Titre : Procédures de chirurgie gynécologique

Procédures de chirurgie gynécologique : Questions médicales fréquentes

Termes MeSH sélectionnés :

Immunoglobulin lambda-Chains
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éviter les complications post-chirurgicales ?", "url": "https://questionsmedicales.fr/mesh/D013509?mesh_terms=Immunoglobulin+lambda-Chains&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Procédures de chirurgie gynécologique", "description": "Quelles sont les options chirurgicales pour l'endométriose ?\nComment traiter les fibromes utérins ?\nQuel est le rôle de la laparoscopie ?\nQuand envisager une hystérectomie ?\nQuels traitements pour les infections pelviennes ?", "url": "https://questionsmedicales.fr/mesh/D013509?mesh_terms=Immunoglobulin+lambda-Chains&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Procédures de chirurgie gynécologique", "description": "Quelles complications peuvent survenir après une hystérectomie ?\nQuels risques après une laparoscopie ?\nComment gérer les complications d'une chirurgie gynécologique ?\nQuelles sont les complications possibles des fibromes ?\nQuels effets secondaires des traitements hormonaux ?", "url": "https://questionsmedicales.fr/mesh/D013509?mesh_terms=Immunoglobulin+lambda-Chains&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Procédures de chirurgie gynécologique", "description": "Quels sont les facteurs de risque de l'endométriose ?\nQuels facteurs augmentent le risque de fibromes ?\nComment l'âge influence-t-il les risques gynécologiques ?\nQuels sont les facteurs de risque d'infections pelviennes ?\nQuels facteurs influencent le cancer de l'ovaire ?", "url": "https://questionsmedicales.fr/mesh/D013509?mesh_terms=Immunoglobulin+lambda-Chains&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une endométriose ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "L'endométriose se diagnostique par échographie, IRM ou laparoscopie." } }, { "@type": "Question", "name": "Quels tests pour les fibromes utérins ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Les fibromes sont souvent diagnostiqués par échographie ou hystéroscopie." } }, { "@type": "Question", "name": "Quels symptômes indiquent une chirurgie ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs persistantes, des saignements anormaux ou des masses pelviennes peuvent nécessiter une chirurgie." } }, { "@type": "Question", "name": "Comment évaluer une infection pelvienne ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'infection pelvienne se diagnostique par examen clinique et tests sanguins." } }, { "@type": "Question", "name": "Quel rôle des biopsies dans le diagnostic ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les biopsies permettent d'analyser les tissus et de confirmer des pathologies." } }, { "@type": "Question", "name": "Quels sont les symptômes de l'endométriose ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleurs pelviennes, règles douloureuses et infertilité." } }, { "@type": "Question", "name": "Comment reconnaître un fibrome utérin ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les fibromes peuvent causer des saignements abondants et des douleurs pelviennes." } }, { "@type": "Question", "name": "Quels signes d'infection gynécologique ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, douleurs abdominales et pertes vaginales anormales sont des signes d'infection." } }, { "@type": "Question", "name": "Quels symptômes d'une grossesse extra-utérine ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Douleurs abdominales unilatérales et saignements vaginaux peuvent indiquer une grossesse extra-utérine." } }, { "@type": "Question", "name": "Quels symptômes d'un cancer de l'ovaire ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Ballonnements, douleurs pelviennes et changements d'appétit peuvent signaler un cancer de l'ovaire." } }, { "@type": "Question", "name": "Comment prévenir l'endométriose ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Il n'existe pas de méthode garantie, mais un suivi médical régulier peut aider." } }, { "@type": "Question", "name": "Quelles mesures pour éviter les fibromes ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir un poids santé et une alimentation équilibrée peut réduire le risque de fibromes." } }, { "@type": "Question", "name": "Comment réduire le risque d'infections ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Pratiquer des rapports protégés et maintenir une bonne hygiène intime aide à prévenir les infections." } }, { "@type": "Question", "name": "Y a-t-il des moyens de prévenir le cancer de l'ovaire ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi régulier et des antécédents familiaux peuvent aider à la détection précoce." } }, { "@type": "Question", "name": "Comment éviter les complications post-chirurgicales ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Suivre les recommandations médicales et éviter les efforts excessifs aide à prévenir les complications." } }, { "@type": "Question", "name": "Quelles sont les options chirurgicales pour l'endométriose ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les options incluent la laparoscopie pour retirer les lésions et l'hystérectomie." } }, { "@type": "Question", "name": "Comment traiter les fibromes utérins ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent la myomectomie, l'hystérectomie ou des médicaments hormonaux." } }, { "@type": "Question", "name": "Quel est le rôle de la laparoscopie ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "La laparoscopie permet de diagnostiquer et traiter diverses affections gynécologiques." } }, { "@type": "Question", "name": "Quand envisager une hystérectomie ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Une hystérectomie est envisagée en cas de fibromes, cancer ou saignements anormaux persistants." } }, { "@type": "Question", "name": "Quels traitements pour les infections pelviennes ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Les infections pelviennes sont traitées par antibiotiques et parfois chirurgie." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après une hystérectomie ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent infections, saignements et problèmes urinaires." } }, { "@type": "Question", "name": "Quels risques après une laparoscopie ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Les risques incluent des lésions d'organes, infections et douleurs persistantes." } }, { "@type": "Question", "name": "Comment gérer les complications d'une chirurgie gynécologique ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi médical régulier et une communication ouverte avec le médecin sont essentiels." } }, { "@type": "Question", "name": "Quelles sont les complications possibles des fibromes ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les fibromes peuvent causer des douleurs, des saignements et des complications pendant la grossesse." } }, { "@type": "Question", "name": "Quels effets secondaires des traitements hormonaux ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements hormonaux peuvent entraîner des nausées, des saignements irréguliers et des changements d'humeur." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque de l'endométriose ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent des antécédents familiaux, des menstruations précoces et des cycles menstruels longs." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de fibromes ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "L'obésité, les antécédents familiaux et les déséquilibres hormonaux augmentent le risque de fibromes." } }, { "@type": "Question", "name": "Comment l'âge influence-t-il les risques gynécologiques ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Le risque de nombreuses affections gynécologiques augmente avec l'âge, surtout après 30 ans." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque d'infections pelviennes ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Les rapports sexuels non protégés et les antécédents d'infections augmentent le risque." } }, { "@type": "Question", "name": "Quels facteurs influencent le cancer de l'ovaire ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Les antécédents familiaux, l'âge avancé et certains syndromes génétiques augmentent le risque." } } ] } ] }

Sources (9771 au total)

Warning values of serum total kappa/lambda ratio for M-proteinemia.

To introduce the serum total kappa/lambda ratio (K/L) in humoral immunity testing reports to improve the detection rate of M-proteinemia.... 156 M protein-positive and 5464 M protein-negative samples confirmed by serum immunofixation electrophoresis(sIFE) were accumulated from January 2021 to December 2023 in the First Affiliated Hospital ... The optimal cutoff values of K/L were 2.31 and 1.43 corresponding to K-type and L-type M-proteinemia respectively by ROC analysis. The sensitivity and specificity were validated as 76.14% and 77.42%. ... K/L > 2.31 and K/L < 1.43 can be used as warning values for M-proteinemia. In addition, the content of the heavy chain in IgA- or IgM-type M-proteinemia may be considered to improve the detection rate...

Validation of ELISA assays for the calculation of FLC indices for the diagnosis of intrathecal immunoglobulin synthesis.

Define the cutoff thresholds of the Kappa (K) and Lambda (L) free light chains (FLC) indices for the detection of intrathecal immunoglobulin synthesis (IIS) using the new K and L FLC ELISA from SEBIA.... We analyzed 391 serum/CSF pairs divided into three groups. The first group were cases without OCB and with normal albumin CSF/serum ratio (n=174). The second group were cases with specific OCB (n=73).... Analysis of the first group determined that the cutoffs for detection of IIS are respectively 2.55 and 1.02 for the K FLC and L FLC indices. Of the 73 cases with IIS, only 2 had a K FLC index below th... Sebia K FLC and L FLC assays are adequate alternative methods for the diagnosis of IIS....

A rare case of IgA lambda multiple myeloma in a 32-year-old woman with t(14;16) translocation associated with kidney injury and non-albumin proteinuria.

Multiple myeloma (MM) is a malignant disorder characterized by monoclonal differentiated plasma cells. While it is more commonly diagnosed in elderly individuals, it can also affect younger population... Here, we present the case of a 32-year-old woman diagnosed with IgA lambda MM. She presented with fatigue, nausea, acute kidney injury (AKI) with a rapid increase in creatinine, and anemia. A kidney b... Early recognition and prompt intervention are essential in managing MM patients, especially in those with high-risk cytogenetic abnormalities. This case serves as a reminder for clinicians to maintain...

Freelite and Kloneus assays in free light chain measurements in patients with renal impairment.

Serum free light chain (FLC) quantification is a diagnostic criterion for monoclonal gammopathy and its values in patients with renal impairment are different from those in healthy subjects. The aim o... In this retrospective study, serum samples from 226 patients with chronic kidney disease (CKD) of stages 2-5 were measured with a Freelite assay on the Optilite system and with a Kloneus assay on the ... Both kappa FLC (K-FLC) and lambda FLC (L-FLC) concentrations increased with Kloneus and Freelite assays with each increment in CKD stage. In patients with CKD, Kloneus detected lower concentrations of... These findings demonstrate that Freelite and Kloneus assays provide higher but not parallel values when FLCs are measured in patients with CKD, so an increase in K/L-FLC was observed in the case of Fr...

Serum free light chain analysis: persisting limitations with new kids on the block.

Serum free light chain (sFLC) measurements have inherent analytical limitations impacting sFLC clinical interpretation. We evaluated analytical and diagnostic performance of three polyclonal sFLC assa... sFLC concentration was measured using Diazyme FLC assays (Diazyme) on cobas c501/c503 analyzer (Roche); Freelite assays (The Binding Site) on Optilite analyzer (The Binding Site) and cobas c501 analyz... Method comparison showed excellent correlation with Freelite/Optilite method for all assays. A large proportional negative bias was shown for both Sebia κ and λ ELISA and a significant positive propor... Important analytical limitations remain for all sFLC applications. Differences in reference values and diagnostic performance hamper interchangeability of sFLC assays. Assay specific sFLC decision gui...

Determination of sensitivities and specificities of cerebrospinal fluid free light chains to diagnose multiple sclerosis- a multicentric case-control study.

CSF free light chains help diagnose multiple sclerosis, but no data is available on the Asian population. Our objective was to study the diagnostic utility of CSF free light chains for diagnosing mult... Prospective multicentric case-control study. Cases included those who were tested for oligoclonal bands and fulfilled the modified McDonald criteria 2017 for multiple sclerosis and clinically isolated... There were 70 patients (31 cases and 39 controls). The mean age was 43.41(SD 16.073) years, and 43(61.4%) were females. CSF kappa showed highest specificity 97.4%, at a cut off 2.06 mg/L (sensitivity ... This study showed that the diagnostic utility of CSF kappa was comparable to OCB to diagnose multiple sclerosis in sensitivity, but not specificity, so can be a screening test before testing for OCB i...

Clinical implication by differential analytical performances of serum free light chain quantitation analysis using fully automated analyzers.

Free light chain (FLC) is used for the diagnosis and prediction with regard to the progression risk of plasma cell disorders and Freelite reagent using the SPAplus analyzer (The Binding Site) has been... A total of 322 serum samples were collected from 193 patients requested for FLC analysis including 131 multiple myeloma patients. The precision, linearity, dilution recovery of N Latex FLC assay was e... The precision, linearity, and dilution recovery performance was appropriate for the routine use in clinical laboratories. Despite the good correlation within normal range, proportional bias up-to 170%... Clinical laboratories should be aware of the inter-assay variability of FLC quantitative measurements using different platforms, especially for high concentrations of both kappa and lambda measurement...