Uterine leeg embolization rau uterine myoma kev kho mob thiab yuav tshwm

Ib tug ntawm cov ceg ntawm cov tshuaj yog me nyuam. Nws yog ib qho ntawm feem me, raws li ncaj qha kev cob cog rua nrog lub hom phiaj tseem ceeb ntawm txhua tus pojniam - ua ib leej niam.

Cov kev uas xyaum nyob rau hauv kev ua lag luam, yog tseem tswj npaj lub cev rau lub ntsiab kev tshwm sim nyob rau hauv ib tug poj niam lub neej. Nws yuav tsum tau muab sau tseg tias nyob rau hauv niaj hnub lub sij hawm kuj yog ib tus naj npawb ntawm cov poj niam raug kev txom nyem los ntawm ib tug ntau yam ntawm inflammatory thiab kis kab mob ntawm cov me nyuam uas feem ntau ua rau ntxiv lawm tshob los yog tsis muaj peev xwm los mus ua kom ib tug me nyuam.

Feem ntau cov feem ntau pom tag nrho cov pathologies ntawm uterine fibroids. Nws yuav ua rau ntxiv lawm tshob, nrog rau cov tshuaj txhua txhua xyoo yog tsiv ntxiv thiab ntxiv mus, muaj ib tug tseem tshiab kev kho mob uas yuav muaj peev xwm coj cov poj niam mus rau lawv cherished lub hom phiaj.

Ib tug ntawm cov kev yog advanced uterine leeg embolization rau uterine fibroids. Nrog no txoj kev ntawm tau txais tshem ntawm fibroids peb tau ntsib nyob rau hauv peb tsab xov xwm.

Yuav ua li cas yog ib tug fibroid tsev menyuam?

Tus kab mob no muaj xws li benign qog nyob rau hauv cov nqaij txheej ntawm lub tsev menyuam. Thaum lub heev thaum pib ntawm nws kev loj hlob, nws zoo li ib tug me me lub nras uas lus zoo.

Heev tsuas nws pom tau hais tias tus kab mob nyob rau hauv ultrasound, tab sis kuj mus xyuas tus kws kho mob ib tug poj niam tej zaum yuav hnov mob nyob rau hauv lub plab mog, ua txhaum ntawm tso zis txheej txheem. Rau ntau muaj yog uterine los ntshav tias ib txhia neeg sim mus dhau tawm raws li lub cev ntas.

Feem ntau cov feem ntau txom nyem los ntawm no pathology cov poj niam uas deev hnub nyoog, Yog hais tias lub caij nyoog kho mob, nws tsis yog nyob deb mus ntxiv lawm tshob thiab lwm yam teeb meem.

Cov kev

Uterine leeg embolization rau uterine fibroids - ib tug tshiab txoj kev kho mob ntawm tus kab mob no, uas tso cai rau koj kom tshem tau ntawm hlav tsis muaj qhov yuav tsum tau rau kev phais kev cuam tshuam. Teeb meem tshwm sim thaum uas xws cuam yog tsis tshua muaj, yog li tus qauv yog suav tias yog lub feem ntau maj thiab haum npaum.

Yog hais tias tsa los ntawm uterine leeg embolization rau uterine fibroids, lub essence ntawm cov kev kho mob yog txo mus rau lub qhia txog ntawm ib plasticizer khoom rau hauv cov hlab ntsha uas pub lub qog. Lawv yuav thaiv cov ntshav txaus, thiab fibroid hlwb maj tuag.

Thaum muab embolization

Nyob rau hauv ntau cov poj niam, cov lus nug tshwm sim: "Yog hais tias muaj yog ib tug mob, lub uterine leeg embolization rau uterine fibroids thaum tsa?" Puas muaj tej contraindications rau txoj kev ua no? Thawj, tsom xam cov pov thawj, thiab cov neeg yog:

• Fibroids loj hlob ntseeg tau.
• Muaj yog tsis muaj tau mus nqa tawm kev phais kho mob.
• Tus poj niam muaj hnyav los ntshav.
• Mob heev.

• Nws yog ib qho tseem ceeb kom lub tsev me nyuam rau tom ntej hnub tus me nyuam.

Lub ntsiab tseem muaj ib tug zoo tshaj uas lub tswv yim cov kws kho mob yuav siv nws, qhov no txoj kev tau txais tshem ntawm fibroids - ib tug poj niam lub siab kom muaj cov me nyuam nyob rau hauv lub neej yav tom ntej. Muaj tej yam teeb meem nyob qhov twg embolization yog ua ua ntej phais tshem tawm ntawm lub fibroids los txo cov kev pheej hmoo ntawm ntau los ntshav.

Nws yuav tsum tau muab sau tseg tias nyob rau hauv peb lub teb chaws, qhov no txoj kev yog hais tias yuav haum tshiab, li ntawd, tsis yog txhua lub zos muaj peev xwm nrhiav tau cov kws txawj uas xyaum xws hauj lwm.

Yog hais tias koj xav mus uterine leeg embolization rau uterine myoma, Kazan muaj kom muaj cov kev pab cuam ntawm nws cov pej xeem thiab cov neeg tuaj xyuas tej kev pab. Lub nroog soj ntsuam tsev kho mob №7 muaj tej kws kho mob thiab tag nrho cov tsim nyog cov khoom rau cov kev kho mob ntawm xws li ib tug txoj kev.

Kev npaj rau lub embolization

Ua ntej koj yuav xa ib tug poj niam rau txoj kev ua no, tus kws kho mob yuav muab tshuaj rau ib co tsim nyog kev tshawb fawb:

1. Ultrasound, nws yuav siv tau los mus txiav txim qhov chaw, luaj li cas ntawm fibroids.
2. Standard ntshav thiab zis kev ntsuam xyuas.
3. Siv ib smear rau lub ntsiab txhais ntawm lub paum microflora.
4. Reins oncocitology mus tshem tawm phem hlwb.
5. Ib txoj kev tshawb rau tus kab mob.
6. Kuaj ntshav xyuas rau tus kab mob HIV, kab mob siab C thiab B.
7. lub tsev me nyuam xeem nyob rau hauv ib tug tshuab kuaj kab mob.
8. Cardiogram ua li cas.
9. Txiav Txim yuav tsum tau mus rau lwm cov kws tshwj xeeb yog hais tias muaj yog mob cov kab mob, raws li tau zoo raws li lub kws kho mob.

Tom qab tag nrho cov kev tshawb fawb yog muab cov kev taw qhia rau embolization. Nyob rau hnub ntawm txoj kev sai yog tsis pom zoo rau noj thiab haus dej haus, los xyuas kom meej tshaj plaws sterility nyob rau hauv lub puab tais mus tshem tawm cov plaub hau. Yog hais tias ib tug poj niam suffers los ntawm varicose leeg, tus kws kho mob ib lub lim tiam ua ntej rau txoj kev, kom hnav compression vuam txwv ntev.

Cov txheej txheem

Tsis yog txhua txhua paub tseeb hais tias xws li ib tug uterine leeg embolization rau uterine fibroids, raws li ua xws li ib tug txheej txheem. Cia saib no qhov teeb meem. Cov tag nrho txoj kev kho mob muaj cov nram qab no theem:

1. Yam ua ntej ultrasound kev soj ntsuam ntawm lub pelvic kabmob.
2. Laj kab yog lub ncauj tsev menyuam hnoos qeev los mus tiv thaiv oncological kab mob, inflammatory kab mob. Thaum koj muaj xws li ib tug txheej txheem yog tsis siv.
3. Ces, ib tug tej thiab ib tug catheter tso rau hauv lub femoral leeg nyob rau hauv lub puab tais crease. Tus txheej txheem yog tsis heev heev, li ntawd, lub zos tshuaj loog yog txaus.
4. Tus kws kho mob nyob rau hauv X-ray tswj tuav cov catheter nyob rau hauv qhov chaw ntawm lub uterine leeg, nyob qhov twg nws pib ceg, muab lub fibroids.
5. Yuav kom paub meej tias lub validity ntawm cov mob thiab cov catheter txoj hauj lwm yog muaj nyob rau arteriogram - cov kev taw qhia ntawm ib tug zoo ib tus neeg saib xyuas.
6. Thaum qhov tseeb txiav txim no yog paub tseeb hais tias, ib tug kws nkag ntawm qhov catheter tshwj xeeb npaj, uas, ntog nyob rau hauv lub vos cov hlab ntsha, clogging lawv, thiab cov ntshav tsis ntws nyob rau hauv lub qog nqaij.
7. Yuav kom tshem tawm tsis cov ntshav mov rau fibroids, txhaws yog ua li cas rau ob femoral cov hlab ntsha.
8. Thaum kawg ntawm lub txheej txheem yog cov tswj arteriogram.
9. Overlay ib tug menyuam tsis taus ntaub qhwv nyob rau hauv tej qhov chaw.

Tseem nrog uterine leeg embolization ntawm uterine myoma tsis ntau tshaj li 1.5 teev, feem ntau 20 feeb yog txaus, nws tag nrho cov nyob rau hauv lub qhov chaw ntawm cov hlab ntsha thiab kev tus kws kho mob.

Rov qab los ntawm lub cev tom qab embolization

Tus poj niam lub cev rov qab los ntawm txoj kev siv txog li ob lub lis piam, tab sis hais tias tsis tau txhais hais tias tag nrho cov sij hawm no, muaj nyob rau hauv lub tsev kho mob. Tom qab uterine leeg embolization (UAE) rau uterine fibroids, ib tug poj niam yog yuav luag nyob rau hauv tib hnub yuav mus tsev, yog hais tias nws yog dab tsi. Tom tsev, koj yuav tsum ua raws li ib co txheej txheem:

• Desirably txaj so rau ob peb hnub.
• Rau qhov mob nyem, koj yuav tau coj painkillers.
• Tswj lub cev kub, mus raws sij hawm ntes inflammatory dab pib.
• Tom qab ntawm txoj kev, nws yog ntshaw kom ntxiv dej kom tsawg, tshwj xeeb tshaj yog nyob rau hauv thawj lub lim tiam.
• Yog hais tias muaj yog fibroids, embolization yuav cov cais tawm ntawm "cov tshuaj aspirin" thiab lwm yam cov ntshav nyias.
• Nyob rau hauv thaum ntxov hnub nws tsis yog ntshaw kom muab ib tug da dej, lub sauna los yog chav da dej.
• Rau ob peb lub lis piam peb pom zoo kom ib tug ua tiav lub cev kev sib haum xeeb thiab cov tshem tawm ntawm kev sib deev lub neej.
• Cov poj niam nyob rau hauv lub tseem ceeb heev hnub yog tsis pom zoo kom siv tampons.

Nws yog tseem ceeb heev rau raws sij hawm kev kho mob ntawm uterine fibroids, uterine leeg embolization yuav pab cawm ib tug poj niam tus muaj peev xwm los ua tim cov me nyuam.

Qhov zoo ntawm cov qauv no

Tej txoj kev kho mob nws muaj nws qhov zoo thiab qhov tsis zoo, embolization yog tsis muaj exception. Tiam sis ua ntej tsis txhob nyob rau hauv cov pros:

1. High efficiency.
2. Uterine leeg embolization rau uterine myoma yoojyim tsis nti thiab txiav.
3. Qhov no txoj kev zoo eliminates re-loj hlob ntawm fibroids tsis tau hais tias hais txog cov kev phais tshem tawm.
4. Yog li ntawd sai li sai tau siv lub zos tshuaj loog, rov qab lub sij hawm yog luv luv thiab tsis yuav tsum tau ntau lub sij hawm rau ib tug tawm hauv tshuaj loog.
5. Thaum lub tsev kho mob, ib tug poj niam muaj peev xwm siv ob peb hnub.
6. Yog hais tias mob fibroids, embolization los txog rau lub cawm, yog tias ua tau phais kev cuam tshuam.
7. Tus txheej txheem muaj tsis muaj kev phiv los ntawm cov me nyuam muaj nuj nqi.

disadvantages embolization

Tam sim no ib tug me ntsis txog cov disadvantages. Tam sim no, cov khoom siv yog kim heev rau xws li ib tug txheej txheem. Thiab cov kws txawj nyob rau hauv daim teb no yog tseem tsis txaus nyob rau hauv Russia.

Lwm disadvantage ntawm daim ntawv thov yuav tsum tau hu ua thaum lub sij hawm tua embolic radiography. Tab sis nws yuav tsum tau muab sau tseg tias tawg koob tsis pub tshaj uas peb tau txais, dua siab x-ray.

Lub downside yuav suav hais tias raws li lub cev tsis tau cov ntaub so ntswg rau me, tab sis nws yog compensated los ntawm kev ua diagnostic angiography ua ntej rau txoj kev. Ib tug kws kho mob ntawm lub vascular qauv yuav yeej ib txwm paub txog Cancer mob.

Contraindications rau cov txheej txheem

Txawm tias muaj tseeb hais tias uterine leeg embolization nrog uterine myoma muaj zoo txheeb xyuas thiab yog heev txoj kev zoo tso cai rau nws mus tuav nyob rau hauv tag nrho cov mob. Contraindications muaj xws li:

• Inflammatory kab mob ntawm lub pelvic kabmob.
• Muaj kev tsis haum tshuaj mus rau yeeb tshuaj, uas yog siv los muab cov hlab ntsha.
• Cev xeeb tub.

• Lub xub ntiag ntawm phem hlav nyob rau hauv lub cev ntawm tej qhov chaw.
• Yog hais tias muaj yog raum tsis ua hauj, nws yuav yooj yim mus siv ib tug zoo ib tus neeg saib xyuas, li ntawd, txoj kev tsis pom zoo.

Rau tus txheeb ze contraindications muaj xws li:

• Fast txoj kev loj hlob ntawm cov qog.
• Ntawm nyob superficially thiab muaj nyias ceg.

Ib tug kws kho mob ib txwm ua ntej koj xa ib tug poj niam rau embolization, nrhiav tau tag nrho contraindications.

teeb meem ntawm cov txheej txheem

Qhov no txoj kev yog suav tias yog tsawg txaus ntshai tshaj phais, tab sis uterine leeg embolization rau uterine myoma los kuj muaj undesirable, cov uas lub nram qab no yuav tsum tau muab sau tseg:

1. Yuav luag ib txwm tsim thaum lub tej chaw hematoma. Nws nws thiaj li kis tau, tab sis tej zaum koj yuav xav tau ib tug tshwj xeeb tshuaj pleev rau leeb tus txheej txheem.
2. Kab mob. Yog hais tias qhov no tshwm sim, nws yuav muab ib lub chav kawm ntawm tshuaj tua kab mob. Tsuas yog nws yog ib qho tseem ceeb tsis txhob yuam kev qhov pib ntawm ib tug kab mob nrog ib tug tej yam ntuj tso teb ntawm lub cev. Yog tias lub siab kub yog khaws cia rau ob peb hnub, nws yog tsim nyog los qhia rau tus kws kho mob.
3. Mob nyob rau hauv lub qis lub plab mog. Lawv yog cov yuav luag tsis yooj yim sua kom raug txim, raws li cov mob uas txuam nrog fibroids cem deb hlwb. Tuaj mus rau cov kev pab painkillers.
4. Tej zaum intoxication, li ntawd, lub cev reacts mus rau lub koom haum saib xyuas ntawm contrast nruab nrab. Nws manifests nws tus kheej nyob rau hauv daim ntawv ntawm cov kev kub taub hau thiab yuav tsum tau tau txais anti-inflammatory siv tshuaj.
5. Yuav tsim adhesions ntawm lub connective ntaub so ntswg, tab sis nws tshwm sim heev tsis tshua muaj.
6. Qhaj ntawv ntawm poj niam yog feem ntau, tab sis maj mam lub voj voog yog rov qab los tsis pub dhau 2-3 lub hlis.
7. Ntawm zes qe menyuam tsis ua hauj lwm.
8. Ib tug tsawg yam tab kaum yog perforation ntawm leeg.

Yog hais tias mob loj heev teeb meem tshwm sim, ces ib tug neeg mob yuav tsum tau surgically tshem tawm fibroids. Tab sis qhov tshwm sim ntawm xws li ib lub sij hawm yog me me, tsuas yog 1 case ib 1000 cov txheej txheem.

txoj kev nyob qhov twg embolization yog ua

Yog hais tias koj kawm no txoj kev ntawm kev soj ntsuam txog nrog fibroids, feem ntau ntawm cov neeg mob, ntawm chav kawm, yuav xav nws tshaj phais. Ces cov nqe lus nug tshwm sim, qhov twg ua cov txheej txheem.

Kuv yuav tsum hais tias cov txheej txheem no yuav tsum tau kim khoom siv, thiab muaj nyiaj mus yuav nws tsis tau tag nrho cov tsev kho mob. Qhov no yog thawj yog vim li cas uas piav txog yog vim li cas tsis yog txhua lub tsev kho mob, thiab tsis yog txhua lub nroog muaj peev xwm yuav ua tau embolization.

Qhov no cheeb tsam ntawm cov tshuaj yog tus tshiab - rau kev ua hauj lwm nyob rau hauv cov hlab ntsha, yog li cov neeg phais uas tau muaj txaus kev kawm txawj thiab xyaum mus kev xws li ib tug txheej txheem, txawm tias ib tug me ntsis.

Nyob rau hauv tas li ntawd mus embolization yuav tsum tau ib tug tshwj xeeb X-ray kev khiav hauj lwm chav tsev, uas yog tsis muaj nyob rau hauv tag nrho cov tsev kho mob.

Yog hais tias, li ntawd xwb, ib tug poj niam xav kom tshem tau ntawm fibroids nyob rau hauv no txoj kev, ces feem ntau yuav, nws yog tsim nyog los nrhiav kev pab los ntawm ib tug kws kho mob los sis lwm tus me nyuam qhov chaw.

Uterine leeg embolization rau uterine myoma: xyuas ntawm kev kho mob

Yog hais tias ib tug poj niam tau txiav txim siab los tau tshem ntawm fibroids nyob rau hauv no yav tas, nws yog tsim nyog yuav tsum tau npaj kom txhij rau lub fact tias cov nqi ntawm xws li ib tug txheej txheem yog heev loj. Qhov no yog vim txoj kev siv cov kim cov khoom thiab cov tshuaj rau cov kev taw qhia mus rau hauv lub vascular qhov chaw.

Feem ntau cov neeg mob hais tias embolization yog tsawg puas, yog li rov qab lub sij hawm tom qab lub txheej txheem yog luv luv thiab tsis yuav tsum tau ntev-lub sij hawm pw tsev kho mob.

Yog hais tias ua uterine leeg embolization rau uterine fibroids, tseem muaj tej yam tsis zoo xyuas. Ib txhia poj niam raug kev txom nyem los ntawm qhov mob thaum lub sij hawm tus txheej txheem thiab rau ob peb teev tom qab. Nyob rau hauv thawj hnub ntawm lub kub yuav sawv mus rau tsim txom thiab xeev siab.

Tsis yog txhua txhua hais tiav txoj kev ywj pheej los ntawm tus kab mob, ib txhia yeej fibroids maj disappears, thiab muaj cov neeg mob uas yuav tau mus phais.

Txawm cov kws kho mob muaj yog tsis muaj ib qho tswv yim hais txog embolization, muaj ib pab pawg neeg uas considers nws yeej muaj tseeb panacea, tab sis muaj cov neeg uas ntseeg hais tias txoj kev no yog tsuas yog ib tug lwm txoj mus hlais.

Qhov kev txiav txim seb puas yuav tshem tawm fibroids expeditious txoj kev los sis sim siv embolization yuav tsum tau noj nyob rau hauv ua ke nrog tus kws kho mob. Nws yog tsim nyog los noj mus rau hauv tus account tag nrho cov kev pheej hmoo thiab tau teeb meem. Txhua tus poj niam lub cev reacts ib lub zuj zus rau ntau pab, yog li tsis tau hais tias kiag li txhua txhua nplua ib tug qauv ntawm cov kev kho mob.