Pib thaum muaj hnub nyoog 30 xyoos, mus ntsib tus kws kho mob rau ib tug poj niam yuav tsum tau ua kom tiav. Kev mus ntsib kws kho mob tshwj xeeb yuav tsum ua ib xyoos ib zaug. Hauv tsev, ib tug poj niam xav soj ntsuam nws lub mis. Nws yog qhov zoo tshaj plaws los ua qhov no hauv tus da dej, thaum sawv ntxov los yog yav tsaus ntuj. Tawm tsoo kom dhau mus kom cov ntiv tes maj mam swb. Tom qab ntawd nce ib sab tes thiab pov tom qab lub taub hau, ntiv tes ntawm lwm sab ntawm txhua tus sab kom xav tias lub hauv siab, yog li xyuas qhov thib ib rau kev foob. Tsoo yog kev pabcuam kev sib txawv kom sib txawv.
Cev xeeb tub lossis tsis xeeb tub
Qhov no yog lub hnub nyoog yug me nyuam. Nws muaj ob txoj haujlwm tseem ceeb - kev xeeb tub thiab kev xeeb tub. Cev xeeb tub yuav tsum npaj thiab npaj kom zoo zoo rau nws. Yog tias tsis pub dhau 6-8 lub hlis uas muaj kev sib deev hauv lub neej tsis tas siv cov tshuaj tiv thaiv tus poj niam tsis xeeb tub, nws yuav tsum tau tshawb fawb thiab pom tias yog vim li cas. Ib daim ntawv ntsuam xyuas ntawm ib tug poj niam los ntawm ib tus kws kho mob poj niam thiab tus kws kho mob yuav ua rau muaj ntau yam ua rau.
Ib qho kev mus ntsib kws kho mob thaum lub sijhawm no muaj xws li: gynecological examination, noj ib qho kev pleev xim rau qhov purity ntawm qhov chaw mos, ultrasound ntawm pelvic plab hnyuv siab raum thiab PAP kuaj (cytological kev kuaj ntawm lub ncauj tsev menyuam kom tsis txhob muaj qhov kev mob oncology). Yog tias cov txiaj ntsim ntawm kev ntsuam xyuas pom muaj kev raug mob ntawm tus kab mob, nws tus neeg causative ntxiv yog kuaj tau. Ib qho cim ntawm tus kab mob tuaj yeem yog poj niam cov kev tsis txaus siab txog cov tshuaj tua kabmob ntev, tsis pom kev, ua rau khaus thiab khaus. Hauv qhov no, koj yuav tsum mus kuaj xyuas txhua tus poj niam los ntawm ib tus kws kho mob poj niam thiab kws kho mob.
Ib zaug nyob rau hauv 1.5-2 xyoo, nws raug pom zoo kom nkag mus hauv ib qho kev ntsuam xyuas ultrasound ntawm cov qog cov qog. Mammography thaum lub sijhawm no tsuas yog thaum cov kev hloov pauv ntawm lub cev. Lub hom phiaj thib ob rau cov poj niam hauv lub hnub nyoog no yog kom tsis txhob muaj menyuam tsis muaj zog. Thaum xaiv ib hom kev tiv thaiv kev noj qab haus huv, qhov kom zoo dua yog muab rau hormonal los yog barrier cov neeg ua hauj lawm. Lub tswv yim ntawm tus kws kho mob uas paub txog cov kev mob ntawm koj lub cev, yuav tsum raug muab suav rau hauv tus account thaum lub caij kuaj ntawm ib tug poj niam los ntawm ib tus kws kho mob poj niam thiab ib tus kws kho mob.
Thaum siv cov tshuaj hormonal contraceptives, ib tug poj niam yuav tsum mus ntsib tus kws kho mob pojniam ib xyoos ib zaug. Thiab ua V3H, coj tus smear rau ntawm qhov kev kuaj mob thiab cov ntawv PAP.
Nqa tawm pov thawj
Qhov no yog qhov nyuaj heev thiab tseem ceeb heev hauv lub neej ntawm ib tug poj niam. Raws li qhov tseeb cov ntaub ntawv, lub hnub nyoog ntawm kev ua me nyuam muaj hnub nyoog yog 4 9 xyoos. Yog li no, txoj haujlwm tseem ceeb nyob rau theem no yog kev tiv thaiv, tsis tshua muaj cev xeeb tub lossis kev kho mob ntawm cov kab mob gynecological.
Yog tias cev xeeb tub tau npaj lawm, ces yuav tsum npaj kom txhij txhua: ntxiv rau qhov kev kuaj mob ginecological, nrog ib tug kws kho mob geneticist.
Koj tuaj yeem siv, tom qab kev sab laj nrog koj tus kws kho mob, cov tshuaj hormonal hormonal contraceptives, barrier txoj kev, los yog (tsis tshua muaj) cov tshuaj tiv thaiv kab mob.
Hormonal contraception yog muab ceev faj, vim hais tias nyob rau lub hnub nyoog no muaj kev pheej hmoo siab ntawm kev mob plawv los ntawm cov kab mob plawv, uas yog ib nrab ntawm qhov kev siv qis qis ntawm kev ua ntawm zes qe menyuam. Los ntawm 40-47 xyoo, Cov poj niam European muaj sij hawm premenopausal, nws tsuas siv li 4 xyoo. Muaj kev pauv, ob qho tib si coj mus ncig ntawm nws tus kheej, thiab lub sijhawm thiab kev nplua mias ntawm kev los ntshav.
Ceev faj
Nws yog thaum lub sij hawm no tias qhov kev pheej hmoo ntawm cov kab mob gynecological nce: endometriosis, uterine myomas, cov txheej txheem hyperplastic (hloov hauv qhov mucous membrane ntawm lub tsev menyuam).
Ib tug poj niam yuav tsum tuaj xyuas tsawg kawg ib zaug txhua txhua 8 lub hlis. Qhov kev kuaj mob no suav nrog ultrasound ntawm lub plab hnyuv siab plab, kev kuaj mob gynecological, PAP kuaj.
Nws raug nquahu kom ua qhov kev ntsuam xyuas radiography ntawm cov qog nqaij hlav hauv tsev (mammography) txhua txhua 1.5-2 xyoos.
Tshwj xeeb yog zoo saib xyuas lub mis yuav tsum tsis txhob muab yug rau cov poj niam thiab coj tus cwj pwm ntawm kev soj ntsuam ib tug poj niam los ntawm ib tug gynecologist thiab mammologist. Thaum lub sijhawm no, ib tug pojniam yuav tau xyuam xim rau nws tus kheej, rau nws qhov hnyav, rau kev noj haus. Raws li txoj kev pheej hmoo ntawm kev tsim muaj ntau hom kab mob hauv extragenital - plawv thiab nqaij npuas-rog, kev rog - nce. Ib tug poj niam xav tau kev hloov kho zaub mov - nws yuav tsum tau txo los ntawm ib feem peb lossis ib nrab ntawm qhov ntim uas tau noj 20 xyoo. Xub txhais tau tias muab rau zaub, txiv hmab txiv ntoo, ntses, nqaij nruab deg - qhov chaw ntawm cov protein thiab fiber. Kev ua si xwm yeem thiab kev pw tsaug zog yuav tsum tau ntev li 8 teev.
Txhua lub hnub nyoog - qhov no tseem ceeb heev - lub khiab mis yuav tsum nruj me ntsis ntawm nws qhov loj me, tsis muaj ib qho "nyem" ntawm lub hauv siab me me. Txwv tsis pub, los ntawm ntau xyoo ntawm traumatization yooj yim muaj cov ntsaws ruaj ruaj, mastopathy. Kev tsim nyog yuav tsum tau saib xyuas. Txhua hnub koj yuav tsum tau hliv nws nrog dej txias los yog so nrog lub phuam soaked hauv dej txias. Nws yog tsim nyog siv cov tshuaj pleev zoo rau lub mis, uas yuav los ntawm lub tsev muag tshuaj. Thiab yeej ua gymnastics nrog lub teeb dumbbells, yog li hais tias cov leeg ntawm bust yog nyob rau hauv zoo tonus.
Tsis txhob muaj Syndrome
Xyoo no nyob rau hauv lub neej ntawm ib tug poj niam - lub sij hawm ntawm premenopause (lub sij hawm pib ntawm qhov pib ntawm qhov kev ua qe menyuam ua rau lub cev qis qis), menopause thiab pib ntawm postmenopause (los ntawm cov poj niam laus dhau mus rau qhov kawg ntawm qe menyuam, yuav kav txog 8 xyoo). Cov kab mob ntshav nce siab uas nrog cov kev hloov ntawm lub cev muaj sia nyob hauv feem coob (li 80%) ntawm cov poj niam. Nws pom nws tus kheej hauv kev ua txhaum ntawm cov nroj tsuag leeg tshav, hauv kev hloov hauv kev puas siab ntsws. Cov mob hnyav loj tuaj yeem tsim muaj: osteoporosis, urogenital disorders, cardiovascular pathologies.
Nyob rau lub sij hawm no, nws yog ib qhov tsim nyog yuav tsum sab laj tsis yog tsuas yog lub gynaecologist thiab mammologist, tab sis kuj endocrinologist, cardiologist, phlebologist, thiab lwm yam. Nrog ib tus kab mob climacteric ntawm ib daim ntawv me me, noj zaub mov noj thiab ua si yog supplemented los ntawm phyto-estrogens.
Nrog rau qhov nruab nrab thiab mob nyhav heev, hormone replacement therapy (HRT) yog cov tshuaj. Nws lub hom phiaj - los ua qhov hormonal muaj nuj nqi ntawm cov zes qe menyuam hauv cov poj niam uas muaj ib qho tsis muaj peev xwm ntawm kev sib deev hormones. Lub sij hawm tuaj yeem ua tau tom qab kev soj ntsuam tag nrho ntawm ib tug gynecologist-endocrinologist.
Ntev ntawm HRT daim ntawv thov tsis pub ntev tshaj 5 xyoos. Hauv qhov no, nws yog ib qho tsim nyog yuav tau ua qhov kev txheeb xyuas tus kheej ntawm cov txiaj ntsig thiab kev pheej hmoo ntawm SIC nyob rau hauv txhua kis tshwj xeeb.
Ib tus kws kho mob hais txog kev kuaj ntshav nrog, kev kuaj ntshav, thiab kev lipids ntawm cov ntshav, ultrasound ntawm pelvic plab hnyuv siab raum thiab lub plab kab noj plawv, thiab osteodensitometry (kev tshawb nrhiav ntawm pob txha ceev, qauv). Mus rau mammologu tom qab 50 xyoo yuav tsum taug kev raws li feem ntau raws li kws kho mob los ntawm ib tug ginecologist.