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U nang buồng trứng
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TRIỆU CHỨNG VÀ CÁCH ĐIỀU TRỊ U NANG BUỒNG TRỨNG
U nang buồng trứng là hiện tượng xuất hiện một tập hợp tế bào trên buồng trứng của phụ nữ trước hoặc trong kì mang thai. U nang buồng trứng thường phát sinh từ một nhóm bất kì trong cơ thể, thường là từ buồng trứng hoặc các cơ quan lân cận. Thông thường, loại u này khá lành tính, tuy nhiên trong nhiều trường hợp có thể phát sinh biến chứng, cần cắt bỏ hoặc có phương án xử lý trước khi u xâm hại tới cơ thể.
Trong số các bệnh phụ khoa thì u nang buồng trứng là loại bệnh thường gặp, chiếm khoảng gần 4% tỉ lệ. Thời gian đầu, u tăng trưởng chậm và không gây hại, nhưng khi phát sinh tác động ác tính thì u lại thể hiện triệu chứng rất nhanh. Chị em trong độ tuổi sinh sản cần quan sát và chú ý kĩ, trong trường hợp phát hiện u cần gặp bác sĩ để có phương án điều trị tốt, tránh để u phát triển thêm, biến chứng thành ung thư buồng trứng hoặc gây xoắn nang rất nguy hiểm cho khả năng sinh sản thậm chí là tính mạng của chị em.
U nang buồng trứng lành tính thì không có nhiều tác hại, chủ yếu u chỉ làm chậm quá trình sinh sản. Do các nang trứng dễ vướng phải u và bị trễ quá trình rụng. Tuy các khối u thường khá dị biệt, nhưng chúng cũng có một số đặc điểm chung như:
– Đối với u lành tính thì u chỉ xuất hiện trên một buồng trứng và tự vỡ hoặc teo sau vài tháng.
– Đường kính u không quá 7cm
– Trong trường hợp chưa vỡ và tổn thương, u sẽ giống như một cục dịch dính với nhau, không màu
Nguyên nhân
Bệnh chủ yếu đến từ các nguyên nhân sau:
– Các nang trứng khuyết tật, gặp vấn đề trong việc thu chất dinh dưỡng trong buồng trứng
– U nang xung huyết do mạch vỡ
– Do định lượng các hoocmon như Chorionic gonadotropin, Hocmone luteinzing quá cao, dẫn tới hình thành u nang lutein và ảnh hưởng xấu tới buồng trứng
– Thể vàng phát triển, kéo theo kinh nguyệt dài ngày.
Nguy cơ
Về cơ bản, dạng u này không phải là mối đe dọa, trừ trường hợp nó có biến đổi. Còn nếu không, u sẽ tự sinh ra cũng tự tiêu biến sau vài tháng, tuy nhiên u cũng có một số vấn đề gây phiền toái:
– U xuất hiện chiếm một phần diện tích nên ngăn cản quá trình sinh trưởng và giải phóng của nang trứng, do đó khi có u, quá trình thụ thai sẽ chậm lại.
– Vì trứng khó rụng nên kinh nghiệt cũng bị rối loạn, tuy nhiên chỉ sau vài tháng, hiện tượng này sẽ kết thúc.
– Thỉnh thoảng người bệnh sẽ phải chịu những cơn đau bụng bất chợt.
– Nếu khối u có lớn sẽ gây nguy cơ xoắn buồng trứng. Trường hợp này khá nguy hiểm, có thể ảnh hưởng tới tính mạng nên chị em nếu phát hiện cần trực tiếp điều trị ngay
– Khi u vỡ dễ làm tràn dịch ra buồng trứng gây viêm nhiễm.
Triệu chứng
Hầu hết u nang buồng trứng đều có biểu hiện không điển hình, tuy nhiên cũng có một số cách để bạn tự phát hiện u:
– Đau tức bụng, đôi khi là vùng thắt lưng và đùi
– Thường xuyên thấy đầy bụng
– Tiểu khó, tiểu dắt
– Cơn đau nặng hơn khi quan hệ
– Thay đổi một vài chỉ số cơ thể, tăng cân không rõ lí do
– Đau ngực, đôi khi buồn nôn và nôn
– Rối loạn kinh nguyệt
Trong trường hợp u có biến chứng ác tính sẽ tạo nên các triệu chứng cấp độ nặng hơn và thậm chí là sốc tạm thời, ví dụ như đột ngột sốt và nôn mửa, kiệt sức và ngã khuỵu không rõ nguyên nhân.
Phân loại
Có nhiều cách để phân loại khối u:
– Theo nguyên nhân: thì các nhà khoa học hay xác định 2 loại u là u nang thực thể và u nang cơ năng. Trong đó u năng cơ năng được sinh ra do cơ chế điều tiết có nhiều biến đổi trong cơ thể, thường không nguy hiểm và tự mất đi. Còn u năng thực thể là loại u được cảnh báo nên xử lí bởi lẽ nó thường sinh ra bởi một bệnh lí khác đang nảy sinh trong cơ thể.
– Theo tính chất khối u: ví dụ như u chứa dịch hay đặc, tính chất của dịch của ảnh hưởng tới việc xác định loại u.
– Theo kích thước hay hình dạng khối u
– Theo bản chất lành hay ác tính: về cơ bản việc u ác hay lành không thể chắc chắn chỉ với việc siêu âm, chỉ có thể xác định ảnh hưởng của u dựa vào biểu hiện ra ngoài và thử nghiệm giải phẫu sau khi cắt đem ra ngoài.
Kỹ thuật chẩn đoán
Hiện nay, có 4 kĩ thuật chẩn đoán u nang buồng trứng:
– Siêu âm: Quá trình siêu âm chủ yếu để xác định vị trí, vẻ ngoài của khối u và một số biểu hiện cơ bản của u, kèm theo đó là ảnh hưởng của nó đối với buồng trứng và tử cung.
– XQ bụng không chuẩn bị
– Chụp TC, buồng trứng: về cơ bản kỹ thuật này chỉ để xác định độ an toàn của khối u, các phần phụ và buồng trứng.
– Nội soi ổ bụng: Nếu u quá lớn, siêu âm sẽ không thể rõ ràng phạm vi của nó, lúc đó cần nội soi ổ bụng. Về cơ bản phương pháp này tương tự với nội soi dạ dày, chụp lại ổ bụng bằng CT Scanner.
Điều trị
Đối với u lành tính thì u không cần chữa trị cũng sẽ tự tiêu biến. Tuy nhiên nếu trường hợp là loại u có khả năng biến chứng thì cần xử lí. Các phương pháp được sử dụng bao gồm nội khoa và ngoại khoa:
Về nội khoa, người bệnh sẽ được cấp thuốc thúc đẩy tu nhanh già để teo hoặc vỡ đi.
Về ngoại khoa, bác sĩ sẽ phải phẫu thuật cắt u, có thể là bóc tách bảo toàn buồng trứng hoặc cắt đi toàn bộ buồng trứng, tùy thuộc vào nguyện vọng của người bệnh. Bóc tách giúp giữ được khả năng sinh con nhưng lại dễ có nguy cơ tái phát bệnh. Vậy nên cũng có những trường hợp phụ nữ sau khi sinh đủ con chấp nhận cắt buồng trứng để đề phòng thêm bệnh.
Tuy nhiên về cơ bản, điều trị u nang buồng trứng dù là lành tính hay ác tính cũng gặp rất nhiều vấn đề, vậy nên thay vì suy nghĩ đến giải pháp, các chị em hãy hướng tới cách đề phòng căn bệnh này.
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