Kev kho mob ntawm puab tsaig
Yog tias qhov kev kuaj mob ntawm CIN muaj tseeb, kev ua haujlwm hauv zos, laser kev puas tsuaj, cryodestruction lossis electrocoagulation ntawm qhov kev kuaj xyuas qhov chaw lesion feem ntau yog ua tiav. Thaum tsis tuaj yeem kho, CIN III kis tau mus rau hauv kev khaus pob. Txoj kev kho kom zoo ntawm cov theem siab ntawm CIN txo cov kev pheej hmoo ntawm kev mob khees xaws. Txawm li ntawd los, qhov kev pheej hmoo siab tseem tshua siab tshaj qhov nruab nrab hauv cov pejxeem, yog li kev soj ntsuam xyuas tus neeg mob kom tsim nyog tsawg kawg yog tsib xyoos tom qab kho tas.
Microinvasive cancer
Cov neeg mob nrog cov mob cancer hauv microinvasive yog qhia tias lub ncauj tsev menyuam (tshem tawm hauv plawv nruab nrab). Yog tias cov txiaj ntsig ntawm lub tshuab kuaj pom tau tias tag nrho cov nqaij ntshiv tau raug muab tshem tawm lawm, tsis tas kho ntxiv lawm.
• Daim duab qhia tau hais tias mob raum thiab hemorrhage ncig qhib lub ncauj tsev menyuam. Cov kev hloov no zoo nraug kuaj xyuas hauv kev xoos hnyav, thiab tom qab ntawd yuav tsum tau kho kom haum.
Cov tsos mob ntawm tus mob khees xaws
Feem ntau cov tsos mob ntawm tus kabmob ncauj tsev menyuam hauv tsev menyuam muaj xws li:
• los ntshav - yuav tshwm sim tom qab kev sib deev (postcoital), nyob rau hauv lub sijhawm intermenstrual (intermenstrual) los yog tom qab pib lub menopause (postmenopausal);
• kev tawm hauv plab los ntawm qhov chaw mos.
Hauv cov theem thaum ntxov ntawm tus kab mob, mob qhov hnyuv no feem ntau tsis tuaj.
• Txoj kev siv phais laser siv cov khoom siv colposcopic los kho tus kab mob CIN. Rau kev pom kev, cov kab mob pathological yog cov xim nrog dyes tshwj xeeb. Ntawm txoj kev kho phais mob zoo thiab kev siv hluav taws xob.
Hysterectomy
Kev phais yog txoj kev xaiv rau cov hluas, lub cev muaj zog ntawm cov poj niam. Qhov zoo ntawm txoj kev no muaj xws li:
• tsis muaj kev hloov hauv chaw hloov thiab txhawm rau lub txiv paum xoob tom qab tawg;
• Txuag ntawm txoj haujlwm ntawm lub zes qe menyuam - yog hais tias qhov kev mob ntsws tsis txuas mus rau lub zes qe menyuam, thiab tsis raug tshem tawm;
• tsis muaj kev pheej hmoo ntawm kev tsim kom muaj tus kab mob qog nqaij hlav ntau dua los ntawm kev txav ntawm lub cev ntev.
Kev phais kev pab rau kev mob khees-xaws ncauj tsev menyuam muaj xws li radical hsterectomy (tshem tawm ntawm lub tsev menyuam) thiab kev kho mob ntawm cov qog nqaij hlav hauv plab. Kev mob khees-xaws ntawm ncauj tsev me nyuam nyhav hauv cov ntaub so ntswg. Cov qe ntshav muaj peev xwm kis tau rau cov qog ntshav qab zib, piv txwv li, nyob rau hauv cov hlab ntsha loj ntawm lub plab mog.
Cov hom phiaj ntawm kev kho mob phais
Lub hom phiaj ntawm txoj kev kho phais mob yog ua kom tshem tawm cov qog nqaij hlav thiab ib feem ntawm cov ntaub so ntswg noj qab nyob zoo. Yog li, nrog rau kev khaus radical, qhov chaw mos, lub tsev menyuam, cov ntaub so ntswg, thaj chaw mos, thiab cov qog pelvic cov qog ntshav tawm. Ib txoj hnyuv luaj ntses ntawm cov qog nqaij hlav plawv (par-aortic lymph nodes) tau ua tiav. Cov neeg mob nrog metastases lossis cov hlav uas dhau mus tshaj qhov ntawm cov kev pabcuam tau phais yuav tsum ntxiv cov radiotherapy. Cov menyuam yaus, nulliparous cov neeg mob uas muaj kabmob kheesxaws ua ntej lub sijhawm lb uas xav nyob twj ywm fertile tuaj yeem nkag mus kis ntawm ncauj tsev menyuam. Hauv no ua haujlwm, lub ncauj tsev menyuam tau muab tshem tawm nrog rau ib feem ntawm lub cev (nyob ib ncig ntawm lub ncauj tsev menyuam) thiab lub vag qhov chaw mos. Qhov seem ntawm qhov chaw mos yog txuas nrog rau lub cev ntawm lub tsev menyuam thiab ib lub vias muab tso rau ntawm sab qis ntawm lub tsev menyuam kom khaws tau nws lub peev xwm los yug tau cev xeeb tub. Cov kab mob plawv (lymph node) yuav raug tshem tawm hauv qhov kawg. Thaum cev xeeb tub, tus neeg mob yuav tsum tau ua tib zoo saib xyuas kom tsis txhob muaj kev sib thiav ntawm kev nchuav, thiab tus me nyuam yog los ntawm kev mob qog. Txawm li cas los xij, qhov kev sib kis ntawm ncauj tsev menyuam tsis pom muaj rau txhua tus poj niam, thiab cov neeg mob hawbpeev yog qhov tseemceeb. Lub hom phiaj ntawm txoj kev kho hluav taws xob yog qhov kev puas tsuaj ntawm cov qog hlwb, thiab cov kev mob ntawm cov nqaij uas ua rau muaj kev sib deev tau kis tau. Nyob rau ntawm theem ntawm mob cancer, uas yog nyob rau hauv kev phais kev phais, nrog rau cov txheej txheem nyob deb.
Tej Teebmeem
Cov teebmeem ntawm kev kho hluav taws xob:
• mob plab;
• Nquag tso zis;
• Nroj thiab dhia ntawm qhov chaw mos (qhov no tuaj yeem ua rau mob dyspareunia - hnov mob heev thaum muaj kev sib deev).
Kev Tiv Thaiv Kev Kho Mob
Cov kev tshawb fawb tsis ntev los no tau pom tias kev sib txuas lus ntawm kev siv hluav taws xob thiab tshuaj tua kab mob nrog cov tshuaj cisplatin (ib platinum-based drug) ua rau muaj kev sib tw zoo dua li cov neeg siv hluav taws xob. Cov kev kuaj mob rau cov neeg mob khees-xaws ncauj tsev menyuam feem ntau nyob ntawm theem ntawm txoj kev siab phem thaum lub sijhawm kho mob. Yog hais tias tus mob tau kis mus rau cov qog, cov txiaj ntsim tau tsib xyoos yuav raug txo los ntawm ib nrab ntawm txhua theem raws li FIGO classification. Kev koom tes nrog para-aortic lymph nodes yog ib qho tseem ceeb ntawm cov txheej txheem - muaj tsawg tus neeg mob nyob ntev dua tsib xyoos tom qab kuaj tas. Kev kuaj kom qog hlwb hauv cov ntshav los yog cov qog ntshav yog ib qho qhia txog kev koom tes ntawm cov qog no. Lub degree ntawm txawv ntawm lub qog (raws li deb raws li nws cov qauv yog nyob ze rau qub ntaub so ntswg) kuj tseem ceeb heev. Qhov kev kuaj tau rau qib qis qis dua tsis zoo rau cov qog txawv qog.