Kab mob ntawm poj niam cev xeeb tub tuaj yeem ua rau asymptomatic. Yog li, tus neeg mob tuaj yeem paub txog cov kab mob pathology thaum tus kab mob nkag mus rau theem siab. Txhawm rau zam qhov no, koj yuav tsum tau kuaj xyuas los ntawm gynecologist tsawg kawg ib xyoos ib zaug. Ib qho ntawm feem ntau pathologies yog lub npe hu ua hormonal zes qe menyuam cyst. Cov yam ntxwv ntawm tus kab mob, nws cov tsos mob thiab txoj kev kho mob yuav tau tham hauv qab no.
Kev piav qhia tus kab mob
Hormonal zes qe menyuam cyst yog ib qho kev tsim kho zoo, uas yog ib qho khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob khoob. Nws tuaj yeem ua kua, rog, ntshav lossis lwm yam khoom siv. Hormonal cyst yog ib lub tswv yim ua ke. Nws tshwm sim los ntawm ntau cov txheej txheem pathological hauv lub cev.
Los ntawm lub npe ntawm xws li neoplasm nws yog qhov tseeb tias qhov ua rau qhov tsosovarian cysts hormonal tsis ua haujlwm. Txawm li cas los xij, muaj ntau yam laj thawj rau qhov pom ntawm cysts. Qhov no tej zaum yuav yog tus txheej txheem inflammatory, raug rau sab nraud yam tsis zoo, noj tej yam tshuaj.
Cov cyst tsis suav tias yog qog nqaij hlav zes qe menyuam. Nws loj hlob tawm ntawm cov qauv ntawm lub cev. Lub plhaub ntawm lub cyst yog cov ntaub so ntswg sib txuas. Nws tsis loj hlob, nws tsuas nthuav. Xws li kev tsim tuaj yeem tsuas yog ntawm ib lossis ob lub zes qe menyuam xwb. Thaum lub capsule loj tuaj, cov ntsiab lus sib sau los ntawm cov ntaub so ntswg sib txuas. Vim li no, cysts feem ntau rupture los yog twist.
Tab sis cov kws kho mob hu ua qog nqaij hlav zes qe menyuam yog cystoma. Nws tuaj yeem loj hlob, loj hlob mus rau cov ntaub so ntswg nyob sib ze. Nws muaj feem yuav loj hlob mus rau hauv cov qog malignant.
kom nkag siab txog cov txheej txheem ntawm kev txhim kho cyst, koj yuav tsum muaj lub tswv yim txog kev ua haujlwm ntawm zes qe menyuam. Cov kabmob no muaj cov follicles. Lawv tas li tsim hloov pauv hauv ib lossis lwm qhov zes qe menyuam. Qee tus ntawm lawv tau rov qab txhim kho, uas yog hu ua atresia.
Tsuas ntawm cov hauv paus hniav loj hlob, mus txog theem ntawm ovulation, tsim cov corpus luteum. Thaum lub sij hawm, cov txheej txheem xws li apoptosis (programmed cell tuag) tshwm sim. Nws dissolves kiag li. Tab sis thaum apoptosis raug ua txhaum, ib qho neoplasm yog tsim. Feem ntau, qhov ua rau ntawm qhov sib txawv no yog hormonal tsis ua haujlwm, tab sis cov txheej txheem no tseem tsis tau kawm kom ntxaws.
Ntau yam
Hormonal ovarian cyst ntawm sab laug lossis sab xis yuav xa mus rau ib lossis lwm hom. Los ntawm dab tsi musneoplasm belongs rau qeb, txoj hauv kev rau nws txoj kev kho mob kuj nyob ntawm. Feem coob ntawm cov poj niam ntawm lub hnub nyoog yug me nyuam tsim follicular thiab corpus luteum cysts.
Cov no yog cov neoplasms tsawg txaus ntshai uas ploj mus ntawm lawv tus kheej hauv 2-3 lub hlis. Tab sis muaj lwm hom cysts. Feem ntau hom yog:
- Functional. Pawg no suav nrog cov hlwv ntawm lub cev luteum. Lawv tshwm sim ntawm qhov tawm ntawm lub follicle ntawm lub qe. Kev loj hlob ntawm qog pib tom qab ovulation. Hauv lub xeev ib txwm muaj, corpus luteum muaj qhov loj ntawm 17-25 hli. Yog tias qhov loj dua, qhov tsim no hu ua cyst. Hauv txoj kab uas hla, lawv tuaj yeem ncav cuag 5-6 cm. Hemorrhage tshwm sim, uas yuav tsum tau phais sai. Los ntshav sab hauv tuaj yeem ua rau tuag taus.
- Follicular. Cov formations no yog tshwm sim los ntawm tsis tau ovulation. Lub follicle tsis rupture, tab sis loj hlob ntxiv. Kua accumulates nyob rau hauv nws kab noj hniav. Cov follicle tseem ceeb muaj qhov loj ntawm 17 txog 23 mm. Yog hais tias nws tsis ovulate rau hnub tim 11-14 ntawm kev coj khaub ncaws, nws loj tshaj qhov kev tso cai, qhov tsim yog hu ua cyst. Txoj kab uas hla ntawm lub cyst tuaj yeem ncav cuag 12 cm.
- Paraovarian. Xws li formations nyob nruab nrab ntawm ligaments ntawm zes qe menyuam. Kev kawm muaj ib lub capsule, qhov loj ntawm 2-10 cm Nyob rau hauv nws muaj kua. Nws muaj ib qho me me ntawm cov protein. Xws li lub cyst tsim maj mam.
- YEndometrioid. Nws yog qhov tshwm sim ntawm endometriosis, uas tshwm nyob rau hauv lub zes qe menyuam. Cov hlwb endometrial, vim qee qhov xwm txheej, nkag mus rau zes qe menyuam. Nyob rau tib lub sijhawm, lawv ua raws li cov cai ntawm kev coj khaub ncaws. Thaum lub sij hawm ntawm kev coj khaub ncaws tuaj, cov hlwb no raug rhuav tshem thiab khaws cia hauv cov tshuaj ntsiav. Cov ntshav thickens thiab txo nyob rau hauv no tsim.
- Dermoid. Xws li cysts yuav luag tsis dhau los ua malignant. Hauv cov tshuaj ntsiav yog cov rudiments ntawm cov ntaub so ntswg adnexal, piv txwv li, adipose, pob txha. Xws li lub cyst loj hlob qeeb, tab sis dhau sij hawm nws tuaj yeem ua rau cov ntaub so ntswg nyob sib ze, cuam tshuam lawv txoj haujlwm zoo.
- YCytadenoma. Qhov no yog cystoma los yog cyst tiag. Xws li ib tug neoplasm tej zaum yuav muaj ib los yog ntau chav. Nyob ntawm lawv cov ntsiab lus, lawv muab faib ua mucinous thiab serous.
Cov no yog hom tseem ceeb ntawm hormonal ovarian cysts. Kev kho mob nyob ntawm seb hom neoplasm. Nws tuaj yeem yog kev saib xyuas lossis phais.
Qhov laj thawj tseem ceeb ntawm cysts
Hormonally active ovarian cysts tshwm sim vim muaj ntau yam teeb meem hauv lub cev. Lub mechanism ntawm lawv qhov tshwm sim yog tsis to taub tag nrho. Qhov laj thawj tseem ceeb ntawm cov kab mob no yog kev ua txhaum ntawm apoptosis, nrog rau qhov tsis txaus ntawm cov tshuaj hormones kev sib deev.
Ntxiv rau, cov neeg mob uas muaj cov kab mob zoo li no feem ntau muaj qhov mob ntawm tus poj niam qhov chaw mos. Cov kab mob endocrine kuj ua tau. Cov no yog cov laj thawj tseem ceeb rau kev loj hlob ntawm cysts. Ntawm lwm yam uas ua rau lawv txoj kev loj hlob, cov hauv qab no tau sau tseg:
- tus cwj pwm phem (kev haus luam yeeb, cawv, thiab lwm yam).
- Ntau dua lossis qis dua.
- Climate change, living conditions.
- Kev ntxhov siab, ua haujlwm dhau, kev nyuaj siab.
- Thaum ntxov lossis, piv txwv li, lig pib ntawm kev sib deev.
- kev ua lub cev zoo heev.
Ib hormonal cyst zes qe menyuam tuaj yeem tshwm sim hauv ob tus menyuam yaus thiab cov poj niam laus. Yog li, kev kuaj mob raws sij hawm tso cai rau koj txheeb xyuas cov kab mob hauv cov theem pib.
Symptomatics
Muaj cov tsos mob sib txawv ntawm hormonal zes qe menyuam cyst. Txawm hais tias ntau npaum li cas tus kab mob no tshwm sim yam tsis muaj tsos mob. Cov hlwv no tau pom thaum lub sijhawm kuaj ultrasound lossis thaum kuaj gynecological.
Tab sis qee qhov xwm txheej, qhov tshwm sim ntawm qhov tsim muaj tuaj yeem xav tias muaj cov tsos mob sib xws. Lub hormonal zes qe menyuam muaj ntau qhov tshwm sim:
- Kev mob plab hauv plab lossis los ntawm ib sab.
- Mob nce ntxiv thaum sib deev.
- Muaj qhov hnyav hauv plab plab.
- Uterine dysfunctional los ntshav.
- Xav tias siab thaum lub plab zom mov lossis zais zis.
- Ntshav lossis ntuav nrog kev tawm dag zog ntxiv.
- kev coj khaub ncaws tsis xwm yeem mus txog amenorrhea.
Muaj lwm cov tsos mob uas yuav tsum hu rau lub tsheb thauj neeg mob sai.
- Pab phab ntsa tense.
- mob hnyav hauv plab plab.
- Kub kub (saum toj no38ºС) thaum mob hauv plab plab.
- uterine los ntshav tsis yog menses.
- qaug zog, kiv taub hau, nqhis dej heev.
- Faint.
- Ntaus thiab ntuav.
- tawv nqaij tawv, tawm hws hnyav, tso zis ntau zaus.
Cov tsos mob saum toj no yuav qhia tau tias muaj kab mob ruptured. Hauv qhov no, koj yuav tsum tau ua sai sai. Los ntshav sab hauv yog ua rau lub neej hem. Yuav tsum tau kho mob phais tam sim ntawd.
Diagnosis
Kev kho tus kab mob hormonal ntawm zes qe menyuam tsis tuaj yeem raug kho yam tsis muaj kev kuaj mob kom raug. Qhov no yog cov txheej txheem kev tshawb fawb uas tso cai rau koj los txiav txim siab qee yam ntawm tus kab mob. Raws li cov txiaj ntsig ntawm kev tshuaj ntsuam xyuas, kev txiav txim siab yog ua raws li txoj hauv kev thiab kev kho mob.
Qee qhov xwm txheej, tus kws kho mob yuav xav tias qhov kev loj hlob ntawm cyst thaum kuaj. Txawm li cas los xij, kom tau txais cov ntaub ntawv raug, ib qho ultrasound ntawm zes qe menyuam yog qhov yuav tsum tau ua. Qhov kev ntsuam xyuas no tso cai rau koj los txiav txim qhov chaw thiab hom cyst, nws qhov loj me. Raws li cov ntaub ntawv tau txais, tus kws kho mob txiav txim siab xaiv txoj kev kho mob.
Ntawm ultrasound, lub cyst zoo li qhov chaw tsaus. Qhov no yog ib qho chaw anechoic uas muaj lub plhaub. Yog tias tsim nyog, tus kws kho mob yuav sau ntawv mus kuaj ntxiv:
- zes qe menyuam tomography;
- laparoscopy;
- MRI;
- tshuaj ntsuam los txiav txim siab qib ntawm cov tshuaj hormones kev sib deev;
- tshuaj ntsuam rau oncomarkers CA-125 (xav txog cov haujlwm ntawm cov txheej txheem), HE-4 (daim ntawv preclinicalmob cancer);
- Douglas hnab ris puncture, uas yog siv thaum xav tias los ntshav sab hauv vim yog lub cyst tawg.
Yog tias tsis muaj qhov tsis txaus ntseeg ntawm cov txheej txheem oncological, kev cia siab tactics raug xaiv. Yog tias nyob rau hauv 3 lub hlis lub cyst tsis tau daws los yog tsawg kawg tsis txo qhov loj, nws raug tshem tawm phais.
Txoj kev kho mob
Ib hormonal cyst ntawm zes qe menyuam tuaj yeem ploj mus ntawm nws tus kheej. Yog li ntawd, kws kho mob thiab xaiv expectant tactics. Qhov no tshwm sim feem ntau, tab sis tsuas yog tias nws yog follicular lossis corpus luteum cyst. Nws yuav tsum to taub tias txawm tias qhov tsis zoo tshaj plaws, me me neoplasm yuav tsum tau saib xyuas tas li los ntawm cov kws kho mob. Qhov no pab tiv thaiv kev txhim kho ntawm cov teeb meem.
txhawm rau ua kom muaj qhov zoo ntawm kev kho tus kheej, koj yuav tsum ua kom cov tshuaj hormonal zoo li qub. Koj yuav tsum paub meej tias cov tshuaj twg hauv cov ntshav tsis ua raws li cov qauv tsim. Qhov no yog ib txoj hauv kev zoo, raws li kev txheeb xyuas. Hormonal kev kho mob ntawm zes qe menyuam cysts yog muab raws li ib tug neeg lub tswv yim, raws li cov yam ntxwv ntawm tus neeg mob lub cev. Cov no yog cov tshuaj uas siv tau los tiv thaiv kab mob.
Anti-inflammatory thiab antibacterial kho kuj tau sau tseg. Tus kws kho mob yuav sau ntawv physiotherapy, nrog rau kev npaj enzyme. Conservative kev kho mob kav mus ob peb lub hlis. Tom qab ntawd lwm qhov ultrasound tau teem sijhawm. Raws li nws cov txiaj ntsig, kev txiav txim siab yog txiav txim siab ntxiv.
Yog tias kev kho mob tsis zoo, nws tau qhiaphais kev cuam tshuam. Nws tuaj yeem yog laparotomy (qhib qhov txiav) lossis laparoscopic (los ntawm qhov endoscope).
Yog tias qhov no yog ib txoj kev xaiv, koj tus kws kho mob yuav zoo li yuav muab cov txheej txheem laparoscopic. Hauv qhov no, lub plab phab ntsa yog qhov raug mob tsawg dua. Lub sijhawm rov qab los yuav luv. Hauv kev phais xwm txheej ceev, laparotomy tau ua. Qhov no tshwm sim yog tias muaj kev xav tias cov qog tau degenerated rau hauv malignant neoplasm lossis yog tias qhov loj ntawm lub cyst loj dua qhov nruab nrab. Tsis tas li ntawd, yog hais tias lub cyst ruptures los yog twists, ib tug laparotomy yog sau.
tshuaj xyuas Hormone therapy
Raws li kev tshuaj xyuas, hormonal ovarian cyst feem ntau yuav ploj mus yog tias siv qee yam tshuaj. Lawv cov npe yog qhov tseem ceeb, tab sis tsuas yog tus kws kho mob gynecologist yuav tsum xaiv tom qab kuaj mob. Txoj kev kho mob suav nrog cov tshuaj hauv qab no:
- tshuaj hormonal.
- Tshuaj tua kab mob.
- Vitamins.
- painkillers.
- Antidepressants.
Cov npe tshuaj hormonal rau cov qog zes qe menyuam suav nrog cov tshuaj progesterone. Cov cuab yeej no tau ua pov thawj tias muaj txiaj ntsig zoo. Nrog lawv cov kev pab, raws li kev txheeb xyuas, koj tuaj yeem kho lub zes qe menyuam yam tsis muaj kev phais. Progesterone tswj qhov thib ob ib nrab ntawm kev coj khaub ncaws. Thaum siv nyob rau hauv kev kho mob regimen, nws hloov tawm kom qeeb txoj kev loj hlob ntawm cyst. Vim li no, neoplasm maj mam txo kom txog thaum nws ploj tag.
Cov tshuaj hormonal rau kev kho mob ntawm zes qe menyuam yog cov tshuaj tiv thaiv qhov ncauj. Lawv yoginhibit zus tau tej cov estrogen, yog li tsis muaj ovulation thaum kho. Yog tias qhov tshuaj hormone no tsis tsim, lub cyst tsis loj hlob. Kev noj tshuaj tiv thaiv kev yug menyuam tuaj yeem tiv thaiv kev loj hlob ntawm cov hlwv tshiab. Cov no tuaj yeem yog cov tshuaj mono- lossis biphasic.
Tshuaj ntsuam xyuas tshuaj zoo
Gynecologists hauv lawv cov kev tshuaj xyuas nco ntsoov qee lub npe ntawm cov tshuaj hormonal rau cov qog zes qe menyuam. Raws li lawv, cov tshuaj zoo tshaj plaws yog:
- "Dufaston".
- "Anteovin".
- "Logesta".
- "Janine".
Tus kws kho mob xaiv cov tshuaj raws li cov ntaub ntawv ntawm kev tshawb nrhiav kev kuaj mob thiab cov yam ntxwv ntawm cov kab mob. Kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj kev phom sij heev. Yog tias tsim nyog, tus kws kho mob gynecologist kho cov kev kho mob, vim tias cov tshuaj no lossis cov tshuaj no yuav tsis haum.
Cov tshuaj hormonal contraceptives tau noj raws li kev kawm. Nws yog txwv tsis pub hla kev noj tshuaj. Kev kho mob kav li ntawm 3 mus rau 6 lub hlis, tab sis tsis ntev. Lub sijhawm siv cov tshuaj no yog txwv.
Tshuaj tua kab mob
Ib qho ua rau kev loj hlob ntawm pathology yog cov txheej txheem inflammatory hauv cov kab mob genitourinary. Yog li, nrog rau kev kho hormonal, tus kws kho mob tau sau tshuaj tua kab mob, tshuaj tiv thaiv kab mob, tshuaj tua kab mob.
Tus kws kho mob xaiv cov tshuaj raws li kev kuaj sim. Nws yog qhov tseeb txiav txim siab seb tus kab mob twg ua rau tus kab mob, nrog rau thaj chaw twggenitourinary system, nws tsim. Kev xaiv yuav tsum tau ua los ntawm gynecologist. Qee cov tshuaj tsis ua haujlwm ua ke.
Vitamins Vitamins
Feem ntau ua rau tus kab mob no txo qis hauv kev tiv thaiv. Yuav kom nce nws, noj cov vitamin complexes. Lawv yuav tsum suav nrog folic, ascorbic acid, nrog rau cov vitamins ntawm pawg B thiab E. Qhov no yuav pab txhawb lub cev, muab cov khoom tsim nyog. Cov txheej txheem rov qab yuav nrawm dua thiab cov teeb meem tshiab yuav raug tiv thaiv.
Nws yog ib qho tseem ceeb kom so kom txaus, noj kom raug. Koj yuav tsum normalize qhov hnyav, taug kev ntau dua hauv huab cua ntshiab. Kev ntxhov siab ntawm lub cev thiab kev xav yuav tsum raug txo kom tsawg. Hauv qhov no, kev tiv thaiv yuav rov qab los, lub cev yuav pib cov txheej txheem rov tsim dua.
