U xơ tử cung căn bệnh thường gặp ở phụ nữ

U xd t\} cung can benl

Uxd tiJf cung la sfl tdng sinh te bao md cd

cua tu" cung Idnh tinh. U xd cd the ddn dgc

hoac nhilu 6, kich thfldc iiiay ddi tCf nho

ddn ldn. 70 - 80% phu nfl trdn 50 tuoi thfldng mac

chflng bdnh nay.

Thdng thfldng, bdnh nhan cam thdy cac trieu

chlMg sau:

- Cam gidc nang nang d bang quang hay trflc trdng

- Tidu lat nhat

- Tao bdn hay dau rdt d hau mon

- Dau viJng that Iflng hoac dau hung.

U xd cung cd the gay ra nhiing trieu chiing thay

ddi theo kinh nguydt, bao gdm:

> Dau qudn tfl nhe de'n nang

>- Ra huyet nhieu, thinh thoang cd mau cue

>• Chu ky kinh nguydt thfldng keo ddi

>- Ra huyet gifla cae chu ky kinh nguyet.

Nguyen nhdn chinh xae gay u xcf tfl cung chfla

dfldc bidt ro. Tuy nhien, sfl tang trfldng cua u xd cd

lidn quan de'n cac ndi tidt td' estrogen va progesteron.

Mgt sd cdng trinh nghien cflu cho thdy nhflng ngfldi

phu nfl cd kinh nguydt d tudi tre qua thfldng dl hi u

xd tiJ cung. Mdc ddu u xd tfl cung lidn quan den ndi

tid't td nfl nhuiig viec sfl dung thud'c ngfla thai lai

khdng gdy ra u xd tfl cung.

U xd tfl cung thfldng xay ra d gifla dd tudi 30 va

40, mdc dau chfla bidt ro cd chd gay ra. Phu nfl da

mdu thfldng m^c bdnh nhieu hcfn da tr^ng. Nd'u tien

sfl gia dinh co ngfldi hi u xd tfl cung thi nguy cd mdc

bdnh cao hdn.

Cac loai u xd tii cung

- U xcf ndm trong cd tfl eung, thfldng gap nhat,

phat tridn trong thanh cua tfl cung va co thd gdy ra

cam giac tfl cung to ldn.

- U xd dfldi thanh mac tang trudng d ben ngodi

tfl cung. Khi nhuiig khd'i u nay phat tridn qud ldn,

chung ed the gay dau ddn do chung chen ep cac ed

quan ldn c§n.

Cac loai u xd td cung

- U xd dfldi niem mac tang trfldng ngay ben dfldi

mang tfl cung vd c6 thd tu t^p vdo trong ldng tit

cung. Hdu qud Id gdy xua't huydt ndng vd cdc bidn

chiJfng khdc.

- U xd tfl cung cd cudng phdt triln trdn mgt cdi

cud'ng nhd nam trong hodc ngodi tfl cung.

Nhflng ngfldi beo phi hodc bi cao huydt dp cflng

ldm tdng nguy cd hi u xd tfl cung. U xd tfl cung cd the

gay ra m^t sd bidn chflng:

• Mdt sd phu nfl bi u xd tfl cung thfldng bi ra

huyet nhieu trong chu k^ kinh nguydt ndn c6 thi

mac chiJng thidu mdu.

• U xd thfldng khdng dnh hfldng ddn sinh san va

thai nghen. Tuy nhidn, cd m^t sd thai phu hi u xd

tfl cung cd thd c6 bidn chflng thai nghen nhidu hdn

va cd nguy cd khi sinh. U xd cd the gay dau vung

hd chgu va xuat huyet ndng sau khi sinh, ddi hdi

phai phdu thudt. Trong mdt vdi trfldng hdp, u xd c6

the lam tdc nghen vdi trflng. U xff phdt trien ben

trong ndi mac tfl: cung cd thd gdy khd khdn cho sfl

thu tinh.

^ bigt hdn. Can sil dung miln dich tri

li§u vdi interleukin hay interferon

gamma, kem theo phdu thudt cat

bd vd hda tri ligu.

Phong ngufa

De ngan ngfla bdnh do bui

amiang, can cham dflt sfl dung

amiang (trfl cac trfldng hdp ddc

biet nhfl chdng chdy).

Viet Nam Id mdt trong 10 qudc

gia sfl dung Ifldng amiang ldn nh^t

thg' gidi, khoang 60.000 tan mii

ndm vdi ddn sd gdn 90 tri$u ngfldi.

Can giam san xud^t amidng,

vi amidng ddc hai khdng chi cho

cong nhan lao ddng thfldng xuyen

tidp xuc vdi amidng, md cdn d^c

hai cho ngfldi sfl dung vd d$c hai

cho mdi trfldng. Cdc dai bilu dfl

hdi nghi nhd'n manh: Vi§t Nam

cdn cd bien phdp phdng ngCta

cdc bdnh lien quan din amidng

nhflng cd che tdi chinh de gidm

vi?c sfl dung amidng, tdng efldng

kilm sodt vd gidm sdt cdc cd B6

san xua't tdm ldp amidng, tuydn

truyen tdc hai cua amidng dli

ngfldi ddn. ^

THU6C & sCfC KH6 E sd505 (1.8.2014