Uterine fibroids. kev kho mob

Cov poj niam uas mob fibroid lub tsev me nyuam, cov kev kho mob yuav nqa tawm conservative los yog phais.

Nyob rau hauv thawj cov ntaub ntawv, cov hormonal, radiation, hemostatic txoj kev kho. Phais yuav hnav radical, poluradikalny thiab conservative.

Uterine los ntshav txuam nrog anovulatory mus, feem ntau nrog los ntawm uterine fibroids. Kev kho mob ntawm cov mob no yog muab rau lawm. Applied intramuscular npaj "progesterone" rau yim los yog kaum hnub. Ua ntej lub sij hawm teem yog txiav txim los ntawm ob-theem voj voog ntawm kev coj khaubncaws thiab cov saturation theem ntawm estrogen lub cev. Yuav kom qhov no kawg, lub kub yog ntsuas basal (so lub xeev), ua kev tshawb fawb colpocytologic, curettage ntawm lub endometrium rau diagnostic hom phiaj thiab lwm yam txheej xwm. Nws yuav tsum tau muab sau tseg uas progesterone yog zoo xwb nyob rau hauv tej rooj plaub. Qhov no lawm, raws li rau cov tshuaj no antagonist, cheeb lawv ntxim rau cov qog ua kua membrane thiab cov myometrium (npag phab ntsa) ntawm lub tsev menyuam. Cov nyhuv ntawm progesterone yog qhia ntawm lub inhibition ntawm follicle-stimulating muaj nuj nqi nyob rau hauv lub pituitary caj pas thiab txo tus synthesis ntawm cov tshuaj no nyob rau lub degeneration ntawm zes qe menyuam polycystic xwm.

Heev feem ntau nyob rau hauv cov kev kho mob ntawm fibroids xws li androgenic tshuaj. Ii txhais tau tias "Testosterone propionate," "Testenat". Raws li kws txawj, qhov zoo tshaj plaws kho nyhuv cov tshuaj muaj "Sustanon-250." Nyob rau hauv tej rooj plaub, androgen tshuaj muab nyob rau hauv cov ntsiav tshuaj daim ntawv. Cov tshuaj, nyob rau hauv particular, xws li "Methyltestosterone". Androgens inhibit zus tau tej cov ntawm zes qe menyuam cov tshuaj no, follicle-stimulating muaj nuj nqi nyob rau hauv lub anterior pituitary, inhibit mucosal proliferative dab (widening).

Raws li ib tug txoj cai, tom qab cov kev kho mob ntawm androgenic nres tshwm, muaj ib tug kev ncua, thiab nyob rau hauv tej rooj plaub ib tug ua tiav tas ntawm txoj kev loj hlob ntawm fibroids. Nws pib nws rov qab txoj kev loj hlob. Txawm li cas los, Yog hais tias koj paub hais tias nrog ib tug loj (loj ntawm lub tsev menyuam ntau tshaj li kaum plaub lub lis piam uas cev xeeb tub), uterine fibroids, kev kho mob nrog androgens yog ices. Qhov tsis zoo ntawm txoj kev kho androgen yuav tsum muaj xws li masculinization (mob loj, cov plaub hau kev loj hlob nyob rau hauv lub cev ntawm cov txiv neej hom), pob txuv (pob txuv), ua tsis taus pa, xeev siab, palpitations.

Nyob rau hauv thiaj li yuav nce uterine muaj peev xwm gemotaticheskuyu tshuaj kho. Intramuscularly muab tshuaj "oxytocin", "Gifototsin", "Pituitrin" thiab lwm yam txhais tau tias.

Nyob rau hauv thiaj li yuav tshem tawm uterine los ntshav uas nrog uterine fibroids, kev kho mob prescribers tau rau kom cov ntshav txhaws.

Nyob rau hauv lub qhaj ntawv ntawm cov nyhuv ntawm hormone hloov txoj kev kho thiab hemostatic, nrog contraindications phais tsa X-ray irradiation ntawm zes qe menyuam. Zaug yog ua txhua hnub irradiation koob tshuaj yog xaiv nyob ntawm seb lub thickness ntawm pem hauv ntej phab ntsa los ntawm cov peritoneum thiab cov neeg kawm ntawv ntawm rhiab heev ntawm lub zes qe menyuam. Yog li, lub nres nyob rau hauv fibroid txoj kev loj hlob. Kev kho mob nyob rau hauv cov ntaub ntawv no yog qhia rau suppressing cov nuj nqi ntawm cov tshuaj no muaj nyob rau hauv lub zes qe menyuam. Tom qab lub X-ray irradiation tsis ntas, uterine los ntshav. Nws yuav tsum tau muab sau tseg hais tias qhov no txoj kev yog tsis pom zoo nyob rau hauv lub tsev me nyuam (nyuam) uas muaj hnub nyoog. Nws yog xav paub ntau tsim nyog los nqa tawm X-ray irradiation nyob rau hauv lawm.

Contraindications rau txoj kev ua no muaj xws li submucosa, tsim lub tsev me nyuam fibroids, nyob rau hauv ntev ceg podseroznye ntshav, fibroids loj hlob sai heev nrog xav tias rebirth nyob rau hauv sarcoma los yog qhov chaw necrosis. Nyob rau hauv tas li ntawd, X-ray irradiation yog tsis nqa tawm nyob rau hauv lub xub ntiag ntawm cev xeeb tub, piosalpinks, mob nyob rau hauv lub zes qe menyuam thiab cancer ntawm lub uterine lub cev.