Myoma ntawm lub tsev menyuam yog ib tug kab mob ntawm qhov chaw mos ntawm ib tug poj niam, tus cwj pwm ntawm cov tsos hauv cov leeg khaus ntawm cov leeg pob txha. Cov tsos mob tshwm sim ntawm cov hlab ntsha yog los ntshav, lub caij nyoog ntev thiab cov poj niam tsis paub qab hau, kos kev mob, nquag tso zis, cem quav thiab qee kis ntxiv lawm. Tus kab mob yog raug tshuaj los ntawm ultrasound. Txoj kev kho no nyob ntawm tus neeg mob lub hnub nyoog, nrog rau qhov loj ntawm myoma nws tus kheej. Yog tias tus poj niam npaj muaj me nyuam yav tom ntej, ces siv cov tshuaj hormonal. Rau qhov loj me me ntawm cov hlab ntsha, kev tshem tawm ntawm qog nqaij hlav, i.e., myomectomy, los yog tshem tawm ntawm lub tsev menyuam nws tus kheej, yog qhov pom zoo - hysterectomy.
Nws yog tsis yooj yim sua kom hais raws nraim li cas ua rau thiab kev loj hlob ntawm uterine fibroids cov kws kho mob ua tsis tau. Raws li txoj cai, myoma hlob qeeb: vim qee lub voj voos pib faib, tsim cov nqaij ntshiab hlwb ua cov ntshav. Nyob ntawm seb lawv qhov chaw, qhov kev puas siab puas ntsws yog me me, kev xa, cov ncauj tsev menyuam los sis hauv hlwb hlau. Yog hais tias qhov ua rau cov uterine fibroids tsis meej, qhov yuav ua rau qhov tseeb tias lub tsev me nyuam maj mam nce raws li hauv cev xeeb tub. Tias yog vim li cas nws qhov ntev yog qhia hauv lub lis piam.
Vim li cas cov uterine myoma tshwm?
Kev loj hlob hormone-dependent qog yog cuam tshuam los ntawm progesterone thiab estrogens. Muaj ntau yam piav qhia txog yog vim li cas lub uterine myoma tshwm. Li ntawd, ntawm cov kev puas siab puas ntsws los ntawm kev puas hlwb, muaj kev nyuaj siab ntev, muaj kev puas hlwb thiab lub cev ua haujlwm. Tsis tas li ntawd, myoma tuaj yeem ntxias los ntawm kev ua txhaum ntawm hormone ntau lawm, yog hais tias muaj kab mob ntawm zes qe menyuam, kab mob kis tau ntev, kab mob hauv cov qog endocrine, ua txhaum cov roj metabolism, thiab heredity. Yog hais tias qhov kev puas siab puas ntsws yog tsim, nws txoj kev loj hlob yog cuam tshuam los ntawm kev rho me nyuam, tsis pub muaj menyuam, tsis muaj hnub nyoog li ntawm peb caug, cov kab mob ntawm cov poj niam txiv neej tsis haum, thiab ntxiv kom ntev ntawm kev siv tshuaj tiv thaiv kab mob hauv lub cev.
Yuav kho tus mob li cas?
Yog tias peb xav txog kev kho kom zoo, tom qab ntawd cov kev kho mob ntawm cov hlab ntsha tuaj yeem tsuas yog tias lub qog me me xwb (txog rau kaum ob lub lis piam), hlob qeeb thiab nyob hauv qab hauv lub uterine membrane los yog hauv nruab nrab cov leeg nqaij. Cov kws kho mob qhia txog kev kho mob symptomatic, nrog rau kev noj cov tshuaj hormonal. Cov no muaj xws li goserelin, buserelin, zoladex, triptorelin, gestrinone.
Qhov loj ntawm fibroids (ntau tshaj kaum ob lub lis piam), txoj kev loj hlob sai ntawm cov qog thiab cov tsos mob tshwm sim yog kev qhia ncaj qha rau kev phais mob. Qhov feem ntau kev txav siab yog siv cov laparoscopic myomectomy, uas yog, tshem tawm ntawm cov qog nrog cov khoom siv hauv kev phais los ntawm cov hauv paus hauv plab. Tom qab kev phais mob tus poj niam yuav rov kho dua, thiab nws
Submucous myoma yuav tsum tau chem cov iomectomy hysteroscopic, uas yog, tshem tawm ntawm lub tsev menyuam nrog ib tug tshwj xeeb lub cuab tam - ib tus kab zauv khoob rau ntawm qhov chaw mos. Lawm, tom qab cov lus piav qhia nws twb tsis yooj yim sua kom muaj me nyuam. Qhov mob zoo tshaj plaws, tab sis siv tau, txoj kev ua yog txoj hlab ntsha ntawm lub uterine artery, uas yog ib yam khoom tshwj xeeb raug txhaj tshuaj, nres kev khiav dej ntawm cov ntshav. Myoma nres pheej loj thiab nws thiaj li tuag.
Muaj kuj yog ib txoj kev FUS ablation, uas tsim nyog rau cov poj niam uas tsis xav kom muaj me nyuam yav tom ntej. Nws yog raws li kev siv ntawm ultrasonic focused tsis, uas txo qhov loj ntawm lub pob hlav hauv lub myoma.