Raws li kev txheeb xyuas, 70% ntawm cov poj niam ntawm cov hnub nyoog deev hluas yog ntsib qhov teeb meem ntawm kev kho qhov ncauj ntawm ncauj tsev menyuam. Qhov ua rau ntawm cov tsos mob ntawm kev yaig yog ntau yam, tab sis lub ntsiab tseem ceeb yog tus kab mob papilloma tib neeg, uas nkag mus rau hauv lub ncauj tsev menyuam ntawm ncauj tsev menyuam thiab ua rau muaj kev mob ntsws. Qhov no, nyeg, ua rau kev hloov hauv cov qauv ntawm cov epithelium (hloov qhov multilayered planar epithelium nrog ib tug cylindrical ib). Nyob rau hauv peb tsab xov xwm, peb yuav xav txog cov txheej txheem kho mob li cauterization ntawm lub qhov ncauj ntawm qhov chaw mos nrog lub laser.
Yuav ua li cas npaj rau laser cauterization ntawm poj niam caws mos ntsev?
Ua ntej yuav muab tus qauv ntawm txoj kev kho menyuam yaus ntawm qhov ncauj, tus poj niam yuav tsum raug kuaj xyuas. Qhov kev ntsuam xyuas hauv qhov chaw mos uas siv cov txheej txheem colposcopy siab tso cai rau kev txhom xyuas tus mob ntawm nws tus kheej, kom paub tias ntev npaum li cas nws tau tshwm sim (kev kho ntawm "cov hlab ntsha hauv" me nyuam yaus yog qhov ua tau zoo hauv txoj kev sib txuam). Tus kws kho mob yuav tsum siv lub tshuab nqaij los ntawm qhov tawm ntawm sab hauv los mus pom qhov ntawm lub cell hloov thiab muaj cov atypical hlwb.
Tus kws kho mob yuav tuaj yeem xa tus poj niam mus rau qhov chaw kuaj kab mob PCR-diagnostics (polymerase chain reaction) kom muaj ntau yam kabmob (mycoplasma, chlamydia, human papilloma virus high risk oncogenic). Nrog rau qhov zoo ntawm qhov kev ntsuam xyuas, tus neeg mob tau txais kev kho mob. Kom kom tsis muaj zog ntawm lub ncauj tsev menyuam nrog ib lub laser nws tsuas yog tom qab tso cai ntawm kev kho mob.
Tus naj npawb ntawm cov kev kuaj xyuas yuav tsum ua ntej kev kho cov laser therapy xws li: kev kuaj ntshav rau cov tshuaj tiv thaiv kab mob ntsav (Wasserman cov tshuaj tiv thaiv), ib pawg ntshav thiab ib qho smear rau cyology ntawm lub ncauj tsev menyuam.
Dab tsi yog qhov txheej txheem rau laser cauterization ntawm ncauj tsev menyuam?
Cov txheej txheem rau kev kho mob ntawm lub ncauj tsev menyuam ntawm cov ncauj tsev me nyuam yuav luag tsis mob thiab tsis tas yuav siv tshuaj loog. Rau kev kuaj mob hauv zos, tus kws kho mob ua rau lub ncauj tsev menyuam nrog kev kho ntawm cov tshuaj loog. Thaum lub sij hawm tus txheej txheem, tus poj niam yog nyob rau hauv ib chav tshwj xeeb nyob rau ntawm lub rooj zaum gynaecological. Tus kws kho mob tshem tawm cov ntaub so ntswg (qhov nqaij tawg) nrog lub laser riam. Tus txheej txheem yog nqa tawm ntawm hnub thib 5 - 6 rau ntawm kev coj khaub ncaws. Nws yog ib qho tseem ceeb uas yuav tsum tau hais tias qhov no yuav tsum yog qhov zoo tshaj plaws nyob rau hauv kev kho mob ntawm kev yaig nyob rau hauv cov poj niam nulliparous.
Lub sij hawm zoo tom qab cauterization ntawm ncauj tsev menyuam los ntawm laser
Tom qab cauterization ntawm laser erosion, lub caj dab sab yog lub qhov txhab uas yuav tsum tau kho. Qhov no yuav siv li ntawm 1.5 lub hlis (nquag ntxuav ntawm qhov mob tshwm sim hauv thawj 5 hnub). Tom qab kho ntawm qhov mob ntawm lub qhov txhab, lub caj dab yuav tsum du, tsis muaj qhov nti (qhov no qhia tau hais tias tus txheej txheem yog ua kom raug). Kom ua kom cov txheej txheem rov ua dua tshiab, tus kws kho mob yuav xav kom tus poj niam tawm tsam poj niam pw hauv 30 hnub, thiab nws kuj tsis pub dhau 10 hnub los muab cov tshuaj tiv thaiv nrog cov tshuaj methyluracil.
Tom qab cauterizing lipid erosion laser, tus poj niam muaj peev xwm ntshiab, kua dej tawm tsis muaj ntxhiab tsw.
Yog li, qhov tshwm sim ntawm ncauj tsev menyuam dysplasia yog nce ntxiv. Ntawm chav kawm, qhov no yog vim muaj kev ntxhov siab ntawm qhov teeb meem ntawm kev lag luam thiab txo qis dua qhov kev coj ncaj ncees (xws li poj niam txiv neej). Hlawv ntawm lub ncauj tsev menyuam yuav siv sij hawm ntev tsis ua rau nws tus tswv tsev muaj teeb meem. Txawm li cas los xij, peb yuav tsum tsis txhob hnov qab tias dysplasia tuaj yeem pib ntawm qhov kev loj hlob ntawm qhov ncauj ntawm qhov ncauj ntawm ncauj tsev menyuam, yog li ntawd nws yog ib qhov tsim nyog los kho nws. Thiab feem ntau txoj kev zoo ntawm kev kho mob yaig mus rau ib tug poj niam yuav tsum tau qhia los ntawm ib tug competent gynecologist.