Yog vim li cas polyps tshwm nyob rau hauv lub tsev menyuam thiab yuav tsum tau muab tshem tawm

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Polyps tsis tshua muaj qhov tsis xis nyob, tab sis lawv tuaj yeem loj hlob mus rau hauv cov qog nqaij hlav cancer.

Placental thiab endometrioid polyps tuaj yeem tsim hauv tsev menyuam. Thawj ntawm lawv yog tsawg heev thiab tshwm sim tsuas yog tom qab rho menyuam lossis nchuav menyuam. Yog li ntawd, thaum lawv tham txog uterine polyps, lawv txhais tau hais tias kev loj hlob ntawm endometrium. Lawv yuav sib tham.

Dab tsi yog endometrial polyps thiab lawv yog dab tsi

Sab hauv ntawm lub tsev menyuam yog them nrog endometrium. Nws yog rau nws tias lub qe fertilized yuav tsum tau txuas, thiab nws yog nws leej twg tau cais nrog cov ntshav thaum cev xeeb tub, yog tias conception tsis tshwm sim.

Feem ntau, endometrium yog du. Tab sis qee zaum qhov kev loj hlob tshwm sim ntawm nws, xws li qhov loj me los ntawm cov noob hnav mus rau lub pob golf thiab txawm tias loj dua. Cov no yog endometrial polyps. Hauv lawv muaj cov ntaub so ntswg sib txuas thiab cov hlab ntsha, yog li lawv tsis ploj thaum cev xeeb tub thiab txuas ntxiv mus.

Ib lossis ntau dua polyps tuaj yeem tshwm sim hauv tsev menyuam. Thiab lawv tuaj yeem saib txawv kiag li. Qee tus ncab tawm ntawm ib txhais ceg nyias thiab dai zoo li lub txiv ntoo rau hauv lub tsev menyuam kab noj hniav lossis tawm mus rau hauv qhov chaw mos. Lwm tus tsim lub hauv paus dav, protrude nyob rau hauv daim ntawv ntawm tubercle.

Tsis tas li ntawd, lawv yuav muaj cov qauv histological sib txawv. Ntawd yog, qee qhov muaj qhov raug txiav txim ntawm cov txheej txheem ntawm lub cev ib txwm muaj, thaum lwm tus muaj tortuous hlab ntsha, cuam tshuam cov ntaub so ntswg thiab cov hlwb uas tuaj yeem ua rau mob qog noj ntshav.

Polyps tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis feem ntau tshwm sim rau cov poj niam hauv lawv cov 40s thiab 50s.

Yog vim li cas polyps tshwm nyob rau hauv lub tsev menyuam

Cov kws tshawb fawb ntseeg tias qhov tseem ceeb ua rau endometrial polyps yog qhov nce hauv cov tshuaj estrogen. Yog tias muaj ntau ntawm lawv hauv cov ntshav, qhov no yog hyperestrogenism kiag li. Tab sis ntau zaus nws yog txheeb ze, thaum estrogens yog ib txwm, thiab tsis muaj progesterone txaus. Qhov no tsuas yog tshwm sim tom qab 40 xyoo: thaum ovulation nres, progesterone tsis tsim.

Cov kev tshawb fawb hais tias hyperestrogenism, uas txhais tau tias polyps, feem ntau tshwm sim thaum:

• Poob hnyav. Estrogen yog tsim tsis tau tsuas yog los ntawm zes qe menyuam, tab sis kuj los ntawm cov ntaub so ntswg adipose. Thaum nws tsis txaus, hormonal keeb kwm tsis raug kev txom nyem. Thiab thaum muaj ntau, teeb meem pib.
• Arterial hypertension. Nws feem ntau tshwm sim hauv cov poj niam rog rog.
• Noj tamoxifen. Nws raug sau tseg rau kev kho mob qog noj ntshav mis. Nws thaiv cov tshuaj estrogen receptors hauv cov hlwb thiab tiv thaiv nws los ntawm stimulating qog loj hlob. Tab sis cov tshuaj hormones tseem nyob hauv cov ntshav, yog li nws saib rau lwm cov ntsiab lus ntawm daim ntawv thov thiab pom cov endometrium nyob rau hauv lub tsev menyuam.
• Hormone hloov kho hauv cov poj niam postmenopausal. Hauv qhov no, estrogens tau nkag mus rau hauv lub cev.

Nrog mob ntev ntawm lub tsev menyuam, polyps tuaj yeem tshwm sim, vim qhov tseeb tias cov cell endometrial pib faib tsis raug.

Vim li cas endometrial polyps txaus ntshai?

Feem ntau, endometrial polyp yog ib qho kev tsim kho zoo. Nws tsis tuaj yeem loj hlob mus rau ib puag ncig cov ntaub so ntswg, tsis muab cov metastases, nws cov hlwb tsis txawv ntawm cov qauv ntawm cov mucous membrane. Tab sis ib txwm muaj kev pheej hmoo ntawm cov teeb meem:

• Rebirth nyob rau hauv mob cancer. Raws li kev txheeb cais, kev hloov pauv mus rau cov qog qog nqaij hlav tshwm sim hauv 5.6% ntawm cov poj niam uas muaj atypical endometrial polyps. Qhov no yog ib hom kev tsim nyob rau hauv uas cov hlwb muaj cov qauv tsis paub tab, hloov pauv ntawm cov nucleus thiab kev tsis sib xws hauv cov txheej txheem ntawm cov ntaub so ntswg.
• Mob ntshav qab zib. Polyps ua rau uterine los ntshav. Yog tias nws tau rov qab ntau zaus, qib ntawm hemoglobin hauv cov ntshav txo qis.
• Kev xeeb tub. Nws ntseeg tau tias polyps tuaj yeem tiv thaiv cov phev los ntawm kev nkag mus rau hauv lub raj mis lossis tiv thaiv lub embryo los ntawm kev cog rau hauv phab ntsa ntawm lub tsev menyuam. Kev xeeb tub yog txuam nrog polyps hauv 3, 8-38, 5% ntawm cov neeg mob.

Cov tsos mob ntawm polyps nyob rau hauv lub tsev menyuam yog dab tsi?

Feem ntau polyps tsis ua rau muaj kev ntxhov siab txhua yam; lawv raug pom thaum lub sijhawm kuaj. Tab sis qee zaum cov tsos mob tshwm sim uas koj yuav tsum tau mus ntsib kws kho mob gynecologist:

• Kev coj khaub ncaws poob: ntau hnub sib txawv ntawm lub sijhawm txhua lub sijhawm, lub voj voog tau dhau los ntau dua 35 lossis tsawg dua 21 hnub.
• Spotting los yog los ntshav hnyav tshwm sim thaum lub sijhawm.
• Menopause ntev dhau los, tab sis mam li nco dheev muaj cov ntshav ntawm cov ris tsho hauv qab.
• Kev coj khaub ncaws hnyav hnyav dua thiab yuav tsum tau siv cov ntaub qhwv los yog tampons.
• Kev sim xeeb yog tsis ua tiav.

Mus rau gynecologist tam sim ntawd los yog hu rau lub tsheb thauj neeg mob yog hais tias lub ncoo overflows thiab leaks nyob rau hauv tsawg dua 2 teev. Qhov no yog ib qho kev tshwm sim ntawm cov ntshav uterine hnyav uas tuaj yeem ua rau lub neej hem.

Yuav kuaj li cas endometrial polyps raug kuaj

Cov polyp yuav luag tsis tuaj yeem pom thaum kuaj gynecological. Ib qho kev zam yog tias nws loj thiab tawm ntawm lub ncauj tsev menyuam. Yog li ntawd, kev kuaj mob tshwj xeeb yog xav tau:

• Transvaginal ultrasound. Nws yog ua tiav rau hnub 10 ntawm kev coj khaub ncaws. Txoj kev tshawb fawb no yooj yim heev, tab sis tsis yog ib txwm muaj tseeb: polyp tuaj yeem raug saib xyuas lossis tsis meej pem nrog fibroid. Yog li ntawd, yuav tsum tau kuaj ntxiv.
• Doppler ultrasonography, los yog xim Doppler daim ntawv qhia. Ib hom ultrasound tshwj xeeb uas qhia cov ntshav ntws hauv cov hlab ntsha hauv cov xim xiav thiab xim liab. Pab nrhiav cov hlab ntsha pub rau polyp.
• Sonohysterography. Ib txoj kev ultrasound, uas saline yog pumped rau hauv lub tsev menyuam. Cov kua dej nthuav tawm cov kab noj hniav, pab kom paub qhov txawv ntawm polyps ntawm fibroids thiab pom txawm tias me me: lawv yuav sway los ntawm kev txav ntawm dej.
• Hysteroscopy. Lub raj hloov tau nrog lub koob yees duab yees duab tau muab tso rau hauv tus poj niam lub tsev menyuam hauv qab tshuaj loog. Txoj kev pab kuaj cov polyp thiab tag nrho lub tsev menyuam, ua ib qho kev kuaj ntshav - coj qee cov ntaub so ntswg rau kev kuaj xyuas hauv lub tshuab tsom. Thaum kuaj hysteroscopy, koj tuaj yeem tshem tawm cov polyp.

Nws yuav muaj peev xwm hais meej txog cov qauv ntawm polyp, txhawm rau ntsuas qhov kev pheej hmoo ntawm degeneration mus rau mob qog noj ntshav tsuas yog tom qab kawm nws cov ntaub so ntswg thaum kuaj histological.

Yuav kho polyps hauv tsev menyuam li cas?

txawv. Tus kws kho mob gynecologist yuav tshem tawm cov neoplasm, sau tshuaj los yog muab rau tos. Qee cov kev tshawb fawb hais tias polyp mus txog 10 millimeters, uas tsis yog thab, tuaj yeem ploj mus hauv ib xyoos. Koj tsuas yog yuav tsum tau saib xyuas tsis tu ncua los ntawm kws kho mob.

Kev tshem tawm ntawm polyp

Cov kws tshawb fawb tseem tsis tau txiav txim siab seb puas yuav tshem tawm tag nrho cov endometrial polyps. Tab sis nrog los ntshav, npaj cev xeeb tub, thiab qhov tsis sib xws hauv lub voj voog, cov kws kho mob pom zoo kom tshem tawm cov neoplasms me me. Qhov no yuav pab coj koj lub sijhawm rov qab mus rau qhov qub.

Muaj peb txoj hauv kev los tshem tawm polyp:

• Curettage ntawm lub tsev menyuam. Raws li kev siv tshuaj loog, siv lub voj hlau tshwj xeeb, tag nrho cov mucous membrane ntawm lub tsev menyuam raug tshem tawm thiab xa mus rau kev kuaj mob histological. Txoj kev no haum rau me me polyps.
• Hysteroscopy. Qhov no yog txoj kev tseem ceeb ntawm kev kho mob. Tus kws kho mob tuaj yeem pom qhov chaw ntawm polyp, maj mam tshem cov polyp nrog lub voj hluav taws xob thiab cauterize nws lub hauv paus. Tom qab kev phais, cov ntshav me me tuaj yeem tshwm sim rau 1-2 hnub.
• Kev tshem tawm tsev menyuam. Nws yog siv yog tias muaj cov kab mob malignant tau pom hauv polyp. Qhov no yuav pab tiv thaiv kev mob qog noj ntshav thiab kev tuag.

Tshuaj kho mob

Gynecologists sau tshuaj hormonal nyob rau hauv cov ntsiav tshuaj los yog txhaj tshuaj, los yog muab ib tug hormonal kauj. Lub hom phiaj yog txhawm rau txo qhov tsim ntawm koj tus kheej cov tshuaj estrogen lossis thaiv lawv cov nyhuv ntawm endometrium.

Tab sis cov nyhuv ntawm tag nrho cov no yog ib ntus. Thaum tus poj niam tau txais cov tshuaj hormones, qhov loj ntawm cov polyps txo qis, cov tsos mob ploj mus, thiab sai li sai tau nws nres, txhua yam yuav zoo li qub.

Yog li ntawd, cov tshuaj tau sau tseg yog tias koj xav tau ncua kev ua haujlwm rau ob peb lub hlis lossis tam sim tom qab tshem tawm cov polyp txhawm rau txo qhov kev pheej hmoo ntawm kev rov tshwm sim.