txheem
- Retroverted los yog anteverted uterus: nws txhais li cas?
- CURVATURE ntawm lub tsev menyuam
- Yuav ua li cas kom cev xeeb tub nrog ib tug tilted UTERUS?
- Dab tsi ua rau UTERINE INVERSION?
- SAIB NTAWM LUB SIJ HAWM NTAWM UTERUS
- Kev kuaj mob ntawm qhov khoov ntawm lub tsev menyuam thiab kev kho mob hauv "ON CLINIC RYAZAN"
- Yuav ua li cas kom cev xeeb tub nrog ib tug retroverted uterus?
- Retroverted uterus: txoj hauj lwm twg yuav nyiam thaum sib deev?
- Mob lub sij hawm, endometriosis ...: cov lus nug peb nug peb tus kheej
- Contraception, fertility, khob… muaj ib tug retroverted uterus, qhov ntawd hloov li cas?
Retroverted los yog anteverted uterus: nws txhais li cas?
Nyob rau hauv feem ntau ntawm cov poj niam, lub tsev menyuam yog anteverted, uas yog hais tias, tig rau pem hauv ntej. Yog qhov chaw mos yog qhov zoo nyob rau hauv qab, nyob rau hauv cov kev taw qhia ntawm lub qhov quav los yog txha nraub qaum, lub tsev menyuam feem ntau yog inclined rau pem hauv ntej, ntawm lub plab mog. Yog li ntawd, muaj "lub luj tshib" ntawm qhov chaw mos rov qab thiab lub tsev me nyuam mus rau pem hauv ntej.
ntau Nyob rau hauv kwv yees li 25% ntawm cov poj niam, lub tsev menyuam yog retroverted. Nws tseem hu ua uterine retroversion. Qhov no tsuas yog ib qho anatomical peculiarity, thiab tsis yog anomaly. Lub tsev menyuam rov qab mus, ntawm tus txha nraub qaum, yog li lub kaum sab xis ntawm qhov chaw mos thiab lub tsev menyuam tsis zoo ib yam li thaum lub tsev menyuam anteverted. Raws li cov ntaub ntawv kho mob tam sim no, qhov peculiarity no tsis yog yam ntxwv ntawm caj ces.
CURVATURE ntawm lub tsev menyuam
Lub tsev menyuam yog qhov tseem ceeb tshaj plaws ntawm cov poj niam cev xeeb tub. Nws yog nyob rau hauv lub tsev menyuam uas txoj kev loj hlob ntawm fetus tshwm sim los ntawm lub sij hawm ntawm conception mus rau kev yug me nyuam. Qhov no pear-puab lub cev nqaij daim tawv nyob rau hauv lub me me pelvis ntawm ib tug poj niam; ntawm ib sab ntawm nws yog nws lub zais zis, thiab ntawm qhov tod tes, nws lub qhov quav.
Nyob ntawm qhov puv ntawm cov kabmob uas nyob ib sab ntawm lub tsev menyuam, nws tuaj yeem hloov nws txoj haujlwm. Piv txwv li, lub zais zis tag nrho ua rau lub tsev menyuam qaij rau pem hauv ntej. Feem ntau, txoj hauj lwm ntawm lub tsev menyuam yog suav tias yog ib txwm, nyob rau hauv uas lub kaum sab xis ntawm nws thiab nws lub caj dab yog tsawg kawg yog 120 degrees.
Thaum lub cev ntawm lub tsev menyuam deviates nyob rau hauv ib qho kev taw qhia thiab lub kaum sab xis ntawm lub ncauj tsev menyuam ib feem ntawm lub ncauj tsev menyuam mus rau 110-90 degrees, gynecologists tham txog qhov khoov ntawm lub tsev menyuam. Feem ntau - nyob rau hauv txog 7 kis ntawm 10 - muaj ib tug khoov taw rov qab los yog rau pem hauv ntej.
Yuav ua li cas kom cev xeeb tub nrog ib tug tilted UTERUS?
Thaum tus kws kho mob gynecologist kuaj pom lub tsev menyuam khoov hauv nws tus neeg mob thaum lub sijhawm teem sijhawm, hauv 99% ntawm tus neeg mob thawj lo lus nug uas nws yuav nug tus kws kho mob yuav yog: "Puas muaj kev xeeb tub?" Feem ntau, nws nyuaj rau muab cov lus teb tsis meej rau cov lus nug no - qhov no yog vim qhov tseeb tias qhov muaj lossis tsis muaj teeb meem tshwm sim tau txiav txim siab feem ntau los ntawm qhov hnyav ntawm qhov ua txhaum cai.
Raws li kev xyaum qhia, xyaum tau lees tias yuav yog ib qho kev xav nyuaj thaum lub tsev menyuam rov qab. Tsis tas li ntawd, hom kab mob no kuj ua rau muaj kev cuam tshuam ntawm tus menyuam hauv plab thiab tuaj yeem ua rau muaj ntau yam teeb meem thaum cev xeeb tub. Tsis tas li ntawd, qhov kev pheej hmoo siab ntxiv rau tus menyuam hauv qhov no tseem muaj nyob rau lub sijhawm yug menyuam.
Dab tsi ua rau UTERINE INVERSION?
Muaj cov kab mob congenital thiab kis tau ntawm no pathology. Ntxiv mus, congenital dabtsi yog khoov ntawm lub tsev menyuam tuaj yeem tshwm sim los ntawm ob qho tib si caj ces thiab lwm yam uas cuam tshuam rau tus me nyuam hauv plab thaum nws txoj kev loj hlob hauv plab. Raws li kev kis tus kab mob, nws feem ntau tshwm sim hauv cov poj niam tom qab yug me nyuam.
Feem ntau cov ua rau ntawm no pathology nyob rau hauv cov poj niam muaj xws li:
- tsis muaj zog pelvic pem teb cov leeg, nrog rau kev ua txhaum ntawm lawv txoj kev ncaj ncees;
- stretching thiab rupture ntawm ligaments;
- tus neeg mob muaj sluggish ntev cov kab mob ntawm lub plab hnyuv siab raum, nrog rau o;
- cov txheej txheem nplaum;
- ntau yam benign thiab malignant neoplasms ntawm lub cev xeeb tub.
SAIB NTAWM LUB SIJ HAWM NTAWM UTERUS
Hauv feem ntau ntawm cov neeg mob, tus kab mob no muaj cov chav kawm asymptomatic thiab kuaj tau raws li cov txiaj ntsig ntawm kev kuaj mob. Txawm li cas los xij, qhov ntau tshaj tawm txoj kab nqes, qhov siab dua qhov ua rau tus neeg mob yuav cuam tshuam thaum cev xeeb tub los ntawm kev tawm ntawm cov ntsiab lus uterine. Qhov no tuaj yeem ua rau kev txhim kho ntawm qhov mob, cov tsos mob uas - tawm, mob hauv plab hauv plab - yuav ua rau tus neeg mob mus ntsib kws kho mob.
Txawm li cas los xij, nyob rau qee kis, cov poj niam uas raug kuaj pom muaj uterine dabtsi yog khoov yws ntawm:
- tsis xis nyob thiab txawm mob thaum muaj kev sib deev;
- nquag tso zis;
- mob nyob rau hauv lub tsev menyuam thaum lub sij hawm tso zis;
- mob hnyav nyob rau thawj hnub ntawm kev coj khaub ncaws;
- tsis muaj kev xeeb tub nrog kev sib deev ua si yam tsis muaj kev tiv thaiv rau ib xyoos lossis ntau dua;
- nchuav menyuam.
Kev kuaj mob ntawm qhov khoov ntawm lub tsev menyuam thiab kev kho mob hauv "ON CLINIC RYAZAN"
Qhov khoov ntawm lub tsev menyuam feem ntau pom thaum lub sijhawm ultrasound ntawm lub plab hnyuv siab raum. Hysterosalpingography, uas kuj tau ua nyob rau hauv peb lub chaw kho mob multidisciplinary nyob rau hauv kev tswj hwm ultrasound, yog lwm txoj kev tshawb fawb uas feem ntau ua tiav nrog kev xav tias tus neeg mob muaj lwm yam kab mob gynecological, nrog rau ib feem ntawm kev npaj cev xeeb tub.
Raws li rau kev kho mob ntawm kev kho uterine dabtsi yog khoov, nws yuav tsum suav nrog kev tshem tawm ntawm qhov tshwm sim uas provoked nws txoj kev loj hlob. Tus kws kho mob gynecologist tuaj yeem sau ntawv rau tus neeg mob los tiv thaiv kab mob, noj zaub mov, vitamin lossis physiotherapy, nrog rau kev tawm dag zog. Hauv cov mob hnyav tshaj plaws, tus neeg mob yuav raug phais, thaum lub tsev menyuam yuav raug kho kom raug. Feem ntau, qhov no yog kev ua haujlwm me me uas siv cov txheej txheem endoscopic niaj hnub.
Uterus positioned rov qab: cov tsos mob tshwm sim
Qhov sib txawv anatomical no tsis tiv thaiv kev xeeb tub thiab tsis ua mob rau fertility. Txawm li cas los xij, muaj lub tsev menyuam rov qab tuaj yeem ua rau mob pelvic (hauv jargon peb hais txog mob pelvic) me me mus rau nruab nrab, tshwj xeeb tshaj yog nyob rau hauv tej hauj lwm thaum penetrative kev sib deev, lossis txawm tias thaum cev xeeb tub. Raws li lub tsev menyuam nyob rau tom qab, lub tsev menyuam cramps thaum cev xeeb tub tuaj yeem hnov ntau dua hauv thaj tsam lumbar (hauv qab) dua li hauv plab plab.
Uterine retroversion: feem ntau pom thaum lub sij hawm ultrasound
Kev kuaj mob ntawm uterine retroversion feem ntau ua thaum lub sij hawm a Pelvic ultrasound, seb nws yog ib qho kev kuaj gynecological niaj hnub, cev xeeb tub thaum ntxov lossis nrhiav kev kho mob (cyst, endometriosis, thiab lwm yam). Tshwj tsis yog nws tshwm sim thib ob (saib lub thawv hauv qab), uterine retroversion yuav tsis xav tau kev kuaj mob ntxiv, tshwj xeeb tshaj yog tias tsis muaj cov tsos mob cuam tshuam lossis cuam tshuam nrog pathology.
Primary retroversion thiab secondary retroversion
Nco tseg: uterine retroversion kuj tuaj yeem tshwm sim tom qab, uas yog hais, tsis tuaj yeem tshwm sim thaum yug los. Qhov sib txawv yog li no ua los ntawm "primitive" retroversion thiab "secondary" uterine retroversion.. Lub tsev menyuam tuaj yeem dhau los ntawm txoj haujlwm anteverted mus rau txoj haujlwm rov qab, vim yog lub tsev menyuam fibroid, adhesions ntawm cov kabmob lossis endometriosis. Tom qab yug me nyuam, retroversion ntawm lub tsev menyuam kuj tuaj yeem ua ntu zus, vim kev so ntawm ligaments tuav lub tsev menyuam hauv qhov chaw.
Retroverted uterus: Puas muaj kev kho mob?
Tsis muaj kev kho mob feem ntau muaj rau lub tsev menyuam retroverted, vim qhov no anatomical peculiarity tsis muaj qhov tshwm sim. Yog tias nws tau pom meej meej tias uterine retroversion tsuas yog ua rau muaj kev ntxhov siab tshwj xeeb lossis tsis xis nyob, kev phais laparoscopic tej zaum yuav raug npaj, nrog cov teeb meem uas qhov kev cuam tshuam no koom nrog.
Thaum cev xeeb tub, yog hais tias txoj hauj lwm retroverted tsis kho nws tus kheej thaum pib ntawm lub thib ob peb lub hlis twg, a qhov chaw mos maneuver tuaj yeem ua los ntawm obstetrician-gynecologist, kom rov muab lub tsev menyuam rov qab.
Yuav ua li cas kom cev xeeb tub nrog ib tug retroverted uterus?
Hauv kev muaj tiag, lo lus nug tseem ceeb yuav zoo dua yog "Koj puas tuaj yeem xeeb tub nrog lub tsev menyuam rov qab?”. Ob lo lus nug ua rau tib lo lus teb: tsis muaj kev txhawj xeeb! Muaj lub tsev menyuam rov qab los tsis tiv thaiv koj ntawm kev xeeb tub thiab muaj kev xeeb tub, thiab tsis xav tau txoj hauv kev tshwj xeeb kom ua tiav qhov no.
Thaum cev xeeb tub, feem ntau, lub tsev menyuam yuav loj hlob thiab evolve, yog li ntawd txoj kev xav ntawm anteversion los yog retroversion yuav tsis muaj tseeb tiag. “Tshwj xeeb, raws li lub tsev menyuam nyob deb heev, lub ncauj tsev menyuam yuav txav mus tom ntej thiab tuaj yeem thaiv cov zis me ntsis, tab sis qhov no yog qhov tshwj xeeb heev ”, piav qhia rau ib tug ntawm peb cov neeg nyeem Prof. Philippe Deruelle, obstetrician-gynecologist ntawm Strasbourg University Tsev Kho Mob thiab yav tas los tus tuav ntaub ntawv ntawm National College of Obstetrician Gynecologists ntawm Fabkis (CNGOF). ” Raws li kev xeeb tub zuj zus, lub tsev menyuam yuav ua rau tsis muaj zog, nws yuav tsis nyob twj ywm retroverted mus txog thaum kawg. Tus me nyuam yuav los rau pem hauv ntej thiab siv ntau qhov chaw, kom qhov kev xav ntawm txoj hauj lwm ntawm lub tsev menyuam yuav ploj mus. Thawj txoj hauj lwm ntawm lub tsev menyuam yog li tsis cuam tshuam rau kev yug menyuam ”nws ntxiv.
Nco ntsoov tias qhov kev xav ntawm nruj thiab tuaj yeem mob plab hauv thawj peb lub hlis twg ntawm cev xeeb tub, vim qhov loj thiab qhov ncaj ntawm lub tsev menyuam, tej zaum yuav muaj zog me ntsis nyob rau hauv lub xub ntiag ntawm lub tsev menyuam retroverted.
Retroverted uterus: txoj hauj lwm twg yuav nyiam thaum sib deev?
Nyob rau hauv lub xub ntiag ntawm ib tug retroverted uterus, tej yam txoj hauj lwm thaum lub sij hawm penetrative kev sib deev yuav ua rau tsis xis nyob los yog txawm mob pelvic, hu ua dyspareunies. Lawv feem ntau sib sib zog nqus, thiab tshwm sim thaum tus khub noov los ntawm kev sib cuag nrog lub ncauj tsev menyuam, tob hauv qhov chaw mos. Cov haujlwm uas nkag mus tob (doggy style thiab cov haujlwm zoo sib xws hauv tshwj xeeb) yog li tsim kom muaj mob.
Yog nws thab peb, ces peb ua tau nyiam txoj haujlwm uas nkag mus tob tob, zoo li cov me me diav, Andromache qhov twg tus poj niam tswj kev nkag mus thiab kev tuaj thiab mus, los yog Lotus. Tsis txhob yig mus sim ntau txoj haujlwm thiab kev sib deev kev coj ua kom pom cov uas haum rau qhov zoo tshaj plaws.
Ceev faj, txawm li cas los xij, qhov mob pelvic hnyav thaum los yog tom qab kev sib deev tej zaum yuav cuam tshuam rau lwm yam ua rau (hlaws adhesions, endometriosis thiab / los yog adenomyosis, ectopic cev xeeb tub, zes qe menyuam cyst, gynecological malformation, polycystic zes qe menyuam syndrome, urinary ntshawv siab, cem quav. ...).
Mob lub sij hawm, endometriosis ...: cov lus nug peb nug peb tus kheej
Txawm hais tias tsis muaj kev tshawb fawb tau qhia meej qhov txuas rau qhov no tsis hais txog lub hnub nyoog ntawm cov neeg mob, nws muaj peev xwm ua rau lub tsev menyuam rov qab los ua rau mob ntau lub sij hawm, vim yog kev coj khaub ncaws tsis zoo.
Namely: endometriosis, vim yog adhesions nws tuaj yeem ua rau, tuaj yeem qaij lub tsev menyuam rov qab, rau hauv txoj haujlwm retroverted.
Txawm li cas los xij, tsis muaj kev sib raug zoo ua rau muaj kev sib raug zoo: nws tsis yog vim peb muaj lub tsev menyuam rov qab uas peb yuav tsum muaj endometriosis, thiab tsis yog vim peb muaj endometriosis uas peb lub tsev menyuam yuav tsum tau rov qab. Muaj cov mob endometriosis nrog lub tsev menyuam anteverted zoo li nrog lub tsev menyuam rov qab.
Qee tus kws kho mob evoke muaj kev pheej hmoo ntau dua ntawm lub cev qhovntsej thiaj tsis mob (prolapse) nrog lub tsev menyuam retroverted, tab sis qhov txuas no tsis txaus los lees paub qhov tseeb.
Contraception, fertility, khob… muaj ib tug retroverted uterus, qhov ntawd hloov li cas?
Hais txog qhov kevfertility, lub xub ntiag ntawm lub tsev me nyuam retroverted muaj ib tug priori tsis muaj kev cuam tshuam, yog hais tias qhov no anatomical feature tsis txuam nrog ib tug pathology uas txo fertility (fibroma, endometriosis, adhesions, thiab lwm yam). Nws kuj tsis tiv thaiv kev siv ntau yam kev kho mob pab tsim cov txheej txheem (ART) xws li kev siv tshuaj tua kab mob, kev sib tsoo ntawm zes qe menyuam lossis hauv vitro fertilization.
Hais txog kev tiv thaiv kab mob, lub tsev menyuam rov qab los tsis tiv thaiv kev tso IUD. Lub installation tuaj yeem yooj yim me ntsis ntxiv rau tus kws kho mob.
Tib yam mus rau kev siv lub cev lub cev los yog tampons. Muaj lub tsev menyuam retroverted tsis hloov dab tsi ua ntej. Tib yam yuav tsum tau ceev faj thaum thov thiab tshem tawm cov khoom siv no.
Rectivverted buly uterus