Kev phais kom tshem tawm cov qhov kawg ntawm qhov ncauj qhuav
Txoj kev kho yog radical. Yog tias qhov me me ntawm qhov tsim muaj me me (mus txog 2 cm), cov tshuaj hormones tuaj yeem sau ua ntej. Thaum tsis tau tshwm sim, kev kho phais yog ua tiav. Endometrial polyp nyob rau hauv lub tsev menyuam, uas yog muab tshem tawm hauv anesthesia, yog kuaj nrog ultrasound. Nws txiav txim siab tsis yog qhov loj me me xwb, tus qauv ntawm kev kawm, tab sis nws kuj yog qhov tseem ceeb, uas yog ib qho tseem ceeb hauv kev teeb tsa txog kev npaj kho radical.
Tshem tawm ntawm endometrial polyps - hysteroscopy
Hom no yog ib qho. Tso cai siv lub tshuab kho qhov muag tshwj xeeb. Taw ntsej muag me me. Ib feem ntawm cov khoom siv feem ntau muab tso rau hauv ib lub raj tshuaj tiv thaiv kab mob hauv cov keeb kwm. Hysteroscopy - kev tshem tawm ntawm cov pob txha tsis tau txiav. Kev nkag yog los ntawm qhov chaw mos, uas tshem tawm qhov kev xav tau ntxiv kev raug mob. Tom qab lub tsom iav raug tsim, ib qho kev nthuav dav yog ua kom pom, tom qab ntawd tus ntaus nws tus kheej raug muab tshem tawm thiab qhov kawg ntawm tus kab mob polyp raug tshem tawm. Qhov kawg ntawm nws muaj tshwj xeeb forceps, nrog uas pab cov qog txiav tawm.
Tshem tawm ntawm lub qhov kawg ntawm lub qhov ncauj tawm ntawm lub laser
Laser raug tshem tawm ntawm qhov kawg ntawm kev hnyuv laus yog ib qho ntawm cov txheej txheem phais neeg tsawg. Cov nqaj tsis yog muab cov ntaub so hloov xwb, tab sis kuj tseem ceeb rau lub qhov txhab, uas ua rau cov ntshav tsis zoo. Ntxiv regeneration kev tshwm sim sai npaum li cas. Txiav neoplasm laywise, tag nrho ntawm kev phais manipulation yog tswj los ntawm cov khoom siv video. Tsis ntev tshaj 20 feeb. Scars nyob rau hauv qhov chaw ntawm incisions tsis tsim, uas tsis tiv thaiv conception nyob rau hauv lub neej yav tom ntej.
Scraping endometrial polyp
Xws li ua haujlwm raws li scraping ntawm polyp nyob rau hauv lub uterus yog nqa tawm nyob rau hauv lub moj khaum ntawm hysteroscopy, nyob rau hauv ncaj qha tswj ntawm qhov kho qhov muag apparatus. Nqa tawm hauv tshuaj loog. Qhov tsis zoo yog qhov tseeb tias cov ntaub so ntswg yog raug mob heev. Qhov no yuav tsum muaj sij hawm ntev rov tom qab, noj tshuaj. Siv rau ntau qhov chaw mob ntawm tus kabmob uterine.
Npaj rau ib lub lag luam kom tshem tawm cov endometrial polyp
Pib, ib tug poj niam yauv ua kev kuaj mob gynecological. Nyob rau tib lub sij hawm, tus mob ntawm cov phab ntsa hauv qhov paum, qhov chaw kuaj ntshav kuaj mob, qhov mob kis tau raug tshem tawm. Kev tshem tawm ntawm smears. Qhov txiaj ntsig txwv tsis pub kom muaj kev tsis sib haum xeeb. Txoj kev npaj rau kev mob hawb pob (hnyuv tshem tawm) yog ua raws li nram qab no:
- txiav npluav ntawm kev siv cov paum ua kua, cov ntsiav tshuaj, kev nyiam huv ntawm lub cev rau ib lub lim tiam;
- abstinence los ntawm kev sib deev com 3 hnub ua ntej kev ntxias;
- ua raws li cov lus pom zoo thiab cov lus qhia ua los ntawm tus kws kho mob.
Kev npaj rau kev txuag, laser raug, xav tias tib txoj cai. Hauv qhov no, ib tug poj niam tuaj yeem tso rau hauv tsev khomob mus kuaj ob peb hnub ua ntej kev kho mob. Qee zaum, nws cia li tuaj rau ntawm qhov chaw kuaj mob ntawm lub sijhawm teem. Cov kev tiv thaiv no thiaj li tsis tshua muaj me nyuam yaus uas tom qab ib hnub dhau mus, tus ntxhais mus tsev.
Rov qab kho tom qab tshem tawm ntawm polyp nyob rau hauv lub tsev menyuam
Txoj kev ua no yog qhov ua kom zoo. Tom qab qhov kev tshem tawm ntawm qhov kawg ntawm qhov kawg, qhov pib rov qab pib, lub sijhawm ntawm qhov nruab nrab yog 6-8 lub hlis. Ntev npaum li no yuav tsum tau ua kom tiav qhov normalization ntawm qhov kev ua me nyuam. Cov txheej txheem kev rov qab muaj xws li:
- mus ntsib ib tug kws kho hniav ginecologist ib hlis ib zaug;
- noj tshuaj hormonal;
- ua raws li cov lus qhia txog kev kho mob.
Tam sim ntawd tom qab tswj tuav, tus poj niam tau pom zoo:
- kom tsis txhob sib deev los ntawm kev sib deev rau 1 lub hli;
- lub lim tiam tsis mus xyuas lub tsev so, da dej, tsis txhob da dej.
Kev kho mob tom qab tshem tawm ntawm txoj hlab pas hauv qhov kawg ntawm lub tsev menyuam
Kev ntsuas kev ntsuas yog ib qho xwm txheej ntawm tus kheej. Kev kho mob tom qab raug tshem tawm ntawm txoj hnyuv laus tom qab tas sim neej:
- lub sij hawm ntawm cov tshuaj hormonal: Utrozhestan, Dyufaston;
- anti-inflammatory drugs: Indomethacin, Meloxicam, Diclofenac, Celecoxib, Piroxicam;
- syringing nrog antiseptic daws: Chlorhexidine, broths ntawm chamomile, calendula, sage.
Periodic kev kuaj xyuas yog qhov tseem ceeb. Yuav kom tiv thaiv tau thiab rov qab txheeb xyuas cov sij hawm rov tuaj kuaj, tus poj niam kuaj ib hlis ib zaug, ultrasound. Yog hais tias rov kawm ntawv dua, txoj kev khwv ntawm qhov uterine kab noj hniav yog ua tiav. Thaum lub sij hawm rov ua hauj lwm, ib tug poj niam raug pom zoo kom tsis txhob muaj kev sib deev - qhov no ua rau lub qhov ncauj rov qab los ntawm qhov chaw mos, tiv thaiv nws qhov qub.
Hli tom qab tshem tawm cov tshuaj phom endometrial polyp
Tom qab txoj kev, ntau tus poj niam muaj teeb meem nrog lub voj voog. Vim li no, lo lus nug tias yuav ua li cas lub sij hawm txhua hli tom qab qhov kev tshem tawm ntawm qhov kawg ntawm polyp yog cov kws kho mob feem ntau hnov los ntawm cov di ncauj ntawm cov ntxhais. Raws li kev kho mob soj ntsuam, kev coj cev ntog tuaj yeem tuaj yeem qeeb mus txog 30 hnub. Tseem ceeb yog lub hnub nyoog ntawm tus neeg mob, qhov xwm ntawm cov kev hloov, lub ntim ntawm cov ntaub so ntswg.
Tom qab qhov kev tshem tawm ntawm qhov kawg ntawm cov tshuaj polomy tau raug tawm, muaj ntshav los tsis ua nrog kev hloov pauv hloov. Nws tsim nyog los xyuas kom meej tias nws qhov ntev tsis tshaj 10 hnub. Qhov no yuav qhia tau tias tus kabmob ntawm qhov kab noj ntawm qhov chaw ntawm qhov tshem tawm qog. Qhov no tsis tshua muaj kev pom zoo. Nqa tawm dua kev ntxuav, - tshem tawm qhov teeb meem no. Rau cov normalization ntawm lub voj voog, cov tshuaj progesterone raug sau tseg.
Cev xeeb tub tom qab tshem tawm ntawm qhov kawg ntawm qhov hnyuv
Kev ua txhaum yog ib qho kev khuam siab rau implantation ntawm lub plab me me. Yog li ntawd, qhov pib ntawm kev ua niam txiv yog qhov nyuaj. Txawm hais tias ua ntej lub sij hawm tau teem tseg, tus neeg mob xav paub seb nws puas yuav tau xeeb tub tom qab qhov tshem tawm ntawm qhov kawg ntawm cov tshuaj hnyuv laus. Cov kws kho mob taw tes tias qhov no ho ua rau kom muaj peev xwm ntxiv ntawm fertilization. Lawv nco qab tias yuav tsum tau tshem tawm kev xeeb tub tsis tau npaj.
Thaum lub sij hawm noj cov tshuaj hormones thiab kho cov ntaub so ntswg uterine, yuav tsum siv cov tshuaj tiv thaiv cov tshuaj tiv thaiv. Qhov ntev ntawm lub sij hawm ntawm rov qab los ntawm tus kabmob mus rau nws lub xeev dhau los yuav raug ntev mus rau 4-6 lub hlis - nws yog qhov ntau heev yuav tsum tau kho kom tiav ntawm lub uterine puab txheej. Npaj cev xeeb tub pib thaum tus kws kho mob pom zoo, uas yog qhov hnyav li qub ntawm cov nqaij, tsis tuaj yeem tshwm sim tshiab.
Polyps ntawm endometrium (tshem tawm) - lub txim
Txoj kev zoo tshaj plaws ntawm kev kho tus kab mob no yog tshem tawm ntawm qhov kawg ntawm tus kab mob polyp (hysteroscopy), qhov tshwm sim uas yog tsawg. Cov no suav nrog:
- qhov chaw mos tawm;
- cov tsos mob ntawm ntsis mob hauv plab qis;
- hloov hauv lub voj voog, qhov ntawm kev coj khaub ncaws;
- me nce hauv lub cev kub.
Kev tshem tawm txoj kev kawm nrog kev pab los ntawm ib lub laser muaj suab tsis zoo. Qhov kev sib txig sib piv tsis zoo ntawm txoj kev no rau qhov kev tshem tawm ntawm qhov kawg ntawm cov tshuaj polyp yog vim xav tau cov neeg muaj peev xwm thiab cov cuab yeej siv hauv cov neeg ua hauj lwm hauv lub tsev kho mob. Yog hais tias tag nrho cov algorithms yog adhered rau, muaj peev xwm tswj, qhov yuav raug tshem tawm tag nrho. Hauv qhov no, qhov kev hloov tshiab ntawm cov nqaij ntshiv puas tau sai dua.
Tsoo yog tsawg, vim tias:
- kev kis mob qoob loo;
- muaj ib qho kev puas tsuaj rau qhov tob ntim ntawm lub tsev menyuam;
- muaj sij hawm ntev rov qab.