Mob plab mog nyob rau hauv Gynecology: cov tsos mob, ua rau, kev kho mob

Cov soj ntsuam syndrome nyob rau hauv uas muaj muaj zog ntse mob nyob rau hauv lub plab cheeb tsam, lub duas paub leeg kev nyuaj siab teeb meem no thiab mob plab mog hu ua lub rooj zaum. Yog hais tias koj pom tej tsos mob yuav tsum ua "thawj pab", vim hais tias tus neeg mob yuav tsum tau phais.

cov tsos mob ntawm tus kab mob

Lub sij hawm "mob plab mog" muab ob peb pathologic dab tshwm sim nyob rau hauv lub plab nrog cev. Cov ua rau qhov teeb meem no yuav tsum tau nrhiav kom paub cov kws kho mob, tab sis lub nrog cov tsos mob yuav tsum tau paub txhua leej txhua tus. Qhov no yuav pab kom koj to taub hais tias nws yog lub sij hawm mus hu cov medics.

mob plab mog nyob rau hauv Gynecology lub tsev kho mob, raws li ib tug txoj cai, yog zoo li nyob rau hauv tag nrho cov neeg. Mam li nco dheev, tus mob feem ntau tshwm sim thaum lub cev xeev kev kho mob. Feem ntau, cov poj niam yuav txawm qhia lub caij nyoog lub sij hawm thaum nws nyob. Nyob rau hauv feem ntau, nws pib nrog cov sab plab mog. Thaum lub sij hawm, qhov mob kis thoob plaws lub plab mog thiab amplified. Ib txhia tsis txawm sawv ntsug thiab yuav poob nco qab.

Nyob rau hauv tas li ntawd, muaj lwm yam tshwm sim, uas yuav kuaj mob plab mog nyob rau hauv Gynecology. Cov tsos mob tej zaum yuav muaj xws li: ntuav, xeev siab, mob plab voos, mob txuam nrog cov kws roj thiab quav. koj yuav tsum hu rau "ceev" thaum lub sij hawm qhia kev soj ntsuam daim duab. Tsuas yog cov kws txawj yuav kam nrog dab tsi tshwm sim, thiab xa tus neeg mob Profiled nyob rau hauv lub tsev kho mob.

Tej zaum cov neeg mob kuj tsis txaus siab ntawm tsis muaj zog, kiv taub hau, thiab ib tug kev xav ntawm siab nyob rau hauv lub qhov quav.

ua teeb meem

Piav qhov teeb meem no tshwm sim thaum nrog los ntshav, uas tsis yog-kev digestive kab mob, mob hnyuv tws, rupture lub siab, po. Feem ntau muaj yog ib tug mob plab mog nyob rau hauv Gynecology. Mob tej zaum yuav qhia ib tug ectopic cev xeeb tub, ntawm zes qe menyuam apoplexy, inflammatory kab mob ntawm cov poj niam genitals, thaum tus txheej txheem muab kev koom tes nyob rau hauv lub peritoneum. Raws li cov tsos mob no tej zaum yuav tshwm sim nyob rau hauv mob ntawm cov ntshav ncig nyob rau hauv lub puab genitals. Qhov no tej zaum yuav tshwm sim, piv txwv li thaum sib ntswg ob txhais ceg formations ntawm zes qe menyuam qog, necrosis los yog sib ntswg leiomyomata.

Yuav kom kuaj lawv tus kheej lub tsev tsis yooj yim sua. Yog li ntawd, mob plab mog ua (xws li Gynecology) yuav tsum paub xwb los tsim nyog cov neeg ua. Ib yam ntawm cov saum toj no txoj kev sib tw yuav tsum tau ib tug competent mob. Pab nyob rau hauv cov ntaub ntawv no yuav tsum tau muab urgently.

Xaiv cov qhov mob

Kab Mob, provoking mob plab mog syndrome, yog heev txaus ntshai. Yog li ntawd, nws yog ib qho tseem ceeb raws li sai li sai tau mus nrhiav kom tau qhov tseeb kuaj mob. Lub differential mob ntawm mob plab mog nyob rau hauv Gynecology tso cai rau kom cais lub xub ntiag ntawm lwm yam pathologies (eg, hnyuv tws, pancreatitis, cholecystitis, plab hnyuv rhuav txhua nyob rau hauv lub mob ntaub ntawv) thiab rau accelerate lub cim ntawm lawv ua.

Nyob rau hauv no muaj hnub nyoog ntawm tus neeg mob yog ib qho tseem ceeb. Piv txwv li, nyob rau hauv cov poj niam thaum lub sij hawm lawm, lawm nyob rau hauv tub ntxhais hluas ntxhais thiab cov poj niam uas tsis sib deev active, koj yuav tam sim ntawd kav tawm tau ntawm cev xeeb tub. Tsis tas li ntawd, lawv feem ntau tsis tshwm sim inflammatory kab mob. Tej cov neeg mob yuav tsis tshua xa mus rau ib tug gynecologist. Tej zaum lawv yuav muaj mob hnyuv tws los yog tuberculosis.

Tab sis ntxiv lawm tshob kev kho mob tam sim ntawd los qhia rau hauv lub tswv yim ntawm tau ntawm lub implantation ntawm lub ovum nyob rau hauv lub raj. Nws yog tseem tau, Yog hais tias ib tug poj niam yav tas los twb qhia ectopic cev xeeb tub. Yog hais tias lub keeb kwm ntawm tus neeg mob twb inflammatory kab mob, nws yog tau hais tias qhov no yog ib tug ntawm lub sij hawm ntawm exacerbation.

Mob ntawm intra-plab los ntshav

Cov kws kho mob tseem ceeb tsis tau tsuas yog nqa tawm ncauj lus kom ntxaws daim ntawv ntsuam xyuas, tab sis kuj mus xyuas tus neeg mob. Tsuas yog nyob rau hauv no txoj kev yuav kuaj "mob plab mog" (Gynecology). Thaum muaj xwm ceev cov kev pab yuav tsum tau ceev yog hais tias tus kws kho mob yuav tsum tau sai li sai tau to taub dab tsi tshwm sim los qhov teeb meem.

Piv txwv li, intra-plab haemorrhage qhia nkees, adynamic, siab yuav txo tau. Fim tus neeg mob nyob rau tib lub sij hawm yuav tsis daj li daim di ncauj - cyanotic, mem tes - palpitations thiab me me. Qhov no yuav tshwm sim thaum ib tug ectopic cev xeeb tub, ntawm zes qe menyuam apoplexy los yog uterine perforation.

Nyob rau hauv rooj plaub thawj qhov teeb meem yog nrog los ntawm ib tug kev ncua ntawm kev coj khaubncaws, spreadable tsaus paug hauv qhov chaw mos. Tsis tas li ntawd nyob rau hauv cov poj niam nws zoo nkaus li clammy hws, tau raws plab, xeev siab. Qhov kub, txawm li cas los, tseem li qub.

Thaum apoplexy zes qe menyuam mob plab mog nyob rau hauv Gynecology kuaj mob, feem ntau yog ob peb hnub tom qab qhov kawg ntawm kev coj khaubncaws. Qhov no tshwm sim kwv yees li thaum lub sij hawm ovulation. Xav hais tias nws apoplexy yuav ua tau nyob rau hauv cov kev tshwm sim hais tias tus neeg mob muaj ib tug keeb kwm ntawm zes qe menyuam hlwv.

Hais txog uterine perforation nws yog nyob rau hauv cov mob uas ib tug mob plab mog syndrome tshwm sim tom qab ib tug series ntawm gynecological cov txheej txheem los yog phais tiv thaiv. Mob tej zaum yuav tshwm sim tom qab cov kev taw qhia los yog tshem tawm ntawm lub helix, rho me nyuam tawm los yog dilatation thiab curettage. Cov tsos mob yuav tshwm sim yuav luag tam sim ntawd tom qab perforation los yog tom qab 1-2 hnub, thaum nws pib mus tsim peritonitis.

ectopic cev xeeb tub

Nyob rau hauv tej zaum nws tshwm sim hais tias ib tug fertilized qe hniav thiab pib tsim sab nraum lub tsev menyuam phab ntsa. Qhov no qhov teeb meem no tshwm sim, nyob rau nruab nrab, 1.3% ntawm tag nrho cov me nyuam. Nyob rau hauv Feem ntau, lub qe yog tsau nyob rau hauv txoj hlab qe raj - nws tshwm sim nyob rau hauv 99% ntawm tag nrho cov ectopic implantation. Tab sis muaj tej yam teeb meem thaum nws yog nyob rau hauv lub zes qe menyuam, ncauj tsev me nyuam los yog plab mog. Cev xeeb tub txoj kev loj hlob ntxiv, raws li ib tug txoj cai, mus txog 5-8 lub lis piam. Tom qab hais tias muaj yog khi rho menyuam. Yog li ntawd hu ua detachment ntawm lub ovum ntawm cov phab ntsa thiab lub ntiab tawm ntawm lub plab kab noj hniav. Nws muaj nws calcify thiab mummified. Tab sis tej zaum lwm cov tau tshwm sim - tus kis hlab qe raj.

Nyob rau hauv cov mob uas lub fertilized qe sai li sai tau tom qab ovulation, tej zaum nws yuav raug txuas mus rau lub zes qe menyuam los yog peritoneal kab noj hniav. Nyob rau hauv lub caij nyoog kawg no rooj plaub no nws yog txuas, feem ntau nyob rau saum npoo ntawm lub omentum los yog siab.

Mob plab mog nyob rau hauv Gynecology zaum yuav tshwm sim thaum cov yeeb nkab rupture los yog cuam tshuam ntawm khi cev xeeb tub. Nyob rau hauv lwm yam mob, muaj yog ib tug txawv kev soj ntsuam daim duab.

Cov ua rau ectopic cev xeeb tub

Thaum nrhiav kom tau ntawm lub ovum sab nraum lub tsev menyuam yog ib qho tseem ceeb kom nkag siab txog lub tactics ntawm lub ntxiv kev kho mob. Tab sis kuj yuav tsum nrhiav tau tawm yog dab tsi coj mus rau xws implantation. Tej zaum qhov no tshwm sim thaum lub qhov chaw mos infantilism. Hais txog qhov teeb meem nyob rau hauv lo lus nug nyob rau hauv lub rooj plaub thaum tus neeg mob muaj ib tug ntev thiab tortuous txoj hlab qe menyuam nrog qeeb peristalsis.

Nyob rau hauv Feem ntau, lub fertilized qe yog implanted, ua ntej ncav lub tsev me nyuam, vim lub fact tias nws cov kev kawm tub ceevxwm. Qhov no tshwm sim nyob rau hauv inflammatory dab nyob rau hauv appendages, ua nyob rau hauv lub tsim ntawm adhesions vim hais tias ntawm yav dhau los ua hauj lwm nyob rau hauv lub plab mog los yog nyob rau hauv cov hlab. Nyob rau hauv lub caij nyoog kawg no cov ntaub ntawv, lawv ua ib qho nplaum ntaub, impaired contractility.

Tsis tas li ntawd, ib tug tsis zoo ntxim rau cov kom ntawm cov kav dej muaj cov nram qab no yam:

- intrauterine pab kiag li lawm;

- endometriosis kav;

- teeb meem nrog rau cov endocrine system (adrenal kab mob, thyroid);

- kev nyuaj siab;

- progesterone npaj.

Nce yuav ua rau muaj ectopic implantation ntawm lub ovum thiab qog tsim nyob rau hauv lub plab mog. Lawv muaj peev xwm nyem lub raj thiab cuam tshuam nrog rau tej nqe vaj lug kub ntawm lub fertilized qe.

Txawm li cas los ntawm yog vim li cas uas cov ovum tau txuas rau cov yeeb nkab, lub sij hawm yuav ib tug. Qhov no cev xeeb tub yog tu ncua. Ntxiv mus, yog hais tias nws tsis tau paub hais tias nyob rau hauv lub sij hawm thiab rau cuam tshuam, nws yuav ua rau lub fact tias tus poj niam tus kheej tu siab kev kawm yuav ua li cas qhia nws ib tug mob plab mog syndrome nyob rau hauv Gynecology.

ntawm zes qe menyuam apoplexy

Nyob rau hauv cov poj niam deev muaj hnub nyoog tej zaum yuav tsim cov kab mob uas ua rau intra-plab ntshav. Qhov no yuav ua tau ib tug kis (myocardial hematoma) zes qe menyuam. Qhov no cuam tshuam ntawm txoj kev ntseeg nrog hemorrhage thiab tom ntej pib los ntshav mob plab kab noj hniav.

Kab Mob pib nrog cia li-pib mob, uas yog feem ntau yog laus mus rau ib sab. Cov tsos mob ntawm peritoneal voos nyob rau tib lub sij hawm yuav qhia weakly. Nws yog ib qho tseem ceeb tsis txhob confuse lub apoplexy ntawm lub zes qe menyuam thiab appendix, vim hais tias cov kev soj ntsuam daim duab yog zoo li tam sim no tej yam kev mob.

tumor

Nws yog ib qho tseem ceeb kom paub tias tag nrho cov tau ua ntawm mob plab mog nyob rau hauv Gynecology. Tom qab tag nrho, nws tsis yog ib txwm nws tshwm sim tawm tsam lub backdrop ntawm intra-plab ntshav. Kuj hais tias syndrome zaum yuav tshwm sim thaum mob sib ntswg ob txhais ceg tsim rau lub zes qe menyuam, los yog Torsion (thiab nyob rau hauv tej rooj plaub, necrosis) myoma ntawm. Cov kev loj hlob ntawm xws li ib tug teeb meem no yog sai tau yog tias txoj kev kawm ntawv - me me luaj li cas thiab nyob rau ntawm ib rooj noj ntev ceg.

Sib ntswg mob pib nrog ib tug ntse mob, ua raws li los ntawm ntuav los yog tsuas yog xeev siab. lawv muaj feem ntau txuam nrog ib tug ntse zog los yog qoj ib ce. Cov neeg mob tense pem hauv ntej phab ntsa los ntawm cov peritoneum, muaj yog ncua sij hawm ntawm ib lub rooj zaum. Daim tawv nqaij daj, them nrog txias hws, nyob rau hauv cov neeg mob uas muaj ib tug ceev ceev mem tes, qhuav nplaig. Lub cev kub tej zaum yuav tsa.

Thaum sib ntswg myoma ntawm mob ntswj, muaj yog ib daim duab ntawm intoxication - qhuav nplaig, daim tawv nqaij, kub ntawm 38-39 ⁰ C, xeev siab thiab tau ntuav. Cov ntshav yuav ces yuav nce tus naj npawb ntawm leukocytes. Gynecological xeem muaj yog nce mob.

inflammatory dab

Mob plab mog nyob rau hauv Gynecology thiab Obstetrics zaum yuav tshwm sim tiv thaiv lub keeb kwm ntawm ntsuas ntawm cov kab mob. Nws tej zaum yuav o ntawm Internal qhov chaw mos kabmob. Vim li no, tus neeg mob muaj peev xwm tsim pelveo-peritonitis (thaum ntws nyob rau hauv lub plab mog) los yog peritonitis (mob plab kab noj hniav).

Teeb meem yuav pib nrog:

- generalized kab mob, dua nyob rau tom qab adneksita los yog endometritis;

- nqaws divergence muab rau caesarean seem;

- perforation ntawm lub tsev me nyuam (tom qab scraping);

- perforation piovara los yog piosalpinks.

Nyob rau hauv cov neeg mob, cov kev soj ntsuam ces sib txawv nyob ntawm seb, vim uas nws originated mob plab mog syndrome.

tactics ntawm kev kho mob

Txawm li cas los ntawm yog vim li cas, uas coj mus rau dab tsi twb paub hais tias raws li "mob plab mog nyob rau hauv Gynecology" thiab yuav tsum tau kho nyob rau hauv ib tug lub tsev kho mob. Nyob rau hauv hemorrhagic poob siab los yog mob yog ib qho tseem ceeb los mus muab mob, ua kom paub hemostatic agents, cov ntshav hloov. Nws yog ib qho tseem ceeb yuav tau nco ntsoov hais tias muaj yog ib tug raug tuag, yog li tus mob yuav tsum tau ua tsis muaj kev ncua.

Yog hais tias ib tug ectopic cev xeeb tub yuav tsum kuaj ua ntej cov tsos mob, ces nws yog tu ncua nyob rau hauv ib tug npaj yam. Feem ntau, cov kws kho mob ua laparoscopic phais los ntawm ib tug me me incision thiab yog zoo tu qab tso fertilized qe. Tiam sis ntau tshaj feem ntau kawg qhov chaw yuav tsum tau tsim muaj thaum lub sij hawm thaum tus neeg mob nyob rau hauv ib tug tsheb thauj neeg mob tuaj rau hauv lub tsev kho mob nrog ib tug mob ntawm "mob plab mog".

Nyob rau hauv Gynecology feem ntau txaus ntshai yog qhov teeb meem thaum muaj ib tug kev sib tawg ntawm txoj hlab qe raj. Tab sis feem ntau ntawm lub cev xeeb tub xaus nrog lub ovum ntawm cov ntshav raug ntiab tawm mus rau hauv lub plab kab noj hniav. Qhov no yog feem ntau nrog intraperitoneal los ntshav thiab ua rau cov tsos mob piav.

Tsis muaj tsawg txaus ntshai yog tus pathology thiab apoplexy ntawm zes qe menyuam los yog uterine perforation. Nyob rau hauv cov neeg mob, raws li intra-plab ntshav pib. Tej zaum txawm yuav lub tam sim ntawd cov kev taw qhia tshwj xeeb ntshav-hloov khoom.

Tej inflammatory kab mob kuj yuav tsum tau raws sij hawm kev kho mob thiab saib xyuas tus neeg mob tus mob.