Cov tsos mob tseem ceeb ntawm ncauj tsev menyuam

Zoo Siab

• Yuav ua li cas yog thaum twg txoj kev ntseeg
• Leej twg ntxim yuav raug mob qog nqaij hlav cancer
• Mob ncauj tsev menyuam theem
• Yuav kho tus mob li cas
• 1. Lub ntsiab lus sib cav
• 2. Hysterectomy
• 3. Mob Trachelectomy
• 4. Kev xav ntawm pelvic
• 5. Kev siv hluav taws xob ntau thiab kho tshuaj pleev ib ce

Feem ntau tsis muaj cov tsos mob thaum ntxov ntawm mob khees xaws ncauj tsev menyuam, feem ntau muaj tus mob tshwm sim thaum Pap smear lossis tsuas yog muaj feem ntau ntawm kev mob qog nqaij hlav cancer. Yog li, ntxiv rau kom paub tias cov tsos mob ntawm tus mob ncauj tsev menyuam yog dab tsi, qhov tseem ceeb tshaj plaws yog nquag sib tham nrog tus kws kho mob poj niam ua qhov pap smear thiab pib kho thaum ntxov, yog tias qhia.

Txawm li cas los xij, thaum nws ua rau mob tshwm sim, mob ncauj tsev me nyuam tuaj yeem ua rau cov tsos mob xws li:

1. Vaginal los ntshav yam tsis muaj dab tsi ua pom meej thiab tawm ntawm kev coj khaub ncaws;
2. Hloov qhov chaw mos tawm, nrog tus ntxhiab tsw phem lossis xim daj, piv txwv;
3. Mob plab tas li lossis mob plab mos, uas tuaj yeem mob hnyav dua thaum siv chav dej lossis thaum sib chwv sib ze;
4. Mloog ntawm lub siabhauv qab hauv plab;
5. Muaj ntau zaus tso zis, txawm nyob hmo ntuj;
6. Sai poob ceeb thawj yam tsis tau noj zaub mov.

Feem ntau, uas tus poj niam muaj mob kheesxaws ncauj tsev menyuam dhau los, lwm cov tsos mob kuj tseem tuaj yeem tshwm, xws li nkees ntau dhau, mob thiab o rau ntawm txhais ceg, thiab tuaj yeem tso zis thiab tso quav.

Cov tsos mob no tuaj yeem tshwm sim los ntawm lwm yam teeb meem, xws li mob candidiasis lossis mob ntawm chaw mos, thiab tej zaum yuav tsis cuam tshuam nrog mob qog nqaij hlav, yog li nws yuav tsum tau sab laj nrog tus kws kho mob pojniam txhawm rau txhawm rau kuaj qhov tseeb. Txheeb xyuas 7 qhov cim qhia uas yuav qhia tau lwm yam teeb meem hauv lub tsev menyuam.

Yuav ua li cas yog thaum twg txoj kev ntseeg

Thaum ntau tshaj ib ntawm cov tsos mob no tshwm sim, nws raug nquahu kom mus rau qhov kuaj mob gynecologist rau kev kuaj mob xws li pap smears lossiscolposcopy nrog me uterine nqaij thiab ntsuas seb puas muaj cov kab mob cancer. Kawm paub ntau ntxiv txog kev ua cov kev ntsuam xyuas no tiav li cas.

Pap smear yuav tsum ua txhua xyoo rau 3 xyoos sib law liag. Yog tias tsis muaj kev hloov, txoj kev kuaj mob tsuas yog yuav tsum tau nqa tawm txhua 3 xyoos.

Leej twg ntxim yuav raug mob qog nqaij hlav cancer

Uterine cancer muaj ntau rau cov poj niam nrog:

• Cov kab mob kis los ntawm kev sib deev, xws li chlamydia lossis gonorrhea;
• Kab mob HPV;
• Ntau yam kev sib deev.

Ntxiv rau, cov poj niam uas siv cov tshuaj tiv thaiv qhov ncauj ntau xyoo kuj tseem muaj feem yuav mob qog nqaij hlav cancer ntau dua, thiab siv sijhawm ntev dua, ntev dua yuav muaj mob qog nqaij hlav cancer.

Mob ncauj tsev menyuam theem

Tom qab ua qhov kev kuaj mob, tus kws kho mob feem ntau cais tawm cov ncauj tsev menyuam raws li nws theem ntawm kev loj hlob:

• Tx:Thawj lub qog qhia tsis tau;
• T0: Tsis muaj pov thawj ntawm thawj lub pob;
• Tis lossis 0: Carcinoma hauv situ.

Theem 1:

• T1 lossis Kuv: Cervical carcinoma tsuas yog nyob rau hauv lub tsev menyuam;
• T1 a lossis IA: Kev muaj mob nqaij hlav hauv qhov tsis zoo, kuaj pom tsuas yog los ntawm microscopy;
• T1 a1 lossis IA1: Txoj kev tawm tsam ntau txog 3 hli tob lossis txog 7 hli tav toj;
• T1 a2 lossis IA2: Stromal ntxeem tau ntawm 3 thiab 5 hli sib sib zog nqus lossis mus txog 7 hli kab rov tav;
• T1b lossis IB: Cov qhov txhab mob uas pom tseeb, tsuas yog rau lub ncauj tsev menyuam, lossis lub qhov txhab me me ntau dua T1a2 lossis IA2;
• T1b1 lossis IB1: Cov qhov txhab pom pom dav dav nrog 4 cm lossis luv dua hauv nws qhov loj tshaj plaws;
• T1b2 IB2: Cov kab mob pom pom dav dua 4 cm.

Theem 2:

• T2 lossis II: Lub qog tau pom sab hauv thiab sab nraud ntawm lub tsev menyuam, tab sis tsis ncav cuag lub pelvic phab ntsa lossis qhov qis thib peb ntawm lub paum;
• T2a lossis IIA:Yog tsis muaj qhov ntxeem tau ntawm qhov parametrium;
• T2b lossis IIB: Nrog kev ntxeem ntawm lub parametrium.

Theem 3:

• T3 lossis III:Cov qog uas txuas mus rau lub pelvic phab ntsa, cuam tshuam qhov qis ntawm qhov chaw mos, los yog ua rau muaj kev hloov hauv lub raum;
• T3a lossis IIIA:Lub qog uas cuam tshuam qhov qis thib peb ntawm lub paum, tsis muaj qhov txuas ntxiv rau ntawm lub pob txha pelvic;
• T3b lossis IIIB: Cov qog uas txuas mus rau lub pelvic phab ntsa, lossis ua rau muaj kev hloov hauv lub raum

Theem 4:

• T4 lossis VAT: Cov qog uas ua rau lub zais zis lossis lub qhov quav tawm, lossis nthuav tawm dhau ntawm lub plab mog.

Ntxiv nrog rau kev paub txog hom mob khees-xaws ncauj tsev menyuam uas tus poj niam muaj, nws tseem yog qhov tseem ceeb kom paub yog tias muaj kev cuam tshuam ntawm cov qog ntshav thiab mob metastases lossis tsis tau, vim tias nws pab txiav txim siab txog hom kev kho mob uas tus poj niam xav ua.

Yuav kho tus mob li cas

Kev kho mob qog nqaij hlav rau lub qog nyob rau theem, puas muaj metastases kab mob, hnub nyoog thiab kev noj qab haus huv ntawm tus poj niam.

Cov kev xaiv tseem ceeb muaj xws li:

1. Lub ntsiab lus sib cav

Kev hloov pauv muaj kev tshem tawm ntawm ib qho me me uas muaj duab los ntawm lub ncauj tsev menyuam. Txawm hais tias nws yog cov txheej txheem feem ntau siv los kuaj thiab paub tseeb txog kev kuaj mob qog nqaij hlav, kev pom zoo kuj tseem tuaj yeem suav tias yog ib hom qauv kev kho mob rau qhov mob ntawm HSIL, uas yog qib siab ua rau muaj qhov txhab nqaij, uas tseem tsis tau xav tias mob qog nqaij hlav, tab sis nws tej zaum yuav hloov mus ua mob cancer. Saib yuav ua li cas lub tsev menyuam yog conized.

2. Hysterectomy

Hysterectomy yog qhov tseem ceeb ntawm kev phais mob qhia txog kev kho mob khees xaws ncauj tsev menyuam, tuaj yeem siv rau thaum ntxov lossis qib siab dua thiab feem ntau tau ua hauv ib qho ntawm cov hauv qab no:

• Tag nrho cov hysterectomy: tshem tawm tsuas yog lub tsev me nyuam thiab ncauj tsev me nyuam thiab tuaj yeem ua tau los ntawm kev txiav lub plab, los ntawm laparoscopy lossis dhau ntawm tus paum ntawm lub paum. Feem ntau yog siv los kho mob ncauj tsev me nyuam nyob rau theem IA1 lossis theem 0.
• Tshaj dhau hysterectomy: ntxiv rau lub tsev menyuam thiab ncauj tsev menyuam, sab qaum ntawm lub paum thiab cov nqaij mos uas nyob ib puag ncig, uas yuav cuam tshuam los ntawm mob cancer, kuj raug tshem tawm. Feem ntau, qhov kev phais mob no pom zoo rau mob qog nqaij hlav hauv theem IA2 thiab IB, ua tsuas yog txiav los ntawm kev txiav mob plab.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias nyob rau hauv ob hom kab mob siab (zes me nyuam nqaj) zes qe menyuam thiab cov yas menyuam tsuas yog tshem tawm yog tias lawv tseem muaj cuam tshuam los ntawm mob qog nqaij hlav lossis yog tias lawv muaj lwm yam teeb meem. Pom hom hysterectomy thiab kev saib xyuas tom qab phais.

3. Mob Trachelectomy

Trachelectomy yog lwm yam kev phais mob uas tshem tawm tsuas yog lub ncauj tsev menyuam thiab sab saud thib peb ntawm qhov chaw mos, tawm hauv lub cev ntawm lub tsev menyuam mus tsis tau, uas ua rau tus pojniam tseem muaj peev xwm xeeb tub tom qab kho.

Feem ntau, qhov kev phais mob no siv rau thaum muaj mob khees-xaws ncauj tsev menyuam tau tshawb pom thaum ntxov thiab, yog li ntawd, tseem tsis tau cuam tshuam lwm lub tsev.

4. Kev xav ntawm pelvic

Pelvic exenteration yog kev phais mob ntxiv uas tuaj yeem pom nyob rau hauv cov mob uas mob cancer rov qab los thiab cuam tshuam rau lwm thaj tsam. Hauv qhov kev phais no, lub tsev me nyuam, ncauj tsev menyuam, kis las ntawm lub plab mog tau raug tshem tawm, thiab nws kuj tseem yuav tsum tau tshem lwm yam kabmob xws li zes qe menyuam, hlab, chaw mos, lub zais zis thiab ib feem ntawm qhov kawg ntawm txoj hnyuv.

5. Kev siv hluav taws xob ntau thiab kho tshuaj pleev ib ce

Kev kho mob nrog tshuaj tua hluav taws xob lossis tshuaj tua hluav taws xob tuaj yeem siv ob qho tib si ua ntej thiab tom qab kev phais mob, los pab tua mob qog noj ntshav, tshwj xeeb tshaj yog thaum nws nyob rau theem siab lossis thaum muaj cov hlav hlav.