Uterine artery embolization - kev tshem tawm

Uterine artery embolization (UAE) yog txheej txheem los kho fibroids yam tsis muaj kev phais mob. Uterine fibroids yog cov hlav tsis ua haujlwm (benign) uas hlav hauv tsev menyuam (lub tsev menyuam). Kab lus no qhia koj txog yam koj xav tau los saib xyuas koj tus kheej tom qab tau ua txheej txheem.

Koj tau phais tus menyuam txoj hlab ntshav (UAE). UAE yog tus txheej txheem los kho cov fibroids siv hluav taws xob es tsis txhob phais. Thaum lub sij hawm tus txheej txheem, cov ntshav muab ntawm cov fibroids raug kaw. Qhov no ua rau lawv shrink. Cov txheej txheem coj li 1 mus rau 3 teev.

Koj tau muab ib lub tshuaj loog thiab tshuaj pleev ib ce (tshuaj loog). Tus kws ntsuas hluav taws xob tau ua 1/4-nti (0.64 centimeters)-ntev txiav hauv koj cov tawv nqaij hla koj lub puab tais. Ib txoj raj yas (txoj kab uas nyias nyias) tau muab tso rau hauv txoj hlab ntsha ntawm qaum koj txhais ceg. Qhov ntsuas hluav taws xob ces xov cov raj xa mus rau txoj leeg uas xa ntshav mus rau koj lub tsev menyuam (leeg txoj hlab ntshav).

Cov yas me me lossis cov kua roj gelatin tau txhaj rau hauv cov hlab ntshav uas nqa ntshav mus rau cov fibroids. Cov lus no thaiv cov ntshav kom mus rau cov fibroids. Yog tsis muaj cov ntshav no, cov fibroids yuav ntsws thiab tom qab ntawd tuag.

Tej zaum koj yuav muaj kub taub hau qis thiab cov tsos mob tshwm sim li ib vas thiv tom qab qhov txheej txheem. Qhov nqaij doog me me uas cov raj yas txuas rau kuj tseem yog ib txwm. Koj kuj tseem tuaj yeem mob me ntsis mus rau kev mob ntswj ib zaug rau 1 txog 2 vas thiv tom qab ua tiav sai. Koj tus kws kho mob yuav muab tshuaj rau qhov mob muab tshuaj rau koj.

Cov poj niam feem ntau xav tau 1 mus rau 2 lub lis piam kom rov zoo dua tom qab UAE ua ntej rov tuaj ua haujlwm. Nws yuav siv li 2 mus rau 3 hlis rau koj cov pob txha ntsws yuav ua rau nws cov ntshav tsawg me ntsis thiab koj lub coj khaub ncaws rov los zoo li qub. Lub fibroids tej zaum yuav txuas ntxiv mus zuj zus nyob rau xyoo tom ntej.

Ua kom yooj yim thaum koj rov qab los tsev.

• Txav mus ncig qeeb, tsuas yog ua rau lub sijhawm luv luv thaum koj tau mus tsev thawj zaug.
• Zam kev ua kom lub cev muaj zog xws li ua haujlwm hauv tsev, mev ua haujlwm, thiab nqa cov menyuam yaus yam tsawg 2 hnub. Koj yuav tsum muaj peev xwm rov qab mus rau koj cov kev ua ub ua no, lub teeb pom kev hauv 1 lub lis piam.
• Nug koj tus kws khomob hais tias koj yuav tsum tau tos ntev npaum li cas uantej muaj kev sib deev. Nws yuav yog li ib hlis.
• Tsis txhob tsav tsheb 24 xuab moos tom qab koj mus txog tsev.

Sim siv cov cua sov sov lossis cua sov kom zoo rau qhov mob plab. Noj koj cov tshuaj loog raws li koj tus kws kho mob hais rau koj. Nco ntsoov tias koj tau npaj cov khoom siv huv huv muaj nyob hauv tsev. Nug koj tus kws kho mob ntev npaum li cas koj yuav tsum tsis txhob siv tampons lossis douching.

Koj tuaj yeem rov pib noj cov kev noj qab haus huv ib txwm muaj thaum koj mus txog tsev.

• Haus 8 txog 10 khob (2 txog 2.5 liv) dej los sis kua txiv uas tsis muaj qab zib rau ib hnub.
• Sim noj cov zaub mov uas muaj cov hlau ntau thaum koj los ntshav.
• Noj cov zaub mov muaj fiber ntau kom tsis txhob muaj cem quav. Koj cov tshuaj loog thiab qhov tsis ua haujlwm tuaj yeem ua rau cem quav.

Koj coj tau da dej thaum koj mus txog tsev.

Tsis txhob da dej hauv chav da dej, so hauv lub rhawv kub, lossis mus da dej hauv 5 hnub.

Taug qab nrog koj tus kws kho mob txhawm rau teem sijhawm pelvic cov khoom thiab kev kuaj mob.

Hu rau koj tus kws khomob yog koj muaj:

• Kev mob hnyav uas koj tus mob kho tsis tswj hwm
• Ua npaws kub tshaj 101 ° F (38.3 ° C)
• Xeev siab los ntuav
• Los ntshav qhov uas tus raj yas txuas
• Tej qhov txawv txawv qhov uas tus catheter tau muab tso rau lossis hauv ceg qhov chaw tso tus catheter tso
• Hloov xim lossis kub ntawm ob sab ceg

Uterine fibroid embolization - kev tso tawm; UFE - kev tso tawm; UAE - paug

Dolan MS, Toj C, Valea FA. Lub qhov txhab txhab kho mob txhab. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 18.

Manyonda I, Belli AM, Lumsden MA, li al. Uterine-artery embolization lossis myomectomy rau uterine fibroids. N Engl J MedCov. 2020; 383 (5): 440-451. PMID: 32726530 pubmed.ncbi.nlm.nih.gov/32726530/.

Moss JG, Yadavali RP, Kasthuri RS. Vascular genitourinary cuam tshuam kev cuam tshuam. Hauv: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Mos thiab Allison's Diagnostic RadiologyCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 84.

Spies JB. Uterine fibroid embolization. Hauv: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, eds. Cov Duab Qhia Kev Taw QhiaCov. 3lawm ed. Philadelphia, PA: Elsevier; 2021: chap 43.

• Hysterectomy
• Uterine artery embolization
• Uterine fibroids

• Uterine Fibroids