Lub tsev me nyuam lub khob hliav qab me.

Lub tsev me nyuam conization -ginekologicheskaya Keying, uas yog ib tug conical excision pathological ntaub so ntswg ntawm lub ncauj tsev menyuam kwj dej nyob rau hauv ib tug lub khob hliav qab zoo lawm. Kev tshem tawm ntawm cov ntaub so ntswg yog muaj nyob rau hauv lub feem tsis tsuas pathological, tab sis kuj yog ib feem ntawm qhov noj qab cov ntaub so ntswg yog ntes, nyob rau hauv thiaj li yuav tshem tawm tau lwm ntawm lwm cov ntaub so ntswg. lub tsev me nyuam lub khob hliav qab me - ib yam ntawm cov kev kho mob me, vim hais tias tom qab qhov kev tshem tawm ntawm lawv cov ntaub so ntswg yog xa mus rau histological xeem, kom paub meej tias qhov mob.

lub tsev me nyuam conization siv raws li ib txoj kev ntawm kev kho mob thiab diagnostics nyob rau hauv dysplastic ncauj tsev menyuam muaj dab. Misconception yog tias qhia rau conization yaig. Feem ntau cov feem ntau, yaig teb zoo rau conservative kev kho mob thiab yuav tsum tau tsis muaj conization. Txawm li cas los, Yog hais tias pom tias thaum colposcopy txawv txav hlwb nyob rau hauv lub teb ntawm yaig, ces tej zaum ib tug neeg mob nyob rau hauv kev xav tau ntawm conization.

Tom qab ib tug lub khob hliav qab me twb ua, thiab ib tug kev tshawb no yog ua ntawm pathological ntaub so ntswg, nws tseem tau mus muab ib tug tseem mob. Tej zaum tom qab conization tsis mus excision ntawm txawv txav lub hlwb, thiab lawv yuav mus rau cov me nyuam. Yuav kom tiv thaiv tau qhov teeb meem, cov poj niam yuav tsum tau mus soj ntsuam cov gynecologist ib zaug txhua txhua 6 lub hlis, thiab kev diagnostic colposcopy. Ces conization yuav tsum tau nqa tawm dua yog hais tias tom qab ib tug thaum rov qhia txawv txav hlwb.

Lub tsev me nyuam conization haum ntau Keying nyob rau hauv Gynecology, uas nyob rau hauv feem ntau tus neeg mob tsis txhob phem transformation ntawm lub hlwb. Tab sis muaj ntau ntau yam mob thaum tom qab conization, cov neeg mob tshaaj ib tug mob ntawm ncauj tsev menyuam (cancer). Nyob rau hauv no qhov teeb meem, cov neeg mob pom zoo tshem tawm ntawm lub tsev me nyuam - ib tug hysterectomy.

Yog hais tias tom qab conization twb mob cancer ib tug sib sib zog nqus germination nyob rau hauv lub surrounding ntaub so ntswg, nws yog tsim nyog los coj ib lub chav kawm ntawm cov kws khomob thiab tawg txoj kev kho. Cov kev pab kom qeeb tus txheej txheem ntawm lub pob loj hlob thiab tiv thaiv kom txhob metastasis.

Lub khob hliav qab me tej zaum yuav tsum tau ua nyob rau hauv peb txoj kev:

1. Excision margins riam phais neeg - lub feem ntau txoj kev thiab tus thawj heev.

1. Nrog karbondioksidnogo laser. Nws yog ntseeg hais tias txoj kev no yog yus muaj los ntawm tsawg heev kev poob plig thiab tsis muaj teeb meem.

1. Loop electrosurgical excision - ib qho ntawm lub newest txoj kev conization, tab sis kuj heev npaum.

Txawm li cas los, nws yuav tsum tau muab sau tseg tias txawm tag nrho cov zoo ntawm cov laser thiab cov qauv ntawm cov lub voj, lawv cov nyom ntxiv mob. Nyob rau hauv qhov tseeb, tom qab excision ntawm lub npoo nyob rau hauv xws txoj kev, lawv raug muab khi thiab rhuav tshem, thiab raws li nws yog tsis yooj yim sua los mus txiav txim rau hauv lub tshuav txawv txav hlwb nyob rau hauv lub ncauj tsev menyuam.

Cov nram qab no teeb tom qab conization:

- los ntshav nyob rau hauv thawj lub lim tiam (heev txaus ntshai cov tsos mob, vim hais tias nyob rau hauv tej rooj plaub muaj peev xwm ua rau tuag)

- xim av paum paug hauv 1-3 lub lim piam tom qab conization

- kev cuam tshuam ntawm lub cev ntas

- ntswj mob nyob rau hauv lub qis lub plab

- ntxiv lawm tshob vim narrowing ntawm lub ncauj tsev menyuam kwj dej

- thaum ntxov qhib ntawm lub ncauj tsev menyuam thaum lub sij hawm ua hauj lwm rau

- ua npaws

Cev xeeb tub tom qab lub tsev me nyuam conization zaum yuav tshwm sim tom qab rau lub hlis, yog hais tias muaj yog tsis muaj teeb meem. Cov neeg mob tom qab conization thaum lub sij hawm cev xeeb tub yuav tsum tau saib xyuas ntau kom zoo zoo thiab zoo txog koj txoj kev xav. Nws yog tsim nyog los nqa tawm cytology 1 lub sij hawm rau ib lub hli. Yug tom qab konizatsitsii feem ntau ua los ntawm Caesarean seem (tab sis qhov no yog tsis suav tias yog ib tug meej hais), tab sis, yog hais tias ib tug poj niam insists rau ywj siab zog, thiab lwm yam contraindications nws tsis yog, nyob rau hauv cov nruj kev saib xyuas ntawm midwives thiab cov kws kho mob yuav tsum ua los tsis tus me nyuam yog phais plab seem.