Koj puas mob plab tas li? Qhov no yuav yog Pelvic Congestion Syndrome (PCS)!

Koj puas tau muaj mob plab hnyuv loj heev uas rub koj lub plab mus ntau lub hlis? Tej zaum koj yuav xav tias qhov no yog ib qho mob ib txwm muaj, lossis tsuas yog ib lub hlis xwb. Tab sis qee zaum nws yog ib yam dab tsi uas koj yuav tsum txhawj xeeb ntxiv txog. Qhov ntawd yog hom mob uas peb yuav tham txog hnub no, hu ua Pelvic Congestion Syndrome (PCS).

Kab mob Pelvic Congestion Syndrome (PCS) yog dab tsi?

Hais yooj yim xwb, Pelvic Congestion Syndrome (PCS) yog ib qho mob ntev ntev uas tshwm sim los ntawm teeb meem nrog cov ntshav ntws hauv cov leeg ntawm koj lub plab qis, lossis lub duav. "Tshuaj ntev" txhais tau tias mob uas kav ntev tshaj 6 lub hlis thiab tsis cuam tshuam ncaj qha rau koj lub sijhawm lossis cev xeeb tub.

Xav txog, nyob rau hauv qhov xwm txheej no, cov leeg ntshav hauv koj lub zes qe menyuam thiab lub duav tsis ua haujlwm zoo. Cov leeg ntshav no tsuas yog loj dua (nthuav dav), qee zaum ntswj, thiab tom qab ntawd lawv puv nrog ntshav thiab txhaws. Zoo li kev sib tsoo tsheb. Thaum cov ntshav daig rau hauv ib qho chaw, uas yog, thaum nws 'pas dej', koj pib hnov ​​​​​​mob.

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?

Tus mob 'PCS' no feem ntau pom muaj rau cov poj niam hnub nyoog ntawm 20 thiab 45 xyoo uas tau yug ntau dua ib tug menyuam . Tsis tas li ntawd, muaj qee yam kev pheej hmoo uas tuaj yeem cuam tshuam rau nws:

• Yog tias koj muaj cov kab mob varicose.
• Yog tias leej twg hauv koj tsev neeg muaj cov leeg ntshav varicose.
• Yog tias koj muaj mob Polycystic Ovarian Syndrome (PCOS).

Txawm li cas los xij, cov poj niam uas tau dhau los ntawm kev hloov pauv hnub nyoog tsis zoo li yuav muaj tus kab mob Pelvic Congestion Syndrome.

Tus mob no feem ntau tshwm sim li cas?

Kwv yees li ntawm 40% ntawm cov poj niam uas mus ntsib kws kho mob poj niam feem ntau yws txog mob plab qis tas li. Kwv yees li ntawm 30% ntawm cov poj niam no muaj mob pelvic congestion syndrome . Qhov no txhais tau tias txawm hais tias nws tsis yog ib qho tshwm sim ntau, nws yuav yog ib qho ua rau mob plab qis uas tsis paub meej rau qee tus neeg.

Cov tsos mob ntawm Pelvic Congestion Syndrome yog dab tsi?

Qhov mob hauv plab qis uas tshwm sim los ntawm PCS tuaj yeem sib txawv. Rau qee tus neeg, nws tuaj yeem yog qhov mob tsis tu ncua, mob, lossis mob hnyav . Nws tsis tshua muaj qhov mob ntse thiab mob heev.

Feem ntau, qhov mob no tsuas hnov ​​​​​​ntawm sab laug xwb. Tab sis nws kuj tuaj yeem hnov ​​​​​​ntawm sab xis lossis ob sab. Rau ntau tus neeg, qhov mob no pib thaum cev xeeb tub lossis tom qab yug menyuam. Qhov mob no tuaj yeem hnyav zuj zus nrog kev xeeb tub tom qab.

Qhov mob uas cuam tshuam nrog PCS tuaj yeem mob hnyav dua thaum lub sijhawm zoo li no:

• Thaum hnub xaus.
• Nws yog ua ntej koj lub sijhawm pib, thaum ob peb hnub ntawd.
• Thaum lub sijhawm thiab tom qab kev sib deev (mob no kuj hu ua 'dyspareunia').
• Nws tshwm sim thaum koj sawv lossis zaum ntev (tab sis nws txo qis me ntsis thaum koj pw).

Ob peb yam tsos mob ntxiv:

• Cov leeg ntshav varicose pom tau hauv koj lub duav, lub pob tw, lub duav, lub qhov quav, thiab lub qhov chaw mos.
• Feem ntau cov mob raws plab thiab cem quav sib hloov pauv (tseem hu ua mob plab hnyuv tsis zoo).
• Tso zis tsis pub dhau thaum luag, hnoos, lossis ua tej yam uas ua rau lub zais zis ntxhov siab (qhov no hu ua 'kev ntxhov siab tsis tuav tau zis').
• Mob thaum tso zis (qhov no hu ua 'dysuria').

Dab tsi ua rau mob Pelvic Congestion Syndrome?

Qhov tseeb, cov kws tshawb fawb tseem tsis tau paub meej tias yog vim li cas thiaj muaj mob Pelvic Congestion Syndrome. Txawm li cas los xij, nws pom tseeb tias muaj teeb meem nrog cov ntshav ntws hauv koj cov leeg ntshav hauv koj lub zes qe menyuam thiab cov leeg ntshav hauv koj lub duav.

Qhov no yog qhov feem ntau tshwm sim: Ntshav ntws mus rau saum toj ntawm cov leeg ntshav hauv koj lub plab mog, mus rau koj lub plawv, los ntawm cov leeg ntshav ntawm lub zes qe menyuam. Hauv cov leeg ntshav no muaj cov khoom me me zoo li lub qhov rooj hu ua cov qhov dej . Cov no tiv thaiv cov ntshav kom tsis txhob ntws rov qab. Cov ntshav ntws rov qab no hu ua 'reflux'.

Tiamsis rau ib tug neeg uas muaj 'PCS', cov leeg ntshav no nthuav dav thiab cov qhov dej tsis ua haujlwm zoo. Tom qab ntawd cov ntshav pib ntws rov qab. Cov leeg ntshav puv nrog ntshav thiab tig. Thaum ntawd cov ntshav sib sau ua ke hauv cov leeg ntshav hauv lub plab mog thiab ua rau mob. Qhov mob no tuaj yeem tshwm sim vim tias cov leeg ntshav raug ncab kom haum rau cov ntshav ntxiv, lossis vim tias cov leeg ntshav uas tsis zoo no tab tom nias rau ntawm cov hlab ntsha ze.

Muaj ntau yam ua rau cov qauv ntawm cov leeg hloov pauv hauv 'PCS':

• Cev Xeeb Tub: Muaj ib txoj kev xav hais tias qhov no muaj feem cuam tshuam nrog kev hloov pauv ntawm cov hlab ntsha thaum cev xeeb tub. Thaum tus menyuam loj hlob hauv plab, cov hlab ntsha loj hlob li ntawm 50% ntawm lawv qhov loj ib txwm los tswj cov ntshav ntxiv uas tus menyuam xav tau. Cov kev hloov pauv no tuaj yeem ua rau puas tsuaj mus sij hawm ntev rau cov phab ntsa ntawm cov hlab ntsha. Cov hlab ntsha tuaj yeem nthuav dav txawm tias tom qab tus menyuam yug los.
• Estrogen: Vim tias cov poj niam postmenopausal tsis tshua muaj feem yuav mob pelvic congestion syndrome, nws xav tias estrogen yuav ua lub luag haujlwm. Cov theem Estrogen txo qis tom qab menopause. Estrogen cuam tshuam rau phab ntsa ntawm cov hlab ntsha, ua rau koj cov leeg nqaij yooj yim dua rau qhov qaug zog uas ua rau PCS.

Feem ntau, 'PCS' yog qhov tshwm sim ntawm ntau yam sib txuas lus sib txawv.

Yuav kuaj mob Pelvic Congestion Syndrome (PCS) li cas?

Thaum koj mus ntsib kws kho mob, nws yuav nug koj txog koj keeb kwm mob thiab cov tsos mob ua ntej. Tom qab ntawd lawv yuav kuaj koj lub cev, uas tej zaum yuav suav nrog kev kuaj lub plab mog. Tus kws kho mob yuav kuaj koj lub zes qe menyuam, lub qhov ncauj tsev menyuam, thiab lub tsev menyuam kom paub meej tias qhov mob los qhov twg.

Kev kuaj duab tuaj yeem pab txiav txim siab lwm yam mob uas yuav ua rau mob plab qis tas li thiab nrhiav seb puas muaj qhov tsis zoo hauv cov hlab ntsha uas yuav koom nrog PCS. Cov kev kuaj no suav nrog:

• Ultrasound: Feem ntau thawj yam uas koj tus kws kho mob yuav xaj yog ultrasound. Qhov no tuaj yeem kuaj xyuas seb cov leeg ntshav puas nthuav dav. Nws kuj tseem tuaj yeem pab txiav txim siab seb puas muaj lwm yam kev txawv txav uas yuav ua rau koj mob. Lub Doppler feature ntawm ultrasound kuj tseem tuaj yeem kuaj xyuas cov ntshav ntws hauv koj cov leeg ntshav.
• Kev kuaj MRI lossis CT: Kev kuaj MRI (Magnetic Resonance Imaging) lossis CT (Computed Tomography) tuaj yeem qhia cov ntsiab lus ntawm cov leeg uas lub tshuab ultrasound yuav tsis pom. Lawv tuaj yeem qhia cov leeg uas ntswj thiab cov leeg nthuav dav hauv lub zes qe menyuam thiab lub plab mog kom meej dua li kev kuaj ultrasound. Lawv kuj tseem tuaj yeem qhia seb puas muaj kev loj hlob tsis zoo hauv lub plab mog uas tuaj yeem ua rau mob lwm yam mob ntev, xws li endometriosis.
• Kev kuaj mob pelvic venography: Qhov no suav hais tias yog tus qauv kub rau kev kuaj mob PCS. Txawm li cas los xij, nws yog ib qho kev kuaj mob nyuaj, yog li nws feem ntau ua thaum lwm cov kev kuaj duab tsis tau xaus lus. Qee zaum koj tus kws kho mob yuav siv qhov kev kuaj mob no ua ntej phais koj cov leeg ntshav. Hauv kev kuaj mob pelvic venography, koj tus kws kho mob ntxig ib lub raj me me hu ua catheter rau hauv cov leeg ntshav hauv koj lub caj dab lossis qhov chaw mos. Nws lossis nws siv X-ray los coj lub raj mus rau koj cov raj fallopian sab xis thiab sab laug. Ib qho xim zoo ces txhaj rau hauv cov leeg ntshav. X-ray qhia cov leeg ntshav kom meej meej. Qhov venography no tuaj yeem qhia qhov twg cov leeg ntshav nyob, qhov twg lawv dav, ntswj, cov ntshav ntws li cas, thiab qhov twg cov ntshav tau sib sau ua ke.
• Laparoscopy: Kev kuaj laparoscopy tuaj yeem kuaj xyuas seb cov leeg ntshav loj npaum li cas. Txawm li cas los xij, nws yuav tsis pab tau zoo li lwm yam kev kuaj mob hauv kev kuaj mob ntshav ntws uas cuam tshuam nrog PCS. Koj tus kws kho mob kuj tseem yuav ua laparoscopy los txiav txim siab lwm yam mob uas yuav ua rau koj mob plab qis, suav nrog PCS. Qhov no suav nrog kev txiav ob peb qhov me me hauv koj lub plab thiab ntxig lub koob yees duab los ntawm lawv los kuaj xyuas cov kab mob ntawm koj lub cev xeeb tub.

Qhov tseem ceeb:Kev kuaj mob pelvic congestion syndrome tej zaum yuav nyuaj, vim tias ntau tus neeg uas tsis muaj mob pelvic muaj kev hloov pauv ntawm cov hlab ntsha ib yam li cov neeg uas muaj. Kev tshawb fawb txog kev siv duab tau qhia tias ob tus neeg uas muaj thiab tsis muaj mob pelvic ntev tuaj yeem muaj kev hloov pauv ntawm cov hlab ntsha thiab reflux.

Txawm tias koj cov kev kuaj duab qhia tau tias koj cov leeg ntshav tau nthuav dav, koj yuav tsis tas yuav kho mob tshwj tsis yog tias koj muaj mob ntev.

Feem ntau yuav kuaj pom tus mob Pelvic Congestion Syndrome tom qab kuaj pom tias muaj lwm yam ua rau mob plab qis lawm.

Puas kho tau Pelvic Congestion Syndrome (PCS)? Puas tiv thaiv tau?

Tsis muaj kev kho rau Pelvic Congestion Syndrome, tab sis muaj cov tshuaj thiab kev kho mob uas tuaj yeem pab tswj koj cov tsos mob thiab txo qhov mob.

Tsis tas li ntawd xwb, tsis muaj ib txoj hauv kev los tiv thaiv qhov 'Pelvic Congestion Syndrome' no.

Cov kev kho mob rau Pelvic Congestion Syndrome yog dab tsi?

Koj yuav mus ntsib ntau tus kws kho mob kom tau kev kho mob. Piv txwv li, tus kws kho mob poj niam, tus kws kho mob plab hnyuv (GI), tus kws kho mob tshwj xeeb uas pab txo qhov mob, thiab tus kws kho lub cev. Koj tus kws kho mob lossis pab pawg kho mob yuav pom zoo kom siv tshuaj los tswj koj cov tsos mob ua ntej pom zoo kom phais.

Cov tshuaj

Cov tshuaj uas txo qhov kev tsim cov tshuaj hormone estrogen tuaj yeem pab txo qhov mob uas cuam tshuam nrog Pelvic Congestion Syndrome. Cov no suav nrog:

• Medroxyprogesterone acetate (Depo-Provera®)
• Etonogestrel cog rau hauv lub cev (Implanon®)
• Cov tshuaj GnRH agonists (piv txwv li Goserelin)

Cov Txheej Txheem Kho Mob

Yog tias tshuaj tsis pab txo koj cov tsos mob, koj tus kws kho mob yuav pom zoo ib qho ntawm cov kev kho mob no:

• Kev siv txoj hlab ntsha hauv zes qe menyuam los yog kev kho mob sclerotherapy: Cov txheej txheem no suav nrog kev thaiv cov hlab ntsha uas ua rau cov ntshav rov qab los thiab ua rau cov ntshav sib sau ua ke. Ua ntej, tus kws kho mob muab lub catheter ntxig rau hauv cov hlab ntsha hauv zes qe menyuam thiab cov hlab ntsha hauv lub plab uas muaj teeb meem. Tom qab ntawd, cov tshuaj raug txhaj los ntawm lub catheter kom khaus lossis ua rau cov hlab ntsha kub hnyiab thiab ua rau lawv ntsws. Cov hlau me me, cov kua nplaum tshwj xeeb, lossis cov ua npuas dej kuj raug ntxig rau hauv cov hlab ntsha no kom tiv thaiv cov ntshav kom tsis txhob ntws rov qab (reflux).
• Laparoscopy: Tus kws kho mob yuav ua ib txoj kev phais laparoscopic los khi cov leeg kom tiv thaiv cov ntshav kom tsis txhob ntws rov qab.
• Kev phais mob salpingo-oophorectomy ob sab:Yog tias koj twb muaj menyuam tas lawm, lossis yog tias koj tsis xav muaj menyuam, koj tus kws kho mob yuav txiav txim siab rho koj cov kab mob hauv plab (tsev menyuam, cov hlab qe menyuam, thiab zes qe menyuam). Txawm li cas los xij, qhov kev phais no tsis tshua muaj rau PCS.

Puas yog Pelvic Congestion Syndrome (PCS) ua rau neeg tuag taus? Koj yuav xav tau dab tsi?

Kab mob Pelvic Congestion Syndrome tsis yog ib qho mob uas yuav ua rau tuag taus . Txawm li cas los xij, nyob ntawm seb koj qhov mob hnyav npaum li cas, nws tuaj yeem hnyav heev uas nws cuam tshuam rau koj lub neej txhua hnub thiab tiv thaiv koj ua tej yam koj nyiam. Yog li ntawd, yog tias koj qhov mob plab qis cuam tshuam rau koj lub neej zoo, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob.

Txawm hais tias tsis muaj kev kho mob tus qauv rau tus kab mob pelvic congestion syndrome, cov txiaj ntsig ntawm kev cuam tshuam los txo qhov mob zoo heev . Piv txwv li, 75% ntawm cov neeg uas tau txais kev siv tshuaj ovarian vein embolization tau txais kev txo qhov mob. Hauv cov xwm txheej zoo li no, tus kab mob rov tshwm sim tsuas yog hauv ib feem me me ntawm cov neeg mob, kwv yees li 5%.

Kuv yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, nws yog ib lub tswv yim zoo los nug cov lus nug no:

• Kuv yuav tsum tau ntsib pes tsawg tus kws tshwj xeeb kom tau txais kev kuaj mob lossis kev kho mob?
• Koj pom zoo kom siv cov tshuaj twg los txo cov tsos mob?
• Thaum twg yuav pom zoo kom muaj kev kho mob los pab txhim kho kuv cov tsos mob?
• Koj pom zoo kom siv hom kev kho mob twg?
• Tej yam kev pheej hmoo uas yuav muaj feem cuam tshuam nrog cov txheej txheem kho mob ntawd yog dab tsi?

Tej zaum yuav siv sijhawm me ntsis los nrhiav seb yog vim li cas koj thiaj mob plab qis. Qhov tseeb, muaj ntau yam mob uas ua rau mob plab mog. Kev kuaj mob koj tus mob 'PCS' yuav xav tau ntau qhov kev kuaj mob, thiab koj yuav tsum tau ua haujlwm nrog ntau tus kws tshwj xeeb. Qhov xov xwm zoo yog tias feem ntau, cov tsos mob tuaj yeem tswj tau nrog tshuaj. Txawm tias tshuaj tsis ua haujlwm los xij, koj tus kws kho mob tuaj yeem pom zoo cov kev kho mob uas tuaj yeem pab koj. Yog li, tsis txhob ncua sijhawm nrhiav kev kho mob thiab nrhiav kev pab.

Cov Lus Xaus Kawg coj mus tsev

Yog li ntawd, 'Pelvic Congestion Syndrome' tsis yog qhov loj lossis txaus ntshai rau lub neej li koj xav. Txawm li cas los xij, qhov mob ntev uas nws ua rau tuaj yeem ua rau koj lub neej txhua hnub thiab koj txoj kev zoo siab.

• Yog tias koj tau hnov ​​​​​​mob txawv txawv, hnyav, lossis rub hauv koj lub plab qis tau ntau lub hlis, qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob yam tsis txhob tsis quav ntsej nws.
• Tej zaum yuav siv sijhawm me ntsis los nrhiav qhov ua rau muaj qhov teeb meem no, thiab tej zaum yuav xav tau ntau qhov kev kuaj mob. Tab sis yog tias koj tau txais kev kuaj mob zoo, koj tuaj yeem nrhiav kev pab los ntawm kev kho mob.
• Nco ntsoov tias, koj tsis yog tib tug xwb. Muaj ntau tus poj niam uas muaj teeb meem nrog cov mob no. Yog koj muaj kev qhia thiab kev txhawb nqa los ntawm kws kho mob zoo, koj yuav tswj tau qhov mob no thiab nyob tau zoo.

Yog li ntawd, mloog koj lub cev. Yog tias koj xav tias muaj dab tsi txawv lossis txawv txawv, ua tib zoo mloog nws. Tsuas yog thaum ntawd peb thiaj li noj qab nyob zoo thiab zoo siab.

` Kab mob Pelvic Congestion Syndrome, mob plab qis, cov leeg ntshav varicose, mob pelvic, kev noj qab haus huv ntawm cov poj niam, kev kho mob poj niam, kev ncig ntshav, PCS