Uterine adenomatosis - yog dab tsi?

Adenomatosis hu ua atypical endometrial (focal los yog diffuse), endometrial hyperplasia, nyob rau hauv qhov tseeb, yog ib tug precancerous mob.

Preneoplastic txheej txheem - yog ib lub pathology uas, uas ua degrees ntawm ntau yam yuav mus rau hauv cancer. Precancerous hyperplastic txheej txheem muaj peev xwm rov qab txoj kev loj hlob, 10% ua tau dhau mus ua Oncology. adenomatosis ntawm lub tsev me nyuam yuav tsum tau noj heev tiag los ntawm cov kws kho mob.

Hauj lwm ntawm tus kab mob

Rau endometrial hyperplastic dab yog ncaj qha mus txog hormonal kawg. Nws feem ntau tshwm sim uterine los ntshav thiab ntxiv lawm tshob. lawv yuav tshwm sim rau yog vim li cas hais tias muaj yog ib tug hyperestrogenia. Tshaj nqi ntawm cov tshuaj no nyob rau hauv lub endometrium tau nyob rau hauv qhov zoo thiab ntau yam ntxwv kev hloov uas provokes thooj loj hlob thiab nws nrog lug. Thiab muaj ib tug poj niam caws adenomatosis.

Hyperplastic dab yog ob peb hom, nyob ntawm seb lub hom ntawm tes, uas siv cov txheej txheem nyob rau hauv lub cev:

- glandular hyperplasia;

- diffuse hyperplasia;

- lobular hyperplasia.

Peb xav txog txhua yam ntawm no nyob rau hauv ntau yam.

glandular hyperplasia

Thaum ua glandular qauv npaj glandular hyperplasia ntawm lub endometrium. Tej zaum qhov no ua rau yus cystic expansion ntawm kev kawm ntawv nyob rau hauv qhov khoob qog, ces thiaj paub hais tias nrog glandular-cystic hyperplasia. Lub endometrium tshwm sim thiab loj hlob txawv txav hlwb uas yog raug rau adenomatosis.

Nws yog ib qho tseem ceeb kom nkag siab txog hais tias ib tug ua txhaum ntawm lub hlwb muaj nuj nqi, tshwj xeeb tshaj yog yog hais tias tus cov hypothalamus, raws li zoo raws li tsis muaj zog txaus tiv thaiv thiab metabolic syndrome tshwm sim nyob rau hauv cov ntaub ntawv ntawm cancer ntawm lub glandular hyperplasia. Ntxiv mus, hais txog ntawm lub hnub nyoog.

diffuse hyperplasia

Nyob rau hauv tej rooj plaub, lub kis ntawm hyperplastic dab mus rau tag nrho cov tshaj lub saum npoo ntawm lub endometrium, thaum cov kws txawj qhia diffuse hyperplasia. Uas yog diffuse adenomatosis yog diffuse hyperplastic txheej txheem.

lobular hyperplasia

Nyob rau hauv tas li ntawd, muaj ib daim ntawv ntawm focal hyperplasia. Loj hlob ntawm endometriotic cov ntaub so ntswg tshwm sim nyob rau hauv ib tug tsawg cheeb tsam. Ces tus build-up disappears mus rau hauv lub uterine kab noj hniav, dua li nws yuav zoo ib yam li ib tug polyp. Focal adenomatosis yog ib tug polyp, uas muaj kev txawv txav hlwb.

Adenomatosis lub tsev me nyuam kho mas nrog kev phais. Ntxiv forecast nyob ntawm ntau yam:

- tus neeg mob lub hnub nyoog;

- qhov ntawm hormonal ntshawv siab;

- neuroendocrine concomitant kab mob;

- lub xeev ntawm kev tiv thaiv.

Ib txhia poj niam xav nyob rau hauv cov nqe lus nug ntawm yog dab tsi yog qhov txawv ntawm lub tsev menyuam adenomatosis adenomatosis endometrium? Nws yog ib yam txheej txheem yog atypical. Lub sij hawm "uterine adenomatosis" yog tsis heev muaj tseeb, raws li atypia muaj feem xyuam rau xwb lub puab txheej, mus rau leej twg yog tus endometrium. Thiab nyob rau hauv lub plab, muaj ntau ntau khaubncaws sab nraud povtseg.

Fibrosis thiab adenomatosis

Fibrous adenomatosis raws li ib tug mob tsis muaj nyob. Fibrosis - ib tug pathology nyob rau hauv uas loj hlob connective cov ntaub so ntswg adenomatosis - loj hlob glandular. Lub mixed xwm ntawm lub pathology, dhau lawm, yuav muaj uas yuav tsum tau hu ua fibrocystic hyperplasia.

Adenomatosis tej zaum yuav tsis tau tsuas yog nyob rau hauv lub tsev me nyuam. Nws tshwm sim nyob rau hauv lub mis, tab sis nyob rau hauv qhov tseeb no pathological kev yog sib txawv kiag li. Adenomatosis mis kab mob no yog Reclus, thaum muaj kev tsim tsa ntawm me me benign hlwv nyob rau hauv loj. Peb rov los xyuas dua lub ncauj tsev menyuam adenomatosis. Yuav ua li cas yog nws, nws los ua tseeb.

Yuav ua li cas yog qhov ua rau ntawm endometrial adenomatosis?

Cov ua rau atypical cell transformation yog cov tib yam tseem ceeb uas ua rau lub hyperplastic dab nyob rau hauv lub endometrium. Siv tau cov yog vim li cas adenomatosis tsis paub. Ntawm cov hoob kawm, tus chiv yog lossi kawm, tab sis txog rau hnub no nws yog tsis yooj yim sua hais raws nraim li cas yog tus txhais atypical txheej txheem nyob rau hauv lub endometrium. Tiam sis qhov ntau muaj ntau yam kev phiv tej yam kev mob, ntau dua qhov lub yuav ua rau muaj kev tsim kab mob.

Cov thawj qhov chaw rau tag nrho cov provoking yam adenomatosis endometrium yuav siv sij hawm hormonal tsis ua hauj lwm. Ntxhov neurohumoral kev cai ntawm tag nrho cov tib neeg lub cev. Estrogens thiab progestins yog muab kev koom tes nyob rau hauv physiological cyclic hloov nyob rau hauv lub tsev me nyuam. Feem ntau vim hais tias cov tshuaj no yog ib qho kev nce nyob rau hauv lub internal txheej txheej. Tab sis lub chaw ua hauj lwm ntawm progestogens yog raws sij hawm kom tsis txhob loj hlob ntawm lub endometrium, thiab nws tau muab tso tseg.

Yog hais tias ntev li nqi ntawm cov tshuaj no endometrial loj hlob tshwm sim uncontrollably. Hyperestrogenia yuav tshwm sim rau ntau yam yog vim li cas:

- hormonal ntawm zes qe menyuam muaj nuj nqi yog tsis hnov;

- muaj anovulation;

- voj voog yuav tib theem;

- muaj endometrial hyperplasia.

Yog hais tias PCOS yog ib tug mob anovulation. Nws kuj yog ib tug zoo ntawm provocation rau txoj kev loj hlob ntawm hyperplasia. Yog hais tias ib tug poj niam yuav siv sij hawm lawm cov tshuaj uncontrollably, ces qhov no tej zaum yuav cuam tshuam los ntawm cov tshuaj hormones. Qhov no yuav pib cov txheej txheem nyob rau hauv lub hyperplastic endometrium.

Yog hais tias muaj yog ib txhij hyperestrogenia, extragenital pathology thiab neuroendocrine mob nyob rau hauv lub cev, nws tsub kom qhov yuav tsim adenomatosis. Rog poj niam nrog hypertensive tus kab mob cancer ntawm lub endometrium yog raug mus rau 10 lub sij hawm ntau tshaj ib tug nyob rau hauv uas ib txwm nyhav thiab ntshav siab.

Vim li cas vim li cas tej zaum tseem tsim hyperestrogenia? Feem ntau lub siab thiab biliary ib ntsuj av tau ua rau tus kab mob no, vim nws siv lub siab estrogens.

Yog li ntawd, muaj ib tug uncontrolled txoj kev loj hlob ntawm lub puab txheej ntawm lub tsev me nyuam, ua nyob rau hauv lub tsim ntawm txawv txav hlwb. Qhov no yog adenomatosis endometrium. Yuav ua li cas yog hais tias tus mob ntawm "lub tsev me nyuam adenomatosis" kev kho mob? Nyob rau qhov no tom qab.

Tej yam tshwm sim ntawm endometrial adenomatosis

Raws li ib tug txoj cai, tsis muaj cuab tsos mob adenomatosis tsis muaj nyob, vim hais tias qhov txawv txav hlwb yuav yuav ntes tau nkaus xwb kuaj txoj kev. Thawj kuaj hyperplastic txheej txheem, ces nws yog tsim nyog los hais cov xwm.

Muaj ib co tsos mob ntawm hyperplasia, uas yuav tsum tau them xim rau:

- hloov qhov xwm ntawm tus ntshav - sij hawm ua tshaj, cov ntshav los ntawm lub voj;

- mob nyob rau hauv lub plab mog thiab txo rov qab ua ntej poj niam thiab thaum lub sij hawm nws;

- ib tug manifestation ntawm lub metabolic syndrome - rog, ntau lub cev plaub hau ntawm cov txiv neej hom, nce lub theem ntawm cov kua dej los rau hauv cov ntshav;

- tsis hnov fertility - nws yog tsis yooj yim sua xeeb tub thiab ua tim ib tug me nyuam;

- lub xub ntiag ntawm mastitis;

- o ntawm lub urogenital system;

- Mob thaum lub sij hawm com, paum los ntshav tom qab nws.

Koj adenomatosis lub tsev me nyuam kuaj txog ultrasound?

Siv ultrasonic PP yog txiav txim los ntawm lub thickness thiab cov qauv ntawm cov endometrium. Transvaginal sojntsuam zoo nrog qhov kev tshawb fawb paub daws. Uas hyperplastic txheej txheem yog cai - focal los yog diffuse - qhia no scan. Raws li ib tug tshwm sim, yog tias qhia diffuse hyperplasia, nws tseem tau mus xav tias lub xub ntiag ntawm diffuse adenomatosis. Pom nws los ntawm txoj kev ntawm lub sensor yog tsis yooj yim sua, vim hais tias tsis muaj qhov txawv nta.

Focal adenomatosis lub tsev me nyuam yooj yim hnov, raws li nws yog visualized raws li ib tug polyp. Txawm tias qhov xwm ntawm cellular hloov kuj yuav tsis ua hauj lwm los xyuas. Atypia yuav tsis tau twb tsis siv los ntawm ultrasonic PP.

Nws yog scraping hauv txheej membrane ntawm lub tsev me nyuam, tom qab uas cov ntaub ntawv uas yog xa mus rau histological xeem. Qhov no txoj kev ntawm mob yog ib qho tseem ceeb heev thaum adenomatosis. Peb kawm cov qauv ntawm cov hlwb, nws cov yam ntxwv hloov, raws li zoo raws li rau yam twg thiab qhov nws yog atypical. Yog hais tias atypia twb tsis pom, ces nws yuav qhia tau benign hyperplasia.

Feem ntau ua phais scraping ntawm lub uterine kab noj hniav, thiab ces tus uas ua ntaub ntawv uas twb soj ntsuam. Qhov no yuav pab hysteroscopy rau kev soj ntsuam ntawm ib tug tag nrho khiav tawm ntawm lub endometrium.

uterine adenomatosis: kev kho mob

Adenomatosis xub ntiag ntawm ib tug poj niam yuav ua tau ib tug ua kom muaj ntxiv lawm tshob, tab sis txawm nyob rau hauv ib tug muaj kev vam meej conception ntxov ntxov txiav ntawm cev xeeb tub yuav tshwm sim tiv thaiv lub keeb kwm ntawm tus kab mob no.

Cov kev kho mob feem ntau muaj lub fact tias cov mechanically kho yog muab tshem tawm endometrium. Yog li, surgically tshem tawm los ntawm qhov uas pathological kev hloov, ntxiv mus, yog scraping rau histological xeem. Thaum lub tau tau, nyob ntawm seb ib tug txiav txim txoj kev kho.

muab hormonal txoj kev kho thiab phais ib lub zuj zus. Yog hais tias tus ntxhais no hluas, cov kws txawj yog tas rau kev kho mob ntawm hormonal tshuaj. Ib tug neeg mob uas yog nyob rau ntawm ib lub hnub nyoog ze rau lawm nrog hormone therapy nqa tawm radical phais - tshem tawm ntawm lub tsev me nyuam thiab appendages. Qhov no ho qhov yuav tshwm ntawm txoj kev hloov adenomatosis nyob rau hauv cancer. Koj muaj peev xwm cawm tau ib tug poj niam lub neej.

Nws yog ib qho tseem ceeb kom to taub tias kuaj pom thaum ntxov adenomatosis tshaj plaws, nyob rau hauv cov ntaub ntawv no, uas yuav mob cancer yog tsawg heev. Yog li ntawd nws yog tsim nyog mus xyuas ib tug gynecologist tsis tu ncua, yauv kev soj ntsuam, mus coj tag nrho cov tsim nyog kev ntsuam xyuas. Peb tau pom tias nyob rau hauv no tsab xov xwm adenomatosis endometrial cancer. Saib xyuas ntawm koj tus kws kho!