Uterine pathology: ua, txim

Lub tsev me nyuam - qhov tseem ceeb tshaj plaws hloov rau cov poj niam txoj kev deev noj qab haus huv thiab txheej kev zoo nkauj. Vim nws ua hauj lwm yog nqa tawm thoob plaws hauv lub tsev me nyuam system. Txawm li cas los, ntau cov poj niam yuav tau ib tug ua txhaum ntawm lub cev qauv. Nyob rau hauv cov neeg mob, cov kws txawj hais tias, hais tias tus neeg mob yog tsim uterine pathology.

Yuav ua li cas yog cov kab mob ntawm lub tsev me nyuam thiab koj qhov chaw mos?

Poj niam deev system yog heev yooj yim thiab tej kev ua txhaum cai yuav ua rau tsis ua hauj lwm ntawm tag nrho cov mechanism, ua loj cov kab mob. Nws yuav tsum tau muab sau tseg tias pathology ntawm qhov chaw mos thiab lub tsev me nyuam yog ob leeg congenital thiab mas yuav kis tau. ntawm lawv muaj tej yam sib txawv. Nrhiav cov kab mob yuav tshwm sim vim tej kev ua txhaum cai los yog raws li ib tug tshwm sim ntawm kev cuam tshuam. Tab sis lub innate pathology ntawm lub tsev me nyuam tsim nyob rau hauv lub sij hawm thaum lub fetus yog nyob rau hauv lub tsev menyuam. Nyob rau lawv cov tsos los ntawm ib tug xov tooj ntawm ua thiab yam raws li kev tshuaj ntsuam genetic predisposition.

Heev feem ntau muaj cov nram qab no congenital uterine pathology:

• Horned eeb los yog lub cev hom.
• Lub xub ntiag ntawm partitions nyob rau hauv lub tsev me nyuam.
• Txawv ces nedorazvitiem lub cev.
• Disruptions nyob rau hauv lub qub hauj lwm ntawm lub zes qe menyuam.

Tab sis mas yuav kis tau pathology muaj xws li ib tug ntau yam ntawm cov kab mob, cov uas yog heev dabtsi yog khoov ntawm lub tsev me nyuam , thiab ntau yam anomalies rau nws lub caj dab.

Lub tsev me nyuam Pathology - yog vim li cas yuav tsum npaj?

Kev tseem ceeb yuav tsum tau muab rau ib tug poj niam ntawm xws li ib tug lub cev noj qab haus huv, raws li lub ncauj tsev menyuam. Lub pathology nyob rau hauv cov cheeb tsam no yuav ua tau kom mob loj heev txim. Yog li ntawd koj yuav tsum tau sai sai qhia hais tias tus kab mob thiab tshem tawm nws nyob rau qhov ntxov tshaj plaws theem.

Feem ntau yog cov nram qab no cov kab mob ntawm lub ncauj tsev menyuam:

• Yaig. Thaum lub sij hawm tus kab mob no puas mucosa, uas ntsib mus rau qhov chaw mos. Feem ntau, thaum lub sij hawm soj ntsuam nws zoo li ib qhov chaw ntawm kaj xim liab. Tej zaum phem kev kho mob tej zaum yuav tshwm sim pseudo - tsis kho yaig. Cov yuav tshwm sim Nabothian hlwv, uas ua nyob rau hauv clogging ntawm ducts lub tsev me nyuam qog.
• Dyskeratosis - layering ib tug loj tus naj npawb ntawm hlwb nyob rau hauv lub ncauj tsev menyuam. Qhov no feem ntau yog tshwm sim vim hais tias ntawm cov kev taw qhia nyob rau hauv lub epithelium ntawm lub human papillomavirus, uas yuav ua tau kom lub tsev me nyuam mob cancer.
• Papillomatosis, los yog mob cos. Cov kab mob no mas tshwm sim vim tus kab mob papilloma virus cov poj niam. Heev feem ntau muaj mob cos rau hauv lub genitals.
• Dysplasia. Nws premalignant epithelial theem.

Nyob rau hauv tas li ntawd, cov poj niam yuav kuaj ncauj tsev menyuam mob cancer, uas yog ib tug ntawm cov tsis ncaj ncees kev kho mob ntawm lwm yam pathologies.

Uterine dysplasia - yog dab tsi?

Muaj ntau cov poj niam hnov txog qhov teeb meem, tab sis tsis yeej ib txwm to taub nws cov essence. Nws yog ib nqi sau cia hais tias lub tsev menyuam dysplasia tshwm sim nyob rau hauv ib tug loj tus naj npawb ntawm cov poj niam. Thaum lub sij hawm no pathology tshwm sim loj heev kev ua txhaum ntawm cov qauv thiab cov hauj lwm ntawm lub caj dab, uas nws thiaj li ua rau mob cancer. Yog hais tias tus kab mob no yog kuaj nyob rau hauv nws cov earliest theem, nws yuav ua sai sai daws nrog kev pab los ntawm tshwj xeeb kev kho mob.

hom ntawm cov kab mob

Nyob ntawm seb lub hom txhaum cai nyob rau hauv lub mucosa ntawm lub tsev me nyuam dysplasia muaj ob peb cov ntaub ntawv:

1. Thawj degree. Qhov no yog ib qho yooj yim daim ntawv: hloov thiab nyob xwb 30% ntawm cov thickness ntawm lub mucosa. Conventionally, qhov no mus tsis paub nyob rau hauv 80% ntawm cov neeg lawm nthawv tsis kho mob.
2. Dysplasia thib ob raws li (mob loj tsawv). Thaum lub sij hawm no hom ntawm kho mucosal hlwb qhia 60-70% ntawm endometrial thickness. Yog tsis muaj kev kho mob, qhov no hom ntawm pathology yog resorbed xwb 50% ntawm cov neeg. Yuav luag 20% ntawm cuam tshuam cov poj niam, nws mus txog rau lub thib peb degree ntawm dysplasia, thiab nyob rau hauv lwm yam 30% yog qhov yooj yim hauv paus rau txoj kev loj hlob ntawm cancer.
3. Qhov thib peb degree ntawm dysplasia (mob loj heev daim ntawv no). Nyob rau hauv cov ntaub ntawv no rau tag nrho cov txheej ntawm cov qog ua kua tibneeg hu tauj coob kho hlwb.

Txawm lub theem ntawm kev nrhiav kom tau ntawm tus kab mob, nws yuav tsum tau kho tam sim ntawd.

Pathology ntawm lub uterine kab noj hniav

Lawv yog cov tseem heev heev nyob rau hauv kev kho mob xyaum. Yeej tsev menyuam pathology tshwm sim vim o nyob rau hauv lub pelvic kabmob, hormonal tom qab thiab phais tiv thaiv.

Lub tsev menyuam yog feem ntau pom cov nram qab no hloov thiab ua txhaum cai:

• Cov tshwm sim ntawm endometrial hyperplasia.
• Fibroids.
• Cov tsos ntawm intrauterine adhesions.
• Ntau yam txawv teb chaws lub cev nyob rau hauv cov kab noj hniav.
• O cov zaubmov.

Thaum tus thawj kos npe rau ntawm tsis xis nyob ntxhais yuav tsum mus nrhiav kev pab uas tsim nyog tau kev pab.

Yuav ua li cas yog endometrial hyperplasia?

Muaj ntau cov poj niam hnov no mob nyob rau hauv lub chaw ua hauj lwm ntawm ib tug gynecologist, yuav pib mus poob siab. Txawm li cas los, tsis yog txhua yam yog phem li ntawd. Yog hais tias lub abnormality ntawm lub tsev me nyuam txiav txim siab ntawm ib tug heev thaum ntxov rau theem, nws yuav muab tau yooj yim kho los nrhiav txoj cai kev kho mob.

Endometrial hyperplasia - ib tug kev loj hlob txheej uas yog pov tseg nyob rau hauv lub internal kab noj hniav. Feem ntau, xws ib qho kev nce tshwm sim txhua txhua lub hlis nyob rau hauv tej poj niam. Thaum lub sij hawm erogenous txiav txim, slimy lub cev yog npaj los txais ib tug fertilized qe. Nyob rau hauv nws qhaj ntawv pib rejection endometrial txheej, uas ua rau yus nws widening. Feem ntau qhov no tshwm sim yog cai ua ntej qhov pib ntawm lub cev ntas. Yog hais tias muaj yog ib tug ua txhaum ntawm txoj kev no, lub endometrium hlob txawm ntau. Los ntawm qhov luaj li cas ntawm cov txheej nyob rau hauv daim ntawv ntawm tus kab mob no.

Nws yuav tsum tau muab sau tseg hais tias qhov no cuam tshuam feem ntau yog kuaj xwb los histological xeem. Qhov no diagnostic tso cai rau koj kom meej seb puas tau qhov chaw ntawm tus kab mob, nws daim ntawv thiab qhov twg. Nyob rau tib lub sij hawm ultrasound thiab gynecological xeem yog loj pab nyob rau hauv mob, tab sis yuav tsis meej txiav txim seb lub xub ntiag ntawm endometrial hyperplasia.

Yuav ua li cas yog uterine fibroids?

Tus kab mob yog heev insidious thiab yus. Uterine fibroids - benign xwm ntawm no qog. Nws tsis tau xa mus rau mob cancer. Qhov no uterine pathology yuav tshwm sim nyob rau hauv lub cev phab ntsa, thiab nyob rau lub ncauj tsev menyuam. Loj ntawm lub qog yuav ua tau ntawm ib tug millimeter mus rau ob peb centimeters.

Nyob rau qhov chaw ntawm lub fibroids raug muab faib mus rau hauv lub nram qab no:

1. Subserous fibroids. Thaum lub sij hawm no theem ntawm lub neoplasm yog pov tseg nyob rau sab nraum lub cev nto, feem ntau ntawm cov kabmob ntawm lub plab kab noj hniav thiab lub tsev menyuam.
2. Intramuscular fibroids. Nyob rau hauv cov ntaub ntawv no, lub qog yog nyob ncaj qha rau hauv lub uterine nqaij.
3. Submucosal fibroids. Pob nyob rau hauv lub puab ib feem, laus nyob rau hauv lub qog ua kua membrane.
4. Uterine fibroids rau cov ceg. Qhov no daim ntawv yog pom ob qho tib si nyob rau hauv subserous fibroids, thiab nyob rau hauv lub submucosa. Qhov txawv yog nqaim los dav ceg.

Tsuas yog ib tug kws kho mob muaj peev xwm txiav txim raug yuav ua li cas tus kab mob muaj nyob rau hauv cov poj niam.

Dab tsi ua rau uterine fibroids?

Tus kab mob no mas tshwm sim vim hormonal tsis txaus. Heev feem ntau, fibroids tshwm sim nyob rau hauv cov tub ntxhais cov poj niam, nws resorption tshwm sim thaum lub sij hawm lawm.

Nyob rau hauv tas li ntawd, qhov tshwm sim ntawm fibroids muaj ib tug xov tooj ntawm yog vim li cas:

• Caj thiab noob caj noob ces.
• Adenomyosis.
• Gynecological inflammatory dab.
• Ib tug sedentary txoj kev ua neej thiab kev rog.
• Rho menyuam thiab installation ntawm intrauterine pab kiag li lawm.
• Pw ua niam txiv tsis muaj ncav orgasm.

Kev loj hlob ntawm fibroids feem ntau ua rau kev nyuaj siab, uas yuav ua tau kom inhibition ntawm cov lag luam ntawm cov qog adrenal, zes qe menyuam thiab cov thyroid.

intrauterine adhesions

Yuav ua li cas yog nws? Intrauterine adhesions los yog adhesions - ib tug txawv nyob rau hauv lub anatomical qauv ntawm lub cev. Nws yog feem ntau hu ua Syndrome Asherman. Qhov no uterine pathology yog piav raws li ib tug ib nrab los yog tiav obliteration ntawm lub uterine connective leeg. Thaum lub sij hawm tshwm sim ntawm tus kab mob ntawm cov endometrium atrophic hloov tshwm sim thiab deformation ntawm cov phab ntsa hauv lub tsev me nyuam.

Tus kab mob ua rau yus muaj kev cuam tshuam ntawm lub cev ntas, tsis patency spermatozoa ua txhaum thaum lub sij hawm lub qe implantation ntawm week. Raws li ib tug tshwm sim, tej zaum nws yuav ntxiv lawm tshob. Qhov no txhaum yog feem ntau manifested raws li amenorrhea los yog hypomenstrual voj voog. Heev feem ntau nyob rau hauv lub xub ntiag ntawm adhesions muaj teeb meem nqa ib fetus thaum lub sij hawm cev xeeb tub.

Ua rau adhesions

Adhesions feem ntau tshwm sim rau txawv yog vim li cas. Qhov no yuav muaj cov nyhuv ntawm ntau yam kab mob, kev puas kev raug mob los yog gynecological kab mob.

Ntawm cov feem ntau ua rau cov adhesions yog cov nram qab no:

• Ntau yam kab mob.
• Lub txim ntawm qhov chaw mos tuberculosis.
• Cawv ntawm radiotherapy.
• Tsis rho menyuam.

Tsis tas li ntawd, lawv ua puas raug mob - mob endometrial txheej ntawm cov kev phais txiav ntawm cev xeeb tub, diagnostic scraping, siv intrauterine contraceptive pab kiag li lawm thiab ntau yam hauj lwm.

Kev tiv thaiv thiab kev kho mob ntawm uterine pathologies

Ntawm cov hoob kawm, muaj ntau yam ntawm cov kev ua txhaum, thiab tus poj niam tsis sai li sai pom qhov hloov tus nqi, txij li thaum lawv tsis qhia lawv tus kheej. Feem ntau, cov kab mob ua rau muaj teeb meem nyob rau hauv conceiving ib tug me nyuam thiab nws thiaj li ua rau kom tiav sterility. Heev feem ntau, ntau cov poj niam raug kev txom nyem los ntawm uterine ncauj tsev me nyuam, lub pathology ntawm lub cev ua rau yus loj txim. Yog li ntawd, nws yog kom mus ob zaug ib xyoos mus rau ib tug gynecologist rau ib tug ua tiav kev xeem.

Yog hais tias ib tug poj niam muaj tej yam kab mob, tus neeg yuav tsum qhia nws tus kheej Center uterine pathology. Nws ces qhia rau tus neeg mob mus rau cov kev kho mob rau ntxiv kev kho mob. Tsis tas li ntawd thaum lub sij hawm kev kho mob ntawm pathologies ntawm lub tsev me nyuam tej zaum yuav xaiv ib tug kws ntawm lub ultrasound, magnetic resonance imaging (MRI), hysterosalpingography (HSG) thiab laparoscopic xeem.

Kom tsis txhob mob, cov kws txawj pom zoo kom tiv thaiv kev ntsuas:

• Nco ntsoov soj ntsuam zoo tus kheej kev tu cev.
• Txhua 6 lub hlis mus rau ua ib tug npaj soj ntsuam nyob rau gynecologist. Nws tseem yog tsim nyog. coj qhov kev tsim nyog kev ntsuam xyuas (smear - rau cytology tsom xam).
• Ua ib qho kev sib deev lub neej.
• Soj ntsuam cov kev cai ntawm kev tiv thaiv thaum lub sij hawm nrog txiv neej pw.

Ib tug poj niam xav tau kev pab kom muab tau tsis tau phem. Haus dej haus cawv thiab haus luam yeeb ua rau poob kev tiv thaiv: phem lub cev resists ntau yam kab mob. Qhov loj tshaj plaws yog yuav tsum tau nkag siab noj qab haus huv. Yog hais tias koj muaj tej paug, mob thiab lwm yam unpleasant cov tsos mob, nco ntsoov sab laj ib tug kws kho mob rau kev soj ntsuam thiab ntxiv kev kho mob.