Yam hysterectomy yooj yim tuaj yeem yog siv los kho qee yam ntawm CIN hnyav lossis qee hom mob qog noj ntshav thaum ntxov.
Puas mob qog noj ntshav tom qab hysterectomy?
Cov neeg mob uas tau muaj qhov mob me me uas tsis tshua muaj kev cuam tshuam radical hysterectomy rau kev kho mob qog noj ntshav muaj 8% txoj hauv kev uas mob qog noj ntshav rov qab los. Hauv lwm lo lus, ib tus ntawm 10 tus neeg mob yuav rov muaj dua.
Kuv puas yuav tau txais hysterectomy yog tias kuv muaj mob qog noj ntshav?
Nyob ntawm tus poj niam lub hnub nyoog thiab hom mob qog noj ntshav, kev tshem tawm ntawm zes qe menyuam & hlab ntsha tuaj yeem raug pom zoo. Feem ntau cov poj niam uas mob qog noj ntshav hauv tsev menyuam tau kho nrog radical hysterectomyQee lub sij hawm qee cov qog nqaij hlav hauv plab yuav raug tshem tawm ntxiv rau cov qog nqaij hlav hauv plab thaum lub sij hawm hysterectomy radical.
Puas mob qog noj ntshav tom qab hysterectomy?
Yes, koj tseem muaj kev pheej hmoo mob qog noj ntshav zes qe menyuam lossis hom mob qog noj ntshav uas ua zoo ib yam li nws (mob qog noj ntshav hauv plab) yog tias koj tau muaj hysterectomy.
Kev mob qog noj ntshav puas kis tau thaum lub cev xeeb tub?
Hauv kev tshawb fawb luam tawm hauv JAMA, cov kws tshawb fawb pom tias mob qog noj ntshav hauv tsev menyuam muaj nyob rau hauv 27 ntawm 10,000 tus poj niam uas raug hysterectomies siv cov txheej txheem me me hu ua hluav taws xob morcellation, uas tawg lub tsev menyuam rau hauv me me thiab tuaj yeem kis yav dhau los tsis pom zoo uterine qog noj ntshav.
26 cov lus nug ntsig txog pom
Puas mob qog noj ntshav endometrial kis sai?
Hom mob qog nqaij hlav endometrial feem ntau (hom 1) hlob qeeb. Nws feem ntau pom tsuas yog hauv lub tsev menyuam. Hom 2 tsis tshua muaj. Nws loj hlob sai dua thiab kis mus rau lwm qhov hauv lub cev.
Pob hysterectomy txo qhov kev pheej hmoo ntawm qog nqaij hlav zes qe menyuam?
Raws li American Cancer Society (ACS), muaj hysterectomy (txawm tias thaum lub zes qe menyuam tso rau hauv qhov chaw) yuav txo tau txoj kev mob qog nqaij hlav zes qe menyuam los ntawm ib feem peb. Qee zaum cov hlab ntsha thiab ob lub zes qe menyuam raug tshem tawm thaum lub sijhawm hysterectomy.
Yuav ua li cas thiaj muaj mob qog noj ntshav tom qab hysterectomy?
Feem ntau cov poj niam uas tau muaj hysterectomy vim tias tsis muaj kev mob qog noj ntshav muaj qhov ua rau mob qog nqaij hlav zes qe menyuam, txawm tias nyob rau hauv cov xwm txheej uas zes qe menyuam tau khaws cia. Nws yog tsawg dua ib ntawm 70 qhov kev pheej hmoo ntawm lub neej.
Ntau npaum li cas pom mob qog noj ntshav thaum lub sijhawm hysterectomy?
"Txhua zaus lub ncauj tsev menyuam thiab lub tsev menyuam raug tshem tawm thaum lub sijhawm hysterectomy yooj yim rau qhov xav tias tsis zoo, lawv tau txais qee yam kev sim," piav qhia Eugene Hong, MD, kws kho mob hluav taws xob oncologist ntawm Genesis Cancer Care Center. "Cov txiaj ntsig tau los ntawm cov kab mob no txheeb xyuas cov qog nqaij hlav tsis tau xav txog nruab nrab ntawm ob thiab tsib feem pua ntawm lub sijhawm
Yuav ua li cas tom qab hysterectomy rau mob qog noj ntshav?
About 4 txog 6 lub lis piam tom qab hysterectomy, koj tus kws kho mob yuav tshuaj xyuas koj hauv nws lub chaw haujlwm. Koj yuav tsum muaj peev xwm rov qab mus rau tag nrho koj cov kev ua ub no, suav nrog kev sib deev, li ntawm 6 mus rau 8 lub lis piam. Qee lub teeb los ntshav lossis pom pom tau ntev txog 6 lub lis piam tom qab hysterectomy.
Yuav mob khees xaws ncauj tsev menyuam theem twg koj xav tau hysterectomy?
Cov kws kho mob feem ntau muab hysterectomy rau cov poj niam uas muaj theem 1 lossis 2A mob qog noj ntshav. Koj muaj kev ua haujlwm thaum koj tsaug zog (nyob rau hauv kev siv tshuaj loog).
Yuav mob qog noj ntshav dab tsi yuav tsum muaj hysterectomy?
Kev kho mob tseem ceeb rau endometrial cancer yog kev phais kom tshem tawm lub tsev menyuam thiab lub tsev menyuam. Qhov kev ua haujlwm no hu ua hysterectomy. Thaum lub tsev menyuam raug tshem tawm los ntawm kev txiav (txiav) hauv plab (plab), nws hu ua ib qho yooj yim lossis tag nrho lub plab hysterectomy.
Kuv puas yuav tau txais hysterectomy yog tias kuv muaj cov hlwb ua ntej?
Yog tias tus kab mob precancerous ntau dua lossis cuam tshuam nrog adenocarcinoma nyob rau hauv situ (AIS), thiab tus poj niam tau ua tiav kev xeeb tub, tag nrho hysterectomy yuavraug pom zoo. 1 Thaum lub sij hawm hysterectomy tag nrho, tag nrho lub tsev menyuam (xws li lub ncauj tsev menyuam) raug tshem tawm.
Yuav ua li cas koj thiaj paub tias mob qog noj ntshav tau rov qab los?
Cov tsos mob ntawm tus mob khees xaws ncauj tsev menyuam sib txawv ntawm tus neeg mob mus rau tus neeg mob. Cov tsos mob thiab cov tsos mob ntawm kev mob qog noj ntshav hauv lub tsev me nyuam yuav muaj xws li: Los ntshav ntawm lub sijhawm, tom qab kev sib deev lossis tom qab poj niam tsis muaj hnub nyoog Lub Sijhawm hnyav dua thiab ntev dua li qub
Koj puas tuaj yeem mob qog noj ntshav ntau dua ib zaug?
mob qog noj ntshav uas rov qab los tom qab kev kho mob hu ua qhov rov tshwm sim. Tab sis qee tus neeg muaj mob qog noj ntshav tuaj yeem tsim mob qog noj ntshav tshiab, tsis muaj feem cuam tshuam tom qab. Qhov no hu ua mob qog noj ntshav thib ob. Hmoov tsis zoo, ua kho mob qog noj ntshav tsis tau txhais hais tias koj tsis tuaj yeem mob qog noj ntshav.
Koj thawj cov tsos mob ntawm kev mob qog noj ntshav endometrial yog dab tsi?
Cov cim ceeb toom ntxov ntawm kev mob qog noj ntshav endometrial
- Npaj paug qhov chaw mos yam tsis muaj ntshav.
- tso zis nyuaj lossis mob tso zis.
- Mob thaum sib deev.
- Mob thiab / lossis ib qho loj hauv thaj chaw pelvic.
- Kev poob phaus.
Vim li cas lawv thiaj ua qhov nqaij mos ua ntej hysterectomy?
Ua ntej muaj hysterectomy rau qhov txawv txav ntawm lub tsev menyuam, cov poj niam xav tau qee yam qauv ntawm lub tsev menyuam hauv ob sab phlu (biopsy ntawm endometrium) txhawm rau txiav tawm mob qog noj ntshav lossis mob qog noj ntshav ua ntej.
Cov qog nqaij hlav hauv tsev menyuam zoo li cas ntawm hysteroscopy?
Hysteroscopic kev tshawb pom cuam tshuam nrog malignancy yog papillary nam, loj >1/2 uterine kab noj hniav, irregular nto, sib xyaw xim, diffuse vascular arrangement, poob ntawm branched vascularization, thiab discordance ntawm lub lub ntsiab vascular ax thiab cov kev taw qhia ntawm lesion kev loj hlob.
Dab tsi yog qhov kev mob tshwm sim ntev ntawm lub hysterectomy?
Kev cuam tshuam ntev ntawm hysterectomy ntawm lub plab hauv plab uas yuav tsum tau txiav txim siab hauv kev txiav txim siab phais yog: pelvic organ prolapse, urinary incontinence, plob tsis so tswj, kev ua haujlwm ntawm kev sib deev thiab pelvic fistula tsim.
Dab tsi ua rau qhov chaw tom qab hysterectomy?
Tom qab koj lub tsev menyuam raug tshem tawm (hysterectomy) tag nrho cov kabmob ib txwm nyob ib puag ncig lub tsev menyuam tsuas yog sau txoj haujlwm yav dhau los ntawm lub tsev menyuam. Feem ntau nws yog plabuas puv qhov chaw, vim tias muaj ntau lub plab me thiab loj tam sim ntawd nyob ze rau ntawm lub tsev menyuam.
Yuav ua li cas tuav zes qe menyuam tom qab hysterectomy?
Ua kom koj cov leeg hauv plab hauv plab kom muaj zog nrog kev tawm dag zog tsis tu ncua tuaj yeem pab tiv thaiv qhov no. Yuav ua li cas cov zes qe menyuam nyob hauv qhov chaw tom qab hysterectomy? Lub zes qe menyuam txuas nrog lub tsev menyuam los ntawm cov hlab ntsha fallopian. Lawv nyob hauv qhov chaw los ntawm ligaments uas txuas ntawm sab sauv ntawm lub tsev menyuam mus rau sab qis ntawm zes qe menyuam
Koj puas tseem muaj hlwv ntawm koj lub zes qe menyuam tom qab hysterectomy?
Yuav luag 50% ntawm cov neeg mob ROS xav tau kev phais hauv thawj 5 xyoo tom qab hysterectomy, thiab 75% hauv 10 xyoo [1]. Cov pathologies uas tuaj yeem tshwm sim hauv cov zes qe menyuam muaj xws li follicular cysts, hemorrhagic corpus luteum, periovarian adhesions, endometriosis, thiab benign thiab malignant neoplasms.
Puas muaj hnub nyoog hysterectomy koj sai dua?
Kev tshawb fawb. Feem ntau ntawm cov hnub nyoog txog kev noj qab haus huv tshwm sim hauv cov neeg uas tau phais kom tshem tawm ob lub zes qe menyuam, uas yog hu ua oophorectomy. Ib hysterectomy ib leeg tsis cuam tshuam rau cov tshuaj hormones lossis kev laus.
Dab tsi yog qhov ua rau mob qog noj ntshav ntawm zes qe menyuam?
Yam uas tuaj yeem ua rau koj muaj kev pheej hmoo mob qog noj ntshav muaj xws li:
- hnub nyoog laus. …
- Kev hloov pauv noob caj noob ces. …
- Tsev neeg keeb kwm ntawm kev mob qog noj ntshav zes qe menyuam. …
- Kev rog dhau lossis rog. …
- Postmenopausal hormone hloov kho. …
- YEndometriosis. …
- Hnub nyoog thaum cev xeeb tub pib thiab xaus. …
- Tsis tau xeeb tub.
