Hauv kev kho mob, calcifications txhais tau tias yog cov calcium ntsev. Ntxiv mus, qhov no tuaj yeem tshwm sim hauv kab noj hniav ntawm ntau yam kabmob. Feem ntau, calcifications muaj nyob rau hauv lub tsev menyuam.
Lub tsev menyuam yog ib lub cev tsis sib xws uas muaj peb txheej. Cov txheej sab hauv yog cov endometrial, sawv cev los ntawm cov leeg muaj zog. Qhov loj tshaj plaws nruab nrab txheej yog myometrium. Sab nrauv ntawm lub tsev menyuam yog lub peritoneum.
Kev piav qhia
Calcifications nyob rau hauv lub tsev menyuam muaj ntau zaus ntau dua li ntawm cov kab mob peritoneal lossis hauv myometrium. Lawv kuj muaj feem ntau pom ntawm lub ncauj tsev menyuam. Hauv txhua qhov xwm txheej no, calcification yog qee yam kev tiv thaiv ntawm lub cev. Cov ntsev, uas muaj cov khoom tsis zoo, encapsulate thaj chaw uas cov ntaub so ntswg puas tau pom. Qhov no tiv thaiv kev kis tus txheej txheem necrosis mus rau lwm qhov chaw. Qhov tsim ntawm calcium deposits yog theem nrab, tus kab mob nyob rau hauv tag nrho cov kev nkag siab ntawm lub sij hawm yog tsisyog.
Ntau calcifications hauv tsev menyuam. Cov ntaub ntawv kho mob tau tshaj tawm tias calcium deposits yog tsim nyob rau hauv kwv yees li 30% ntawm tag nrho cov poj niam, thiab nyob rau hauv feem ntau cov txheej txheem mus tsis muaj lwm yam tshwm sim.
Vim kev kawm
Txhua qhov ua rau calcium deposits tuaj yeem muab faib ua ob peb pawg. Thawj pab pawg muaj xws li lub npe hu ua trigger yam tshwm sim, uas yog, cov uas ncaj qha ua rau tsim ntawm calcification. Ntawm lawv:
- Kev poob ntawm lub cev nyob hauv lub plab me me, ntawm qhov raug mob. Cov kab mob zoo li no suav nrog, ntawm lwm yam, kev kuaj mob curettage, phais rho menyuam, hysteroscopy thiab lwm yam kev ua haujlwm zoo sib xws. Lawv ua rau muaj kev nce ntxiv ntawm kev cuam tshuam ntawm cov ntaub so ntswg uterine los ntawm cov kab mob pathogenic. Qhov txaus ntshai tshaj plaws yog kev ua haujlwm cavitary ua rau ntawm lub cev.
- Predisposition rau kev loj hlob ntawm kis kab mob thiab inflammatory kab mob ntawm ib tug caj ces thiab lwm yam xwm. Piv txwv li, endometriosis los yog endometritis tuaj yeem txhim kho nyob rau hauv lub luag hauj lwm ntawm lub nra hnyav. Yog hais tias ib tug poj niam muaj tsawg kawg yog ib tug txheeb ze mob nyob rau hauv lub nce mus txog tsib tiam, qhov tshwm sim ntawm calcification ntawm cov poj niam nce mus rau 30%, yog hais tias muaj ob tug txheeb ze mob, ces qhov tshwm sim yuav nce mus rau 50%. Hmoov zoo, cov kab mob pathology tsis tau txais los ntawm txoj kev tseem ceeb lossis autosomal recessive. Tsuas yog cov yam ntxwv ntawm qhov system tuaj yeem hloov pauvkev tsim tawm.
- Stenosis ntawm lub ncauj tsev menyuam thiab qhov chaw mos. Xws li kev ua txhaum cai ua rau poj niam cev xeeb tub thiab lwm yam secretions reflux rov qab mus rau hauv lub uterine kab noj hniav, ua rau stagnation ntawm cov tshuaj no, vim li ntawd, qhov tshwm sim ntawm kev loj hlob ntawm tus kab mob (feem ntau endometritis) nce ho.
- Kev phem ib puag ncig hauv tus poj niam qhov chaw nyob. Cov xwm txheej ib puag ncig tuaj yeem ua rau adenomyosis, uas yog qhov muaj feem cuam tshuam rau calcium buildup.
- Kev coj khaub ncaws tsis xwm yeem. Nyob rau hauv lub qhov paum kab noj hniav muaj ib tug loj tus naj npawb ntawm ntau yam kab mob, ib co ntawm cov pathogenic, muaj peev xwm kis tau cov ntaub so ntswg thiab cov kab mob (tib neeg papillomavirus, herpetic agents, mycoplasmas, ureaplasmas, staphylococci, streptococci thiab lwm tus neeg sawv cev ntawm cov nroj tsuag pyogenic). Thaum kev coj khaub ncaws qeeb, ntshav stagnation tshwm sim, uas ua rau muaj qhov chaw zoo rau kev tsim cov kab mob.
- Kev tsis haum tshuaj rau sab hauv thiab sab nraud. Feem ntau, nyob rau hauv cov ntaub ntawv no, lub alimentary ua rau meant, uas yog, malnutrition thiab nkag mus ntawm antigens rau hauv lub systemic ncig.
- Ntau dhau thaum ntxov lossis lig pib ntawm kev sib deev. Ob qho kev xaiv yog qhov tsis zoo rau poj niam txoj kev noj qab haus huv. Nrog rau qhov pib lig ntawm kev ua plees ua yi, aggressiveness ntawm microorganisms nce. Nrog ntau dhau thaum ntxov - cov txheej txheem dystrophic tau pib hauv cov kab mob hauv plab. Yog li ntawd, qhov kev pheej hmoo ntawm calcification nce.
- khoom xa tuaj lig. Tej zaum yuav cuam tshuamKev tsis zoo ntawm lub tsev menyuam, feem ntau ua rau muaj kev hloov pauv hauv lub cev uas tuaj yeem ua rau tuag ntawm cov ntaub so ntswg uterine (ua tiav, ib nrab).
- Pathological hloov pauv hauv endocrine system. Cov no kuj muaj xws li ntshav qab zib mellitus, mob ntawm hypothalamus, pituitary caj pas, hyperthyroidism, hypothyroidism thiab lwm yam pathologies.
- Pathological hloov pauv hauv kev ua me nyuam. Ua ntej tshaj plaws, cov kab mob sib kis tau ua rau muaj qhov tshwm sim: adnexitis, endometritis thiab lwm yam.
- Uterine caws pliav tom qab phais tas. Calcifications tuaj yeem tshwm sim ntawm qhov caws pliav, uas tshwm sim los ntawm kev ua haujlwm hauv plab ntawm lub cev.
- Kev txo qis hauv zos, kev tiv thaiv dav dav. Ib puag ncig tsis zoo, kev ntxhov siab, kev tawm dag zog lub cev hnyav (ua rau ntau dhau ntawm corticosteroids), nquag kis kab mob ua pa, hypothermia.
Kev tiv thaiv ntawm lub cev
Raws li twb tau hais lawm, calcifications hauv tsev menyuam yog kev tiv thaiv ntawm lub cev. Cov txheej txheem ntawm kev tsim cov calcium deposits yog nyob ntawm qhov ntxeem tau ntawm uterine ntaub so ntswg ntawm tus kab mob los yog kab mob. Sai li lub cev raug puas tsuaj los ntawm cov kab mob los yog kab mob, qhov tshwm sim ntawm kev tsim cov kab mob purulent nce ntau. Nyob rau hauv tas li ntawd, yuav tsum tau encapsulation ntawm necrotic ntaub so ntswg. Nws yog lub luag haujlwm no uas calcifications ntawm caws pliav ntawm lub tsev menyuam tom qab phais tas.
Indirect factors
Pab pawg thib ob ntawm qhov ua rau pathology feem ntau yog los ntawm yam uas tsis ncaj qha txiav txim qhov pib ntawm tus txheej txheemdeposit tsim. Ntawm lawv yog:
- Kev quav cawv, haus luam yeeb. Cov xwm txheej no cuam tshuam tsis zoo rau lub xeev ntawm cov ntaub so ntswg, tiv thaiv kab mob.
- Khoom noj khoom haus tsis zoo uas txo kev tiv thaiv kab mob.
- Intensive poob ntawm calcium ions los ntawm cov pob txha pob txha.
- Kev rog. Kev rog dhau yog qhov muaj feem pheej hmoo ntxiv.
- nce qib calcium ntsev hauv cov ntshav. Qhov teeb meem no yog txawv txav, nws yog fraught nrog kev loj hlob ntawm calcification tsis tau tsuas yog nyob rau hauv lub tsev menyuam, tab sis kuj nyob rau hauv lwm yam kabmob thiab cov ntaub so ntswg. Qhov no yog feem ntau provocative nyob rau hauv tsim ntawm calcifications nyob rau hauv lub mammary qog, prostate caj pas, ob lub raum, ntsws, thiab aorta. Lub tsev menyuam nyob rau hauv cov ntaub ntawv no tau raug ua txhaum cai tsawg dua, txawm li cas los xij, nyob rau hauv txhua rooj plaub, peb tuaj yeem tham txog ntau yam kab mob ntawm lub cev.
- Cov xwm txheej ntxhov siab. Tawm tsam keeb kwm yav dhau los ntawm kev ntxhov siab, feem ntau, kev tiv thaiv hauv zos txo qis, vim tias muaj ntau ntxiv ntawm cortisol, adrenaline, norepinephrine los ntawm cov qog adrenal.
Cov khoom teev npe tsis yog tib qho uas ua rau muaj qhov tshwm sim ntawm calcifications. Qhov no yuav tsum raug coj mus rau hauv tus account thaum txiav txim siab txog tus kabmob etiology.
calcification yog dab tsi, tam sim no nws yog tseeb. Xav txog cov tsos mob.
Symptomatics
Calcifications nyob rau hauv lub tsev menyuam xyaum tsis pom muaj tsos mob. Lub xub ntiag ntawm qhov tsis muaj zog rub qhov mob hauv plab hauv plab tuaj yeem qhia txog cov txheej txheem ntawm ntsev deposition.
Tab sis, raws li txoj cai, feem ntau, calcium depositstshawb pom xwm txheej thaum tshawb fawb rau lwm yam pathologies lossis mob. Feem ntau, nrog calcification, cov tsos mob ntawm lub hauv paus pathology raug kuaj pom, uas tau dhau los ua tus provocateur ntawm kev tsim cov calcifications.
Hauv qhov no, cov npe ntawm cov tsos mob tshwm sim yog qhov dav heev. Kev xyaum qhia tau hais tias feem ntau yog qhov ua rau endometritis thiab endometriosis. Nws yog ob yam kab mob uas ua rau qhov pib ntawm calcification.
Kev teem sijhawm nrog tus kws kho menyuam yaus ntawm lub tsev kho mob antenatal yuav tsum tau ua yog tias muaj qhov tsis txaus ntseeg ntawm kev txhim kho ntawm pathology.
Cov cim tseem ceeb ntawm kev mob
Cov cim tseem ceeb ntawm cov txheej txheem ntawm o hauv cov mucous daim nyias nyias ntawm lub tsev menyuam yog:
- Mob hauv plab plab, uas tuaj yeem sib txawv. Thaum cov txheej txheem nyuaj, mob ntawm kev tua, mob, rub tus cwj pwm yeej. Qhov hnyav ntawm qhov tsis xis nyob yog ncaj qha nyob ntawm qhov kev ua phem ntawm cov kab mob tseem ceeb, lub xeev ntawm kev tiv thaiv kab mob, thiab qhov chaw ntawm qhov txhab. Kev tsis xis nyob tuaj yeem tawg mus rau qhov projection ntawm lub tsev menyuam, sab nraub qaum, ob txhais ceg, thaj tsam inguinal.
- Cov tsos mob ntshav tawm uas muaj ntxhiab tsw tsw qab. Qee zaum, uas tsis tshua muaj heev, cov exudate tuaj yeem muaj cov kua paug tag nrho. Raws li txoj cai, qhov paug tawm muaj cov ntxhiab tsw qab thiab cov xim ntawm cov nqaij slops. Lawv muaj ntau yam xwm txheej.
- Kev ua txhaum ntawm lub voj voog ntawm kev coj khaub ncaws mus txog ncua ib lub lis piam. Qhov xwm txheej no tsis zoo li qub.
- siab kom febrile thiabsaum lub cev kub. Yog tias tus kab mob no ntev, ces qhov mob me me tuaj yeem tshwm sim.
- Cov tsos mob ntawm kev qaug cawv: ntuav, xeev siab, kiv taub hau, mob taub hau.
- Kev sib txawv hauv kev ua haujlwm ntawm cov poj niam. Fertility tsis suav nrog, tab sis tej zaum yuav raug txo.
Feem ntau, calcium deposits tshwm sim tawm tsam keeb kwm yav dhau ntawm cov kab mob endometritis ntev, thiab yog li ntawd daim duab kho mob tuaj yeem ua qhov muag plooj. Nyob rau hauv tas li ntawd, yuav tsum tau teem sij hawm ceev nrog ib tug gynecologist ntawm lub tsev kho mob antenatal.
Kev kuaj mob calcifications
Gynecologists tau koom nrog kev kuaj mob sib txawv, tab sis qhov no tsis yog lub luag haujlwm tseem ceeb. Lub luag haujlwm tseem ceeb yog txhawm rau txheeb xyuas cov kab mob hauv qab, uas yog tus provocateur ntawm cov txheej txheem ntawm kev tsim cov calcifications. Feem ntau, xws li pathology yog endometritis, tab sis tsis nyob rau hauv txhua rooj plaub. Yog li ntawd, tus neeg mob yuav tsum tau ua tib zoo tshuaj xyuas.
History take
Kev teem caij thawj zaug suav nrog kev sau keeb kwm ntawm tus kheej thiab tsev neeg. Tus neeg mob yuav tsum piav qhia txog nws qhov kev tsis txaus siab, txoj cai txwv rau lawv qhov tsos, xwm txheej.
Type of studies
Tom qab ntawd, yuav tsum tau kuaj bimanual, kuaj xyuas ntawm qhov chaw mos nrog kev pab los ntawm iav. Tseem xav tau:
- Kev kuaj ntshav dav dav ntawm cov qauv ntshav txhawm rau txheeb xyuas cov duab classic ntawm qhov mob, nrog rau kev nce qib ntawm leukocytes, lawv cov sedimentation tus nqi.
- Kev tshawb fawb txog biochemical ntawm venousntshav.
- Kev kuaj cov kabmob nyob hauv lub plab me me siv ultrasound. Calcifications ntawm lub tsev menyuam ntawm ultrasound yuav pom tau.
- X-ray ntawm lub cev nyob hauv lub plab me me. Ob qho tib si benign thiab malignant neoplasias tuaj yeem calcify.
- ELISA, PCR kev kuaj mob. Tso cai rau koj txheeb xyuas tus neeg sawv cev tseem ceeb ntawm cov kab mob pathology, yog tias nws muaj tus kab mob etiology.
- Smears los ntawm lub ncauj tsev menyuam, qhov chaw mos.
- kab lis kev cai kab mob rau lub xub ntiag ntawm cov khoom noj khoom haus.
Cov kev tshawb fawb no txaus los txheeb xyuas qhov ua rau ntawm calcifications. Qee zaum, CT, MRI tau qhia.
Puas muaj peev xwm tshem tawm cov calcifications hauv uterine kab noj hniav? Cia peb kawm saib.
Kev kho mob
Calcifications tsis raug kho. Kev kho mob ntawm lub hauv paus pathology yog tsim nyog. Calcifications tsis yog kab mob, lawv tsis muaj kev phom sij rau lawv tus kheej, tab sis tsuas yog qhia txog qhov muaj tus kab mob. Calcified thaj chaw tsis muaj kev vam meej, yog li koj tshem tsis tau lawv, tab sis nyob twj ywm nrog lawv.
Tam sim no nws tau paub meej tias qhov calcifications yog dab tsi.
