Koj puas tau hnov ​​​​​​dua txog qee yam zoo li no tom qab phais cesarean? (Isthmocele / Cesarean Scar Defect)

Koj paub, thaum peb tham txog C-section, peb tsis tshua tham txog cov teeb meem uas tuaj yeem tshwm sim tom qab nws. Ib yam li ntawd, qee tus neeg yuav ntsib teeb meem me me tom qab C-section yog tias qhov phais ntawm lub tsev menyuam tsis zoo. Qhov no yog qhov kws kho mob hu ua Isthmocele lossis Cesarean Scar Defect. Tsis txhob txhawj, qhov no tsis tshwm sim rau txhua tus, tab sis nws yog ib qho tseem ceeb kom paub txog qhov no, tshwj xeeb tshaj yog tias koj tau muaj C-section lossis npaj yuav muaj ib qho yav tom ntej.

Yog li, qhov no yog isthmocele dab tsi?

Hais yooj yim xwb, lub isthmus yog ib lub hnab me me lossis qhov poob qis hauv phab ntsa ntawm koj lub tsev menyuam qhov chaw uas koj tau phais cesarean. Yog hais kom meej, nws tshwm sim hauv daim ntaub ntawm lub tsev menyuam. Qhov 'uterine niche' no tshwm sim thaum qhov kev phais ua thaum phais cesarean tsis kho tag nrho. Qhov no qee zaum tuaj yeem ua rau muaj teeb meem xeeb tub (tsis muaj menyuam), muaj teeb meem thaum cev xeeb tub yav tom ntej, thiab ntau lwm yam teeb meem.

Leej twg muaj feem yuav muaj mob qog nqaij hlav (Cesarean Scar Defect) ntau dua?

Txawm hais tias tus mob no tuaj yeem tshwm sim rau txhua tus neeg uas tau phais cesarean, qee tus neeg muaj kev pheej hmoo siab dua me ntsis. Cia peb saib lawv yog leej twg:

• Yog tias koj rog dhau ua ntej lossis thaum cev xeeb tub.
• Yog koj muaj tej yam mob uas cuam tshuam rau kev kho qhov txhab.
• Kev phais cesarean tau ua tiav raws li kev txiav txim siab thaum muaj xwm txheej ceev, ntev tom qab yug me nyuam (kev phais c-section tsis tau npaj tseg thaum kawg ntawm txoj kev yug me nyuam).
• Yog koj muaj mob ntshav qab zib lossis yog koj tau mob ntshav qab zib thaum cev xeeb tub (gestational diabetes).
• Yog tias koj tau ua ntau yam caesarean sections .
• Yog koj haus luam yeeb los yog siv lwm yam khoom haus luam yeeb .

Yog tias muaj ib lossis ntau yam ntawm cov no uas cuam tshuam rau koj, nws yog ib lub tswv yim zoo kom ceev faj me ntsis. Tab sis nco ntsoov, txawm tias muaj cov yam txaus ntshai no los xij, tsis yog txhua tus yuav muaj nws.

Tus mob isthmus no muaj ntau npaum li cas?

Raws li cov ntaub ntawv tshawb fawb, ntawm 24% thiab 70% ntawm cov poj niam uas tau phais cesarean tsawg kawg ib zaug muaj tus mob no. Vim tias tus naj npawb ntawm kev phais cesarean nce ntxiv thoob ntiaj teb, tus mob no tam sim no tau dhau los ua ntau dua. Piv txwv li, kwv yees li 30% ntawm cov menyuam mos yug hauv Tebchaws Meskas tau yug los ntawm kev phais cesarean. Yog li nws yog ib qho tseem ceeb kom paub txog tus mob no.

Vim li cas qhov kev phais mob cesarean no (Isthmocele) thiaj tshwm sim?

Xav txog seb, thaum lub sijhawm phais cesarean, yuav muaj ob qhov kev phais. Ib qho hauv plab, thiab lwm qhov hauv lub tsev menyuam. Yog tias qhov kev phais hauv lub tsev menyuam tsis kho kom zoo,Okay, los yog tej zaum thaum koj txiav ntau qhov rau tib qho chaw, cov nqaij ntawm thaj chaw ntawd yuav nyias. Thaum ntawd ces thaj chaw zoo li lub hnab yuav tsim, zoo li qhov koj hais, thiab nws pib puv nrog cov kua dej thiab ntshav.

Qee zaum, qhov chaw ntawm qhov phais thaum lub sijhawm phais cesarean kuj tseem tuaj yeem cuam tshuam qhov no. Yog tias qhov phais raug ua qis dhau hauv lub tsev menyuam, muaj feem ntau dua ntawm qhov caws pliav loj. Feem ntau, hom kev phais qis no yog ua thaum phais cesarean tau ua ntev tom qab yug menyuam. Kuj tseem hais tias yog tias tsuas yog ib txheej ntawm cov xov siv thaum kaw qhov phais hauv tsev menyuam es tsis yog ob , qhov kev pheej hmoo ntawm kev tsim isthmus yuav nce ntxiv.

Puas yog qhov caws pliav cesarean ua rau muaj kev tsis muaj menyuam?

Yog, qee zaum qhov caws pliav cesarean no tuaj yeem ua rau tsis muaj menyuam . Tab sis qhov xov xwm zoo yog tias nrog kev kho mob kom zoo, ntau tus neeg tuaj yeem rov qab muaj cev xeeb tub zoo dua. Yog tias koj xav tias koj muaj cov tsos mob ntawm isthmus, lossis yog tias koj tau sim xeeb tub tau ib xyoos (lossis rau lub hlis yog tias koj hnub nyoog tshaj 35) thiab tsis tau xeeb tub, nco ntsoov mus ntsib koj tus kws kho mob thiab tham txog nws.

Cov tsos mob ntawm tus mob isthmus no yog dab tsi?

Txawm hais tias tsis yog txhua tus neeg yuav muaj cov tsos mob, qee tus neeg yuav muaj:

• Kev coj khaub ncaws tsis raws cai .
• Mob plab thaum muaj hli (Dysmenorrhea).
• Mob thaum sib deev (Dyspareunia).
• Mob duav .
• Los ntshav ntawm qhov chaw mos los yog lub tsev menyuam ntawm ob lub voj voog kev coj khaub ncaws.
• Cov kua tawm ntawm qhov chaw mos txawv txawv .

Yog koj tseem muaj ib lossis ntau yam ntawm cov tsos mob no, nws yog qhov zoo tshaj plaws los tham nrog kws kho mob txog qhov ntawd.

Cov teeb meem uas yuav tshwm sim ntawm isthmus cyst yog dab tsi?

Yog tias tus mob no tsis kho kom zoo, tej zaum yuav muaj teeb meem tshwm sim. Cov no suav nrog:

• Kev pheej hmoo ntawm cov teeb meem thaum lub sijhawm ua cov txheej txheem gynecological.
• Placenta accreta ( lub placenta uas lo rau ntawm phab ntsa tsev menyuam tob dhau ).
• Placenta previa.
• Cev xeeb tub caws pliav - Qhov no kuj yog ib hom cev xeeb tub ectopic, qhov twg lub qe fertilized cog rau hauv ib qho caws pliav hauv lub tsev menyuam.
• Kev tsis muaj menyuam zaum ob - Qhov no txhais tau tias tsis muaj peev xwm xeeb tub dua tom qab cev xeeb tub tau zoo yav dhau los.
• Kev tawg ntawm lub tsev menyuam ( kev tawg lossis kev tawg ntawm lub tsev menyuam ntawm qhov chaw ntawm qhov caws pliav ntawm lub tsev menyuam ).

Cov teeb meem no yuav ua rau neeg ntshai heev thaum hnov ​​txog. Tab sis nco ntsoov, lawv tsis tshwm sim rau txhua tus. Kev kuaj mob thaum ntxov thiab kev kho mob tuaj yeem txo cov kev pheej hmoo no tau zoo heev.

Koj paub qhov mob isthmus no li cas?

Txheeb xyuas IsthmusKev kuaj mob tshwj xeeb yog qhov zoo tshaj plaws. Lub sijhawm zoo tshaj plaws los ua cov kev kuaj no yog tom qab koj lub voj voog kev coj khaub ncaws xaus. Qhov no yog vim tias qhov niche yuav puv nrog ntshav thaum lub sijhawm ntawd, ua rau nws yooj yim dua los pom ntawm qhov kev kuaj.

Koj tus kws kho mob yuav qhia koj txog kev kuaj mob zoo li no:

• Kev kuaj lub tsev menyuam hauv plab (Hysteroscopy): Qhov no yog tus kws kho mob yuav muab ib lub raj nyias nyias thiab ci ntsa iab ntxig rau hauv koj lub qhov chaw mos thiab kuaj sab hauv ntawm koj lub qhov ncauj tsev menyuam thiab lub tsev menyuam. Qhov no tuaj yeem kuaj xyuas seb puas muaj qhov caws pliav, cov nqaij mos tsis zoo, lossis lwm yam teeb meem.
• Kev siv tshuaj saline infusion sonohysterography: Qhov no muab cov ntsiab lus ntau dua li kev siv ultrasound transvaginal ib txwm muaj. Ntawm no, tus kws kho mob muab koj lub tsev menyuam nrog saline (dej ntsev uas tau ntxuav kom huv) thiab ua qhov ultrasound. Thaum lub 'sac' puv nrog dej, tej yam xws li nws qhov loj me thiab phab ntsa tuab tuaj yeem pom tseeb hauv cov duab.
• Kev kuaj ultrasound ntawm lub qhov chaw mos: Qhov no suav nrog kev ntxig ib lub tshuab ultrasound los ntawm lub qhov chaw mos kom nrhiav tau qhov caws pliav thiab qhov 'niche' hauv lub tsev menyuam. Nws kuj tseem tuaj yeem ntsuas qhov tuab ntawm qhov caws pliav.

Yuav kho cov qhov txhab ntawm daim tawv nqaij cesarean li cas?

Muaj ntau txoj kev kho mob rau cov cysts isthmus. Koj tus kws kho mob yuav txiav txim siab seb txoj kev kho mob twg zoo tshaj plaws rau koj raws li koj tus mob, qhov hnyav ntawm koj cov tsos mob, thiab seb koj puas xav muaj menyuam dua.

• Cov tshuaj tiv thaiv kev xeeb tub hauv qhov ncauj: Cov no yog cov tshuaj tiv thaiv kev xeeb tub. Lawv xa cov tshuaj hormones tsawg. Cov tshuaj hormones no tuaj yeem tswj koj lub voj voog kev coj khaub ncaws thiab txo cov ntshav ntws hauv lub cev. Qee zaum kev kho mob no tuaj yeem ua rau qhov loj ntawm 'niche' me me heev uas tsis tas yuav phais.
• Kev phais plab los ntawm txoj kev siv lub tshuab tsom iav (Hysteroscopic resection - HR): Thaum lub sijhawm phais plab, tus kws kho mob tuaj yeem tshem cov nqaij caws pliav ntawm lub tsev menyuam. Nws kuj tseem tuaj yeem qhib ob sab ntawm lub 'niche' kom cov ntshav thiab cov kua dej ntws tawm. Qhov no tsis tas yuav muaj kev phais hauv plab.
• Kev kho Laparoscopic: Hauv cov txheej txheem no, tus kws kho mob ua ib lossis ntau qhov me me hauv koj lub plab thiab ntxig ib lub raj nyias, lub teeb (laparoscope) los ntawm lawv kom saib sab hauv koj lub tsev menyuam. Cov nqaij caws pliav thiab cov nqaij ntau dhau nyob ib puag ncig 'niche' ces raug tshem tawm. Qhov no yog kev phais mob me me rau cov qhov txhab cesarean. Qhov no tuaj yeem pab koj rov zoo sai dua thiab tsis mob ntau.
• Kev phais tshem menyuam hauv plab:Qhov no txhais tau tias tshem tawm tag nrho lub tsev menyuam. Qhov no feem ntau ua rau cov neeg uas muaj cov tsos mob ntawm isthmus hnyav heev thiab cov neeg uas tsis xav muaj menyuam dua. Tej zaum koj yuav muaj peev xwm ua tau laparoscopic hysterectomy. Qhov no kuj yog ib qho txheej txheem minimally invasive, txhais tau tias koj tuaj yeem rov zoo sai thiab muaj mob tsawg dua yam tsis tas yuav ua qhov loj.

Peb yuav ua li cas thiaj tiv thaiv tau qhov kev tsim ntawm isthmuses?

Qhov tseeb, tib txoj kev los tiv thaiv kom tsis txhob muaj qhov mob isthmus tag nrho yog kom tsis txhob muaj kev phais cesarean. Tab sis tsis yog txhua tus neeg tuaj yeem ua li ntawd. Yog tias koj cev xeeb tub thiab npaj yuav phais cesarean, nrog koj tus kws kho mob tham txog koj qhov kev pheej hmoo ntawm kev muaj qhov caws pliav cesarean (isthmus). Koj tuaj yeem txo koj qhov kev pheej hmoo los ntawm kev ua cov hauv qab no:

• Ua ntej thiab thaum cev xeeb tub , koj yuav tsum tswj koj qhov hnyav kom noj qab nyob zoo .
• Tswj kab mob ntshav qab zib .
• Tsis txhob haus luam yeeb thiab siv lwm yam khoom haus luam yeeb .

Cov neeg uas muaj qhov txhab ntawm kev phais cesarean yog li cas?

Qhov xov xwm zoo yog tias qhov caws pliav ntawm kev phais cesarean (isthmus) yog ib qho mob uas kho tau. Cov neeg feem coob muaj peev xwm xeeb tub tau dua tom qab kho, yog li ntawd tsis txhob tso tseg kev cia siab.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj ib qho isthmus thaum cev xeeb tub, koj muaj feem yuav ua rau lub tsev menyuam tawg . Qhov no yog xwm txheej ceev hauv kev kho mob . Qhov no tshwm sim thaum lub qhov txhab ntawm lub tsev menyuam sib cais thiab lub tsev menyuam tawg. Qhov no tuaj yeem ua rau muaj kev phom sij loj rau koj thiab koj tus menyuam.

Yog tias koj mob plab hnyuv loj heev, mob qhov chaw uas koj qhov caws pliav cesarean, lossis los ntshav ntau ntawm qhov chaw mos , cov no yuav yog cov cim qhia tias lub tsev menyuam tawg. Yog tias qhov no tshwm sim, nrhiav kev pab kho mob tam sim ntawd.

Ib lub isthmus yog ib lub hnab me me, lossis 'niche,' uas tsim nyob rau hauv phab ntsa ntawm koj lub tsev menyuam. Nws yog tshwm sim los ntawm kev phais cesarean tsis kho kom zoo. Qhov no tuaj yeem ua rau muaj kev los ntshav tsis zoo, mob plab mog, thiab teeb meem kev coj khaub ncaws. Nws kuj tseem tuaj yeem ua rau tsis muaj menyuam lossis muaj teeb meem nrog kev xeeb tub yav tom ntej. Kev kho mob feem ntau yog phais mob me me kom tshem tawm cov nqaij caws pliav ntxiv thiab tsim 'niche.' Cov neeg feem coob tuaj yeem muaj kev xeeb tub noj qab haus huv tom qab kev kho mob.

Nco ntsoov qhov tseem ceeb tshaj plaws (Cov Lus Coj Mus Tsev)

• Ib qho isthmocele yog ib lub 'hnab' me me uas tsim thaum lub tsev menyuam tsis kho zoo tom qab phais cesarean.
• Txawm hais tias tsis yog txhua tus neeg muaj qhov no los xij, qee tus neeg yuav muaj teeb meem tsis muaj menyuam, muaj teeb meem thaum lub caij cev ntas, thiab muaj teeb meem thaum cev xeeb tub yav tom ntej.
• Yog koj muaj cov tsos mob xws li los ntshav txawv txawv lossis mob plab mog, mus ntsib kws kho mob.
• Qhov mob no tuaj yeem kuaj mob thiab kho tau . Feem ntau, kev xeeb tub tau zoo tuaj yeem ua tiav tom qab kho mob.
• Yog koj tau phais cesarean lawm, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no. Tsis muaj dab tsi yuav tsum ntshai, ib txwm nrog koj tus kws kho mob tham txog qhov no.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob ntshai nug koj tus kws kho mob poj niam. Lawv yuav pab koj.

` Isthmocele, Cesarean Scar Defect, C-section, uterus, poj niam txoj kev noj qab haus huv, kev tsis muaj menyuam, cesarean section