Kev tshawb fawb qhia pom tias uterine fibroids tuaj yeem sib txawv me me thiab yuav tsis ua rau muaj tsos mob yog tias lawv me me heev. Fibroids yog kev loj hlob tsis yog mob qog noj ntshav uas feem ntau haum thiab feem ntau loj hlob thaum koj nyob hauv koj lub xyoo kev ua me nyuam. Hauv qee kis, fibroids tuaj yeem ua rau hnyav hnyav, mob plab lossis mob, tso zis ntau zaus, teeb meem tso koj lub zais zis, cem quav, thiab mob hauv koj nraub qaum lossis ob txhais ceg. Thaum koj yuav tsis tas yuav txhawj xeeb, cov kws tshaj lij hais tias koj yuav tsum mus ntsib koj tus kws kho mob yog tias koj tab tom muaj cov tsos mob fibroid uas tsis ploj mus, koj muaj ntshav hnyav, lossis koj mob hnyav hauv koj lub plab.
Cov kauj ruam
Ntu 1 ntawm 3: Kho Qhov Mob Nrog Tshuaj
Kauj Ruam 1. Noj tshuaj tom chaw muag tshuaj
Acetaminophen, ibuprofen, thiab naproxen yog cov tshuaj kho mob me me uas tsis muaj daim ntawv yuav tshuaj. Cov neeg sawv cev no feem ntau pom zoo los ntawm cov kws saib xyuas kev noj qab haus huv txhawm rau pab kho qhov mob uas cuam tshuam nrog kev coj khaub ncaws tsis huv thiab uterine fibroids.
- Siv kev ceev faj tsis pub dhau qhov kev pom zoo ntau npaum thiab saib rau cov kev mob tshwm sim tau hais hauv cov khoom lag luam.
- Yog tias koj ntsib lub sijhawm nyuaj thiab mob, pib siv acetaminophen, ibuprofen, lossis naproxen ob peb hnub ua ntej koj lub sijhawm pib. Qhov no tuaj yeem pab txuas ntxiv txo qee qhov tsis xis nyob.
Kauj Ruam 2. Xav txog kev ntxiv hlau ntxiv
Yog tias koj qhov mob thiab tsis xis nyob cuam tshuam nrog hnyav los ntshav, koj tuaj yeem ua rau tsis muaj ntshav. Koj tus kws kho mob tuaj yeem kuaj ntshav yooj yim los txiav txim seb koj cov qib hlau qis dua li qub. Cov tshuaj hlau tom khw yuav khoom tuaj yeem pab kho koj cov hlau kom rov zoo li qub.
Cov tsos mob tshwm sim ntawm ntshav tsis txaus los ntawm ntshav ntau dhau suav nrog qaug zog thiab tsis muaj zog, tawv nqaij daj, hnov kiv taub hau lossis tsis pom kev, mob taub hau, txhais tes txias thiab txhais taw, thiab ua tsis taus pa thiab mob hauv siab hauv qee kis
Kauj Ruam 3. Nug koj tus kws kho mob txog tshuaj noj
Cov tshuaj kho mob hnyav thiab cov tshuaj tiv thaiv kab mob muaj nyob nrog daim ntawv yuav tshuaj thiab tuaj yeem pab ua kom cov tsos mob tuaj yeem tswj tau. Qee qhov xwm txheej, cov tshuaj siv tshuaj tuaj yeem pab ua kom qeeb ntawm qee hom uterine fibroids.
Kauj Ruam 4. Siv tshuaj tiv thaiv kom tsis txhob muaj menyuam tsawg
Cov tshuaj tiv thaiv qhov ncauj qis, lossis tshuaj tiv thaiv kev yug menyuam, nrog rau kev txhaj tshuaj progesterone, tau ua tiav siv los pab kho qhov mob fibroid thiab tuaj yeem yog qhov kev xaiv rau koj. Cov tshuaj tiv thaiv kom tsis muaj menyuam tsawg muaj cov tshuaj estrogen me me kom lawv tsis ua rau cov fibroids loj tuaj, ntxiv rau lawv pab tswj kev coj khaub ncaws thaum lub sijhawm.
Cov kev tshawb fawb tau qhia tias qee tus poj niam yuav muaj kev txo qis hauv cov fibroid tom qab tau txais kev txhaj tshuaj Depo-Provera, hos lwm tus tuaj yeem ua rau muaj qhov loj me ntawm fibroid
Kauj Ruam 5. Xav txog gonadotropin tso cov tshuaj agonists, tshwj xeeb tshaj yog tias koj tab tom npaj txheej txheem kho mob
Cov tshuaj sib cais raws li gonadotropin tso cov tshuaj agonists tuaj yeem pab ua kom cov fibroids nqaim. Cov tshuaj no yog muab los ntawm kev txhaj tshuaj, tshuaj tsuag qhov ntswg, lossis cov cuab yeej cog. Gonadotropin tso cov tshuaj hormone agonists feem ntau siv ua ntej kev phais kom pab txo qis cov fibroids.
Cov kev mob tshwm sim xws li ua kom cov pob txha thinning tiv thaiv cov khoom no los ntawm kev siv lub sijhawm ntev. Lwm cov kev mob tshwm sim muaj xws li kub nyhiab, nyuaj siab, pw tsis tsaug zog, txo qis kev sib deev, mob sib koom, thiab tsis tuaj koom lub hli. Thaum cov tshuaj raug tso tseg, cov fibroids loj tuaj sai sai
Ntu 2 ntawm 3: Siv Cov Txheej Txheem thiab Kev Hloov Lub Neej Kom Tswj Koj Qhov Mob
Kauj Ruam 1. Nkag siab qhov xwm txheej txaus ntshai rau fibroids
Muaj qee yam tseem ceeb dhau ntawm koj kev tswj hwm uas ua rau koj muaj kev pheej hmoo loj hlob ntawm fibroids ntxiv rau qee yam uas koj tuaj yeem tswj tau. Xav txog cov xwm txheej no thaum koj pib hloov kho koj lub neej. Cov xwm txheej uas yuav ua rau koj muaj kev pheej hmoo ntawm kev tsim lossis ntsib kev hnyav zuj zus ntawm cov qog nqaij hlav hauv tsev muaj xws li:
- noj nqaij liab ntau thiab tsawg zaub
- haus cawv ntau dhau
- muaj niam lossis tus muam uas tseem muaj fibroids
- pib koj lub sijhawm thaum hluas
- muaj African-American ncaj ncees
Kauj Ruam 2. Siv cua sov rau koj lub plab qis
Kev sov siab tuaj yeem pab txhim kho cov ntshav ntws thiab pab koj cov leeg kom so. Siv lub ncoo cua sov lossis sov sov ntawm koj lub plab qis kom txo qhov mob los ntawm cov qog nqaij hlav hauv tsev. Tshem tawm cov cua sov ncoo txhua txhua kaum feeb kom tso koj cov tawv nqaij kom txias. Kev da dej sov kuj tseem tuaj yeem pab daws qhov mob.
Kauj Ruam 3. Siv cov txheej txheem so kom txaus
Kev pw thiab so tuaj yeem txo qhov siab uas tuaj yeem ua rau mob. Thaum so ntawm koj nraub qaum, tso lub hauv ncoo hauv qab koj lub hauv caug kom pab tshem tawm qhov siab ntawm koj sab nraub qaum.
Lwm cov txheej txheem suav nrog ua pa tob tob thiab so koj cov leeg. Qee qhov kev so so ua haujlwm zoo tshaj tom qab kawm paub pib los ntawm tus kws qhia. Cov no suav nrog yoga, biofeedback, thiab pom kev
Kauj Ruam 4. Noj zaub mov kom zoo
Cov khoom noj uas koj noj tuaj yeem ua qhov sib txawv hauv kev qeeb ntawm kev loj hlob ntawm fibroids. Ntau qhov kev tshawb fawb txog kev noj zaub mov yog kev soj ntsuam tab sis tuaj yeem ua pov thawj pab tau rau qee tus neeg.
Ob qhov kev pom zoo hloov pauv kev noj zaub mov uas yuav pab tau suav nrog nce txhua hnub ntawm cov khoom siv mis, thiab txo qis kev noj cov zaub mov muaj suab thaj thiab carbohydrates txhua hnub. Ua kom lub cev hnyav hnyav tuaj yeem pab tswj hwm qhov mob tshwm sim los ntawm uterine fibroids
Kauj Ruam 5. Saib thiab tos
Kho qhov mob yog tias nws tuaj yeem tswj tau, saib rau qhov tsis zoo, thiab tos. Fibroids yuav ib txwm pib nqaim tom qab koj mus dhau lawm thiab koj qib ntawm cov tshuaj no txo qis. Cov poj niam feem ntau tsis hnov mob los ntawm fibroids tom qab lawm.
Ntau lub sijhawm, yog tias muaj ib qho fibroid nyob, lwm tus kuj tseem loj tuaj. Tham nrog koj tus kws kho mob txog cov tsos mob, tshwj xeeb rau koj, uas yuav tsum tau saib xyuas zoo
Ntu 3 ntawm 3: Xav Txog Tus Txheej Txheem Kho Mob
Kauj Ruam 1. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo cuam tshuam nrog txhua txoj haujlwm
Ua raws li cov txheej txheem kho mob yuav yog txoj hauv kev zoo tshaj plaws kom tshem tawm qhov mob koj tau ntsib los ntawm fibroids, tab sis kom nkag siab meej txog qhov txaus ntshai cuam tshuam ua ntej koj mus.
Kauj Ruam 2. Nug koj tus kws kho mob txog kev kho mob nrog rau kev xaiv phais
Ua ntej koj txiav txim siab yuav ua dab tsi, tau txais qhov thib ob, lossis txawm tias thib peb, kev xav los ntawm lwm tus kws kho mob poj niam, kws phais neeg, lossis kws kho hluav taws xob cuam tshuam. Cov kws kho hluav taws xob pab cuam yog cov kws tshaj lij hauv kev tshuaj xyuas thiab txhais cov txiaj ntsig pom duab. Lawv tuaj yeem tshuaj xyuas cov kev tshawb fawb pom uas twb tau ua thiab muab tswv yim ntxiv txog kev phais thiab tawm ntawm tus neeg mob txoj kev xaiv.
Kauj Ruam 3. Nug koj tus kws kho mob txog kev phais plab uterine fibroid embolization
Cov txheej txheem no tau ua thaum tus neeg mob tsaug zog tab sis ua kom tsaug zog. Cov txheej txheem tsis yog txheej txheem mob, tab sis muaj qhov mob loj rau 24-48 teev tom qab tus txheej txheem.
Lub tsev menyuam fibroid embolization cuam tshuam nrog tso lub catheter rau hauv koj cov hlab ntsha femoral los ntawm kev phais me me hauv tus ncej puab. Cov khoom me me tau tso rau hauv lub raj thiab xa mus rau qhov chaw ntawm cov fibroid. Lub hom phiaj ntawm cov txheej txheem yog cuam tshuam cov ntshav xa mus rau cov fibroid ua rau nws nqaim. Qhov kev kho mob sab nrauv no, tsis yog tus txheej txheem cuam tshuam yog qhov tshiab, muaj qhov ua tau zoo, tab sis yuav tsis haum rau txhua tus
Kauj Ruam 4. Nug koj tus kws kho mob txog kev rho menyuam tawm
Endometrial ablation yog txheej txheem uas tshem tawm lossis rhuav tshem lub plab ntawm lub tsev menyuam. Hom txheej txheem no feem ntau ua raws li kev phais mob sab nrauv hauv kws kho mob lub chaw haujlwm. Qee txoj hauv kev siv los ua cov txheej txheem no suav nrog siv lub tshuab laser, xaim xaim, dej rhaub, hluav taws xob tam sim no, lub tshuab microwave, lossis khov. Cev xeeb tub tsis tau tom qab tus txheej txheem no. Thaum qhov kev phais no yuav ua haujlwm zoo rau cov poj niam laus, muaj qhov ua tsis tiav ntau dua rau cov poj niam hluas uas muaj txoj hauv kev no. Cov kev pheej hmoo cuam tshuam nrog cov txheej txheem no suav nrog:
- perforation lossis tearing ntawm lub tsev menyuam
- kub hnyiab rau lub tsev menyuam lossis quav
- dej ntau dhau hauv lub ntsws
- txhaws hauv cov hlab ntsha uas ua rau lub ntsws (pulmonary embolism)
Kauj Ruam 5. Xav txog cov duab sib nqus sib nqus (MRI) coj tsom mus rau kev phais mob ultrasound
Txawm hais tias nws tsis muaj dav, cov txheej txheem no tuaj yeem yog qhov kev xaiv zoo yog tias koj cia siab tias yuav khaws koj txoj kev muaj menyuam, muaj ntau lub fibroids loj, lossis cov ntaub so ntswg ntau dhau ua rau lwm cov txheej txheem muaj kev pheej hmoo ntau. Cov txheej txheem no yog txheej txheem uas tsis yog tus neeg mob sab nrauv. Cov txheej txheem siv qhov siab siv hluav taws xob ultrasound txhawm rau rhuav tshem cov fibroids. Lub sij hawm sib nqus resonance imaging yog siv los qhia tus txheej txheem. Muaj feem ntawm cov txheej txheem no suav nrog:
- kub hnyiab ntawm koj lub plab
- cov ntaub so ntswg puas
- mob los ntawm cov leeg nqaij
- ntshav txhaws
Kauj Ruam 6. Tham nrog myomectomy nrog koj tus kws kho mob yog tias koj xav khaws koj li kev xeeb tub
Myomectomy yog txheej txheem phais mob uas tshem tawm cov fibroids yam tsis tau tshem tawm lwm cov nqaij zoo ntawm lub tsev menyuam. Cev xeeb tub tau tom qab txoj kev phais no. Qib kev cuam tshuam ntawm kev phais yog nyob ntawm qhov mob hnyav ntawm fibroid. Kev pheej hmoo cuam tshuam nrog muaj myomectomy suav nrog:
- poob cov ntshav ntau
- tsim cov nqaij caws pliav
- muaj kev pheej hmoo ntxiv ntawm qee yam teeb meem thaum yug menyuam (yog tias koj cev xeeb tub tom qab txheej txheem)
- qhov xav tau kev phais mob thaum muaj xwm ceev
Kauj Ruam 7. Xav txog kev txiav menyuam hauv plab
Hysterectomy yog kev phais mob ntawm kev tshem lub tsev menyuam. Kev tshem tawm lub tsev menyuam tau lees tias tshem tawm cov fibroids loj hlob sab hauv, tab sis cev xeeb tub tsis tuaj yeem ua tiav tom qab tus txheej txheem no. Qib ntawm kev cuam tshuam kev phais, ntxiv, nyob ntawm tus neeg cov ntsiab lus, teeb meem tau ntsib, thiab qhov mob ntawm qhov mob fibroid. Kev rov zoo los ntawm cov txheej txheem hysterectomy tuaj yeem siv sijhawm ntau lub lis piam. Nco ntsoov tias muaj ntau qhov kev pheej hmoo cuam tshuam nrog kev phais mob qog noj ntshav suav nrog:
- ntshav txhaws
- kab mob
- los ntshav ntau dhau
- kev phiv tshuaj rau tshuaj loog
- kev puas tsuaj ntawm lub cev, xws li rau koj cov hlab zis, zais zis, qhov quav lossis lwm yam hauv plab
- ua ntej pib ntawm cev xeeb tub
- tuag (qhov no tsis tshua muaj, tab sis nws tseem muaj kev pheej hmoo)
Kauj Ruam 8. Tham nrog koj tus kws kho mob txog kev mob myolysis
Myolysis tsis nquag siv los kho cov qog nqaij hlav hauv tsev, tab sis nws yog lwm txoj hauv kev uas koj tuaj yeem tham nrog koj tus kws kho mob. Cov txheej txheem no tsom mus rau cov nqaij fibroid nkaus xwb. Thaum tus txheej txheem, tus kws phais neeg siv lub laparoscope los qhia qhov kev phais, thiab qhia txog hluav taws xob tam sim no lossis txias heev los rhuav tshem cov nqaij fibroid. Nco ntsoov tias myolysis yuav tsis yog qhov kev xaiv zoo yog tias koj xav khaws koj li kev yug menyuam.
Kauj Ruam 9. Nug koj tus kws kho mob txog kev tshem tawm hluav taws xob thiab kev kho tshuaj tiv thaiv tshuaj hormonal
Nov yog cov txheej txheem tshiab uas muaj tab sis tseem tsis tau txiav txim siab txog kev kho. Kev siv hluav taws xob tshem tawm hluav taws xob siv hluav taws xob sab nraud los ua kom cov leeg tawg. Cov tshuaj tiv thaiv tshuaj tiv thaiv hormonal cuam tshuam nrog kev siv tshuaj los muab kev kho mob yam tsis muaj kev phiv tshuaj pom nrog lwm yam tshuaj kho mob, zoo li ua kom cov pob txha ua kom tuab.
Lub tswv yim
- Fibroid mob tej zaum yuav mob ntev lossis tsuas yog qee zaum, thiab tuaj yeem mob hnyav dua thaum qee yam haujlwm xws li mob plab, tawm dag zog lub cev, sib deev, thiab thaum koj muaj koj lub sijhawm.
- Mus ntsib koj tus kws kho mob yog tias koj pib kub taub hau yam tsis muaj laj thawj, yog tias muaj cov tsos mob tshiab tshwm sim, lossis yog tias muaj cov tsos mob tshwm sim zuj zus.
- Uterine fibroids feem ntau pom thaum lub sijhawm kuaj mob plab. Kev kuaj mob ultrasound, thaum mus ntsib tom chaw ua haujlwm, tuaj yeem muab kev pom zoo. Hauv qee kis, kev tshawb fawb ntxiv, xws li MRI yuav xav tau.
- Ntau npaum li 75% ntawm cov poj niam yuav tsim fibroids ib zaug lossis lwm qhov. Feem ntau, tsis muaj tsos mob thiab tsawg tsawg txaus ntshai cuam tshuam nrog fibroids.
- Saib xyuas koj cov fibroids ua ntej cev xeeb tub. Qee hom fibroids, thiab qee qhov txheej txheem kho mob, tuaj yeem tiv thaiv koj kom tsis txhob xeeb tub.
- Mob plab tuaj yeem tshwm sim los ntawm ntau yam sib txawv, qee qhov uas ua rau muaj kev phom sij rau lub neej yog tias tsis kho. Thaum twg koj hnov mob koj yuav tsum mus ntsib kws kho mob txhawm rau kuaj mob.
