Kev Tig Ntawm Lub Zes Qe: Qhov no Puas Tshwm Sim Rau Koj? Cia Peb Tham!

Koj puas tau muaj mob plab sai sai thiab hnyav heev? Tshwj xeeb tshaj yog mob plab qis? Qee zaum peb xav tias qhov mob no yog ib qho mob ib txwm muaj. Txawm li cas los xij, qee zaum nws tuaj yeem yog xwm txheej ceev kho mob. Ib qho xwm txheej ceev yog ovarian torsion, lossis "Ovarian Torsion". Cia peb tham txog qhov no kom meej me ntsis hnub no, vim qhov no yog ib yam dab tsi uas koj, ua ib tug poj niam, yuav tsum paub.

Lub ovarian torsion yog dab tsi?

Hais yooj yim xwb, qhov mob Ovarian Torsion yog thaum ib qho ntawm koj lub zes qe menyuam tig thiab tig ib ncig ntawm cov ntaub so ntswg uas tuav nws rau hauv qhov chaw. Raws li koj paub, lub zes qe menyuam yog ob lub cev tseem ceeb heev hauv tus poj niam lub cev xeeb tub. Lawv yog ob lub qog zoo li qe nyob rau ob sab ntawm lub tsev menyuam. Thaum koj lub sijhawm xeeb tub, cov zes qe menyuam no tso cov qe thiab tsim cov tshuaj hormones uas tswj koj lub voj voog thiab cev xeeb tub. Cov zes qe menyuam no raug dai rau hauv lub plab mog los ntawm cov ntaub so ntswg hu ua ligaments.

Xav txog seb yuav muaj li cas thaum lub zes qe menyuam ntswj li ntawd. Cov ntshav uas mus rau lub zes qe menyuam ntswj raug txiav tawm, uas tuaj yeem ua rau nws puas tsuaj. Qhov no yog qhov ua rau mob sai sai thiab tsis tuaj yeem ua tau hauv qab plab. Yog tias tsis nrhiav kev kho mob thaum muaj xwm txheej ceev thaum lub sijhawm zoo li no, cov nqaij ntawm lub zes qe menyuam tuaj yeem tuag thiab lub zes qe menyuam tuaj yeem ploj mus tag. Qhov no yog vim li cas qhov no yog ib qho mob hnyav heev.

Qee zaum, tsis yog tsuas yog lub zes qe menyuam xwb, tab sis kuj tseem tuaj yeem ntswj lub raj fallopian nyob ze. Yog li ntawd, qhov mob no hu ua adnexal torsion.

Tus mob no feem ntau tshwm sim li cas?

Cov kws tshawb nrhiav tsis paub meej tias qhov kev ntswj ntawm zes qe menyuam feem ntau tshwm sim li cas hauv cov pej xeem feem ntau. Txawm li cas los xij, kev tshawb fawb tau qhia tias nws yog qhov thib tsib feem ntau ua rau muaj kev phais mob poj niam thaum muaj xwm txheej ceev. Kwv yees tias tsuas yog 3% ntawm kev mus rau chav kho mob thaum muaj xwm txheej ceev rau cov txheej txheem phais mob ntsig txog lub cev poj niam yog rau qhov kev ntswj ntawm zes qe menyuam.

Cov tsos mob yog dab tsi? Yuav ua li cas thiaj paub txog nws?

Cov tsos mob tseem ceeb ntawm tus mob no yog mob plab sai sai thiab hnyav heev. Tab sis, mob plab yog ib qho tsos mob ntawm ntau lwm yam kab mob, puas yog? Peb tsis maj mus rau chav kho mob ceev rau txhua yam kab mob. Txawm li cas los xij, hauv qhov xwm txheej no ntawm '(Ovarian Torsion)', mus rau tsev kho mob sai sai muab sijhawm zoo rau koj los cawm koj lub zes qe menyuam.

Lwm cov tsos mob uas tuaj yeem txheeb xyuas tau yog:

• Mob nruab nrab mus rau mob hnyav hauv qab plab.
• Xeev siab thiab ntuav.

Tam sim no, muaj qee cov cim qhia tias cov ntaub so ntswg ntawm lub zes qe menyuam pib tuag. Cov no yog:

• Ua npaws.
• Kev los ntshav ntawm qhov chaw mos lossis lwm yam kua tawm tsis zoo.

Qhov mob no zoo li cas?

Txhua tus neeg muaj mob sib txawv. Yog li ntawd, nws yuav nyuaj rau paub meej tias qhov mob uas koj tab tom ntsib yog xwm txheej ceev xws li '(Ovarian Torsion)' lossis lwm yam. Txawm li cas los xij, feem ntau cov neeg feem ntau piav qhia txog qhov mob ntawm '(Ovarian Torsion)' li qhov nruab nrab mus rau qhov hnyav. Ntawd yog, nws yog qhov mob pom tseeb heev uas nyuaj rau tsis quav ntsej.

Qhov mob no yuav zoo li no:

• Mob ntse, mob choking (qhov no yog qhov feem ntau) lossis mob dull, mob cramping hauv plab.
• Mob thoob plaws hauv plab qis (qhov no kuj yog ib qho uas tshwm sim) lossis mob tsuas yog nyob rau sab uas lub zes qe menyuam ntswj (feem ntau yog sab xis).
• Qhov mob yuav tsuas yog nyob rau hauv qab plab xwb, lossis nws yuav kis mus rau ntawm ob txhais ceg, ob sab ceg, thiab nraub qaum.
• Qhov mob yuav mob tas li (qhov no yog ib qho uas tshwm sim ntau), lossis nws yuav mob thiab ploj mus ib ntus (qhov no tsis tshua muaj).

Txawm hais tias feem ntau tsis tshua muaj, qee zaum cov tsos mob ntawm '(Ovarian Torsion)' tuaj yeem tshwm sim tsis tu ncua. Qhov ntawd yog, qhov mob tuaj, ploj mus ib pliag, thiab tom qab ntawd rov qab los. Qee zaum lub zes qe menyuam tuaj yeem tig thiab tom qab ntawd ncab dua. Thaum nws ntswj, qhov ntshav nres thiab qhov mob tuaj. Thaum nws ncab dua, qhov ntshav pib pib thiab qhov mob ploj mus. Vim yog qhov xwm txheej tsis tu ncua no, koj yuav tsis tuaj yeem xav txog qhov xwm txheej. Txawm li cas los xij, txawm tias qhov mob tuaj ntawm ib lub sijhawm mus rau ib lub sijhawm, yog tias koj muaj '(Ovarian Torsion)', koj yuav tsum mus ntsib kws kho mob thiab tau txais kev kho mob.

Vim li cas cov zes qe menyuam no thiaj ntswj? Yog vim li cas?

Hais yooj yim xwb, qhov Ovarian Torsion tshwm sim thaum qhov sib npaug uas ua rau lub zes qe nyob hauv qhov chaw raug cuam tshuam rau qee qhov laj thawj. Piv txwv li, yog tias muaj qog hauv lub zes qe, xws li lub cyst ntawm lub zes qe (tshwj xeeb tshaj yog ib qho loj), nws ntxiv qhov hnyav rau lub zes qe. Tom qab ntawd nws yuav tig thiab ntswj ncig lub ligament uas nws txuas nrog. Txawm hais tias qhov no tsis tshua muaj, cov qog nqaij hlav lossis lwm yam khoom khov kho hauv lub zes qe kuj tuaj yeem ua rau qhov hnyav hloov thiab ntswj no.

Leej twg muaj feem yuav raug qhov no tshaj?

Muaj qee yam uas ua rau muaj kev pheej hmoo uas tuaj yeem ua rau muaj tus mob no, Ovarian Torsion. Cia peb saib seb lawv yog dab tsi:

• Hnub Nyoog: Kwv yees li peb feem plaub ntawm cov neeg uas kuaj pom tias muaj tus mob no yog nyob rau hauv lawv lub xyoo yug me nyuam. Qhov no txhais tau tias nws feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 29 thiab 34. Txawm li cas los xij, leej twg uas muaj zes qe menyuam (txawm tias tus menyuam hauv plab) tuaj yeem muaj tus mob no.
• Cov qog nqaij hlav hauv zes qe menyuam: Kwv yees li 85% ntawm cov neeg uas kuaj pom tias muaj qog nqaij hlav hauv zes qe menyuam muaj cov qog nqaij hlav hauv zes qe menyuam lossis lwm yam qog nqaij hlav tsis muaj teeb meem. Qhov kev pheej hmoo siab dua yog tias cov qog nqaij hlav loj li 5 centimeters (kwv yees li 2 nti) lossis loj dua.
• Ntev dua li cov leeg ntawm lub zes qe menyuam ib txwm muaj: Qee tus neeg yug los nrog cov leeg ntev me ntsis. Cov neeg no kuj muaj kev pheej hmoo siab dua.
• Cev xeeb tub:Kwv yees li ib feem plaub ntawm cov neeg uas kuaj pom tias muaj Ovarian Torsion yog cev xeeb tub. Qhov kev pheej hmoo no yuav nce ntxiv vim muaj kev hloov pauv hauv lub cev thaum cev xeeb tub. Piv txwv li, cov corpus luteum cysts feem ntau tshwm sim thaum cev xeeb tub. Tsis tas li ntawd, kev hloov pauv hormonal ua rau cov leeg nqaij xoob dua, ua rau lawv yuav ntswj ntau dua.
• Kev kho mob kom muaj menyuam: Kev kho mob uas ua rau cov zes qe menyuam tso qe ntau dua (ovulation) ua rau muaj kev pheej hmoo ntawm kev tsim cov cysts follicular. Lub follicle yog ib lub hnab hauv cov zes qe menyuam uas tso qe tawm. Nws yog ib txwm muaj cov cysts los tsim hauv lub follicle no thaum lub sijhawm ovulation. Yog li, cov follicles ua haujlwm ntau dua, qhov muaj feem yuav tsim cov cysts ntau dua.

Puas muaj ib yam dab tsi ua rau qhov no tshwm sim tam sim ntawd?

Qee zaum, qee qhov kev txav mus los hauv koj lub cev tuaj yeem ua rau muaj cov tsos mob ntawm Ovarian Torsion. Rau qee tus neeg, cov tsos mob no yuav tshwm sim tom qab kev sib deev lossis tom qab kev ua ub no hnyav.

Tab sis nco ntsoov, nws tsis tas yuav tsum yog ib qho xwm txheej tshwj xeeb rau Ovarian Torsion kom tshwm sim.

Yog tsis kho ces yuav muaj teeb meem dab tsi tshwm sim?

Feem ntau, qhov mob zes qe menyuam torsion yuav zoo li qub yam tsis muaj teeb meem thaum kho. Txawm li cas los xij, yog tias tsis kho sai sai, cov ntshav uas mus rau zes qe menyuam yuav raug txiav tawm thiab cov nqaij yuav tuag. Txawm hais tias nws muaj peev xwm xeeb tub nrog ib lub zes qe menyuam xwb, kev tshawb fawb tau qhia tias kev tshem tawm lub zes qe menyuam vim yog qhov mob zes qe menyuam torsion yuav txo qhov muaj feem yuav xeeb tub.

Txawm hais tias qhov no tsis tshua muaj, cov nqaij tuag tuaj yeem ua rau muaj kev kis kab mob hauv plab (peritonitis). Yog tias tsis kho tam sim ntawd, qhov kev kis kab mob no tuaj yeem kis mus rau lwm cov kabmob thiab txawm tias cov ntshav. Yog vim li cas kev kho mob sai sai yog qhov tseem ceeb heev.

Yuav kuaj mob li cas?

Feem ntau, qhov mob torsion ntawm zes qe menyuam tuaj yeem kuaj pom los ntawm kev siv lub tshuab ultrasound transvaginal, uas qhia tau tias lub zes qe menyuam tsis tau txais ntshav txaus. Txawm li cas los xij, tib txoj kev kom paub tseeb yog tias tus kws phais mob tuaj yeem pom lub zes qe menyuam uas ntswj hauv koj lub cev. Feem ntau, lawv yuav saib ncaj qha rau koj lub zes qe menyuam siv cov txheej txheem hu ua laparoscopy. Yog tias lawv pom tias koj muaj ovarian torsion thaum lub sijhawm laparoscopy, lawv tuaj yeem kho nws tam sim ntawd.

Cov kev kho mob yog dab tsi?

Cov kws phais mob kho qhov o ntawm zes qe menyuam los ntawm kev ncaj lub zes qe menyuam uas nkhaus. Lawv kuj tseem tuaj yeem tshem tawm cov cysts uas yuav ua rau nws (ovarian cystectomy). Koj lub zes qe menyuam feem ntau tuaj yeem cawm tau.

Feem ntau, cov kws phais siv ib txoj kev phais hu ua laparoscopy los kho qhov ovary torsion. Hauv txoj kev phais no, lawv ua ob peb qhov me me hauv koj lub plab. Lawv ntxig ib lub cuab yeej hu ua laparoscope los ntawm ib qho ntawm cov incisions kom pom tias koj lub zes qe puas ntswj. Yog tias ovary torsion tau lees paub, phais yuav ua los ntawm cov incisions tib yam los kho qhov teeb meem.

Qee zaum yuav tsum tau phais qhib (laparotomy). Tom qab laparoscopy, koj yuav rov qab mus tsev tau tib hnub ntawd. Txawm li cas los xij, laparotomy yog ib qho kev phais loj, yog li koj yuav tsum tau nyob hauv tsev kho mob ib hmos thiab rov zoo dua.

Yog koj ntsib qhov teeb meem no, yuav ua li cas?

Muaj coob tus neeg uas muaj Ovarian Torsion tau kho thiab rov qab mus rau lawv lub neej ib txwm muaj ob lub zes qe menyuam noj qab nyob zoo thiab ua haujlwm tau zoo. Kev phais kom ntev lub zes qe menyuam yog 90% ua tiav.

Txawm li cas los xij, yog tias tus kws phais mob xav tias cov nqaij ntawd tau raug puas tsuaj lossis lub cyst yog vim muaj qog nqaij hlav, nws yuav pom zoo kom tshem lub zes qe menyuam tawm. Txawm li cas los xij, qhov no tsis tshua muaj.

Puas muaj txoj hauv kev los tiv thaiv qhov no?

Yeej tsis muaj ib txoj kev tshwj xeeb los tiv thaiv Ovarian Torsion.

Tab sis yog tias koj tseem muaj qhov torsion ntawm zes qe menyuam (uas tsis tshua muaj), koj tus kws kho mob yuav pom zoo kom phais hu ua oophoropexy. Qhov no yog ua los kom lub zes qe menyuam ruaj khov kom nws tsis txhob ntswj.

Muaj ib txhia kws kho mob pom zoo kom ua qhov kev phais "oophoropexy" no rau cov menyuam uas tau poob ib lub zes qe vim yog "Ovarian Torsion" thaum yau. Nws khaws cov zes qe uas tseem tshuav thiab tso cai rau lawv muaj menyuam yav tom ntej yog tias lawv xav tau. Cov kws kho mob tseem tab tom kawm txog cov txiaj ntsig ntawm "oophoropexy" hauv cov xwm txheej zoo li no.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Yog tias koj muaj mob plab qis uas tsis paub meej, tshwj xeeb tshaj yog tias koj twb paub tias koj muaj lub cyst ovarian, uas ua rau koj muaj feem yuav torsion ovarian, mus rau chav kho mob ceev (ETU) tam sim ntawd.

Cov kws tshaj lij tsis tuaj yeem hais meej tias nws yuav siv sijhawm ntev npaum li cas rau cov ntaub so ntswg tuag tom qab lub zes qe menyuam tawg thiab cov tsos mob pib. Yog vim li cas nws thiaj li tseem ceeb kom nyob rau sab kev nyab xeeb. Thaum koj mus ntsib kws kho mob sai dua thiab tau txais kev kuaj mob, qhov zoo dua ntawm qhov tshwm sim zoo.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Yog tias koj muaj tus mob no, nws yog ib lub tswv yim zoo los nug tus kws kho mob cov lus nug no:

• Kuv yuav tsum tsis txhob ua dab tsi thaum kuv rov zoo los ntawm kev phais?
• Kuv yuav tsum rov qab los xyuas seb kuv puas zoo lawm thaum twg?
• Muaj feem yuav ua rau kuv mob Ovarian Torsion dua li cas?
• Qhov kev phais no puas yuav cuam tshuam rau kuv txoj kev muaj menyuam?
• Cov cim qhia tias muaj teeb meem dab tsi uas kuv yuav tsum tau saib xyuas?

Qhov no puas yuav ua rau muaj kev phom sij rau lub neej?

Feem ntau qhov kev ntswj ntawm lub zes qe menyuam tsis yog ib qho txaus ntshai rau lub neej, tab sis nws tuaj yeem tshwm sim. Tsis tshua muaj, lub zes qe menyuam tuag tuaj yeem ua rau muaj kev kis kab mob loj yog tias tsis kho. Txawm li cas los xij, qhov phem tshaj plaws uas tuaj yeem tshwm sim rau cov neeg feem coob yog qhov poob ntawm lub zes qe menyuam.

Kev kho mob sai sai yuav tiv thaiv tau qhov phem tshaj plaws ntawm cov no, xws li kev poob ib txhais ceg lossis kev kis kab mob uas yuav ua rau tuag taus.

Koj tsis paub tias qhov no tau muaj ntev npaum li cas lawm?

Feem ntau cov neeg uas muaj qhov mob ovary torsion mus ntsib kws kho mob hauv ib mus rau peb hnub tom qab pib muaj cov tsos mob. Txawm li cas los xij, muaj cov lus ceeb toom tias cov neeg uas muaj qhov mob torsion tsis tu ncua tsis tau kuaj pom rau ntau lub hlis. Qhov no yog thaum lub zes qe menyuam ntswj thiab ncab dua, ua rau mob uas tuaj thiab ploj mus.

Tiam sis, yog tsis muaj kev kuaj mob raug cai, tsis muaj txoj hauv kev los paub tias qhov no puas yog qhov ua rau koj mob. Lub sijhawm yog qhov tseem ceeb ntawm no. Yog tias koj muaj cov tsos mob, tsis txhob tos. Mus rau chav kho mob ceev ceev sai li sai tau.

Qhov no puas yuav zoo dua ntawm nws tus kheej?

Nws ua tau, tab sis tsis tshua muaj.

Hauv qhov kev sib hloov ntawm lub zes qe menyuam, lub zes qe menyuam tig thiab tsis tig rov qab rau hauv tus qauv uas thaum kawg rov qab mus rau nws lub xeev ib txwm (tsis tig).

Tiam sis, tsis txhob xav tias '(Ovarian Torsion)' yuav zoo dua nws tus kheej. Qhov no tsis yog ib yam dab tsi uas yuav cia li tshwm sim xwb. Yog tias koj muaj cov tsos mob, mus rau chav kho mob ceev tam sim ntawd.

Thaum koj muaj cov tsos mob xws li mob plab qis, nws tuaj yeem ua rau koj chim siab thiab ntshai heev uas tsis paub tias nws yog ib yam dab tsi me me lossis ib yam dab tsi uas xav tau kev kho mob tam sim ntawd. Hauv qhov xwm txheej ntawm lub zes qe menyuam torsion, tsis muaj txoj hauv kev los paub tias qhov mob yog los ntawm lub zes qe menyuam twisted kom txog thaum koj tus kws kho mob kuaj pom nws. Hmoov tsis zoo, ntau tus neeg tsis paub tias lawv muaj ib qho mob (feem ntau tsis muaj teeb meem) hu ua ovarian cyst, uas yog ib qho kev pheej hmoo rau lub zes qe menyuam torsion.

Tsis txhob pheej hmoo ua tej yam. Yog tias koj mob plab heev, mus nrhiav kev kho mob tam sim ntawd. Ua sai sai yuav cawm tau koj lub zes qe menyuam. Nws kuj tseem yuav cawm tau koj txoj sia.

Yog li ntawd, tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov ntawm qhov no yog dab tsi?

Zoo, yog li, los ntawm qhov peb tau tham txog hnub no txog Ovarian Torsion, ntawm no yog cov yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov:

• Yog koj mob plab sai sai, xeev siab, thiab ntuav, tsis txhob xav tias qhov no yog qhov mob qog zes qe menyuam.
• Qhov no yog ib qho xwm txheej ceev hauv kev kho mob. Muaj lub sijhawm zoo uas koj tuaj yeem cawm koj lub zes qe menyuam los ntawm kev mus rau tsev kho mob yam tsis tas nkim sijhawm.
• Qhov kev pheej hmoo no siab dua me ntsis rau cov neeg uas muaj cov qog hauv zes qe menyuam, cov poj niam cev xeeb tub, thiab cov neeg uas tab tom kho kev xeeb tub. Txawm li cas los xij, nws tuaj yeem tshwm sim rau txhua tus neeg.
• Kev kho mob ib txwm yog siv laparoscopy qhib lub zes qe menyuam uas ntswj lawm. Feem ntau, lub zes qe menyuam tuaj yeem cawm tau.
• Tsis txhob tos kom txog thaum "qhov no yuav zoo dua nws tus kheej." Nrhiav kev pab kho mob sai li sai tau thaum mob tshwm sim.

Nco ntsoov tias, txoj kev zoo tshaj plaws los noj qab haus huv yog ua tib zoo saib xyuas koj lub cev thiab ua thaum koj pom muaj dab tsi txawv txawv. Yog tias koj muaj lus nug ntxiv txog qhov no, tsis txhob ntshai tham nrog koj tus kws kho mob.

Kev Tig Ntawm Lub Zes Qe, Mob Plab, Kev Xwm Txheej Ceev Txog Kev Mob Poj Niam, Cov Pob Qe Hauv Lub Zes Qe, Laparoscopy, Kev Noj Qab Haus Huv Rau Cov Poj Niam