Niaj hnub no, tej zaum, tsis muaj poj niam yuav tsum tau ua pov thawj tias yuav tsum tau kho qhov ncauj ntawm ncauj tsev menyuam yaus: erosive, puas mucous membrane yog lub qhov rooj rau kev nkag mus ntawm cov kab mob, thiab kuj ua rau muaj kev pheej hmoo ntawm malignant neoplasms.
Ua ntej tsis ntev los no, cov poj niam tsis muaj poj niam, nrog rau cov neeg uas npaj yuav yug me nyuam yav tom ntej, tau pom zoo tsuas yog kho kom zoo ntawm kev yaig: tampons nrog broths ntawm tshuaj ntsuab, tswm ciab, thiab lwm yam. Tom qab yug tus me nyuam, txoj hlab, raws li txoj cai, yog cauterized: nrog cov tshuaj (piv txwv li, nrog solkagin) los yog nrog kev pab cuam hluav taws xob tam sim no (lub npe ntawm txoj kev rau hom no yog kev sib txuam tawm los yog electrocoagulation). Cov tswv yim no tseem siv rau hauv cov tsev kho mob rau pej xeem siv dawb. Tab sis lawv muaj qhov teeb meem tseem ceeb: lawv mob heev thiab tsis kaj siab (cov poj niam laus tuaj yeem qhia txog lawv txoj kev xav ntawm qhov kev ua no, nrog, ntxiv mus, los ntawm tsis hnov tsw nqaij hlawv); Tom qab lawv nyob ntawm lub ncauj tsev menyuam muaj cov ntaiv tawv nqaij, cov ntaub so ntswg poob lawv lub cev, uas tsim muaj teeb meem loj rau cov yug me nyuam tom qab. Yog vim li cas thiaj li cauterization ntawm ncauj tsev menyuam yaus yog tso cai rau cov poj niam uas muaj hnub nyoog laus dua uas tsis npaj kev xeeb tub thiab yug me nyuam yav tom ntej.
Tsi, tam sim no muaj ntau dua sparing thiab hnyav txoj kev kho radical kho ntawm ncauj tsev menyuam, uas txawm tias tus nulliparous thiab npaj cov poj niam kom tshem tau qhov teeb meem no ib zaug thiab rau tag nrho. Niaj hnub txoj kev ntawm kev mob ntawm ncauj tsev menyuam hauv tsev menyuam muaj xws li:
- xov tooj cua nthwv dej ablation;
- laserovaporization;
- cryodestruction.
Tus essence ntawm txoj kev
Hauv tsab xov xwm no peb yuav tham txog kev quaj qw ntawm ncauj tsev menyuam - tshem tawm ntawm kua nitrogen. Feem ntau koj tuaj yeem hnov tias qhov no hu ua "cauterization of erosion by liquid nitrogen" - qhov no tsis yog lub npe thiab lub npe tseeb. Txoj kev ntawm cryodestruction muaj nyob rau hauv txias raug mob rau cov nqaij mos, uas yog lub sij hawm "nitrogen khov" yog tsim rau simplifying qhov kev xaiv ntawm no txoj kev kho kev yaig. Kev kho mob ntawm qhov ncauj ntawm lub ncauj tsev menyuam nrog kua nitrogen yog txawv ntawm cauterization nyob rau hauv tias nws tsis muaj xws li tshwm sim raws li tsim ntawm tag nrho nti thiab poob ntawm cov ntaub so ntswg elasticity.
Nyob rau hauv lub cryodestruction ntawm poj niam caws mos, qhov chaw ntawm cov nqaij yog kho nrog nitrogen siv lub cuab yeej tshwj xeeb - ib lub khawv koob. Los ntawm cov nyhuv uas tsis tshua muaj neeg qis, cov ntaub so ntswg puas tsuaj puas lawm, thiab nyob rau hauv lawv qhov chaw muaj kev noj qab haus huv epithelium.
Yuav kho tus mob nitrogen li cas?
Kev kho ntawm txoj hlab ntawm lub ncauj tsev menyuam nrog kua nitrogen yog ua los ntawm cov kab mob sab nraud, tus txheej txheem nws tus kheej tsuas kav li ob peb feeb xwb. Cov kab mob khaub thuas thaiv cov hlab ntsha thiab narrows cov hlab ntsha, yog li qhov mob hauv cryodestruction minimized, thiab txhua yam tshwm sim tag nrho cov ntshav.
Cryodestruction ntawm ncauj tsev menyuam yaus yog pom zoo kom yuav tsum tau nqa tawm hauv thawj theem ntawm kev coj khaub ncaws, 7-10 hnub tom qab pib ua poj niam txiv neej. Ua ntej ua ntej, koj yuav tsum tau mus kuaj mob ua ntej, xws li:
- ginecological kev xeem nrog kev siv iav;
- kev ntsuam xyuas ntawm qhov paum nyob ntawm qhov chaw mos thiab cov kab mob sib deev;
- kuaj ntshav;
- colposcopy - kev soj ntsuam ntawm lub ncauj tsev menyuam nrog lub koob tsom;
- kev ntsuam xyuas ntawm smear rau atypical hlwb - nrog rau lub hom phiaj ntawm tshem tawm txoj kev siab phem;
- qee zaum, yog tias tsim nyog, tus kws kho mob tso cai rau lwm qhov nqaij me (plucking a small area of the tissue) thiab qhov kev ntsuam xyuas histological.
Raws li cov ntsiab lus ntawm daim ntawv tshuaj ntsuam no, tus kws kho mob tau txiav txim siab txog kev ua tau thiab kev ua tau zoo ntawm kev siv txoj kev
2-3 asthiv tom qab cov txheej txheem yuav ua tau thiab tsis tshua muaj dej paug tawm ntawm qhov chaw mos. Thiab 4-6 lub lis piam tom qab tus txheej txheem, muaj tag nrho kho ntawm cov ntaub so ntswg tsev menyuam.
Vim tias qhov tob ntawm cov nyhuv ntawm cov nqaij, qhov tseem ceeb tsis zoo ntawm kev kho cov hlab ntaws tshuaj nrog kua nitrogen yog qhov ua tau rov qab tshwm sim dua ntawm tus kab mob thiab qhov xav tau los kho dua, nrog rau cov kev kho mob qis ntawm qhov chaw mos qhov quav mos. Ntxiv mus, tam sim ntawd tom qab tus txheej txheem, tus neeg mob yuav muaj kev qaug zog thiab kiv taub hau.