Adenomyosis thiab cev xeeb tub. Yog lawv tau tshaj?

Ib qho ntawm feem mysterious gynecological kab mob hnub no yog adenomyosis. Kws txawj tseem tsis tau nkag siab yog vim li cas rau qhov tshwm sim ntawm tus kab mob no. Nws yog tsis Clear kuj yog vim li cas adenomyosis thiab cev xeeb tub yog zoo kawg nkaus ua ke nyob rau hauv ib co poj niam, thaum lwm tus neeg nrog tib mob yuav tsis xeeb tub.

Tus kab mob no yog ib hom ntawm no txaus ntshai tus kab mob raws li endometriosis. Rau hnub tim, nws yog ntseeg hais tias yuav kho tau nws kiag li tsis yooj yim sua. Thaum lub pathology ntawm endometrial hlwb tshwm sim qhov twg koj yog yuav tsum tsis txhob.

Lawv muaj nyob rau hauv lub zais zis, ob lub qhov muag, tab sis ntau zaus nyob rau hauv lub zes qe menyuam, ncauj tsev menyuam rau txoj hlab qe menyuam. Thaum endometrial hlwb nyob rau hauv lub myometrium, nws yog hu ua adenomyosis.

Tus kab mob no yuav tsis manifest nws tus kheej nyob rau hauv txhua txoj kev, thiab tej zaum kuj ua rau kom muaj kev txom nyem, hais tias nws yog tsim nyog los tshem tawm cov menyuam. Tab sis cov poj niam nrog rau qhov no mob feem ntau yog xav nyob rau hauv seb koj yuav ua cev xeeb tub thaum adenomyosis. Muaj ntau cov neeg mob nrog rau qhov no pathology tu thiab yug me nyuam kom noj qab nyob cov me nyuam mos, thiab lwm xyoo tsis tau ua nws.

Kws txawj ntseeg tau hais tias mus kho adenomyosis yog tsuas tsim nyog nyob rau hauv lub xub ntiag ntawm cov tsos mob, ib tug uas yog ntxiv lawm tshob. Yog li ntawd, txoj kev kho feem ntau yog pib tom qab 2 xyoo ntawm hai tau npaj siab mus ua cev xeeb tub.

Cov kawm tau zoo npaum ntawm conception nyob rau cov theem ntawm adenomyosis thiab nws cov ntaub ntawv. Faib 4 raws li ntawm tus kab mob, uas nyob ntawm seb lub loj heev ntawm endometriosis. Qhov loj tshaj lub caij nyoog ntawm cov niam nyob rau hauv cov poj niam uas theem 1 ntawm adenomyosis.

Tsis tas li ntawd ib qho tseem ceeb yog seb puas los yog tsis yog nws ua ke nrog rau lwm cov gynecological kab mob. Kws txawj ntseeg tau hais tias lub ntsiab ua rau ntawm adenomyosis - cov tshuaj no ntau heev los yog tsawg ntawm progesterone.

Qhov no yuav ua rau nws thiaj li endometrial hyperplasia, nyob rau hauv uas cev xeeb tub yog heev problematic thiab txawm txaus ntshai. Nyob rau hauv tas li ntawd, hormonal tsis txaus yog feem ntau tshwm sim los, thiab tej zaum kuj tshwm sim ntawm tsis muaj ovulation, yam uas yog yog tsis yooj yim sua xeeb tub kuj.

Yog li ntawd, uterine adenomyosis thiab cev xeeb tub yuav tsum tau ua ke nrog ceev faj. Koj yuav tsum nco ntsoov npaj conception nyob rau hauv cov kev tswj ntawm lub gynecologist-endocrinologist. Tus kws kho mob yuav ntsuam xyuas raws li ntawm tus kab mob, muaj cov concomitant kab mob, yuav soj ntsuam thiab muab kev kho mob yog tias tsim nyog.

Yog hais tias koj muaj ib tug mob ntawm "adenomyosis", thiab cev xeeb tub nyob rau hauv lawv tus kheej tsis tshwm sim tsis pub dhau 2 lub xyoo, nws yog tsim nyog los siv kho mob. Nyob ntawm seb raws li ntawm tus kab mob no tej zaum nws yuav tsum ua hauj lwm thiab conservative.

Cov kev kho siv cov tshuaj hormones, immunomodulatory tshuaj, raws li zoo raws li cov vitamins. Tus kws kho mob tej zaum yuav kuj muab ib tug ntau yam ntawm so kev kho mob, raws li ib tug ntawm cov ua adenomyosis kws txawj ntseeg tau kev nyuaj siab.

Cov hormonal npaj yog siv COCs progestins, GnRH agonists thiab antigonadotropnym npaj. Hoob no ntawm kev kho mob kav los ntawm 3 mus rau 8 lub hlis. Lub hom phiaj tseem ceeb ntawm cov tshuaj inhibit qhov kev loj hlob ntawm cov endometrial hlwb nyob rau hauv lub myometrium, ua rau lawv regress.

Qhov tseeb yog tias nyob rau hauv tus ntawm cov tshuaj no lawv loj hlob thaum lub sij hawm lub voj voog, thiab ces muaj yog lawv tsis thaum lub sij hawm ua poj niam. Txawm li cas los, tsis zoo li lub myometrium endometrium nws tsis haum. Yog li ntawd hemorrhage tshwm sim, muaj yog o thiab mob, ntxhov ua tau hauj lwm nqaij txheej.

Muab adenomyosis cev xeeb tub thiab txawm ntshaw li cov hormonal hloov uas tshwm sim nyob rau lub sij hawm no nyob rau hauv lub cev, ua rau regression ntawm endometriosis. Txawm li cas los, nyob rau hauv tus me nyuam-tau cov kabmob kas los ntawm thaum ntxov hnub no yog ua raws li ib tug tsim nyog kws, vim qhov no tsis meej tsub kom qhov yuav ntawm nchuav menyuam thiab cov teeb meem. Cov tsos ntawm ib tug me nyuam mus rau hauv lub ntiaj teb no yuav tsum tau siv sij hawm qhov chaw nyob rau hauv lub zoo-txawm peem rau tsev kho mob, raws li tau zoo raws li tau teeb meem nyob rau hauv ua hauj lwm thiab los ntshav.

Yog li ntawd, adenomyosis thiab cev xeeb tub yuav thiab yuav tsum tau ua ke, tab sis nyob rau hauv lub saib xyuas ntawm ib tug tsim nyog gynecologist-endocrinologist. Tej zaum tus kab mob no tsis manifest nws tus kheej thiab tsis yuav tsum tau tej kev kho mob. Txawm li cas los, ib co poj niam, nws deprives yeej ntawm motherhood, thiab ho thiaj li muaj lub neej zoo. Nyob rau hauv cov ntaub ntawv no, kev kho mob yuav tsum tau nqa tawm, nws yuav ua tau surgically thiab conservatively.