Uterine leeg embolization nyob rau hauv cov kev kho mob ntawm uterine fibroids

Nyob rau hauv niaj hnub Gynecology feem ntau hnyav txoj kev ntawm kev kho mob ntawm uterine fibroids yog tabtom pom zoo raws li uterine leeg embolization. Qhov no cim txheej txheem tso cai rau kom tsis txhob muaj lub lag luam phais, nws muaj nyob rau hauv qhia embolus generating txhaws (occlusion) ntawm cov hlab ntsha. Nrog rau cov mob ntawm uterine fibroids rau ntau xyoo poj niam muaj tau tsa resection ntawm kev kawm ntawv, kom txog thaum lub teb tshem tawm ntawm lub tsev me nyuam, tab sis hnub no, uterine leeg embolization tso cai rau koj los thaiv cov ntshav khiav muab ntshav fibromatous Cheebtsam thiab, yog li, thaiv qhov kev kawm ntawm lub qog. Raws li ib tug tshwm sim ntawm fibroid kev kho mob yog maj txo nyob rau hauv loj.

Cov kab sab ntawm cov txheej txheem

Tus kho cov txheej txheem yog hno femoral leeg, ua raws li los ntawm catheter uterine hlab ntsha thiab muab los ntawm ib tug catheter embolization tshuaj. Cov hais ntawm cov tshuaj tau daig nyob rau hauv cov hlab ntsha ntawm ib tug tej lub cheeb thiab sib tshooj lawv. Tus txheej txheem yog nqa tawm mus ua kom tiav txhaws ntawm cov hlab ntsha uas muab kev tu cov fibomiomy. Rau ib tug tag nrho thaiv ntawm lub qog embolization ntawm uterine cov hlab ntsha ua los ntawm ob sab. Nyob rau hauv thiaj li yuav paub meej tias cov tsis muaj ntshav mov rau cov chav nyob rau ntawm qhov kawg ntawm lub txheej txheem yog nqa tawm ib tug tswj arteriogram. Qhov chaw daim tawv nqaij punctures yog kho nrog ib tug antiseptic, 12 teev rau lawv superimposed compressive muaj menyuam tsis taus hnav khaub ncaws.

Indications thiab contraindications rau cov txheej txheem

Uterine leeg embolization yog muab nyob rau hauv cov nram no mob:

1. Txhais cov ntsiab lus loj hlob los yog symptomatic uterine fibroids. Kev pom zoo txoj kev:

• nrog uterine loj coj gestational hnub nyoog 7 mus rau 20 lub lis piam, nyob rau hauv lub qhaj ntawv ntawm lub tsev me nyuam pathology, ntawm zes qe menyuam, thiab endometrium. Nrog rau cov me luaj li cas ntawm uterine embolization yog tsis ntshaw vim hais tias nyob rau hauv cov ntaub ntawv no txoj kev vam meej ntawm nws cov kev siv yog tsawg heev;
• thaum cov neeg mob txuas ntxiv kev txaus siab nyob rau hauv cev xeeb tub nrog fibroids tsim lub luag hauj lwm nyob rau hauv lub pathogenesis ntawm ntxiv lawm tshob los yog siab yuav nchuav menyuam;
• nyob rau hauv kev npaj rau lub phais tshem tawm ntawm lub tsev me nyuam (myomectomy) los yog hysteroresectoscopy;

2. Nyob rau hauv cim uterine los ntshav ntawm txawv etiology, nyob rau hauv tus neeg mob qhov uas lwm tus txoj kev kho mob yog txuam nrog ib tug qhia tau meej heev kev hem thawj rau lub neej ntawm tus neeg mob.

Contraindication rau embolization tej zaum yuav muaj cov kab mob thiab kev tsis haum rau cov tshuaj siv, ua nyob rau hauv anaphylactic poob siab los yog Quincke tus edema.

zoo ntawm txoj kev

Uterine leeg embolization yog ib tug uas tsis yog-tus, hloov-khaws cia kev kho mob, uas tso cai rau cov poj niam tom qab lub rooj sib tham kom muaj me nyuam muaj nuj nqi. Nws yuav ua tsis tau txoj kev siv cov tshuaj kom tsaug zog thiab yuav tsum tau ib tug tag nrho ntawm 8 teev saum txaj so. Embolization yoojyim tsis muaj caws pliav nqaij puas tsuaj nyob rau hauv nws cov kev siv raws li cov uas tsis muaj - yog li 2 mus rau hno lub catheter. Muaj ntau cov neeg mob nyob rau hauv lub hnub qub, mus tsev, thiab ua tiav rov qab tshwm sim nyob rau 2 lub lis piam. Nyob rau hauv cov ntaub ntawv ntawm ib qho kev nce rau hauv tag nrho lub cev kub tshuaj anti-inflammatory siv tshuaj, thiab tau mob inhibited siv analgesics.

Xyuas

Cov poj niam zoo siab heev nrog rau cov tshwm sim, uas ua rau uterine leeg embolization. Xyuas ntawm ntau cov neeg mob yuav txo tau kom lub fact tias tag nrho lub lag luam yog tsis mob thiab kav tsis muaj ntau tshaj li 10 feeb. Thaum lub muab nuj nqi ntawm lub tsev me nyuam, lub qog yog tsis loj zuj zus thiab maj txo nyob rau hauv loj. Thiab feem ntau cov tseem ceeb - qhov no yog dab tsi poj niam tom qab ntawm txoj kev yog tseem muaj peev xwm muaj cov me nyuam.

Nyob rau hauv hnub no lub tsev kho mob uterine leeg embolization nqi yog siab txaus, tab sis cov no mas nws yeej tsim nyog nws. Cov nyiaj no yog muaj kev ua hauj lwm ntawm cov kws kho mob, tus nqi ntawm cov tshuaj embolization thiab cov cuab yeej siv, raws li tau zoo raws li ib tug nyob rau hauv ib lub tsev kho mob.