nws tshwm sim nrog zes qe menyuam apoplexy vim rupture ntawm lub cyst los yog ectopic cev xeeb tub, torsion ntawm cov qog qia nrog impaired ntshav mov rau cov qog nqaij hlav.
Kev kuaj mob ntawm zes qe menyuam
Txoj kev kuaj mob tseem ceeb yog kev kuaj ultrasound ntawm lub plab pelvic. Nrog nws, koj tuaj yeem pom qhov kev hloov pauv ntawm qhov loj thiab cov qauv ntawm zes qe menyuam, kev mob ntawm cov hauv paus hniav. Ua ntej ua ultrasound, tus kws kho mob tshuaj xyuas cov kev tsis txaus siab thiab anamnesis, ua ib qho kev kuaj gynecological. Qee zaum, yuav tsum muaj lwm txoj kev kuaj mob - hysterosalpingography, organ biopsy.
Pab rub qhov mob hauv zes qe menyuam
Kev kho mob rub qhov mob hauv thaj tsam zes qe menyuam nyob ntawm qhov ua rau lawv tshwm sim. Txhawm rau tshem tawm qhov tsis xis nyob ib ntus, cov tshuaj antispasmodics tau sau tseg. Cov no suav nrogKev npaj "No-shpa" thiab "Drotaverin". Ovarian cysts yog ib qho kev qhia rau kev kho tshuaj hormone. Cov tshuaj tiv thaiv qhov ncauj "Jess", "Janine", thiab lwm yam yog siv rau cov hlwv loj lossis cov txheej txheem hyperplastic, kev kho phais yog tsim nyog. Adnexitis yog ib qho kev qhia rau kev teem caij tshuaj tua kab mob thiab tshuaj tua kab mob. Preference yog muab rau cov tshuaj "Metronidazole".
Tiv thaiv kab mob gynecological
Txhawm rau tiv thaiv kev txhim kho ntawm cov kab mob ntawm zes qe menyuam, koj yuav tsum sab laj nrog kws kho mob tam sim tom qab pib mob. Txhawm rau tiv thaiv cov txheej txheem inflammatory thiab kab mob, koj yuav tsum ua raws li cov cai ntawm kev tu cev, siv cov tshuaj tiv thaiv kab mob thaum sib deev, thiab tsis txhob raug hypothermia.
