Endometrial hyperplasia: teebmeem, ua

Endometrial hyperplasia yog uterine lub cev kab mob, uas yog nrog los ntawm ib tug kev hloov nyob rau hauv nws cov mucosa. Nyob rau hauv cov ntaub ntawv no, lub endometrium hlob excessively thiab ua ntau thicker dua li ib txwm.

Feem ntau hyperplasia tsub kom lub xov tooj ntawm hlwb ntawm tej khoom hauv nrog cev los yog cov ntaub so ntswg. Raws li ib tug tshwm sim, nws yuav tsub lawv ntim. Lub hauv paus ntawm tus kab mob no yog cov tsos ntawm tshiab lug thiab muaj zog cell loj hlob.

Endometrial hyperplasia tej zaum yuav lub nram qab no:

• endometrial polyps ;

• adenomatosis (atypical);

• glandulocystica;

• glandular.

Lawv txawv nyob rau hauv histological seem ntawm mucosa tau los ntawm curettage.

Endometrial hyperplasia, cov ua uas yog rau hormonal ntshawv siab uas deficient progesterone thiab cov tshuaj no ntau heev, yuav ua tau endometrial cancer, ntxiv lawm tshob thiab lwm yam mob. Nyob rau hauv high-uas yuav muaj pab pawg neeg no muaj xws li cov poj niam uas kub siab, rog, mob ntshav qab zib.

Endometrial hyperplasia yog tej zaum ua ke nrog endometriosis, uterine myoma, mob mob. Tus kab mob no tej zaum yuav asymptomatic. Heev feem ntau, nws yog nyob rau kev xeem poj niam ntxiv lawm tshob.

Txawm li cas los, lub ntsiab ntawm cov tsos mob endometrial hyperplasia yog uterine los ntshav thiab spotting. Lawv muaj peev xwm tshwm sim tau hauv cov tsev voj voog, tab sis ntau zaus - tom qab ncua sij hawm. Nrog muaj zog bleedings uas qhia tej yam tshwm sim ntawm anemia: tsis qab los noj mov, kiv taub hau, tsis muaj zog.

Rau cov mob ntawm hyperplasia siv hormonal xeem, ultrasound kev soj ntsuam ntawm lub tsev me nyuam, uas yog yuav tsum tau los mus txiav txim thaum endometrial thickness. Tab sis qhov tseem tuav txoj kev - histology scraping lub endometrium, uas yog nqa tawm nyob rau hauv lub tswv yim ntawm kev coj khaubncaws.

Nws tso cai rau koj txhais tau yooj yim los yog atypical endometrial hyperplasia tshwm sim. Nyob rau hauv tas li ntawd, histological xeem yuav ntes phem txheej txheem.

Endometrial hyperplasia yuav kho tau conservatively thiab nraaj. Qhov kev xaiv ntawm txoj kev nyob rau hauv lub heev ntawm tus kab mob no, nws daim ntawv no, muaj hnub nyoog ntawm tus neeg mob, contraindications thiab lwm yam kab mob. Heev feem ntau, ib tug kev mus kom ze - siv ob qho tib si txoj kev.

Conservative kev kho mob - qhov no lawm, uas muaj nyob rau hauv kev noj cov ntsiav tshuaj, tshuaj, siv adhesives, IUD Mirena. Nyob rau hauv kev phais nyob rau hauv lub saib xyuas ntawm hysteroscopy tsim scraping ablation - tshem tawm ntawm lub endometrial txheej.

Manipulation yog ua nyob rau hauv kev tshuaj loog. Nyob rau hauv ib lub tsev kho mob uas koj xav tau los yog siv ib hnub twg. Nyob rau hauv loj heev zaum, tus neeg mob yuav tsis lub tsev me nyuam.

Ib qho ntawm feem nyiam phais cov txheej txheem yog hysterectomoscopic ablation. Nws yog ua thaum lub sij hawm perimenopause. Thaum lub sij hawm manipulation txheej ntawm cov endometrium yog txiav nyob rau hauv cov kev tswj qhov muag.

Lub tshem tawm cov ntaub ntawv uas twb ntxiv soj cais phem txheej txheem. Lub efficiency ntawm lub lag luam no yog tshaj 90%. Cov kws kho mob feem ntau muab ablation ua raws li los ntawm tsawg koob tshuaj kho kev pab txhawb nqa.

Cov kev tiv thaiv ntawm endometrial hyperplasia yog cov nram qab no:

• sib ntaus tawm tsam rog;

• raws sij hawm kev kho mob ntawm hormonal ntshawv siab;

• yuav txo tau kev nyuaj siab los mus rau ib tug tsawg kawg nkaus;

• mus ntsib tus kws tshuaj kuaj pojniam nrog soj ntsuam ntawm ultrasound;

• hormonal tshuaj rau tus kws kho mob lub tswv yim;

• raws sij hawm nkag tau mus rau ib tug neeg uas txawj nyob hauv tshwm sim los ntshav los yog uterine los ntshav.

Yog li ntawd, endometrial hyperplasia - ib tug kab mob loj uas yuav ua rau mob cancer ntawm lub tsev me nyuam thiab ntxiv lawm tshob. Thaum lub uterine los ntshav thiab spotting, koj yuav tsum mus ntsib ib tug kws kho mob. Yuav kom qhia tau tias asymptomatic kab mob yuav pab tau kom mus ntsib mus rau lub gynecologist nrog cov ntsiab ntawm cov ultrasound.