Hyperplasia ntawm endometrium yog ib yam kab mob loj gynecological, uas muaj hauv qab no. Cov ntaub so ntswg cia rau lub tsev menyuam (endometrium) rau ntau yam vim li cas, nce ntim, thiab hnoos. Endometrial hyperplasia tuaj yeem ua tau:
- yooj yim;
- glandular;
- glandular-cystic;
- glandular fibrous;
- atypical.
Yooj yim hyperplasia yog ib lub thickening ntawm endometrium txheej tsis hloov cov qauv ntawm cov hlwb; glandular txhais tau hais tias tus muaj nyob rau hauv cov txheej ntawm cov ntaub so ntswg ntawm cov khoom tsis tseeb (hu ua adenomatosis). Nrog glandular-cystic hyperplasia ntawm endometrium, pathological formations - hlwv - pom muaj nyob rau hauv cov ntaub so ntswg. Raws li daim ntawv glandular fibrous, nws tsuas yog pom nyob rau hauv daim ntawv ntawm polyps - benign formations nyob rau hauv lub tsev menyuam. Qhov kawg tom daim ntawv ntawm tus kab mob yog feem ntau nyob rau hauv kev kho mob xyaum.
Nyias, ib daim duab ntawm glandular cystic endometrial hyperplasia yuav tsum txawv. Nws yog ib daim ntawv tshaj tawm, tsis zoo li glandular-cystic thiab glandular fibrous, vim qhov kev pheej hmoo ntawm tsim endometrial cancer hauv qhov no yog 10-15%.
Ua rau thiab mob tshwm sim ntawm tus kab mob
Glandular cystic endometrial hyperplasia, zoo li lwm yam, tshwm sim, raws li txoj cai, tawm tsam keeb kwm ntawm kev hloov hormonal tseem ceeb hauv lub cev (feem ntau yog cov ntxhais hauv kev hluas thiab cov poj niam thaum lub cev tsis nto). Tsis tas li ntawd, kev loj hlob ntawm tus kab mob no muaj peev xwm ua rau cov poj niam rog, qhov nws cov follicular cysts, amenorrhea thiab anovulation.
Cov tsos mob ntawm lub plab tseem ceeb ntawm qhov kawg ntawm qhov kawg ntawm lub cev yog qhov los ntshav, uas tej zaum yuav tsis txaus los yog xauv npo, nyob ntawm ntau yam. Raws li qhov tshwm sim ntawm hemorrhage, tej zaum yuav muaj cov tsos mob xws li tsis muaj zog, kiv taub hau, txo ntawm hemoglobin nyob rau hauv cov ntshav.
Yog hais tias tus kab mob no yog nrog los ntawm ib tug tsis muaj ovulation, ces ntxim rau cov nyhuv yuav infertility, suspicion uas feem ntau ua rau tus poj niam mus rau ib tus kws kho mob.
Nws kuj tseem yuav tsum tau sau tseg tias txoj hlab plawv glandular-cystic hyperplasia ntawm endometrium tuaj yeem ua tsis tau thiab tsis ua raws li qhov mob ntawm sab plab. Qhov teeb meem no nyuaj rau, vim tias yog tias tus kws kho mob tsis pom zoo hyperplasia, hysteroscopy yog ua tiav, thiab ultrasound yog siv los xyuas seb tus neeg mob puas muaj cov kua qaub cystic polyps ntawm endometrium.
Kev kho mob ntawm endometrial glandular cystic hyperplasia
Kev kho mob ntawm tus kabmob no yog ib tus neeg heev thiab nyob ntawm ntau yam: tus muaj hnub nyoog ntawm tus pojniam, nws tus kabmob ntawm nws daim duab, kev nojqab haushuv, muaj cov kabmob ntev, nws qhov kev ntshaw yav tom ntej kom muaj menyuam, etc. Tseem ceeb yog ntau yam kev hyperplasia.
Vim qhov ua rau tus kab mob no feem ntau muab zais rau hauv hormonal teeb meem, nws tseem kho nrog cov tshuaj hormonal (progestins thiab progestogens). Ua ntej txoj kev phais mob
Yog tias hyperplasia muaj atypical, ces nws txoj kev kho mob yuav tsum nrog ib tus kws kho mob gynecologist-oncologist. Yog hais tias hormone tshuaj kho tau zoo thiab tus poj niam xav kom muaj ntau tus menyuam, cov kws kho mob sim tsis mus rau kev ntsuas huab, tab sis yog hais tias qhov hyperplasia loj zuj zus, ces cov neeg mob tau txais kev pab cuam phais (tshem tawm ntawm lub tsev menyuam) kom tiv thaiv kev mob cancer.