Cov poj niam feem ntau muaj kab mob vim yog cov yam ntxwv ntawm lawv lub cev. Cov txheej txheem pathological tuaj yeem muaj qhov sib txawv. Ib txhia ntawm lawv yog heev nyuaj nrhiav. Txhawm rau kom tsis txhob tom koj lub luj tshib tom qab, koj yuav tsum mus ntsib kws kho mob raws sijhawm. Tus kws kho mob gynecologist yuav kuaj xyuas, mloog koj cov lus tsis txaus siab thiab, yog tias tsim nyog, xa koj mus kuaj ntxiv.
Kwv yees li ib nrab ntawm kev sib deev ncaj ncees thaum cev xeeb tub thiab tom qab nws pom endometrial hyperplasia. Yog tsis muaj curettage ntawm lub tsev menyuam, pathology tuaj yeem swb tsuas yog nyob rau hauv cov xwm txheej tshwj xeeb. Hnub no tsab xov xwm yuav qhia koj txog keeb kwm ntawm tus kab mob no thiab qhia koj txog nws hom. Koj tseem yuav pom seb nws puas tsim nyog los ua curettage rau endometrial hyperplasia thiab nws yog dab tsi.
Qhov no yog dab tsi?
Tsis yog txhua tus poj niam yuav tsum tau nyiaj dhau qhov kev tsim txom xws ligynecological curettage. Nrog endometrial hyperplasia, nws feem ntau tau sau tseg, tab sis tsis tas li. Ua ntej koj kawm txog cov yam ntxwv ntawm manipulation, koj yuav tsum tau nkag siab txog tus kab mob nws tus kheej. Hyperplasia ntawm endometrium tshwm sim vim kev loj hlob ntawm lub puab nto ntawm cov leeg nqaij hlav. Txhua lub voj voog hauv lub cev ntawm tus poj niam muaj kev hloov pauv hauv keeb kwm hormonal. Thaum cev xeeb tub, endometrium yog los thiab tawm nrog cov ntshav. Tom qab ntawd, nws yog lub sijhawm rau tshuaj estrogen. Lawv pab txhawb txoj kev loj hlob ntawm cov follicles thiab rov ua kom cov mucous txheej ntawm lub tsev menyuam. Tsis tas li ntawd, tom qab ovulation, progesterone pab txhawb kev tso tawm kom zoo ntawm endometrium, nws npaj lub cev xeeb tub rau cev xeeb tub (txuas ntxiv ntawm lub qe fetal). Yog tias kev xeeb tub tsis tshwm sim, ces qib ntawm progesterone poob qis, uas ua rau lwm tus los ntshav. Txhua yam yooj yim heev.
Tab sis yog vim li cas tus poj niam muaj qhov tsis ua haujlwm hormonal, endometrium tsis raug tso tseg lossis tsis raug rau qhov kev txiav txim ntawm progesterone kiag li. Vim li no, kev tswj tsis tau ntawm tes pib, lawv txoj kev loj hlob. Qhov ntawd yog thaum kws kho mob kuaj xyuas "endometrial hyperplasia."
Hom hyperplasia thiab cov yam ntxwv ntawm nws kho
Muaj ntau ntau yam ntawm no pathology. Qee tus ntawm lawv tsis txaus ntshai thiab tuaj yeem ua kom haum rau kev kho hormonal. Lwm tus hu rau kev phais mob. Hauv qee qhov xwm txheej, kev tshem tawm ntawm lub tsev menyuam yog qhia. Dab tsi tuaj yeem yog endometrial hyperplasia?
- Nyob zoo. Suavib qho ntawm qhov yooj yim tshaj plaws, feem ntau amenable rau kev kho tshuaj. Cov mucous nto loj hlob tusyees, tsis tsim stroma hlwb ntawm lawv.
- Cystic. Daim ntawv no zoo ib yam li cov qog nqaij hlav, tab sis nrog rau nws qhov chaw ntawm lub plhaub sab hauv loj hlob nyob rau hauv ib qho lumpy, tsim vesicles uas zoo li cysts. Nws kho nrog cov tshuaj hormonal.
- Focal lossis diffuse. Lub mucous nto loj hlob tusyees (nrog diffuse) los yog lumpy (nrog focal). Hauv cov cheeb tsam uas tshwm sim, cysts thiab polyps raug tsim. Muaj cov mob xws li hyperplasia loj hlob mus rau hauv kab mob oncological.
- Atypical. Daim ntawv no suav tias yog qhov txaus ntshai tshaj plaws. Nrog nws, kev loj hlob ntawm cov mucous daim nyias nyias tshwm sim tsis tau tsuas yog nyob rau saum npoo ntawm lub puab txheej. Cells yog nquag faib, nkag mus rau hauv basal txheej. Curettage nrog endometrial hyperplasia ntawm qhov xwm txheej no feem ntau tsis muaj txiaj ntsig. Raws li qee qhov kev qhia, lub tsev menyuam yuav tsum tau muab tshem tawm.
Cov tsos mob ntawm tus kab mob, qhia qhov xav tau kev kho mob
Cov cim tseem ceeb ntawm tus kab mob no yog ntau yam kev coj khaub ncaws tsis zoo. Ib tug poj niam yuav yws yws txog kev ncua sijhawm, los ntshav hnyav, pom ua ntej thiab tom qab kev coj khaub ncaws. Tsis tas li ntawd nyob rau lub sijhawm no, muaj cov tsos mob ntawm malaise: mob plab, plab zom mov, kev noj qab haus huv tsis zoo, ua npaws, thiab lwm yam. Feem ntau hypertrophy yog nrog los ntawm infertility. Nyob rau hauv cov ntaub ntawv twg yog curettage tshuaj? Nrog endometrial hyperplasia, cov lus qhia yuav tsum ua raws li hauv qab no:
- mob plab plab;
- ncig los ntshav;
- voj voog ntev tshaj 40 hnub;
- muaj menyuam tsis taus ntev tshaj rau lub hlis;
- ntshav thoob plaws lub voj voog;
- kuaj pom tseeb ntawm hyperplasia.
Kev npaj rau kev tswj hwm: nta
Uterine curettage nrog endometrial hyperplasia tsuas yog ua tom qab kev npaj. Yav dhau los, tus neeg mob yuav tsum tau kuaj xyuas los ntawm cov kws kho mob xws li neurologist, kws kho plawv, kws kho mob. Cov kws tshaj lij muab cov lus xaus tias tsis muaj contraindications rau manipulation. Nyob rau tib lub sijhawm, cov kev tshawb fawb no tau ua raws li kev kuaj ntshav dav dav thiab biochemical, kev txiav txim siab ntawm cov tshuaj tiv thaiv kab mob siab, HIV thiab syphilis. Nco ntsoov kuaj lub plawv los ntawm ECG.
Tom qab ntawd, tus neeg mob yuav tau mus ntsib kws kho mob gynecologist. Tus kws kho mob tau sau cov kev kuaj mob ntxiv, uas suav nrog kev kuaj mob ultrasound, ib qho smear los txiav txim qhov purity ntawm qhov chaw mos. Nws yog txwv tsis pub ua manipulation nrog cov txiaj ntsig tsis zoo. Yog tias muaj cov txheej txheem inflammatory, ces nws yuav tsum xub muab tshem tawm.
Kev ua raws li txheej txheem: chav kawm ua haujlwm
Uterine kab noj hniav curettage nrog endometrial hyperplasia tsuas yog ua nyob rau hauv cov phab ntsa ntawm lub tsev kho mob. Cov txheej txheem nws tus kheej tsis pub dhau 20 feeb. Manipulation yuav tsum tau txhaj tshuaj loog. Thaum curettage, tus neeg mob pw tsaug zog los yog ib nrab pw tsaug zog: nws tsis hnov qhov tsis xis nyob. Nrog kev pab los ntawm dilators, tus kws kho mob qhib lub ncauj tsev menyuam kwj dej, tau txaisnyob rau hauv kab noj hniav ntawm lub cev xeeb tub. Cov curette tshem tawm cov txheej overgrown, uas yuav raug tshuaj xyuas tom qab.
Nyob rau hauv cov txheej txheem ntawm scraping, ob qho kev ua tau zoo yog ua tiav ib zaug: tus kws kho mob ntxuav cov txheej txheem thiab tom qab ntawd tuaj yeem txiav txim siab nws cov muaj pes tsawg leeg thiab kev phom sij (siv histology). Tom qab ntxuav, tus neeg mob nyob rau hauv kev saib xyuas ntawm cov neeg kho mob rau lwm 2-4 teev. Yog tias tsis muaj teeb meem, tus poj niam tuaj yeem mus tsev.
After Scraping
Yog tias koj tau txais kev ntxuav vim qhov tseeb tias endometrial hyperplasia tau tsim, kev kho tom qab kho yuav raug sau. Cov kws kho mob ib txwm pom zoo kom siv cov tshuaj tua kab mob. Tsis tas li ntawd, yog tias tsim nyog, cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob tau sau tseg. Kev nqis tes ua ntxiv tsuas yog ua tom qab tau txais daim ntawv teev keeb kwm keeb kwm.
Yog tias cov ntaub ntawv tau txais qhia tias tsis muaj qhov tshwm sim tsis zoo hauv cov khoom siv kuaj, ces tus neeg mob tau txais kev kho tshuaj hormonal. Thaum muaj cov qog nqaij hlav malignant, nws yog ib qho tsim nyog los tshem tawm lawv los ntawm kev ua haujlwm sib cais. Xav txog qhov tshwm sim ntawm kev khawb.
txheej txheem mob
Yog tias koj muaj endometrial hyperplasia (kev kho mob tom qab kho tsis tau ua tiav), ces muaj qhov tshwm sim ntau ntawm cov txheej txheem inflammatory. Nws manifests nws tus kheej nrog cov tsos mob nram qab no: mob plab, tawm txawv txawv nrog ib tug tsis kaj siab tsw,nce hauv lub cev kub. Hauv txhua qhov xwm txheej, kev kho sai sai tau qhia. Feem ntau cov kws kho mob tau muab tshuaj tua kab mob qhov ncauj ntev, tso rau hauv qhov ncauj thiab qhov chaw mos.
Yog tias qhov mob uas tshwm sim los ntawm kev kho tsis tau kho, tom qab ntawd cov kab mob tuaj yeem kis mus rau cov kabmob uas nyob sib ze: zes qe menyuam, hlab ntsha, thiab lwm yam. Tag nrho cov no yog fraught nrog rau txim.
Kev ua kom lub tsev menyuam lossis ua rau cov phab ntsa ntawm lub cev
Kev kho mob ntawm endometrial hyperplasia yam tsis muaj curettage yog tsawg. Yog hais tias nyob rau hauv ib lub hlis ntawm kev kho hormonal tsis muaj kev txhim kho, ces nws yog ib qhov tsim nyog los ua kom huv si. Thaum manipulation, ib qho teeb meem xws li perforation ntawm lub tsev me nyuam phab ntsa yuav tshwm sim. Cov kab mob no yuav tsum muaj kev cuam tshuam kev phais xwm txheej ceev.
Tsis tas li ntawd, qhov tshwm sim ntawm kev tswj xyuas yuav ua rau cov phab ntsa ntawm cov khoom ua me nyuam me me. Nyob rau hauv lub neej yav tom ntej, qhov no ua rau nws tus kheej nyuaj. Piv txwv li, uterine rupture tuaj yeem tshwm sim thaum cev xeeb tub. Feem ntau, nrog cov phab ntsa nyias, ib qho kev npaj caesarean tau sau tseg.
YEndometrial hyperplasia: kho. Cov lus teb rau qhov tshwm sim ntawm tus txheej txheem
Cov neeg mob xav li cas txog cov txheej txheem no? Ntau tus hais tias endometrial hyperplasia tsis ploj tom qab khawb. Tom qab ob peb lub voj voog, cov mucous membrane pib thicken dua, tsim cysts, polyps. Tseeb tiag, yog tias tus neeg mob tsis tau txais kev kho mob tsim nyog, ces qhov kev cuam tshuam ntawm kev phais nws tus kheej yuav tsis cawm nws ntawm tus kab mob. Qhwvtsis tshem tawm qhov ua rau hyperplasia, tab sis tsuas yog kho nws qhov tshwm sim. Yog li ntawd, nws tseem ceeb heev uas yuav tsum tau mloog tus kws kho mob cov tshuaj thiab ua raws li kev kho mob tom qab ua haujlwm.
Summarize
Los ntawm tsab xov xwm koj tuaj yeem pom tias kev kho mob ntawm endometrial hyperplasia yam tsis muaj kev kho mob tuaj yeem ua tau, tab sis tsuas yog hauv cov xwm txheej tshwj xeeb. Txhawm rau ntsuas tus neeg mob tus mob tiag tiag, nws yog qhov yuav tsum tau ua biopsy lossis curettage. Nov yog tib txoj hauv kev los nrhiav kev kho kom zoo uas yuav cawm koj ntawm qhov teeb meem uas twb muaj lawm.
