Xav txog tias koj tsis muaj koj lub hlis ib hlis ntau tshaj ib xyoos. Thaum txhua yam zoo li qub thiab koj mam li pom me ntsis los ntshav ... koj ntshai thiab txhawj xeeb heev, puas yog? "Vim li cas qhov no?" "Qhov no puas yog ib yam txaus ntshai?" Muaj ntau lo lus nug los rau hauv siab. Nws yog ib qho ib txwm muaj. Tab sis qhov tseem ceeb tshaj plaws yog tsis txhob ntshai qhov no, tab sis kom paub txog thiab ua cov kauj ruam tsim nyog. Hnub no, cia peb tham txog kev los ntshav tom qab lub sijhawm tas.
Hauv lwm lo lus, ntshav qab zib tom qab yug me nyuam yog dab tsi?
Qhov no yooj yim to taub heev. Kev laus yog qhov uas ib tug poj niam lub hlis tsis muaj lawm. Peb txhais qhov no raws li kev kho mob tias yog koj tsis muaj hli li 12 lub hlis sib law liag, uas yog, ib xyoos tag nrho. Tom qab lub sijhawm ntawd, uas yog, ib xyoos lossis ntau dua tom qab koj lub hli tsis muaj, yog tias koj tseem muaj qee qhov ntshav los ntawm koj qhov chaw mos, qhov ntawd yog qhov peb hu ua Kev Ntshav Tom Qab Laus.
Qhov tseem ceeb yog, qhov no yeej tsis yog ib txwm muaj. Txawm tias nws yog xim liab dawb, xim av me ntsis, ntshav ntau, lossis tsuas yog ib zaug xwb, nws yog ib yam dab tsi uas koj yuav tsum tau mus ntsib kws kho mob.
Feem ntau, qhov no tsis yog ib qho cim qhia tias muaj teeb meem loj. Txawm li cas los xij, kwv yees li ntawm 10 ntawm 100 tus poj niam, nws tuaj yeem yog ib qho cim qhia ntxov ntawm mob qog noj ntshav hauv tsev menyuam. Yog vim li ntawd peb thiaj hais tias, "Auj, nws tsuas yog ib qho me me xwb," thiab tsis txhob tsis quav ntsej nws, thiab mus ntsib koj tus kws kho mob .
Vim li cas qhov no thiaj tshwm sim? Cia peb saib cov laj thawj tseem ceeb.
Muaj ntau yam ua rau qhov no cuam tshuam rau qhov no. Qee yam yooj yim heev thiab tsis muaj dab tsi yuav tsum txhawj txog. Lwm yam yog cov laj thawj uas peb yuav tsum txhawj xeeb me ntsis. Cia peb saib ze dua seb cov laj thawj no yog dab tsi.
| Ua rau | Hauv lus yooj yim, qhov no yog qhov tshwm sim. |
|---|---|
| Qhov chaw mos lwj | Qhov no yog qhov ua rau feem ntau tshwm sim. Tom qab lub sijhawm tas lawm, lub cev cov tshuaj estrogen txo qis. Qhov no ua rau cov phab ntsa ntawm qhov chaw mos nyias dua thiab qhuav dua. Tom qab ntawd, txawm tias qhov me me xwb los kuj tuaj yeem ua rau los ntshav. |
| Cov polyps ntawm lub tsev menyuam | Cov no yog cov qog me me, tsis yog mob qog noj ntshav (tsis muaj dab tsi yuav tsum txhawj txog) uas tsim rau ntawm phab ntsa ntawm lub tsev menyuam. Cov qog nqaij no qee zaum tuaj yeem los ntshav. |
| Kev ua kom cov phab ntsa ntawm lub tsev menyuam tuab (endometrial hyperplasia) | Thaum lub cev cov tshuaj estrogen nce ntxiv thiab cov tshuaj progesterone txo qis, daim ntaub ntawm lub tsev menyuam (endometrium) yuav tuab dhau. Qhov no kuj tuaj yeem ua rau los ntshav. Qee zaum, yog tias tsis kho, nws tuaj yeem hloov mus ua mob qog noj ntshav. |
| Kev kho mob hloov tshuaj hormones (HRT) | Muaj ib txhia neeg noj tshuaj hormones los kho qhov tsis xis nyob ntawm lub sijhawm hloov cev. Cov tshuaj hormones no tuaj yeem ua rau los ntshav thaum hloov lossis tsum tsis noj. |
| Mob qog nqaij hlav hauv tsev menyuam | Qhov no yog qhov laj thawj uas peb ntshai tshaj plaws. Yog tias muaj mob qog noj ntshav hauv daim ntaub ntawm lub tsev menyuam, qhov tseem ceeb thiab thawj cov tsos mob yog los ntshav zoo li no. Feem ntau, yog tias qhov no raug kuaj pom thaum ntxov, nws tuaj yeem kho tau tag nrho. |
Ntxiv rau cov laj thawj tseem ceeb no, muaj ntau lwm yam laj thawj uas tsis tshua muaj neeg pom:
- Mob qog nqaij hlav ntawm lub ncauj tsev menyuam: Vim yog mob qog nqaij hlav ntawm lub ncauj tsev menyuam.
- Kab mob hauv lub qhov ncauj tsev menyuam/mob o (Cervicitis): Vim yog muaj kab mob hauv thaj chaw ntawm lub qhov ncauj tsev menyuam.
- Kev raug mob ntawm qhov chaw mos: Kev puas tsuaj rau qhov chaw mos los ntawm kev sib tsoo lossis lwm yam.
- Los ntshav los ntawm lwm lub cev: Qee zaum cov ntshav los ntawm lub zais zis lossis lub qhov quav tuaj yeem yuam kev rau los ntawm qhov chaw mos.
Leej twg muaj feem yuav mob no tshaj?
Txawm hais tias kev los ntshav tom qab lub sijhawm tas sij hawm tuaj yeem tshwm sim rau txhua tus neeg, qee tus neeg yuav muaj feem ntau dua los ntawm cov laj thawj tseem ceeb (tshwj xeeb tshaj yog mob qog nqaij hlav hauv tsev menyuam thiab cov phab ntsa ntawm lub tsev menyuam tuab). Cov yam ntxwv no yog:
- Kev Rog Phem: Thaum cov rog hauv lub cev nce ntxiv, cov tshuaj hormones estrogen nce ntxiv.
- Haus luam yeeb.
- Muaj mob ntshav qab zib lossis mob thyroid.
- Muaj mob polycystic ovary syndrome (PCOS).
- Lub caij nyoog laus lig: (feem ntau tshwm sim tom qab hnub nyoog 51 xyoos).
Tus kws kho mob nrhiav tau qhov ua rau li cas?
Thaum koj mus ntsib kws kho mob, nws yuav nug koj ob peb lo lus nug. Koj lub hlis twg tsis muaj, koj noj tshuaj dab tsi, thiab seb koj puas muaj lwm yam mob. Tom qab ntawd, lawv yuav ua ib lossis ntau qhov kev kuaj no kom nrhiav tau qhov ua rau muaj qhov no.
1. Kev kuaj mob ntawm lub duav: Tus kws kho mob yuav kuaj koj lub qhov chaw mos thiab lub ncauj tsev menyuam.
2. Kev kuaj Pap smear: Yuav muab ib qho qauv me me ntawm cov hlwb los ntawm lub qhov ncauj tsev menyuam thiab kuaj xyuas seb puas muaj cov hlwb txawv txav.
3. Kev kuaj ultrasound hauv qhov chaw mos: Qhov no suav nrog kev ntxig ib lub cuab yeej me me los ntawm qhov chaw mos kom thaij duab meej ntawm lub tsev menyuam thiab zes qe menyuam. Qhov no tuaj yeem pab txiav txim siab qhov tuab ntawm phab ntsa tsev menyuam thiab seb puas muaj cov polyps hauv tsev menyuam.
4. Kev kuaj mob ntawm lub tsev menyuam: Yuav muab ib daim ntaub me me ntawm daim ntaub ntawm lub tsev menyuam thiab kuaj hauv lub tshuab microscope kom paub seb puas muaj cov qog nqaij hlav lossis lwm yam teeb meem. Feem ntau qhov no yog ib qho kev phais me me uas ua tau hauv tsev kho mob.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb ua rau koj los ntshav li cas, yog vim li cas nws thiaj li tseem ceeb uas yuav tsum txiav txim siab qhov ua rau tseeb ua ntej.
Kev kho mob nrog tshuaj
- Tshuaj tua kab mob: Yog tias qhov los ntshav yog vim muaj kev kis kab mob, yuav muab tshuaj tua kab mob rau.
- Estrogen: Yog tias los ntshav yog vim qhov chaw mos lwj, yuav muab cov tshuaj pleev, tshuaj ntsiav, lossis cov khoom siv me me (rings) uas muaj estrogen ntxig rau hauv qhov chaw mos.
- Progestin: Cov tshuaj hormone no yog muab los kho cov endometrial hyperplasia. Nws tuaj yeem muab ua tshuaj ntsiav, tshuaj txhaj, tshuaj pleev, lossis cov khoom siv rau hauv plab (IUD).
Kev phais thiab lwm yam txheej txheem
- Kev kuaj lub tsev menyuam: Muab ib lub raj nyias nyias uas muaj lub koob yees duab ntxig rau hauv lub tsev menyuam los ntawm qhov chaw mos mus rau hauv lub tsev menyuam kom kuaj sab hauv. Yog tias muaj cov qog me me (polyps), lawv tuaj yeem raug tshem tawm tib lub sijhawm.
- Kev nthuav dav thiab kev txiav (D&C): Qhov no feem ntau hu ua "kev ntxuav lub tsev menyuam." Lub qhov ncauj tsev menyuam me ntsis nthuav dav thiab daim ntaub ntawm lub tsev menyuam thiab nws cov ntsiab lus raug tshem tawm.
- Kev phais tshem menyuam hauv plab (hysterectomy): Yog tias paub tseeb tias muaj mob qog nqaij hlav hauv plab, lub tsev menyuam thiab lub qhov ncauj tsev menyuam yuav tsum tau phais tshem tawm.
- Kev siv tshuaj saline ultrasound:Qhov no kuj yog kev luam theej duab. Ntawm no, cov kua ntsev raug muab tso rau hauv lub tsev menyuam thiab kev luam theej duab ua rau pom tseeb dua txog tej yam tsis zoo sab hauv.
Thaum twg kuv thiaj yuav tsum mus ntsib kws kho mob?
Tsuas muaj ib lo lus teb rau lo lus nug no xwb.
Yog tias koj muaj kev los ntshav ntawm qhov chaw mos , txawm tias nws tsuas yog ib hnub xwb lossis tsuas yog me ntsis xwb, tom qab ib xyoos tag nrho (12 lub hlis) ntawm koj lub hlis tsis muaj lawm, mus ntsib koj tus kws kho mob tam sim ntawd.
Tsis txhob txhawj. Feem ntau, qhov no tuaj yeem yog vim muaj ib qho laj thawj yooj yim. Tab sis tsuas yog kws kho mob thiaj li txiav txim siab seb nws puas yog ib yam dab tsi loj lossis tsis yog. Yog li, yog tias koj ntsib ib yam dab tsi zoo li no, tsis txhob tsis quav ntsej nws. Saib xyuas koj txoj kev noj qab haus huv .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tom qab lub sijhawm tsis muaj hli, uas txhais tau tias ib xyoos tom qab koj lub sijhawm tsis muaj hli lawm, kev los ntshav ntawm qhov chaw mos yeej tsis yog li qub.
- Yog qhov no yog ib qho me me, txawm tias nws tshwm sim ib zaug xwb los xij , yeej yuav tsum mus ntsib kws kho mob.
- Feem ntau, qhov no tuaj yeem tshwm sim los ntawm ib qho mob tsis loj heev (xws li qhov chaw mos nyias nyias lossis mob ntsws).
- Txawm li cas los xij, nws yog ib qho txaus ntshai rau kev tsis quav ntsej qhov no, vim tias nws tsis tshua muaj peev xwm ua rau muaj mob qog noj ntshav hauv tsev menyuam.
- Muaj ntau yam mob hnyav uas yuav tiv thaiv tau lossis kho tau tag nrho los ntawm kev nrhiav pom qhov ua rau mob thaum ntxov thiab kho nws.
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