Txhua lub neej, ib tug poj niam inevitably ntsib tej teeb meem gynecological. Qee tus ntawm lawv tsis ua rau muaj kev hem thawj rau lub neej thiab kev noj qab haus huv, thaum lwm tus, ntawm qhov tsis sib xws, muaj kev phom sij txaus ntshai. Kev kuaj mob ntawm "nodular daim ntawv ntawm uterine adenomyosis" tuaj yeem ntshai tus poj niam. Puas yog tus kab mob txaus ntshai tiag tiag? Dab tsi yog qhov ua rau, cov tsos mob thiab kev kho mob ntawm nodular adenomyosis?
Definition
Nodular adenomyosis ntawm lub tsev menyuam yog ib yam mob uas nyob rau hauv lub epithelium sab hauv nkag mus rau hauv lwm cov khaubncaws sab nraud povtseg ntawm lub cev, yog li tsim ib co nodules, ua tsaug uas tus kab mob tau txais nws lub npe. Cov txheej txheem zoo li no yog benign, tab sis tuaj yeem txo qhov zoo ntawm tus poj niam lub neej. Tsis tas li ntawd, cov nodules tuaj yeem tsim tsis tau ncaj qha rau hauv lub tsev menyuam, tab sis kuj nyob rau hauv cov hlab ntsha, zes qe menyuam, cov zis.
Usterine adenomyosis yog dab tsi? Hauv lus yooj yim nwsTus kab mob tuaj yeem piav qhia tau tias yog kev loj hlob ntawm cov qog nqaij hlav hauv cov kab noj hniav ntawm lub cev. Nyob rau tib lub sijhawm, nws cov haujlwm yog ib feem khaws cia, yog li cov nodes tau ntim nrog kua. Nodes tuaj yeem muaj qhov sib txawv. Loj hlob, lawv ua rau tsis xis nyob rau tus poj niam, uas yuam nws tig mus rau cov kws tshaj lij.
Kev tshwm sim
Hnub no, cov tshuaj tseem tab tom tshawb nrhiav cov laj thawj tseeb ntawm kev txhim kho tus kabmob. Txawm li cas los xij, muaj ntau yam uas twb paub lawm ua rau ntawm daim ntawv nodular ntawm adenomyosis ntawm lub tsev menyuam:
- kev hloov pauv;
- ntxov dhau los lig pib menses;
- rog rog, ntseeg tias qhov siab dua lub cev qhov ntsuas, qhov kev pheej hmoo ntawm tus poj niam mob ntau dua;
- pib ntxov dhau ntawm kev sib deev, thaum lub cev tsis npaj rau nws lossis, hloov pauv, belated;
- yug ntxov (ua ntej 19) lossis lig (tom qab 35);
- cov txheej txheem inflammatory uas tshwm sim hauv qhov chaw mos;
- kev nyuaj siab;
- zog lub cev;
- qee zaum tom qab yug me nyuam.
Tsis tas li ntawd, kev puas tsuaj rau lub tsev menyuam, xws li rho menyuam lossis kho rau lwm yam kev kho mob, kuj tseem ua rau muaj kev pheej hmoo ntawm adenomyosis.
Symptoms
Cov tsos mob ntawm nodular daim ntawv ntawm adenomyosis ntawm lub tsev menyuam tej zaum yuav muaj raws li hauv qab no:
- Ua ntej tshaj plaws, koj yuav tsum tau ua tib zoo saib xyuas qhov hnyav hnyav thiab ua rau lub cev tsis muaj zog.
- Nrog cov ntshav poob loj, ntshav ntshav tuaj yeem tshwm sim.
- ThaumTus poj niam no hnov mob dav dav, tsaug zog ntau ntxiv thiab ua rau kiv taub hau.
- Nyob rau lub sijhawm nruab nrab ntawm lub sijhawm, tej zaum yuav muaj cov ntshav tawm xim av, uas tsis txawv ntawm kev siv zog thiab ploj hauv 1-3 hnub.
- Lub zog ntawm qhov mob nyob ntawm qhov chaw ntawm kev tsom mus rau adenomyosis. Piv txwv li, tus poj niam muaj kev mob hnyav tshwj xeeb yog tias cov txheej txheem pathological tshwm sim hauv lub ncauj tsev menyuam.
Tsis tas li ntawd, kev tsis xis nyob feem ntau tshwm nyob rau hauv qhov chaw uas qhov kev tsim tshwm sim. Piv txwv li, qhov mob hauv puab tais qhia kev puas tsuaj rau lub cev ntawm lub tsev menyuam, thiab qhov tsis xis nyob hauv qhov chaw mos qhia tias adenomyosis hauv caj dab ntawm lub cev.
Kab mob thiab cev xeeb tub
Tau kawg, kev xyiv fab ntawm niam yog qhov tseem ceeb rau cov poj niam feem ntau. Yog li ntawd, tau hnov qhov kev kuaj mob ntawm "nodular daim ntawv ntawm uterine adenomyosis", cov niam uas muaj kev cia siab pib txhawj xeeb txog kev xeeb tub. Thiab tsis yog nyob rau hauv vain, vim hais tias qhov no pathology yog yus muaj los ntawm kev tsim ntawm adhesions nyob rau hauv lub cev, uas yuav ua rau infertility. Yuav ua li cas yuav ua rau tus me nyuam ib txwm muaj thiab cev xeeb tub nrog nodular adenomyosis?
Qhov kev kuaj mob no tsis yog qhov kev txiav txim zaum kawg, txawm tias muaj kev pheej hmoo siab ntawm kev xeeb tub. Hauv qhov no, txhua yam nyob ntawm lub sijhawm ntawm kev kuaj mob thiab kev kho mob. Nyob rau tib lub sijhawm, yuav tsum tau saib xyuas tshwj xeeb rau kev tshawb fawb txog kev kuaj pom tus kab mob sib deev.
Nws kuj tseem ceeb heev rau kev kho adenomyosis ua ntej lub cev xeeb tub ntev, raws li txoj haujlwm no feem ntautxwv tsis pub siv tshuaj. Tib txoj cai siv tau rau cov kab mob thib ob.
Kev phom sij yog dab tsi?
Qhov tshwm sim ntawm pathology tuaj yeem ua raws li hauv qab no:
- nrog rau cov poj niam cev xeeb tub loj, uas yog tus yam ntxwv ntawm tus kab mob, anemia tuaj yeem txhim kho, uas ua rau cov pa oxygen tshaib plab ntawm lub hlwb, vim tias muaj kev tsis zoo ntawm kev noj qab haus huv, nco thiab kev ua haujlwm;
- germination ntawm endometrial hlwb los ntawm lub tsev menyuam thiab kev koom tes nyob rau hauv cov txheej txheem pathological ntawm cov kabmob nyob ze, xws li cov hnyuv, zais zis;
- mob ntawm lub voj voog ovulatory;
- kev muaj menyuam;
- tsis muaj peev xwm cog cov embryo rau phab ntsa uterine.
Nyob rau hauv tsawg zaus, ib tug benign neoplasm tuaj yeem degenerate mus rau ib tug malignant.
Diagnosis
Txoj kev tshawb fawb ntawm tus neeg mob yuav tsum pib nrog tus kws kho mob gynecologist uas yuav pom tag nrho cov tsos mob ntawm daim ntawv nodular ntawm uterine adenomyosis, thiab tseem ua kev kuaj xyuas siv daim iav gynecological.
Tib lub sijhawm, lwm yam kev sim yuav raug txiav txim kom paub meej qhov kev kuaj mob. Ntawm lawv:
- Ultrasound nrog nodular daim ntawv ntawm adenomyosis ntawm lub tsev menyuam ntawm txhua theem ntawm kev loj hlob yuav pab txheeb xyuas tus kab mob. Nyob rau tib lub sijhawm, tus kws kho mob pom ntawm qhov screen pom pom cov phab ntsa tuab ntawm lub cev vim qhov loj hlob ntawm cov qog nqaij hlav, qhov asymmetry ntawm lub tsev menyuam.
- Yog tias qhov xwm txheej xav tau kev pom zoo ntawm qhov kev kuaj mob lossis cov ntsiab lus tsis meej ntawm ultrasound, kev kuaj xyuas magnetic resonance yog tsim nyogtomography.
Tsis tas li ntawd, kev kuaj mob ntawm nodular adenomyosis suav nrog kev kuaj xyuas cov kab mob sib kis thiab sib kis.
Kev kho mob
Tom qab kuaj mob, nws yog ib qho tsim nyog yuav tsum tau sau cov tshuaj uas tsim nyog. Feem ntau nws yog complex thiab muaj xws li cov kev kho mob:
- Kev siv tshuaj hormonal yog vim qhov tseeb tias adenomyosis yog ib yam kab mob-nyob ntawm cov tshuaj hormones. Cov tshuaj tiv thaiv kab mob hauv qhov ncauj tuaj yeem daws tau yooj yim nrog txoj haujlwm no, uas txo qis cov poj niam cov tshuaj estrogen.
- Kev txhim kho cov khoom siv hauv lub cev, uas txo qis kev siv zog thiab lub sijhawm ntawm kev coj khaub ncaws. Txawm li cas los xij, txoj kev no tsis pom zoo rau cov poj niam uas tab tom npaj cev xeeb tub yav tom ntej.
- Kev cuam tshuam phais rau cov pob txha. Txoj kev no yog qhov tsim nyog tshaj plaws rau cov poj niam npaj los ua leej niam yav tom ntej. Kev ua haujlwm yog qhov kev puas tsuaj tsawg tshaj plaws, vim tias kev cuam tshuam tau ua los ntawm kev txiav me me.
- Kev ntsuas cardinal yog kev tshem tawm tag nrho ntawm cov kab mob hauv nruab nrog cev. Nws tau qhia nyob rau hauv cov xwm txheej loj ntawm kev loj hlob ntawm endometrium thiab qhov txaus ntshai ntawm kev puas tsuaj rau cov kabmob nyob ze.
- Cov tshuaj tsis mob steroidal raug pom zoo rau qhov mob hnyav.
- Kev ua haujlwm electrocoagulation, uas qhov txhab raug hlawv tawm siv hluav taws xob.
Ntxiv rau, cov kws kho mob nco ntsoov qhov xav tau rau kev kho mob ntxiv, uas suav nrogKoj tus kheej li txoj kev no:
- noj tshuaj tiv thaiv kab mob, uas tsim nyog los txo qhov mob thiab tiv thaiv kev tsim cov adhesions tshiab;
- nplua nuj hlau siv los tiv thaiv anemia;
- vitamin complexes txhawb kev tiv thaiv kab mob.
Thaum kuaj pom tus kab mob thib ob, nws tseem yuav tsum tau ua raws li kev kho mob kom raug raws li tus kws kho mob saib xyuas. Kev poob phaus raug pom zoo rau cov poj niam rog rog, vim qhov hnyav hnyav kuj cuam tshuam rau lub cev tsim cov tshuaj estrogen.
Puas kho tau tiav?
Dab tsi yog adenomyosis ntawm lub tsev menyuam, hauv lus dawb? Qhov no yog ib tug kab mob uas nyob ntev, uas yog, muaj lub sij hawm ntawm remission thiab exacerbation, nyob rau hauv uas pathology rov qab. Tus naj npawb ntawm rov tshwm sim tom qab kev kho mob ntawm tus kab mob hauv 1-2 xyoos tom ntej no nce mus txog 20%. Kev phais txo qis qhov feem pua me ntsis.
Qhov tseem ceeb tsawg dua ntawm cov txheej txheem pathological tshwm sim thaum cev xeeb tub, thaum zes qe menyuam ua haujlwm tsis muaj zog. Nrog rau kev kho mob cardinal los ntawm kev txiav tawm ntawm cov kab mob hauv nruab nrog cev, kev rov ua kom tus kab mob tsis tuaj yeem ua tau.
Kev Tiv Thaiv
Qhov tseem ceeb txo qhov kev pheej hmoo ntawm nodular adenomyosis ntawm lub tsev menyuam yog ua tau yog tias koj ua raws li cov lus pom zoo ntawm cov kws kho mob gynecologist:
- Ua tib zoo saib xyuas kev nyiam huv - ntxuav txhua hnub nrog dej sov, siv cov pH gel nruab nrab, hnav cov ris tsho hauv qab organic.
- Nws yog ib qho tseem ceeb uas yuav tsum ceev koj qhov hnyav hauv qhov qub. Ua li no, nws raug nquahu kom noj kom raug thiab ua lub neej noj qab haus huv. Nws tseem yuav tsum tso tseg tej yam phem xws li haus luam yeeb thiab haus cawv.
- Nws yog ib qho tsim nyog kom tsis txhob sib deev nrog cov neeg tsis paub, vim qhov no tuaj yeem ua rau muaj kab mob sib deev. Lawv, dhau los, tuaj yeem ua rau muaj kev loj hlob ntawm adenomyosis.
- Ib zaug txhua 6 lub hlis nws yuav tsum tau mus ntsib kws kho mob gynecologist, txawm tias tsis muaj kev tsis txaus siab, vim qee cov kab mob, suav nrog adenomyosis ntawm thawj theem, tuaj yeem yuav luag asymptomatic.
- Kab mob kis los yog kis kab mob yuav tsum tau kho raws sijhawm raws li kev saib xyuas ntawm tus kws kho mob tshwj xeeb.
- Nws yog ib qho tsim nyog los saib xyuas lub xeev ntawm cov kab mob endocrine, vim nws tswj cov tshuaj hormones tseem ceeb.
- Nws raug nquahu kom nrhiav cov laj thawj thiab tshem tawm kev coj khaub ncaws tsis xwm yeem raws sijhawm, nrog rau kev ceev faj txog kev xaiv thiab noj tshuaj tiv thaiv qhov ncauj.
Zoo kawg
Yuav kom tus poj niam yug tau ib tug me nyuam noj qab nyob zoo yam tsis muaj teeb meem, yuav tsum tau mus nrhiav kev pab kho mob raws sij hawm. Nws tseem tsis tau pom zoo kom siv cov tshuaj ib txwm siv, tshwj xeeb tshaj yog txhua yam tswm ciab thiab tampons, yam tsis muaj kev teem sijhawm thiab kev tswj hwm ntawm tus kws kho mob tuaj koom, vim li no qhov teeb meem uas twb muaj lawm tuaj yeem ua rau hnyav dua. Kev noj tshuaj rau tus kheej los ntawm ib qho txhais tau tias feem ntau tsuas yog txhim kho cov txheej txheem inflammatory thiab provokes txoj kev loj hlob ntawm nodules tshiab.
