Ua li lub pob txha

Txheeb me me (conization) yog hlais tawm kom tshem ib qhov hnoos qeev uas txawv txav ntawm lub ncauj tsev menyuam. Lub ncauj tsev menyuam yog qhov qis dua ntawm lub tsev menyuam (lub tsev menyuam) uas qhib rau ntawm qhov chaw mos. Kev hloov pauv txawv txav hauv cov qe ntawm lub ncauj tsev menyuam yog hu ua qog ntawm ncauj tsev menyuam.

Txoj kev ua no yog ua tiav hauv tsev kho mob lossis hauv chav phais. Thaum lub sij hawm tus txheej txheem:

• Luag yuav muab cov tshuaj loog rau koj (tsaug zog thiab tsis hnov ​​mob), lossis tshuaj yuav pab kom koj ib ce ntaug thiab tsaug tsaug zog.
• Koj yuav tau pw ntawm ib lub rooj thiab tso koj ob txhais ko taw rau hauv kom muab koj lub plab mog rau kev kuaj mob. Tus kws saib xyuas kev noj qab haus huv yuav tso cov khoom siv (qauv) rau hauv koj qhov chaw mos kom pom lub ncauj tsev menyuam zoo dua.
• Ib qho qauv me me ntawm lub ntsej muag uas muaj lub ntsej muag yog tshem tawm los ntawm lub ncauj tsev menyuam. Cov txheej txheem yuav tau ua los ntawm siv cov xov hlau txuas nrog lub tshuab hluav taws xob (LEEP tus txheej txheem), pob tawg me me (rab riam txias me me), lossis cov nqaj hlau.
• Lub ncauj tsev menyuam dhau ntawm lub khob hliav qab me me kuj yuav raug khawb los tshem cov hlwb rau kev ntsuas. Qhov no hu tau rau qhov kho tsis tau kabmob endocervical (ECC).
• Qhov hnoos qeev tau raug kuaj hauv qab lub tshuab tsom rau cov cim mob qog noj ntshav. Txoj kev kuaj no kuj tseem yog ib qho kev kho mob yog tias tus kws kho mob tshem tawm tag nrho cov nqaij muaj kabmob.

Feem ntau, koj yuav tau mus tsev nyob rau tib hnub uas yog txheej txheem.

Lawv yuav hais kom koj tsis txhob noj lossis haus rau 6 rau 8 teev ua ntej qhov kev kuaj ntawd.

Tom qab cov txheej txheem, koj yuav muaj qee qhov cramping lossis tsis xis nyob li ib as thiv. Txog li 4 rau 6 lub lis piam zam:

• Douching (douching yuav tsum tsis txhob ua)
• Sib deev
• Siv tampons

Rau 2 rau 3 lub lis piam tom qab tau ua qhov txheej txheem, koj yuav muaj kev tso tawm uas yog:

• Ntshav
• Hnyav
• Cov xim daj

Kev kuaj ntshav yog ua tiav rau kev kuaj mob khees-xaws ncauj tsev menyuam lossis kev hloov ntxov uas ua rau mob qog nqaij hlav. Yuav ua ib qho kev rho tawm me me yog tias qhov kev sim hu ua colposcopy tsis pom qhov ua rau muaj kev tua kabmob Pap smear.

Siv lub cev siv tshuaj tua kab mob los kho:

• Ntshav me me mus rau hom kev txawv txav txawv txav ntawm tes (hu ua CIN II lossis CIN III)
• Mob heev thaum ntxov ntawm ncauj tsev menyuam (theem 0 lossis IA1)

Qhov tshwm sim ib txwm txhais tau hais tias tsis muaj qhov xwm txheej lossis mob qog nqaij hlav hauv tsev menyuam.

Feem ntau, cov txiaj ntsig tsis meej txhais tau hais tias muaj cov leeg mob lossis mob qog nqaij hlav hauv lub ncauj tsev menyuam. Cov kev pauv hloov no hu ua cervical intraepithelial neoplasia (CIN). Cov kev pauv tau muab faib ua 3 pawg:

• CIN I - mob me ntsis ntawm dysplasia
• CIN II - mob pesnrab rau cim dysplasia
• CIN III - muaj mob ntshav tawm los rau mob carcinoma hauv situ

Qhov tshwm sim tsis zoo kuj tuaj yeem yog vim muaj kabmob kheesxaws ncauj tsev menyuam.

Kev phom sij ntawm lub khob hliav qab muaj xws li:

• Ntshav
• Lub ncauj tsev menyuam tsis meej (uas yuav ua rau lub sijhawm yug menyuam)
• Kab mob
• Scarring ntawm lub ncauj tsev menyuam (uas yuav ua rau mob hnyav, ua ntej yug menyuam, thiab muaj teeb meem thaum cev xeeb tub)
• Kev puas tsuaj rau lub zais zis lossis qhov quav

Txoj kev siv xyoob ntoo hauv lub cev yuav ua rau nws tus kws kho mob tsis yooj yim rau kev txhais cov txiaj ntsig Pap smear yav tom ntej.

Biopsy - lub khob hliav qab; Ncauj tsev menyuam kev lees paub; CKC; Cervical intraepithelial neoplasia - nqaij hlav me me; CIN - lub khob; Qhov kev hloov pauv ua ntej ntawm ncauj tsev me nyuam - rau lub khob ntawm lub cev; Cervical cancer - hlwv cawv me; Cov nqaij mob muaj dej khov o - xyoob ntoo; LSIL - hlwv nqa me; HSIL - hlwv cawv me; Tsawg-qib khob khob me; High-qib lub khob hliav qab me me; Carcinoma hauv situ-cone me; CIS - kev rho tawm xyoob ntoo; ASCUS - khob lub cev; Atypical glandular hlwb - hlwv me me; AGUS - lub cev me; Atypical squamous hlwb - hlwv me me; Pap smear - hlwv me me; HPV - kev rho tawm me me; Tus kab mob human papilloma - hlwv me me; Cervix - lub raum me; Colposcopy - hlwv me me

• Poj niam deev aub
• Mob khaub thuas khob noom me
• Txias tshem tawm lub khob hliav qab

Cohen PA, Jhingran A, Oaknin A, Denny L. Cervical cancer. Kev Looj MemCov. 2019; 393 (10167): 169-182. PMID: 30638582 pubmed.ncbi.nlm.nih.gov/30638582/.

Salcedo MP, Baker ES, Schmeler KM. Intraepithelial neoplasia ntawm qis qis hauv qhov chaw mos (ncauj tsev menyuam, qhov chaw mos, qhov chaw mos): kev ntsuas mob, tshuaj ntsuam, ntsuas mob, tswj hwm. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 28.

Watson LA. Ncauj tsev menyuam kev lees paub. Hauv: Fowler GC, ed. Pfenninger thiab Fowler Cov Txheej Txheem rau Thawj Tus Saib XyuasCov. 4 tug ed. Philadelphia, PA: Elsevier; 2020: cha 128.