Neoplasms tshwm sim tawm tsam keeb kwm ntawm kev hloov pauv hauv kev ua haujlwm ntawm lub cev. Hauv cov poj niam uas muaj hnub nyoog me nyuam yaus, kev ua haujlwm neoplasms feem ntau raug kuaj pom, thiab hauv cov poj niam tom qab yug me nyuam, cov hlwv yog feem ntau ntawm cov organic. Xav txog tom ntej no cov tsos mob thiab kev kho mob ntawm zes qe menyuam cysts nyob rau hauv menopause. Feem ntau, cov poj niam txaus siab rau cov lus nug ntawm qhov kev xav tau ntawm kev phais. Kev phais yog tsim nyog yog tias neoplasm yog malignant, loj hlob sai, lossis tus neeg mob yws ntawm qhov mob hnyav. Txawm li cas los xij, nws tuaj yeem txiav txim siab txog kev kho mob tsuas yog tom qab mus ntsib kws kho mob thiab tag nrho cov kev kawm tsim nyog.
Leej twg txaus ntshai?
Qhov teeb meem no txuas nrog tsis yog nrog cov tshuaj hormonal tsis txaus. Nyob rau hauv ib tug poj niam lub neej, tej zaum yuav muaj lwm yam uas yuav provoke qhov tsos ntawm zes qe menyuam cyst tom qab menopause. Neoplasms feem ntau yog kuaj taunyob ze rau tsib caug xyoo los yog nrog lub cev tsis muaj hnub nyoog. Feem ntau, lub zes qe menyuam nyob rau hauv menopause yog pom nyob rau hauv tsis muaj kev xeeb tub yav dhau los, nquag los ntshav thaum lub sij hawm intermenstrual lub sij hawm, zes qe menyuam dysfunction, systematic inflammatory txheej txheem ntawm lub cev xeeb tub cov kab mob ua ntej, thiab nquag kis kab mob. Txawm li cas los xij, tsis muaj kev hloov pauv loj heev. Lub cyst tuaj yeem loj hlob maj mam, tsis tshwm sim nws tus kheej hauv txhua txoj kev. Nws yog vim li no tias tus poj niam yuav tsum tsis tu ncua mus ntsib kws kho mob gynecologist txhawm rau txheeb xyuas qhov ua txhaum cai nyob rau theem pib. Tsis tas li ntawd, koj yuav tsum tau them sai sai rau qhov xwm txheej ntawm qhov chaw mos. Txhua qhov kev hloov pauv yuav qhia tau tias muaj kev ua txhaum cai.
Cov tsos mob tseem ceeb
Ovarian cyst thaum lub sij hawm cev xeeb tub manifests nws tus kheej nyob rau hauv ntau txoj kev. Nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus account hom neoplasm, cov yam ntxwv, muaj cov kab mob gynecological concomitant thiab hnub nyoog ntawm tus neeg mob. Yog tias neoplasm tshwm sim tsis ntev los no thiab tsis nce qhov loj, ces tej zaum yuav tsis muaj tsos mob li. Qee zaum, cov poj niam yws yws ntawm qhov tsis xis nyob, tab sis feem ntau, cov tsos mob ntawm tus neeg mob no cuam tshuam nrog qhov tshwm sim tsis zoo ntawm lub cev qhuav dej.
Raws li lub cyst loj hlob, phaus ntxiv, cem quav, uterine los ntshav tom qab kev coj khaub ncaws tsis tu ncua, nquag tso zis (suav nrog cov tsis muaj tseeb), mob thaum cev xeeb tub thiab lub voj voog tsis ua haujlwm hauv premenopause, ntuav uas tsis tuaj yeem pab, thiab xeev siab. Ntau tus neeg pom cov tsos mob ntawm zes qe menyuam cysts hauvmenopause, raws li tsis xis nyob thaum muaj kev sib deev, mob thaum lub sij hawm cev xeeb tub los yog active zog. Lub cev kub tuaj yeem nce mus txog 39 degrees. Yog hais tias lub cyst loj tuaj, lub plab yuav loj tuaj, thiab muaj mob heev nyob rau hauv lub plab mog, uas yuav khaus ntau lub sij hawm.
Hauv txhua kis, neoplasms nce ntau txoj hauv kev. Tus naj npawb ntawm cov cim qhia ntawm pathology thiab lawv qhov hnyav yuav txawv. Tom qab kev tshuaj ntsuam xyuas, koj tuaj yeem txiav txim siab qhov xwm txheej ntawm cov txheej txheem thiab xaiv cov kev kho mob uas tsim nyog.
Ntau yam kab mob
Ovarian cysts tsis tsim kev ua haujlwm thaum lub sij hawm cev xeeb tub. Qhov no yog vim tsis muaj qe loj hlob. Feem ntau, neoplasms uas tshwm sim yog epithelial nyob rau hauv qhov xwm txheej. Lub cyst tuaj yeem yog serous. Hom no tshwm sim hauv 60-70% ntawm cov neeg mob. Cov tsim yog txawv los ntawm ib leeg-chamber qauv, ib tug ntom plhaub thiab ib tug puag ncig. Feem ntau, nws tshwm sim hauv ib lub zes qe menyuam xwb. Ob sab neoplasm xav tau kev kho mob hnyav dua.
Hauv 13% ntawm cov neeg mob, papillary cystadenoma raug kuaj pom. Lub ntsiab sib txawv ntawm xws li ib tug neoplasm yog lub xub ntiag ntawm parietal kev loj hlob. Ntawm ultrasound, qhov no, papillae ntawm lub epithelium tuaj yeem raug sau tseg. Mucinous cystadenoma yog tus yam ntxwv tsuas yog rau 11% ntawm cov neeg mob. Lub neoplasm loj hlob sai, uas ua rau lub cyst loj. Hmoov zoo, cov kab mob pathology tau kuaj pom tau yooj yim.
Endometrioma tsuas yog tshwm sim hauv 3% ntawm cov neeg mob. Pathology tshwm sim tawm tsam keeb kwm ntawm ingrown mucosakab mob ntawm lub tsev menyuam mus rau zes qe menyuam. Nws muaj cov yam ntxwv xim vim muaj cov kua hauv. Muaj cov hlwv me me ntawm hom no (ob lossis peb centimeters) thiab cov loj loj (txog 20 cm). Ua ntej pib kev kho mob, nws yog ib qho tseem ceeb uas yuav tsum tau txiav txim siab txog hom kev tsim kom raug txhawm rau xaiv cov tswv yim zoo.
Txoj kev kuaj mob
Ib lub zes qe menyuam ntawm zes qe menyuam yuav tsum tau kho sai. Nws yog ib qho tseem ceeb heev kom raug tsim kom muaj qhov tshwm sim ntawm cov tsos mob ceeb toom. Lub zes qe menyuam tau kuaj pom, piv txwv li, nrog kev kuaj cev xeeb tub. Cov tsos mob zoo ib yam li cov cev xeeb tub ectopic, thiab pheej mus rau premenopause. Thaum mus ntsib lub chaw ua haujlwm gynecological, tus kws kho mob tuaj yeem txiav txim siab qhov nce ntawm cov appendages lossis lwm yam ua rau mob hauv plab plab.
Ultrasound yog ib txoj hauv kev paub txog kev kuaj mob. Qhov no yuav tsis tsuas yog lees paub lossis tsis lees paub qhov muaj ntawm neoplasms, tab sis kuj tseem pab txhawm rau taug qab txoj kev loj hlob hauv kev hloov pauv. Rau txoj kev tshawb no, siv ob lub sensors: transvaginal thiab transabdominal. Txoj kev kawm ntawm lub cyst thiab nws txoj kev kho yog laparoscopy. CT yuav tso cai rau tus kws kho mob txiav txim qhov xwm txheej ntawm neoplasm, qhov chaw nyob, qhov loj me thiab lwm yam kev ntsuas uas tsim nyog rau kev npaj rau kev tshem tawm cov cyst.
Kev kuaj mob ntxiv
Kev kuaj ntshav dav dav yuav tsum tau txiav txim siab qib tshuaj hormone thiab cov cim qog. Qee lub sij hawm muaj kev sib tsoo ntawm phab ntsa tom qab ntawm qhov chaw mos, nrog kev pab los ntawm cov ntshav los yog kua dej hauv lub plab kab noj hniav yog txiav txim siab. Tom qab tag nrho cov kev tshawb fawb no, tus kws kho mob yuav tau txais cov ntaub ntawv txaus,kom paub meej qhov kev kuaj mob thiab sau ntawv kho mob tsim nyog. Raws li cov ntaub ntawv tau txais, qhov yuav tsum tau muaj kev cuam tshuam kev phais kuj raug soj ntsuam.
kev kho mob
Kev kho cov qog zes qe menyuam thaum cev xeeb tub nrog kev pab ntawm cov tshuaj tsuas yog ua tau thaum pib ntawm lub cev tsis muaj zog, thaum lub cev xeeb tub tseem muaj peev xwm tawm tsam cov neoplasm ntawm nws tus kheej. Tab sis ua ntej ntawd, nws yog ib qho tseem ceeb kom tshem tawm cov qog nqaij hlav tag nrho. Hormone hloov kho yog nquag siv nyob rau hauv kev kho mob ntawm zes qe menyuam cysts nyob rau hauv menopause. Kev npaj ua ke yog siv: Ovidon, Divina, Klimonorm, Femoston, Klimen, Revmelid.
noj cov tshuaj progestins
Qee zaum, tsuas yog tso cai progestins xwb. Tus kws kho mob yuav sau ntawv "Duphaston" los yog "Utrozhestan", "Iprozhin", "Prajisan", "Norkolut". Ntawm cov tshuaj no, nws yog Duphaston uas nquag siv. Cov tshuaj tib yam yog sau tseg tom qab tshem tawm ntawm zes qe menyuam. Tus kws kho mob gynecologist tuaj yeem txiav txim siab qhov tsim nyog ntawm kev siv tshuaj, suav nrog cov hauv qab no: qhov muaj lossis tsis muaj cov kab mob sib kis ntawm cov kab mob genitourinary, muaj lossis tsis muaj kev coj khaub ncaws, qhov xwm txheej ntawm qhov tso tawm, daim duab tiav ntawm cov tshuaj hormonal. keeb kwm yav dhau, lub sij hawm ntawm menopause tam sim no. Cov txheej txheem yog tsim los ntawm tus kheej rau txhua tus neeg mob, vim tias cov tshuaj siv rau ntau tus neeg mob.
Lwm tshuaj
Kev kho mobfollicular ovarian cysts nyob rau hauv menopause kuj tau sau tshuaj uas thaiv cov kab mob pathological ntawm cov hlwb thiab rov ua haujlwm tiv thaiv lub cev. Ntawm cov tshuaj tiv thaiv kab mob (antestrogens), Tamoxifen, Novofen lossis Billem raug tshuaj. Qee tus poj niam xaiv homeopathy. Nws tuaj yeem yog "Kalium", "Lycopodium", "Kantaris", "Apis", "Baromium" thiab lwm yam.
Tsis tas li ntawd, tus kws kho mob yuav pom zoo kom noj ntau yam multivitamin complexes, txhais tau tias txhawm rau txhim kho lub cev tiv thaiv kab mob, tshuaj hormones anabolic, tshuaj tua kab mob, tshuaj tiv thaiv kab mob hauv qhov chaw mos (los yog muab tshuaj tua kab mob).
Surgery
Tsis muaj kev cuam tshuam tuaj yeem cuam tshuam nrog yog tias lub cyst zes qe menyuam me thaum cev xeeb tub, tsis nce qhov loj, thiab tus kws kho mob tsis pom qhov yuav tsum tau ua rau muaj teeb meem. Kev phais yuav ua tau ob txoj kev. Laparoscopy lossis laparotomy yog ua. Nrog laparoscopy, muaj kev cuam tshuam tsawg, thiab tus poj niam rov zoo dua. Yog tias neoplasm loj, ces yuav tsum tau laparotomy. Thaum lub sijhawm ua haujlwm no, tus kws kho mob ua qhov kev txiav txim siab tseem ceeb dua li kev txiav me me. Laparotomy siv tshuaj loog dav dav.
Laparoscopy thiab Laparotomy
Nrog laparoscopy, tsuas yog ob lossis peb qhov me me (5 hli txhua) ua. Me me incisions kho tau yooj yim dua thiab sai dua, tsis muaj cov nti tom qab phais. Qhov kev ua haujlwm no yog tus cwj pwm los ntawm kev poob ntshav qis. Ob peb teev tom qab kev cuam tshuam, tus poj niam tuaj yeem sawv ntawm nws tus kheej thiabtxav. Tus neeg mob xav tau kev soj ntsuam hauv tsev kho mob tsuas yog ob lossis peb hnub, tom qab ntawd tus poj niam tawm hauv tsev. Tom qab laparotomy, tus neeg mob nyob hauv tsev kho mob li ob mus rau plaub hnub, tab sis lub sijhawm rov zoo yuav siv li plaub mus rau rau lub lis piam. Tsuas yog tom qab ntawd koj tuaj yeem rov qab mus rau koj txoj kev ua neej dhau los.
Cov teeb meem tshwm sim: kab mob, kev puas tsuaj rau lub zais zis lossis cov hnyuv, adhesions hauv plab kab noj hniav, mob mob.
kev kho neeg zoo
Nyob rau lwm lub sij hawm ntawm lub neej los yog thaum cev xeeb tub, cyst (sab laug zes qe menyuam, txoj cai - nws tsis muaj teeb meem) tsis kho nrog pej xeem tshuaj. Tab sis cov zaub mov txawv tshuaj yuav pab txhawb lub cev thiab ua kom cov tshuaj kho tau zoo dua. Feem ntau, celandine, walnuts, zib mu, dos, upland uterus, raisins yog siv rau infusions thiab decoctions. Kev tiv thaiv zoo ntawm kev loj hlob ntawm neoplasms yog muaj nyob rau hauv kev noj haus ntawm ntau hom zaub qhwv. Cov zaub muaj cov tshuaj uas tuaj yeem normalize hormonal tshuav nyiaj li cas thiab ua rau cov tshuaj estrogen metabolism tsawg dua.
Nrog kev kho kom txaus thiab raws sijhawm, lub zes qe menyuam hauv plab tsis tuaj yeem ua rau cov qog nqaij hlav. Yog li ntawd, koj yuav tsum tsis txhob ntshai mus ntsib ib tug gynecologist thiab ua tag nrho cov kev ntsuam xyuas tsim nyog. Nws yog ib qho tsim nyog yuav tsum ua raws li cov lus pom zoo ntawm tus kws kho mob gynecologist, noj cov tshuaj raws li txoj kev npaj thiab sim ua kom lub neej xis nyob raws li qhov ua tau, tsis suav nrog kev ntxhov siab. Tsis tas li ntawd, kev noj zaub mov kom raug thiab kev tawm dag zog me ntsis yog qhov pab tau zoo.
Delete los tsis?
Qee zaum, tus kws kho mob yuav hais kom tus poj niam mus phais lossis sim tshuaj. Puas muaj peev xwm tshem tawm cov cyst zes qe menyuam thaum cev xeeb tub? Nws tuaj yeem txiav txim siab seb nws puas tuaj yeem tsis kam ua haujlwm yam tsis muaj kev noj qab haus huv, tsuas yog coj mus rau hauv tus account lub sijhawm ntawm menopause, hom neoplasm (unilateral los yog ob sab), qhov ntom ntawm lub cyst, cov cheeb tsam cuam tshuam los ntawm nws, thiab cov kab mob. cov kua dej nyob hauv. Nws yog ib qho tseem ceeb los txiav txim siab seb lub cyst puas yog mob qog noj ntshav lossis tsis yog. Yog hais tias neoplasm yog benign, ces tshem tawm tej zaum yuav tsis tsim nyog. Txawm li cas los xij, tib lub sijhawm, tus poj niam yuav tsum tau kuaj xyuas thiab tshuaj xyuas kom cov kws kho mob tuaj yeem taug qab "tus cwj pwm" ntawm neoplasm.
Tus neeg mob muaj kev pheej hmoo yog tias pom muaj kev loj hlob, kev hloov pauv ntawm cov tsos mob lossis xim ntawm lub cyst raug kuaj pom. Tsuas yog cov neoplasm lossis tag nrho lub zes qe menyuam tuaj yeem raug tshem tawm. Hauv oncology, uterine appendages feem ntau raug tshem tawm ntawm ob sab. Kev ua haujlwm kuj tseem tsim nyog yog tias tus poj niam muaj kev tsis xis nyob tas li, thiab qhov neoplasm loj dua li tsib centimeters.
Muaj Teeb Meem
Lub caij nyoog ntawm kev tsim lub zes qe menyuam hauv kev laus zuj zus los ntawm 15-20%. Pathology yuav tsum tau ua sai sai thiab kuaj xyuas raws sijhawm. Yog tias tsis kho, cov teeb meem hauv qab no yuav tshwm sim: cyst torsion, rupture, kev loj hlob mus rau ib tug malignant neoplasm. Mob cyst tuaj yeem ua rau torsion. Hauv qhov no, tus neeg mob yws yws ntawm qhov mob hnyav heev, muaj qhov kub thiab txias, muaj kev xav xeev siab, ib leeg lossis ib leeg.rov ntuav, pom ntawm qhov chaw mos.
Tseem mob thaum nws tawg. Qhov no yuav tsum tau muaj kev phais sai, txwv tsis pub cov ntshav poob yuav loj dhau thiab ua rau tus poj niam lub neej. Yog li ntawd, adhesions thiab caws pliav hauv lub cev tuaj yeem tshwm sim. Spikes muaj nyob rau hauv tus qauv, tab sis nyob rau hauv pathology lawv yog tsim nyob rau hauv ib tug loj npaum li cas, uas yog tsis muaj txiaj ntsig. Qhov teeb meem txaus ntshai tshaj plaws yog degeneration rau hauv kev tsim malignant. Yog hais tias ib tug cyst tsis kho rau ntev, nws tuaj yeem ua malignant. Tias yog vim li cas koj yuav tsum tsis tu ncua mus ntsib kws kho mob gynecologist txawm tias tom qab kev tuag ntawm kev ua me nyuam.
