Endometriosis peritoneum - Yuav ua li cas yog nws?

Endometriosis peritoneum yog suav tias yog ib qho ntawm feem ntau thiab nyob rau tib lub sij hawm obscure pathologies nyob rau hauv Gynecology. Qhov no mob yog feem ntau txaus. Txawm li cas los, raws li ib tug txoj cai, cov poj niam pom tau tias nws nyuaj to taub raws nraim li cas lawv tau pom tawm yog vim li cas nws yog tsim nyog los kho tus peritoneal endometriosis thiab yuav ua li cas nws yuav ua tau ib tug txaus ntshai mob.

Nyob rau hauv thiaj li yuav to taub nyob rau hauv thawj qhov chaw, nws yuav tsum muaj kev to taub ntawm kev coj khaubncaws thiab endometrium.

Los ntawm hauv lub uterine kab noj hniav yog hlua nrog txheej membrane. Qhov no plhaub yog hu ua - qhov endometrium. Nws muaj ob khaubncaws sab nraud povtseg. Kev (yog hais tias tsis ua cev xeeb tub) tsis lees txais thaum lub sij hawm ua poj niam txhua txhua lub hlis. Los ntawm cov basal txheej hlob txhua txhua lub hli ib tug tshiab muaj nuj nqi.

Menses yog ib tug sib tov ntawm tawg tsam ntawm endometrial thiab cov ntshav. Yuav luag txhua txhua tus poj niam lawv tsis tsuas mus tawm (los ntawm koj qhov chaw mos). Ib tug tej yam yog ib feem ntawm lub paug nkag mus rau hauv peritoneal kab noj hniav los ntawm cov kav dej. Muaj feem ntau muab los ntawm tshwj xeeb kev tiv thaiv lub hlwb.

Txawm li cas los, txhuam ntawm lub cev txaus tshwm sim nyob rau hauv lub plab kab noj hniav yog tsis ib txwm rooj plaub. Tawg tsam ottorgnuvsheysya mucosa yuav affixed mus rau cov ntaub so ntswg implanted thiab cag rau hauv lawv.

Nyob rau hauv lwm yam lus, Endometriosis yog ib tug kab mob nyob rau endometrium ntawm lub tsev menyuam nyob sab nraum cov kab noj hniav nyob rau hauv daim ntawv ntawm ib tug neeg foci. Txheej yuav txiav txim cia nyob rau hauv ntau qhov chaw ntawm lub cev. Txawm li cas los, feem ntau cov feem ntau kuaj endometriosis peritoneum.

Tom qab cov tawg tsam ntawm lub qog ua kua tsawm, lawv yuav pib tsim rau tib txoj ntsiab cai uas muaj nyob rau hauv lub uterine kab noj hniav. Nyob rau hauv qhov kev txiav txim ntawm cov hormone ntawm zes qe menyuam txhab (explants) pib nce nyob rau hauv loj. Ces lawv ib feem tso tseg. Yog li, peritoneal endometriosis provokes ntau me me menses nrog yooj yim.

Nyob rau hauv view ntawm kev loj hlob ntawm tej yam me me rejections nyob rau hauv lub peritoneum, uas yog zoo innervated, dab yog nrog mob ncus. Nws yog ib qhov mob yog lub ntsiab nrog tus kab mob "endometriosis".

Qhov no kev tshawb xav ntawm lub pathology hu ua "cog." Nws yog suav tias yog ib tug ntawm cov hiob thiab feem ntau tej zaum. Muaj, ntawm chav kawm, lwm yam theories ntawm endometriosis tshwm sim. Yog li, nws yog lam xav hais tias cov pathological txhab yuav tsum tsim vim transformation mus rau lub hlwb ntawm endometrial peritoneal hlwb, kev tshuaj ntsuam genetic predisposition, mob ntawm immunologic xwm, los yog raws li ib tug tshwm sim ntawm hormonal teebmeem.

Txhawb txoj kev loj hlob ntawm lub pathology yuav ua tau tej yam uas provokes ntau heev allergic emissions nyob rau hauv lub peritoneal kab noj hniav.

Endometriosis muaj nyob tsis tau tsuas yog nyob rau hauv lub cheeb tsam ntawm lub peritoneum, tab sis nyob rau hauv ib tug txawv kiag li ntaub so ntswg thiab kabmob. Nws yuav tsum tau muab sau tseg hais tias xws li phenomena yog qhia tsis tshua. Tej zaum, cov tawg tsam ntawm mucosal cov ntaub so ntswg muaj peev xwm kis tau thoob plaws hauv lub cev los ntawm cov hlab ntsha los yog cov lymphatic system, raws li zoo raws li txeem mus rau hauv lub qhov txhab thaum phais.

Muab qhov chaw ntawm foci yog txiav txim

- lwm endometriosis pelvic peritoneum, zes qe menyuam kav, sab uterine ligaments pozadimatochnogo qhov chaw;

- internal endometriosis, uterine ciav lub cev;

- extragenital txhab nrog plob tsis so tswj, zais zis, caws pliav nyob rau hauv lub perineum tom qab phais thaum lub sij hawm ntawm daim ntawv tso cai tus me nyuam, lub ntsws, lwm yam kabmob.

Presser tawg tsam tej zaum yuav sib txawv ntawm cov loj, xim los sis tus duab. Raws li ib tug txoj cai, lub chaw zov me nyuam uas muaj tuaj los ntawm me me liab, dub, daj, xim av thiab lwm yam cov ntsaws ruaj ruaj tawg nyob rau hauv lub peritoneum. Nyob rau hauv tej rooj plaub, yog ib tug sib tshuam uake ntawm foci thiab infiltration ntawm ntaub so ntswg. Raws li ib tug txoj cai, xws li ib tug tshwm sim yam ntxwv ntawm lub cheeb tsam thiab lub cheeb tsam pozadimatochnoy uterine ligaments.