Curettage nyob rau hauv endometrial hyperplasia: nta, indications thiab los

Cov poj niam vim hais tias ntawm lub peculiarities ntawm nws lub cev qauv yog feem ntau ntsib nrog tus kab mob no. Pathological dab yuav muaj ib tug txawv cim. Ib txhia ntawm lawv yog cov zoo nkauj yooj yim rau tej teev. Yog li ntawd koj tsis tom koj lub luj tshib, koj yuav tsum mus ntsib ib tug kws kho mob nyob rau hauv ib tug raws sijhawm. Lub gynecologist yuav xyuas, mloog koj lus tsis txaus siab thiab coj tus ntxiv mob yog tias tsim nyog.

Kwv yees li ib nrab ntawm cov fairer nrog txiv neej pw nyob rau hauv lub lawm thiab tom qab nws yog kuaj endometrial hyperplasia. Yog tsis muaj scraping lub uterine pathology yuav kov yeej xwb nyob rau hauv tshwj xeeb tej yam kev mob. Niaj hnub no tus tsab xov xwm no yuav qhia tau rau koj txog cov keeb kwm ntawm tus kab mob thiab qhia rau koj nrog nws views. Koj paub, paub tseeb tias kuv ua scraping nrog endometrial hyperplasia thiab lub txim.

Yuav ua li cas yog nws?

Tsis yog txhua txhua tus poj niam muaj nyiaj mus dhau manipulation xws li gynecologic curettage. Thaum endometrial hyperplasia yog muab feem ntau, tab sis tsis yeej ib txwm. Ua ntej koj yuav kawm txog cov yam ntxwv ntawm manipulation, nws yog tsim nyog los tau ib lub tswv yim hais txog tus kab mob no. Endometrial hyperplasia muaj vim loj hlob ntawm lub puab nto ntawm nqaij genitals. Txhua voj voog nyob rau hauv ib tug poj niam lub cev yog ib tug kev hloov nyob rau hauv hormonal theem. Thaum lub sij hawm ua poj niam, cov endometrium yog torn tseg thiab los nrog cov ntshav. Tom qab ntawd nws yog lub sij hawm rau cov tshuaj no. Lawv pab mus rau txoj kev loj hlob ntawm hauv paus thiab rov qab kho cov txheej txheej ntawm lub tsev menyuam. Ntxiv mus, tom qab ovulation, progesterone txhawb kom secretion ntawm lub endometrium, nws npaj lub cev rau cev xeeb tub nyuam (cov Symptoms ntawm lub ovum). Yog hais tias conception tsis tshwm sim, tus progesterone theem yog koos, vim hais tias ntawm yog dab tsi pib tom ntej no los ntshav. Tag nrho cov heev yooj yim.

Tab sis yog hais tias rau ib co yog vim li cas ib tug poj niam lub hormonal tsis ua hauj lwm tshwm sim, lub endometrium yog tsis lees yuav los yog tsis raug mus rau lub kev txiav txim ntawm progesterone. Vim li no, nws pib lub uncontrolled division ntawm hlwb, lawv loj hlob. Yog tias thaum cov kws kho mob thiab kuaj mob "endometrial hyperplasia."

Hom hyperplasia thiab tshwj xeeb yog nws kho

Muaj ntau ntau ntau ntau yam ntawm tus kab mob no. Ib txhia ntawm lawv yog cov tsis txaus ntshai thiab muaj peev xwm tiv thaiv lub hormonal kho. Lwm tus hu rau phais kev pab. Nyob rau hauv tej lub sijhawm nws tsis qhia qhov kev tshem tawm ntawm lub tsev me nyuam. Yuav ua li cas yuav ua tau endometrial hyperplasia?

• Glandular. Nws pom tau hais tias yuav muaj ib tug ntawm cov uas yooj yim, feem ntau amenable mus kho mob kev kho mob. Txheej nto expands uniformly tsis muaj txoj kev nyob nruab nrab ntawm lawv tus kheej stromal hlwb.
• Cystic. Qhov no daim ntawv yog zoo li glandular, tab sis nws expands lub puab plhaub nto kuskoobrazno txoj kev hlwv Zoo li lub hlwv. Kho nrog hormonal agents.
• Focal los yog diffuse. Txheej nto expands uniformly (nyob rau hauv diffuse) los yog kuskoobrazno (nrog focal). Nyob rau hauv tawm tej thaj chaw tsim hlwv thiab polyps. Muaj mob xws escalating hyperplasia nyob rau hauv cancer.
• Atypical. Qhov no daim ntawv yog suav hais tias yog feem ntau txaus ntshai. Thaum nws mucosal txoj kev loj hlob tshwm sim tsis tau tsuas yog rau ntawm qhov chaw ntawm lub puab txheej. Hlwb faib nquag tob tob rau hauv lub basal txheej. Curettage nyob rau hauv endometrial hyperplasia li no feem ntau tsis zoo. Rau tej indications tau tshem tawm cov menyuam.

Cov tsos mob ntawm tus kab mob no, qhia ib tug yuav tsum tau curettage

Lub ntsiab ntawm cov tsos mob tus kab mob no yog ib tug ntau yam ntawm disruptions ntawm lub cev ntas. Ib tug poj niam tej zaum yuav tsis txaus siab ntawm kev ncua, ntev li los ntshav, daub ua ntej thiab tom qab ua poj niam. Tsis tas li ntawd, cov tsos mob ntawm malaise tam sim no nyob rau hauv lub sij hawm no: mob plab, kem plab, hnov muaj mob los, ua npaws thiab thiaj li nyob. Feem ntau nrog hypertrophy ntawm ntxiv lawm tshob. Nyob rau hauv tej rooj plaub, txawm li cas los tsa scraping? Thaum endometrial hyperplasia readings yuav tsum raws li nram no:

• mob nyob rau hauv lub qis ya ntawm lub plab mog;
• heev los ntshav;
• voj voog lub sij hawm ntawm ntau tshaj 40 hnub;
• ntxiv lawm tshob, ntev ntau tshaj rau lub hlis;
• nqi ntawm los ntshav thaum lub sij hawm lub voj voog;
• laboratory kabke hyperplasia.

Kev npaj rau manipulation: Nta

curettage ntawm lub tsev me nyuam nrog endometrial hyperplasia tsuas yog tom qab kev kawm. Pre-neeg mob yuav tsum tau kuaj los ntawm ib tug kws kho mob xws li ib tug neurologist, ib tug kws kho plawv, ib tug internist. Tshwj xeeb kos lub xaus hais tias muaj yog tsis muaj contraindication rau manipulation. Nyob rau tib lub sij hawm ua kev tshawb fawb xws li kev kuaj ntshav thiab biochemical, kev txiav txim ntawm cov tshuaj rau kab mob siab, kab mob HIV thiab syphilis. Nco ntsoov mus xyuas lub plawv los ntawm ib tug electrocardiogram.

Tom qab ntawd, tus neeg mob yuav tsum tau mus ntsib ib tug gynecologist. Tus kws kho mob prescribes ntxiv inspections uas muaj xws li ultrasound diagnostics, paum smear los mus txiav txim kev coj dawb huv. Nws yog txwv tsis pub mus nqa tawm tuav nyob rau hauv tau phem. Yog hais tias muaj yog ib tug inflammatory txheej txheem, nws yog tsim nyog los tshem tawm cov nws paub ua ntej.

Nqa tawm ntawm txoj kev: ib chav kawm ntawm kev txiav txim

Curettage nrog endometrial hyperplasia tsuas yog nyob rau hauv lub phab ntsa ntawm lub tsev kho mob. Tus txheej txheem nws tus kheej yuav siv sij hawm tsawg tshaj li 20 feeb. Manipulation yuav tsum tau tso dej tshuaj loog. Thaum lub sij hawm scraping tus neeg mob yog pw tsaug zog los yog ib nrab pw tsaug zog: nws tsis xav tias tsis xis nyob. Nrog kev pab los ntawm extenders tus kws kho mob yuav qhib ncauj tsev me nyuam tau txais mus rau hauv cov kab noj hniav ntawm tus qau. Curette tshem tawm overgrown txheej uas yuav tsum tau ntxiv kawm.

Nyob rau hauv lub scraping txheej txheem nqa tawm sai li sai tau ob zoo kauj ruam: tus kws kho mob cleans lub sau txheej thiab yuav ntxiv txiav txim nws muaj pes tsawg leeg thiab yuav raug (siv histology). Tom qab tu tus neeg mob yog nyob rau hauv kev kho mob saib xyuas txawm 2-4 teev. Tshwj tsis yog tias muaj teeb meem, cov poj niam yuav mus tsev.

tom qab curettage

Yog hais tias koj tau ua tu vim lub fact tias lub teeb ntawm endometrial hyperplasia, kev kho mob tom qab curettage yuav muab twv yuav raug hu. Cov kws kho mob pom zoo kom nco ntsoov nqa ib lub chav kawm ntawm tshuaj tua kab mob. Tsis tas li ntawd muab painkillers thiab anti-inflammatory siv tshuaj thaum uas tsim nyog. Ntxiv txiav txim yog coj tsuas yog tom qab tau histological decryption.

Yog hais tias koj tuaj cov ntaub ntawv qhia tias tus xeem cov ntaub ntawv uas twb tsis muaj phem uas nrhiav tau, tus neeg mob yuav muab rau ib tug qauv hormonal txoj kev kho. Thaum nws yog paub tseeb hais tias los ntawm lub xub ntiag ntawm malignancies, nws yog tsim nyog los tshem tawm cov lawv nyob rau hauv ib tug nyias muaj nyias ib lub lag luam. Cia peb xav txog dab tsi lub txim tej zaum yuav scraping.

Lub inflammatory txheej txheem

Yog hais tias koj muaj endometrial hyperplasia (kev kho mob tom qab curettage twb tsis siv), ces muaj yog ib tug siab ntau yam mob. Nws yog manifested los ntawm cov nram qab no cov tsos mob: mob plab mog, txawv txawv paug nrog ib tug unpleasant tsw, muaj zog lub cev kub. Nyob rau hauv txhua tus neeg mob qhia ceev kho. Feem ntau, cov kws kho mob muab ib tug ntev lub chav kawm ntawm tshuaj tua kab mob rau qhov ncauj, tso dej, thiab paum thawj coj.

Yog hais tias lub o uas tshwm sim vim scraping, tsis kho, lub pathology yuav kis mus rau ib sab hauv nruab nrog cev: lub zes qe menyuam, txoj hlab qe menyuam, thiab hais txog. Tag nrho cov no yog fraught nrog nws cov txim.

Perforation ntawm lub tsev me nyuam los yog lub cev phab ntsa thinning

Kev kho mob ntawm endometrial hyperplasia tsis Scraping ua ncaw. Yog hais tias koj tsis txhim kho, ces nws yog tsim nyog los ntxuav nyob rau hauv hormone hloov txoj kev kho rau ib lub hlis. Thaum lub sij hawm manipulation tej zaum yuav ib tug yam tab kaum li perforation ntawm lub uterine phab ntsa. Qhov no pathology yuav tsum tau ceev phais kev cuam tshuam.

Raws li ib tug rau txim ntawm lub manipulation yuav thinning deev hloov phab ntsa. Qhov no ntxiv ua rau nws yam tab kaum. Piv txwv li, thaum lub sij hawm cev xeeb tub yuav tshwm sim uterine rupture. Feem ntau kws kho rau nyias cov phab ntsa ntawm elective caesarean seem.

Hyperplasia ntawm lub endometrium: scraping. Xyuas ntawm lub txim ntawm cov txheej txheem

Yuav ua li cas yog koj lub tswv yim npaj rau cov neeg mob txog cov txheej txheem? Muaj ntau hais tias tom qab curettage ntawm endometrial hyperplasia tsis ploj. Tom qab ib tug ob peb mus ntawm lub qog ua kua membrane pib nkoog dua, txoj kev ua hlwv, polyps. Tseeb, yog hais tias tus neeg mob yog tsis muab rau tsim nyog txoj kev kho, qhov phais nws tus kheej yuav cawm tsis tau nws los ntawm tus kab mob. Scraping tsis tshem tawm qhov ua rau ntawm hyperplasia, thiab tsuas yog kho nws cov txim. Yog li ntawd, nws yog ib qho tseem ceeb rau koj mloog mus rau ib tug kws kho mob lub sij hawm teem tseg thiab tom qab lub lag luam kom ua raws li cov tshuaj kho.

Yuav kom saib lub ntsab lug

Los ntawm cov tsab xov xwm no koj yuav kawm tau hais tias tus kws kho endometrial hyperplasia tsis muaj scraping yog ua tau, tiam sis tsuas yog nyob rau hauv exceptional mob. Nyob rau hauv thiaj li yuav realistically ntsuam xyuas tus neeg mob tus mob, koj yuav tsum tau ua ib tug me los yog curettage. Tsuas yog nyob rau hauv no txoj kev uas nws yuav tsum tau mus xaiv ib txoj kev kho uas yuav cawm koj los ntawm qhov teeb meem rau ntawm txhais tes.