Fibroadenoma - yog dab tsi? 4 txoj kev kho mob yam tsis muaj kev phais

Cov txheej txheem:

Fibroadenoma - yog dab tsi? 4 txoj kev kho mob yam tsis muaj kev phais
Fibroadenoma - yog dab tsi? 4 txoj kev kho mob yam tsis muaj kev phais
Anonim

YLub mis fibroadenoma - yog dab tsi?

Fibroadenoma ntawm lub mis
Fibroadenoma ntawm lub mis

Fibroadenoma ntawm cov qog mammary yog cov qog ntawm cov keeb kwm zoo. Muaj cov ntaub so ntswg sib txuas thiab cov qog nqaij hlav, txav tau yooj yim - cov tsos mob ntawm "float", yog qhov tshwj xeeb ntawm fibroadenoma.

Mammologists txhais tias fibroadenoma yog ib hom mastopathy uas tshwm nyob rau hauv cov ntaub so ntswg ntawm cov qog mammary. Tus kab mob no cuam tshuam rau cov poj niam nkaus xwb. Tus tsim fibroadenoma yog yuav tsum tau soj ntsuam thiab kho. Feem ntau, kev kho mob muaj kev phais vim qhov kev loj hlob ntawm cov qog. Raws li kev txheeb cais, 5% ntawm fibroadenomas degenerate mus rau hauv daim ntawv malignant.

Tus kab mob no tshwm sim hauv cov ntxhais thiab cov poj niam hnub nyoog 15 txog 35 xyoo. Cov neeg mob coob tshaj plaws tshwm sim thaum muaj hnub nyoog 20 xyoo. Raws li txoj cai, nodules tshwm sim nyob rau hauv ib lub qog mammary, tsuas yog nyob rau hauv 10% lub pathology yog ob sab.

Feem ntau, cov ciam teb ntawm kev tsim muaj txog 2-3 cm, tab sis qee zaum cov qog loj tsim - ntau dua 6 cm. Hauv 80% ntawm cov poj niam, ib leeg pom, hauv 20% - ntau. Benign fibroadenoma tsis ua rau mob metastasis thiab tsis ua rau muaj kev hem thawj rau poj niam lub neej.

Yuav ua li cas txhawm rau kuaj pom fibroadenoma hauv tsev ntawm koj tus kheej? Cov qog feem ntau kuaj pom los ntawm lub sijhawm, vim nws qhov tsos tsis muaj tsos mob tshwm sim. Ib tug poj niam gropes rau me ntsis foob nyob rau hauv lub glandular cov ntaub so ntswg, uas yog yooj yim displaced. Cov tsos mob tsis zoo los yog mob thaum lub sij hawm palpation tsis pom. Qee zaum, cov qog tseem pom tsis tau txog thaum muaj cov tsos mob tshwm sim.

Yog tus kab mob no mus rau theem tom ntej, cov qog yuav loj tuaj. Nws yog ib qho yooj yim rau palpate nyob rau hauv lub mis cov ntaub so ntswg. Ib tug poj niam muaj kev zoo siab ntawm lub hauv siab mob. Yog hais tias lub pathology hloov mus rau hauv ib tug malignant daim ntawv, cov xim thiab qauv ntawm daim tawv nqaij saum toj no nws noticeably hloov, ib tug paug tawm ntawm lub txiv mis tshwm.

Lub ntsiab lus ntawm benign fibroadenoma yog cov npoo du. Ib tug bumpy qauv qhia ib tug malignant txheej txheem. Nplooj-zoo li tus fibroadenoma yog suav tias yog txaus ntshai.

Yog tias pom ib pob, tsis tas yuav tos kom pom cov tsos mob. Txawm hais tias neoplasm tsis thab koj, ib tug poj niam yuav tsum nrhiav kev qhia ntawm tus kws kho tsiaj. Tus kws kho mob yuav sau ib qho kev ntsuam xyuas los txiav txim seb qhov mob ntawm lub qog. Ua tsaug rau niaj hnub kev tshuaj xyuas, ultrasound lossis mammography, fibromyomas raug kuaj pom thaum ntxov tshaj plaws ntawm kev tsim.

Cov tsos mob Fibroadenoma

Fibroadenoma Cov tsos mob
Fibroadenoma Cov tsos mob

Thaum pib ntawm qhov tsim ntawm fibroadenomatous nodule, tus poj niam tsis muaj cov tsos mob tshwj xeeb. Tsuas yog nrog ib tug txaus nce mus rau 2-3 cm, qhov tsim ua tau yooj yim palpable. Nyob rau hauv txoj hauj lwm supine, nws tsis ploj. Kev kuaj pom cov qog nyob rau hauv lub caj pas mammary yog vim li cas rau qhov yuav tsum tau mus ntsib kws kho mob.

Feem ntau, cov node yog tsim nyob rau hauv lub sab sauv sab sauv los yog sab sauv sab hauv ntawm lub mis. Ntau cov fibroadenomas yog ntau qhov tsim ntawm ntau qhov sib txawv uas nyob hauv ntau qhov chaw ntawm lub hauv siab.

Nrog cov qog nqaij hlav, cov qauv thiab xim ntawm daim tawv nqaij ntawm lub mis tsis hloov. Yog cov qog me me, qhov loj ntawm lub mis tsis nce. Kev hloov pauv ntawm cov duab thiab qhov loj ntawm lub qog mammary yog pom nrog loj heev ib qho kev tsim. Lub mis asymmetry yog qhov pom kev pom.

Rau lub hom phiaj ntawm kev tshawb pom ntxov ntawm kev hloov pauv hauv cov qog mammary, cov poj niam raug qhia kom ua qhov kev kuaj xyuas tus kheej. Lub sijhawm zoo tshaj plaws rau qhov no yog tom qab qhov kawg ntawm kev coj khaub ncaws. Txhawm rau ua qhov no, koj yuav tsum tau sawv ntsug ntawm daim iav, ntsuas qhov sib luag ntawm cov qog mammary nrog koj txhais tes qis thiab tsa, thiab maj mam palpate lawv. Kev xav pib los ntawm sab sauv sab saud thiab txuas mus ntxiv clockwise. Ib qho fibroadenoma txhais tau tias yog ib qho nyuaj uas swb yooj yim hauv qab ntiv tes.

Tus kab mob no nrog rau kev hloov pauv hauv keeb kwm ntawm hormonal, uas tshwm sim los ntawm kev mob thiab nro ntawm lub hauv siab nyob rau hauv lub thib ob ib nrab ntawm kev coj khaub ncaws. Feem ntau cov poj niam pom muaj zog rhiab heev ntawm lub txiv mis. Tsis muaj mob thaum palpation ntawm cov qog.

Kev nce hauv thaj tsam ntawm cov qog yog pom nyob rau hauv ib nrab ntawm lub voj voog tawm tsam keeb kwm ntawm premenstrual syndrome. Thaum lub sijhawm no, cov kua dej tau khaws cia rau hauv cov ntaub so ntswg ntawm cov qog mammary, edema tshwm, uas tuaj yeem ua yuam kev rau cov qog nqaij hlav loj hlob.

Rau fibroadenomas, tso tawm ntawm lub txiv mis tsis raug, yog tias lawv tshwm sim, feem ntau nyob rau hauv ib nrab ntawm lub voj voog. Txhawm rau kuaj xyuas qhov tso tawm, maj mam nyem lub txiv mis nrog ob ntiv tes. Liquid tshwm sim:

  • Serous.
  • Muddy white.
  • Brownish.

Cov tsos ntawm cov ntshav impurities yog ib qho kev kuaj mob tsis zoo uas yuav qhia txog kev txhim kho ntawm cov txheej txheem malignant.

Thaum lub sijhawm kuaj ntawm cov subclavian, supraclavicular, axillary pawg ntawm cov qog ntshav, lawv qhov loj me thiab qhov ntom tau txiav txim siab.

Cov qog loj, ncav cuag li ntawm 7 mus rau 15 cm, deform lub caj pas mammary, compress cov ntaub so ntswg thiab paj hlwb. Nyob rau tib lub sijhawm, tus poj niam tau hnov mob thiab kub hnyiab.

Adenoma tuaj yeem nyob hauv thaj tsam ntawm lub txiv mis. Nyob rau hauv cov ntaub ntawv no, cov qog nqaij hlav tsis loj, lub areola ntawm lub txiv mis yog edematous, hyperemic. Qhov tso tawm ntawm serous kua los yog ichor yog yam ntxwv. Cov tawv nqaij ntawm lub txiv mis thiab nyob ib ncig ntawm nws yog khaus, crusts thiab ulcerations tshwm. Ntawm palpation nyob rau hauv qhov tob ntawm lub txiv mis, lub movable node ntawm ib tug mos, elastic qauv yog txiav txim. Areola - ib txwm xim, tawv nqaij hloov zoo li txiv kab ntxwv tev thiab wrinkling tsis tuaj. Cov cim qhia no yog yam ntxwv ntawm mob qog noj ntshav.

Vim kev kawm

Yog vim li cas rau kev kawm
Yog vim li cas rau kev kawm

Cov kab mob hormonal yog qhov laj thawj tseem ceeb rau kev loj hlob ntawm benign neoplasms nyob rau hauv cov qog mammary thiab cov qog nqaij hlav ntawm lub plab me me. Cov poj niam lub mis hnov mob siab lossis loj rau lub cev hormonal surges:

  • Ovulation.
  • Kev cev xeeb tub.
  • Menstruation.

Hormonal imbalance provokes kev loj hlob ntawm cov qog ntawm ntau yam keeb kwm.

Nws tau raug tsim los tias fibroadenoma yog ib qho tshuaj hormone-dependant uas tsim tawm tsam keeb kwm ntawm:

  • Poberty.
  • Kev rho menyuam los yog ua rau raug rho tawm.
  • Kev xaiv tshuaj hormonal tsis raug.
  • Kab mob ntawm cov thyroid caj pas, qog adrenal.

Qhov loj ntawm cov qog nce hauv ib nrab ntawm lub voj voog, thaum cev xeeb tub. Fibroadenoma tuaj yeem teb rau cov tshuaj hormonal surges los ntawm kev nce los ntawm ib qho ntawm peb.

Mammologists txheeb xyuas ntau yam uas tuaj yeem cuam tshuam cov tsos ntawm cov qog nqaij hlav hauv cov qog mammary:

  • Tsev neeg keeb kwm ntawm mastopathy.
  • Kev rog rog (visceral rog yog ib yam kabmob endocrine uas tsim cov tshuaj estrogen).
  • Ovarian qog.
  • siv tshuaj tiv thaiv qhov ncauj mus ntev.
  • Kab mob kis kab mob ntawm kev ua me nyuam.
  • Tsis pub mis niam.
  • Kev txwv tsis pub lactation.
  • Miscarriages lossis rho menyuam hauv gynecological keeb kwm.
  • Tus naj npawb ntawm cev xeeb tub, yug.
  • Teeb meem hauv tsev neeg, kev ntxhov siab tsis tu ncua.
  • tus cwj pwm phem.
  • Kev tsis txaus siab hauv lub neej sib raug zoo.
  • Irregular or tsis muaj poj niam txiv neej.
  • mob lub mis.
  • Rov teem sijhawm ua haujlwm.

Type of fibroadenomas

Hom fibroadenomas
Hom fibroadenomas

Fibroadenomas raug faib ua hom:

  • Intracanalicular - cov node yog tsim nyob rau hauv lub duct, nws muaj ib tug heterogeneous qauv.
  • Pericanalicular - cov node loj hlob nyob ib ncig ntawm cov kwj dej, txo nws tus kheej nrog hnub nyoog.
  • Mixed.
  • Nplooj-puab (phylloidal) - hom txaus ntshai, nquag ua rau mob qog noj ntshav. Cov qog ua ke cov hlwb ntawm cov qauv sib txawv - ib txwm, ciam teb, atypical.

Qhov txawv ntawm cov laus thiab cov tsis paub qab hau fibroadenomas. Ib lub qog loj hlob nyob rau hauv ib lub plhaub ntom, uas txhais tau hais tias tsuas yog kev kho mob phais. Knots tsis paub qab hau yog muaj nyob rau hauv cov ntxhais hluas thaum lub sij hawm puberty. Hom qog no yuav daws tau nws tus kheej.

Nws yuav tsum nco ntsoov tias fibroadenoma yog qog nqaij hlav, thiab fibroadenomatosis yog ib yam mob uas muaj ntau yam kab mob hauv lub mis. Cov yam ntxwv etiological ua rau cov kab mob no tshwm sim, tab sis cov kab mob ntawm kev kho mob muaj qhov sib txawv loj.

Diagnosis

Ua ntej tshaj plaws, tus kws kho mob mammologist tshuaj xyuas thiab palpates lub mis. Ultrasound los yog mammography yog qhia kom paub meej tias qhov kev kuaj mob. Qee qhov xwm txheej, ob qho kev tshawb fawb tau ua kom paub meej qhov tsis zoo ntawm cov qog thiab nws keeb kwm. Kev kuaj mob histological qhia tau hais tias cov qog nqaij hlav benign los yog malignant, uas ua rau biopsy.

Cov txheej txheem yog ua raws li kev tshuaj loog hauv zos los ntawm kev ua kom lub siab lossis kev txiav tawm. Nyob rau hauv thawj rooj plaub, ib tug syringe yog siv, nyob rau hauv lwm yam, ib tug tshwj xeeb ntaus ntawv. Feem ntau siv yog ib rab koob tuab, ntev, uas yog siv los coj cov ntaub so ntswg. Lub chaw soj ntsuam kuaj cov biomaterial rau atypical hlwb.

Kev nyuaj siab

Fibroadenomas ntawm qhov me me tsis yooj yim rau kev loj hlob hnyav. Kev nce qib tau sau tseg tsis tshua muaj, tsis ua rau muaj teeb meem. Cov hormonal surges ntse yuav provoke active kev loj hlob thiab ntxiv deformation ntawm mammary caj pas. Cov qog ntawm qhov tsis tseem ceeb tuaj yeem ua rau tag nrho cov qog mammary, uas ua rau nws loj tuaj.

Qhov txaus ntshai tshaj plaws ntawm cov qog loj heev yog nplooj ntoo zoo li fibroadenoma. Nws txoj kev loj hlob pathological ua rau degeneration mus rau hauv lub sarcoma.

kev kho mob fibroadenoma

Kev kho mob fibroadenoma
Kev kho mob fibroadenoma

Ib qog nqaij hlav hauv cov hluas xav tau kev saib xyuas zoo. Qhov tsis tu ncua ntawm qhov loj ntawm fibroadenoma muab kev cia siab tias tom qab tsim lub voj voog ruaj khov nrog ovulation, regression yuav tshwm sim. Kev tswj hwm kev cia siab yam tsis muaj kev kho tshwj xeeb raug tso cai nrog kev saib xyuas ntawm tus mob ntawm cov leeg txhua rau lub hlis.

Yog tias mob fibroadenoma tau sau npe rau hauv tus poj niam laus dua 40 xyoo, qhov kev tos tos tsis tau xyaum.

Cov nodules me (5-8 hli) tsis raug tshem tawm. Lawv raug soj ntsuam kom nkag siab qhov xwm txheej ntawm kev loj hlob. Neoplasms loj dua 0.8-1 cm yuav raug tshem tawm.

Hnub no, tsis muaj txoj hauv kev zoo tshaj los kho fibroadenoma dua li tshem tawm.

4 kev kho mob niaj hnub

Niaj hnub nimno mammology siv txoj kev ablative los tshem cov qog. Cov txheej txheem no yog cov yam ntxwv ntawm kev raug mob tsawg thiab ua haujlwm siab.

Kev tshem tawm Fibroadenoma yog ua nyob rau hauv ib qho ntawm cov hauv qab no:

  • Cryoablation.
  • Laser rhuav tshem.
  • FUZ-ablation (HIFU-therapy).
  • Mammotomy biopsy.

Cryoablation - tshwm sim ntawm tus neeg mob sab nraud siv tshuaj loog hauv zos. Tus neeg mob tsis xav tau kev kho mob mus ntev. Txoj kev no yog siv rau cov poj niam ntawm txhua lub hnub nyoog, ua ntej lub tswv yim npaj. Tom qab tshem tawm ntawm lub pob, tsis muaj qhov caws pliav txuas, uas ua kom lub cev patency ntawm cov kua mis thiab tsis cuam tshuam rau kev pub niam mis.

Tom qab tshuaj loog, tus kws kho mob ua ib qho me me los ntawm kev sojntsuam. Raws li kev tswj hwm ultrasound, nws raug coj mus rau neoplasm thiab tom qab ntawd txias mus rau -180 ° C. Txias yog nqa tawm ntawm tus nqi ntawm cov khoom siv cryoagent (argon, kua nitrogen). Qhov ntsuas kub qis ua rau cov cell membranes ntawm cov qog, thromboses cov hlab ntsha thiab ua rau hypoxia ntawm nws cov ntaub so ntswg. Yog tsis muaj cov ntshav khiav, cov node puas lawm. Nyob rau hauv lub neej yav tom ntej, lub cev ntawm nws tus kheej dissolves nws cov seem ntawm lub cev tiv thaiv kab mob.

Txoj kev yog siv rau cov qog ntawm 3 mus rau 3.5 cm. Yog li ntawd, nws muaj peev xwm ua tiav cov txiaj ntsig kho mob siab nrog cov txiaj ntsig zoo nkauj tshaj plaws.

Laser kev puas tsuaj - cuam tshuam nrog cov nyhuv thermal ntawm cov qog tom qab tso qhov kev sojntsuam rau hauv nws cov qauv. Lub mechanism ntawm kev txiav txim yog zoo li cryoablation. Lub laser emits thermal zog thiab nthwv dej uas ua rau cov qauv ntawm lub mis. Vim yog cov yam ntxwv no, tsis yog txhua tus kws kho mob xav tias lub laser yog ib txoj kev nyab xeeb kiag li. Xyoo 1999, thaum lub sijhawm soj ntsuam ntawm 27 tus poj niam tom qab laser tshem tawm ntawm fibroadenoma, nws tsis tuaj yeem ua pov thawj qhov kev nyab xeeb tag nrho ntawm txoj kev.

FUZ-ablation - raug rau fibroadenoma los ntawm kev raug rau tsom ultrasound hluav taws xob. Kev ua haujlwm yog ua los ntawm tus neeg mob sab nraud. Tus poj niam tsis xav tau tshuaj loog. Ultrasonic nthwv dej dhau ntawm daim tawv nqaij mus rau ntawm lub pob, necrotic thiab ua kom puas. Tom qab ob peb lub lis piam, ua tiav resorption ntawm cov qog tau sau tseg.

Mammotomy biopsy. Koom nrog cov tshuaj loog hauv zos, kev phais hla lub fibroadenoma, ntxig rau kev sojntsuam raws li kev taw qhia ultrasound, daim ntawv thov lub tshuab nqus tsev tshem tawm cov qog. Tom qab xws li ib tug manipulation, ib tug ceev rov qab tau muab sau tseg, lub caws pliav yog tsis tshua pom.

Kev xam phaj nrog xibfwb Avraham Rivkind, Tus Thawj Saib Xyuas Kev phais mob ntawm Hadassah Tsev Kho Mob hauv Ixayees: yuav ua li cas kho fibroadenoma thiab peb yuav tsum ntshai nws?

Yuav tsum tshem tawm fibroadenoma?

qog regression tshwm sim tsuas yog tom qab lub cev tsis muaj zog. Cov kws kho mob mammologists tau pom tias qhov histologically paub tseeb tias fibroadenoma tsis ua rau mob qog noj ntshav. Qhov kev pheej hmoo ntawm degeneration yog txuam nrog tus naj npawb ntawm pathological foci thiab cov txheej txheem uas tuaj yeem ua rau lawv qhov kev loj hlob hnyav.

Hauv cov chaw kho mob Lavxias, cov poj niam feem ntau tau txais kev phais mob, txawm tias feem ntau nws tsis xav tau. Txhua yam kev kho mob phais yuav tsim ib qho caws pliav, ua txhaum ntawm kev ncaj ncees ntawm cov mis nyuj ducts. Ntawm cov teeb meem postoperative, o, suppuration ntawm cov ntaub so ntswg yuav tsum txawv. Kev rov tshwm sim tom qab kev phais mob tsis zoo rau fibroadenoma.

Thaum qhov kev lees paub ntawm histological ntawm ib qho yooj yim fibroadenoma, tsis muaj kev tsis txaus siab thiab cov tsos mob tsis zoo, kev ua haujlwm tsis raug sau tseg. Yog tias tsev neeg keeb kwm ntawm mob qog noj ntshav tau tsim, txoj kev kho mob tau tham nrog tus kws kho mob kom ntxaws ntxiv. Ib qho kev qhia tsis xwm yeem rau kev kho mob phais yog qhov pom ntawm cov tsos mob tsis zoo, cov qog ua haujlwm loj hlob.

Kev tshem tawm ntawm fibroadenoma

Qhia rau kev phais mob ceev yog:

  • YFoliate fibroadenoma.
  • qog nqaij hlav nrog kev loj hlob sai sai.

Kev tshem tawm qog nqaij hlav raug tshuaj:

  • Thaum cov qog nce mus txog 1 cm.
  • Ntawm lub tswv yim npaj theem.
  • Nrog qhov kev loj hlob ruaj khov.
  • Thaum tus poj niam nws tus kheej xav kom tshem tawm txoj kev pheej hmoo ntawm qog degeneration mus rau mob qog noj ntshav.

Tom qab kev ntsuam xyuas, tus kws kho mob txiav txim siab txog kev ua haujlwm. Raws li kev siv tshuaj loog hauv zos, kev ua haujlwm tau ua raws li tus neeg mob sab nraud.

tshuaj loog dav dav yog tsim nyog nyob rau hauv rooj plaub ntawm sectoral resection. Tus neeg mob tau mus pw hauv tsev kho mob hnub ua ntej kev phais. Hnub ua ntej, ua ntej noj mov, thaum sawv ntxov hnub ua haujlwm, tus poj niam txwv tsis pub noj thiab haus.

Tom qab kev kho mob phais, kev npaj hormonal yuav tsum tau kho qhov sib npaug ntawm cov tshuaj hormones. Yog tsis muaj theem no, kev kho mob ruaj khov tsis tuaj yeem ua tau - cov qog yuav rov tsim dua.

Tus kws phais mob, tus kws kho mob oncologist-mammologist, tus kws kho mob ultrasound Stepyko Stanislav Borisovich tham txog txoj hauv kev tshem tawm fibroadenoma:

Nyob rau theem ntawm kev npaj rau kev phais, kev kuaj xyuas yog qhov yuav tsum tau ua, suav nrog:

  • Urine tsom xam dav dav.
  • Biochemistry thiab suav ntshav kom tiav.
  • kuaj ntshav HIV, kab mob siab.
  • Fluorography.

Hom haujlwm siv los tshem tawm fibroadenoma:

  • Elucidation - nyob rau hauv cov tshuaj loog hauv zos, tus kws kho mob ua rau daim tawv nqaij me me hla cov qog thiab tshem tawm nrog rau cov tshuaj ntsiav. Cov ntaub mos mos tsis raug puas thaum lub sijhawm ua haujlwm, cov duab thiab qhov loj ntawm lub mis tsis hloov. Tom qab cov txheej txheem, me me, cosmetic sutures yog siv.
  • Sectoral resection - cov qog yog excised nrog rau cov ntaub so ntswg nyob ze. Kev ua haujlwm yog muab rau cov nplooj zoo li fibroadenoma. Nrog rau qhov nce sai hauv cov qog los yog qhov tsis txaus ntseeg ntawm degeneration rau hauv daim ntawv malignant, cov kws kho mob tsis xav tos. Kev khaws cia ntawm cov duab thiab qhov loj ntawm lub mis yog nyob ntawm qhov chaw thiab qhov loj ntawm lub pob. Tom qab ua haujlwm, ib qho caws pliav me me tseem nyob. Yog tias qhov kev tshem tawm tau tshwm sim nrog kev txiav tawm ntawm qhov ntim loj ntawm cov ntaub so ntswg, nws tuaj yeem ua mammoplasty.
  • Ultrasonic tshem tawm cov qog (ultrasonic ablation) - ua siv cov cuab yeej tshwj xeeb. Cov qog yog kho nrog ultrasound. Cov nthwv dej yog tsom mus rau qhov chaw ntawm cov qog thiab rhuav tshem cov hlwb hloov pauv. Ultrasound ablation tsuas yog siv los tshem tawm cov qog nqaij hlav. Qhov zoo ntawm txoj kev yog qhov tsis muaj qhov caws pliav tom qab, kev khaws cia ntawm lub mis zoo. Txoj kev no yog kim, tab sis tsis tso cai rau kev tshem tawm cov ntaub so ntswg xa mus rau kev kuaj histological.

Post-operative period

Kev tshem tawm Fibroadenoma yog kev ua haujlwm yooj yim uas tsis tas yuav rov ua haujlwm ntev. Nyob rau lub sijhawm postoperative, kev kho tshuaj tua kab mob tsis tau sau tseg, tsis tshua siv tshuaj tua kab mob. Yog tias qhov kev ua haujlwm tau ua rau tus neeg mob sab nraud, tus neeg mob raug tso cai mus tsev tom qab 2-3 teev. Nyob rau hauv cov ntaub ntawv ntawm daim tawv nqaij incision, hnav khaub ncaws yog ua txhua hnub, cov sutures raug tshem tawm nyob rau hnub 5.

Kev Tiv Thaiv

Kev tiv thaiv
Kev tiv thaiv

Yog tias muaj qhov tshwm sim ntawm cov qog nqaij hlav, qhov kev mob tshwm sim zoo. Qhov ua ntej cov qog raug tshem tawm, qhov zoo dua qhov zoo nkauj. Excision ntawm loj formations yuav tsum tau mammoplasty ntxiv kom rov zoo lub mis.

Txhawm rau txo qhov kev pheej hmoo ntawm fibroadenoma thaum hluas, cov haujlwm ntawm hypothalamic-pituitary system yuav tsum tau tswj xyuas los ntawm cov kev cai yooj yim:

  • Ua raws li kev pw tsaug zog thiab sawv.
  • Nyob zoo, noj qab nyob zoo.
  • Kev tsis suav nrog kev ntxhov siab-kev ntxhov siab.
  • Tsis suav cov zaub mov hnyav.
  • Tshaj tawm qhov hnyav.

Nrog rau qhov pib ntawm lub hnub nyoog yug me nyuam, nws yog qhov tsim nyog:

  • Yuav tshuaj tiv thaiv kom tsis txhob rho menyuam.
  • Xaiv COCs ua ke nrog tus kws kho mob gynecologist tom qab kuaj hormonal. Cov koob tshuaj ethinylestradiol hauv lawv yuav tsum tsis pub tshaj 20 mcg. Cov muaj pes tsawg leeg yuav tsum muaj gestodene thiab desogestrel.
  • Npaj cev xeeb tub ua ntej 30.
  • Xyaum pub niam mis tsawg kawg ib xyoos tom qab yug me nyuam.

Pom zoo: