Puas muaj peev xwm yug menyuam nrog uterine fibroids: nta thiab txaus ntshai

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:57

Uterine fibroids - ib qho mob qog nqaij hlav ntawm cov leeg nqaij ntawm lub tsev menyuam (myometrium) Nws tshwm sim vim muaj kev faib tawm ntawm tes. Cov kws kho mob tseem tsis tau to taub tag nrho cov laj thawj ntawm qhov pib ntawm cov txheej txheem zoo li no. Tab sis nws yog precisely ices tias lub ntsiab provocateur ntawm tus kab mob yog lub accelerate zus tau tej cov estrogen nyob rau hauv lub cev. Nws yog cov tshuaj no uas provokes kev loj hlob ntawm uterine fibroids, thaum progesterone muaj qhov cuam tshuam. Txawm li cas los xij, txawm tias muaj cov tshuaj estrogen thiab progesterone ib txwm nyob hauv cov ntshav, ib tus tsis tuaj yeem paub tseeb tias tus poj niam tsis muaj uterine fibroids.

Yuav ua rau muaj menyuam tsis taus

Kuv puas tuaj yeem yug nrog uterine fibroids? Uterine fibroids thiab kev yug menyuam yog ob lub ntsiab lus sib xws. Tab sis txhawm rau ua kom lub zog ua haujlwm tau zoo, nws yog ib qho tseem ceeb rau tus poj niam mus rau ib qho ultrasound ntxiv ua ntej yug me nyuam. Qhov no yuav pab txheeb xyuas qhov chaw ntawm cov qog thiab nws qhov loj me.

Feem ntau, uterine fibroids tsis txaus ntshai thiab tsis tiv thaiv kev xeeb tub thiab yug menyuam. Hauv kev xyaum kho mob, muaj ntau qhov xwm txheej thaum tus poj niam uas muaj tus kab mob no tau tswj kom cev xeeb tub ib txwm muaj thiab yug tau tus menyuam noj qab nyob zoo.

Tab sis muaj cov xwm txheej thaum uterine fibroids tseem ua rau muaj kev pheej hmoo ntawm kev xeeb tub hauv cov poj niam. Cov laj thawj tseem ceeb ntawm cov txheej txheem no tsis raug tsim. Tab sis yog tias koj pib kev kho mob zoo thiab kev kho mob ntawm uterine fibroids nyob rau hauv ib tug poj niam, ces lub caij nyoog uas nws yuav ua tiav xeeb tub yav tom ntej yuav nce.

Yuav ua li cas rau tus kab mob

Puas muaj peev xwm yug tau tus menyuam uas muaj uterine fibroids? Yog hais tias ib tug poj niam xav xeeb tub, tab sis nws muaj uterine fibroids, ces nws yog ib qho tseem ceeb uas yuav tau ua ib qho ultrasound ntawm lub cev, thiab qhia qhov tshwm sim ntawm kev ntsuam xyuas rau tus kws kho mob. Ua ntej xeeb menyuam, txhawm rau zam txhua yam kev pheej hmoo thiab teeb meem, nws yog ib qho tseem ceeb uas yuav tau txiav txim siab tag nrho qhov loj ntawm qhov tsim thiab nws qhov chaw, nrog rau seb puas muaj lwm yam kev phom sij hauv lub tsev menyuam.

Hom thiab qhov chaw ntawm fibroids hauv tsev menyuam yog qhov tseem ceeb uas tuaj yeem cuam tshuam rau tag nrho lub cev xeeb tub thiab kev ua haujlwm. Lub xub ntiag ntawm intramural lossis subserous fibroids tsis cuam tshuam rau kev xeeb tub thiab kev vam meej ntawm kev yug menyuam. Tab sis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias submucosal (submucosal) fibroids yog ib qho kev tsim loj heev uas tuaj yeem ua rau muaj menyuam tsis taus tiav lossis nchuav menyuam yog tias kev xeeb tub twb tshwm sim lawm.

Qhov loj ntawm uterine fibroids kuj tseem ceeb heev. Yuav kom tus poj niam muaj peev xwm yug tau ib tug me nyuam noj qab nyob zoo thiab ua rau lub cev xeeb tub tag nrho ib txwm, tsim tsim yuav tsum tsis txhob deform lub uterine kab noj hniav, uas yog, hloov nws thawj qauv thiab tsos.

Kev ua ntawm poj niam

Kuv puas tuaj yeem yug nrog uterine fibroids? Yog poj niam muajmuaj uterine fibroids, ces cev xeeb tub, raws li txoj cai, tsis yog ib qho teeb meem rau nws. Feem ntau, kev xav tshwm sim tsis yeem, tsis tau noj tshuaj thiab muab kev kho mob. Tab sis nws tseem ceeb heev uas yuav tsum nco ntsoov tias tus poj niam yuav tsum xeeb tub hauv 12 lub hlis tom qab pom tus kab mob.

Txwv tsis pub, nws yog ib qho tseem ceeb rau nws mus ntsib kws kho mob kom txiav txim siab qhov loj thiab cov duab ntawm kev tsim, thiab kuj tau sau cov kev kho mob zoo rau uterine fibroids. Tus poj niam lub hnub nyoog laus dua, lub sij hawm luv luv uas tau faib rau kev xeeb tub. Piv txwv li, yog hais tias ib tug poj niam twb muaj 35 xyoo lawm, ces lub sij hawm ntawm conception yog txo mus rau 6 lub hlis.

Yog tias tus poj niam tau nchuav menyuam ob peb zaug ua ntej, los yog lub tsev menyuam fibroids tau mus txog qhov loj heev thiab tsis pub cov spermatozoa mus txog lub qe ib txwm lossis dhau los ntawm cov hlab ntsha, ces tus kws kho mob tshwj xeeb tau sau ntawv kho mob nyuaj. rau nws. Yog tsis muaj kev kho mob tag nrho ntawm fibroids ntawm phab ntsa ntawm lub tsev menyuam, tus poj niam cev xeeb tub yuav tsis tshwm sim.

Yuav ua li cas thiaj tshem tau kev xeeb tub?

Yog tias qhov laj thawj tseem ceeb ntawm kev xeeb tub ntawm tus poj niam yog uterine fibroids, thiab nws tsis tuaj yeem xeeb menyuam hauv 12 lub hlis tom ntej, ces nws yog ib qho tseem ceeb uas yuav tau pib kho kev kawm tag nrho. Cov kev kho mob yuav raug sau tseg nyob ntawm seb hom kev tsim thiab nws qhov loj me. Feem ntau, cov tshuaj thiab phais yog siv los tshem tawm cov fibroids.

Raws li ntau tus kws kho mob, kev xav tau muaj txiaj ntsig zoo rau fibroids. Nws yog vim li no tias ntau tus kws kho mob tuaj koom pom zoo kom tus poj niam ntau li ntau taucev xeeb tub sai sai.

Yuav muaj kev nce qib ntawm kev kawm

Feem ntau, uterine fibroids tsis hloov lawv qhov loj me thaum cev xeeb tub, thiab tsuas yog 20-30% ntawm cov neeg mob nws loj dua. Kev loj hlob ntawm kev kawm tuaj yeem pib hauv thawj peb lub hlis twg ntawm kev xeeb tub.

Tab sis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev kawm tsuas yog nce me ntsis - fibroids loj dua los ntawm 6-12 feem pua. Tab sis qee zaus nws kuj tshwm sim tias kev kawm nce 25 feem pua lossis ntau dua. Nyob rau hauv cov ntaub ntawv no, nws yog ib qho tseem ceeb rau ib tug poj niam yuav tsum tau kho sai sai. Feem ntau hauv peb lub hlis thib peb thiab tom qab yug me nyuam, fibroids pib txo qis.

Kev phom sij ntawm nchuav menyuam

Kev pheej hmoo tias tus poj niam yuav nchuav menyuam, lossis kev xeeb tub yuav qeeb hauv kev loj hlob, nce ntau yog tias tus neeg mob tau pom tias muaj fibroids. Nyob rau hauv rooj plaub no, qhov loj ntawm qhov tsim tsis ua lub luag haujlwm tshwj xeeb. Nws yog ib qho tseem ceeb heev los txiav txim lawv tus lej. Yog hais tias tus fibroid nyob rau hauv lub tsev menyuam hauv ib qho nyiaj, ces qhov kev pheej hmoo ntawm nchuav menyuam yuav qis dua.

Nws kuj tseem ceeb heev los txiav txim qhov chaw ntawm cov fibroids tsim. Kev nchuav menyuam feem ntau tshwm sim thaum lub neoplasm nyob rau hauv lub tsev menyuam, nyob rau hauv lub mucous daim nyias nyias (submucosal fibroids). Yog tias nws nyob hauv thaj tsam qis ntawm lub tsev menyuam, ces qhov kev pheej hmoo ntawm nchuav menyuam tsis yog siab heev. Tsis tas li ntawd, ib tug poj niam uas muaj uterine fibroids feem ntau muaj ntshav tawm.

Kev phom sij rau tus menyuam loj hlob

Feem ntau, ib qho neoplasm hauv tsev menyuam tsis cuam tshuam rau tus mobmenyuam thiab nws txoj kev loj hlob. Tab sis qee zaum nws tshwm sim tias fibroids provoke qee qhov txawv txav hauv tus menyuam.

Cov fibroids loj tuaj yeem thauj cov khoom nruab nrog cev lossis ib feem ntawm tus menyuam lub cev, uas ua rau muaj kev ua txhaum ntawm tus menyuam cov ceg thiab pob txha taub hau. Tab sis cov txheej txheem zoo li no tsis tshua muaj tshwm sim thiab feem ntau yuav muaj kev zam.

Yam uas koj yuav tsum paub

Kuv puas tuaj yeem yug nrog uterine fibroids? Kev mob hauv lub cev yog cov tsos mob tseem ceeb tshaj plaws ntawm fibroids thaum cev xeeb tub, thiab nws tuaj yeem qhia tau tias muaj teeb meem tshwm sim hauv lub cev. Feem ntau, mob syndrome tshwm sim nyob rau hauv lub thib ob los yog peb lub hlis twg ntawm cev xeeb tub, thaum ib tug poj niam muaj teeb meem nrog rau cov ntshav mus rau lub myomatous node.

Thaum yug me nyuam, cov ntshav tsis txaus nkag mus rau hauv neoplasm, uas ua rau hemorrhages hauv myomatous node, tom qab ntawd cov hlwb ntawm kev tsim pib tuag. Cov txheej txheem no yog hu ua "liab degeneration". Nws feem ntau tshwm sim nrog fibroids loj dua 5 centimeters.

Yog hais tias thaum nqa ib tug me nyuam, ib tug poj niam muaj mob nyob rau hauv lub plab mog, ces nws tseem ceeb heev rau nws tsis txhob yig thiab nrhiav kev pab los ntawm kws kho mob. Txhawm rau txiav txim siab lub xeev ntawm lub cev, ib qho ultrasound yog muab rau tus poj niam cev xeeb tub txhawm rau txheeb xyuas qhov kev hloov pauv hauv fibroids. Kev kho mob yuav ncaj qha nyob ntawm cov txiaj ntsig ntawm kev kuaj mob.

Feem ntau, tus kws kho mob qhia tus poj niam cev xeeb tub kom ua raws li kev so hauv txaj thiab pib haus dej ntau dua ib hnub. Txhawm rau txhim kho tus mob, tus poj niam tau sau ntawv tsis yog-steroidal anti-inflammatory thiabtshuaj kho mob.

Yog qhov mob mob hnyav heev thiab tsis so, tus neeg mob raug xa mus rau tsev kho mob. Nws tau muab ib qho epidural los txo qhov mob.

Yog tias cov fibroid ua rau muaj kev phom sij rau kev noj qab haus huv ntawm tus poj niam thiab tus menyuam loj hlob, ces tus kws kho mob tshem tawm qhov tsim. Nws yog ib qho tseem ceeb kom nco ntsoov tias kev phais tuaj yeem ua rau muaj kev phom sij heev. Tab sis feem ntau, cov kws kho mob tswj kom txuag tau tus poj niam thiab tus menyuam. Yog tias kev ua haujlwm tshem tawm uterine fibroids tau ua thaum cev xeeb tub, ces kev ua haujlwm tuaj yeem ua tiav los ntawm kev ua haujlwm caesarean.

Kev yug me nyuam thiab kev kawm hauv tsev menyuam

Kuv puas tuaj yeem yug nrog uterine fibroids? Nyob rau hauv feem ntau cov poj niam uas muaj uterine fibroids, conception tshwm sim sai sai, thiab cev xeeb tub xaus zoo. Tab sis nws yog ib qho tseem ceeb kom paub txog qee qhov teeb meem uas yuav tshwm sim:

• Lub caij nyoog ntawm kev ua haujlwm ntxov ntxov thaum cev xeeb tub nrog uterine fibroids nce ntau (txog 37 lub lis piam).
• Qhov kev pheej hmoo uas placental abruption yuav pib, yog tias tsim nyob rau ntawm qhov chaw ntawm qhov txuas ntawm lub tsev menyuam, nce 3 zaug.
• Qhov kev pheej hmoo ntawm placenta previa nce rau cov poj niam uas kuaj pom muaj fibroids.
• Cov poj niam uas muaj lub tsev me nyuam muaj feem yuav muaj tus menyuam mos (pem hauv tsev menyuam lossis pob tw)

Caesarean seem lossis qhov chaw mos

Uterine fibroids, txawm tias nws txawv ntawm nws qhov loj, tsis suav tias yog ib qho cim qhia tias tus poj niam yuav tsum tau txais.caesarean seem.

Yog tias tus menyuam muaj lub cev zoo li qub, thiab tus poj niam zoo siab thiab tus kws kho mob tsis pom muaj teeb meem hauv kev loj hlob ntawm tus menyuam thiab nws qhov chaw nyob hauv tsev menyuam, ces tus neeg mob tuaj yeem yug tsis tau kev phais..

Qhov xav tau CS tshwm sim yog tias tus kws kho mob tau kuaj pom muaj kab mob hauv tus menyuam lossis cov placenta previa, yog tias cov fibroid tsis yog ib qho lossis nyob rau hauv lub ncauj tsev menyuam ntawm lub tsev menyuam thiab tuaj yeem tiv thaiv tus menyuam los ntawm kev yug menyuam. nquag.

Ntxiv rau, tus kws kho mob tau hais kom ua qhov kev phais mob yog tias tus poj niam yav dhau los yug nrog kev phais lossis phais tshem tawm cov fibroids, tom qab ntawd cov kev raug mob tseem nyob hauv lub tsev menyuam.

Raws li kev txheeb cais, cov poj niam uas muaj uterine fibroids tau txais CS ntau dua li cov poj niam noj qab haus huv uas tsis muaj teeb meem ntawm qhov chaw mos.

Txiv tom qab tshem tawm

Puas muaj peev xwm yug menyuam tom qab uterine fibroids? Feem ntau, cov qog tsim nyob rau hauv cov leeg nqaij txheej ntawm lub tsev menyuam, qee zaum qhov ua kom pom tseeb ntawm pathology yog nyob rau hauv lub tsev menyuam. Raws li cov ntaub ntawv kho mob, cev xeeb tub tom qab uterine fibroids tshwm sim thiab ua tiav hauv ntau tshaj li ib nrab ntawm txhua tus poj niam. Yog li tsis muaj teeb meem rau kev txhawj xeeb ntau dhau.

Kuv puas tuaj yeem yug nrog uterine fibroids? Kev loj hlob ntawm kev kawm thaum cev xeeb tub tuaj yeem sib txawv:

• Qee zaum cov pob txha myomatous nyob rau hauv kev cuam tshuam ntawm cov tshuaj hormones tsim tsis tsuas yog txo qhov loj, tab sis tag nrhodhau yam tsis muaj kev cuam tshuam sab nraud.
• Hauv lwm qhov xwm txheej, cov qog tsim pib tsis tswj kev loj hlob thiab kev loj hlob vim muaj ntau cov tshuaj hormones tsim, uas yog vim li cas tuaj yeem ua rau rho menyuam tawm tsis tu ncua.

Puas muaj peev xwm yug menyuam tom qab uterine fibroids? Txawm hais tias nws muaj peev xwm xeeb tub thiab yug me nyuam ib txwm tom qab tshem tawm cov fibroids ncaj qha nyob ntawm ntau yam, yog li tsis muaj kws kho mob tuaj yeem teb cov lus nug no kom raug yam tsis muaj kev kuaj mob.

Kev muaj menyuam

Puas muaj peev xwm yug menyuam tom qab tshem tawm cov uterine fibroids? Lub peev xwm xeeb tub tom qab tshem tawm cov neoplasm ncaj qha nyob ntawm tus yam ntxwv ntawm kev ua haujlwm. Nws tseem yog ib qho tseem ceeb heev uas yuav tsum tau xyuam xim rau lub xeev ntawm kev ua me nyuam thiab cov keeb kwm hormonal ntawm tus poj niam ob qho tib si thaum ntxov ntawm tus me nyuam txoj kev loj hlob thiab tom qab theem. Thaum kho kev kawm, nws yog ib qho tseem ceeb uas yuav tau ua raws li tag nrho cov tshuaj thiab cov lus pom zoo ntawm tus kws kho mob tshwj xeeb, uas yuav pab koj npaj koj cev xeeb tub kom raug thiab yug tau tus menyuam noj qab nyob zoo.

Tom qab ua haujlwm kom tshem tawm cov fibroids, txoj hauv kev xeeb tub yog siab heev. Tab sis nws yog ib qho tseem ceeb tsis tsuas yog cev xeeb tub ib txwm, tab sis kuj yuav yug tus me nyuam. Txhawm rau kom cev xeeb tub thiab kev ua haujlwm dhau mus yam tsis muaj teeb meem, cov kws tshaj lij qhia kev npaj cev xeeb tub tsis pub dhau ib xyoos tom qab tshem tawm cov fibroids, thiab qee zaum txawm tias tom qab ob peb xyoos. Kev xeeb tub tom qab phais tsis yog qhov txaus ntshai thiab feem ntau xaus zoo, ntau dua 50 feem pua ntawm cov poj niam kho tau yugcov me nyuam noj qab nyob zoo.

Rehabilitation period

Txhawm rau kom cev xeeb tub thiab ua haujlwm tom qab ua haujlwm, tus neeg mob yuav tsum tau txais kev kho mob rov qab. Txhawm rau kom rov zoo ntawm lub cev, nws yog ib qho tseem ceeb uas yuav tau mus ntsib tus kws kho mob gynecologist uas yuav ua tib zoo saib xyuas qhov mob ntawm lub plab thiab plab kab noj hniav, thiab tseem yuav pab npaj cev xeeb tub tom qab kev kho mob uterine fibroids.

Hauv thawj ob peb hnub tom qab kev phais, nws yog ib qho tseem ceeb uas yuav tau ua raws li kev noj zaub mov tshwj xeeb. Noj cov zaub mov muaj fiber ntau los pab tiv thaiv cem quav thiab raws plab.