Cas puas yog cuam tshuam rau Fibroid Cov tsos mob thiab kev loj hlob?

Zoo Siab

• Fibroids thiab koj cov tshuaj hormones
• Kev pheej hmoo ua rau fibroids
• Cov tsos mob
• Kev kho cov hlab ntsha tom qab lub cev ntas tag lawm
• Kho Hormonal
• Myomectomy
• Hysterectomy
• Lwm yam kev kho mob
• Outlook

Txheej txheem cej luam

Uterine fibroids, tseem hu ua fibroids lossis leiomyomas, yog cov qog me me uas loj hlob hauv phab ntsa ntawm tus poj niam lub tsev menyuam. Cov hlav no tsis ntau, uas txhais tau tias lawv yuav tsis mob qog. Txawm li cas los xij, lawv tuaj yeem ua rau mob thiab lwm yam tsos mob uas tsis xis nyob.

Fibroids yog cov feem ntau hom qog hlav hlav hauv cov poj niam. Lawv mob feem ntau hauv cov poj niam uas muaj hnub nyoog yug. Koj yuav muaj kev paub txog lawv lub sijhawm thiab tom qab hnub lawm - lossis tseem tsim lawv rau thawj zaug lub sijhawm no ntawm lub neej.

Kawm ntxiv txog fibroids thiab lawv cov ntawv txuas rau lub cev ntas.

Fibroids thiab koj cov tshuaj hormones

Cov tshuaj hormones estrogen thiab progesterone tuaj yeem ua rau muaj kev pheej hmoo rau cov nqaij hauv plab. Thaum lub cev ntas, koj lub cev ua cov tshuaj estrogen tsawg thiab progesterone tsawg. Raws li qhov tshwm sim, koj qhov kev pheej hmoo rau cov nqaij hlav tshiab tsawg dua.

Kev poob hauv cov tshuaj hormones ntau dua kuj tseem tuaj yeem pab preexisting fibroids ua rau me me.

Kev pheej hmoo ua rau fibroids

Qee qhov kev pheej hmoo tuaj yeem ua kom koj muaj txoj hauv kev los txhim kho fibroids. Lawv suav nrog:

• ntshav siab (tawg)
• tsis tshua muaj vitamin D ntau ntau
• tsev neeg keeb kwm ntawm fibroids
• rog dhau
• tsis muaj keeb kwm kev xeeb tub
• kev ncua ntev, kev ntxhov siab hnyav

Cov poj niam uas muaj hnub nyoog laus dua 40 xyoo thiab cov poj niam Asmeskas Dub tseem muaj kev pheej hmoo siab rau cov nqaij hauv hlab ntshav (fibroids).

Cov tsos mob

Fibroids tuaj yeem cuam tshuam rau tus pojniam premenopausal thiab postmenopausal sib txawv. Feem ntau, cov pojniam coj khaub ncaws tsis ntev muaj feem ntau cov tsos mob hnyav dua.

Qee lub sij hawm tsis muaj cov tsos mob ntawm fibroids txhua lub sijhawm. Koj tus neeg saib xyuas kev noj qab haus huv tuaj yeem kuaj pom cov hlab ntsha thaum lub sijhawm kuaj plab mos.

Cov poj niam, txawm tias premenopausal los yog postmenopausal, tuaj yeem paub cov tsos mob hauv qab no:

• los ntshav hnyav
• toog dhuav
• anemia los ntawm kev poob ntshav tseem ceeb
• kev coj khaub ncaws zoo ib hnub coj khaub ncaws
• fullness hauv qab plab
• mob plab o
• qis rov qab mob
• nquag tso zis
• kev tsis ua hauj lwm los yog tso zis zis tawm
• kev sib deev zoo heev
• ua npaws
• xeev siab
• mob taub hau

Ib txoj hlab ntsws lossis ib pawg ntawm cov hlab ntsha thawb tawm tsam lub uterine phab ntsa tuaj yeem ua rau ntau yam ntawm cov tsos mob no. Piv txwv li, nias ntshav los ntawm fibroids rau ntawm koj lub zais zis tuaj yeem ua kom tso zis ntau dua.

Kev kho cov hlab ntsha tom qab lub cev ntas tag lawm

Fibroids tuaj yeem yog qhov nyuaj rau qhov chaw nyob.

Cov tshuaj tiv thaiv tsis pub muaj menyuam yaus tamsis no yog txoj kev khomob thum zoo dua. Koj tus neeg saib xyuas kev noj qab haus huv yuav pom zoo kom tshem tawm koj cov nqaij pob txha, uas yog txheej txheem hu ua myomectomy. Txoj kev phais mob phais nqaij me, lossis phais me nyuam hauv koj lub tsev menyuam, kuj yuav raug muab xam.

Kho Hormonal

Tshuaj noj tiv thaiv tsis pub muaj menyuam yog ib txoj hauv kev los tswj cov tsos mob xws li mob thiab los ntshav ntau dhau. Txawm li cas los xij, lawv yuav tsis ua kom cov fibroids lossis ua rau lawv ploj mus.

Muaj cov ntaub ntawv pov thawj los txhawb kev siv ntawm ob qho kev sib xyaw ua ke thiab cov tshuaj tiv thaiv kev tiv thaiv nkaus xwb rau cov leeg ntshav. Progestins tseem tuaj yeem txo lwm cov tsos mob ntawm lub cev ntas thiab ua rau hloov tshuaj los kho kom zoo dua.

Lwm txoj kev kho tshuaj hormones uas yuav daws qhov mob thiab los ntshav suav nrog cov tshuaj progestin thiab cov khoom nruab nrog cev (IUDs) uas muaj progestins.

Myomectomy

Qee lub sij hawm myomectomy ua tiav ua ntej kev phais mob nqaij hlav yog txiav txim siab. Myomectomy lub hom phiaj tshem tawm fibroid thiab tsis tas yuav tshem tawm ntawm koj lub tsev menyuam.Myomectomies tuaj yeem ua ob peb txoj kev sib txawv, nyob ntawm qhov chaw nyob ntawm daim nyias nyias.

Yog hais tias qhov loj ntawm cov hlab ntsha nyob sab hauv lub tsev menyuam kab noj hniav, qhov phais yuav ua tau hysteroscopically (nrog kev pabcuam ntawm nyias, lub teeb ua pa).

Qee qhov, koj tus kws kho mob yuav ua rau hauv koj lub plab qis dua. Qhov loj thiab qhov chaw ntawm qhov phais nws zoo ib yam li kev phais siv rau kev phais plab. Kev kho kom rov zoo tag nrho yuav siv 4 rau 6 lub lis piam. Txoj kev no tsis zoo ib yam li lwm tus.

Koj tus neeg saib xyuas kev noj qab haus huv kuj tseem tuaj yeem ua qhov phais mob laparoscopically. Thaum phais mob laparoscopic, kev phais mob me me. Lub sijhawm rov qab rau kev phais laparoscopic yog luv dua, tab sis hom kev phais no feem ntau tsuas yog pom zoo rau cov nqaij me me.

Yog tias cov fibroids rov qab los ua raws li myomectomy, koj tus kws kho mob yuav pom zoo hysterectomy.

Hysterectomy

Rau cov tsos mob hnyav uas cuam tshuam nrog loj, rov muaj dua fibroids, kev phais mob nqaij hlav yuav yog qhov kev xaiv zoo tshaj plaws. Qhov kev phais no, koj tus kws kho mob tshem tawm tag nrho lossis qee qhov ntawm koj lub tsev menyuam.

Tej zaum yuav pom zoo rau cov pojniam uas:

• muaj ze rau lawm
• twb yog postmenopausal
• muaj cov hlab ntsha ua ke
• muaj cov fibroids loj heev
• tau sim ntau txoj kev kho mob, xav tau qhov kev kho kom zoo tshaj plaws, thiab tsis muaj hom phiaj npaj rau kev yug menyuam yav tom ntej

Muaj peb hom ntawm hysterectomy:

• Tag Nrho. Hauv qhov kev phais no, koj tus neeg saib xyuas kev noj qab haus huv tshem tag nrho koj lub tsev menyuam tib si thiab koj lub ncauj tsev menyuam. Muaj qee kis, lawv yuav pom zoo kom tshem koj txoj hlab qe ntshav ib yam nkaus. Qhov kev xaiv no tuaj yeem yog qhov zoo tshaj yog tias koj muaj cov kab mob sib kis loj, ntawm cov fibroid.
• Ib feem / tag nrho. Nrog rau qhov kev phais no, tsuas yog koj lub tsev sab saud raug tshem tawm xwb. Koj tus kws kho mob yuav qhia cov kev xaiv no yog tias cov fibroids yog ib qho teeb meem tshwm sim hauv cheeb tsam ntawm koj lub tsev menyuam. Qhov no tuaj yeem lees paub los ntawm kev ntsuam xyuas cov duab.
• Tshaj dhau. Qhov no yog daim ntawv tseem ceeb tshaj plaws ntawm hysterectomy, thiab nws tsis tshua muaj siv los kho fibroids. Nws muaj qee zaum pom zoo siv qee yam mob qog nqaij hlav gynecological. Nrog rau qhov kev phais no, tus kws kho mob tshem tawm koj lub tsev menyuam, lub paum, lub ncauj tsev menyuam, thiab parametria (cov nqaij mos ntawm lub tsev menyuam thiab lub paum).

Txoj kev phais plaub hau yog tib txoj kev kho kom txhua tus mob fibroids. Txhua xyoo, yauv mus phais mob rau cov leeg.

Ua ke, koj thiab koj tus neeg saib xyuas kev noj qab haus huv tuaj yeem txiav txim siab seb qhov kev phais mob no puas yuav kho tau fibroid zoo tshaj rau koj.

Lwm yam kev kho mob

Lwm txoj kev kho tau rau tus poj niam menopausal lossis postmenopausal suav nrog cov txheej txheem tsis zoo lossis tsis muaj kev tiv thaiv tsawg:

• myolysis, qhov twg cov fibroids thiab lawv cov hlab ntshav pov tseg nrog cua sov lossis hluav taws xob tsis ua haujlwm; ib qho piv txwv yog cov txheej txheem hu ua Acessa
• yuam kev phais ultrasound (FUS), uas siv lub zog loj, loj-ua suab nrov suab kom rhuav tshem cov fibroids
• endometrial ablation, uas siv cov hau kev zoo li cua sov, hluav taws xob tam sim no, dej kub, lossis txias heev kom tua cov uterine hauv ob sab phlu
• uterine leeg embolization, uas txiav tawm cov ntshav xa mus rau cov fibroids

Outlook

Fibroids muaj ntau dua rau cov poj niam premenopausal, tab sis koj tuaj yeem txhim kho fibroids thaum lub sijhawm ntas lawm.

Tham nrog koj tus kws kho mob txog cov hau kev uas koj tuaj yeem tswj hwm cov tsos mob fibroid thiab seb kev phais mob puas yog txoj kev haum rau koj. Fibroids uas tsis ua rau muaj mob tsis tuaj yeem xav tau kev kho txhua yam.