Yuav ua li cas yog uterine fibroids, dab tsi yog nws cov tsos mob thiab txim

Tej tug poj niam, kev txhawj xeeb txog nws kev sib. Kuv yuav tsum paub dab tsi fibroids, dab tsi tej yam tshwm sim ntawm tus kab mob no thiab dab tsi yog qhov yuav tshwm ntawm ncua kev kho mob rau cov kws kho mob.

Yuav txo tau ntawm cov leeg ntawm lub tsev me nyuam (myometrium) txuam nrog lub cev ntas, ua rau cov tsim ntawm txhawj xeeb nyob rau hauv cov aav. Tej aav ntxias cov tsim ntawm fibroids thiab ntxiv kev loj hlob ntawm cov qog ntawm lub tsev menyuam. Myoma yog ib tug benign qog uas ntaub ntawv nyob rau hauv lub myometrium. Nws yog ib tug cia li interwoven tangle du nqaij fibers, thiab zoo nkaus li zoo li ib tug hloov puab ntawm. Cov units yuav tau mus cuag loj heev ntau thiab tsawg thiab txawm loj hlob mus rau ob peb kilograms. Nyob rau hauv kev kho mob xyaum, lub npe hu cov ntaub ntawv ntawm 63-phaus mob ntawm lub tsev menyuam. Feem ntau ntawm cov nodules li nyob rau hauv loj los ntawm ib tug ob peb millimeters mus rau ib tug ob peb centimeters.

Txhua tus neeg ntawm fibroids yog lub txiaj ntsim ntawm kev du nqaij cell division. Vim li no, tag nrho cov hlwb nyob rau hauv ib tug mob yog tib yam. Zaum no kawm dab tsi uterine fibroids, tuaj mus rau lub xaus hais tias qhov xwm ntawm lub qog tsim nyob rau hauv lub zuag qhia tag nrho hormonal theem. Lub pov thawj ntawm daim ntawv no cov kws kho mob pabneeg yam nram qab no:

- paub mob pw ua niam txiv lawm receptors;

- tsim ntawm fibroids nyob rau hauv lub sij hawm ntawm theem ntawm cov tshuaj no;

- fibroids regress ntawm lawm;

- lub tsim ntawm hlav nyob rau hauv postmenopausal cov poj niam, tom qab tau txais hormonal npaj muaj cov tshuaj no.

Cov poj niam uas muaj nyob rau hauv cov theem ntawm kev ua me nyuam muaj hnub nyoog, uterine fibroids yog suav tias yog lub feem ntau mob. Thaum muaj hnub nyoog ntawm 30 xyoo ua ntej lawm fibroids cai txhua txhua peb tug poj niam.

yam tseem ceeb ntawm txoj kev loj hlob

Lub nyiam ntawm tus poj niam kab mob nyob rau hauv lub tsim ntawm fibroids yuav ua tau raws roj ntsha los. Yuav ntxias ib tug kab mob inflammatory dab nyob rau hauv lub tsev me nyuam thiab appendages, thiab ntawm zes qe menyuam kawg, ua rau ntev li tsim ntawm estrogens thiab progestins tsis muaj peev xwm. Fibroids feem ntau nrog los ntawm kev cuam tshuam ntawm cov endocrine system thiab lub luag hauj lwm rau nws pituitary caj pas, hypothalamus, thyroid, adrenal qog. Nws tsos tej zaum yuav ib tug rau txim ntawm daim siab mob, mob ntsws, bronchus, pancreas, cov hlab ntsha thiab lub plawv. Tag nrho tej yam yuav ua tau kom muaj kev cuam tshuam ntawm metabolic dab thiab cov ntaub so ntswg ua pa nyob rau hauv lub hlwb ntawm uterine nqaij.

cov tsos mob

Cov feem ntau cov tawm pov thawj ntawm lub xub ntiag ntawm fibroids yog coj khaub los ntshav (menorrhagia) thiab mob ntswj fits nyob rau hauv lub qis lub plab mog.

Yuav ua li cas yog fibroids, yeej paub zoo txog ntawm cov poj niam uas hnyav los ntshav, tej zaum ua rau cov ntshav liab. Mob tej zaum yuav ntse, cia li xwm. Qhov no yog vim lub twist ntawm ob txhais ceg ntawm lub qog.

Tsawg ntau yam tshwm sim ntawm uterine fibroids xws li ntxiv lawm tshob thiab kawg ntawm neighboring kabmob: qhov quav thiab zis.

ntau ntau yam fibroid

Yuav ua li cas yog fibroids raws li nws hlob - nws yog ib qhov nyuaj rau teb unequivocally, vim hais tias nws muaj peev xwm muaj ntau yam. Los ntawm txoj kev loj hlob fibroid mob tseem yuav ua tau:

- interstitial (intramuscular), nws hlob nyob rau hauv lub thickness ntawm cov myometrium;

- sumbukoznoy (submucosal), nyob rau hauv cov ntaub ntawv no, cov ntshav yuav loj hlob nyob rau hauv lub tsev me nyuam;

- subserous (subperitoneal) - units yog loj hlob nyob rau hauv lub peritoneal kab noj hniav.

kev kho mob

Koj yuav tsum paub hais tias ib tug fibroid, nws yog ib tug kab mob loj uas mus rau hauv ib lub kab mob qog hlav. Uas yog vim li cas tiv thaiv mus xyuas ib zaug ib xyoo, tus kws kho mob yog ib qho tseem ceeb. Ntawm tag nrho cov paub tus neeg mob ntawm uterine hlav yog xwb 20% yog symptomatic thiab yuav tsum tau yuav tsum tau kev kho mob. Nyob rau hauv tus neeg mob ntawm asymptomatic fibroids nrog sluggish kev loj hlob tos txoj kev siv nyob rau hauv lub qhov kev saib xyuas ntawm ib tug kws kho mob. Nyob rau hauv cov kev kho mob ntawm fibroids siv tshuaj kho, kev phais, FUS ablation ntawm fibroids, embolization ntawm uterine cov hlab ntsha thiab pej xeem cov tshuaj.