Uterine los ntshav tuaj yeem tshwm sim hauv ob qho tib si physiological thiab pathological mob. Raws li txoj cai, tus poj niam nws tus kheej tsis tuaj yeem tsim qhov tseeb ntawm qhov tshwm sim, yog li nws yog qhov zoo dua los nrhiav tswv yim los ntawm gynecologist. Nws raug suav hais tias yog qhov qub yog tias los ntshav los ntawm lub tsev menyuam tshwm sim thaum cev xeeb tub thiab kav tsis ntev tshaj li ib lub lis piam. Tsis tas li ntawd, lub sijhawm luv luv tuaj yeem pom pom thaum lub sijhawm ovulation, uas qhia tau tias muaj peev xwm ntawm fertilization.
Ua rau uterine los ntshav
Ntshav los ntawm lub tsev menyuam tuaj yeem pom nrog cov tshuaj hormonal pathologies, cov txheej txheem inflammatory lossis teeb meem ntawm cov ntshav coagulation system. Thaum ntxov ntawm cev xeeb tub, hnyav spotting yuav provoke ib tug spontaneous rho menyuam los yog ectopic kev loj hlob ntawm fetus. Nyob rau hauv lub sij hawm tom qab, uterine los ntshav yuav tshwm sim los ntawm kev loj hlob ntawm placental polyps, placental rupture thiab hydatidiform mole.
Ua rau los ntshav los ntawm lub tsev menyuam tuaj yeem pom hauv cov kev hloov pauv xws li endometriosis, mob qog noj ntshav ntawm lub tsev menyuam, lub tsev menyuam lossis qhov chaw mos, endometrium thiab hyperplasia. Cov tsos mob ntawm cov ntshavlos ntawm qhov chaw mos tej zaum yuav qhia tau hais tias cervicitis, atrophic vaginitis, kev puas tsuaj rau lub genitals sab hauv, los yog muaj ib tug txawv teb chaws lub cev. Hauv cov poj niam hnub nyoog nruab nrab, los ntshav feem ntau pom nrog uterine fibroids, ua haujlwm ntawm zes qe menyuam, kab mob polycystic, nrog rau cov kab mob endocrine xws li hyperprolactinemia thiab hypothyroidism. Qhov chaw mos los ntshav, ntawm qhov tod tes, feem ntau tshwm sim thaum cov ntshav txhaws tsis zoo, kab mob ntawm cov kab mob, cov kab mob siab, thiab thaum noj qee yam tshuaj, tshwj xeeb yog cov tshuaj hormones thiab tshuaj tiv thaiv kab mob.
Uterine los ntshav kho
Thaum thawj cov tsos mob ceeb tshwm sim, nws yog ib qho tsim nyog hu rau lub tsev kho mob antenatal thiab mus kuaj. Feem ntau, los ntshav los ntawm lub tsev menyuam yog ib qho cim ntawm kev muaj menyuam tsis taus, yog li ntawd, ntxiv rau qhov kev kuaj mob, tus kws kho mob gynecologist yuav tsum ua ultrasound transvaginal los ntsuas qhov kev hloov pauv uas tshwm sim hauv lub tsev menyuam kab noj hniav thiab zes qe menyuam. Nrog rau cov txheej txheem pathological uas tsis muaj cov cim qhia tsis meej, kev kuaj ntshav feem ntau tau sau tseg txhawm rau txhawm rau kuaj cov tshuaj hormones hauv cov thyroid caj pas thiab qhov chaw mos. Yuav luag txhua tus neeg mob, los ntshav los ntawm lub tsev menyuam yuav tsum tau kuaj cev xeeb tub thiab kuaj ntshav kom tiav, uas yuav taug qab cov ntsuas ntawm cov qe ntshav liab, hematocrit, hemoglobin, ESR thiab platelets.
Kev kho cov ntshav los ntawm lub tsev menyuam yog nyob ntawm lub hauv paus ua rau nws ua rau nws. Feem ntau siv cov kev kho mob conservativekev siv cov tshuaj uas kho cov tshuaj hormonal tsis txaus thiab ua kom cov ntshav txhaws sai. Yog tias ntshav tsis tuaj yeem raug tshem tawm los ntawm kev siv tshuaj, nws muaj peev xwm ua tau ib qho kev phais, uas muaj nyob rau hauv kev kho mob ntawm endometrium los yog tag nrho tshem tawm ntawm lub tsev menyuam. Txawm li cas los xij, tsuas yog tus kws kho mob xaiv txoj hauv kev los tshem tawm cov uterine los ntshav, raws li tus neeg mob tus yam ntxwv ntawm kev noj qab haus huv thiab qhov hnyav ntawm tus kab mob hauv qab.
