Kev tshem tawm ntawm polyps nyob rau hauv lub tsev me nyuam: kev xyuas. Lub postoperative lub sij hawm

Nyob rau hauv hnub no lub ntiaj teb no, cov poj niam uas nce ntsib nrog cov kab mob ntawm lub urogenital cheeb tsam. Ib txhia cov kab mob yuav muab tau yooj yim kho nrog conservative txoj kev. Lwm tus yuav tsum tau ceev faj kev soj ntsuam thiab kev phais kev cuam tshuam. Nyob rau hauv no tsab xov xwm peb yuav kub siab rau yuav ua li cas rau txoj kev muaj peev xwm yuav nqa tawm kev tshem tawm ntawm polyps nyob rau hauv lub tsev me nyuam. Xyuas ntawm txoj kev yuav tau piav rau hauv qab no. Tsis tas li ntawd muaj nqis mentioning txog yuav ua li cas hais postoperative lub sij hawm.

Polyp nyob rau hauv lub tsev me nyuam: tshem

Xyuas ntawm cov kws kho mob thiab tej gynecologists hais tias koj yuav tsis kho cov pathology li ntev raws li txoj kev kawm ntawv tsis tau loj ntau thiab tsawg pab. Txawm li cas los, muaj mob qhov twg txawm me me growths ua rau tsis xis thiab yeej ua rau lub neej ntawm cov fairer nrog txiv neej pw. Yuav ua li cas, ces, yuav tsum tau cov tsos mob ntawm tus kab mob, coj mus tshem tawm polyps nyob rau hauv lub tsev me nyuam? Xyuas ntawm cov kws kho mob thiab cov neeg mob hais li nram qab no cov tsos mob:

• qhov intermenstrual spotting;
• mob thiab tu-sauv nyob rau hauv lub qis lub plab;
• tsis xis nyob thaum lub sij hawm com;
• hnyav coj khaub ntshav;
• Kua whitish paum paug nyob rau hauv loj qhov ntau.

Feem ntau cov feem ntau, xws li ib tug soj ntsuam daim duab muab kev kawm zoo. Yog hais tias koj tau pom ib tug ob peb zoo nyob rau hauv koj tus kheej, koj yuav tsum mus ntsib ib tug gynecologist thiab yuav ua li cas yuav ua rau cov tsim nyog kev soj ntsuam raws li sai li sai tau.

Yuav ua li cas kuaj tau tus polyp?

Thaum muaj ib tug tshem tawm ntawm ib tug polyp nyob rau hauv lub tsev me nyuam? Xyuas ntawm cov kws kho mob hais tias ua ntej koj yuav siv ib tug tej yam mob. Thaum lub txais tos, ib tug kws kho mob yuav sau koj tsis txaus siab thiab kev ib tug sab nraud tshuaj ntsuam xyuas. yam ua ntej tus mob yuav tsum ua raws li nyob rau hauv cov ntaub ntawv no. Nws yuav tsum tau muab sau tseg hais tias lub tsev me nyuam polyp yog kuaj thaum lub sij hawm colposcopy.

Rau cov nrhiav kom tau ntawm kev kawm ntawv nyob rau hauv lub tsev me nyuam cov kabmob uas yuav tsa ntxiv cov kev tshawb fawb: ultrasound, hysteroscopy, uterography thiab thiaj li nyob. Nco ntsoov mus soj ntsuam cov ntshav kom meej qog npiv zas. Qhov no tsom xam yuav qhia predisposition degeneration ntawm hlav nyob rau hauv kab mob qog hlav. Yog hais tias tus mob yog paub tseeb hais tias, nws ua kev tshem tawm ntawm polyps nyob rau hauv lub tsev me nyuam. Xyuas ntawm cov kws kho mob hais tias nws yuav ua tau nyob rau hauv ob peb txoj kev. Cia peb kawm lawv nyob rau hauv kom meej.

Scraping, txhuam hniav los yog gynecological

Heev feem ntau, qhov no txoj kev yog excised polyp nyob rau hauv lub tsev me nyuam. Tshem tawm ntawm kev txheeb xyuas yog heev contradictory. Cov kws kho mob hais tias muaj yog tam sim no ntau npaum thiab zoo txoj kev. Cov neeg mob xav kom xaiv qhov kev kho no regimen vim lub fact tias lub lag luam yog heev ceev ceev thiab tom qab ib tug ob peb teev koj yuav mus tsev lawm.

Scraping yog ua li cas tam sim ntawd tom qab ua poj niam. Poj niam tas analgesic muab. Tej zaum nws yuav general los yog hauv zos tshuaj loog. Ces tus kws kho mob yuav siv sij hawm ib tug tshwj xeeb cov cuab tam (curette) thiab ua scraping kab noj hniav. Nws yog ib nqi sau cia hais tias nyob rau hauv cov ntaub ntawv no qhov kev tshem tawm ntawm lub polyp yog ua li cas "dig muag". Tus kws kho mob tsuas clears cov phab ntsa hauv lub tsev me nyuam nyob rau hauv cov seem endometrial growths thiab txawv. Manipulation kav tsis muaj ntau tshaj li 10-15 feeb. Thaum ib tug poj niam tsim los ntawm tshuaj loog, nws yuav mus tsev.

Hysteroscopic tshem tawm buildup

Muaj yog ib txoj kev yuav ua li cas yuav ua rau qhov kev tshem tawm ntawm ib tug polyp nyob rau hauv lub tsev me nyuam - hysteroscopy. Qhov no manipulation yog tseem ua nrog rau kev siv tshuaj loog. Tshuaj loog tej zaum yuav general los yog hauv zos.

Thaum lub sij hawm txoj kev, ib tug poj niam nyob rau hauv lub qhov chaw mos tshwj xeeb extenders yog tswvcuab uas qhia cov ncauj tsev menyuam kwj dej thiab tso cai rau lub tshuab kom tau rau hauv lub cev cov kab noj hniav ntawm nyuam. Tom qab ntawd tus kws kho mob inspects lub uterine phab ntsa thiab pom ib tug polyp. Nyob rau hauv xws li ib tug txoj kev yuav tsum tau qhia thiab ntxiv kev kawm ntawv, uas tsis tau pom thaum lub sij hawm ultrasound thiab phau ntawv tshuaj ntsuam xyuas. Tom qab tshem tawm ntawm lub polyp mob yog ua nyob rau hauv lub tsev me nyuam. Hysteroscopy xws li ib tug kev npaj khomob tsis kav ntau tshaj li 30-40 feeb. Tom qab excision ntawm lub buildup nqa coagulation nws ob txhais ceg thiab puag. Qhov no txhob rov muaj dua ntawm pathology.

Lub laser txoj kev

Uterine polyp tshem tawm los ntawm laser muaj tsuas zoo xyuas. Qhov no txoj kev thiaj li cov kev ncaj ncees lub sij hawm, thiab tsis txhob ua rau cov poj niam tsis xis nyob thaum lub sij hawm tus txheej txheem.

Kev tshem tawm ntawm polyps nyob rau hauv lub tsev me nyuam laser ua los ntawm cov nram qab no txoj kev. Tus kws kho mob inspects cov kab noj hniav deev hloov nrog ultrasound thiab qhab nia ntawm qhov chaw growths qhov chaw. Tom qab ntawd, cov nyhuv ntawm laser beams. Nco ntsoov tswj ntawm qhov tob ntawm allergic.

Cov cuab kom zoo dua ntawm no txoj kev yog hais tias tom qab hais tias muaj yog tsis muaj los ntshav. Tus neeg mob yuav tau mus tsev tom qab ib tug ob peb feeb tom qab cov txheej txheem.

Xyuas ntawm txoj kev tshem ib tug polyp

Yog li ntawd, peb xam tawm yuav ua li cas excised polyp nyob rau hauv lub tsev me nyuam. Tshem tawm ntawm kev txheeb xyuas sib txawv. Cov kws kho mob hais tias yog hais tias nws yog ua tau thiab tsim nyog cov khoom, koj yuav tsum tau xaiv cov qauv ntawm cov laser raug. Tam sim no, txawm li cas los, tsis yog txhua txhua kev kho mob chaw yuav khav xws. Nws yog li ntawd yuav tau ua los ntawm txawv txoj kev uterine polyp tshem tawm.

Hysteroscopy tswv yim no kuj zoo. Qhov no txoj kev yog tus thib ob feem ntau nrov. Cov kws kho mob hais tias qhov kom zoo dua ntawm no txoj kev yog tau simultaneous mob. Nyob rau kev soj ntsuam ntawm lub uterine kab noj hniav ntxiv lug yuav qhia tau hais tias yuav muab deleted. Nws yuav tsum tau muab sau tseg tias thaum uas siv cov hysteroscopic txoj kev nws yog tau mus nqa tawm ib tug histological txoj kev tshawb no. Nyob rau hauv cov ntaub ntawv no, tus mob no yog ua los feem ntau yog.

Yog hais tias koj siv tsis tau cov saum toj no ob txoj kev, ces ua li ib txwm ntxuav. Txawm li cas los, cov kws kho mob hais tias txoj kev no yog tsis ib txwm zoo. Ib txhia poj niam tom qab peb lub hlis mus rau tus kws kho mob nrog rau cov tib tsis txaus siab. Raws li ib tug tshwm sim, tus mob qhia ib tug polyp loj ntau thiab tsawg pab nyob rau hauv tib lub qhov chaw. Qhov no qhia ib tug loj tau ntawm tsis tshua mob heev.

Kev tshem tawm ntawm lub tsev me nyuam polyp muaj ntau txheeb xyuas. Cov kws kho mob hais tias nyob rau hauv cov ntaub ntawv no muaj peev xwm kuj yuav siv tau nyob rau hauv laser kho. Qhov no kev kho mob muab qhabnias zoo, thiab suab tsis ua teeb meem. Nws yuav nqa tawm nyob rau hauv lwm txoj kev tshem tawm ntawm lub tsev me nyuam polyps. Xyuas ntawm cov poj niam hais tias cov pa excision ntawm kev kawm ntawv feem ntau ua rau txim. Xws li ib tug qauv no yog tsis tsim nyog los xaiv tub ntxhais hluas ntxhais thiab cov neeg uas nyob rau hauv lub neej yav tom ntej yuav muab yug rau cov me nyuam.

Lub postoperative lub sij hawm

Yog hais tias koj tau ua qhov kev tshem tawm ntawm ib tug polyp nyob rau hauv lub tsev me nyuam, postoperative lub sij hawm pib ntawm lub caij thaum cov kws kho mob tas manipulation. Lub sij hawm no yog muab faib ua ob peb theem. Yuav luag tag nrho cov poj niam tom qab tus txheej txheem muab rau ib tug kev kho mob thiab hom. Tsuas yog los ntawm adhering rau tag nrho cov kev cai thiab cov tswv yim yuav rov qab tau sai sai thiab rov qab mus rau lub neej zoo. Xav txog cov ntsiab lus tseem ceeb ntawm lub postoperative lub sij hawm.

tau teeb meem

Kev tshem tawm ntawm polyps nyob rau hauv lub tsev me nyuam yuav muaj txim nyob rau hauv daim ntawv ntawm cov mob nyob rau hauv lub qis lub plab, qhov tshwm sim ntawm adhesions, kua hnab khib nyob rau hauv cov kab noj hniav genitals. Tag nrho cov no yog ib lub txim ntawm kev kho mob los yog tau kab mob. Uas yog vim li cas nws yog li ntawd ib qho tseem ceeb rau xaiv proven kho mob tsev rau tus kho lus, es tig mus rau dubious cov kws kho mob.

Nyob rau hauv tas li ntawd, tsis yog txhua txhua polyps yuav raug tshem tawm thaum lub sij hawm kev phais. Nyob rau hauv cov ntaub ntawv no, ib tug poj niam tej zaum yuav muaj mob heev nyob rau hauv lub plab mog thiab ntau los ntshav. Yog hais tias koj raug tej yam, koj yuav tsum mus nrhiav kev tam sim ntawd kev pab kho mob. Feem ntau cov yuav, nws yuav muaj kev xeem rov scraping thiab ntxuav lub tsev menyuam.

Ad Hoc hom

Postoperatively, nco ntsoov mus soj ntsuam cov tsoom fwv. Tsuas yog nyob rau hauv no txoj kev uas koj tau sai thiab yooj yim rov qab.

• Tus neeg mob twb txwv tsis pub noj ntshav thinning tshuaj. Cov cuab yeej xws li cov ib txwm tau noj tshuaj aspirin thiab feem ntau venotoniki.
• Nws yog tsim nyog los ua tib zoo soj ntsuam cov kua. Postoperative los ntshav yog mus xaus nyob rau hauv thawj lub lim tiam tom qab ntawm txoj kev. Yog hais tias poj niam ncua, tej zaum nws yuav qhia ib qho teeb meem.
• Tsis txhob tsa tau khoom nyhav thiab mus kawm. Nws yuav tsum tau ncua ce tsawg kawg yog ib lub hlis.
• Pw ua niam txiv yuav tsum tau muab tso tseg. Tsis txhob paum allergic ntawm ntau yam khoom (koob txhaj, kua ntswg, thiab lwm yam P.) Rau ib lub hlis tom qab phais.

hormonal kho

Txij li thaum ib tug polyp - ib tug thiaj tau tuaj hormonal kab mob, postoperative lub sij hawm yuav tsum muaj xws li cov kev siv ntawm hormonal tshuaj. Cov feem ntau tus kws kho ib chav kawm ntawm peb los yog rau lub hlis. Nyob rau hauv Feem ntau, siv txhais tau tias normalizing cov tshuaj hormones, "Janine", "Diana", "Logest" thiab lwm yam ...

Yog hais tias ib tug poj niam yog npaj los ua cev xeeb tub nyob rau hauv lub nyob ze yav tom ntej, nws yuav tsum tau tsa los ntawm txoj kev "Djufaston", "Norkolut", "Utrozhestan". Cov tshuaj pab yog formulation ntawm progesterone thiab cov tshuaj no ntau txo.

Yog hais tias lub fairer poj niam txiv muaj tsis muaj kev pab them nqi nyob rau hauv lub nyob ze yav tom ntej kom muaj me nyuam, tej zaum nws yuav muaj rau nruab rau hauv lub hormonal kauj, piv txwv li, xws li "Mirena". Nyob rau hauv cov ntaub ntawv no, koj tsis tas yuav haus tshuaj txhua txhua hnub.

tshuaj tua kab mob

Postnatal tas muaj xws li antimicrobial kho. Cov feem ntau siv "Vilprafen" tshuaj "Naksodzhin", "Metronidazole" thiab thiaj on. N. Start noj cov tshuaj no yuav tsum tam sim ntawd tom qab lub manipulation. Duration ntawm lub chav kawm xaiv ib lub zuj zus los ntawm tus kws kho mob.

Nyob rau hauv tej rooj plaub, ib tug poj niam tej zaum yuav siv li ob peb antimicrobial agents. Ua ntej manipulation tas tso tsom xam rau kab mob, kev sib deev kis kab mob. Yog hais tias koj pom ib co ntawm lawv, ces cov kev kho mob yog cov tshuaj rau ob leeg koom tes. Txwv tsis pub, thaum thawj kev tiv thaiv zoo com yuav reinfection.

Health keb soj ntsuam

Lub postoperative lub sij hawm yuav ceev faj xyuas ntawm kev noj qab nyob. Ib tug poj niam xav tau kev pab mus xyuas ib tug gynecologist thiab dhau xeem. Heev feem ntau, cov kws kho mob muab ib tug ultrasonic mob, uas yog nqa tawm txhua txhua peb lub hlis. Thaum lub sij hawm daim ntawv ntsuam xyuas muab sau txoj cai raws li txoj cai thiab lub muaj los yog tsis tuaj kawm ntawv ntawm rov.

Nyob rau hauv tas li ntawd, ib tug poj niam yuav tsum tau kuaj ntshav. Nco ntsoov mus rau hauv tus account nyob rau tib lub sij hawm lub txiaj ntsim ntawm histology. Yog paub malignancy, nws yog tsim nyog los noj ib lub chav kawm ntawm cov kws khomob thiab tawg txoj kev kho.

Ntsiab lus thiab xaus

Yog li ntawd, tam sim no koj paub yuav ua li cas yuav ua rau qhov kev tshem tawm ntawm ib tug polyp ntawm lub tsev menyuam. Hysteroscopy tswv yim yog zoo, raws li cov laser kho. Nco ntsoov tias thaum ib tug tsim uas ua rau tsis xis nyob, nws yog tsim nyog yuav tsum tau kuaj tsis tu ncua. Nyob rau hauv tej rooj plaub, lub polyp hlob sai sai heev thiab nyob rau hauv ib tug ob peb lub hlis mus txog rau ib tug loj loj.

Yog hais tias kev kawm ntawv tsis coj tsis xis nyob, yog nws ua tau rau defer ib co ntawm nws kev kho mob. Nyob rau hauv cov ntaub ntawv no, cov kws kho mob feem ntau muab ib chav kawm ntawm hormonal thiab antimicrobial agents, uas tej zaum yuav ua rau cov lus rov transformation ntawm lub buildup.

Surveyed nyob rau gynecologist xav tau kev pab tsawg kawg yog ob zaug ib xyoos. Tej diagnostics cia raws sij hawm qhia kom paub txog lub pathological txheej txheem thiab pib kev kho mob ua ntej lawm. Yauv mus kuaj ib ce thiab yeej ib txwm noj qab nyob zoo!