Dab tsi ua rau xim av Spotting tom qab lawm?

Zoo Siab

• Cov xim txhais tau li cas?
• Dab tsi ua rau pom mob dabtsi?
• Kev kho tshuaj hormones
• Vaginal thiab uterine nqaij thinning
• Polyps
• Mob kheesxaws ncauj tsev menyuam lossis lub tsev menyuam
• Kuv puas ntsib kws kho mob?
• Kuv tuaj yeem tau txais dab tsi thaum kuv mus ntsib kuv tus kws kho mob?
• Kho puas tau?
• Endometrial hyperplasia
• Atrophic vaginitis lossis endometrium
• Polyps
• Mob Cancer
• Puas muaj ib txoj hauv kev tiv thaiv cov teeb meem uas ua rau mob siab rau?
• Outlook
• Cov lus qhia rau kev tswj hwm cov nqaij ntshiv thiab mob ntawm lub paum

Peb suav nrog cov khoom uas peb xav tias tseem ceeb rau peb cov nyeem. Yog tias koj yuav los ntawm cov txuas hauv nplooj ntawv no, peb yuav khwv tau nyiaj me me. Ntawm no yog peb cov txheej txheem.

Txheej txheem cej luam

Hauv cov xyoo uas tau pib ua rau tag nrho lub cev, koj cov estrogen thiab qib progesterone pib poob qis. Qhov no tuaj yeem ua rau ntau qhov hloov pauv rau koj lub chaw mos, lub ncauj tsev menyuam, thiab lub tsev menyuam.

Koj twb tau tso lub cev ntas tseg thaum koj tsis tau muaj 12 hlis. Ib qho nqaij ntuag lossis ntshav tom qab ntawd hu ua kev kub cev tom qab ntshav, thiab nws txhais tau tias qee yam tsis raug.

Txuas ntxiv nyeem ntawv kom paub qhov ua rau los ntshav tom qab lawm thiab thaum twg koj yuav tsum nrhiav kev kho mob.

Cov xim txhais tau li cas?

Txawm hais tias lub chaw mos los tsis muaj dej noo me ntsis tom qab lub hnub lawm, tej zaum koj tseem muaj qee yam paug. Qhov no zoo kawg nkaus.

Ua daim nyias nyias li tawv nqaij ua paug yooj yim dua thiab yooj yim dua rau kis tus kab mob. Ib qho uas qhia tias koj muaj mob yog qhov tuab, daj-dawb paug.

Cov ntshav tshiab zoo li liab ploog, tab sis cov ntshav qub hloov xim av lossis xim av. Yog tias koj pom cov xim av los yog xim dub hauv koj cov ris tsho hauv qab, feem ntau nws yuav muaj ntshav. Qhov paug yuav sib me dua ntais yog tias koj muaj daj lossis daj tawm vim yog kis.

Dab tsi ua rau pom mob dabtsi?

Muaj ntau yam yuav ua rau xim av xim liab tom qab lub hnub lawm.

Kev kho tshuaj hormones

Qhov chaw mos los ntshav tuaj yeem yog phiv los ntawm kev hloov kho cov tshuaj hormones (HRT). Kev qhia siv tsawg tsawg HRT tuaj yeem ua rau lub teeb pom kev los ntshav lossis los ntshav rau ntau lub hlis tom qab koj pib noj. Cyclic HRT tuaj yeem ua rau ntshav los zoo ib yam li lub sijhawm ntawd.

Yog vim li cas qhov no tshwm sim yog tias HRT tuaj yeem ua rau txoj hlab ntshav ntawm txoj hlab ntaws, hu ua endometrial hyperplasia. Endometrial hyperplasia tuaj yeem ua rau pom ntshav lossis los ntshav hnyav. Feem ntau nws yog los ntawm cov tshuaj estrogen ntau dhau thiab tsis muaj progesterone txaus.

Qee tus poj niam nrog endometrial hyperplasia txhim kho cov qog ua hlwb, uas yog hu ua atypical hyperplasia. Nws yog ib qho mob uas tuaj yeem ua rau mob qog nqaij hlav cancer. Los ntshav ntau heev yog qhov pom tseeb tshaj plaws ntawm tus mob cancer endometrial. Kev paub ntxov thiab kho tuaj yeem tiv thaiv hom qog ntshav no los ntawm kev tsim tawm.

Vaginal thiab uterine nqaij thinning

Cov qog ntawm cov tshuaj hormones tsawg zuj zus tuaj yeem ua rau qhov chaw mos ua paug (qhov chaw mos ntawm lub plab) lossis lub tsev menyuam (endometrial atrophy).

Vaginal atrophy ua rau lub paum tsis yooj yim hloov dua, ua kom qhuav, thiab tsis muaj kua qaub. Lub paum ntawm qhov chaw mos kuj tuaj yeem ua mob o, uas yog lub npe hu ua atrophic vaginitis. Ntxiv nrog rau kev tso tawm, qhov no tuaj yeem ua rau:

• liab
• hlawv
• khaus
• kev mob

Polyps

Polyps yog cov kev loj hlob tsis huv ntawm lub ncauj tsev menyuam lossis lub tsev menyuam. Cov polyps uas txuas rau lub ncauj tsev menyuam yuav ua rau los ntshav tom qab ua tiav kev sib deev.

Mob kheesxaws ncauj tsev menyuam lossis lub tsev menyuam

Kev los ntshav yog cov tsos mob feem ntau ntawm kev mob khees xaws. Lwm cov tsos mob suav nrog tso zis mob, mob plab, thiab mob lub sijhawm sib deev.

Kuv puas ntsib kws kho mob?

Los ntshav tom qab lub cev tsis sawv los, nws yog qhov zoo tshaj uas yuav tau kuaj nws. Qhov zam tau yog koj yog nyob ntawm HRT thiab tau qhia tias nws ua kom muaj kev cuam tshuam tshwm sim. Tseem, yog tias pom kev thiab los ntshav hnyav dua thiab ntev dua li qhov koj xav tau, ntsib koj tus kws kho mob.

Kuv tuaj yeem tau txais dab tsi thaum kuv mus ntsib kuv tus kws kho mob?

Nyob ntawm lwm cov tsos mob lossis paub txog kev mob nkeeg koj muaj, koj tus kws kho mob yuav:

• nug txog koj li keeb kwm kho mob thiab cov tshuaj siv tam sim no
• ua kev soj ntsuam lub cev, suav nrog kev kuaj mob hauv lub plab
• nqa ib rab qog mus kuaj seb puas muaj kab mob
• ua ib qho kev ntsuam xyuas Pap los kuaj cov qog nqaij hlav rau ncauj tsev menyuam.
• ua ntshav ntsuas
• ua pelvic ultrasound lossis hysteroscopy kom tau txais cov duab ntawm koj lub ncauj tsev menyuam, lub tsev menyuam, thiab lub zes qe menyuam
• coj mus kuaj cov ntaub so ntswg, tseem hu ua kev kuaj me me, los kuaj cov qog nqaij hlav cancer
• ua lub qhov nqus thiab kho kom zoo nkauj (D & C) txhawm rau txhaws sab hauv koj lub tsev menyuam kom kuaj cov nqaij mos tau kuaj

Qee qhov kev ntsuas no tuaj yeem siv tau tam sim ntawd hauv koj tus kws kho mob lub chaw haujlwm. Lwm tus yuav teem sijhawm ua cov txheej txheem sab nrauv rau lwm hnub.

Kho puas tau?

Kev ua kom pom tseeb tuaj yeem kho tau, tab sis nws nyob ntawm vim li cas.

Endometrial hyperplasia

Muaj ntau txoj kev kho mob rau kev ua kom tuab ntawm endometrium. Txog qhov tuab me me, koj tus kws kho mob yuav coj mus kom ze-thiab-saib. Yog tias koj los ntshav yog vim los ntawm HRT, koj yuav tau kho koj li kev kho lossis tso nws tseg kiag. Txwv tsis pub, kho mob suav nrog:

• cov tshuaj hormones nyob rau hauv qhov ua kom cov ntsiav tshuaj hauv qhov ncauj lossis qhov cog rau hauv plab
• hysteroscopy lossis D & C kom tshem tawm cov tuab
• phais mob kom tshem tawm lub ncauj tsev menyuam, lub tsev me nyuam thiab lub zes qe menyuam, uas yog hu ua tag nrho cov qog nqaij hlav rau menyuam mos

Endometrial hyperplasia yuav ua rau koj muaj feem mob qog nqaij hlav endometrial, yog li nws yog qhov tseem ceeb los soj ntsuam koj tus mob.

Atrophic vaginitis lossis endometrium

Kev kho tshuaj estrogen yog kev kho ib txwm rau kev mob atrophic vaginitis lossis endometrium. Nws muaj ntau hom xws li:

• ntsiav tshuaj
• ntaub xaum
• sawv daws
• daim tawv nqaij thaj

Lwm qhov kev xaiv yog siv lub ntsej muag mos, yoog raws, uas maj mam tso tawm qhov hormone.

Yog tias koj mob me, nws yuav tsis tas kho txhua yam.

Polyps

Cov polyps feem ntau phais mob tawm. Cervical polyps qee zaum tuaj yeem raug tshem tawm hauv tus kws kho mob lub chaw haujlwm. Siv lub zog me me, koj tus kws kho mob tuaj yeem kho qhov tawm ntawm qhov tawm ntawm qhov chaw thiab ceev faj rau thaj chaw.

Mob Cancer

Mob qog nqaij hlav endometrial feem ntau yuav tsum tau phais mob thiab tshem tawm cov qog ntshav nyob ze. Cov kev kho ntxiv yuav suav nrog kev kho tshuaj thiab hluav taws xob. Thaum ntes tau ntxov, nws yog qhov muaj peev xwm kho tau.

Puas muaj ib txoj hauv kev tiv thaiv cov teeb meem uas ua rau mob siab rau?

Lub hnub lawm txawv rau txhua tus poj niam. Koj tiv thaiv tsis tau feem ntau ntawm cov teeb meem cuam tshuam nrog kev ua txhaum. Tab sis muaj qee yam koj tuaj yeem ua tau txhawm rau kuaj mob ntxov thiab kho lawv ua ntej lawv mob loj dua, suav nrog:

• Txais kev kuaj mob ib xyoos ib zaug. Yog tias koj muaj feem yuav muaj mob kheesxaws ncauj tsev menyuam lossis mob tsev menyuam, nug koj tus kws kho mob tuab npaum li cas koj yuav tsum tau mus kuaj Pap smear thiab kuaj pob qij txha.
• Qhia qhov txawv txav txawv, pom doog lossis los ntshav rau koj tus kws kho mob tam sim ntawd, tshwj xeeb yog nrog mob lossis lwm yam tsos mob.
• Qhia koj tus kws kho mob yog tias kev sib deev tsis xis nyob lossis mob.

Outlook

Nws yog ib qho tsim nyog sab laj nrog koj tus kws kho mob rau ib qho xim av, xim dub, lossis liab liab tom qab lawm.

Thaum koj pom qhov ua rau, lawv tuaj yeem qhia txoj kev zoo tshaj los kho nws. Feem ntau, kev kho yuav daws cov teeb meem.

Cov lus qhia rau kev tswj hwm cov nqaij ntshiv thiab mob ntawm lub paum

Kev coj ua yuav muaj teeb meem thaum muaj hnub nyoog li cas, thiab lwm yam mob tuaj yeem ua kom tawv nqaij. Txhawm rau ua kom lub neej yooj yim dua me ntsis, ua raws li cov lus qhia no:

• Hnav ib qho coj khaub ncaws coj khaub ncaws niaj hnub niaj hnub los tiv thaiv koj cov khaub ncaws. Nws yuav pab koj kom tsis txhob raug ntes nyob rau hauv pej xeem lossis stain koj cov khaub ncaws uas koj nyiam.
• Hnav cov ris tsho hauv qab lossis ris tsho sab hauv nrog lub paj rwb.
• Zam kev hnav khaub ncaws uas kaw ntom nti hauv txaj.
• Tsis txhob siv cov xab npum hnyav los yog cov tshuaj tsw qab uas coj khaub ncaws tuaj yeem ua rau koj cov nqaij mos.
• Tsis txhob sib cav. Nws tuaj yeem ua rau voos thiab kab mob kis tau.
• Zam cov khaub ncaws muaj zog ntxhua khaub ncaws kom huv.