Oncological cov kab mob ntawm cov kev ua me nyuam feem ntau tsis muab ib daim duab saib mob, uas ua rau nws nyuaj rau diagnose lawv. Ntau cov tsos mob tshwm sim zoo li qhov tshwm sim uas tshwm sim - tsis ua hauj lwm hormonal. Thaum kuaj, nws tuaj yeem tsim kom muaj qhov tseeb. Cia li xav txog kev mob xws li kab mob, xws li cystoma ntawm lub zes qe menyuam: nws zoo li tus kab mob pathology yog pom.
Cov hlwv ntawm cov hlav thiab ntawm pojniam
Feem ntau, cov poj niam cuam tshuam no lub sij hawm nrog lwm cov hauv kev gynecology - "cyst". Hauv kev xyaum, qhov no tsis yog tib yam nkaus. Yog tias peb tham txog qhov txawv ntawm lub hlwv thiab lub cyst, cov lus sib txawv hauv qab no yuav tsum tau muab sau tseg:
- Kistoma yog lub pob kws muaj tseeb tiag uas tsim los ntawm cov hlwb hauv hlwb loj hlob tuaj rau hauv cov kab mob hauv zej zos thiab lub nruab.
- Cov nplaum ntawm ultrasound - ib lub meej, ib-chambered tsim nrog tus npoo, nyias phab ntsa. Cystoma ntawm ultrasound yeej ib txwm qhia tau tsawg dua tus kabmob, tuberous npoo, thickness ntawm cov phab ntsa nws txawv, tej zaum yuav inclusions los ntawm lwm cov ntaub so ntswg hauv.
- Kistoma tsis txwv nws txoj kev loj hlob, qeeb hauv txoj kev loj hlob rau lub sijhawm luv luv xwb. Lub cyst tau ntawm nws tus kheej pib rov qab txoj kev loj hlob thiab ploj (cov hlwv hauv plab).
- Txoj kev loj hlob ntawm lub cystoma yog vim yog lub division ntawm nws lub hlwb, lub cyst nce nyob rau hauv loj me ntsis vim hais tias ntawm lub ncab ntawm nws cov phab ntsa nyias.
- Cov kev sib txuam ntawm cov kab mob hauv zej zos thiab cov nqaij mos tau tshwm sim ntau zaus nrog kev tsim tawm ntawm lub hlwv. Kistoma tuaj yeem kis rau lwm cov nqaij thiab cov nruab nrog cev, kom muab cov kabmob metastases, rupture ntawm cystoma tsawg tsawg.
Cov hlwv ntawm zes qe menyuam - kev faib tawm
Ua kom to taub lub sij hawm ntawm zes qe menyuam plab, nws yog qhov yuav tsum tau hais tias lub neoplasm tuaj yeem ua ntau hom. Muaj ntau ntau yam kev sib tw uas coj mus rau hauv tus account tsis tsuas yog qhov loj ntawm lub cystoma, tab sis kuj yog cov yam ntxwv ntawm tus kabmob ntawm tus kabmob, qhov muaj pes tsawg leeg ntawm kev kawm, qhov ntawm cov ntsiab lus. Yog li, nyob ntawm seb cov yam ntxwv ntawm txoj kev khiav, qhov cystoma tau muab faib ua:
- benign - loj hlob qeeb, tso siab rau cov nqaij nyob ze;
- proliferating - muaj ib nrab chaw ntawm benign thiab malignant;
- Malignant - muaj ib tug sai txoj kev loj hlob, germinate nyob sib ze plab hnyuv siab raum.
Nyob ntawm seb cov hom kawm twg, lawv yog:
- serous - feem ntau ib leeg-chambered, nrog ib tug kua, opaque cov ntsiab lus;
- mucinous cysts - muaj ntau lub qauv, nrog cov ntsiab lus ntawm ib lub taub hau zoo nkaus li slime.
Nyob ntawm seb hom kab hauv sab hauv kab noj hniav li cas:
- Yeej - muaj ib caj pas;
- Cilioepithelial - muaj phab ntsa;
- papillary - muaj cov outgrowths, yog nws tus kab mob mus rau hauv tus kab mob cancer.
Mucinous cystoma
Hom kev tsim no yog qhov sib txawv hauv cov qauv. Cov hom kab mob qog no tau kuaj pom cov poj niam thaum muaj hnub nyoog, uas qhia tias tsis muaj teeb meem nrog kev ua me nyuam. Zaus ntawm qhov tshwm sim nce nyob rau hauv cov menopausal tom qab lub sijhawm. Kev hloov ntawm daim ntawv cystoma mus rau kev mob kheesxaws tsuas yog sau tseg rau hauv 3-5% ntawm tus neeg mob, los ntawm tag nrho cov tau tsim.
Nws tau txais kev pom zoo kom paub qhov txawv li ntau yam xws li pseudomucinous cystoma. Nws yog ib yam uas zoo xws li cov tsos mob, tab sis nrog ceev faj txog kev ntsuas nws muaj kev txawv txav. Pathology tsim nyob rau hauv embryonic differentiation ntawm embryonic leaflets. Qhov no mas yog ib qho ntawm ib sab ntawm lub zes qe menyuam ntawm lub zes qe menyuam, yuag los yog ovoid, nrog lub nruj sib xws, nrog qhov tsis sib luag.
Ntshav cystoma ntawm lub zes qe menyuam
Cov hlwv ntshav muaj hnyuv tau muaj ib txoj kab dav dav. Cov kua sau lawv muaj ib daim ntawv tshab, thiab feem ntau muaj xim nyob rau hauv cov xim straw. Hom kev kawm no yog qhov kev nce qib thiab kev loj hlob sai. Yog li ntawd, papillary cyst feem ntau ncav cuag lub cheeb ntawm 30 cm. Qhov tseeb ntawm kev tsim yog cov poj niam 40-50 xyoo. Nyob rau hauv cov ntaub ntawv no, kev mob txhav tshwm sim hauv 10-15% ntawm tus neeg mob pathology.
Dab tsi yog qhov cystom cystoma ntawm lub zes qe menyuam?
Tsis tas li ntawd, oncologists paub qhov txawv ntau yam li borderline cystoma. Nws lub npe raug muab rau qhov kev tsim tshiab no vim yog muaj cov cim txawv ntawm ib tus neeg mob benign thiab malignant tib lub sijhawm. Tawm, lawv tsis tuaj yeem raug vim yog benign vim yog rov huam mob heev thaum xaiv ib yam khoom nruab nrog cev. Kabmob cysts tshwm sim ntau dua rau cov pojniam ntawm lub hnub nyoog deev. Tej yam feem xyuam rau txoj kev tsim lawv, ntawm lawv:
- lig xa;
- siv cov hlab ntsha tuaj ;
- ploj zuj zus ntawm keeb kwm keeb kwm.
Cov hlwv ntawm zawv zawg - Cov tsos mob thiab kev kho ntawm ib tug poj niam
Cov poj niam uas paub txog cystic tus zes qe menyuam tsis tas yuav qhia meej txog cov cim ntawm pathology. Me me nyob hauv qhov hnyuv kistoma tsis muab nws tus kheej ntev. Feem ntau ib qho kev ua txhaum yog kuaj tau nrog kev ntsuam xyuas cov plab hnyuv siab raum. Nrog rau kev nce hauv qhov ntim txog li 3 cm lossis ntau dua, thawj cov tsos mob tshwm. Lawv pib nrog mob ib ce, rub rov qab rau hauv plab. Feem ntau mob muab nyob rau hauv lub puab tais, thaj chaw lumbar. Qe quav ntawm qe menyuam loj yog nrog nws los ntawm:
- muaj kev ntxhov siab, tawg ntho hauv plab;
- nce mob plab;
- ua txhaum ntawm kev coj khaub ncaws ;
- ntau zaus tso zis vim muaj kev zawm ntawm lub zais zis;
- kev ua txhaum ntawm cov hnyuv - raws plab, quav tawv;
- edema ntawm ob txhais ceg.
Pore exacerbations nrog rau kev ua txhaum ntawm kev ncaj ncees ntawm lub cystoma, yuav tau muab sau tseg:
- ntxiv zog kub cev;
- daggerache hauv plab;
- tachycardia;
- nro ntawm cov phab ntsa hauv sab nrauv.
Nrog rau xws li ib tug kab mob raws li cystoma, kev kho mob yog tau tsuas yog surgically. Nyob rau theem pib, kev ua haujlwm ntawm lub cev-khaws cia. Cov kws kho mob tshem tawm tsuas yog cuam tshuam cov cheeb tsam ntawm cov keeb ntawm lub zes qe menyuam. Nyob rau hauv cov ntaub ntawv no, lub caj pas nws tus kheej tseem ua haujlwm zoo. Cov mob hnyav heev yuav tsum tau tshem tawm ntawm cov zes qe menyuam. Nyob rau hauv thaum ntxov ua tau zoo:
- kev kho hluav taws xob;
- kws khomob .
Tshuav plab ntawm zes qe menyuam
Tus kab mob ntawm "cystoma ntawm sab qaum kev zes qe menyuam" yog ntau yam hauv kev xyaum ua poj niam. Qhov no yog vim anatomical qhov chaw, luam tawm ntawm lub caj pas. Tsis tas li ntawd, kev puas tsuaj ncaj qha rau sab nraud ntawm cov qe menyuam yaus ua rau pom daim duab pom zoo, pabcuam kev kuaj mob. Cov poj niam xws li yws txog:
- hnyav hnyav thiab mob hauv plab;
- nquag xeev siab, qee zaus ntuav;
- ua txhaum ntawm lub voj voog ntawm kev ua yuam kev.
Cystoma ntawm txoj kev zes qe menyuam
Tus cyst ntawm txoj kev zes qe menyuam feem ntau yog kuaj tau ntawm ib qib qis. Yog vim li cas qhov no yog qhov tsis muaj duab meej ntawm tus kab mob, cov tsos mob. Tus mob yog kuaj xyuas nrog kev kuaj mob, ib qho kev soj ntsuam ntawm kev ntxiv ntshav. Cov txheej txheem pathological proceeds tau zoo nyob hauv ob qho qog. Kev loj hlob sai yuav tsum muaj kev kho mob, ua haujlwm.
Tshem tawm ntawm cov hlwv ntawm zes qe menyuam
Yog hais tias tus neeg mob muaj tus kabmob ntawm zes qe menyuam loj loj, qhov kev xav tau rau kev phais yog pom tseeb. Hauv qhov no, cov kws kho mob qhia tawm kom tshem tawm cov qog tsis hais seb nws loj npaum li cas. Yog li ntawd nws yog ua tau los tiv thaiv tau txoj kev hloov mus rau ib tug malignant qog. Thaum lub sij hawm ua hauj lwm, tshem tawm cov cyst, txiav txim siab nws qhov, tsis suav malignancy.
Lub ntim ntawm lub lag luam yog txiav txim siab los ntawm qhov loj ntawm cov qog, hom, hnub nyoog ntawm tus neeg mob. Feem ntau, qhov kev cuam tshuam yog ua los ntawm ib txoj kev laparoscopic. Nrog serous cysts, lub cystectomy tau ua tiav - kev tsim tawm raug tshem tawm, ua kom cov nqaij mos ntawm zes qe menyuam. Mucinous cysts yuav tsum tau resection ntawm lub caj pas uas cuam tshuam - oophorectomy. Tom qab zoo li no, yuav tshem cov cystoma, qhov seem uas yog hlau tau ua "lub luag haujlwm" rau qhov kev ua rau me nyuam yaus.