Koj puas los ntshav ntau dua li niaj zaus thaum koj muaj hli? Los yog koj puas hnov mob thiab nruj hauv koj lub plab qis tas li? Qhov ua rau muaj cov tsos mob no yog cov qog nqaij hlav uas tsis yog mob qog noj ntshav hu ua fibroids uas tsim nyob rau hauv lub tsev menyuam. Hnub no, peb yuav tham txog ib txoj hauv kev zoo los kho qhov mob no uas tsis tas yuav phais loj.
Hais yooj yim xwb, Uterine Artery Embolization (UAE) yog dab tsi?
Kev Siv Tshuaj Uterine Artery Embolization (UAE) yog ib txoj kev phais mob uas tsis tas phais ntau thiab siv ib qho kev phais me me xwb, tsis tas phais loj. Nws feem ntau thaiv cov hlab ntsha (arteries) uas muab ntshav mus rau koj lub tsev menyuam.
Kev kho mob no feem ntau siv los tswj kev los ntshav ntau dhau los ntawm cov qog nqaij hlav uas tsis yog mob qog noj ntshav hauv lub tsev menyuam, hu ua uterine fibroids . Nws kuj tseem siv rau hauv cov xwm txheej ceev xws li kev los ntshav tom qab yug menyuam, los ntshav vim muaj xwm txheej, lossis los ntshav los ntawm cov qog nqaij hlav gynecological.
Tej zaum koj kuj tau hnov txog Uterine Fibroid Embolization (UFE). Txawm hais tias ob qho no suav tias yog tib yam, muaj qhov sib txawv me ntsis. UFE yog lub npe siv thaum UAE tsuas yog siv los kho cov fibroids xwb. UAE yog lo lus dav dua. Nws kho cov fibroids nrog rau kev los ntshav los ntawm lwm yam ua rau.
Hauv cov xwm txheej twg yog kev kho mob hauv UAE?
Feem ntau, kev kho mob no yog siv rau cov neeg uas muaj ntau yam tsos mob vim yog cov fibroids hauv tsev menyuam. Cia peb saib seb lawv yog dab tsi.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kev los ntshav ntau heev | Los ntshav ntau dua li qub thaum lub sijhawm muaj hli. Qhov no yuav yog qhov teeb meem yog tias koj yuav tsum tau hloov koj daim pam ua ntej ib lossis ob teev dhau mus, lossis yog tias koj cov ntshav txhaws tawm. |
| Kev ntxhov siab lossis hnyav hauv plab qis | Tsis xis nyob, muaj kev nyuaj siab, lossis hnyav hauv plab qis vim yog qhov loj ntawm cov cysts. |
| Yuav tsum tau tso zis ntau zaus | Yuav tsum tau tso zis ntau zaus vim yog lub tsev menyuam nias rau ntawm lub zais zis. |
| Kab mob cem quav | Cem quav vim yog lub siab ntawm lub cyst rau ntawm txoj hnyuv loj. |
| Mob thaum sib deev | Qee zaum muaj mob thaum sib deev. |
Ntxiv rau cov tsos mob no, koj tus kws kho mob kuj tseem yuav pom zoo kom kho UAE rau lwm yam mob, xws li los ntshav ntau tom qab yug menyuam, los ntshav vim muaj xwm txheej, lossis los ntshav vim yog qog nqaij hlav.
Hauv cov xwm txheej twg yuav tsum tsis txhob kho mob hauv UAE?
Muaj tej lub sij hawm, txoj kev kho mob no yuav tsis haum rau koj.
- Txawm tias koj muaj cov uterine fibroids los xij, koj tsis muaj tsos mob dab tsi.
- Yog koj cev xeeb tub .
- Yog tias koj muaj kab mob hauv koj thaj chaw pelvic.
- Yog koj muaj kab mob ntawm cov hlab ntsha.
- Yog tias koj muaj kev tsis haum rau cov xim sib piv tshwj xeeb uas siv rau hauv kev kho mob no.
Kev kho mob no ua haujlwm li cas?
Xav txog tias tus menyuam hauv plab zoo li ib tsob nroj uas tau txais dej los ntawm kev pub mis. Yuav ua li cas yog tias peb maj mam kaw cov kav dej uas muab dej rau tsob nroj no? Yog tsis muaj dej, tsob nroj yuav maj mam tuag, puas yog? Ib yam dab tsi zoo sib xws tshwm sim hauv kev kho mob hauv UAE.
Hais yooj yim xwb, cov khoom me me, zoo li cov xuab zeb, raug txhaj rau hauv cov hlab ntsha uas muab ntshav rau koj lub tsev menyuam (cov hlab ntsha hauv tsev menyuam). Cov khoom me me no raug coj mus rau qhov chaw tseeb los ntawm ib lub raj nyias nyias, yoog tau hu ua catheter . Lub raj no raug ntxig thiab ib txoj kev siv hu ua fluoroscopy, uas zoo li lub tshuab X-ray, raug siv los saib nws thaum nws mus ncig.
Thaum cov hlab ntsha raug thaiv zoo li no:
- Kev los ntshav ntau dhau raug tswj.
- Cov fibroids poob lawv cov ntshav, thiab lawv maj mam ntsws thiab me dua.
Kuv yuav tsum ua li cas ua ntej kho mob?
Koj tus kws kho mob yuav pom zoo kom koj mus kho mob hauv UAE tom qab koj ua tib zoo saib xyuas koj cov keeb kwm mob nkeeg thiab cov tsos mob tag nrho. Koj yuav tsum ua cov no ua ntej koj mus kho mob.
- Koj tus kws kho mob yuav nug txog koj txoj kev noj qab haus huv, kev ua xua, cov tshuaj uas koj noj, thiab lub voj voog ntawm kev coj khaub ncaws. Nws kuj tseem yuav tham txog seb koj puas npaj yuav muaj menyuam yav tom ntej, vim tias kev kho mob no tuaj yeem cuam tshuam rau kev xeeb tub.
- Yuav kom paub qhov tseeb ua rau los ntshav, yuav muaj kev kuaj xws li MRI scan , ultrasound scan , lossis hysteroscopy .
- Qee zaum yuav muab ib daim nqaij me me los ntawm daim ntaub ntawm lub tsev menyuam coj mus kuaj (biopsy) seb puas muaj cov hlwb qog noj ntshav.
- Koj yuav raug hais kom tsum tsis txhob noj cov tshuaj tua kab mob xws li aspirin, NSAIDs (piv txwv li, Ibuprofen, Diclofenac), thiab cov tshuaj thinning ntshav ob peb hnub ua ntej kev kho mob.
- Yuav hais kom koj tsis txhob noj lossis haus dab tsi li ob peb teev ua ntej kev kho mob. Koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb rau koj txog qhov no.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Feem ntau UAE yog ib qho kev kho mob sab nraud, txhais tau tias koj tuaj yeem mus tsev tib hnub ntawd yam tsis tas yuav nyob hauv tsev kho mob. Tag nrho cov txheej txheem feem ntau siv sijhawm li ib teev thiab ib nrab (90 feeb).
Nov yog li cas kev kho mob ua haujlwm:
1. Kev kho mob no yog ua los ntawm tus kws kho mob xoo hluav taws xob . Uas yog, tus kws tshwj xeeb uas ua kev kho mob tsawg kawg nkaus siv cov thev naus laus zis duab kho mob.
2. Koj yuav raug yuam kom pw saum lub rooj kuaj mob thiab txuas nrog cov tshuab uas saib xyuas tej yam xws li koj lub plawv dhia thiab ntshav siab.
3. Yuav muab tshuaj loog rau koj thaj chaw koj lub qhov ncauj.
4. Koj yuav tau txais cov tshuaj saline thiab tshuaj sedative los ntawm txoj kab IV kom koj so thiab ua rau koj tsaug zog.
5. Muaj ib lub qhov me me nyob rau hauv daim tawv nqaij ntawm lub puab tais thiab ib rab koob me me raug ntxig rau hauv nws.
6. Siv cov duab X-ray (fluoroscopy) thiab cov xim tshwj xeeb (contrast dye), ib lub raj nyias hu ua catheter yuav raug coj mus rau koj cov hlab ntsha hauv tsev menyuam. Cov xim no ua rau cov hlab ntsha pom tseeb ntawm X-ray.
7. Thaum lub catheter nyob rau hauv qhov chaw lawm, cov khoom me me (ua los ntawm gelatin lossis yas) hu ua embolic agents raug txhaj rau hauv cov hlab ntsha. Cov khoom me me no mus ncig thiab thaiv cov hlab ntsha.
8. Thaum ua tiav txoj haujlwm, lub catheter raug tshem tawm, cov ntshav ntawm qhov chaw puncture raug tswj, thiab ib daim ntaub qhwv me me raug muab tso rau.
Koj yuav tau txais dab tsi tom qab kho mob?
Feem ntau cov neeg muaj peev xwm tawm hauv tsev kho mob thiab mus tsev tau ob peb teev tom qab kho mob. Tom qab ntawd, koj tuaj yeem cia siab tias yuav muaj tej yam zoo li no.
- Tej zaum yuav kom koj pw hauv txaj ob peb teev tom qab kev kho mob.
- Tus kws kho mob yuav muab tshuaj tua kab mob thiab tshuaj tua kab mob rau koj coj mus tsev.
- Tej zaum yuav muaj cov kua dej los yog cov hnoos qeev tawm hauv qhov chaw mos li ob peb lub lis piam.
- Tej zaum yuav muaj mob plab mog nruab nrab mus rau mob hnyav hauv 24 teev thawj zaug. Qhov no yog ib txwm muaj.
- Feem ntau cov neeg tuaj yeem rov qab ua lawv cov dej num li qub hauv ib lossis ob lub lis piam.
- Koj lub voj voog ntshav yuav nres ob peb lub hlis. Thaum nws pib dua, qhov ntshav yuav pib me dua li qub, tab sis yuav maj mam rov qab mus rau qhov qub.
- Yog tias kho cov fibroids, cov tsos mob yuav pib ploj mus li ntawm ob mus rau peb lub lis piam. Tej zaum ib txhia neeg yuav muaj tej daim ntawm cov fibroid hla dhau ntawm qhov chaw mos. Cov neeg feem coob xav tias lawv zoo tag nrho li ntawm rau lub hlis.
Cov txiaj ntsig ntawm txoj kev kho mob no yog dab tsi?
Yuav luag 90% ntawm cov neeg uas tau txais kev kho mob UAE rau cov fibroids tau txais kev pab kom zoo lossis tseem ceeb ntawm cov tsos mob.
| Qhov zoo | Kev piav qhia |
|---|---|
| Ua kom tsawg kawg nkaus invasive | Tsis tshua muaj kev phais mob ntau dua li kev phais loj xws li hysterectomy lossis myomectomy, tsuas yog xav tau ib qho kev phais me me xwb. |
| Rov qab zoo sai | Vim tias tsis muaj qhov txiav loj lossis cov xov loj, lub sijhawm kho mob luv heev. |
| Los ntshav tsawg dua | Kev los ntshav tom qab kho mob tsawg heev. |
| Muaj teeb meem tsawg dua | Kev pheej hmoo ntawm cov teeb meem qis dua piv rau kev phais qhib. |
| Tshuaj loog hauv zos | Tsuas yog ua tau kom loog qhov chaw tseem ceeb xwb yam tsis tas siv tshuaj loog tag nrho. |
Tej yam txaus ntshai ntawm qhov no yog dab tsi?
Ib yam li kev kho mob twg los xij, muaj qee qhov kev pheej hmoo.
| Kev Pheej Hmoo | Kev piav qhia |
|---|---|
| Kev kis kab mob | Thaum ntxig lub catheter, muaj feem me me heev uas yuav ua rau cov hlab ntsha ib puag ncig puas tsuaj lossis muaj kab mob. |
| Kev puas tsuaj rau cov ntaub so ntswg noj qab haus huv | Yog tias cov khoom me me ntawm cov hlab ntsha mus rau cov hlab ntsha tsis raug, cov ntshav uas xa mus rau cov nqaij noj qab haus huv yuav raug cuam tshuam (tsis tshua muaj). |
| Kev ua xua | Tej zaum yuav muaj kev ua xua rau cov xim X-ray lossis cov tshuaj loog. |
| Kev tso tseg ntawm lub voj voog kev coj khaub ncaws | Rau ntawm 1% thiab 5% ntawm cov neeg, lub voj voog ntawm kev coj khaub ncaws yuav nres mus tas li tom qab kev kho mob. |
| Kev kho mob tsis ua tiav | Qee zaum cov tsos mob yuav rov tshwm sim, yuav tsum tau ua UAE thib ob lossis phais hysterectomy. |
| Cov teebmeem ntawm kev muaj menyuam | Muaj peev xwm ua rau muaj menyuam (infertility) ploj lossis txo qis. |
Kev kho mob hauv UAE puas muaj kev nyab xeeb? Puas haum rau cov neeg uas xav muaj menyuam?
Yog, feem ntau, Uterine Artery Embolization yog kev kho mob zoo. Koj tus kws kho mob yuav piav qhia txog cov kev pheej hmoo rau koj raws li koj keeb kwm kho mob.
Txawm li cas los xij, qhov no yog qhov tseem ceeb uas yuav tsum xav txog yog tias koj npaj yuav muaj menyuam yav tom ntej. Txawm hais tias muaj cov lus ceeb toom txog kev yug menyuam noj qab haus huv tom qab kev kho mob UAE, cov ntaub ntawv ntawm qhov no tseem tsawg. Tseem tsis tau paub meej tias kev kho mob no cuam tshuam li cas rau kev muaj menyuam.
Yog li ntawd, qee tus kws kho mob pom zoo kom phais tshem tawm cov fibroids (myomectomy) rau cov poj niam uas tab tom yuav muaj menyuam, vim tias qhov kev pheej hmoo ntawm kev poob qis, kev phais cesarean, thiab kev los ntshav hnyav tom qab yug menyuam yuav nce me ntsis thaum cev xeeb tub tom qab kev kho mob UAE.
Yog tias koj cev xeeb tub lossis yuav muaj menyuam yav tom ntej, nco ntsoov tham nrog koj tus kws kho mob txog kev pheej hmoo ntawm kev kho mob no.
Kuv yuav tsum mus ntsib kws kho mob dua thaum twg?
Feem ntau yuav mob plab me ntsis, qaug zog, xeev siab me ntsis, thiab kub taub hau me ntsis rau 24 teev thawj zaug thiab ob peb hnub tom qab kho mob. Cov neeg feem coob rov qab mus ua neej li qub hauv 10 hnub.
Txawm li cas los xij, yog tias koj tseem mob hnyav thiab tsis xis nyob ob lub lis piam tom qab kev kho mob, nco ntsoov mus ntsib koj tus kws kho mob dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Siv Tshuaj Uterine Artery Embolization (UAE) yog ib txoj kev kho mob zoo uas siv los kho cov ntshav ntau uas los ntawm cov qog hauv lub tsev menyuam thiab lwm yam ua rau, yam tsis tas yuav phais loj.
- Qhov no suav nrog kev thaiv cov hlab ntsha uas pub rau lub tsev menyuam, ua rau lub qog nqaij hlav me me lossis tsis txhob los ntshav.
- Lub sijhawm rov zoo yog luv luv thiab muaj teeb meem tsawg, tab sis qhov mob hauv plab qis yuav kav ntev li ob peb hnub.
- Txoj kev kho mob no tsis haum rau txhua tus. Nws yog ib qho tseem ceeb uas yuav tsum tham txog qhov zoo thiab qhov tsis zoo nrog koj tus kws kho mob ua ntej xav txog kev kho mob no, tshwj xeeb tshaj yog tias koj tab tom npaj yuav muaj menyuam yav tom ntej.
- Tom qab kev kho mob hauv UAE, ntau tus neeg tau txais kev pab ntau los ntawm cov tsos mob hauv ob peb lub hlis.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus