Endometrial adenomatosis yog hu ua atypical (focal lossis diffuse) endometrial hyperplasia, qhov tseeb, ib qho mob ua ntej.
txheej txheem Precancerous yog qee yam kab mob uas tuaj yeem hloov mus ua mob qog noj ntshav nrog ntau qib ntawm qhov tshwm sim. Cov txheej txheem precancerous hyperplastic muaj qhov ua tau ntawm kev txhim kho rov qab, tsuas yog 10% tiag tiag hloov mus rau oncology. Uterine adenomatosis yuav tsum tau saib xyuas heev los ntawm kws kho mob.
Kev piav qhia tus kab mob
Hormonal dysfunction yog ncaj qha ntsig txog cov txheej txheem hyperplastic hauv endometrium. Nyob rau hauv cov ntaub ntawv no, muaj feem ntau uterine los ntshav thiab infertility. Lawv tshwm sim vim li cas hyperestrogenism tshwm sim. Ib qho ntau ntawm cov tshuaj estrogen nyob rau hauv lub endometrium ua rau kom muaj nuj nqis thiab cov qauv kev hloov pauv, uas provokes kev loj hlob thiab thickening ntawm nws sab hauv. Qhov no yog li cas adenomatosis ntawm lub ncauj tsev menyuam tshwm sim.
cov txheej txheem Hyperplastic muaj ntau hom, nyob ntawm seb hom cell uas siv cov txheej txheem hauv lub cev:
- glandular hyperplasia;
- diffusehyperplasia;
- focal hyperplasia.
Cia saib txhua tus kom meej ntxiv.
YGlandular hyperplasia
Thaum cov kab mob glandular nce, endometrial glandular hyperplasia tsim. Qee lub sij hawm qhov no ua rau cystic-dilated formations nyob rau hauv lub lumen ntawm cov qog, ces kuaj glandular cystic hyperplasia. Atypical hlwb tshwm sim thiab loj hlob nyob rau hauv lub endometrium, uas yog ib txwm rau adenomatosis.
Nws yog ib qho tseem ceeb kom nkag siab tias thaum lub hlwb ua haujlwm tsis zoo, tshwj xeeb tshaj yog yog tias hypothalamus raug cuam tshuam, nrog rau kev tiv thaiv tsis muaj zog thiab cov kab mob metabolic, mob qog noj ntshav tshwm sim hauv glandular hyperplasia. Thiab tsis hais hnub nyoog li cas.
Diffuse hyperplasia
Qee qhov xwm txheej, kev sib kis ntawm cov txheej txheem hyperplastic tshwm sim thoob plaws tag nrho qhov chaw ntawm endometrium, tom qab ntawd cov kws kho mob tshwj xeeb kuaj pom qhov diffuse hyperplasia. Ntawd yog, cov txheej txheem diffuse hyperplastic ua rau diffuse adenomatosis.
Local hyperplasia
Tsis tas li ntawd, muaj ib daim ntawv focal ntawm hyperplasia. Kev loj hlob ntawm cov ntaub so ntswg endometrioid tshwm sim nyob rau hauv ib cheeb tsam tsawg. Tom qab ntawd qhov kev loj hlob no ploj mus rau hauv lub uterine kab noj hniav, uas zoo ib yam li polyp. Focal adenomatosis yog polyp uas muaj cov hlwb atypical.
Adenomatosis ntawm lub tsev menyuam yog kho los ntawm kev phais. Kev kwv yees ntxiv yog txiav txim los ntawm ntau yam:
- hnub nyoog ntawm tus neeg mob;
- qhov xwm txheej ntawm hormonal ntshawv siab;
-concomitant neuroendocrine kab mob;
- xeev kev tiv thaiv.
Qee tus poj niam xav txog cov lus nug ntawm qhov txawv ntawm uterine adenomatosis thiab endometrial adenomatosis yog dab tsi? Tom qab tag nrho, qhov no yog ib qho thiab tib txoj kev atypical. Lo lus "uterine adenomatosis" tsis yog lawm, vim atypia cuam tshuam tsuas yog cov txheej sab hauv, uas yog endometrium. Thiab lub tsev menyuam nws tus kheej muaj ob peb txheej.
YFibrosis thiab adenomatosis
Fibrous adenomatosis raws li kev kuaj mob tsis muaj nyob. Fibrosis yog ib qho pathology uas cov ntaub so ntswg loj hlob, adenomatosis - glandular cov ntaub so ntswg loj hlob. Ib hom kab mob sib xyaw kuj tuaj yeem muaj qhov hu ua fibrocystic hyperplasia.
Adenomatosis tuaj yeem tsis yog hauv tsev menyuam nkaus xwb. Nws tshwm sim hauv cov qog mammary, tab sis qhov tseeb cov txheej txheem pathological no txawv kiag li. Adenomatosis ntawm cov qog mammary yog tus kab mob Reclus, thaum muaj cov hlwv me me tshwm sim. Peb tau soj ntsuam adenomatosis ntawm lub ncauj tsev menyuam. Nws yog dab tsi, nws tau pom meej dua.
Dab tsi ua rau endometrial adenomatosis?
Qhov ua rau atypical cellular transformation yog tib yam uas provoke hyperplastic txheej txheem nyob rau hauv endometrium. Kev ntseeg siab ua rau adenomatosis tsis paub. Ntawm chav kawm, provoking yam tseem tab tom kawm, tab sis tam sim no niaj hnub no tsis tuaj yeem hais kom paub tseeb tias qhov no yog qhov ua rau cov txheej txheem atypical hauv endometrium. Tab sis qhov ntau yam tsis zoo tshwm sim muaj, qhov yuav tshwm sim ntau duapathology.
Thawj qhov chaw ntawm tag nrho cov provoking yam ntawm endometrial adenomatosis yog nyob los ntawm hormonal tsis ua hauj lwm. Ua txhaum txoj cai neurohumoral ntawm tag nrho tib neeg lub cev. Estrogens thiab gestagens koom nrog hauv kev hloov pauv ntawm lub cev hauv lub tsev menyuam. Ua ntej ntawm tag nrho cov, ua tsaug rau estrogen, ib qho kev nce nyob rau hauv lub puab mucous txheej tshwm sim. Tab sis txoj haujlwm ntawm gestagens yog txwv tsis pub kev loj hlob ntawm endometrium raws sijhawm thiab tsis lees txais nws.
Nrog cov tshuaj estrogen ntau dhau, qhov kev loj hlob ntawm endometrium tshwm sim uncontrollably. Hyperestrogenism tuaj yeem tshwm sim rau ntau yam laj thawj:
- hormonal kev ua haujlwm ntawm zes qe menyuam cuam tshuam;
- anovulation tshwm sim;
- lub voj voog dhau los ua ib theem;
- endometrial hyperplasia tshwm sim.
Nrog polycystic zes qe menyuam, anovulation yog mob ntev. Qhov no kuj yog ib yam ntawm provoking yam nyob rau hauv txoj kev loj hlob ntawm hyperplasia. Yog hais tias ib tug poj niam noj tshuaj hormonal tsis tswj, ces cov keeb kwm hormonal yuav raug kev txom nyem los ntawm qhov no. Qhov no yuav pib cov txheej txheem hyperplastic hauv endometrium.
Yog hais tias muaj ib txhij hyperestrogenism, extragenital pathology thiab neuroendocrine ntshawv siab nyob rau hauv lub cev, qhov yuav tshwm sim ntawm adenomatosis nce. Tus poj niam rog rog uas muaj ntshav siab yog 10 npaug ntau dua yuav tsim mob qog noj ntshav ntau dua li tus poj niam uas hnyav thiab ntshav siab.
Rau lwm yam laj thawj dab tsi tuaj yeem txhim kho hyperestrogenism? Feem ntau cov kab mob ntawm daim siab thiab kab mob biliary ua rau qhov nopathology, vim nws yog lub siab uas siv estrogens.
Yog li, muaj qhov tsis tuaj yeem tswj hwm kev loj hlob ntawm txheej sab hauv ntawm lub tsev menyuam, uas ua rau tsim cov hlwb atypical. Qhov no yog endometrial adenomatosis. Dab tsi yog kev kho mob rau kev kuaj mob ntawm ncauj tsev menyuam adenomatosis? Xav paub ntau ntxiv tom qab.
Cov tsos mob ntawm endometrial adenomatosis
Raws li txoj cai, tsis muaj cov tsos mob pom tseeb ntawm adenomatosis, vim tias cov hlwb atypical tsuas tuaj yeem kuaj pom hauv chav kuaj. Ua ntej, kuaj pom cov txheej txheem hyperplastic, tom qab ntawd nws yog qhov tsim nyog los qhia meej txog nws qhov xwm txheej.
Muaj qee cov tsos mob ntawm hyperplasia uas koj yuav tsum tau xyuam xim rau:
- qhov ntshav hloov pauv - kev coj khaub ncaws ntau, ntshav tshwm tawm sab nraud;
- mob hauv plab plab thiab sab nraub qaum ua ntej thiab thaum cev xeeb tub;
- tshwm sim ntawm metabolic syndrome - rog dhau, ntau tus txiv neej cov plaub hau kev loj hlob, nce ntshav insulin ntau ntau;
- fertility is impaired - tsis muaj peev xwm xeeb tub thiab yug me nyuam;
- muaj mastopathy;
- o ntawm genitourinary system;
- mob thaum sib deev, los ntshav tom qab nws.
YPuas yog uterine adenomatosis kuaj pom ntawm ultrasound?
Y Siv kev kuaj xyuas ultrasound, lub thickness thiab cov qauv ntawm endometrium yog txiav txim siab. Lub transvaginal sojntsuam ua haujlwm zoo nrog txoj kev tshawb no. Dab tsi ntawm cov txheej txheem hyperplastic yog pom - focal lossis diffuse - qhov no yuav qhialuam theej duab. Yog li ntawd, yog tias diffuse hyperplasia raug kuaj pom, tom qab ntawd qhov tshwm sim ntawm diffuse adenomatosis tuaj yeem xav tau. Nws tsis tuaj yeem pom nws nrog lub sensor, vim tias tsis muaj qhov txawv txav.
Focal adenomatosis ntawm lub tsev menyuam yog ib qho yooj yim mus kuaj, vim nws pom tau tias yog polyp. Txawm hais tias qhov xwm ntawm cellular hloov pauv kuj tsis tuaj yeem txheeb xyuas. Atypia tsis pom ntawm ultrasound.
Lub tsev menyuam mucosa yog khawb, tom qab uas cov khoom no raug xa mus rau kev kuaj mob. Txoj kev kuaj mob no tseem ceeb heev rau adenomatosis. Lub cev muaj pes tsawg leeg, nws cov qauv kev hloov pauv, thiab tseem kawm txog qhov twg thiab qhov hnyav nws yog atypical. Yog tias tsis kuaj pom atypia, qhov no qhia tau hais tias muaj kev ua haujlwm zoo ntawm hyperplasia.
Kev phais ntawm lub tsev menyuam feem ntau ua tiav, thiab tom qab ntawd cov khoom siv tau raug tshuaj xyuas. Qhov no tuaj yeem pab hysteroscopy rau kev tswj qhov muag thaum lub sij hawm khiav tawm ntawm lub tsev me nyuam tag nrho.
Adenomatosis ntawm lub tsev menyuam: kev kho mob
Qhov muaj adenomatosis hauv tus poj niam tuaj yeem ua rau muaj menyuam tsis taus, tab sis txawm tias muaj kev vam meej tiv thaiv keeb kwm ntawm tus kabmob, qhov kev xeeb tub ntxov ntxov tuaj yeem tshwm sim.
Kev kho mob feem ntau muaj kev tshem tawm cov khoom hloov pauv ntawm endometrium. Yog li, lub hauv paus ntawm kev hloov pauv pathological yog phais tshem tawm, ntxiv rau, kev khawb yog tau txais kev kuaj mob histological. Thaum tau txais cov txiaj ntsig, txoj kev kho mob txiav txim siab nyob ntawm qhov no.
BKev kho hormonal thiab kev phais yog muab rau tus kheej. Yog tias tus ntxhais hluas, cov kws tshaj lij txwv lawv tus kheej los kho cov tshuaj hormonal. Tus neeg mob, uas nyob rau lub hnub nyoog ze rau lub cev tsis muaj zog, nrog rau kev kho tshuaj hormonal, ua haujlwm dhau los ntawm kev phais mob - tshem tawm ntawm lub tsev menyuam thiab cov appendages. Qhov no ua rau txo qis qhov tshwm sim ntawm adenomatosis tig mus ua mob qog noj ntshav. Koj cawm tau poj niam txoj sia.
Nws yog ib qho tseem ceeb kom nkag siab tias kev kuaj mob ntxov ntawm adenomatosis yog qhov xav tau tshaj plaws, qhov no qhov kev pheej hmoo ntawm oncology tsawg tsawg. Yog li ntawd, nws yog ib qho tsim nyog yuav tsum tau mus ntsib kws kho mob gynecologist tsis tu ncua, ua tiav kev kuaj xyuas, ua txhua yam kev ntsuam xyuas tsim nyog. Peb soj ntsuam hauv kab lus no adenomatosis ntawm endometrium ntawm lub tsev menyuam. Saib xyuas koj kev noj qab haus huv!
