Dab tsi yog hyperplasia ntawm endometrium?

Mucous membrane ntawm lub tsev menyuam, yuav muaj kev pauv hloov txhua lub voj voog, yog hu ua endometrium. Thaum pib ntawm kev coj khaub ncaws, qhov no lub hnab ntawv hauv qab ntawm cov tshuaj hormones pib nthuav thiab pauv nws cov qauv, npaj kom tau txais lub embryo. Yog tias fertilization tsis tshwm sim, qhov kawg ntawm qhov qis qis qis qis rau ntawm lub hauv paus thiab tawm ntawm lub tsev menyuam nrog rau kev tso ntshav tawm - lub cev pib, thiab nrog nws ib lub voj voog tshiab ntawm txoj kev loj hlob pib. Nyob rau hauv cov ntaub ntawv ntawm ntau overgrowth ntawm endometrium, muaj ib tug kab mob ntawm endometrial hyperplasia.

Tus kab mob no feem ntau tshwm sim nws tus kheej xws li uterine los ntshav, muaj tus cwj pwm txawv, uas tshwm sim tom qab qhov qeeb ntawm ovulation, zoo li tiv thaiv tsis pom yav dhau los ntawm ib txwm mus los. Txawm li cas los xij, muaj cov asymptomatic hyperplasia, thaum tus kab mob yog thawj zaug muab tso rau hauv tus txheej txheem ntawm kev soj ntsuam ntawm cov kab mob ntxiv. Tsis tuaj yeem cev xeeb tub yog piav qhia los ntawm qhov tseeb tias qhov hyperplasia ntawm qhov kawg ntawm lub qog tshuaj yog qhov kev mob ntsws dyshormonal xeev, thaum muaj ovulation yuav tsis tuaj. Nyob rau hauv tas li ntawd, nws yog tsis yooj yim sua lub implantation ntawm lub embryo nyob rau hauv kev twb kev txuas nrog cov hauv ob sab phlu ntawm lub tsev me nyuam cov kev hloov.

Muaj ntau ntau yam ntawm hyperplasia differing nyob rau hauv cov cim txawv histological:

- atypical hyperplasia;

- glandular-cystic hyperplasia;

- glandular hyperplasia ntawm endometrium;

- polyps ntawm endometrium.

Cov glandular-cystic hyperplasia thiab cov glandular yooj yim endometrial hyperplasia yog zoo heev nyob rau hauv cov tsos, tab sis thawj daim ntawv yog ntau pronounced. Endometrial polyps yog ib lub zos, muaj kev txwv hyperplasia, thiab nyob rau hauv muaj cov kev hloov kho ntawm lub uterine mucosa thiab ib qho qhia tau ntxiv ntawm qog qog, atypical endometrial hypoplasia yog kuaj pom, uas yog saib raws li ib hom kab mob ntawm cov mucosa. Tsis tas li ntawd heev ceev faj cov kws kho mob kho ferruginous hyperplasia, uas rov tshwm sim tom qab scraping, thiab cov tshuaj hormone-resistant hyperplastic kev.

Glandular endometrial hyperplasia: ua rau

Qhov yog vim li cas rau kev loj hlob ntawm tus kab mob no yog heev ntau. Feem ntau, cov muaj xws li hormonal ntshawv siab, cov kab mob ntawm lipid thiab carbohydrate tshuav nyiaj li cas, gynecological kab mob, mob ntawm lub tsev me nyuam thiab coj khaub muaj nuj nqi, thiab phais lub tsev me nyuam nyob rau hauv lub thiab appendages. Tsis tas li ntawd, glandular endometrial hyperplasia feem ntau tshwm sim rau cov poj niam uas muaj cov kab mob xws li hyperestrogenia, uterine fibroids, mastopathy, endometriosis, tus kabmob zes qe menyuam, cov roj ntsha metabolism, ntshav siab, nce ntshav qab zib, kab mob siab nrog cuam tshuam kev siv tshuaj hormone.

Lub sij hawm nrhiav kom pom ntawm qhov kawg ntawm hyperplasia yog qhov tseem ceeb rau kev kho thiab kev tiv thaiv ntawm ntxiv lawm tshob, zoo li kev tiv thaiv ntawm kev tiv thaiv kab mob endometrial. Txheeb xyuas tus kabmob no uas siv ntau txoj kev, qhov ntau tshaj, tabsis tsis tas yuav txhim khu (qhov tseeb ntawm tus qauv tsis yog ntau tshaj 60%), yog txoj kev ntawm ultrasound. Aspiration los yog cov nqaij mos ntawm qhov mucous membrane ntawm lub tsev menyuam kuj tau ua kom kuaj tau hyperplasia tom qab ib nrab ntawm lub voj voog. Txoj kev qhia paub tshaj plaws yog kev kuaj kab mob, uas yog siv qhov nruab nrab ntawm cov kabmob hauv lub uterine kabmob, uas los ntawm kev siv cov nqaij ua haujlwm. Nyob rau hauv tas li ntawd, qhov no ntawm txoj kev kuaj mob tso cai rau koj mus ntsuam xyuas visually tus mob ntawm phab ntsa ntawm lub tsev menyuam.

Glandular endometrial hyperplasia: kev kho mob

Ua ntej tshaj plaws, kev kho mob muaj nyob rau hauv qhov tshem tawm qhov feem ntawm cov hnoos qeev uas tau hloov ntawm kev hloov qeeb. Ua li no, ua tej tshuaj uas siv hysteroscopy, curettage, thiab ces ua ib tug histological txoj kev tshawb no. Tom qab qhov ua kom pom tseeb ntawm qhov mob yuav tshem tawm, hormonal therapy yog ua. Nyob ntawm seb cov yeeb yam ntawm tus kab mob ntawm cov kab mob, cov tshuaj tiv thaiv kab mob hauv qhov ncauj siv cov tshuaj estrogen-progestogen, agonists SNG los yog ntshiab gestagens. Kev khomob yog ib tus neeg, ua haujlwm tsis pub dhau peb lub hlis. Tom qab ntawd, yuav tsum tau kuaj ntxiv ntawm qhov kev tsim tshuaj endometrium.