Uterine artery embolization

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).

Thaum lub sij hawm tus txheej txheem, cov ntshav muab rau cov fibroids yog txiav tawm. Qhov no feem ntau ua rau cov fibroids kom me me.

UAE yog ua los ntawm tus kws kho mob hu ua interventional radiologist.

Koj yuav tsaug zog, tab sis koj yuav tsis hnov ​​mob. Qhov no hu ua kev tiv thaiv kom nyob zoo. Cov txheej txheem yuav siv sijhawm li 1 txog 3 teev.

Cov txheej txheem feem ntau yog ua raws li no:

• Koj tau txais ib qho sedative. Cov tshuaj no ua rau koj so thiab tsaug tsaug zog.
• Qhov tshuaj pleev ib ce hauv zos (tshuaj loog) thov rau ntawm daim tawv nqaij ncig koj puab tais. Ntxim li no thaj tsam koj thiaj li tsis hnov ​​mob.
• Qhov ntsuas mob hlwb ua rau me me txiav (txiav phais) hauv koj cov tawv nqaij. Ib txoj hlab zaws me me (txoj raj txuas) yog ntxig rau hauv koj cov leeg ntawm lub qhov muag. Cov leeg no rau saum koj txhais ceg.
• Qhov hluav taws xob tawg xov txuas lub raj xa mus rau hauv koj txoj hlab leeg. Cov leeg ntshav no xa cov ntshav mus rau lub tsev menyuam.
• Cov yas me me lossis cov nkaws hauv qhov ncauj tawm hauv cov raj xa mus rau hauv cov hlab ntshav uas xa ntshav mus rau cov fibroids. Cov khoom no txhaws cov ntshav mus rau cov hlab ntshav me me uas nqa ntshav mus rau cov hlab ntsha. Yog tias tsis muaj cov ntshav no, cov fibroids ntsws thiab tuag.
• UAE ua tiav hauv koj ob sab laug thiab sab nqaij tawv txoj hlab ntsha los ntawm tib lub phais. Yog tias xav tau, ntau dua 1 fibroid yog kho tau.

UAE yog txoj hauv kev zoo los kho cov tsos mob tshwm sim los ntawm qee yam ntawm cov nqaij fibroids. Tham nrog koj tus kws kho mob seb cov txheej txheem no puas yuav zoo rau koj.

Cov poj niam uas muaj UAE:

• Muaj cov tsos mob suav nrog kev los ntshav, tsis muaj ntshav tsawg, mob pelvic lossis mob siab, sawv thaum hmo ntuj tso zis, thiab cem quav.
• Koj twb sim tshuaj lossis cov tshuaj hormones los txo cov tsos mob
• Qee zaum muaj UAE tom qab yug menyuam los kho qhov hnyav los ntshav ntawm chaw mos

UAE feem ntau muaj kev nyab xeeb.

Kev phom sij ntawm ib tus txheej txheem tsis zoo no yog:

• Ntshav
• Qhov tshuaj tiv thaiv tsis zoo rau cov tshuaj loog lossis tshuaj uas siv
• Kab mob
• Nqaij ntuag

Kev phom sij ntawm UAE yog:

• Kev raug mob rau txoj hlab ntshav lossis rau lub tsev menyuam.
• Ua tsis taus cov leeg ntshav lossis kho cov tsos mob zoo.
• Cov teeb meem tuaj yeem tshwm sim nrog kev xeeb tub yav tom ntej. Cov poj niam uas xav tau cev xeeb tub yuav tsum ua tib zoo sib tham txog tus txheej txheem no nrog lawv tus kws kho mob, vim nws yuav txo qhov pheej hmoo muaj menyuam muaj menyuam hauv plab.
• Tsis muaj poj niam coj khaub ncaws.
• Cov teeb meem ntawm zes qe menyuam muaj nuj nqi lossis lub sijhawm tsis txwm noj tsis ntev.
• Tsis ua kom paub tseeb thiab tshem tawm ib hom mob qog nqaij hlav cancer uas tuaj yeem loj hlob hauv fibroids (leiomyosarcoma). Feem ntau cov fibroids yog noncancerous (benign), tab sis leiomyosarcomas tshwm sim hauv qee cov fibroids tsawg. Embolization yuav tsis kho lossis ntsuas tus mob no thiab tuaj yeem ua rau ncua sijhawm kuaj mob, thiab yuav muaj qhov tshwm sim tsis zoo thaum kho nws.

Qhia koj tus kws khomob:

• Yog tias koj xeeb tub, lossis koj npaj yuav xeeb tub lawm yav tom ntej
• Yam tshuaj uas koj noj, nrog rau cov tshuaj, tshuaj, lossis tshuaj ntsuab uas koj mus yuav yam tsis muaj daim ntawv yuav tshuaj

Ua ntej UAE:

• Yuav kom koj tsum tsis txhob noj cov tshuaj aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), thiab lwm yam tshuaj uas ua rau koj cov ntshav txhaws nyuaj.
• Nug koj tus kws kho mob seb koj yuav tsum noj cov tshuaj hnub twg uas koj phais.
• Yog koj haus luam yeeb, sim nres. Koj tus kws khomob tuaj yeem muab cov lus qhia thiab cov lus qhia los pab koj txiav luam yeeb.

Hnub ntawm UAE:

• Tej zaum yuav kom koj tsis txhob haus dej haus lossis noj dab tsi li ntawm 6 rau 8 teev ua ntej qhov txheej txheem no.
• Noj tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
• Tuaj txog raws sijhawm hauv tsev kho mob raws li qhia.

Koj tuaj yeem yuav pw hauv tsev kho mob thaum hmo ntuj. Lossis koj yuav mus tsev tau tib hnub ntawd.

Koj yuav tau txais cov tshuaj loog. Lawv yuav qhia koj kom pw ncaj qha rau 4 rau 6 teev tom qab ntawm txoj kev.

Ua raws li lwm cov lus qhia txog kev saib xyuas koj tus kheej tom qab koj mus tsev.

Ntshav me ntsis mus rau mob plab thiab plab paum zoo li qub thawj zaug 24 teev tom qab ua cov txheej txheem. Lawv yuav nyob ntev li ob peb hnub txog 2 lub lis piam. Cramps yuav mob hnyav thiab tuaj yeem ntev dua 6 teev ib zaug.

Feem ntau ntawm cov poj niam rov zoo sai dua thiab muaj peev xwm rov qab mus ua si li qub nyob rau hauv 7 txog 10 hnub. Qee zaum qee ntu ntawm cov nqaij mob fibroid tuaj yeem hla hauv koj qhov chaw mos.

UAE ua haujlwm tau zoo kom txo qis qhov mob, nias siab, thiab los ntshav los ntawm cov nqaij hauv cov poj niam feem ntau uas tau ua tus txheej txheem.

UAE yog qhov ua rau muaj mob tsawg dua kev kho mob rau kev phais mob rau uterine fibroids. Coob tus poj niam yuav rov qab los ua si tau sai dua li kev phais mob.

Feem ntau cov kev tshawb fawb qhia tias qee tus poj niam xav tau cov txheej txheem ntxiv los kho lawv tus mob. Cov txheej txheem no suav nrog hysterectomy (kev phais kom tshem tawm lub tsev me nyuam), myomectomy (phais kom tshem tawm cov fibroid) lossis rov qab UAE.

Kev tsim kho lub tsev me hlab ntsha; UFE; UAE

• Uterine artery embolization - kev tshem tawm

Dolan MS, Toj C, Valea FA. Cov txhab txhab ua haujlwm rau lub ntsej muag: lub chaw mos, lub paum, lub ncauj tsev menyuam, lub tsev menyuam, oviduct, zes qe menyuam, ultrasound duab ntawm pelvic lug. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 18.

Moravek MB, Bulun SE. Uterine fibroids. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: cha 131.

Cov neeg soj xyuas JB, Czeyda-Pommersheim F. Uterine fibroid embolization. Hauv: Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA, eds. Cov Duab Qhia Kev Taw QhiaCov. 2nd ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2014: chap 76.