Laparoscopy nrog polycystic zes qe menyuam: kev npaj, kev siv thiab post-phais

Gynecological mob yog pom nyob rau hauv yuav luag txhua txhua ob tug poj niam. Ntawm lawv yog cov heev tus nais khu polycystic zes qe menyuam. Qhov no pathology yog tsis yog ib tug kis tau tus kab mob. Yog li ntawd, nws yog tsis yooj yim sua mus caum lawv. Nyob rau hauv tas li ntawd, ib tug zoo li tus kab mob no tshwm sim tsuas yog cov poj niam. Nyob rau hauv tej rooj plaub, lub pathology yog tsim raws li thaum ntxov raws li thaum tiav hluas. Tej zaum tus kab mob no yog congenital. Ib tug ntawm cov kev kho mob pom tias laparoscopy nrog polycystic zes qe menyuam. Xyuas rau txoj kev ua no, muaj ntau ntau yam. Tom qab tag nrho, nws yog hais txog ib hom kev phais. Yog li ntawd, ib txhia poj niam xav kom siv lwm txoj kev kho mob. Txawm li cas los, raws li cov kws kho mob, lub lag luam yog tej zaum yuav tsum tau.

Yuav ua li cas yog polycystic zes qe menyuam syndrome?

polycystic zes qe menyuam muaj feem xyuam rau hormonal txawv txav. Tus kab mob muaj peev xwm yuav congenital thiab mas yuav kis tau thoob plaws hauv lub neej (feem ntau yog nyob rau hauv adulthood). Nyob rau hauv thawj rooj plaub no nws yog tshwm sim los ntawm kev tshuaj ntsuam genetic, uas yog tsim nyob rau hauv lub embryonic lub sij hawm. Cuaj kaum kev tshawb nrhiav congenital polycystic xwb nyob rau hauv thaum tiav hluas. Kom txog thaum uas lub sij hawm, lub pathology tsis manifest nws tus kheej. Nrhiav polycystic zes qe menyuam syndrome feem ntau muaj nyob rau hauv lub keeb kwm yav dhau ntawm endocrine ntshawv siab. Cov no muaj xws li ntshav qab zib, rog, cov kab mob ntawm lub qog adrenal los yog cov thyroid caj pas. Tej zaum polycystic tsim tom qab lub hlwb raug mob, ntev-lub sij hawm siv hormonal tshuaj. Lub mechanism ntawm kev loj hlob ntawm no pathology yog lub nram qab no hloov:

1. Txo nyob rau hauv cov tshuaj no thiab progesterone. Ua lub theem ntawm cov txiv neej nrog txiv neej pw cov tshuaj hormones - androgens.
2. Thooj tunica albuginea zes qe menyuam. Raws li ib tug tshwm sim, lub hauv paus yog tsis rhuav tshem, thiab lub qe yog tsis los. Vim ua txhaum ntawm kev tsim ntxiv lawm tshob ovulation.
3. Filling follicular kua thiab cyst tsim.

Tej kev hloov tshwm sim thaum kab mob no mas yuav kis. Nyob rau hauv cov ntaub ntawv no, tus kab mob no yog hu ua polycystic ntawm zes qe menyuam syndrome (PCOS). Nws cov tsos mob muaj xws li: qhov hnyav nce, hypertrichosis, ntxiv lawm tshob. Tej yam tshwm sim ntawm congenital txawv txav xam tau tias yog underdevelopment "poj niam daim duab" (nqaim mog, malformed ob lub mis), pob txuv, oligomenorrhea.

Laparoscopy nrog polycystic

Laparoscopy nrog ntawm zes qe menyuam polycystic koom phais kho mob. Nws yog siv nyob rau hauv tus neeg mob qhov twg kev kho mob kho tsis. Qhov no txoj kev ntawm kev tshem tawm ntawm zes qe menyuam hlwv yog xav tau qhov zoo tshaj. Nyob rau hauv tas li ntawd, muab piv rau qhib phais laparoscopy yog tsawg puas. Rau lwm yam kev pab muaj xws li:

1. Txo txoj kev pheej hmoo ntawm cov teeb meem.
2. Lub shortening ntawm lub postoperative lub sij hawm.
3. Ceev ceev rov qab.
4. Yam tsawg kawg nkaus aesthetic tsis xws luag (piv nrog qhib phais nyob rau hauv lub plab kab noj hniav).

Dua li ntawm qhov cuab kev zoo ntawm txoj kev, los tseem sib cav tswv yim: seb puas yuav ua tau ib tug laparoscopy nrog polycystic zes qe menyuam? Tom qab tag nrho, ib txhia kws kho mob tawm tswv yim rau cov poj niam mus pib sim tshuaj. Nyob rau hauv qhov tseeb, nyob rau hauv tej rooj plaub, conservative kev kho mob yuav nrog polycystic. Nyob rau hauv thiaj li yuav restore ntawm zes qe menyuam muaj nuj nqi yog siv kev kho mob poj niam cov tshuaj hormones. Tsis tas li ntawd cov tshuaj uas thaiv lub synthesis ntawm androgens. Txawm li cas los, cov tshuaj tsis yog ib txwm zoo. Tshwj xeeb tshaj yog nyob rau hauv cov ntaub ntawv ntawm mas yuav kis tau tus kab mob. Yog li ntawd, hais tias tom qab ib tug thaum kawg ntawm kev kho mob kev kho mob nyhuv yog tsis pom, nws yog pom zoo kom laparoscopy nrog polycystic zes qe menyuam. Nyob rau hauv no txoj kev implies qhov kev tshem tawm ntawm cov kua los ntawm lub cev kab noj hniav formations siv tshwj xeeb phais khoom. Incisions laparoscopy tsawg heev, yog li lawv tsis tawm kom hniav zoo nkauj tsis xws luag tom qab zoo. Nyob rau hauv Feem ntau, qhov no txoj kev yuav pab tau kom tshem tau tej mob loj li poj niam ntxiv lawm tshob.

Hom ntawm laparoscopy nrog polycystic zes qe menyuam

Laparoscopy rau polycystic zes qe menyuam tej zaum yuav tsum tau ua nyob rau hauv ob peb txoj kev. Nws nyob ntawm lub hom phiaj caum los ntawm cov kws phais neeg, raws li tau zoo raws li cov kev muaj peev xwm ntawm lub tsev kho mob. Zoo li tag nrho xws li kev phais, laparoscopy zes qe menyuam muaj peev xwm yuav diagnostic thiab kho. Thawj ua nyob rau hauv xav tias polycystic thaum abnormality yog tsis kuaj nrog cov neeg. Feem ntau, diagnostic laparoscopy yuav kho manipulation. Qhov thib ob, nyob rau hauv lem, yog muab faib ua ob peb xaiv. Cov lawv:

1. Dekortizatsiya zes qe menyuam. Qhov no hom ntawm kev kho mob yog los tshem tawm laparoscopy lub cev plhaub. Vim dekortizatsii nto txheej yuav thinner, ua rau nws ua tau rau faib thiab maturation ntawm hauv paus.
2. Cautery hlwv. Xws li ib tug kev kho mob yog tau siv laser khoom. Lag luam muaj nyob rau hauv kev ua tau zoo ob peb incisions nyob rau hauv tus nto ntawm lub zes qe menyuam. Cov no qhib thiab cov hlwv tshem tawm ntawm lawv txheem. Tom qab ib co sij hawm, muaj ib tug kho tshiab ntawm tej lub cev nqaij.
3. Resection ntawm lub zes qe menyuam. Yus muaj los ntawm tshem ib feem ntawm lub cev uas muaj cov hlwv. Qhov no txoj kev muaj peev xwm tsis muaj ntaub ntawv thaum tsim kua nyob thoob plaws lub nto ntawm lub zes qe menyuam.
4. Elektrotermokoagulyatsiya. Qhov no embodiment yog ib tug kho laparoscopy ua tej lub cev nyob rau hauv lub teb ntawm cystic formations. Nyob rau tib lub sij hawm, nws nqa tawm lub coagulation ntawm lub zes qe menyuam, kom tsis txhob los ntshav.
5. Elektrodrilling. Yog tej yam nyob rau tam sim cheeb tsam hlwv. Cov ntsiab lus formations li muab tshem tawm.

Tag nrho cov ntawm cov kev xaiv no yog zoo laparoscopy. Qhov txawv nruab nrab ntawm lawv yog hais tias tsis yog txhua txhua txoj kev yuav ua li cas nyob rau hauv ib tug lub tsev kho mob. Ib txhia ntawm cov kev kho mob yog hais tias yuav kim thiab muab qhov chaw xwb nyob rau hauv tshwj xeeb kev kho mob hauv tsev.

Kev npaj rau kev phais

Laparoscopy tsis tau txoj kev npaj. Cuaj kaum, ua raws li tej yam kev cai ua ntej phais yog tsim nyog. Nyob rau hauv thawj qhov chaw ib tug ob peb hnub ua ntej laparoscopy ua ib tug series ntawm diagnostic tests. Cov muaj xws li: lub KLA, cov ntshav mus kuaj rau tus kab mob HIV, syphilis thiab kab mob siab. Tsis tas li ntawd nqa zis kom tsis txhob raum kab mob. Nyob rau hauv tas li ntawd, tseem ceeb heev kuaj diagnostic cov txheej txheem yog: biochemical tsom xam ntawm cov ntshav thiab coagulation. Muaj ib hnub ua ntej kom ua tau ECG kev tshawb fawb.

Nyob rau hauv tas li ntawd mus diagnostic cov txheej txheem, koj yuav tsum tau ntxuav lub hnyuv Hmo laparoscopy zes qe menyuam. Rau lub hom phiaj no, siv cov tshuaj ntaus cev los yog tshuaj enema. Xav tias lub lag luam yog ua nyob rau hauv kev tshuaj loog, rau ob peb teev ua ntej nws yuav coj tsis tau cov zaub mov thiab dej. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias cov txheej txheem yog tsis tau thaum lub sij hawm ua poj niam vim hais tias ntawm lub high school uas yuav muaj los ntshav.

Sawv ntawm lub laparoscopy nrog polycystic zes qe menyuam

Raws li cov kev phais, laparoscopy nrog polycystic ntawm zes qe menyuam ua stepwise. Ua ntej ntawm tag nrho cov, yuav paub hais tias txoj kev ua no yog nqa tawm siv ib tug optical ntaus ntawv, ib tug video koob yees duab thiab tshwj xeeb cov cuab yeej. Tag nrho cov ntawm cov khoom no muaj ib tug heev me me luaj li cas. Lub lag luam muaj xws li cov nram qab no cov kauj ruam:

1. General tshuaj loog (tso dej tshuaj loog).
2. A 3 los yog 4 incisions nyob rau hauv tus nto ntawm lub anterior mob plab phab ntsa. Cov kab uas hla ntawm txhua tus ntawm lawv tsis pub tshaj 1 cm 2 ua sab plab mog incision rau cov kev taw qhia ntawm kev phais seev nyob rau hauv lub umbilicus -. Rau kho qhov muag ntaus ntawv thiab cov koob yees duab.
3. Txhaj mus rau hauv lub plab kab noj hniav nrog carbon dioxide los txhim kho visualization ntawm kabmob.
4. Rho tawm ntawm lub zes qe menyuam.
5. Kev tshem tawm ntawm cov hlwv. Qhov no kauj ruam yuav nqa tawm nyob rau hauv ntau txoj kev.
6. Coagulation ntawm puas hlab ntsha. Ua ntej tawm hauv lub peritoneal kab noj hniav, cov kws kho mob yuav tsum nco ntsoov hais tias tsis muaj los ntshav.
7. Tshem cov cuab yeej ntawm tus neeg mob lub cev.
8. Suturing incisions.

Cyst tshem tawm cov txheej txheem nyob rau hauv uas version ntawm laparoscopy twb teem. Lub lag luam kav ib tug nruab nrab ntawm 30 mus rau 60 feeb.

Rov qab los ntawm laparoscopic ntawm zes qe menyuam polycystic thaum

Muab hais tias laparoscopy hais txog ib tug tsawg kawg tus txheej txheem, lwm yam mob tom qab phais tsis tshua muaj. Txawm li cas los, koj yuav tsum muab koj lub cev ib tug poj niam zoo. Ua li no, tus neeg mob lub nyob hauv tsev kho mob 7-10 hnub tom qab phais. docked mob (yog hais tias nws tshwm sim), tom hnyuv ua hauj lwm rau ib tug muab lub sij hawm ntawm lub sij hawm. Nyob rau thawj hnub tus neeg mob yog pom zoo kom tau rau koj ob txhais taw, yog tias ua tau - mus taug kev nyob rau hauv pawg ntseeg. Qhov no yog tsim nyog yuav tsum tsis txhob loj hlob ntawm adhesions nyob rau hauv lub plab mog. Tom qab 6 teev tom qab laparoscopy poj niam tso cai rau haus (dej, broth). Noj yuav tsum tau ib hnub tom ntej. Lub cev ua si thiab kev sib deev intimacy yuav tsum tau muab ncua rau 1 lub hlis. Lub sutures raug muab tshem tawm tom qab 10 hnub tom qab phais.

Laparoscopy thiab ntawm zes qe menyuam uas cev xeeb tub

Muaj ntau cov poj niam yog xav nyob rau hauv cov nqe lus nug: seb laparoscopy yog sib xws nrog PCOS thiab cev xeeb tub? Ntawm cov hoob kawm, yog. Tseeb, nyob rau hauv feem ntau lub lag luam no yog nqa tawm mus kho ntxiv lawm tshob. Yog li ntawd, yog hais tias muaj yog polycystic thiab npaj cev xeeb tub laparoscopy. Txawm li cas los, tom qab lub lag luam yuav tsis tau tam sim ntawd npaj yuav xeeb tub.

Nta ntawm laparoscopy nyob rau hauv cev xeeb tub cov poj niam nrog polycystic zes qe menyuam

Nyob rau hauv tej rooj plaub, cov poj niam yuav xeeb tub ib tug me nyuam, nyob rau hauv cov kev phem ntawm polycystic zes qe menyuam. Qhov no tshwm sim thaum tus kab mob no tau tsim tsis ntev los no los yog kua formations muaj me me qhov ntev. Nyob rau hauv tus neeg mob qhov twg lub pathology yog kuaj thaum lub sij hawm cev xeeb tub, kev phais yog txhob. Nws yuav tsum tau ze saib xyuas los ntawm ib tug gynecologist.

Npaj cev xeeb tub tom qab laparoscopy

Yuav ua li cas npaj ib tug cev xeeb tub tom qab laparoscopic ntawm zes qe menyuam polycystic thaum twg? Yog hais tias qhov ua rau ntawm ntxiv lawm tshob yog ib tug kab mob uas conception yog tau vim lub lag luam. Txawm li cas los, 3 lub hlis tom qab laparoscopy tus poj niam yuav tsum coj lawm npaj. Tom qab lub sij hawm no, nws ua ib tug xov tooj ntawm cov kev tshawb fawb. Ces nws yog ua tau yuav npaj mus rau xeeb tub ib tug me nyuam.

Laparoscopy nrog polycystic zes qe menyuam thiab cev xeeb tub: xyuas ntawm cov kws kho mob

Nyob rau hauv feem ntau tus neeg mob, cov kws kho mob pom zoo kom ib tug tsawg kawg tus phais, raws li lawv txo cov kev pheej hmoo ntawm cov teeb meem thiab pom tau hais tias tsawg puas. Feem ntau los xav cev xeeb tub tom qab laparoscopic ntawm zes qe menyuam polycystic thaum. Xyuas gynecologists paub meej tias cov ntaub ntawv ntawd. Txawm li cas los, cov kws kho mob hais tias tus thawj theem ntawm kev kho mob yuav tsum tau kev kho mob kev kho mob. Phais yog pom zoo tom qab ua hauj lwm ntawm conservative txoj kev.

Laparoscopy nrog polycystic zes qe menyuam: xyuas ntawm cov neeg mob

Cov poj niam uas muaj undergone phais, tau txaus siab nrog tus raug. Lawv cam tias cov kev pab pab kom tiv nrog xws li mob raws li polycystic zes qe menyuam. Tom qab laparoscopy cov neeg mob feem ntau txheeb xyuas tau zoo. Ib txhia poj niam muaj cuabkav yuav muaj cov me nyuam vim yog lub lag luam. Tus Neeg Mob kuj muab sau tias txhua hli tom qab laparoscopic ntawm zes qe menyuam ua kev. Nyob rau hauv tas li ntawd mus rau lub normalization ntawm lub voj voog, cov poj niam qhia ib tug hloov nyob rau hauv qhov xwm ntawm paug, yuav txo tau ntawm mob ua ntej poj niam.