Kev kos rau lub plab hauv plab yog ib hom kab mob uas tsis muaj kab mob hauv cov kab mob ntau. Hauv thaj chaw hauv plab pelvic muaj qhov loj txuam ntawm cov hlab ntsha rhiab, ces mob impulses los ntawm cov kab mob pelvic yog qhov nyuaj los txheeb xyuas los ntawm Central Nervous System. Yog rub tawm plab me ntsis, koj yuav tsum nrhiav tswv yim ntawm ib tus kws kho mob tshwj xeeb thiab mus soj ntsuam. Tom qab kawm txog anamnesis (qhov mob ntawm qhov mob, thaj chaw ntawm kev faib, qhov chaw ntawm lub hauv paus, qhov chaw nyob, cov xeeb ceem sib txawv) thiab kev ntsuam xyuas cov ntaub ntawv kuaj, tus kws kho mob yuav muab qhov tseeb kuaj thiab sau cov kev kho kom tsim nyog.
Pulls hauv qab ntawm lub plab - ua rau thiab pom cov tsos mob uas qhia txog cov kab mob:
- Mob inflammation ntawm pelvic plab hnyuv siab raum. Chills, kub cev, paug kua paug tawm ntawm qhov chaw mos, mob thiab hnyav heev hauv plab plab;
- cov kab mob hnyav ntawm cov kab mob genitourinary (cystitis, endometritis, salpingitis). Qhov chaw mos ntawm qhov chaw mos, mob hnyav mob hnyav nrog kev hnyuv, thev hnyuv tawm hauv plab;
- mob ceev ceev ntawm kev mob ntsws ntawm zes qe menyuam (qog neoplasm, hlwv). Qhov qis txo plab vim yog rupture ntawm lub zes qe menyuam / cyst, profuse ntshav / divergence ntawm kua cystic uas khaus cov peritoneum;
- syndrome ntawm ntau ntawm stimulation ntawm ovaries. Nws tsim nyob rau hauv cov poj niam uas tsim cov tshuaj hormonal yeeb tshuaj uas ua rau muaj kev nce rau hauv qhov loj ntawm lub zes qe menyuam, uas ua rau mob hnyav hauv plab plab, tsam plab, hnyav nce;
- kab mob appendicitis. Ib qho tsos mob tshwj xeeb - mob siab khaus hauv plab hauv plab hauv sab xis, xeev siab, ntuav;
- ectopic cev xeeb tub. Nyob rau hauv ectopic cev xeeb tub, qhov mob plab mob thaum lub hli, nrog rau kev mob qis zog hauv qhov mob hnyav, thaum raug mob ntawm txoj hlab thiab mob hauv plab, mob mob tshwm sim.
Vim li cas ho rub tawm plab me ntsis ua ntej lub hli
Kev hnov mob hauv siab ua ntej kev qoj ib ce muaj ntau txoj hauv kev: lub plab tuaj yeem rub, nce, raug mob. Tag nrho cov no tshwm sim nyob rau hauv nrog nrog nce kev loj hlob ntawm lub poob siab system, ib tug ua txhaum ntawm kev ua hauj lwm ntawm gastrointestinal ib ntsuj av, obsessive mob taub hau.
Qhov ua rau tshwm sim:
- Sudden kev hloov nyob rau hauv lub regime ntawm so, pw tsaug zog, ua hauj lwm;
- mob qaug zog;
- kev nyuaj siab, kev ntshaus siab, kev nyuaj siab;
- muaj ntawm foci ntawm o nyob rau hauv lub plab hnyuv siab raum ntawm lub me pelvis;
- tsis paub txog kev siv tshuaj tiv thaiv hormonal;
- qhov raug muab rho tawm, kev phais mob ntawm cov qau;
- tsis ua haujlwm ntawm cov hlab ntsha metabolism hauv neural lipid;
- txuam nrog kua hauv lub cev;
- tsis muaj peev xwm ntawm progesterone thiab ntau cov tshuaj estrogen nyob rau theem kawg ntawm lub voj voog.
Nws mob thiab rub tawm plab me ntsis tom qab kev qoj ib ce
Kev mob plab hauv plab plab hauv lub cev lossis ua ntej kev coj khaub ncaws yog tus qauv siv kabmob. Thiab vim li cas ho rub tawm lub plab tom qab kev qoj cev? Muaj ob feem ntawm kev loj hlob ntawm cov xwm txheej: kev muaj zog ntawm kev mob ntsws, hais tias kev kho mob sai sai, thiab kev sib txawv ntawm qhov cai.
Variants ntawm cov cai
- Postovulatory syndrome. Thaum lub qe los ntawm qe, lub qe uas npaj txhij rau cov noob txiv yos tawm hauv cov kabmob ntawm lub plab zom menyuam, ntawm qhov nws "clings" rau cov txheej txheem ntawm cov hlab ntaws thiab pib txav mus rau lub tsev menyuam. Tom qab 3-6 hnub tom qab fertilization nyob rau hauv lub raj plab raj, lub fetal qe yog implanted rau hauv uterine mucosa, yog tias qhov kev xav tsis tshwm sim, tom qab 24-36 teev ntawm kev sib deev cell tuag. Gynecologists paub qhov txawv ntawm ib lub sij hawm - postovulyatorny syndrome, uas ua los ntawm kev hloov hauv hormonal keeb kwm yav dhau.
Cov tsos mob:
- qhov qis dua plab;
- abruptly nce libido;
- hom thiab qhov hloov ntawm qhov chaw mos ntawm paug hloov;
- lub xeev kev noj qab haus huv thiab kev xav hauv lub xeev muaj kev puas tsuaj.
- Cev xeeb tub. Yog tias tom qab lub ovulation rub tawm plab me, nws yuav tau xeeb tub. Kev taw qhia ntawm lub qe rau ntawm phab ntsa ntawm lub tsev menyuam yog nrog los ntawm kev tso tawm ntawm cov kua thev tso rau hauv lub cev ntawm lub tsev menyuam - qhov no ua rau kev puas tsuaj rau cov hlab ntsha thiab lub meej mom ntawm cov ntaub so ntswg, uas piav txog me ntsis mob nyob rau hauv lub plab. Qhov thib ob kos npe ntawm cev xeeb tub yog qhov kev tuaj ntim ntshav (pom hauv 10-20% ntawm cov poj niam), uas yog xim liab / xim av tawm.
- Premenstrual Syndrome. Txoj hauv kev uas muaj cov cim qhia txog 3-10 hnub ua ntej pib ntawm lub voj voog. Nws muaj ntau yam kev tshwm sim, nrog rau kev rub tawm hauv plab me, zaub mov tsis zoo, thiab kev ntxhov siab txog kev puas hlwb.
Cov kab mob ntsws:
- mob siab heev hauv plab, uas tsis yog muab tshem tawm los ntawm kev sib daj sib deev thiab ho hnyav dua qub;
- los ntshav, uas los ntawm cov yam ntxwv txawv ntawm implantation;
- mob ntawm quav, tso zis;
- nro ntawm cov leeg ntawm plab;
- tsis qab los noj mov, kub cev, mob taub hau, xeev siab, ntuav, kiv taub hau, tsis muaj zog.
Rub cov plab me me tom qab sib deev
Tom qab muaj kev sib deev ntev lawm, 20-25% ntawm cov poj niam tau mob lub plab / mob tsis tu ncua hauv plab plab. Coob leej ntau tus txaj muag lees paub qhov no txawm tias mus rau ib tug kws kho mob tshwj xeeb, ua rau lawv raug kev txom nyem. Meanwhile, gynecologists sib cav hais tias muaj ntau ntau yam txhais tau tias yuav ua rau kev sib deev tsis mob kiag li.
Yog vim li cas rub lub plab tom qab kev sib deev - yog vim li cas nyob rau hauv sib lawv liag:
- defloration. Ntshai thaum kev sib deev ua rau cov leeg nqaij ntawm daim ntawv cog lus - qhov no ua rau mob mob;
- Vaginismus. Yog tias thawj qhov kev sib deev tsis tau zoo, tus poj niam tau tsim muaj kev ntshai ntshai tsam muaj kev cuam tshuam cov leeg pob txha, uas ua rau kev tsis sib haum xeeb;
- ua txhaum ntawm lub meej mom ntawm lub hymen. Yog hais tias qhov txav ze tsis yog thawj zaug, thiab lub plab rub tawm zoo li thawj zaug, nws yuav ua rau tus pa tawg tsis tu. Qee lub sij hawm virginity nyob rau hauv lub tswv yim anatomical tawg tag tsuas yog thaum lub sij hawm ntawm kev ua hauj lwm;
- o. Cov txheej txheem ua kom yws yog qhia los ntawm khaus, hlawv, mob, tsis tuaj yeem hauv qhov chaw mos thaum lub sijhawm / tom qab sib deev. Hauv qhov no, koj tuaj yeem ua tau yam tsis muaj kev sim rau cov kab mob sib kis los ntawm kev sib deev (candidiasis, trichomoniasis, gonorrhea). Rau lub sijhawm ua haujlwm, kev sib deev yuav tsum muaj kev txwv thiab yuav tsum muaj kev tiv thaiv nrog lub hnab yas looj;
- spikes. Lawv raug tsim los ntawm kev mob ntawm txoj hnyuv los yog tom qab. Muaj cov kab mob tshwm sim nyob rau hauv 50% ntawm cov poj niam uas muaj hnub nyoog me nyuam, feem ntau lawv tsis muaj cov tsos mob symptomatic, tab sis lawv pom lawv tus kheej nyob rau ntawm lub cev. Tib txoj kev yog tawm mus rau kev kho mob thiab xaiv tus nyiam tshaj plaws rau kev sib daj sib deev;
- so / kev poob plig tom qab phais thiab tub. Cov lus nug yog daws los ntawm kev siv txoj haujlwm, kev loj hlob ntawm cov nqaij ntshiv sib luag thiab xaiv cov kev qes zog;
- venous congestion. Ntev mus ntev, tsis tshua muaj kev sib deev, tsis muaj orgasm ua rau mob hauv plab qis dua tom qab kev sib daj sib deev. Txij lub sij hawm, kev congestion venous txawm nrog tus mob ntawm kev sib deev ua ib qho tseem ceeb tshaj plaws hauv kev loj hlob ntawm cov kab mob loj gynecological - endometriosis, kawg ntawm cov qe menyuam, uterine myomas, mastopathy;
- endometriosis. Nws yog tus mob los ntawm kev mob qhov hnyuv, uas tuaj yeem ua rau qis ua ntej kev qoj ib ce, nws lub plab tom qab / hli, kev hnov mob heev tom qab sib deev;
- neuralgia ntawm lub hlwb qab haus huv. Tus hlab ntsha inflamed vim raug tus kab mob, kev nyuab siab, hypothermia, provoke ntse mob hauv ceg;
- anatomical incompatibility ntawm cov neeg koom tes;
- tsis tawm ntawm lubricant. Nws yog qhov kev tshem tawm ntawm Bartholin caj pas, kev puas siab puas ntsws (kev ntshai los ntawm kev xeeb tub, tsis txaus siab rau kev sib daj sib deev) lossis hormonal tsis txaus (menopause, postpartum period, hormones).
Thaum cev xeeb tub, ib tug poj niam yuav tsum nrog nws sib deev zoo zoo. Gynecologists tsis tuaj yeem pom zoo heev ntau zaus, tshwj xeeb tshaj yog tias tom qab kev sib deev rub tawm plab me. Yog vim li cas yog tias cov postures txwm ua tsis xis nyob vim cov kev hloov hauv cov leeg ntawm lub tsev menyuam thiab qhov chaw mos, ces lawv txo cov kev ua rau mob. Tej yam tshwm sim ntawm kev mob nyhav, mob ntev heev hauv qis plab tom qab sib daj sib deev - ib lub sijhawm mus nrhiav kev kho mob kom thiaj li tiv thaiv kev loj hlob ntawm cov kab mob gynecological.