Endometrial thickness: cai thiab tus nqi

Endometrium - yog lub puab txheej ntawm lub tsev me nyuam, lub plhaub, uas pub tau mov rau nws ntawm lawv tus kheej cov hlab ntsha.

Lub endometrium yog yuav hloov, thiab cov kev hloov no yuav ua tau tag nrho ob qho ntawm pathological thiab physiological xwm. Thaum kev hloov ntawm lub endometrium tus nqi txiav txim los ntawm tej yam tej yam kev mob.

Lub endometrium yog muaj li ntawm ob khaubncaws sab nraud povtseg: thawj txheej muaj cov epithelial hlwb thiab lub thib ob txheej muaj glandular hlwb. Hauv qab lub endometrium yog npag tsho tiv no, lub myometrium los yog los ntawm uas ncaim ntawm cov hlab ntsha uas nqa cov ntshav thoob plaws hauv lub endometrium.

Tej endometrial thickness nyob rau hauv lub hnub ntawm lub voj voog. Cov los ze zog mus rau lub ovulation hnub, ntau dua qhov lub thickness ntawm cov endometrium: tus nqi ntawm 13-14 hli rau hnub 14 ntawm lub voj voog.

Txhua txhua hnub muaj cyclical hloov nyob rau hauv lub endometrium, uas feem ntau qhia ib qho kev ua me nyuam noj qab haus huv ntawm cov poj niam. Healthy poj niam txhua txhua lub hli yog hnub torn tseg rau sab saum toj txheej ntawm cov endometrium, yog li ntawd coj khaub los ntshav tshwm sim. By kawg ntawm kev coj khaubncaws sab sauv txheej yog kiag li peeled tawm, thiab cov endometrium ua heev nyias.

Lub sij hawm thaum endometrial thickness attains nws siab tshaj plaws volume, lub nram qab no yog ib tug ob peb hnub tom qab ovulation. Thaum lub sij hawm no lub endometrium yog npaj txhij los mus txais ib tug fertilized qe.

Tab sis cov poj niam feem ntau ntsib nrog pathological kev hloov ntawm lub endometrium, tus nqi ntawm lub thickness ntawm nws cov txheej nyob rau hauv cov ntaub ntawv no yog npaum li cas distorted. Thaum glandular hyperplasia ntawm lub endometrium heev hypertrophied, uas feem ntau ua rau intermenstrual los ntshav. Yog li endometrial thickness mus txog 20 mm.

Thaum hyperplasia tshwm sim loj hlob ntawm endometrial hlwb. Nyob rau hauv tej rooj plaub, (5-15%), hyperplasia xyaum nyob rau hauv endometrial cancer.

Cov ua rau endometrial hyperplasia

Raws li ib tug tshwm sim ntawm hormonal ntshawv siab tej zaum yuav tsim endometrial hyperplasia. Lub thickness ntawm cov endometrium, uas tus nqi yuav tsum tsis txhob ntau tshaj 14 hli, zoo heev tsub kom. Hyperplasia cov yam ntxwv ntawm cystic zes qe menyuam.

Tsis tas li ntawd, lub rov tshwm sim ntawm hyperplasia muaj feem xyuam rau tus nqi ntawm cov tshuaj hormones ua los ntawm ib tug poj niam lub cev, namely cov tshuaj no. Thaum tsa tau theem ntawm estrogens sau tseg hauv lub qhaj ntawv ntawm ovulation.

Cov tsos mob hyperplasia:

1. Tom qab lwm ncua sij hawm menses tshwm sim uterine los ntshav. Lawv manifest lawv tus kheej nyob rau hauv daim ntawv ntawm cov heev los ntshav, tab sis muaj mob loj tsawv ntshav poob, los yog lwm versa - ib tug loj ntshav poob yuav tshwm sim nyob rau hauv ob peb hnub.

2. spotting ntawm sij hawm.

3. Thawj los sis theem nrab ntxiv lawm tshob.

4. lus coj khaub ncaws.

Kev kho mob ntawm endometrial hyperplasia

Txij li thaum hyperplasia - ib tug hormonal kab mob, thiab kev kho mob yuav tsum tau cov tshuaj hormones. Lub ntsiab lub hom phiaj ntawm kev kho mob yog los mus tiv thaiv uterine los ntshav. Yog hais tias thaum lub sij hawm soj ntsuam kev pheej hmoo ntawm kev hloov hyperplasia twb ntes tau nyob rau hauv lub mob cancer, cov kev kho mob yog ib tug gynecologist-oncologist.

Thaum nws detects ib co cim ntawm ib qho mob ceev yuav tsum tau mus ntsib ib tug kws kho mob uas muab cov tshuaj kho mob nyob rau hauv ib tug raws sijhawm, yog li tsis txhob mob mob.