Niaj hnub no coob tus poj niam tau hnov los ntawm cov kws kho mob paub txog "endometrial polyp", thiab tsis yog txhua tus paub nws txhais li cas. Cov ntaub so ntswg uas ntxias cov phab ntsa ntawm lub tsev menyuam los ntawm sab hauv yog hu ua endometrium. Yog hais tias cov ntaub so ntswg ntawm endometrium sab nraud nthuav tawm, ces xws li ib qho pathology feem ntau yog suav hais tias yog ib qho polyp ntawm endometrium. Raws li kev ntsuam xyuas kab mob kev nkeeg, tus poj niam laus, qhov siab dua yuav ua mob.
Dab tsi yog qhov kawg ntawm qhov hnyuv ncov ntawm lub tsev menyuam?
Lub polyp nyob rau hauv lub tsev menyuam yog ib txoj kev loj hlob uas muaj ib qho xwm txheej oncological. Polyp muaj ib txhais ceg thiab lub cev, uas nyob ntawm qhov chaw ntawm cov ntaub so ntswg ntawm phab ntsa uterine. Feem ntau, qhov polyp yog tsim nyob rau hauv cov qauv ntawm lub qhov quav ntawm qhov kawg. Qhov luaj li cas ntawm cov roj hmab yuav txawv ntawm ob peb millimeters mus rau ob peb cees. Nyob rau hauv nws cov qauv, qhov kawg ntawm qhov hnyuv npua zoo li pob los yog ib lub voj kheej nrog sab hauv glandular txheem. Nws muaj kev sib txuam ferruginous.
Hom tshuaj endometrial polyps
- nyob rau cov poj niam uas muaj menyuam hnub nyoog, glandular polyps ntawm endometrium feem ntau pom.
- Cov poj niam uas muaj hnub nyoog siab dua yog cov uas muaj cov roj ntsha polyps ntawm endometrium, uas feem ntau yog cov tsis tshua muaj.
- xyaw daim ntawv - glandular fibrous polyps ntawm endometrium - muaj ntau feem ntau ua rau poj niam tom qab 35 xyoo.
Hauv polyps ntawm endometrium, tej zaum yuav muaj mob plawv, ua rau mob hlab ntsws, thiab qee qhov mob polyps tau degenerate rau hauv adenomas. Nyob rau hauv xws li mob, polyps ntawm endometrium yog suav hais tias yog ib qho kev mob.
Qhov ua rau ntawm polyps ntawm endometrium
Tus tsim kom muaj qhov kawg ntawm lub cev ntawm cov tshuaj polyp yog vim qhov ua txhaum ntawm hormonal ua haujlwm ntawm lub zes qe menyuam vim yog nce cov ntsiab lus ntawm estrogens thiab tsis muaj progesterone. Qhov ua rau ntawm cov tsos mob ntawm glandular polyps ntawm endometrium yog feem ntau mob ntawm qhov kev ua rau endocrine, tshwj xeeb tshaj yog rau cov poj niam uas muaj rog, kub siab thiab lwm yam kab mob. Inflammatory kev ntawm sab hauv plhaub ntawm lub tsev menyuam, rho menyuam, curettage ntawm uterine kab noj muaj qhov ua mob ntawm polyps. Cov tsos ntawm endometrial neoplasms yog cuam tshuam los ntawm ib qho kev thaj yeeb tsis zoo thiab kev tsis txaus siab.
Cov tsos mob ntawm qhov kawg ntawm tus kab mob polyp
Feem ntau, xws li cov polyps tsis manifest lawv tus kheej nyob rau hauv txhua txoj kev thiab yog li ntawd characterised li asymptomatic. Txawm li cas los xij, hauv qee tus poj niam, cov kev tshwm sim nram qab no ntawm cov tshuaj tiv thaiv kab mob endometrial tau pom.
- spotting thaum lub cev ntas;
- profuse kev caij nyoog;
- spotting nyob nruab nrab ntawm kev coj khaub ncaws;
- hauv qee kis, tsis xis nyob thaum tso zis thiab thaum muaj kev sib deev;
- impossibility los ua cev xeeb tub thaum tsis muaj lwm yam kab;
- Cov tsos mob ntawm cov hnyuv glandular polyp ntawm endometrium zoo li cov contractions.
Rau qhov tshwm sim ntawm cov tsos mob ntawm txhua hom endometrial polyps, muaj ib qho kev ua raws cai: tus laus dua tus poj niam, cov tsos mob tshwm sim ntau dua.
Kev kuaj mob ntawm qhov kawg ntawm lub cev
- Yog ib qhov kev tshawb fawb zoo tshaj plaws ntawm lub qhov kawg ntawm cov tshuaj polomy yog ultrasound, uas nws yog kuaj tau raws li lub zos cov thickening ntawm cov ntaub so ntswg endometrial. Ultrasound tuaj yeem txheeb xyuas tau
ncha ntawm qhov kawg ntawm polyp. Ultrasound yog qhov zoo tshaj plaws ua tiav nyob rau thawj hnub tom qab xaus kev qog: 5-9 hnub txij thaum pib ntawm kev coj khaub ncaws. - Cov tshuaj siv niaj hnub no tseem siv cov kev ua kom haj yam ua kom pom tseeb rau qhov kev kuaj mob rau qhov kuaj pom los yog tsis muaj qhov kawg ntawm tus mob polyp. Cov txheej txheem no kuj yog tib lub ultrasound, tsuas yog lub uterine kab noj hniav yog txhaj los ntawm catheter kua, uas nthuav cov phab ntsa ntawm lub tsev me nyuam thiaj li tsim ntawm endometrium yog pom dua.
- Hysteroscopy yog txoj kev loj hlob zoo tshaj plaws ntawm kev txheeb xyuas qhov kawg ntawm lub cev. Cov txheej txheem no yog los tshuaj xyuas lub tsev menyuam los ntawm kev siv lub thev naus laus zis.