Nyob rau hauv tsab xov xwm no, peb yuav xav txog cov cim qhia ntawm endometriosis ntawm lub tsev menyuam. Dab tsi yog?
Endometriosis tau hais thawj zaug hauv nruab nrab xyoo pua 19th. Niaj hnub no, cov kws tshawb fawb tau tshawb xyuas qhov ua rau ntawm txoj kev loj hlob ntawm no insidious pathology. Ib tug kab mob xws li diffuse endometriosis ntawm lub cev ntawm lub tsev menyuam yog feem ntau congenital thiab tau txais los ntawm cov poj niam. Nws yog daim ntawv diffuse ntawm tus kab mob no uas yog qhov ua rau muaj menyuam tsis taus nyob hauv feem ntau ntawm cov poj niam. Kuv yuav tsum hais tias qhov teeb meem no tawm tsam nws qhov loj. Raws li ib feem ntawm kev xaiv txoj kev kho mob, cov kws kho mob yuav tsum txiav txim siab tag nrho cov yam ntxwv ntawm tus kab mob no hauv txhua tus poj niam.
YKev kho mob tshwm sim ntawm pathology
Hauv tshuaj, muaj ntau hom kev txhim kho ntawm uterine endometriosis:
- Diffuse yam. Daim ntawv no ntawm pathology tseem hu ua internal endometriosis ntawm lub cev ntawm lub tsev menyuam. Nws yuav tsum tau sau tseg,tias qhov no yog hom kab mob ntau tshaj plaws. Nws yog feem ntau pom ntawm cov poj niam uas tsis xeeb tub. Cov ntaub so ntswg myometrial hauv hom kab mob no tsuas yog cuam tshuam ntawm qib cellular. Lawv raug faib sib npaug ntawm lub tsev menyuam, thiab yog li ntawd qhov muaj peev xwm ntawm lawv cov focal tshem tawm raug cais tawm.
- Kev txhim kho ntawm daim ntawv nodal. Hom no, tsis zoo li yav dhau los, muaj tsawg heev hauv cov poj niam. Rau daim ntawv no ntawm pathology, cov tsos ntawm foci ntawm endometriosis nyob rau hauv lub cev ntawm lub tsev menyuam tsis yog yam ntxwv, tab sis cov tsos ntawm nodular formations nyob rau saum npoo ntawm lub tsev menyuam yog yam ntxwv. Thaum lub sij hawm kev loj hlob ntawm tus kab mob, polyps tuaj yeem loj hlob, uas txawv nyob rau hauv daim ntawv creeping ntawm qhov txhab. Yog tias tus neeg mob tau kuaj pom tias muaj qhov tshwj xeeb ntawm endometriosis ntawm lub tsev menyuam lub cev, cov kws kho mob yuav hais kom muaj kev cuam tshuam kev phais. Nws yuav tsum tau muab sau tseg tias cov formations no tsis tuaj yeem kho nrog tshuaj.
- Kev txhim kho ntawm endometriosis ntawm sab nraud. Hom no kuj hu ua qhov chaw mos. Tawm tsam nws keeb kwm yav dhau, cov kab mob pathological tshwm sim ntawm tag nrho cov kab mob hauv lub cev, tshwj tsis yog lub cev ntawm lub tsev menyuam. Hauv cov piv txwv feem ntau, lawv tuaj yeem cuam tshuam rau cov hlab ntsha hauv plab nrog zes qe menyuam. Cov kab mob no feem ntau dhau los ua qhov tseem ceeb ntawm kev xeeb tub hauv ntau tus poj niam.
Tawm tsam keeb kwm yav dhau los ntawm kev loj hlob ntawm diffuse endometriosis hauv tsev menyuam, cov leeg nqaij ntawm peritoneum raug cuam tshuam. Cov ntaub so ntswg ntawm lub plab mog, ligaments thiab cov kab mob excretory kuj raug cuam tshuam. Hom kab mob no tsis muaj ib daim ntawv, tab sis tshwm sim los ntawm kev txhim kho ntawm qee yam pathologies. Nws entails qhov tshwm sim tsis zoo thiab yuav tsum taukev kho mob tshwj xeeb. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov kws tshawb fawb tsis ntev los no tau tswj xyuas kom paub tias txhua hom endometriosis ntawm lub tsev menyuam tuaj yeem metastasize, hauv qhov no, nws yog ib qho tseem ceeb heev uas yuav tau txheeb xyuas tus kab mob raws sijhawm ntawm nws qhov pib ntawm kev loj hlob. Metastases ploj ntawm lawv tus kheej vim kho raws sijhawm.
Diffuse endometriosis: cov cim qhia thiab theem
Daim ntawv diffuse tuaj yeem cuam tshuam cov ntaub so ntswg ntawm lub tsev menyuam kom zoo ib yam thiab zoo ib yam. Cov kab mob sib sib zog nqus mus rau hauv lub cev, tom qab uas lawv pib loj hlob. Qhov teeb meem tseem ceeb hauv kev kho mob ntawm cov kab mob no yog qhov tsis muaj cov cim qhia, txij li lub tsev menyuam cuam tshuam tag nrho. Hom diffuse ntawm endometriosis ntawm lub cev ntawm lub tsev menyuam muaj nws tus kheej theem ntawm kev loj hlob.
- Nyob rau theem pib, cov hlwb endometrial kis rau lub tsev menyuam mus rau qhov tob ntawm ib centimeter. Hauv qhov no, cov neeg mob tsis hnov mob lossis tsis xis nyob. Nyob rau theem ntawm txoj kev loj hlob no, los ntshav tuaj yeem nce ntxiv thaum lub caij coj khaub ncaws, uas tuaj yeem ua rau muaj kev ntxhov siab thiab ntxhov siab.
- Nyob rau theem thib ob, qhov txawv txav ntawm endometriosis yog tshwm sim nyob rau hauv lub germination ntawm hlwb mus rau nruab nrab ntawm lub tsev menyuam. Qhov mob yuav tshwm sim ntau dua. Tawm tsam keeb kwm yav dhau los no, o sab hauv tshwm sim, feem ntau ua rau omission ntawm lub cev. Tej zaum yuav muaj qhov tso tawm nrog cov ntshav me me, uas tshwm sim ntawm lub sijhawm.
- theem thib peb yog suav tias yog qhov txaus ntshai tshaj plaws, txij li lub sijhawm no diffuse endometriosis cuam tshuam rau lub tsev menyuam thiab dhau mus, kis mus rau cov hlab ntsha. Tsis tas li ntawd, nws mus rau thaj tsam ntawm qhov chaw mos thiab cuam tshuam rau cov phab ntsa ntawm lub plab kab noj hniav nrog zes qe menyuam.
Qhov teeb meem tseem ceeb ntawm cov kws kho mob nrog diffuse endometriosis ntawm lub cev uterine (ICD N80) yog tias lawv tshem tsis tau cov kab mob.
Dab tsi tuaj yeem qhia txog kev txhim kho ntawm pathology?
Raws li txoj cai, tus kab mob no ua rau tus poj niam tsis xis nyob, txawm li cas los xij, thaum thawj theem, cov tsos mob yuav tshwm sim tag nrho. Feem ntau, cov neeg mob pom cov kev hloov pauv hauv qab no hauv lawv lub xeev kev noj qab haus huv:
- Qhov tshwm sim ntawm qhov mob hauv plab pelvic.
- Saib xyuas qhov mob premenstrual thiab menstrual.
- Muaj ntshav ntau dhau thaum cev xeeb tub.
- Kev pom pom ntawm lub sijhawm.
- Kev muaj kev tsis xis nyob ntawm keeb kwm ntawm kev sib raug zoo.
- Missing a planned cev xeeb tub.
Ntau zaus, cov tsos mob ntawm qhov sib txawv ntawm daim ntawv endometriosis ntawm lub cev ntawm lub tsev menyuam manifests nws tus kheej yog ib qho teeb meem tiv thaiv keeb kwm yav dhau ntawm cov txheej txheem inflammatory. Nws kuj tuaj yeem yog qhov tshwm sim ntawm kev cuam tshuam gynecological tsis ua tiav. Influences tsim ntawm pathology, ntxiv rau, lub xeev tsis zoo ntawm lub cev thiab endocrine systems.
Diffuse endometriosis thiab nws qib kev loj hlob
Cov kab mob no tau muab faib ua plaub qib hauv qab no raws li qhov ntsuas ntawm cov cell faib.
- Endometriosis ntawm lub cev ntawm lub tsev menyuam ntawm qib 1. Qhov no yog cov txheej txheem pathological uas cuam tshuam rau txheej sab saud ntawm myometrium.
- Endometriosis ntawm lub cev ntawm lub tsev menyuam 2 degrees. Cov txheej txheem uas cuam tshuam ib nrab ntawm myometrium.
- Pathology,cuam tshuam myometrium kiag li.
- Cov txheej txheem ntawm kev sib kis ntawm cov kab mob mus rau thaj chaw ntawm cov khoom nruab nrog cev, piv txwv li, rau cov hnyuv, thiab, ntxiv rau, mus rau thaj chaw urogenital.
Focal type
Focal endometriosis ntawm lub cev ntawm lub tsev menyuam raug xa mus rau lwm hom kab mob. Nyob rau tib lub sijhawm, pathological neoplasms raug tsim tsis sib xws, tsis cuam tshuam rau tag nrho lub tsev menyuam. Tawm tsam keeb kwm no, me me foci tuaj yeem tsim, uas nyob ntawm qhov tob. Cov kab mob no tuaj yeem kho tau vim tias cov kws kho mob pom thaj chaw cuam tshuam thiab tuaj yeem tshem tawm.
Tawm tsam keeb kwm ntawm focal diffuse endometriosis, tus neeg mob yuav hnov mob hnyav, thiab tib lub sijhawm, qhov mob hnyav nrog qhov tsis xis nyob. Qhov cuam tshuam cov ntaub so ntswg loj tuaj. Cov chaw zoo li no tau tsim kho tas li, ua rau mob me me los ntshav.
Diffuse endometriosis thiab nws cov tsos mob
Cov kws kho mob txheeb xyuas cov tsos mob hauv qab no ntawm endometriosis ntawm lub cev ntawm lub tsev menyuam:
- hom kab mob no tuaj yeem cuam tshuam rau tag nrho lub tsev menyuam kab noj hniav. Kev faib tawm ntawm nodules nyob rau hauv cov ntaub ntawv no tshwm sim nyob rau hauv ib tug chaotic yam, lawv sai heev loj hlob mus rau hauv lub cheeb tsam ntawm lub sab hauv nruab nrog cev. Yog li, thaj chaw cuam tshuam sai sai hauv qhov loj, tom qab ntawd nws swells.
- Yog tias qhov neoplasm tshwm rau ntawm lub ncauj tsev menyuam, ces endometriosis tsuas yog pom tau nrog kev pab los ntawm colposcope. Nyob rau tib lub sij hawm, cov kws kho mob pom nyob rau hauv cov neeg mob muaj cov yam ntxwv bulges ntawm ib tug me me luaj li cas, uas txawv nyob rau hauv tsaus xim av.ntxoov ntxoo.
- Feem ntau, kev puas tsuaj rau cov hlab ntsha tuaj yeem tshwm sim. Nyob rau hauv cov ntaub ntawv no, adhesions nrog nodules clog txoj kev, thiab, nyob rau hauv tas li ntawd, tiv thaiv kom txhob muaj kev xeeb tub los ntawm qhov tshwm sim. Xws li kev tsim yog feem ntau yuav tsum tau tshem tawm, vim lawv tsis tuaj yeem ploj ntawm lawv tus kheej. Tom qab ua haujlwm, cov poj niam feem ntau yog infertile.
Ncua cim ntawm endometriosis ntawm lub cev ntawm lub tsev menyuam
Thawj txoj kev kuaj mob siv los ntawm tus kws kho mob yog tias qhov kev xav tau no yog kuaj ultrasound. Echo cov cim qhia tau zoo heev rau kev kuaj pom tus kab mob thiab kev kuaj mob. Cov txheej txheem yog yooj yim thiab muaj kev nyab xeeb, thiab cov txheej txheem ultrasound yog nkag siab thiab lub hom phiaj, uas tso cai rau ultrasound los ua ib txoj hauv kev rau kev kuaj pom tus kab mob ua ntej.
Nws yooj yim heev los kuaj pom echoscopically endometriosis ntawm lub cev ntawm lub tsev menyuam.
Ultrasound cov cim qhia ntawm adenomyosis
Tus kws kho mob ua rau:
- thickness ntawm phab ntsa ntawm lub tsev menyuam;
- hloov pauv hauv myometrium (cov leeg nqaij ntawm lub tsev menyuam);
- yuav ua li cas lub thickness ntawm lub puab shedding txheej tau hloov;
- hloov pauv hauv cov txheej txheem basal ntawm endometrium;
- me lossis loj suav nrog hauv txhua txheej ntawm lub cev ntawm lub tsev menyuam.
Nodular thiab focal adenomyosis yuav muab cov cim hauv qab no ntawm ultrasound:
- nyob rau hauv lub thickness ntawm lub tsev me nyuam phab ntsa, sib npaug los yog oval nodes nrog txawm contours los yog foci nrog qhov muag plooj outlines yog tsim;
- muaj ntau cov kab noj hniav thiab cov me me (inch tsis tshaj 6 hli);
- thicknessuterine phab ntsa hloov;
- kab noj hniav sab hauv ntawm lub tsev menyuam yog deformed vim yog tsim ntawm ib qho ntawm cov basal txheej ntawm endometrium.
Kev kho mob
Kev kho mob ntawm cov kab mob endometriosis feem ntau yog ua nrog kev pab los ntawm ntau yam tshuaj. Rau qhov no, tus neeg mob tau muab tshuaj hormonal kho. Kev npaj tshuaj hormones pab tiv nrog cov foci uas muaj cov txheej txheem inflammatory tshwm sim, uas yuav tsum tau xaiv ib tus zuj zus rau txhua tus poj niam.
Raws li ib feem ntawm txoj kev kho tus kheej, cov poj niam nres lawv cov kev coj khaub ncaws rau rau lub hlis. Tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem zoo li no, lub cev tuaj yeem tawm tsam cov hlwb endometrial. Kev kho tshuaj hormonal yog nrog los ntawm ntau yam tshuaj, cov nyhuv uas yog tsom rau kev ntxiv dag zog rau lub cev tiv thaiv kab mob, thiab ntxiv rau, txhawm rau txhawm rau txhawm rau txhim kho cov kab mob hauv lub cev tag nrho.
Yog tias cov poj niam tsis saib xyuas lawv txoj kev noj qab haus huv thiab tsis tau kuaj xyuas kev tiv thaiv tsis tu ncua nrog kws kho mob, diffuse endometriosis feem ntau kuaj pom hauv lawv nyob rau theem kawg. Nyob rau hauv cov xwm txheej zoo li no, kev tshem tawm tag nrho lub cev ntawm lub tsev menyuam tau raug sau tseg.
Kev tsim ib txhij ntawm uterine fibroids ua ke nrog endometriosis feem ntau tshwm sim tawm tsam keeb kwm ntawm cov tshuaj hormones surges lossis cuam tshuam hauv lub sijhawm tom qab yug menyuam, tawm tsam keeb kwm ntawm kev rho menyuam lossis mob, raug mob lossis nchuav menyuam, thiab lwm yam.
Kev kho mob feem ntau yog ua raws li kev ntsuas kev ua haujlwm. Cov txheej txheem tshwj xeeb raug xaiv raws li daim ntawv ntawm myoma neoplasm,Tus neeg mob tus mob, tus yam ntxwv hnub nyoog thiab qib ntawm kev tsis saib xyuas ntawm cov txheej txheem pathological.
kho tshuaj hormone thiab nws cov yam ntxwv
Qhov tsuas yog qhov tsis zoo ntawm kev kho hormonal yog qhov xav tau rau kev siv cov tshuaj no mus ntev, txawm tias tawm tsam keeb kwm ntawm qhov mob me me ntawm lub cev ntawm lub tsev menyuam. Tab sis ua tsaug rau qhov kev kho mob no, nws muaj peev xwm ua kom rov qab ua haujlwm ntawm cov kab mob hauv lub cev tsis muaj kev cuam tshuam rau kev phais. Kev kho mob ntawm diffuse endometriosis ncaj qha nyob ntawm daim ntawv, thiab, ntxiv rau, nyob rau theem ntawm tus kab mob. Feem ntau muaj cov xwm txheej uas cov kws kho mob xav txog kev phais tib txoj kev tawm. Muaj ntau tus yam ntxwv hauv qab no ntawm kev kho hormonal.
- Hloov pauv thiab cuam tshuam ntawm keeb kwm hormonal tuaj yeem ua rau tshwm sim ntawm cov kab mob ua rau lub tsev menyuam. Nws yog cov tshuaj uas ua raws li cov tshuaj hormones uas pab tswj txhua qhov kev cuam tshuam hauv lub cev. Cov kev kho mob zoo li no yuav tsum tau ua raws li kev saib xyuas nruj ntawm tus kws kho mob.
- Endometrial cells, raws li txoj cai, ua haujlwm zoo heev, tsuas yog thaum cev xeeb tub lawv pib los ntshav hnyav. Nyob rau hauv cov ntaub ntawv uas tus neeg mob tau txais ib tug dag cuam tshuam ntawm lub hli voj voog, lub cev tau txais lub cib fim rau nws tus kheej tiv nrog lub pathological foci uas tau tshwm sim. Endometrial hlwb thaum lub sij hawm tag nrho cov kev kho mob yog nyob rau hauv ib tug tag nrho so.
- Qhov nruab nrab cuam tshuam ntawm kev coj khaub ncaws los ntawm txoj kev dag yog rau lub hlis. Tsuas yog raws li cov lus tim khawv ntawm tus kws kho mob tuaj yeem ua nwsraug ncua. Tab sis cov txheej txheem no tuaj yeem cuam tshuam tsis zoo rau kev ua haujlwm ntawm lub cev xeeb tub, nrog rau qhov no, yav tom ntej yuav muaj teeb meem nrog qhov pib ntawm cev xeeb tub.
Kev kho mob ntawm daim foos
Daim foos ntawm diffuse endometriosis feem ntau yog kho tshwj xeeb nrog kev pab ntawm txoj kev phais. Tsim foci yuav tsum tau muab tshem tawm tag nrho. Tsuas yog tom qab kev kuaj mob dav dav, tus kws kho mob yuav muaj peev xwm txiav txim siab txog kev teem caij kho tshuaj hormone rau tus neeg mob. Diagnostics nyob rau hauv cov ntaub ntawv no yog coj mus rau qhov ua kom tsis muaj zog ntawm foci, uas yog tom qab ntawd raug tshem tawm.
Pathological foci tuaj yeem tshwm sim ntawm zes qe menyuam, thiab yog li ntawd cov kws kho mob tuaj yeem ua haujlwm rau lawv thiab. Hmoov tsis zoo, kev kho mob ntawm daim foos focal feem ntau tsis coj qhov txiaj ntsig zoo, thiab kev tshem tawm ntawm ib feem ntawm cov appendages tuaj yeem ua rau rov ua dua. Daim foos focal ntawm tus kab mob no txo qis qhov tshwm sim ntawm kev rov ua kom tiav ntawm kev ua me nyuam ua haujlwm. Tab sis, txawm li cas los xij, raws li kev xyaum qhia, ntau zaus, cov neeg mob tseem tswj kom xeeb tub thiab yug me nyuam tom qab kawm tiav ntawm kev kho tshuaj hormone.
Txoj Kev Kho Mob
Nws yuav tsum tau muab sau tseg tias, raws li txoj cai, tshwj xeeb tshaj yog cov ntaub ntawv nquag ntawm diffuse endometriosis ntawm lub tsev menyuam lub cev, uas tshwm sim lawv tus kheej los ntshav hnyav, thiab, ntxiv rau, qhov mob, raug kho. Ntau tus kws tshaj lij ntseeg tias kev kho tus kab mob tsis muaj zog tuaj yeem ua rau nws kis tau ntxiv. Hauv qhov no, xws licov neeg mob yuav tsum tau saib xwb.
Kev kho mob endometriosis ntawm lub cev ntawm lub tsev menyuam cuam tshuam nrog kev hloov kho hormonal. Hauv qhov no, kev tsim cov tshuaj hormones poj niam - estrogens - tshwj xeeb tshaj yog xav tau. Nws tseem yog ib qho tseem ceeb heev rau kev kho mob thaj chaw uas nyob ze ntawm lub foci ntawm endometriosis tam sim ntawd. Ib yam tseem ceeb nyob rau hauv lub moj khaum ntawm kev kho mob yog kev kho dua tshiab ntawm tus poj niam txoj kev tiv thaiv. Ntawm lwm yam, cov poj niam uas raug kev txom nyem los ntawm diffuse endometriosis feem ntau muaj txhua yam metabolic, thiab, ntxiv rau, endocrine abnormalities nyob rau hauv daim ntawv ntawm rog, ntshav qab zib, thiab hais txog. Lawv kuj yuav tsum raug txheeb xyuas thiab kho.
Thaum qhov kev kho mob tsis zoo, cov kws kho mob ua haujlwm thaum lub sijhawm endometriosis foci yog cauterized rau cov neeg mob. Nyob rau hauv lub xub ntiag ntawm adenomyosis los yog nyob rau hauv cov ntaub ntawv ntawm ib tug ua ke ntawm tus kab mob no nrog fibroids, supravaginal amputation ntawm lub tsev menyuam yog pom zoo. Hom kev phais no feem ntau ua rau cov poj niam uas nyob hauv lub sijhawm postmenopausal.
Yuav ua li cas kho endometriosis ntawm lub cev ntawm lub tsev menyuam, tam sim no peb paub.
Tiv thaiv kab mob endometriosis
Kev tiv thaiv kev tiv thaiv keeb kwm yav dhau los ntawm kev pheej hmoo ntawm kev tsim cov kab mob endometriosis hauv cov poj niam, uas tau ua hauv cov chaw kho mob, raws li txoj cai, suav nrog ntau cov txheej txheem hauv qab no:
- Kev tshuaj xyuas cov ntxhais hauv lawv cov hluas, thiab ntxiv rau, cov poj niam hluas uas mob hnyav thaum cev xeeb tub.
- Thaum rho menyuam lossis hauv keeb kwm yav dhaulwm yam kev phais mob uas cuam tshuam txog kev nkag mus rau hauv lub tsev menyuam, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam cov neeg mob txhawm rau txhawm rau txheeb xyuas lub sijhawm, thiab, ntxiv rau, tshem tawm cov kab mob tshwm sim hauv lawv.
- Kev kho mob ntawm qhov chaw mos ntawm qhov chaw mos.
- Kev kuaj tsis tu ncua.
Cov teeb meem vim qhov sib txawv ntawm endometriosis
Lub ntsiab, thiab tib lub sijhawm qhov teeb meem loj tshaj plaws ntawm kev mob endometriosis yog infertility. Kwv yees li txhua tus poj niam thib ob uas raug mob los ntawm tus kab mob no muaj teeb meem loj heev kom xeeb tub thiab yug nws thaum cev xeeb tub. Qhov tseeb yog tias qhov kev loj hlob ntawm endometriosis tuaj yeem ua rau kev sib kis ntawm cov txheej txheem pathological mus rau cov hlab ntsha, vim qhov no, cov qe tsuas yog tsis tuaj yeem ntsib nrog phev. Yog li, nws yog qhov txhaws ntawm cov hlab ntsha fallopian, uas tshwm sim tawm tsam keeb kwm ntawm diffuse endometriosis, uas tiv thaiv kev xeeb tub. Txawm hais tias ib tug zygote raug tsim los, nws tsis germinate nrog rau implantation nyob rau hauv cov phab ntsa ntawm lub tsev menyuam.
Lwm qhov teeb meem yog mob qog noj ntshav zes qe menyuam, uas yog kab mob oncological ntawm zes qe menyuam. Ntawm cov neeg mob diffuse endometriosis, nws tshwm sim ntau zaus, txawm li cas los xij, raws li qee qhov kev txheeb cais, kev pheej hmoo ntawm qog nqaij hlav feem ntau me me. Kev tshawb fawb yav dhau los tau pom tias endometriosis nyob rau hauv qee txoj kev tuaj yeem ua rau muaj kev pheej hmoo mob qog noj ntshav hauv cov poj niam. Yog li, nyob rau qee qhov tsis tshua muaj, kev txhim kho ntawm endometriosis yog ua tau.txuam nrog adenocarcinoma hauv cov poj niam uas muaj keeb kwm kho mob nyuaj.
Nyob rau hauv xaus, peb nco ntsoov tias diffuse endometriosis ntawm lub tsev menyuam yog ib tug kab mob gynecological uas feem ntau tshwm sim rau cov poj niam uas nyob rau hauv lub sij hawm ntawm kev loj hlob. Kev faib tawm ntawm daim ntawv tshwj xeeb ntawm pathology rau hauv ib qho kev sib cais nosological yog vim muaj qhov tshwj xeeb hauv nws. Nws peculiarity nyob rau hauv qhov tseeb hais tias lub hlwb ntawm lub endometrium, uas yog lub puab txheej ntawm lub tsev menyuam, tuaj yeem loj hlob ncaj qha rau hauv nws cov leeg nqaij, hloov nws tag nrho.
Yog li no, kab mob no tshwm sim ntau heev thiab tuaj yeem ua rau tus poj niam tsis muaj sijhawm los ua niam rau yav tom ntej. Yog li ntawd, txhawm rau tiv thaiv nws qhov tshwm sim, kev rho menyuam yuav tsum tsis txhob ua thiab cov txheej txheem inflammatory uas tshwm sim hauv qhov chaw mos yuav tsum tau kho raws sijhawm. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias txhua yam kev phais mob hauv thaj tsam ntawm lub tsev menyuam tuaj yeem ua rau tus kab mob no. Tsis tas li ntawd, koj yuav tsum tsis tu ncua nrog gynecologist.
