Endometrial pathology

endometrial pathology yog ua ntau ntau niaj hnub no. Kws txawj cwj pwm no sib nrog ib qho kev nce nyob rau hauv kev rog, endocrine ntshawv siab thiab txo cov poj niam txoj kev tiv thaiv. Nyob rau hauv feem ntau ntawm endometrial pathology yog nrog los ntawm ib tug tsis txaus nyob rau hauv lub hormonal system, metabolic dab. Ntawm kuj zoo kawg tseem ceeb yog nce rau hauv lub xov tooj ntawm Somatic kab mob chronicity.

Niaj hnub no, kwv yees li 30-40% ntawm tag nrho cov gynecological kab mob kuaj hyperplastic dab nyob rau hauv lub endometrium. Tej yam kev mob xws li fibrosis endometrial, hlau-fibrous, glandular polyps adenomatosis. Nws yog ua ntau ntau hyperplasia (glandulocystica, diffuse los yog focal, glandular).

Feem ntau cov kws txawj pom zoo hais tias qhov ua rau ntawm lub dab yog ib tug hormonal tsis ua hauj lwm nyob rau hauv cov poj niam. Endometrium ua ib tug lub hom phiaj rau kev sib deev cov tshuaj hormones, vim muaj cov nyob rau ntawd tej receptors. Chim siab poj niam lub hormonal hloov ua rau ntau yam thiab kev loj hlob ntawm cellular ntsiab. Raws li ib tug tshwm sim ntawm cov endometrial pathology neoplastic los yog hyperplastic xwm. Ntawm kev tseem ceeb nyob rau hauv txoj kev ua dab muaj hyperestrogenia. Nyob rau hauv ntau txoj kev, qhov kev nce nyob rau hauv cov tshuaj no ntau cuam tshuam rau metabolic ntxaug, nrog ib tug ntau yam ntawm tshuaj kab mob.

Cov feem ntau tsis txaus siab ntawm cov neeg mob nrog hyperplastic dab yog cov ntshav hu qee, uterine los ntshav (feem ntau acyclic). Ntshav nyob rau hauv lub tsev me nyuam muaj hnub nyoog tshwm ntev thiab hnyav coj khaub ncaws (xws li menometroragii) nyob rau hauv premenopausal - acyclic nyob rau hauv postmenopausal cov poj niam - ntshav ntswg ntawm txawv intensities.

Mob ntawm endometrial hyperplasia yog ua los ntawm transvaginal ultrasound nyob rau hauv nruab nrog cev pelvic gistreroskopiey (diagnostic, nrog cov cais scraping, histological txoj kev tshawb no ntawm lub resulting cov ntaub ntawv uas).

Ib tug ntawm cov tseem ceeb tshaj plaws kev pab raws qib hnub no yog lub gynecological kev kho mob ntawm hyperplastic dab. Endometrial pathology yuav siv cov conservative kev kho mob. Cov no muaj xws hormone kev kho mob ntawm cov tshuaj no-progestin npaj, progestagenic tshuaj. Nyob rau hauv tas li ntawd, muaj cov kev phais hom kev kawm, nrog rau tsawg kawg tus niaj hnub, nrog ib tug raug ceev rov qab lub sij hawm.

By sai txoj kev koom resection (ablation) ntawm lub endometrium.

Lub hom phiaj ntawm qhov no phais yog mus tshem tawm cov soj ntsuam ces ntawm uas twb muaj lawm hyperplastic dab. Nyob rau hauv tas li ntawd, qhov no txoj kev yog siv raws li ib tug tiv thaiv ntawm endometrial cancer, los ua kom tau txoj kev conception nyob rau hauv cov poj niam uas nyuam uas muaj hnub nyoog.

Nyob rau hauv ablation (ablation) txhais li cas endometrial curettage, excision, lub tsev me nyuam puas tsuaj. Kom txog rau thaum hnub no, gynecologists tsis tau tuaj mus rau ib tug ib lub tswv yim, dab tsi yog ib tug resection. Yog tsis muaj clarity txog thaum twg siv lub sij hawm "ablation".

Kev puas tsuaj ntawm tag nrho cov endometrium (ablation) yuav nqa electrosurgical thiab laser txoj kev. Thaum zoo li no cov ntaub so ntswg rau histological xeem coj tsis yooj yim sua.

Excision (resection) endometrial thickness tsuas yog electrosurgical txoj kev. Nyob rau hauv cov ntaub ntawv no, tej voj excised nyob rau hauv daim ntawv ntawm daim tag nrho cov sab hauv ntawm lub tsev menyuam. Nyob rau hauv kev no phais muaj lub sij hawm tom qab ntawd muab lub dissected cov ntaub so ntswg rau histological xeem.

Raws li txoj cai, lub lag luam yog ua nyob rau hauv epidural tshuaj loog los yog tag nrho tso dej tshuaj loog. Nrog simultaneous siv laparoscopy endotracheal tshuaj loog.