Ovarian Torsion yog dab tsi?

Zoo Siab

• Cov tsos mob zoo li cas?
• Dab tsi ua rau muaj tus mob no, thiab leej twg yuav muaj qhov txaus ntshai?
• Nws kuaj tau li cas?
• Muaj cov kev kho mob dab tsi?
• Cov txheej txheem phais
• Cov tshuaj noj
• Puas yog muaj teeb meem lwm yam tau?
• Qhov tshwm sim yog dab tsi?

Nws puas nquag?

Tawv zes qe menyuam (adnexal torsion) tshwm sim thaum lub zes qe menyuam yoog ncig cov ntaub so ntswg uas txhawb nws. Qee zaum, lub raj ntshav qog kuj tseem tuaj yeem ua qhov ntswg. Qhov mob zoo li no txiav tawm cov ntshav txaus rau cov nruab nrog cev.

Kev siv lub cev ntawm zes qe menyuam yog ib qho mob xwm txheej ceev. Yog tias tsis kho kom sai, nws yuav ua rau poob ntawm lub zes qe menyuam.

Nws tsis paub meej ntau npaum li cas ntawm zes qe menyuam tau tshwm sim, tab sis cov kws kho mob pom zoo tias nws yog ib qho kev kuaj mob uas tsis tshua muaj tshwm sim. Tej zaum koj yuav muaj kev mob ntau dua ntawm zes qe menyuam yog tias koj muaj mob ua qe menyuam, uas tuaj yeem ua rau lub zes qe menyuam tau o tuaj. Koj tuaj yeem tuaj yeem txo koj txoj kev pheej hmoo los ntawm kev siv tshuaj tiv thaiv kev xeeb tub menyuam los yog lwm yam tshuaj los pab txo qhov nqaij hlav me me.

Khaws nyeem ntawv kom paub txog cov tsos mob twg uas yuav tau saib xyuas, yuav txiav txim li cas koj qhov kev pheej hmoo tag nrho, thaum mus ntsib koj tus kws kho mob, thiab ntau dua.

Cov tsos mob zoo li cas?

Lub cev ntawm zes qe menyuam tuaj yeem ua rau:

• mob hnyav, cia li mob nraub qaum
• tav
• xeev siab
• ntuav

Cov tsos mob no feem ntau tuaj sai thiab tsis muaj kev ceeb toom.

Qee qhov xwm txheej, mob, mob plab thiab mob siab rau hauv qab plab yuav tuaj thiab mus tau ntau lub lis piam. Qhov no tuaj yeem tshwm sim yog tias lub zes qe menyuam tseem tabtom rov mus rau tom qhov chaw raug.

Tus mob no yeej tsis tshwm sim yam tsis hnov ​​mob.

Yog tias koj pom xeev siab lossis ntuav tsis hnov ​​mob, koj muaj qhov mob lwm yam. Ua li cas, koj yuav tsum ntsib koj tus kws kho mob rau kev kuaj mob.

Dab tsi ua rau muaj tus mob no, thiab leej twg yuav muaj qhov txaus ntshai?

Torsion tuaj yeem tshwm sim yog lub zes qe menyuam tsis khov. Piv txwv li, cyst lossis ovarian mass tuaj yeem ua rau lub zes qe menyuam tau lopsided, ua rau nws tsis khov.

Tej zaum koj yuav muaj feem yuav zes qe menyuam yog tias koj:

• muaj polycystic mob ntawm zes qe menyuam mob
• muaj ntev ntawm zes qe menyuam lig lig, uas yog cov leeg txhaws uas txuas cov zes qe menyuam rau lub tsev menyuam
• muaj tubal ligation
• yog
• tab tom kho cov tshuaj hormones, feem ntau muaj kev cuam tshuam ntxiv lawm tshob, tuaj yeem txhawb lub zes qe menyuam

Txawm hais tias qhov no yuav tshwm sim rau cov poj niam thiab cov ntxhais nyob rau txhua lub hnub nyoog, nws muaj feem ntau tshwm sim thaum lub xyoo kev ua me nyuam.

Nws kuaj tau li cas?

Yog tias koj muaj mob zes qe menyuam, nrhiav kev kho kom sai. Ntev mus ntev yog tus mob tsis tau kho, koj yuav muaj kev cov nyom ntau.

Tom qab tshuaj xyuas koj cov tsos mob thiab tshuaj xyuas koj li keeb kwm kev kho mob, koj tus kws kho mob yuav kuaj mob plab mos txhawm rau txheeb xyuas thaj chaw ntawm qhov mob thiab mob siab. Lawv kuj tseem yuav ua cov transvaginal ultrasound los saib koj lub zes qe menyuam, qe ntshav dawb, thiab ntshav ntws.

Koj tus kws kho mob tseem yuav siv cov kev kuaj ntshav thiab cov zis mus tawm tsam lwm yam kev kuaj mob, xws li:

• mob txeeb zig
• zes qe menyuam qog
• ectopic cev xeeb tub
• mob hnyuv tws

Txawm hais tias koj tus kws kho mob tuaj yeem ua rau kev kuaj mob ua ntej ntawm zes qe menyuam ua raws li cov kev tshawb pom, qhov kev kuaj mob meej meej feem ntau yog ua thaum phais qhov tseeb.

Muaj cov kev kho mob dab tsi?

Kev phais mob yuav ua kom tiav ntawm koj lub zes qe menyuam, thiab yog tias tsim nyog, koj txoj hlab qe menyuam. Tom qab phais mob, koj tus kws kho mob tuaj yeem sau ntawv noj tshuaj kom txo koj txoj kev rov qab mob. Qee zaum nws yuav tsim nyog los tshem tawm lub zes qe menyuam.

Cov txheej txheem phais

Koj tus kws kho mob yuav siv ib ntawm ob txoj kev phais mob los daws koj lub zes qe menyuam:

• Laparoscopy: Koj tus kws kho mob yuav ntxig lub teeb me me thiab ua rau hauv kev phais me me hauv koj lub plab qis. Qhov no yuav tso cai rau koj tus kws kho mob saib koj cov khoom hauv nruab nrog. Lawv yuav txiav txim siab mus kuaj lub qe. Thaum lub zes qe menyuam mus tau yooj yim, koj tus kws kho mob yuav siv lub foob pob ntseg lossis lwm yam cuab yeej los ntsuas nws lub cev. Txoj kev ua no yuav tsum ua kom loog thiab feem ntau ua rau sab nrauv. Koj tus kws kho mob yuav pom zoo muab qhov kev phais mob no yog tias koj cev xeeb tub.
• Laparotomy: Nrog rau tus txheej txheem no, koj tus kws kho mob yuav ua rau muaj qhov mob siab dua nyob hauv koj lub plab qis dua kom lawv mus txog rau hauv thiab daws cov zes qe menyuam ua ke. Qhov no tau ua thaum koj tseem muaj tshuaj loog, thiab koj yuav tsum tau pw hauv tsev kho mob thaum hmo ntuj.

Yog tias ntau dhau lub sijhawm dhau mus - thiab lub caij nyoog poob ntawm cov ntshav txaus tau ua rau cov nqaij mos ib puag ncig tuag - koj tus kws kho mob yuav tshem nws:

• Oophorectomy: Yog tias koj lub zes qe menyuam tsis tuaj yeem siv tau, koj tus kws kho mob yuav siv cov txheej txheem laparoscopic no tshem tawm cov zes qe menyuam.
• Salpingo-Oophorectomy: Yog tias ob lub cev ntawm zes qe menyuam thiab cov pob txha caj qaum tsis muaj qhov siv tau ntev lawm, koj tus kws kho mob yuav siv cov txheej txheem laparoscopic no tshem lawv ob qho tib si. Lawv kuj tseem pom zoo cov txheej txheem no los tiv thaiv kom rov muaj kev cia siab rau cov poj niam uas tau postmenopausal.

Ib yam li kev phais mob, kev pheej hmoo ntawm cov txheej txheem no suav nrog ntshav txhaws, mob tus kab mob, thiab muaj teeb meem los ntawm tshuaj loog.

Cov tshuaj noj

Koj tus kws kho mob yuav qhia cov tshuaj yuav tom khw los pab kom koj cov tsos mob zoo rov qab los:

• tshuaj acetaminophen (Tylenol)
• ibuprofen (Advil)
• naproxen (Aleve)

Yog tias koj qhov mob hnyav dua, koj tus kws kho mob tuaj yeem sau tshuaj opioids xws li:

• oxygencodone (OxyContin)
• oxygencodone nrog acetaminophen (Percocet)

Koj tus kws kho mob yuav sau ntawv noj tshuaj kom txhob muaj me nyuam ntau dua los yog lwm hom tshuaj tswj kev xeeb tub menyuam kom txo tau qhov kev rov ua mob ntxiv.

Puas yog muaj teeb meem lwm yam tau?

Lub sijhawm ntev dua nws yuav tau txais kev kuaj mob thiab kho mob, koj cov ntaub so ntswg ntev yuav muaj kev pheej hmoo.

Thaum torsion tshwm sim, ntshav txaus rau koj lub zes qe menyuam - thiab tejzaum nws rau koj txoj hlab qe menyuam - yog qhov tsawg. Lub sijhawm ua kom ntshav tsawg tuaj yeem ua rau cov leeg mob (daim tawv nqaij tuag). Yog tias qhov no tshwm sim, koj tus kws kho mob yuav tshem lub zes qe menyuam thiab lwm qhov nqaij cuam tshuam.

Tib txoj kev yuav zam rau qhov kev mob nyhav no yog nrhiav kev kho mob sai sai rau koj cov tsos mob.

Yog hais tias lub zes qe menyuam poob rau necrosis, xeeb menyuam thiab cev xeeb tub tseem muaj peev xwm ua tau. Kev siv lub cev ntawm zes qe menyuam tsis cuam tshuam rau kev muaj menyuam hauv txhua txoj kev.

Qhov tshwm sim yog dab tsi?

Tawv yug menyuam lub cev yog suav tias yog mob xwmtxheej ceev, thiab kev phais yuav tsum kho nws. Kev kuaj mob qeeb thiab kev kho mob tuaj yeem nce koj qhov teeb meem thiab yuav ua rau muaj kev phais ntxiv.

Thaum lub zes qe menyuam tsis tau raug tshem tawm lossis tshem tawm, koj yuav tau qhia rau kev noj tshuaj tiv thaiv kev xeeb tub menyuam kom koj muaj kev phom sij. Torsion tsis muaj qhov cuam tshuam rau koj lub peev xwm xeeb tub lossis nqa lub cev xeeb tub mus rau lub sijhawm.