Xwm tau tso siab rau poj niam txiv neej nrog lub luag haujlwm tseem ceeb - xeeb tub thiab yug me nyuam noj qab haus huv. Txawm li cas los xij, ntau yam kab mob ntawm gynecological sphere ua rau lub xeev ntawm kev ua me nyuam ua haujlwm. Nyob rau hauv ib daim ntawv tsis saib xyuas, infertility, benign thiab malignant qog tsim, nrog rau polyps nyob rau hauv lub tsev menyuam, cov ua rau muaj ntau haiv neeg.
Txog hnub no, tsis muaj ib txoj kev xav tau tsim los hais txog qhov tshwm sim polyps li cas. Txog rau tam sim no, gynecologists tsis tau tuaj yeem pom zoo, txawm tias muaj kev txhim kho ntawm cov cuab yeej kuaj mob thiab tshuaj nws tus kheej.
Yog li, cov ntsiab lus ntawm kab lus no yuav yog polyps hauv lub tsev menyuam, ua rau thiab cov tsos mob, kev kho mob. Thiab ua ntej, cia saib seb lawv yog dab tsi, txij li qhov kev kuaj mob tsis txaus ntseeg ntawm "polycystic" tau nce ntxiv rau cov neeg mob los ntawm gynecologists.
Polyps yog cov qauv zoo nkauj uas cuam tshuam rau cov mucous hauv cov kab noj hniav ntawm lub tsev menyuam - endometrium thiab muaj cov qauv ceg. Lawv qhov loj me tuaj yeem sib txawv ntawm ob peb centimeters mus rau qhov loj ntawm cov kua nruab nrab.
Yog vim li caskab mob tshwm sim
- Tsis txaus exfoliation ntawm endometrium. Feem ntau, cov mucous ua ntej qhov pib ntawm kev coj khaub ncaws yog sib cais thiab ces ntxuav tawm ib txwm. Kev tsim ntawm neoplasms pib thaum lub hauv ob sab phlu tsis raug tshem tawm tag nrho. Thaum cov polyps loj hlob mus rau ib qho me me, lawv tau tsau rau ntawm qhov loj hlob mucosa nrog nyias stalk. Polyps nyob rau hauv lub tsev menyuam, qhov ua rau ntawm kev tsim (tsim) uas nyob rau hauv tsis txaus exfoliation ntawm lub endometrium, yog kho nyob rau nruab nrab ntawm peb mus rau rau lub hlis.
- Kev kawm ua ntu zus. Hauv qhov no, qhov ua rau yog hormonal tsis txaus thiab cuam tshuam. Kev nce qib ntawm cov tshuaj estrogen tshwm sim tom qab siv cov tshuaj tiv thaiv qhov ncauj, kho tshuaj hormones, cev xeeb tub. Kev tsim cov tshuaj hormones tsis sib xws ua rau muaj qhov tsis txaus ntseeg loj. Tawm tsam keeb kwm yav dhau los ntawm kev nce qib hauv cov tshuaj estrogen, progestogen poob mus rau theem tseem ceeb. Qhov no provokes tsis zoo hloov mus rau kev hloov nyob rau hauv lub mucous daim nyias nyias ntawm lub cev xeeb tub. Polyps nyob rau hauv lub tsev menyuam, uas yog vim li cas los ntawm hormonal ntshawv siab, yog kho nrog ib tug tshwj xeeb txoj kev kho.
- Kab mob tshwj xeeb thiab tsis tshwj xeeb hauv daim ntawv mob hnyav lossis mob ntev. Ib qho laj thawj rau kev txhim kho cov txheej txheem kab mob hnyav tuaj yeem yog kev rho menyuam tawm. Raws li txoj cai, tus kws kho mob tau sau cov tshuaj tua kab mob tom qab kev ua haujlwm, tab sis nrog kev kho tsis tau zoo, kev mob tseem tshwm sim, thiab kev tsim ntawm polyps yuav luag tsis muaj kev zam. Tsis tas li ntawm no tuaj yeem raug ntaus nqi colpitis, adnexitis, churchocytes, vaginitis, kab mob vaginosis.
- Kab mob kis tau los ntawm kev sib deev.
- YEndocrinological pathologies. Cov kab mob xws li ntshav qab zib mellitus, hypothyroidism, hyperthyroidism, adrenal insufficiency, rog dhau los ua qhov pheej hmoo.
- Kev cev xeeb tub tsis ua tiav, keeb kwm ntawm placental remnants tom qab yug menyuam.
- Kev raug mob. Feem ntau nws yog rupture ntawm lub tsev me nyuam lub cev los yog lub tsev me nyuam, perineum.
- Unprofessional gynecological manipulations.
- Cov khoom siv hauv lub cev. Hnav lawv mus ntev yuav txaus ntshai.
- Hereditary and genetic predisposition.
- Anomalies, pathologies ntawm txoj kev loj hlob thiab qhov chaw ntawm lub cev ntawm cov poj niam cev xeeb tub.
- Pathological proliferation ntawm nruab nrab thiab me cov hlab ntsha hauv lub tsev menyuam. Epithelial hlwb pib tsim nyob ib ncig ntawm cov ntaub so ntswg.
- Endometriosis, fibromyoma, dysplasia, cervical erosion.
- Lub cev tsis ua haujlwm, ua rau muaj qhov tshwm sim ntawm qhov tsis txaus ntseeg hauv cov plab hnyuv siab raum thiab cov phenomena hypoxic nyob hauv cov appendages.
- hnub nyoog ntawm plaub caug txog tsib caug xyoo. Polyps nyob rau hauv lub tsev menyuam, qhov ua rau ntawm kev tsim thiab kev loj hlob ntawm uas nyob rau hauv lub hnub nyoog hloov pauv, feem ntau yog tshem tawm nrog kev pab los ntawm kev phais.
Kev kuaj mob nta
Uterine polyps feem ntau kuaj pom thaum lub sijhawm kuaj gynecological niaj hnub. Tus kws kho mob, siv daim iav tshwj xeeb, pom lawv ntawm cov mucous membrane. Rau kev kuaj pom tseeb dua, colposcopy, kuaj X-ray ntxiv, hysteroscopy, uas tso cai rau koj kom meej meej.tshuaj xyuas lub uterine kab noj hniav. Kev kuaj ultrasound kuj tseem pab txiav txim siab txog daim duab ntawm tus kab mob.
Kev faib tawm ntawm polyps
Pathology yog cais raws li tus naj npawb ntawm polyps thiab lawv cov qauv histological. Formations yuav ua tau ntau yam los yog ib leeg. Los ntawm cov qauv, polyps muab faib ua:
- YGlandular uterine polyps. Kev tsim kho tshwm sim vim muaj kev cuam tshuam hauv endometrium.
- Adenomatous polyp. Feem ntau hom pathology. Qhov loj ntawm kev tsim tuaj yeem ncav cuag ob peb centimeters, nws muaj ib tug nyiam degenerate mus rau hauv ib tug malignant qog. Adenomatous polyps nyob rau hauv lub tsev menyuam, qhov ua rau uas yuav ua tau ib yam, raws li gynecologists, suav hais tias yog qhov txaus ntshai tshaj plaws.
- YFibrous polyp. Heev ntom nyob rau hauv nws sib xws, vim nws yog tsim los ntawm cov ntaub so ntswg fibrous. Kev pom zoo ntawm ultrasound.
- Mixed, lossis glandular-fibrous.
Symptomatics
Txhua tus poj niam yuav tsum tau kuaj gynecological tsis tu ncua (tsawg kawg ib xyoos ib zaug). Qhov no yog qhov tseeb tshwj xeeb yog tias muaj tsawg kawg yog ib qho kev pheej hmoo rau kev loj hlob ntawm tus kab mob. Koj yuav tsum ua tib zoo mloog lub xeev ntawm koj lub cev, raws li polyposis manifests nws tus kheej raws li hauv qab no:
- Tsis muaj peev xwm xeeb tub.
- Kev ua txhaum cai, lub voj voog tsis ua haujlwm, tshwj xeeb, ntawm polymenorrhea. Los ntshav hnyav hnyav tshwm sim thaum lub sijhawm no.
- Irregular ovulation.
- uterine los ntshav ntau dhau los lossis tawm (pom nrogntshav stains).
- Dyspareunia - mob thaum sib deev.
- Tsis xis nyob hauv plab, rub, ntswj mob.
- Nyob tsis tshua muaj, cov tsos mob ntawm kev qaug dab peg.
Kev Tiv Thaiv
Raws li koj paub, txhawm rau tiv thaiv kab mob, kev tiv thaiv yuav tsum tau ua. Yog li, tus poj niam yuav tsum tau kuaj xyuas los ntawm gynecologist ib ntus, ua raws li kev noj haus, thiab tseem tsis suav nrog cov teeb meem khaus (hnyav, hypothermia, thiab lwm yam).
Kev tiv thaiv zoo yog qhov tsis muaj kev sib deev, lub neej sib deev tsis tu ncua, noj tshuaj tiv thaiv kab mob (hormonal) tsuas yog thaum tsim nyog thiab raws li kws kho mob tau sau tseg, kev ua neej nyob. Tsuas yog tom qab ntawd nws zoo li tus poj niam yuav tsis tsim polyps hauv lub tsev menyuam. Cov laj thawj thiab ntau txoj hauv kev kho lawv tau kawm kom ntxaws, tab sis yeej ib txwm muaj kev pheej hmoo ntawm kev tsim qhov tsis zoo.
txoj kev kho niaj hnub
Tus kab mob ua ntej kuaj pom, nws yooj yim dua kom tshem tau nws, thiab tsawg dua nws yuav ua rau lub cev. Ib qho me me tuaj yeem kho tau los ntawm kev ua haujlwm ntawm kev tiv thaiv kab mob lossis kev kho hormonal. Yog tias qhov xwm txheej dhau mus dhau lawm, ces cov polyps raug phais tshem tawm.
Cov txheej txheem niaj hnub no tsis tshua muaj kev puas tsuaj thiab ua haujlwm tau zoo. Kev tshem tawm ntawm polyp tuaj yeem ua tiav nrog hysteroscopy. Ib lub raj tshwj xeeb yog muab tso rau hauv lub tsev menyuam, qhov kawg uas muaj lub koob yees duab microvideo. Tweezers tau noj los ntawm ib qho tshwj xeeb channel, los ntawm txoj kevuas tsim yog excised, nyob rau hauv tej rooj plaub, es tsis txhob ntawm tweezers, ib lub voj yog siv uas captures lub polyp nyob ib ncig ntawm lub qia. Qhov no ua rau kev sib cais ntawm kev tsim los ntawm lub tsev menyuam. Tom qab tshem tawm, qhov chaw uas cov qog nyob yog cauterized nrog kua nitrogen.
Thaum ib pawg loj ntawm cov qog tau kuaj pom lossis lawv qhov loj dhau lawm, ua tiav cov txheej txheem ntxiv ntxiv. Qhov no guarantees kev puas tsuaj tag ntawm xws li ib tug tsim raws li ib tug uterine polyp. Cov laj thawj thiab qhov tshwm sim ntawm kev cuam tshuam ntawm kev phais tau kawm kom ntxaws hauv cov tshuaj niaj hnub. Qhov kev pheej hmoo ntawm kev rov qab los tseem tsawg tsawg.
Kev kho mob yam tsis muaj kev phais
Thaum tus neeg mob tsis kam phais, thiab thaum cov polyps hauv lub tsev menyuam yog qhov tshwm sim ntawm qhov tsis txaus ntawm hormonal, tus kws kho mob tuaj yeem siv kev kho mob uas siv ntau pawg tshuaj:
- COC - ua ke cov tshuaj tiv thaiv qhov ncauj. Nrog lawv cov kev pab, kev kho mob ntawm focal endometriotic hyperplasia yog nqa tawm. Cov txheej txheem yog siv feem ntau hauv cov poj niam ntawm pab pawg neeg laus, uas nws muaj hnub nyoog tsis tshaj 35 xyoo, lossis thaum hluas. High efficiency yog tiav nyob rau hauv kev kuaj mob ntawm glandular polyps. Qee qhov xwm txheej, kev siv cov tshuaj tiv thaiv kab mob zam kev kho mob hauv cov ntxhais nrog polyps raug kev txom nyem los ntawm uterine los ntshav. Ob peb ntsiav tshuaj tau muab tshuaj rau ib hnub, tom qab ntawd cov tshuaj maj mam txo.
- Gestagens. Kev npaj nrog progesterone feem ntau yog nyob rau theem ob ntawm lub voj voog. Kev kho mob tuaj yeem kav ntev txog rau lub hlis. Li qubKev ua haujlwm ntawm endocrine system thiab cov nyhuv hemostatic yog pom tau.
- Agonists ntawm kev tso cov tshuaj hormones. Kev kho mob yog sau rau cov poj niam uas muaj hnub nyoog 35 xyoos, nrog rau kev tshem tawm tag nrho endometrial hyperplasia. Kev kho mob ntev heev - mus txog rau lub hlis.
- Tshuaj tua kab mob rau kev kho mob ntawm cov kab mob thiab cov kab mob inflammatory.
- Multivitamin complexes.
Polyps nyob rau hauv lub tsev menyuam, cov tsos mob thiab ua rau uas tau tsim thiab nyob rau hauv kev tsim nyog tswj, tau ua tiav kho. Txawm li cas los xij ntawm etiology ntawm tus kab mob, qhov kev pom zoo yog 85%.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws
Thaum kuaj pom qhov rov tsim dua, muaj kev pheej hmoo ntawm degeneration ntawm benign polyp rau hauv ib qho malignant. Qhov feem pua ntawm qhov tshwm sim ntawm qhov kev txhim kho ntawm cov xwm txheej no tsawg, txawm li cas los xij, gynecologists pom zoo kom noj cov tshuaj hormones thiab kev kho mob tiag tiag. Adenomatous polyps yog qhov tseem ceeb ntawm kev pheej hmoo. Tom qab kev kho mob, tus poj niam tau sau npe nrog gynecologist kom txog thaum lub voj voog zoo li qub.
Txhais tau
Nyob rau lub sijhawm postmenopausal, polyposis feem ntau provokes tsim cov qog malignant. Rau cov poj niam ntawm lub hnub nyoog yug me nyuam, qhov tshwm sim ntawm tus kab mob no tuaj yeem ua rau tsis muaj kev tu siab. Yog li, polyposis tuaj yeem ua rau muaj qhov tshwm sim ntawm qhov tsis ua haujlwm hormonal ntev thiab tsis muaj menyuam.
Zoo kawg
Ntau xyoo dhau los, cov poj niam ntawm lub hnub nyoog yug me nyuam thiab poj niam laus uas muaj kev pheej hmoo ntawm kev loj hlobpolyposis. Cov ua rau kev loj hlob ntawm tus kab mob yog txawv, muaj ntau yam kev hloov pauv, uas ua rau muaj kev nce hauv cov neeg mob uas tau kuaj pom tias muaj polyps hauv lub tsev menyuam. Dab tsi ua rau lawv? Cov tsos mob li cas? Tag nrho cov ntaub ntawv tau muab los saum toj no. Txawm li cas los xij, nws yog ib qho tsim nyog yuav tsum nkag siab tias qhov txaus ntshai nyob rau hauv degeneration ntawm polyp mus rau hauv ib tug malignant tsim, yog li nws yog ib qho tseem ceeb heev kom kuaj tau tus kab mob nyob rau hauv lub sij hawm thiab pib kho nws thaum ntxov.
