Nyeem nws koj tus kheej thiab qhia rau koj tus phooj ywg! Yuav tiv thaiv koj tus kheej li cas los ntawm kev mob qog noj ntshav ntawm zes qe menyuam thiab yuav kho nws li cas?

Dab tsi yog mob qog noj ntshav zes qe menyuam

Txhua lub cell hauv tib neeg lub cev muaj lub neej ntev. Thaum lub cell loj hlob, ua neej nyob thiab ua haujlwm, nws dhau los ua pov tseg thiab khaws cov kev hloov pauv. Thaum muaj ntau dhau lawm, lub cell tuag. Tab sis qee zaum ib yam dab tsi tawg, thiab tsis txhob tuag, lub cell tsis zoo tseem sib faib. Yog tias muaj ntau ntawm cov hlwb no, thiab lwm lub cev tiv thaiv kab mob tsis muaj sijhawm los rhuav tshem lawv, mob qog noj ntshav tshwm.

Cov qog nqaij hlav zes qe menyuam tshwm sim hauv zes qe menyuam, cov qog ua poj niam uas tsim cov qe thiab yog qhov tseem ceeb ntawm poj niam cov tshuaj hormones. Hom qog nyob ntawm lub cell uas nws pib. Piv txwv li, cov qog nqaij hlav epithelial pib los ntawm cov hlwb epithelial ntawm cov hlab ntsha. 80% ntawm tag nrho cov qog ntawm zes qe menyuam yog zoo li ntawd. Tab sis tsis yog tag nrho cov neoplasms yog malignant. 

Cov tsos mob ntawm qog nqaij hlav zes qe menyuam yog dab tsi

Qib XNUMX mob qog noj ntshav zes qe menyuam tsis tshua muaj tshwm sim. Thiab txawm nyob rau theem tom ntej, cov tsos mob no tsis yog tshwj xeeb.

Feem ntau, cov tsos mob yog: 

• mob, tsam plab, thiab hnov ​​​​mob hnyav hauv plab; 

• tsis xis nyob thiab mob hauv cheeb tsam pelvic; 

• los ntshav los ntawm qhov chaw mos los yog tawm txawv txawv tom qab menopause;

• ceev satiety los yog tsis qab los noj mov;

• hloov cov cwj pwm tso zis: nquag tso zis, cem quav.

Yog tias ib qho ntawm cov tsos mob tshwm sim thiab tsis ploj mus li ntawm ob lub lis piam, koj yuav tsum mus ntsib kws kho mob. Feem ntau, qhov no tsis yog mob qog noj ntshav, tab sis lwm yam, tab sis yog tias tsis tau sab laj nrog kws kho mob gynecologist, koj tsis tuaj yeem paub lossis kho nws. 

Tsuas yog ib feem peb ntawm cov qog nqaij hlav zes qe menyuam raug kuaj pom nyob rau hauv thawj lossis thib ob theem, thaum cov qog tsuas yog txwv rau zes qe menyuam. Qhov no feem ntau muab kev pom zoo rau kev kho mob. Ib nrab ntawm cov neeg mob tau kuaj pom nyob rau theem thib peb, thaum metastases tshwm sim hauv plab kab noj hniav. Thiab qhov seem 20%, txhua tus neeg mob thib tsib uas mob qog noj ntshav ntawm zes qe menyuam, raug kuaj pom nyob rau theem plaub, thaum metastases kis thoob plaws lub cev. 

Leej twg muaj kev pheej hmoo

Nws tsis tuaj yeem kwv yees tias leej twg yuav mob qog noj ntshav thiab leej twg yuav tsis. Txawm li cas los xij, muaj cov xwm txheej txaus ntshai uas ua rau muaj qhov tshwm sim no. 

• Cov hnub nyoog laus: Cov qog nqaij hlav zes qe menyuam feem ntau tshwm sim thaum muaj hnub nyoog 50-60.

• Kev hloov pauv hauv BRCA1 thiab BRCA2 cov noob uas tseem ua rau muaj kev pheej hmoo mob qog noj ntshav mis. Ntawm cov poj niam uas muaj kev hloov pauv hauv BRCA1 39-44% Thaum muaj hnub nyoog 80 xyoo, lawv yuav tsim mob qog noj ntshav ntawm zes qe menyuam, thiab nrog BRCA2 - 11-17%.

• Ovarian los yog mob cancer mis nyob rau hauv cov txheeb ze ze.

• Hormone replacement therapy (HRT) tom qab menopause. HRT me ntsis nce qhov kev pheej hmoo, uas rov qab mus rau qib dhau los nrog qhov kawg ntawm kev noj tshuaj. 

• Thaum ntxov ntawm kev coj khaub ncaws thiab pib lig ntawm menopause. 

• Thawj hnub yug tom qab 35 xyoo lossis tsis muaj menyuam nyob rau hnub nyoog no.

Kev rog dhau kuj yog ib qho kev pheej hmoo. Cov poj niam feem ntau cov kab mob oncological yog estrogen-dependant, uas yog, lawv tshwm sim los ntawm kev ua ntawm estrogen, poj niam txiv neej cov tshuaj hormones. Lawv yog secreted los ntawm zes qe menyuam, ib feem los ntawm cov qog adrenal thiab cov ntaub so ntswg adipose. Yog tias muaj cov ntaub so ntswg adipose ntau, ces yuav muaj cov tshuaj estrogen ntau dua, yog li qhov ua rau muaj mob ntau dua. 

Yuav kho mob qog noj ntshav ntawm zes qe menyuam li cas

Kev kho mob nyob ntawm theem ntawm cov qog nqaij hlav, kev noj qab haus huv, thiab seb tus poj niam puas muaj menyuam. Feem ntau, cov neeg mob mus los ntawm kev phais tshem tawm cov qog ua ke nrog kev kho mob kom tua cov hlwb ntxiv. Twb tau nyob rau theem peb, metastases, raws li txoj cai, loj hlob mus rau hauv lub plab kab noj hniav, thiab nyob rau hauv cov ntaub ntawv no tus kws kho mob yuav pom zoo kom ib tug ntawm cov kev kho mob ntawm cov tshuaj - txoj kev HIPEC.

HIPEC yog hyperthermic intraperitoneal chemotherapy. Txhawm rau tiv thaiv cov qog nqaij hlav, lub plab kab noj hniav yog kho nrog cov tshuaj rhuab ntawm cov tshuaj chemotherapy, uas, vim qhov kub thiab txias, ua rau cov qog nqaij hlav cancer.

Cov txheej txheem muaj peb theem. Thawj yog qhov kev phais tshem tawm ntawm qhov pom malignant neoplasms. Nyob rau theem thib ob, catheters tau muab tso rau hauv lub plab kab noj hniav, los ntawm qhov kev daws teeb meem ntawm cov tshuaj chemotherapy rhuab mus rau 42-43 ° C. Qhov ntsuas kub no yog siab dua 36,6 ° C, yog li cov ntsuas kub tswj tau muab tso rau hauv lub plab kab noj hniav. Qhov thib peb yog qhov kawg. Cov kab noj hniav yog ntxuav, incisions yog sutured. Cov txheej txheem tuaj yeem siv sijhawm txog yim teev. 

Tiv thaiv qog noj ntshav ntawm zes qe menyuam

Tsis muaj ib daim ntawv qhia yooj yim rau kev tiv thaiv koj tus kheej los ntawm kev mob qog noj ntshav ntawm zes qe menyuam. Tab sis ib yam li muaj ntau yam uas ua rau muaj kev pheej hmoo, muaj cov uas txo nws. Qee qhov yooj yim ua raws, lwm tus yuav xav tau kev phais. Nov yog qee txoj hauv kev los tiv thaiv qog noj ntshav ntawm zes qe menyuam. 

• Zam kev pheej hmoo yam: rog dhau, noj zaub mov tsis zoo, lossis noj HRT tom qab lub cev tsis muaj zog.

• Noj cov tshuaj tiv thaiv qhov ncauj. Cov poj niam uas tau siv lawv ntau tshaj tsib xyoos muaj ib nrab ntawm kev pheej hmoo ntawm kev mob qog noj ntshav ntawm zes qe menyuam dua li cov poj niam uas tsis tau siv lawv. Txawm li cas los xij, kev noj cov tshuaj tiv thaiv qhov ncauj tsis ua rau muaj feem yuav mob qog noj ntshav. Yog li ntawd, lawv tsis yog siv rau kev tiv thaiv mob qog noj ntshav xwb. 

• Ligate cov hlab ntsha fallopian, tshem tawm lub tsev menyuam thiab zes qe menyuam. Feem ntau, txoj kev no yog siv yog tias tus poj niam muaj kev pheej hmoo mob qog noj ntshav thiab twb muaj menyuam lawm. Tom qab ua haujlwm, nws yuav tsis muaj peev xwm xeeb tub. 

• pub niam mis. Kev tshawb xyuas qhiatias kev pub mis rau ib xyoos txo qhov kev pheej hmoo ntawm qog nqaij hlav zes qe menyuam los ntawm 34%. 

Mus ntsib koj tus kws kho mob gynecologist tsis tu ncua. Thaum kuaj xyuas, tus kws kho mob xyuas qhov loj thiab cov qauv ntawm lub zes qe menyuam thiab lub tsev menyuam, txawm hais tias feem ntau cov qog nqaij hlav ntxov yog qhov nyuaj rau kuaj pom. Tus kws kho mob gynecologist yuav tsum tau sau ib qho transvaginal ultrasound ntawm lub plab hnyuv siab raum rau kev kuaj mob. Thiab yog hais tias ib tug poj niam nyob rau hauv ib pawg uas muaj kev pheej hmoo siab, piv txwv li, nws muaj kev hloov pauv hauv BRCA cov noob (ob lub noob BRCA1 thiab BRCA2, lub npe uas txhais tau tias "mob qog noj ntshav mis" hauv lus Askiv), ces nws yuav tsum tau ntxiv. kuaj ntshav rau CA-125 thiab qog nqaij hlav HE-4. Kev tshuaj ntsuam dav dav, xws li mammography rau mob qog noj ntshav mis, tseem muaj rau mob qog noj ntshav ntawm zes qe menyuam.