Noj qab haus huv, Cov kab mob thiab mob
Hyperplasia endometrial cancer
Heev feem ntau nyob rau hauv Gynecology thiaj paub hais tias hyperplasia ntawm lub endometrium. Yuav kom qhov no yuav tsum tau npaum li cas tiag vim hais tias cov kab mob tsis muaj kev kho mob yuav ua rau ntxiv lawm tshob thiab txawm mob cancer.
Txawm li cas los, nrog kuaj pom thaum ntxov thiab txaus kho mob yog kiag li curable. Thaum pib ntawm tus kab mob yog endometrial cancer tej zaum yuav asymptomatic. Feem ntau nws qhia rau cov thawj lub sij hawm nyob rau hauv lub daim ntawv ntsuam xyuas rau ntxiv lawm tshob.
Tej zaum ib tug gynecologist muaj suspicions txog lub xeev ntawm cov uterine endometrium thaum lub sij hawm soj ntsuam los yog ntawd kuaj thaum lub sij hawm ib tug niaj hnub ultrasound, uas yog ib tug ntawm cov hau kev rau nws cov mob. Txawm li cas los, yuav ua rau ib tug poj niam pom ib tug kws kho mob yuav pab tau thiab nws cov tsos mob.
Tus kab mob yog uterine endometrium manifests nws tus kheej raws li nram no:
- nquag, ntev, hnyav ua poj niam;
- lus voj voog;
- uterine los ntshav;
- rho tawm los yog ua ntej menses, thiab nruab nrab ntawm lawv;
- uterine los ntshav nyob rau hauv lawm.
Thaum zoo li no tshwm sim ntev loj hlob thiab thooj ntawm lub puab txheej ntawm lub tsev menyuam. Yog vim li cas rau qhov no tshwm sim - ib tug tsis txaus poj niam txiv neej cov tshuaj hormones, nyob rau hauv uas tsub kom tus nqi ntawm cov tshuaj no thiab tsis txaus progesterone.
Qhov no yuav ua rau muaj ntau yam teeb meem, xws li ntawm zes qe menyuam hlav, lawv kawg, polycystic zes qe menyuam syndrome, rog. Txaus tshuaj kho kuj ua rau yus hormonal tsis txaus. Lwm yam tej yam kev mob yog fibroids, endometriosis, mis, daim siab mob, mob ntshav qab zib, tawg.
Nyob rau hauv lub mob ntawm cov kab mob ntawm lub endometrium ntawm lub tsev me nyuam siv hysteroscopy, ultrasound xeem, tab sis muaj tseeb hais tias nws yuav siv sij hawm qhov chaw, nws yuav tsuas yuav soj ntsuam histologically. Yuav kom qhov no kawg, ua ib tug me los yog curettage, thiab lub resulting cov ntaub ntawv uas yog xa mus rau kawm nyob rau hauv cov kev kuaj. Nyob rau hauv no kab mob, "tu" yog thiab kho manipulation.
Siv histological xeem yuav tsim kom muaj lub xub ntiag ntawm hyperplasia, qhov pom ntawm nws, thiab paub hais tias puas muaj ib tug phem txheej txheem. Nws yog ib qho tseem ceeb heev rau cov kev kho mob kiag thiab raug.
Endometrial hyperplasia tej zaum yuav atypical, thaum nyob rau hauv lub txhab ntaub muaj hloov hlwb. Qhov no variant ntawm tus kab mob yog feem ntau yuav ua tau kom mob cancer.
Nyob rau hauv tas li ntawd, hyperplasia tej zaum yuav yooj yim, thaum lub hlwb tau zus excessively, los yog ua thaum tus nto txheej tshwm sim tshwj xeeb tsa (adenomatosis) uas yog tsis yam ntxwv ntawm nws cov qub qauv. Muaj kuj yog ib daim ntawv ntawm tus kab mob no, uas muaj ob peb los yog ib tug polyp ntawm lub endometrium ntawm lub tsev menyuam.
Nws pom hais tias hyperplasia ua rau lub cev tsis tau xeeb tub. Firstly, thaum hormonal ntshawv siab feem ntau yog tshwm sim los yog tshwm sim heev tsis tshua ovulate. Secondly, yog hais tias nws tseem muaj ib qho chaw nyob rau hauv lub endometrial hloov yuav tsis tshwm sim implantation ntawm ib tug fertilized qe.
Tom qab zaj uas tsim nyog kho mob rau tus neeg mob yuav cev xeeb tub. Therapy tas yuav scraping thiab hormonal tshuaj. Kev kho mob ntawm ib tug yooj yim hauv daim ntawv ntawm tus kab mob no tshwm sim nyob rau hauv lub gynecologist-endocrinologist.
Tsav thiab tshuaj raug xaiv ib lub zuj zus tom qab hormonal xeem, noj mus rau hauv tus account lub hnub nyoog, qhov siab, hnyav, concomitant cov kab mob, lub siab xav kom muaj ib tug me nyuam nyob rau hauv lub nyob ze yav tom ntej thiab tag nrho.
Cov kev kho mob ntawm atypical daim ntawv ntawm hyperplasia koom gynecologists, oncologists. Nyob rau hauv cov ntaub ntawv no, cov lus nug tshwm sim ntawm lub tsev menyuam yog muab tshem tawm, vim hais tias ntawm lub high school lub caij nyoog ntawm cov mob cancer.
Yog li, hyperplasia ntawm endometrial cancer - ib tug kab mob uas tas yuav tsum tau kev kho mob, pub kom nws yuav ua rau ntxiv lawm tshob thiab mob cancer. Nyob rau hauv paub ib tug muab lub xeev yuav tsum tau ua Scraping ua raws li los ntawm histological xeem. Los ntawm cov kev tshwm sim nyob rau hauv lub tactics ntawm kev kho mob.
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