Hauv kab lus no, peb yuav xav txog cov tsos mob, cov tsos mob, kev kho mob ntawm adenomyosis ntawm lub tsev menyuam. Nws yog dab tsi? Tus kab mob no puas txaus ntshai? Cia peb kawm saib.
Adenomyosis lossis endometriosis yog kab mob ntawm lub tsev menyuam. Thaum lub sij hawm tus kab mob no, lub endometrium, uas ua raws li ib tug sab hauv mucosa, pib loj hlob mus rau ntau yam txheej ntawm lub tsev menyuam. Los ntawm nws qhov xwm txheej, adenomyosis, cov tsos mob uas peb yuav xav txog hauv kab lus no, suav hais tias yog kab mob benign.
piav qhia dav dav ntawm pathology
Txoj haujlwm tshiab nyob los ntawm cov hlwb endometrial tiv thaiv keeb kwm yav dhau ntawm adenomyosis yog nyob hauv thaj tsam ntawm sab nraud, thiab, ntxiv rau, cov kab mob hauv nruab nrog cev. Qhov no tuaj yeem tshwm sim hauv tsev menyuam, nws cov hlab ntsha, lossis zes qe menyuam. Tsis tas li ntawd, cov txheej txheem yuav cuam tshuam rau lwm cov ntaub so ntswg thiab lub cev, piv txwv li, lub tso zis, lub plab, thiab lwm yam.
Tawm tsam keeb kwm ntawm qhov chaw mos adenomyosis, cov hlwb endometrial muaj nyob hauv qhov chaw mos. Cov kab mob no tuaj yeem yog sab nraud, tom qab ntawd cov kws kho mob tham txog endometriosis ntawm zes qe menyuam thiab qhov chaw mos, lossis sab hauv. Cov duab sab hauv qhia tau hais tias uterine endometriosis.
Endometrial hlwb uas nyob sab nraum lub tsev menyuam tuaj yeem ua haujlwm txuas ntxiv raws li lub voj voog ib hlis ib zaug, uas, dhau los, ua rau cov tsos mob ntawm cov txheej txheem hauv zos, tom qab qhov kev hloov pauv tshwm sim uas cuam tshuam rau kev ua haujlwm ntawm lub cev. lub cev nyob ntawm lawv.
Kev txhais lus ntawm lo lus kho mob "adenomyosis" yog hais txog glandular degeneration uas tshwm sim hauv cov leeg nqaij. Kev cuam tshuam ntawm cov qog endometrial ntawm myometrium ua rau muaj kev hloov pauv pathological nyob rau hauv cov leeg nqaij ntawm lub tsev menyuam, uas ua rau lub cev degeneration ntawm lub cev.
Cov tsos mob ntawm adenomyosis yog qhov txaus siab rau ntau tus.
Shapes
Pathology muab faib ua diffuse, nodular thiab mixed forms.
- Morphological nta ntawm diffuse adenomyosis yog tsim ntawm qhov muag tsis pom hauv hnab ris hauv endometrium, nkag mus rau qhov sib txawv ntawm cov txheej txheem uterine los ntawm nws cov kab noj hniav. Nws feem ntau tshwm sim tias hom kab mob no ua rau tsim cov fistulas hauv plab kab noj hniav.
- Daim ntawv ntawm nodular adenomyosis yog tus cwj pwm los ntawm kev nkag mus rau hauv cov leeg nqaij uterine txheej ntawm cov epithelium thaum tib lub sijhawm tsim cov nodes nrog ntau qhov sib txawv. Raws li txoj cai, lawv muaj ntau yam raws li hom lawv tsim thiab muaj cov ntshav los yog cov kua xim av muaj nyob rau hauv lawv. Nws, nyob rau hauv lem, yog tsim los ntawm kev ua ntawm cov qog endometrial raws li ib txwm lub voj voog ntawm kev coj khaub ncaws.
- Kev sib xyaw yog ib qho ua ke ntawm ob qho tib si saum toj no.
Cov tsos mob thiabKev kho mob rau adenomyosis yuav tham tom ntej.
Degrees ntawm nws qhov hnyav
Qhov hnyav ntawm pathology, raws li txoj cai, sib raug rau ib qho ntawm plaub qib uas muab los ntawm kev faib tawm thoob ntiaj teb. Txhua qhov ntawm cov qib no sib haum mus rau qhov tob ntawm kev nkag mus ntawm cov hlwb endometrial mus rau hauv cov qauv ntawm lub tsev menyuam. Nws kuj tseem yuav tsum tau muab sau tseg tias kev faib tawm hauv qab no tsuas yog siv rau daim ntawv diffuse ntawm pathology hauv nqe lus nug.
- Thawj qib yog txiav txim siab los ntawm kev loj hlob ntawm cov hlwb endometrial, uas tshwm sim hauv thaj tsam ntawm cov mucous txheej ntawm lub tsev menyuam.
- Qib thib ob yog cim los ntawm kev nkag mus ntawm cov kab mob pathology, cov txheej txheem uas muaj nyob hauv cov leeg nqaij uterine txheej, thaum tsis muaj ntau tshaj li ib nrab ntawm nws qhov chaw raug ntes.
- Tawm tsam keeb kwm yav dhau los ntawm qib peb, cov leeg nqaij tau koom nrog cov txheej txheem pathological ntau dua li ib nrab.
- Qib plaub yog tus cwj pwm los ntawm kev loj hlob ntawm cov hlwb sab nraum cov leeg nqaij. Cov cell yog concentrated nyob rau hauv lub serous uterine membrane. Tsis tas li ntawd, qhov no ua rau kev hloov pauv ntawm cov hlwb mus rau peritoneum, thiab, ntxiv rau, rau kev koom tes ntawm cov kabmob uas nyob hauv thaj chaw pelvic, hauv cov txheej txheem pathological.
Cov tsos mob Adenomyosis tau tshaj tawm tias tsis txaus siab.
Tus kab mob txaus ntshai yog dab tsi?
Raws li tau sau tseg, adenomyosis yog ib qho kev loj hlob zoo uas tshwm sim hauv cov ntaub so ntswg. Lub ntsiab yog vim li cas rau kev ua raws li cov lus txhais no yog kev khaws cia ntawm cov txheej txheem caj ces ntawm cov hlwb endometrial tiv thaiv keeb kwm yav dhau los ntawm nws txoj kev tsiv mus rau lwm cov ntaub so ntswg thiab lub cev. Tab sis lub caij no,Lub peev xwm ntawm cov hlwb kom germinate nyob rau hauv cov ntaub so ntswg, nrog rau nws cov hauj lwm ntawm kev sib hais haum nyob rau hauv lub tom ntej no lub cev nrog kev tiv thaiv rau sab nraud influences, equates no pathological txheej txheem nrog malignant formations. Cov lus qhia txog cov tsos mob thiab kev kho mob ntawm adenomyosis yog muab nyob rau hauv qhov kawg ntawm tsab xov xwm.
Kev txiav txim siab ntawm qhov zoo ntawm tus kab mob ua rau nws muaj peev xwm qhia tau nws qhov kev mob tshwm sim. Xws li cov kab mob tuaj yeem txuas ntxiv mus rau ntau xyoo lossis ntau xyoo, thaum cov txheej txheem tsis ua rau lub cev ntawm poj niam cev xeeb tub lossis nws tuag. Nyob rau hauv parallel nrog qhov no, zoo ib yam li cov kab mob malignant ntawm hyperplasia, adenomyosis nrog kev nyuaj heev qiv nws tus kheej rau kev saib xyuas kev kho mob hauv nws qhov chaw nyob. Yog tias peb tham txog kev ntsuas kev ua haujlwm ntawm kev cuam tshuam txhawm rau txhawm rau tshem tawm cov kab mob no, ces qhov kev tshem tawm ntawm tus kab mob no ntau dua voluminous piv rau cov kev tsom rau kev kawm zoo. Yog vim li cas nyob rau hauv qhov nyuaj ntawm kev txhais cov ciam teb uas qhia tias muaj kab mob thiab noj qab nyob zoo cov ntaub so ntswg. Kev txiav txim siab cov tsos mob thiab kho adenomyosis tom qab hnub nyoog 40 yog qhov nyuaj.
Kev nyuaj siab
Feem ntau qhov teeb meem tseem ceeb yog qhov peculiarity uas cov hlwb endometrial, ua haujlwm raws li lub voj voog txhua hli, yog qhov ua rau hnyav los ntshav. Qhov no, nyob rau hauv lem, tuaj yeem ua rau mob ntshav qab zib. Qee zaum, tej zaum yuav xav tau mus pw hauv tsev kho mob sai, thiab, ntxiv rau, kev phais vim yog qhov ua rau mob hnyav.txoj sia yuav raug kev txom nyem vim los ntshav rau cov neeg mob.
Dab tsi yog lwm cov tsos mob thiab cov tsos mob ntawm uterine adenomyosis?
Cov kab mob raws li kev txiav txim siab kuj yog tus cwj pwm los ntawm kev nyiam kis tus kab mob mus rau lwm cov ntaub so ntswg ntawm lub cev, uas, dhau los, tuaj yeem ua rau qee yam kab mob. Txoj hauj lwm extragenital ntawm cov hlwb endometrial tuaj yeem ua rau tag nrho ntau yam ntawm ntau yam teeb meem, tiv thaiv kev kho mob uas yuav tsum tau ua. Cov teeb meem zoo li no feem ntau suav nrog kev mob plab hnyuv, provoked los ntawm endometriosis ntawm lub digestive system, thiab, ntxiv rau, hemothorax, ib tug pathology yam ntxwv los ntawm sau lub pleural cheeb tsam nrog cov ntshav, uas yog tshwm sim los ntawm lub ntsws puas..
Rau qhov tshwm sim txaus ntshai ntawm tus kab mob xws li adenomyosis, ib qho yuav tsum ntxiv qhov kev hem thawj ntawm kev tsim cov qog nqaij hlav malignant hloov pauv uas tau raug hloov mus rau qhov tshwm sim ntawm qib caj ces.
Adenomyosis thiab nws cov laj thawj
Qhov ua rau ua rau muaj qhov tshwm sim ntawm adenomyosis, nrog rau cov txheej txheem uas cuam tshuam rau nws txoj kev loj hlob, tseem tsis tau txiav txim siab tag nrho txog hnub no. Qhov tsuas yog qhov uas tuaj yeem raug sau nrog qhov tseeb yog tias tus kab mob yog nyob ntawm hormonally. Yog li, feem ntau yuav, nws txoj kev loj hlob yog ua los ntawm kev ua txhaum ntawm kev tiv thaiv kab mob. Ntawm cov teeb meem tseem ceeb rau kev loj hlob ntawm kev txiav txim siab pathology, cov hauv qab no yog qhov txawv:
- Hereditarypredisposition rau adenomyosis. Qhov no suav nrog qhov kev xav ntawm lub cev mus rau qhov pom ntawm benign los yog malignant neoplasms, uas yog concentrated nyob rau hauv thaj tsam ntawm poj niam qhov chaw mos.
- Nthuav lossis ntxov ntxov ntawm kev coj khaub ncaws.
- Ntau tshaj.
- pib sib deev lig dhau lawm.
- Kev xa khoom qeeb lossis muaj teeb meem.
- Cov no lossis lwm yam kev hloov pauv ntawm lub tsev menyuam, piv txwv li, rho menyuam tawm, kuaj xyuas kev kho mob, thiab lwm yam.
- Siv uterine kauv txhawm rau tiv thaiv kev xeeb tub tsis xav tau nrog rau cov tshuaj tiv thaiv qhov ncauj.
- Pathologies ntawm qhov inflammatory scale nyob rau hauv cheeb tsam ntawm lub tsev menyuam thiab appendages, nrog rau los ntshav ntawm ib tug dysfunctional xwm, tshwj xeeb tshaj yog tawm tsam keeb kwm ntawm kev phais los yog mus sij hawm ntev hormonal kev kho mob.
- Cov kab mob sib kis ntau zaus nrog rau kev tsis haum tshuaj uas qhia txog kev ua haujlwm ntawm lub cev tsis muaj zog.
- Low social status.
- Kev koom tes hauv lub cev muaj zog.
- kev ua neej nyob nrog kev ntxhov siab.
- Extragenital pathologies, piv txwv li, kab mob ntawm lub plab zom mov, kub siab, thiab lwm yam.
- Nyob rau qhov chaw phem.
Adenomyosis cov tsos mob
Tus yam ntxwv tseem ceeb ntawm tus kab mob no tsuas yog muaj ntau lossis ntau dhau ntawm kev coj khaub ncaws los ntshav. Qhov no, nyob rau hauv lem, provokes kev loj hlob ntawm theem nrab hlau deficiency anemia.
Thaum anemia tshwm sim vim qhov ua rau, cov tsos mob hauv qab no tau hnov:
- Kev qaug zog thiab qaug zog.
- palaleness ntawm daim tawv nqaij thiab cov yeeb yaj kiab zoo.
- Lub cev raug rau ntau yam kab mob.
- Tom qab mob hnyav, ua pa luv uas tshwm sim txawm tias ua rau lub cev me me.
- Vim kiv taub hau.
- Kev poob qis hauv kev muaj peev xwm ua haujlwm.
- Kev poob peev xwm los ntsuas lub xeev tam sim no.
Ib yam tsos mob rau kev loj hlob ntawm adenomyosis yog qhov muaj paug tawm uas tshwm sim ob peb hnub ua ntej pib kev coj khaub ncaws, thiab, ntxiv rau, qee lub sijhawm tom qab nws xaus. Cov ntaub ntawv ntawm pathology tuaj yeem ua rau muaj kev loj hlob ntawm metrorrhagia - uterine los ntshav uas tshwm sim nyob rau hauv nruab nrab ntawm kev coj khaub ncaws.
Lwm cov tsos mob ntawm tus kab mob tau piav qhia yog mob, uas tshwm sim ua ntej kev coj khaub ncaws thiab kav ntev li ob peb hnub. Tus mob no ploj tom qab ob peb hnub txij thaum pib cev xeeb tub.
Qhov hnyav ntawm qhov mob, thiab, ntxiv rau, lawv qhov xwm txheej, raug txiav txim ncaj qha los ntawm qhov chaw ntawm cov txheej txheem pathological. Qhov mob hnyav tshaj plaws yog pom thaum thaj tsam ntawm isthmus ntawm lub tsev menyuam raug cuam tshuam. Nws tsis muaj qhov qhia tsawg dua yog tias tus kab mob cuam tshuam nrog kev txhim kho cov txheej txheem ntawm kev tsim cov adhesions.
Nws feem ntau tshwm sim tias cov tsos mob ntawm adenomyosis tshwm sim thaum tsim tus kab mob hauv daim ntawvaccessory uterine horn. Cov kab mob zoo li no tuaj yeem tshwm sim los ntawm qhov tshwm sim ntawm lub plab mob hnyav, qhov ua rau uas yuav yog ntuav ntawm cov ntshav coj khaub ncaws mus rau thaj tsam ntawm lub plab kab noj hniav, uas yog qhov zoo rau cov tsos mob ntawm peritonitis.
Irradiation ntawm qhov mob feem ntau ua rau nws muaj peev xwm txiav txim siab qhov chaw ntawm qhov concentration ntawm cov txheej txheem pathological. Piv txwv li, kev puas tsuaj rau lub kaum sab xis ntawm lub tsev menyuam ua rau mob uas kis mus rau thaj tsam inguinal ntawm qhov sib thooj. Lub xub ntiag ntawm qhov mob isthmus yuav tawg mus rau lub qhov quav lossis mus rau qhov chaw mos.
Lwm cov tsos mob ntawm uterine adenomyosis feem ntau ntawm cov kab mob hauv qab kev saib xyuas yog qhov tshwm sim ntawm kev hnov mob uas tshwm sim thaum muaj kev sib deev, tshwj xeeb tshaj yog muaj tseeb tam sim ua ntej coj khaub ncaws nws tus kheej thiab feem ntau yuav qhia txog kev puas tsuaj rau lub tsev menyuam.
Nws tseem ceeb heev uas yuav tsum nco ntsoov tias qhov mob hnyav ntawm cov tsos mob ntawm cov kab mob no ncaj qha nyob ntawm theem ntawm qhov tshwm sim ntawm nws cov hauv paus ntsiab lus. Piv txwv li, nyob rau hauv lub xub ntiag ntawm ib tug diffuse daim ntawv ntawm adenomyosis, uas sib haum mus rau lub thawj degree, nws nrhiav tau yuav tshwm sim random, uas yuav piav qhia los ntawm cov asymptomatic chav kawm ntawm lub pathology. Raws li rau qib thib ob thiab qib thib peb ntawm kev sib txawv thiab cov nodular adenomyosis, nyob rau hauv cov ntaub ntawv no, qhov hnyav ntawm cov tsos mob yuav tsis tshua muaj coincide nrog ib tug tshwj xeeb theem ntawm kev faib ntawm tag nrho cov txheej txheem, thiab, ntxiv rau, nrog rau qhov loj ntawm cov nodes.
Yog li peb tham txog cov tsos mob. Kev kho mob adenomyosis yuav tham tom ntej.
Kev kho mob
Yuav kho tus kab mob no, siv ob txoj kev: kho lossis phais. Kev kho mob suav nrog kev siv cov tshuaj uas tsom mus rau normalizing cov haujlwm ntawm cov tshuaj hormonal thiab kev tiv thaiv kab mob. Kev kho phais, nyob rau hauv lem, yog ua raws li kev kho kom rov zoo li qub anatomical yam ntxwv ntawm qhov chaw mos hauv nruab nrog cev. Tsis tas li ntawd, kev phais mob cuam tshuam nrog kev tshem tawm ntawm cov foci siab tshaj plaws hauv thaj tsam ntawm lawv thaj chaw. Kev kuaj mob ntawm tus kab mob yog ua los ntawm gynecologist, leej twg yuav tsum tau hu yog tias ib qho ntawm cov tsos mob saum toj no tshwm sim.
Yog tias kev kho mob tsis zoo, cov tsos mob thiab cov tsos mob ntawm adenomyosis yuav tsum tau kho nrog kev phais. Kev ua haujlwm tuaj yeem ua rau muaj zog, piv txwv li, nyob rau hauv cov xwm txheej zoo li no, panhysterectomy yog ua nrog rau hysterectomy, supravaginal amputation ntawm lub tsev menyuam, thiab lwm yam. Los yog kev ua haujlwm khaws cia lub cev tuaj yeem ua tau, piv txwv li, endocoagulation ntawm endometriosis foci.
Cov lus qhia rau endocoagulation yog qhov muaj endometrial hyperplasia, suppuration los yog adhesions uas tiv thaiv lub qe los ntawm lub tsev menyuam. Lwm qhov kev qhia hauv qhov no yog qhov tsis muaj kev cuam tshuam tom qab kev kho mob nrog tshuaj hormonal rau peb lub hlis, nrog rau kev siv tshuaj hormonal.
Raws li ib feem ntawm cov lus qhia rau hysterectomy, xav txog kev loj hlob ntawm adenomyosis ntawm cov neeg mob uas muaj hnub nyoog plaub caug xyoo, nrog rau kev ua tsis tau zooKev saib xyuas kev noj qab haus huv thiab kev tiv thaiv kev phais hauv lub cev, ib daim ntawv diffuse lossis nodular ntawm pathology ua ke nrog myoma, thiab, ntxiv rau, kev hem thawj ntawm malignancy.
Yog tias kuaj pom adenomyosis hauv tus poj niam uas tab tom npaj cev xeeb tub, nws yuav raug qhia kom sim xeeb tub tsis pub dhau rau lub hlis tom qab kawm txog kev kho mob lossis endocoagulation. Thaum thawj peb lub hlis twg, cov neeg mob tau sau gestagens. Cov lus nug ntawm kev tawm tswv yim ntawm kev kho hormonal nyob rau hauv lub thib ob los yog thib peb trimester nrog cov tsos mob ntawm adenomyosis nyob rau hauv cov poj niam yog txiav txim siab mus rau hauv tus account qhov tshwm sim ntawm kev ntsuam xyuas ntshav rau cov ntsiab lus ntawm progesterone nyob rau hauv nws. Lub cev xeeb tub yog lub cev tsis muaj zog, uas yog nrog los ntawm kev hloov pauv loj hauv keeb kwm hormonal thiab muaj txiaj ntsig zoo ntawm cov kab mob, uas txo qis kev loj hlob thiab kev sib kis ntawm endometrial heterotopic cells.
Adenomyosis yog ib yam kab mob ntev uas muaj feem yuav rov muaj dua. Tom qab kev saib xyuas kev kho mob, thiab, ntxiv rau, kev tiv thaiv kev phais hauv lub cev hauv thawj xyoo, kev rov ua dua ntawm tus kab mob no tuaj yeem kuaj pom hauv txhua tus poj niam thib tsib ntawm lub hnub nyoog yug me nyuam. Hauv tsib xyoos, cov txheej txheem ntawm kev rov tshwm sim tau pom ntau dua xya caum feem pua ntawm cov neeg mob.
Nyob rau hauv cov poj niam ntawm lub hnub nyoog premenopausal, qhov kev tshwm sim rau kev loj hlob ntawm adenomyosis yog qhov zoo dua, vim qhov kev ua haujlwm ntawm zes qe menyuam zuj zus. Tom qab panhysterectomyrov tshwm sim tsis tau. Raws li ib feem ntawm menopause, tus poj niam lub cev pib rov zoo ntawm nws tus kheej.
Peb tseem xav txog cov tsos mob ntawm uterine adenomyosis thiab kev kho mob nrog pej xeem tshuaj.
tshuaj ntsuab
Hauv kev kho mob ntawm ntau yam gynecological pathologies, tshuaj tsoos tshuaj tuaj yeem dhau los ua qhov tseem ceeb. Lawv feem ntau yog siv los ua ib qho ntxiv rau kev kho mob tseem ceeb, nws yog ib qho tseem ceeb uas yuav tau sab laj nrog kws kho gynecologist ua ntej no.
thawj qhov chaw hauv qhov chaw yog muab rau cov nroj tsuag tshuaj. Xav txog ob peb yam zaub mov txawv:
- Y Rau douching siv ib phau ntawm bergenia cag, cudweed, bedstraw, nettle, mistletoe, ntoo qhib tawv, celandine, yarrow, peony, marigold thiab eucalyptus. Siv cov khoom sib npaug ntawm cov nroj tsuag. 3 art. l. diav yog nchuav rau hauv 1 liter ntawm boiling dej, infused, lim thiab siv rau douching.
- Plantain, tansy, birch thiab poplar buds, juniper txiv hmab txiv ntoo yog muab nyob rau hauv sib npaug proportions. Txhua yam yog poured nrog boiling dej, infused rau 2 teev. Tom ntej no, cov infusion yuav tsum tau lim thiab muab tso rau hauv ib khob tom qab noj mov (peb zaug ib hnub twg).
- Upland uterus feem ntau yog siv los kho cov poj niam mob. 2 tbsp. l. tshuaj ntsuab yog poured nrog ib liter ntawm boiling dej, infused rau ib teev. Strained infusion yog noj ib nrab khob ua ntej noj mov peb zaug ib hnub twg. Hoob kawm txuas ntxiv yam tsawg 5-6 lub lis piam.
Hirudotherapy yog ib txoj hauv kev zoo los kho adenomyosis. Nws yog ua los ntawm kev siv tshuaj leeches. Active tshuaj muaj nyob rau hauv cov qaub ncaug ntawm leeches,muaj zog tiv thaiv kab mob thaum tso tawm rau hauv cov hlab ntsha.
Qhov no yuav pab normalize hormonal theem, tshem tawm venous congestion, ua kom cov ntshav txaus rau cov kabmob hauv lub plab mog. Koj tuaj yeem tso siab rau kev kho mob tsuas yog rau tus kws kho mob uas muaj daim ntawv pov thawj tsim nyog. Yog tias leeches raug muab tso tsis raug, los ntshav hnyav yuav pib.
Cov lus teb rau cov tsos mob ntawm uterine adenomyosis thiab kev kho mob yuav tham ntxiv.
Reviews
Kev tshuaj xyuas txog cov kab mob no yog qhov tsis sib xws. Cov neeg sau ntawv tias tom qab kuaj pom, kev kho mob tau sau tseg, uas feem ntau tsis pab. Tom qab ntawd scraping yog nqa tawm, uas kuj tsis ua hauj lwm. Tom qab ntawd cov kws kho mob qhia kom cev xeeb tub kom tsis txhob muaj cov txheej txheem pathological. Tab sis yuav ua li cas thaum tus menyuam tsis suav nrog hauv cov phiaj xwm? Tsis tas li ntawd, qhov pib ntawm cev xeeb tub nrog xws li pathology tuaj yeem ua teeb meem. Kev tshuaj xyuas paub meej tias cov tsos mob tseem ceeb ntawm tus kab mob yog hnyav hnyav hnyav. Feem ntau, cov tshuaj hormonal ("Utrozhestan") raug kho raws li kev kho. Nws yog ib qho tsim nyog kom sib npaug ntawm cov keeb kwm hormonal, zam kev ntxhov siab.
Peb tau saib cov tsos mob, cov tsos mob, kev kho mob, ua rau lub uterine adenomyosis.
