Lub endometrial polyp yog ib qho benign neoplasm uas tuaj yeem tshwm sim rau cov poj niam ntawm txhua lub hnub nyoog. Vim muaj kev pheej hmoo ntawm neoplasm degeneration mus rau hauv cov qog nqaij hlav cancer, tshwj xeeb yog them rau kev kho mob raws sij hawm ntawm tus kab mob no. Nrog rau kev cuam tshuam kev phais tseem ceeb, muaj kev kho mob uas tsis yog phais ntawm fibrous endometrial polyp.
YEndometrial polyp - nws yog dab tsi
Ib qho endometrial polyp yog ib qho kev loj hlob ntawm cov hlwb ntawm sab hauv ntawm lub tsev menyuam. Nws tuaj yeem pom los ntawm ib mus rau ob peb polyps qhov loj ntawm 1 millimeter mus rau 5 centimeters. Feem ntau lawv tshwm sim hauv cov poj niam hnub nyoog 40 txog 50 xyoo. Raws li cov qauv, cov polyp muaj lub cev thiab lub vascular pedicle, uas nws txuas rau phab ntsa ntawm lub tsev menyuam. Nws yog qhov txawv los ntawm cov qauv sab hauv, uas tuaj yeem sawv cev los ntawm cov qog thiab cov ntaub so ntswg. Nyob rau hauv cov xwm txheej uas atypical hlwb muaj nyob rau hauv muaj pes tsawg leeg, lub polyp yog suav hais tias yog adenomatous (precancerous). Nyob ntawm tus qauv, 4 hom endometrial polyps yog qhov txawv:
• Fibrous.
• Glandular.
• Glandular fibrous.
• Adenomatous.
Kuj tseem muaj qhov ua haujlwm ntawm endometrial polyp, uas muaj cov hlwb epithelial thiab hloov thaum lub sij hawm cev xeeb tub, thiab hom basal polyps, tshwm sim los ntawm pathologically hloov basal txheej ntawm lub tsev menyuam. Nws muaj peev xwm txiav txim siab qhov tseeb qauv ntawm kev tsim siv cov tshuaj histological ntawm cov khoom tshem tawm. Feem ntau, polyps nyob rau hauv lub uterine kab noj hniav; nyob rau hauv tsawg zaus, lawv loj hlob mus rau hauv lub tsev me nyuam los yog qhov chaw mos. Txoj kev kho yog xaiv nyob ntawm seb lub hnub nyoog ntawm tus neeg mob thiab cov yam ntxwv ntawm kev hloov pauv pathological. Kev phais yog txoj hauv kev tseem ceeb ntawm kev tawm tsam yog tias kuaj pom tus kab mob endometrial polyp. Kev kho mob yam tsis tau phais nrog tshuaj yog ua tau yog tias tus neeg mob tsis kam ua haujlwm.
Yog vim li cas
Muaj ntau qhov sib txawv ntawm keeb kwm ntawm endometrial polyp. Qhov tseem ceeb tshaj plaws yog hormonal ntshawv siab los ntawm ntau tshaj ntawm cov tshuaj estrogen nrog tsis muaj progesterone. Qhov kev txiav txim siab no tau ua los ntawm kev kawm txog cov lus teb ntawm endometrial polyps rau estrogen stimulation. Tsis tas li ntawd, muaj peev xwm ntawm pathology vim kis kab mob ntawm lub tsev menyuam hauv txheej, nrog rau kev puas tsuaj rau lub endometrium vim yog kev tshem tawm ntawm cev xeeb tub, rho menyuam, nchuav menyuam, tshem tawm, hnav cov khoom siv hauv tsev rau lub sijhawm ntev, tshem tawm tsis tiav. ntawm cov placenta thaum yug me nyuam, ua rau cov ntshav txhaws thiab fibrin yog overgrown nrog cov ntaub so ntswg thiabtig mus ua polyp. Tsis txhob txo qis qhov tshwm sim ntawm kev loj hlob ntawm polyp vim muaj kev loj hlob ntawm cov hlab ntsha hauv lub uterine kab noj hniav. Cov txheej txheem endocrine hauv poj niam lub cev cuam tshuam nrog ntshav qab zib mellitus, metabolic ntshawv siab, kub siab, thiab thyroid tsis ua haujlwm cuam tshuam rau kev pheej hmoo ntawm kev tsim tus kabmob. Kev puas siab puas ntsws, kev nyuaj siab, kev ntxhov siab, kev ntxhov siab, nrog rau kev txo qis hauv kev tiv thaiv kab mob thiab tsis muaj cov vitamins hauv lub cev tuaj yeem ua rau cov tshuaj hormones tsis txaus.
Cov tsos mob ntawm endometrial polyp
Yog tias qhov kev loj hlob ntawm cov epithelium siv me me, ces cov cim qhia ntawm endometrial polyp feem ntau tsis tuaj. Yog li ntawd, lawv raug kuaj xyuas, raws li txoj cai, nrog ultrasound ntawm lub plab me me. Thaum ncav cuag qhov loj me, cov duab kho mob hauv qab no tau pom:
• tus nqi ntawm cov kab mob dawb paug tawm (leucorrhoea) nce;
• kev coj khaub ncaws cuam tshuam;
• mob khaub thuas hnyav;
• mob heev nyob rau hauv daim ntawv ntawm contractions thaum lub polyp mus txog lub ncauj tsev menyuam kwj dej;
• los ntshav tshwm sim ntawm lub sijhawm;
• tsis xis nyob thiab mob thaum sib deev;
• muaj menyuam tsis taus thaum tseem hluas;
• IVF ua tsis tiav;
• Cov tsos mob los ntshav thaum cev xeeb tub. Yog li ntawd, kev tshem tawm polyp feem ntau yog muab rau cov tsos mob ntawm endometrial pathology. Cov lus teb los ntawm cov neeg mob tom qab kev phais qhia tiastias kev kho mob phais ua rau kev ploj ntawm cov tsos mob tag nrho thiab cov poj niam hnov zoo heev.
Diagnosis
Thaum lub sijhawm kuaj, tus kws kho mob gynecologist tuaj yeem pom qhov ua haujlwm endometrial polyp txuas mus rau hauv tsev menyuam thiab qhov chaw mos. Yog li ntawd, txoj kev tshawb fawb tseem ceeb yog ultrasound. Yog hais tias tus polyp tsis pom meej meej, hysterosonography yog ua, uas yog tib lub ultrasound, tab sis nrog kev qhia txog saline rau hauv lub tsev menyuam los ntawm catheter. Cov txheej txheem no tso cai rau koj los tshawb txog cov polyp kom nthuav dav ntxiv, nws qhov loj thiab cov duab. Rau kev kuaj mob kom ntxaws ntxiv, hysteroscopy yog ua, thaum lub sijhawm nws tuaj yeem txiav txim siab qhov chaw ntawm polyp, thiab siv txoj kev no, nws tuaj yeem raug tshem tawm cov polyp nrog rau ceg. Kev siv tshuab ntawm nws qhov kev siv yog ib qho txheej txheem minimally invasive. Ib qho cuab yeej kho qhov muag ntawm txoj kab uas hla me me yog nkag mus rau hauv lub tsev menyuam kab noj hniav, uas tso cai rau cov qauv ntawm cov khoom siv biooptic, nrog rau kev tshem tawm ntawm endometrium. Tom qab tshem tawm cov polyp, nws raug xa mus rau kev kuaj mob histological, uas tso cai rau koj los txheeb xyuas cov yam ntxwv ntawm lub cev, muaj cov hlwb atypical thiab sau tshuaj kho ntxiv. Yog tias kuaj pom muaj cov qog nqaij hlav cancer, ib qho kev kuaj xyuas los ntawm tus kws kho mob tshwj xeeb hauv gynecological oncology tau sau tseg.
Txoj Kev Kho Mob
Muaj ob txoj hauv kev tseem ceeb ntawm kev kho mob - phais thiab txoj kev tsis phais.
YSurgical techniques
• Ntawm cov txheej txheem phais, qhov ua tau zoo tshaj plaws yog hysteroscopy, uas, ua tsaug rau cov khoom siv kho qhov muag (hysteroscope uas muaj cov cuab yeej micro hauv lub raj), tso cai rau koj los tshuaj xyuas qhov chaw ntawm cov polyp kom ntxaws thiab tshem tawm. nws raug thiab yog qhov nyiam tshaj li qhov muag tsis pom curettage. Kev ua haujlwm tuaj yeem ua tau yam tsis muaj tshuaj loog thiab tshuaj loog thiab tsis siv sijhawm ntau - 5-20 feeb, nyob ntawm qhov xwm txheej ntawm cov kab mob hloov pauv.
• Hysteroresectoscopy yog ua tiav kev phais. Tib txoj hauv kev tawm hauv cov kab mob loj heev ntawm endometrium yog tshem tawm cov polyp. Kev tshuaj xyuas ntawm cov neeg mob uas tau txais kev phais hais tias qhov kev ua haujlwm tsis muaj mob, vim nws tshwm sim nyob rau hauv cov tshuaj loog.
Txoj Kev Tiv Thaiv
• Kev phais tsis yog tib txoj kev xaiv yog tias kuaj pom tus kab mob endometrial polyp, kev kho mob yam tsis muaj kev phais tuaj yeem ua tau ntau yam, feem ntau yog siv tshuaj hormonal.
• Tshuaj tua kab mob rau qhov chaw mos.
kev kho tshuaj hormone
Yog tias kuaj pom tus kab mob endometrial polyp, kev kho mob yam tsis muaj kev phais raug kho nrog cov tshuaj hormonal hauv qab no:
• Gestagens, progesterone cov ntsiab lus (txhais tau tias "Utrozhestan", "Dufaston"). Cov tshuaj tau muab rau lub sijhawm 3-6 lub hlis nyob rau theem 2 ntawm kev coj khaub ncaws.
• Integrated oral contraceptives yog muab rau cov poj niam hnub nyoog qis dua 35 xyoo uas muaj lub tsev menyuam endometrial polyp. Kev kho mob kav ntev li 21 hnub.
• Agonistsgonadotropin-tso tshuaj hormone
Kev kho tsis yog phais nrog suav tampons
Yog tias nws tsis tuaj yeem ua tiav kev phais mob txhawm rau tshem tawm cov kab mob endometrial polyp, kev kho mob yam tsis muaj kev phais yog ua los ntawm cov txheej txheem kev saib xyuas - Suav tampons. Lawv kuj tseem siv los tiv thaiv kev rov qab los. Cov tampons nto moo tshaj plaws yog Clean Point, Lub Neej Zoo Nkauj. Txhawm rau ua kom tiav cov kev kho mob, koj yuav xav tau 10-12 tampons, rau kev tiv thaiv - 2 tampons ib hlis. Lawv muaj cov khoom xyaw ntuj ntawm ntau qhov kev txiav txim, normalize hormonal theem thiab tiv thaiv kab mob. Cov kev kho neeg pej xeem, nrog rau txoj kev kho mob, kuj tseem muaj txoj hauv kev uas tsis yog ib txwm siv los tshem tawm cov kab mob endometrial polyp, cov tshuaj pej xeem qhia tau hais tias tsis muaj txiaj ntsig ntawm kev kho mob. Ib txoj kev yog siv qej - nws yuav tsum tau crushed, qhwv nyob rau hauv ib daim ntaub qhwv, tsim rau hauv ib tug swab thiab khi nrog ib tug xov. Cov tampon yog muab tso rau hmo ntuj rau hauv qhov chaw mos rau ib hlis. Ntau tus neeg uas tau sim cov qauv no thuam lwm txoj kev kho mob ntawm fibrous endometrial polyp, kev tshuaj xyuas qhia tias nws nyuaj heev rau kev ua siab ntev txawm plaub teev, tsis hais tag nrho hmo ntuj. Ua li no, koj tuaj yeem hlawv cov mucous ntawm qhov chaw mos.
Tiv thaiv kab mob endometrial polyp
Raws li kev tiv thaiv ntawm endometrial polyp, cov lus pom zoo hauv qab no yuav tsum tau ua raws:
• Ua tib zoo saib xyuas cov kab mob sib kispoj niam cev nqaij daim tawv thiab ua kev kho mob zoo.
• Mus kuaj ib ntus nrog kws kho mob gynecologist.
• Nrhiav kev kho mob ntawm thawj cov tsos mob.
• normalize hormonal ntau ntau
Relapses ntawm endometrial pathologies tshwm sim yog tias nws tsis raug tshem tawm tag nrho thaum lub sijhawm ua haujlwm. Hormone therapy yog siv los tiv thaiv cov kab mob rov tshwm sim, muaj kev ntxhov siab, kev rho menyuam yuav tsum tau zam, noj zaub mov kom raug thiab saib xyuas kev noj qab haus huv thiab kev tiv thaiv kab mob.
