Dab tsi Ua Rau Paratubal Cyst thiab Kho Nws Li Cas?

Zoo Siab

• Dab tsi yog paratubal cyst thiab nws yog hom?
• Cov tsos mob zoo li cas?
• Dab tsi ua rau paratubal cysts thiab leej twg yog tus pheej hmoo?
• Tus mob paratubal hlwv kuaj tau li cas?
• Muaj cov kev kho mob dab tsi?
• Puas yog muaj teeb meem lwm yam tau?
• Tus paratubal hlwv yuav cuam tshuam rau kev ua tub rog no?
• Qhov tshwm sim yog dab tsi?

Dab tsi yog paratubal cyst thiab nws yog hom?

Ib qho paratubal cyst yog ib qho khoob ntawm lub hnab, uas ntim cov kua dej. Qee lub sijhawm lawv qee lub npe hu ua paraovarian cysts.

Hom cyst no nyob ze lub zes qe menyuam lossis txoj hlab qe menyuam, thiab yuav tsis koom nrog ib yam khoom hauv nruab nrog cev. Cov cyst no feem ntau yaj ntawm lawv tus kheej, lossis mus rau kev kuaj mob, yog li lawv tsis paub.

Cov hlwv me me, paratubal yog nyob rau cov poj niam hnub nyoog 30 txog 40 xyoo.

Kav tsij nyeem ntxiv kom paub ntau ntxiv txog lawv kev nthuav tawm, dab tsi ua rau lawv, thiab lawv raug kho li cas.

Cov tsos mob zoo li cas?

Paratubal cysts feem ntau me me rau ntawm qhov loj me, ntev li ntawm ob txog 20 millimeters. Thaum lawv tseem nyob ntawd loj me me, lawv feem ntau tsis muaj asymptomatic. Koj tus kws kho mob yuav pom nws thaum kuaj mob gynecological lossis kev phais mob uas tsis cuam tshuam dab tsi.

Cov kab mob loj, ua paug, lossis sib ntswg paratubal cysts tuaj yeem ua rau mob pob ntseg lossis mob plab.

Dab tsi ua rau paratubal cysts thiab leej twg yog tus pheej hmoo?

Thaum cov menyuam hauv plab, lawv txhua tus muaj cov qauv embryonic hu ua wolffian duct. Qhov chaw ntawm lub cev xeeb tub yog qhov twg txiv neej poj niam txiv neej lub cev tsim.

Yog hais tias tus me nyuam hauv plab pib tsim cov poj niam cov txiv neej cov khoom nruab nrog, cov quav ploj zuj zus. Qee zaum, vestiges ntawm duct nyob twj ywm. Paratubal cysts tuaj yeem loj hlob ntawm cov seem no.

Cov hlwv kuj tuaj yeem tsim tau los ntawm vestiges ntawm paramesonephrontic (Müllerian) duct. Nov yog cov qauv embryonic uas poj niam txiv neej cov khoom nruab nrog cev loj tuaj.

Tsis muaj ib yam kev paub txog kev phom sij los ua paratubal hlwv.

Tus mob paratubal hlwv kuaj tau li cas?

Yog tias koj muaj mob pob txha lossis mob plab, ntsib kws kho mob. Lawv yuav rov xyuas koj cov tsos mob thiab keeb kwm kev kho mob, tom qab ntawd ua qhov kev kuaj mob lub cev kom kuaj xyuas qhov chaw ntawm mob.

Tej zaum lawv tseem yuav siv ib lossis ntau cov kev kuaj mob no:

• Pelvic ultrasound lossis mob plab hauv plabCov. Qhov kev ntsuam xyuas kho mob no siv ultrasonic zaus tshee mus rau xa cov duab pom ntawm thaj av pelvic mus rau lub computer screen.
• MRICov. Txoj kev kuaj ntshav no pab koj tus kws kho mob txiav txim siab seb puas yog cyst tsis zoo. Nws kuj tseem siv tau ua raws li cyst txoj kev loj hlob.
• Kuaj ntshavCov. Yog tias pom tias muaj mob malignancy, koj tus kws kho mob yuav xaj kuaj ntshav, xws li ua kom tiav cov ntshav (CBC) thiab kuaj cov qog ntshav.
• LaparoscopyCov. Cov hlwv tawm Paratubal tuaj yeem saib zoo xws li cov hlwv ntawm zes qe menyuam ntawm ultrasound, yog li koj tus kws kho mob kuj tseem yuav qhia tau qhov kev ntsuas phais no. Kev kuaj mob laparoscopy yuav tsum tau phais me me hauv plab. Koj tus kws kho mob yuav ntxig raj, uas muaj lub koob yees duab me me txuas rau nws cov taub, nkag rau hauv qhov phais. Qhov no tso cai rau koj tus kws kho mob saib tag nrho koj thaj chaw hauv plab.

Muaj cov kev kho mob dab tsi?

Yog tias lub pob ntuag me me thiab asymptomatic, koj tus kws kho mob yuav pom zoo kom "tos thiab pom" mus kom ze. Lawv yuav cia koj tuaj rau ib ntus soj ntsuam saib xyuas seb puas muaj dab tsi hloov.

Yog tias lub cyst loj tshaj 10 centimeters, koj tus kws kho mob yuav qhia kom tshem tawm tsis hais seb koj puas muaj tsos mob. Txoj kev ua no yog hu ua cystectomy. Koj tus kws kho mob yuav siv ib txoj hauv kev no:

• Laparoscopy. Tus txheej txheem no yuav tsum tau phais plab me me. Nws yuav ua tau raws li qhov chaw tso tshuaj loog lossis dav dav kom loog. Feem ntau yuav tsum tau siv sij hawm rov zoo dua dua li laparotomy.
• Laparotomy. Tus txheej txheem no yog qhov ntxeem tau ntau dua, yuav tsum tau phais plab loj. Nws ib txwm ua nyob rau hauv kev siv tshuaj loog

Koj tus kws kho mob yuav ua qhov mob, qhov loj me, thiab qhov chaw ntawm lub cyst rau hauv kev xav ua ntej pom zoo rau ib tus txheej txheem dhau ntawm lwm qhov.

Yog tias koj tseem tsis tau tag lub cev, koj tus kws kho mob yuav xub muab ib txoj kev tshem tawm uas yuav khaws koj lub zes qe menyuam lossis txoj hlab qe ntshav.

Puas yog muaj teeb meem lwm yam tau?

Qee qhov xwm txheej, paratubal cysts tuaj yeem ua rau muaj kev phom sij zoo li:

• Hemorrhage. Yog hais tias cyst tawg, nws yuav ua rau los ntshav sab hauv.
• Torsion. Qhov no hais txog qhov sib ntswg ntawm lub cyst ntawm nws cov pedicle, uas yog tus qauv stalk-zoo li tus qauv uas tuav nws hauv qhov chaw. Qhov no tuaj yeem ua rau mob siab, nrawm, nrog rau xeev siab thiab ntuav. cov xwm txheej ntawm zes qe menyuam tau raug tshaj tawm hauv cov menyuam ntxhais hluas.
• Txoj hlab raum tawgCov. Yog hais tias nyob ze rau ntawm txoj hlab qe menyuam, lub cyst loj dhau los yog ntswj yuav ua rau lub raj tawg.

Txawm hais tias loj cysts yog, lawv ua tau. Cov hlwv no yuav tso siab rau koj cov plab hnyuv siab raum, suav nrog:

• lub tsev menyuam
• raum
• lub zais zis
• plob tsis so tswj

Qhov siab no yuav ua rau hydronephrosis. Qhov no hais txog lub raum o tshwm sim los ntawm ntau cov zis ua kom lub cev tawm.

Cov hlwv loj kuj tseem yuav ua rau uterine los ntshav thiab ua kom sib deev.

Tus paratubal hlwv yuav cuam tshuam rau kev ua tub rog no?

Cov hlwv me me paratubal tsis yuav muaj feem cuam tshuam rau koj txoj kev yug menyuam. Tab sis qhov loj, doog ntshav, los sis cov hlwv yuav ua rau muaj teeb meem yog tias tsis kho.

Kev phais mob tam sim ntawd pab ua kom paub tias muaj lub raj thiab lub raj ntshav ntawm lub plab. Yog cov hlwv tawm tsis tuaj yeem tshem tawm sai, nws yuav ua rau tshem tawm lub zes qe menyuam (oophorectomy), hlab qe ntshav (salpingectomy), lossis ob qho tib si.

Cov pa paratubal feem ntau tsis sib luag, txhais tau tias lawv tsuas yog tshwm sim ntawm ib sab ntawm lub cev. O ovulation thiab cev xeeb tub tseem muaj peev xwm txawm tias lub zes qe lossis lub raj rau ntawm qhov cuam tshuam raug tshem tawm.

Qhov tshwm sim yog dab tsi?

Paratubal hlwv feem ntau tsis nrog cov tsos mob, yog li lawv feem ntau tsis mus kuaj mob. Lawv kuj yuav yaj lawv tus kheej thaum sijhawm.

Txawm li cas los xij, cov hlwv loj yuav ua rau mob lossis lwm yam kev mob. Cov hlwv yuav tsum tau muab tshem tawm phais, tab sis qhov no feem ntau yuav tsis muaj qhov cuam tshuam ntev rau koj lub cev tsis taus.