Cov Cim thiab Cov tsos mob ntawm Uterine Fibroids

Zoo Siab

• Uterine Fibroids yog dab tsi?
• Uterine Fibroid Symptoms
• Koj Puas Tuaj yeem Tshem Tawm Ntawm Uterine Fibroids?
• Koj Txoj Kev Npaj Ua Rau Menyuam Fibroid
• Tshuaj xyuas rau

Toya Wright (leej twg koj yuav paub zoo li Lil Wayne tus poj niam qub, tus cwj pwm hauv TV, lossis tus sau ntawm Hauv Kuv Cov Lus) taug kev ncig txhua hnub zoo li nws cev xeeb tub tsib lub hlis. Txawm hais tias ua raws li kev noj qab haus huv noj qab haus huv thiab tsoo nws lub pob tw hauv lub gym, lub plab yuav tsis ploj mus-vim nws yog tshwm sim los ntawm uterine fibroids. Tsis tsuas yog lawv ua rau nws xav tias cev xeeb tub, tab sis lawv kuj ua rau nws los ntshav hnyav thiab mob khaub thuas txhua hli thaum nws tau txais nws lub caij nyoog.

Thiab nws nyob deb ntawm ib leeg. 50 feem pua ​​ntawm cov poj niam yuav muaj cov qog nqaij hlav hauv tsev, hais tias Yvonne Bohn, MD, ob-gyn ntawm Los Angeles Obstetricians thiab Gynecologists thiab Cystex tus cev lus. Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm Cov Poj Niam txawm kwv yees tias nruab nrab ntawm 20 thiab 80 feem pua ​​​​ntawm cov poj niam yuav tsim fibroids thaum muaj hnub nyoog 50. Txawm hais tias qhov teeb meem no cuam tshuam rau cov poj niam coob coob, ntau tus poj niam tsis paub thawj yam txog fibroids. (Thiab, tsis yog, nws tsis zoo ib yam li endometriosis, uas cov hnub qub zoo li Lena Dunham thiab Julianne Hough tau hais tawm.)

"Kuv tsis paub dab tsi txog fibroids thaum lub sijhawm," Wright hais. "Nws yog txawv teb chaws rau kuv. Tab sis ib zaug kuv tau kuaj pom lawv, kuv pib tham txog nws rau cov phooj ywg thiab tsev neeg sib txawv thiab nyeem txog nws, thiab kuv pom tau tias nws muaj ntau heev." (Zoo heev-txawm tias supermodels tau txais lawv.)

Uterine Fibroids yog dab tsi?

Uterine fibroids yog kev loj hlob uas tsim los ntawm cov leeg nqaij ntawm lub tsev menyuam, raws li Asmeskas Congress ntawm Obstetricians thiab Gynecologists (ACOG). Lawv tuaj yeem loj hlob sab hauv lub tsev menyuam hauv plab (qhov chaw yug menyuam hauv plab), hauv phab ntsa ntawm lub tsev menyuam, sab nrauv ntawm phab ntsa ntawm lub tsev menyuam, lossis txawm tias sab nraum lub tsev menyuam thiab txuas los ntawm cov qauv zoo li qia. Thaum lawv feem ntau hu ua qog, nws yog qhov tseem ceeb tshaj plaws kom paub tias yuav luag txhua ntawm lawv yog benign (tsis yog mob qog noj ntshav), hais tias Dr. Bohn.

Nws hais tias "Qee zaus lawv tuaj yeem ua rau mob qog noj ntshav, thiab qhov ntawd hu ua leiomyosarcoma," nws hais. Nyob rau hauv tas li ntawd, nws yog feem ntau loj hlob sai heev, thiab tib txoj kev kom paub tias nws yog mob cancer los yog tsis yog kom tshem tawm nws. Tab sis, tiag tiag, nws yog super tsawg; tsuas yog kwv yees ib ntawm 1,000 tus fibroids yog mob qog noj ntshav, raws li Lub Chaw Haujlwm Saib Xyuas Poj Niam Kev Noj Qab Haus Huv. Thiab muaj fibroids tsis ua rau muaj kev pheej hmoo ntawm kev tsim cov qog nqaij hlav cancer lossis tau txais lwm hom mob qog noj ntshav hauv tsev menyuam.

Tam sim no, peb tsis paub dab tsi ua rau fibroids-txawm tias estrogen ua rau lawv loj hlob, Dr. Bohn hais. Yog vim li ntawd, fibroids tuaj yeem loj hlob ntau thaum cev xeeb tub thiab feem ntau tsis loj hlob lossis txo qis thaum cev xeeb tub. Vim tias lawv muaj ntau heev, nws yog qhov txawv txav los txiav txim siab lawv yog ib yam khoom qub, hais tias Dr. Bohn. Tab sis muaj cov neeg hauv tsev neeg nrog fibroids ua rau koj muaj kev pheej hmoo ntau ntxiv, raws li Lub Chaw Haujlwm Saib Xyuas Poj Niam Kev Noj Qab Haus Huv. Qhov tseeb, yog tias koj niam muaj fibroids, koj txoj kev pheej hmoo muaj lawv yog li peb npaug siab dua qhov nruab nrab. Cov poj niam Asmeskas-Asmeskas kuj tseem muaj feem tsim cov fibroids, ib yam li cov poj niam uas rog.

Uterine Fibroid Symptoms

Cov poj niam tuaj yeem muaj ntau qhov fibroids loj thiab muaj cov tsos mob xoom, lossis lawv tuaj yeem muaj ib qho fibroid me me thiab muaj cov tsos mob txaus ntshai-nws txhua qhov nyob ntawm qhov fibroid nyob qhov twg, hais tias Dr. Bohn.

Tus naj npawb-ib tsos mob yog txawv txav thiab los ntshav hnyav, nws hais tias, uas feem ntau yog nrog los ntawm kev mob hnyav thiab dhau ntshav txhaws. Wright hais tias qhov no yog thawj lub cim qhia tias muaj qee yam tsis raug; Nws yeej tsis tau mob cramps ua ntej hauv nws lub neej, tab sis mam li nco dheev nws tau raug mob heev thiab hnyav heev: "Kuv tau khiav los ntawm cov ntaub qhwv thiab tampons-nws yog qhov phem heev," nws hais.

Yog tias koj muaj fibroid nyob rau hauv lub uterine kab noj hniav, los ntshav tuaj yeem ua rau khaus heev, vim hais tias qhov ntawd yog qhov chaw ntawm lub tsev menyuam thiab los ntawm lub sij hawm koj lub sij hawm txhua hli, hais tias Dr. Bohn. "Txawm tias cov fibroid me me, yog tias nws nyob hauv qhov chaw tsis ncaj ncees lawm, koj tuaj yeem hemorrhage mus rau qhov muaj ntshav tsis txaus thiab yuav tsum tau txhaj ntshav," nws hais.

Cov fibroids loj tuaj yeem ua rau mob thaum sib deev nrog rau mob nraub qaum. Lawv tuaj yeem ua rau lub zais zis lossis lub qhov quav, ua rau cem quav, lossis tso zis ntau zaus lossis nyuaj, Dr. Bohn hais. Ntau tus poj niam tau ntxhov siab tias lawv tsis tuaj yeem poob phaus hauv lawv lub plab - tab sis nws yog fibroids tiag tiag. Nws tsis yog qhov tsis tshua muaj tshwm sim rau cov fibroids loj los tsim kom muaj lub siab loj heev, zoo li Wright tau ntsib.

"Kuv tuaj yeem hnov ​​​​lawv hauv kuv daim tawv nqaij, thiab zoo li pom lawv thiab txav mus los," nws hais. "Kuv tus kws kho mob hais rau kuv tias kuv lub tsev menyuam loj npaum li tsib-hlis-poj niam cev xeeb tub." Thiab qhov no tsis yog exaggeration; thaum tsis tshua muaj, Dr. Bohn hais tias cov fibroids tuaj yeem loj hlob mus rau qhov loj ntawm lub dib. (Tsis ntseeg nws? Tsuas yog nyeem tus kheej zaj dab neeg ntawm tus poj niam uas tau muaj melon-fibroid tshem tawm ntawm nws lub tsev menyuam.)

Koj Puas Tuaj yeem Tshem Tawm Ntawm Uterine Fibroids?

Thawj yam ua ntej: Yog tias koj muaj fibroids me me, tsis ua rau muaj kev hloov pauv hauv lub neej, lossis tsis nyob hauv ib qho teeb meem, koj yuav tsis xav tau kev kho mob, raws li ACOG. Tab sis, hmoov tsis, fibroids yeej tsis ploj mus ntawm lawv tus kheej, thiab yuav tsis ploj txawm tias muaj pes tsawg lub nroog cov lus dab neeg koj sim lossis pes tsawg phaus ntawm kale koj noj, hais tias Dr. Bohn.

Ntau xyoo dhau los, kev kho mob mus rau fibroid yog hysterectomy-kev tshem tawm ntawm koj lub tsev menyuam, hais tias Dr. Bohn. Hmoov zoo, qhov ntawd tsis yog lawm. Ntau tus poj niam tsis muaj tsos mob hnyav nyob nrog lawv cov fibroids, thiab ua tiav cev xeeb tub thiab muaj menyuam tsis muaj teeb meem, nws hais. Tab sis txhua yam no nyob ntawm seb koj cov fibroids nyob qhov twg thiab lawv hnyav npaum li cas. Qee qhov, fibroids tuaj yeem thaiv txoj hlab ntaws, tiv thaiv kev cog qoob loo, lossis thaiv txoj hauv kev ntawm kev yug menyuam, hais tias Dr. Bohn. Nws txhua yam nyob ntawm tus kheej qhov xwm txheej. (Ntawm no yog txhua yam koj yuav tsum paub txog fertility.)

Niaj hnub no, feem ntau cov poj niam uas muaj fibroids mus rau cov tshuaj tiv thaiv kev yug me nyuam qis lossis tau txais cov tshuaj hormonal IUD-ob qho tib si uas nyias nyias ntawm lub tsev menyuam, txwv tsis pub los ntshav thiab cov tsos mob, hais tias Dr. Bohn. (BC kuj txo koj txoj kev pheej hmoo ntawm kev mob qog noj ntshav ntawm zes qe menyuam-yay!) Muaj qee cov tshuaj uas tuaj yeem txo cov fibroids ib ntus, tab sis vim tias lawv txo cov pob txha pob txha ntom ntom (tsuas yog ua rau koj cov pob txha tsis muaj zog), lawv tsuas yog siv rau lub sijhawm luv luv xwb. thiab feem ntau yog npaj rau kev phais.

Muaj peb txoj kev phais mob sib txawv los daws cov fibroids, hais tias Dr. Bohn. Thawj yog kev rho menyuam tawm, lossis tshem tawm tag nrho lub tsev menyuam (hauv cov poj niam uas tsis muaj menyuam). Qhov thib ob yog myomectomy, lossis tshem tawm cov qog fibroid los ntawm lub tsev menyuam, xws li los ntawm kev qhib lub plab lossis laparoscopically (qhov uas lawv mus dhau qhov kev phais me me thiab tawg cov fibroid rau hauv me me kom tshem nws tawm ntawm lub cev). Qhov kev phais thib peb yog hysteroscopic myomectomy, qhov chaw uas lawv tuaj yeem tshem tawm cov fibroids me me hauv cov kab noj hniav los ntawm kev nkag mus rau hauv lub tsev menyuam qhov chaw mos. Lwm txoj kev kho mob yog ib txoj kev hu ua embolization, qhov twg cov kws kho mob mus rau hauv lub hlab ntsha nyob rau hauv puab tais thiab taug qab cov ntshav mus rau lub fibroid. Lawv tua cov ntshav xa mus rau cov qog, ua rau nws qis li ib feem peb, hais tias Dr. Bohn.

Qhov tseeb tias cov poj niam tuaj yeem tau txais lawv cov fibroids tshem tawm thaum ua kom lawv lub tsev menyuam (thiab khaws lawv lub peev xwm kom muaj menyuam) yog qhov loj heev-uas yog vim li cas nws tseem ceeb rau cov poj niam kom paub txog lawv txoj kev kho mob.

Wright hais tias "Ntau tus poj niam uas kuv tham tau ua yuam kev ntawm kev tshem tawm cov fibroids nrog hysterectomy," Wright hais. "Nws zoo li ua rau lawv lub neej puas, vim tam sim no lawv tsis muaj peev xwm muaj menyuam ntxiv lawm. Qhov ntawd yog tib txoj kev uas lawv xav tias lawv tuaj yeem tshem lawv."

Muaj ib qho kev poob qis loj los tshem tawm cov fibroids tab sis tawm hauv lub tsev menyuam mus rau qhov chaw, txawm tias: cov fibroids tuaj yeem rov tshwm sim. "Yog tias peb ua myomectomy, hmoov tsis txog, kom txog thaum tus poj niam cev xeeb tub, muaj lub sijhawm uas cov fibroids tuaj yeem rov qab los," hais tias Dr. Bohn.

Koj Txoj Kev Npaj Ua Rau Menyuam Fibroid

"Yog tias koj muaj cov tsos mob txawv no, thawj qhov yog qhia rau koj tus kws kho mob poj niam paub," hais tias Dr. Bohn. "Kev hloov pauv hauv koj lub cev kev coj khaub ncaws, txhaws hauv koj lub sijhawm, ua rau mob hnyav, uas yog qhov qhia tias muaj qee yam tsis raug." Los ntawm qhov ntawd, koj tus kws kho mob yuav txiav txim siab seb qhov laj thawj yog yam ntxwv (zoo li fibroid) lossis hormonal. Thaum docs tuaj yeem hnov ​​​​ib co fibroids thaum lub sij hawm kuaj pelvic standard, koj yuav feem ntau yuav tau txais lub plab ultrasound-qhov zoo tshaj plaws imaging cuab tam rau saib lub tsev menyuam thiab zes qe menyuam, hais tias Dr. Bohn.

Thaum koj tsis tuaj yeem tswj hwm qhov kev loj hlob ntawm fibroids, ua lub neej noj qab nyob zoo tuaj yeem pab txo koj txoj kev pheej hmoo; Cov nqaij liab tuaj yeem txuas rau kev pheej hmoo ntawm fibroid ntau dua, thaum nplooj nplooj ntsuab tuaj yeem txuas rau qis dua, raws li kev tshawb fawb luam tawm hauv phau ntawv journal Obsetrics thiab Gynecology. Txawm hais tias tseem muaj kev tshawb fawb txwv tsis pub muaj kev pheej hmoo ntawm kev ua neej nyob thiab cov uterine fibroids, noj ntau cov txiv hmab txiv ntoo thiab zaub, kev tawm dag zog tsis tu ncua, txo kev ntxhov siab, thiab ua kom lub cev hnyav tau tag nrho txuas rau qhov qis dua ntawm fibroids, raws li kev tshuaj xyuas luam tawm hauv International Journal of Fertility thiab Sterility.

Thiab yog tias koj tau kuaj pom tias muaj fibroids, tsis txhob freak tawm.

"Cov kab hauv qab yog tias lawv muaj ntau heev," hais tias Dr. Bohn. "Tsuas yog vim koj muaj ib tug tsis txhais hais tias nws yog phem los yog hais tias koj yuav tsum tau maj mus rau kev phais. Tsuas yog yuav tsum paub txog cov tsos mob thiab cov tsos mob yog li ntawd koj yuav nrhiav tau saib yog hais tias koj muaj ib yam ntawm cov kev xav txawv txav."

Tshuaj xyuas rau