Yuav ua li cas yog nws lub puab uterine endometriosis?

Ib qho ntawm feem mysterious thiab insidious kab mob nyob rau hauv Gynecology - Endometriosis. Kws txawj yog tseem tsis zoo to taub mechanisms ntawm nws tshwm sim. Ib variation ntawm lub pathology yog uterine puab endometriosis. Lub interesting tshaj plaws yog hais tias ib co poj niam nws tsis qhia nws tus kheej, thiab lwm yam ua rau ib tug ntau ntawm kev txom nyem thiab deprives yeej ntawm niam.

Thaum lub gynecologist pom ib tug poj niam no pathology, nws yog feem ntau yog ib lo lus nug tshwm sim: Yuav ua li cas yog endometriosis thiab dab tsi yog qhov yuav tshwm? Thaum adenomyosis endometrial hlwb (mucosa) txeem lub uterine myometrium (npag txheej). Thoob plaws hauv lub voj voog nyob rau hauv tus ntawm cov tshuaj hormones, lawv yuav hloov thiab yog tsis lees txais thaum lub sij hawm ua poj niam.

Txawm li cas los, lub myometrium yog tsis haum rau qhov no, thiaj li muaj los ntshav, o thiab mob. Nyob rau hauv no disturbing lag luam. Internal endometriosis ntawm lub tsev me nyuam nrog ib qho kev nce rau hauv nws cov loj, nyob rau hauv tas li ntawd, nws acquires ib tug kheej kheej zoo.

Simtomy adenomyosis:

• mob, heev thiab hnyav ua poj niam;

• qhia premenstrual syndrome;

• nchuav menyuam ;

• spotting ua ntej thiab tom qab ua poj niam;

• ntxiv lawm tshob.

Txawm li cas los, nrog endometriosis - ib tug kab mob uas tej zaum yuav tsis qhia nws tus kheej, ces nws tsis yuav tsum tau kev kho mob. Muaj ntau cov poj niam mus nrog nws nyob tag nrho nws lub neej, txawm lawv tsis paub, lawv tsis thab, thiab lawv muab yug noj qab nyob zoo rau cov me nyuam.

Heev feem ntau, adenomyosis thiaj paub hais tias los ntawm lub sij hawm thaum lub sij hawm ib tug niaj hnub ultrasound. Tej nrog no pathology, nws yog ntshaw kom npaj cev xeeb tub tom qab kev noj kev haus ib tug gynecologist, endocrinologist, thiab pom nws.

Kws txawj ntseeg tau hais tias lub ntsiab ua rau ntawm adenomyosis yog lub ntsiab poj niam lawm tsis txaus. Qhov no pathology tshwm sim thaum theem ntawm cov tshuaj no los yog progesterone tsawg concentration. Yog li ntawd, hormone txoj kev kho siv los kho nws.

Tsis tas li ntawd, cov kws kho mob ntseeg tau hais tias ib tug luag hauj lwm nyob rau hauv qhov tshwm sim ntawm adenomyosis ua si los ntawm caj, phais manipulation ntawm lub tsev me nyuam, mob kev nyuab siab, o, av nkos da, hnub raug, lub cev tsis mob thiab lwm yam. Cov poj niam uas tus kab mob no tsis pom zoo rau overheat li no tej zaum pab rau nws muaj mob.

Lub puab uterine endometriosis thiaj paub hais tias los ntawm ib tug ntsuam xyuas pelvic exam, ultrasound, hysterosalpingography, thiab hysteroscopy. Tus kws kho mob thaum lub sij hawm xeem yuav ntes tes laug mob lub tsev me nyuam ua ntej poj niam thiab nws cov me me tom qab yuav txo tau.

Thaum lub sij hawm ultrasound nrog adenomyosis specialist pom diffuse thooj ntawm myometrium thiab tsis niaj hnub zoo li cell qauv ntawm cov cov phab ntsa. Nrog nodular daim ntawv ntawm tus kab mob no nws pom ib tug node nrog ib tug inhomogeneous qauv.

Adenomyosis hysterosalpingography rau mob yog nqa tawm ntawm 7 mus rau 9 hnub voj voog. Thaum lub sij hawm no lub sij hawm ottorgshiysya endometrium tsis txwv allergic radiopaque tshuaj txhaj mus rau hauv lub tsev me nyuam los ntawm lub paum, tus endometrioid tsiv. Qhov no manipulation kuj nrhiav tus patency ntawm txoj hlab qe menyuam.

Thaum lub sij hawm hysteroscopy ntawm adenomyosis gynecologist me ntsis nyob rau hauv lub sab phab ntsa thiab hauv qab ntawm ntau yam los yog ib linear qhib, oval los yog puag ncig puab. Thaum lub sij hawm no kev tshawb fawb mus rau hauv lub uterine kab noj hniav los ntawm lub ncauj tsev menyuam kwj dej kom paub ib tug tshwj xeeb kho qhov muag ntaus ntawv.

Rau cov kev kho mob ntawm adenomyosis siv cov tshuaj hormones. Nyob rau hauv kev npaj rau cev xeeb tub thiab thaum ntxov rau theem kab mob progestogens siv. Yog hais tias tus neeg mob tsis npaj yug me nyuam ntawm ib tug me nyuam nyob rau hauv lub nyob ze yav tom ntej, nws muaj qhov ncauj konrtatseptivy los yog intrauterine system Mirena.

Nyob rau hauv loj dua cov ntaub ntawv thiab nyob rau hauv premenopausal feem ntau muab cov tshuaj uas ua rau ib co lawm. Yog hais tias yam tshuaj kho tsis ua hauj lwm, ces chaw uasi mus rau kev phais.

Heev zoo kev kho mob rau adenomyosis yog cev xeeb tub. Qhov no yog vim hormonal hloov nyob rau hauv lub cev thiab tsis muaj poj niam. Thaum lub sij hawm no, endometriosis regress.

Yog li, lub puab uterine endometriosis tej zaum yuav tsis manifest nws tus kheej, tab sis ib txhia ntawm cov poj niam nws twb tiag txhawj xeeb, thiab ces yuav tsum tau kev kho mob. Tus kab mob muaj peev xwm cuam tshuam nrog conception thiab nyuam. Nyob rau hauv tas li ntawd, lub cev lub sij hawm yuav ua heev heev, hnyav thiab lub caij nyoog, yuav ua anemia thiab txo qhov zoo ntawm lub neej.