Kab lus no yuav saib cov tsos mob ntawm endometriosis tom qab yug menyuam.
Nov yog ib yam kab mob ntawm gynecological sphere, tsis yog ib qho mob. Cov txheej txheem pathological no yog tus cwj pwm los ntawm kev loj hlob ntawm thaj chaw ectopic ntawm cov ntaub so ntswg endometriotic. Qhov no txhais tau hais tias cov ntaub so ntswg ua haujlwm thiab histologically zoo ib yam li endometrium (cov mucous daim nyias nyias uas kab lub uterine kab noj hniav), uas nkag mus rau lwm yam kabmob uas nws muaj tsis raug. Cov ntaub so ntswg endometrial hloov, uas yog ib txwm rau kev coj khaub ncaws, thiab maj mam loj hlob mus rau hauv cov ntaub so ntswg. Tus kab mob no tshwm sim feem ntau nyob rau hauv cov poj niam ntawm lub hnub nyoog me nyuam. Muaj kev xav tias tom qab yug menyuam, endometriosis ploj mus. Qhov no tsis yog tseeb kiag li. Cia peb kawm saib.
Kev tshwm sim
Nws tseem tsis tau nkag siab tias yog vim li cas endometriosis foci tshwm sim thiab tus kab mob no mus li cas. Raws liYog li ntawd, tsis muaj ib txoj kev kho mob uas koj tuaj yeem tshem tau tus kab mob no mus ib txhis. Feem ntau cov kws kho mob tau xav txog kev cog qoob loo ua rau endometriosis. Nws ntseeg tau tias cov khoom ntawm endometrium tuaj yeem poob rau lwm yam kabmob thiab muab cov hauv paus rau ntawd. Cov foci no ua haujlwm zoo ib yam li ua ntej, hloov pauv hloov pauv raws li kev cuam tshuam ntawm keeb kwm hormonal. Yog li, txhua lub hlis ib co ntawm cov cell pib raug tsis lees paub. Qhov no tso qee cov kua nruab nrog cev thiab ntshav.
Ntau yam xav paub yog tias endometriosis ploj mus tom qab yug menyuam.
Hereditary predisposition
Muaj ib yam kab mob tshwm sim los tsim tus kab mob. Nws feem ntau pom tias txhua tus poj niam hauv tib tsev neeg raug kev txom nyem los ntawm tus kab mob no nrog kev sib txawv ntawm kev siv zog. Endometriosis yog hormonal pathology. Raws li kev cuam tshuam ntawm gestagens (uas tau tsim thaum cev xeeb tub) thiab nrog kev tsis muaj poj niam cov tshuaj hormones (piv txwv li, thaum cev xeeb tub), cov txheej txheem pathological maj mam regresses thiab thaum cev xeeb tub, foci txo qis, uas tseem tau sau tseg tawm tsam keeb kwm ntawm lactation..
Vim li cas endometriosis tshwm sim tom qab yug menyuam?
Txoj kev sib cav
Cov yam ntxwv no suav nrog:
- Caesarean section. Qhov kev phais mob no suav nrog kev phais ntawm lub tsev menyuam, tshem tawm ntawm tus menyuam hauv plab thiab suturing. Feem ntau thaum lub sijhawm ua haujlwm no, curettage (curettage) tau ua. Yog li ntawd, txawm tias ua tib zoo siv thiab ua raws li txhua txoj cai, cov kab mob endometri altuaj yeem nkag mus rau cov khaubncaws sab nraud povtseg ntawm phab ntsa plab, myometrium, peritoneum, zes qe menyuam thiab cov kabmob uas nyob sib ze. Qhov tshwm sim ntawm kev loj hlob ntawm tus kab mob no tiv thaiv keeb kwm yav dhau los ntawm cov kab mob endometriosis uas twb tau tsim lawm, hauv daim ntawv qhia meej lossis latent kho mob, tshwj xeeb tshaj yog siab. Tom qab kev phais mob, qhov chaw ntawm foci tau pom feem ntau raws li qhov ntev ntawm qhov caws pliav tom qab phais. Dab tsi ntxiv provokes endometriosis tom qab yug me nyuam?
- Kev tshuaj xyuas lub tsev menyuam, uas tau ua thaum yug menyuam nrog qhov caws pliav ntawm myometrium, nrog rau qhov ua tiav lossis ib nrab ntawm cov placenta, nrog rau los ntshav loj, ua rau lub cev tsis muaj zog. Kev tshuaj xyuas phau ntawv nyob rau hauv txhua qhov xwm txheej no yog qhov tsim nyog kev tswj hwm uas cawm tus poj niam txoj sia. Txawm li cas los xij, hauv nws cov txheej txheem, cov khoom ntawm endometrium tuaj yeem nkag mus rau hauv cov txheej txheem sib sib zog nqus ntawm endometrium, mus rau thaj tsam ntawm lub ncauj tsev menyuam thiab lwm yam kabmob. endometriosis puas yuav ploj mus tom qab yug menyuam? Cia peb kawm saib.
- Tsev nqaij ntuag. Cov txheej txheem no zoo ib yam li cov saum toj no, tab sis yog ua los ntawm cov cuab yeej tshwj xeeb - curette. Yog li ntawd, endometrium tuaj yeem txav mus los ntawm cov ntshav thiab cov hlab ntsha lymphatic.
- Ruptures ntawm lub ncauj tsev menyuam thiab qhov chaw mos thaum lub sijhawm ua haujlwm.
- Kev yug menyuam nyuaj. Cov kws kho mob tau pom ntev ntev tias endometriosis feem ntau yuav tshwm sim hauv cov poj niam uas nws yug los tawm tsam keeb kwm yav dhau los ntawm lub sijhawm tsis muaj dej, nrog kev yug me nyuam nyuaj (piv txwv li, thaum ua lub tshuab nqus tsev hauv plab los yog siv obstetric forceps) thiab nrog lawv cov kev kawm ntev..
Cov tsos mob ntawm pathology
PuagPuas yog endometriosis tom qab yug menyuam? Tsis yog, tus kab mob no yeej tsis kho kom zoo, tab sis cov txheej txheem no yuav tsis tshwm sim rau qee lub sijhawm.
Raws li txoj cai, cov tsos mob ntawm tus kab mob no tsis tshwm sim tam sim tom qab yug menyuam. Qhov no tuaj yeem pom ntau xyoo tom qab. Tab sis cov kab mob ntawm lub ncauj tsev menyuam tuaj yeem pom tom qab ob peb lub hlis. Daim duab kho mob ntawm tus kab mob yog nyob ntawm seb thaj tsam ntawm cov kab mob pathology tau nyob hauv cheeb tsam thiab nyob rau theem twg xws li qhov txhab nyob.
YPrimary thiab Secondary endometriosis
Primary thiab secondary endometriosis yog qhov txawv, nrog rau cov kab mob extragenital thiab qhov chaw mos. Thawj txheej txheem pathological hu ua thaum nws foci raug txheeb xyuas meej tom qab yug menyuam. Secondary - yog tias cov cheeb tsam cuam tshuam tau pom txawm tias ua ntej pib xeeb tub.
YExtragenital endometriosis thiab qhov chaw mos
Extragenital endometriosis - nyob ntawm lwm cov qauv (piv txwv li, ntawm daim tawv nqaij), thiab qhov chaw mos endometriosis ntawm qhov chaw mos. Raws li txoj cai, qhov mob syndrome yog cov tsos mob tseem ceeb ntawm cov txheej txheem pathological. Nws yog qhov mob uas coj feem ntau ntawm cov neeg mob mus rau tus kws kho mob. Nyob rau hauv feem ntau, nws yog mob nyob rau hauv cov xwm thiab yog localized nyob rau hauv lub plab mog. Qhov mob feem ntau pom thoob plaws tag nrho cov kev coj khaub ncaws, tab sis nce ntxiv rau hnub ua ntej ntawm kev coj khaub ncaws thiab thaum lub sij hawm nws. Tsis tas li ntawd, dyspareunia tuaj yeem tshwm sim - tsis xis nyob, qee zaum hais tawm, thaum sib deev. Pain Syndrome tsis yog qhov zoo rau lub tsev me nyuam hauv zos ntawm endometriosis, thiabNyob rau hauv cov ntaub ntawv no, lub foci yog pom pom nyob rau hauv kev ntsuam xyuas.
Adenomyosis
Adenomyosis yog ib qho teeb meem hauv cov leeg nqaij ntawm lub tsev menyuam tom qab yug menyuam, uas ua rau lub sijhawm ntev thiab hnyav. Nyob rau hauv cov ntaub ntawv no, qhov mob tej zaum yuav tsis heev pronounced. Lub tsev menyuam nrog adenomyosis nce loj, yog li thaum kuaj xyuas, cov kws kho mob feem ntau xav tias fibroids. Cov ntshav tawm ntawm qhov chaw mos nrog adenomyosis muaj ntau txhua hnub. Lub voj voog ntawm kev tso tawm kuj cuam tshuam, feem ntau nws yog ncua sij hawm ntawm kev coj khaub ncaws.
Diagnosis
Kev tsis ntseeg tus kab mob no hauv tus kws kho mob yuav tshwm sim nyob rau thawj zaug kuaj. Tab sis txhawm rau txheeb xyuas cov txheej txheem pathological, cov txheej txheem ntxiv yog siv. Cov no suav nrog:
- Ultrasound ntawm lub plab me me - tag nrho cov cim tau txais hauv txoj kev tshawb no yog tsis ncaj. Txawm li cas los xij, qee zaum tus kws tshaj lij tuaj yeem txiav txim siab qhov xwm txheej endometrioid ntawm tus kab mob nrog 90% qhov tshwm sim. Ultrasound yuav tsum tau ua thaum kawg ntawm lub voj voog ua ntej kev coj khaub ncaws.
- Hysteroscopy yog ib qho txheej txheem uas siv los txheeb xyuas qhov chaw ntawm qhov txhab ntawm lub ncauj tsev menyuam thiab adenomyosis. Nws yog qhov zoo tshaj plaws siv los ntawm 20 mus rau 25 hnub.
Laparoscopy yog txoj kev uas suav tias yog qhov zoo tshaj plaws hauv kev kuaj mob endometriosis. Thaum ua nws, koj tuaj yeem xav txog tag nrho cov foci, ua lawv cov cauterization lossis tshem tawm. Txoj kev no muab lub sijhawm zoo tshaj plaws los tsim kom muaj qhov tshwm sim ntawm endometriosis tom qab yug menyuam.
Kev kho mob
Tus kab mob no yog kab mob uas tsis tuaj yeem kho tau zoo. Txhua yam khoKev ntsuas feem ntau yog tsom rau kev tshem tawm cov tsos mob. Feem ntau qhov ua tau zoo ntawm kev kho mob yog luv luv. Yog li, kev kho mob ntawm pathology, suav nrog tom qab yug menyuam, yog kev saib xyuas thiab phais.
Txoj kev zoo tshaj plaws ntawm kev kho mob ntawm endometriosis tom qab yug me nyuam yog laparoscopy nrog ua tau hysteroscopic manipulation. Qhov zoo ntawm cov txheej txheem no yog lawv cov invasiveness me me, zoo tolerability. Lawv nyob rau tib lub sijhawm kev kuaj mob, yog li qhov ntim ntawm kev cuam tshuam kev phais yog txiav txim siab thaum nws ua tiav. Nrog laparoscopy, nws tuaj yeem kuaj xyuas qhov patency ntawm cov hlab ntsha hauv plab, tshem tawm cov cyst thiab tag nrho cov foci ntawm endometriosis, nrog rau ua ntau lwm yam kev ua haujlwm.
Y Hysteroscopy yog qhov zoo tshaj plaws rau endometriosis, adenomyosis, postoperative caws pliav, nrog rau ib txhij pathologies ntawm endometrium, thiab lwm yam. Conservative therapy yog nqa tawm ua ntej thiab tom qab phais. Nws tuaj yeem pab tiv thaiv kev kis tus kab mob thiab tshem tawm cov tsos mob. Cov tshuaj feem ntau siv rau kev kho mob:
- tshuaj tiv thaiv kab mob nonsteroidal;
- Yantispasmodics;
- tshuaj hormonal;
- tshuaj tiv thaiv kab mob los yog gestagens;
- antagonists thiab agonists ntawm gonadotropin-tso tshuaj hormone;
- Yvitamin therapy.
Tau kawg, muaj cov xwm txheej thaum qee tus poj niam muaj endometriosis tom qab yug menyuam thiab tsis rov qab los. Tab sis qhov no yog qhov kev zam rau txoj cai.
Kev Tiv Thaiv
Cov kev ntsuas tseem ceeb txhawm rau tiv thaiv tus kab mob no yog:
- kev tshawb fawb txog kev noj qab haus huv tshwj xeeb ntawm cov tub ntxhais hluas thiab cov poj niam hnub nyoog qis dua nrog kev tsis txaus siab ntawm kev mob khaub thuas;
- soj ntsuam cov poj niam uas tau rho menyuam tawm thiab lwm yam kev phais ntawm lub tsev menyuam kom tshem tawm cov teeb meem tshwm sim;
- ua tiav thiab kho raws sijhawm ntawm kev mob hnyav thiab mob ntev ntawm qhov chaw mos;
- siv tshuaj tiv thaiv kab mob hauv qhov ncauj.
