Uterine prolapse: nws yog dab tsi thiab yuav kho li cas?
Thaum lub tsev menyuam nqis los ntawm lub plab me me, nws hu ua uterine prolapse
Nws yog ib qho tshwj xeeb ntawm POP (pelvic organ prolapse), ib qho mob uas tuaj yeem ua rau prolapse (thiab yog li ntawd qhovntsej thiaj tsis mob) ntawm cov urethra, zais zis, hnyuv me, qhov quav, qhov chaw mos lossis lub tsev menyuam, vim qhov tsis muaj zog ntawm cov leeg hauv plab.
Feem ntau tshwm sim los ntawm kev yug me nyuam (tshwj xeeb tshaj yog tias muaj ntau tshaj ib qho), kev laus, kev rog rog, kev raug mob, lossis tus cwj pwm ntawm kev nce siab hauv plab (piv txwv li, yog tias koj ua ib txoj hauj lwm uas cuam tshuam qhov hnyav tas li), pelvic organ prolapse tuaj yeem sib txawv ntawm qhov hnyav.
Qhov tshwm sim tiag tiag yog qhov nyuaj rau kev suav raws li, nyob rau hauv nws cov ntaub ntawv me me, qhovntsej thiaj tsis mob ntawm ib qho ntawm cov kabmob no tuaj yeem yog asymptomatic tag nrho thiab tus neeg tsis xav tau cov lus qhia kho mob.
Raws li ICS (International Continence Society) thawj zaug thiab theem ob prolapse cuam tshuam rau 48% ntawm cov poj niam cov pej xeem, peb thiab plaub degree prolapse 2% ntawm cov poj niam.
Hauv qhov tshwj xeeb ntawm uterine prolapse, qhov no tshwm sim thaum lub tsev menyuam nqis mus txog thaum nws nyob hauv qhov chaw mos.
Feem ntau, tus neeg mob ntsib qhov mob thiab qhov kev xav ntawm qhov chaw mos ntawm qhov chaw mos.
Qhov no yog vim li cas ntxiv dag zog rau hauv pem teb pelvic, noj kev tiv thaiv, ua qhov tseem ceeb.
Uterine prolapse: yog dab tsi?
Thaum uterine prolapse tshwm sim, lub tsev menyuam poob nws txoj kev sib raug zoo ntawm lub cev thiab nqis mus rau hauv qhov chaw mos.
Qhov ntau dua qhov protrusion rau hauv qhov chaw mos, qhov loj dua qhov prolapse:
- Tsuas yog ib feem me me ntawm lub tsev menyuam yog koom nrog hauv 1st degree uterine prolapse
- Nyob rau hauv 2nd degree uterine prolapse, lub tsev menyuam mus txog qhov chaw mos introitus,
- Nyob rau hauv 3rd degree uterine prolapse, lub tsev menyuam protrudes tawm ntawm qhov qhib ntawm qhov chaw mos,
- Nyob rau hauv 4th degree uterine prolapse, lub tsev menyuam protrudes los ntawm qhov chaw mos.
Tab sis kuj tseem muaj qhov txawv ntxiv: qhov prolapse tau hais tias ua tsis tiav thaum lub tsev menyuam nyob hauv qhov chaw mos thaum nws ua tiav yog tias daim ntawv hlais tag nrho thiab lub cev tawm.
Qhov laj thawj tseem ceeb, nyob rau hauv cov ntaub ntawv ntawm lub tsev menyuam, yog sagging ntawm lub plab mog
Qhov no, nyob rau hauv lub pelvic cheeb tsam ntawm lub hauv paus ntawm lub plab kab noj hniav, muaj xws li cov nqaij ntshiv, connective cov ntaub so ntswg thiab ligaments thiab ua lub luag hauj lwm tseem ceeb: qhov tseeb, nws ua rau lub plab hnyuv siab raum (uterus, urethra, zais zis, txoj hnyuv) nyob rau hauv qhov tseeb txoj hauj lwm.
Yog hais tias nws raug mob los yog tsis muaj zog, cov swb downwards thiab ua rau muaj teeb meem ntau.
Lub tsev me nyuam hauv plab thaum cev xeeb tub, lub tsev menyuam nyob nruab nrab ntawm lub zais zis, qhov quav, lub plab hnyuv thiab qhov chaw mos, hauv lub plab me me.
Thaum lub pelvic pem teb noj qab nyob zoo, tsuas yog lub ncauj tsev menyuam protrudes ob peb cm rau hauv qhov chaw mos.
Ua rau
Txawm hais tias qhov ua rau tuaj yeem muaj ntau, lub ntsiab yog vim li cas vim li cas uterine prolapse tshwm sim yog kev yug menyuam: tus menyuam lub taub hau, thaum lub sij hawm tshem tawm, dhau ntawm qhov chaw mos kwj dej thiab tuaj yeem ua rau ob qho tib si txuas thiab cov leeg nqaij.
Prolapse feem ntau yuav tshwm sim nyob rau hauv cov xwm txheej ntawm kev ua hauj lwm ntev los yog tshwj xeeb tshaj yog nyuaj rau tus me nyuam thiab muaj ntau zaus nyob rau hauv cov poj niam multiparous.
Lwm qhov ua rau uterine prolapse yog menopause, thaum lub zes qe menyuam hloov lawv txoj haujlwm thiab cov leeg tsis muaj zog vim qhov poob ntawm elastic fibers tshwm sim los ntawm cov cuab yeej hormonal tshiab.
Txawm li cas los xij, uterine prolapse kuj tuaj yeem tshwm sim thaum muaj
- rog
- cem quav ntev,
- ua haujlwm hnyav,
- kev ua si nawv uas suav nrog kev nqa qhov hnyav tas li,
- mob ntsws bronchitis (vim hnoos uas ua rau muaj zog hauv plab).
Lub hauv paus txheej txheem ntawm uterine prolapse yog kev raug mob hauv plab hauv plab tab sis, raws li txoj cai (tshwj tsis yog nws hnyav dhau los lossis tus menyuam hauv plab tsis loj dhau), nws tsis zoo li tias ib qho kev yug me nyuam lossis ib qho kev tshwm sim yuav ua rau uterine prolapse.
Muaj ob peb yam txaus ntshai:
- ntau qhov chaw,
- laus,
- kev phais ntawm lub plab pelvic,
- congenital kab mob collagen,
- hnoos ntev los ntawm tus kab mob obstructive pulmonary.
Cov neeg uas raug kev txom nyem los ntawm me me uterine prolapse feem ntau tsis muaj cov tsos mob
Cov ntaub ntawv ntawm qhov nruab nrab thiab hnyav uterine prolapse yog txawv, thawj cov tsos mob uas tau muab los ntawm kev nkag siab ntawm qhov chaw mos ntawm qhov chaw mos.
Thaum lub tsev menyuam tawm los ntawm qhov chaw mos, qhov kev xav ntawm hnyav yog hnov hauv lub plab, zoo li muaj lub cev txawv teb chaws.
Feem ntau tus poj niam muaj teeb meem tso zis, tsis tuaj yeem tso zis (incontinence) los yog nws xav tias yuav tsum tau ceev lub zais zis.
Tsis tshua muaj tshwm sim nyuaj nyob rau hauv defecation.
Ntawm cov tsos mob tseem ceeb ntawm uterine prolapse muaj ces qhov nyuaj rau kev sib deev, los yog mob heev thaum tib lub sij hawm.
Incontinence yog cov tsos mob uas feem ntau cuam tshuam rau tus neeg mob lub neej zoo.
Yog tias cov zis tso zis tshwm sim tom qab kev siv zog, txawm hais tias nws nqa qhov hnyav lossis hnoos, peb sim daws lawv nrog kev tawm dag zog kom ntxiv dag zog rau lub plab hauv plab thiab - tsuas yog nyob rau theem tom qab - peb tuaj yeem ua haujlwm nrog kev phais.
Yog hais tias, ntawm qhov tod tes, qhov incontinence yog vim qhov ceev, thiab qhov poob yog tom qab lub zog voiding stimulus, kev phais yuav luag tsis tau siv txij li kev kho mob rov qab zoo dua.
Txhawm rau tiv thaiv cov tsos mob los ntawm "mob ntev", thiab los ntawm qhov hnyav zuj zus mus txog thaum lawv cuam tshuam lub neej txhua hnub, nws yuav tsum tau hu rau koj tus kws kho mob gynecologist sai li sai tau thaum cov tsos mob no hnov.
Ntawm qhov teeb meem loj tshaj plaws ntawm qhov chaw mos prolapse yog qhov chaw mos ntawm qhov chaw mos (ua los ntawm kev rub tawm ntawm lub tsev menyuam thiab cov phab ntsa ntawm qhov chaw mos) thiab prolapse ntawm lwm yam kabmob hauv plab.
Ib qho xwm txheej, qhov no, tshwm sim, tib txoj kev, los ntawm kev qaug zog ntawm lub plab hauv plab.
mob
Uterine prolapse (nrog rau qhov prolapse ntawm lwm cov plab hnyuv siab raum) yog kuaj los ntawm gynecologist, los yog urologist, los ntawm kev kuaj pelvic: tom qab mloog tus neeg mob cov tsos mob, tus kws kho mob tshwj xeeb tshawb xyuas qhov chaw mos thiab ntsuas qhov chaw ntawm lub tsev menyuam. speculum. Thaum kawg, nws hais kom tus poj niam cog lus rau cov leeg hauv plab kom nkag siab yog tias qhov no txuas ntxiv ua nws txoj haujlwm lossis yog tias tsis yog, hloov pauv, tsis muaj zog heev.
Tsuas yog qee zaus yuav tsum tau tshawb xyuas ntxiv xws li ultrasound lossis nuclear magnetic resonance: feem ntau, gynecologist xaiv nqa lawv tawm tsuas yog thaum nws tsis tuaj yeem tsim kom muaj tseeb qhov mob ntawm qhov prolapse.
Uterine prolapse: yuav kho thiab kho
Kev kho mob rau uterine prolapse nyob ntawm qhov hnyav ntawm qhov plam thiab seb puas muaj lwm yam hauv nruab nrog cev.
Feem ntau, tshwj tsis yog hauv cov xwm txheej hnyav, kev kho mob yog xaiv rau, hloov mus rau kev phais tsuas yog thaum nws tsis ua haujlwm.
Qib 1 uterine prolapse tsis xav tau kev kho mob
Koj tus kws kho mob yuav qhia koj kom poob qhov hnyav tshaj thiab tsis txhob nqa hnyav.
Nws kuj tseem yuav qhia koj yuav ua li cas ua qee qhov kev txhawb nqa hauv plab hauv plab hu ua "Kegel exercises".
Cov no suav nrog kev yeem cog lus ntawm cov leeg uas txhawb nqa lub plab hauv plab: tom qab lub zais zis, cov leeg nqaij hauv plab tau cog lus rau 5-10 vib nas this thiab tso tawm tib lub sijhawm.
Kev tawm dag zog yuav tsum tau rov ua dua 2-3 zaug hauv ib hnub, ua haujlwm ntawm 10 thiab saib xyuas kom tsis txhob txav mus rau hauv plab, pob tw thiab ob txhais ceg.
Nyob rau hauv cov ntaub ntawv ntawm 2nd, 3rd thiab 4th degree uterine prolapse, yog hais tias kev kho mob-rehabilitative therapy ua tsis muaj teebmeem, kev phais yog tsim nyog.
Txawm li cas los xij, sim ua kom tsis txhob muaj txoj hauv kev no los ntawm kev teeb tsa kev kho tshwj xeeb.
Cov poj niam cev xeeb tub yog cov tshuaj estrogens, vim nws yog qhov tseeb lawv qhov txo qis - hauv cov neeg laus - ua rau lub plab tsis muaj zog.
Ib qho kev hloov pauv, yog li, yog ua los ntawm lub nplhaib lossis lub voos xwmfab pessaries
Ua los ntawm silicone, lawv hloov cov kev phais.
Lub cube pessary tsuas yog hnav thaum nruab hnub thaum tus poj niam sawv thiab raug tshem tawm thaum yav tsaus ntuj ua ntej nws mus pw.
Lub nplhaib pessary, siv rau cov poj niam uas pom tias nws nyuaj rau hnav thiab tshem tawm txhua hnub, raug tso los ntawm kws kho mob thiab khaws cia rau 6 lub hlis nrog 20-30 hnub so ntawm kev kho mob.
Lub pessary tau muab tso rau hauv qhov chaw mos thiab ua haujlwm tiv thaiv lub plab hauv plab kom tsis txhob plam: yog tias tus poj niam zam nws zoo, hom kev kho mob no tuaj yeem ua tau zoo txawm tias lub neej.
Yog tias cov kev kho mob no tsis muab cov txiaj ntsig xav tau, kev phais yuav raug ua.
Muaj ntau cov txheej txheem kev cuam tshuam tab sis, feem ntau, hysterectomy thiab kev ncua ntawm lub tsev menyuam yog siv.
Hauv thawj kis, tshwj tseg rau cov poj niam uas tsis xav tau / tsis tuaj yeem muaj menyuam, lub tsev menyuam raug tshem tawm los ntawm kev phais plab, ua haujlwm ntawm qhov chaw mos lossis los ntawm kev siv laparoscopy tsawg.
Qhov kev ncua ntawm lub tsev menyuam, ntawm qhov tod tes, muaj nyob rau hauv kev coj lub cev rov qab los rau hauv txoj hauj lwm los ntawm kev ntxiv dag zog lub ligaments ntawm lub plab mog los ntawm kev siv cov khoom siv hluavtaws los yog tsim cov ntaub so ntswg hloov.
Cov kev pheej hmoo ntawm kev phais muaj xws li:
- prolapse rov tshwm sim,
- tso zis tso zis,
- tso zis incontinence,
- nyuaj rau kev sib deev,
- yog lub zais zis.
Qhov kev tshwm sim nyob ntawm qhov hnyav ntawm lub uterine prolapse thiab qhov ua rau ua rau nws.
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