Thaum tau hnov los ntawm tus kws kho mob paub tias "adenomyosis of the uterus", nws yog dab tsi - cov neeg mob tsis paub tas li. Tus kab mob no feem ntau hu ua kev ntsuas hauv lub cev, ua kom muaj ntau yam kab mob no. Txawm li cas los xij, feem ntau cov kws kho mob kuj pom tau tias cov kab mob no, txawm tias muaj tej yam zoo sib xws.
Adenomyosis ntawm lub tsev menyuam - qhov no yog hom lus dab tsi?
Ua ntej yuav paub tias dab tsi adenomyosis yog nyob rau hauv cov poj niam, nws yog ib qhov tsim nyog yuav tsum tau ua tib zoo saib xyuas qhov ntawm lub cev ntawm lub cev. Lub phab ntsa ntawm lub tsev menyuam muaj peb txheej, lub puab ib sab ua qhov kawg ntawm lub plawv. Cov txheej txheem no feem ntau hu ua functional - txhua lub hlis nws muaj kev hloov pauv hloov. Thaum kawg ntawm kev coj khaub ncaws, nws tsis txais, yog tias tsis muaj cev xeeb tub, thiab tus poj niam kho txhua hli.
Nrog adenomyosis, muaj ntau lub qoob loo loj ntawm cov qoob loo endometrial. Lawv vam meej sai thiab maj mam pib mus dhau ntawm qhov mucous membrane. Dhau lub sij hawm, cov qoob loo endometrial txeem ntawm cov leeg mob thiab txawm mus rau cov kabmob nyob sib ze. Hauv pathology, txoj kev loj hlob ntawm endometrium yog pom tsis nyob hauv lub tsev menyuam, los ntawm thickening nws, tab sis sab nraud - nyob rau hauv cov kev taw qhia ntawm lub myometrium.
Adenomyosis - Ua rau
Tiag tiag yog lub npe vim li cas, vim yog cov adenomyosis tshwm sim, los yog nws hu ua - kev endometriosis, cov kws kho mob tsis tuaj yeem. Feem ntau cov kws txawj yog inclined rau txoj kev xav, raws li uas tus kab mob tsim tawm tsam tus keeb kwm ntawm hormonal hloov hauv lub cev. Ntawm cov mechanisms ntawm kev loj hlob ntawm tus kab mob, gynecologists paub qhov txawv:
- Implant theory - foci ntawm adenomyosis yog tsim los ntawm kev poob dej ntawm txoj hlab ntsha los ntawm cov hlab ntsha rau hauv cov kab noj hniav ntawm cov peritoneum.
- Metoplasia ntawm coelomic epithelium - foci ntawm tus kab mob no yog tsim los ntawm qhov seem ntawm embryonic nqaij uas tsis tau under regression nyob rau hauv lub tsim ntawm cov ntaub so ntswg ntawm kabmob ntawm qhov kev ua me nyuam.
- Induction - tsim los ntawm focal adenomyosis nyob rau hauv tus ntawm advers factors.
Nyob rau hauv kev loj hlob ntawm tus kab mob, cov kws kho mob paub thiab predisposing yam, lub xub ntiag uas nce ntau ntawm txoj kev pheej hmoo ntawm pathology. Ntawm lawv yog:
- hereditary predisposition rau neoplasms;
- tuaj lig lossis ntxov ntxov ntawm kev qoj ib ce ;
- rog dhau;
- qhov pib ua kom tiav ntawm kev sib deev;
- muaj kev khiav hauj lwm ntawm kev ua me nyuam;
- teeb meem ntawm kev yug menyuam;
- siv cov hlab ntsha.
Dab tsi yog qhov txaus ntshai ntawm kev ua tshuaj endometriosis?
Adenomyosis ntawm lub cev ntawm lub tsev menyuam nrog kev paub tsis meej, kev tsis tuaj yeem kho yuav ua rau tsis zoo. Tiv thaiv adenomyosis, muaj ntau zaus:
- mob ntev lossis mob tsis muaj ntshav qab zib (vim muaj ntau zaus );
- faib cov foci mus rau cov nqaij thiab cov pob txha uas nyob ze: plab hnyuv txhaws , hemothorax;
- malignization ntawm foci ntawm adenomyosis.
Adenomyosis - cov ntawv
Sab hauv endometriosis ntawm lub tsev menyuam muaj ntau hom ntaub ntawv morphological. Nyob ntawm seb qhov xwm txheej, qauv thiab lub cev qhuav dej licas faib:
- Dysfunctional adenomyosis - kev ua los ntawm ib qho kev nthuav dav ntawm cov kab mob hauv lub cev txhua qhov thoob plaws lub plab ntawm cov kabmob uterine.
- Focal (nodular) - nce nyob rau hauv lub xov tooj ntawm endometrial hlwb yog sau nyob rau hauv ob peb lub chaw, foci.
- Mixed daim ntawv - muaj cov cim qhia ntawm ob qho tib si lub npe.
Nws tseem muaj ib qho kev faib tawm ntawm adenomyosis nyob ntawm seb qhov kev nkag ntawm cov hlwb tob hauv:
- 1 degree - kev loj hlob yog tsau nyob rau hauv thaj tsam ntawm submucosal membrane ntawm uterus;
- 2 degree - proliferation kis rau ntawm cov leeg txheej, tab sis tsis ntau tshaj 50% ntawm nws cov tuab tuab;
- 3 degree - ntau tshaj li ib nrab ntawm cov kab mob hauv lub plawv (myometrium);
- 4 degree - endometrial hlwb tawm hauv npag npag, uas muaj nyob rau hauv cov txheej txheem cov uas nyob ib sab.
Focal adenomyosis
Nodular adenomyosis yog thaum yus nkag mus rau hauv cov leeg pob ntawm cov qoob loo ntawm lub hauv paus chiv keeb. Thaum ua ultrasound, cov kws kho mob tau hais tias lub cev muaj zog ntawm qhov sib txawv ntawm qhov loj thiab qhov chaw. Feem ntau lawv muaj peev xwm tau ntim nrog kua ntawm xim av los yog ntshav. Thaum lawv ua tiav, lawv cov lej nce tuaj, thiab qhov kev ncua deb ntawm lawv txo qis qis.
Diffuse daim ntawv ntawm adenomyosis
Diffuse adenomyosis tau pom thaum cov qoob loo endometrial loj tuaj sib npaug li ntawm qhov dej ntawm cov hnoos qeev. Nyob rau hauv lub puab txheej, thiaj li hu lub qhov muag tsis pom pockets yog tsim, uas penetrate lub ntau yam depths ntawm puab txheej ntawm lub tsev menyuam, ua ntej ntawm cov leeg. Nyob rau hauv cov ntaub ntawv no, muaj ib qho kev sib tw rau qhov tsim ntawm fistulas nyob rau hauv lub plab kab noj hniav, nrog rau kev nkag mus ntawm endometrial hlwb mus rau hauv lub plab hnyuv siab raum ntawm lub me pelvis. Diffuse daim ntawv tuaj yeem nkag mus rau hauv kev tsim tshuaj ntsuab.
Mixed daim ntawv ntawm adenomyosis
Mixed los yog diffuse-focal daim ntawv ntawm adenomyosis yog tus cwj pwm los ntawm muaj cov cim qhia ntawm ob theem ntawm pathology. Thaum tshuaj xyuas qhov chaw mos nrog ultrasound, cov kws kho mob txhim kho kev sib txuas ntawm cov kab mob nrog rau cov foci ntawm adenomyosis. Tus kab mob no tau pom nyob rau hauv kev qhaj ntawv tsis zoo ntawm focal forms, lawv paub los ntawm cov kws kho mob lig. Hauv cov kab mob pathological, lwm yam kabmob ntawm lub me pelvis yog kev koom tes:
- hnyuv quav;
- lub zais zis;
- zes qe menyuam thiab lub plab zom zaws.
Adenomyosis - cov tsos mob
Nyob ntawm seb cov tshuaj hu ua adenomyosis npaum li cas, qhov mob loj heev ntawm tus kab mob yuav hloov. Tus yam ntxwv tshwm sim thiab tus cwj pwm ntawm tus kab mob yog qhov hloov ntawm qhov xwm txheej thiab ntim ntawm cev ntws. Nrog rau tus kab mob adenomyosis, kev hnyav hnyav tas li 7 hnub lossis ntau dua, thaum ntshav siab tshaj 80 ml. Cov tshuaj txhaws feem ntau pom muaj nyob hauv. Tsis tas li ntawd, 2-3 hnub ua ntej thiab ntau npaum li cas lub sij hawm tom qab ntawd muaj cov xim av tawm daj. Qee zaum, cov neeg mob kuj tuaj yeem xav tus kab mob adenomyosis ntawm lub tsev menyuam, cov tsos mob uas yog:
- muaj zog mob heev hauv plab plab, muab rau thaj av pelvic, tsis txheeb txog lub hli;
- mob thaum lub caij ua ke;
- tus thawj hauv Hemoglobin tiv thaiv tsis tau cov ntshav siab;
- ceev ceev qaug zog;
- tsis muaj zog;
- kiv taub hau.
Mob hauv adenomyosis
Xav txog cov tsos mob ntawm tus kab mob adenomyosis, nws yog ib qho tsim nyog yuav tau cais cov cwj pwm mob hauv lub nraub qaum ntawm lub plab. Nrog rau qhov pib ntawm tus kab mob, lawv yog cov tsis siv, tsis muaj ntau tus poj niam tsis muab qhov tseem ceeb rau lawv, sau ntawv tawm lawv ntawm PMS. Kev hnov mob yuav ua mob 2-3 hnub ua ntej kev coj khaub ncaws thiab yuav kav ntev dua 3 hnub tom qab lawv tas. Qhov mob ntawm qhov mob thiab nws qhov chaw nyob yog vim lub zos ntawm foci ntawm adenomyosis, lawv cov naj npawb. Yog hais tias txoj kev loj hlob ntawm cov qoob loo endometrial nyob hauv thaj tsam ntawm lub isthmus, qhov mob irradiates rau hauv perineum, yog lub kaum sab xis ntawm lub tsev menyuam tau ntaus - nws mob sab laug los yog txoj cai hauv puab tais.
Echo cov cim ntawm cov kev ntsuas hauv lub nrog cev
Ua ntej qhov kev ntsuam xyuas yog ua raws li cov ntsiab lus tau sau tseg, tom qab kev soj ntsuam ntawm cov tsos mob tshwm sim ntawm tus kab mob. Ua kom muaj kev xav, ultrasound ntawm pelvic plab hnyuv siab raum yog ua tiav. Txhais tau adenomyosis ntawm ultrasound tuaj yeem raws li cov xeeb ceem:
- globular cov duab ntawm lub tsev menyuam;
- kev nce hauv qhov loj ntawm lub cev;
- txawv thickness ntawm phab ntsa ntawm lub tsev menyuam;
- cystic formations 3 hli thiab loj dua hauv kab suab;
- inclusion nyob rau hauv qhov kawg ntawm lub qe los sis hloov cov duab, tsis muaj duab ntxoov ntxoo qab;
- siab echo ntom ntawm formations.
Nrog diffuse adenomyosis ntawm lub tsev menyuam (uas yog qhov no - piav qhia saum toj no), qhov ua tau zoo ntawm ultrasound yog qhov txo tsawg. Nrog rau daim ntawv no ntawm pathology, hysteroscopy yog lub ntsiab diagnostic txoj kev. Txoj kev tshawb no yog tswj kev kawm cov ntaub so ntswg nrog kev pab ntawm cov khoom siv tshwj xeeb video. Lub caws pliav yog tso los ntawm lub paum thiab lub caj dab ncaj nraim mus rau hauv lub uterine kab noj hniav.
Adenomyosis - kev kho mob
Thaum kuaj xyuas qhov tshwm sim thiab qhov tshwm sim ntawm tus kab mob xws li adenomyosis ntawm lub tsev menyuam, nws yog dab tsi rau pathology, nws yog ib qho tsim nyog yuav tsum tau nres ntawm cov yam ntxwv ntawm txoj kev kho. Ua ntej yuav kho adenomyosis, cov kws kho mob ua tau tawm txoj kev ntsuas kev xav kom tsim muaj qhov ua rau tus kab mob no. Lub hauv paus ntawm kev ntsuas kev ntsuas yog hormonal therapy, vim hais tias tus teeb meem yog nrog los ntawm kev hloov hauv hormonal keeb kwm. Raws li cov tshuaj, cov tshuaj tiv thaiv kabmob qhov ncauj thiab cov tshuaj estrogens tau ntau dua:
- Janine ;
- Jess;
- Duphaston;
- Norkolut;
- Buserilin.
Txawm li cas los xij, yuav kom tshem tawm adenomyosis ntawm lub tsev menyuam, kev kho yuav tsum muaj kev sib dhos. Ntawm qhov chaw tseem ceeb ntawm txoj kev kho, cov hauv qab no yuav tsum tau qhia txog:
- tsis muaj kev cuam tshuam rau kev kho mob - Ibuprofen, Paracetamol;
- kev txais tos ntawm sedatives - Phytoset, Dormiplant;
- kev siv immunomodulators - Immunal, Immunomax;
- tshem tawm ntawm ntshav tsis txaus - Nqa plab;
- txij nkawm ntawm lub siab ua haujlwm - Essentiale;
- physiotherapy - electrocoagulation, embolization, ablation.
Adenomyosis ntawm lub tsev menyuam (uas yog qhov no - qhia saum toj no) feem ntau yog kho mob phais. Hauv qhov no, qhov kev xav tau rau kev phais mob yog txiav txim los ntawm tus kws kho mob. Yuav ua li cas kho adenomyosis ntawm uterus nyob rau hauv ib qhov teeb meem tshwj xeeb - tus kws kho mob txiav txim siab. Cov kev qhia rau lub lag luam yog:
- diffuse adenomyosis ntawm 3-4 degrees;
- Nodal los yog sib xyaw cov ntaub ntawv thaum tsis muaj kev kho ntawm hormonal kho;
- mob hnyav mob hnyav;
- ua ke nrog lwm cov kab mob pathological ntawm lub tsev menyuam (myoma, pathology ntawm lub caj dab), tus qog nqaij hlav hauv zes qe menyuam.
Tsis tas li, peb yuav tsum tham txog kev kho tus kab mob adenomyosis nrog kev kho neeg. Nws muaj ntau txoj hau kev uas pabcuam tus kabmob. Txawm li cas los, lawv tsuas siv tau tom qab sab laj nrog tus kws kho mob.
Herbal Tej Kev
Cov khoom xyaw:
- tus tswv yug yaj lub hnab - 1 teaspoon;
- keeb kwm aira - 1 teaspoon;
- kauj - 1 teaspoon;
- paj rwb diav - 1 teaspoon;
- nplooj ntawm nettle - 1 teaspoon;
- ncaws - 1 teaspoon;
- dej - 1 liter.
Kev npaj, daim ntawv thov
- Tshuaj ntsuab yog tov, poured nrog boiling dej.
- Ntsiag 2 xuab moos.
- Lim thiab nqa 0.5 khob 3 zaug ib hnub twg. Lub sijhawm kawm yog 1 lub hli.
Adenomyosis thiab cev xeeb tub
Cov teeb meem nrog lub tswv yim feem ntau pom muaj cov kab mob gynecological. Thaum kawm txog kev tsim qhov kev ntsuas hauv lub cev, txawm tias nws muaj peev xwm los cev xeeb tub, seb puas muaj tus kab mob hauv kev ua me nyuam yug - txhua tus poj niam nyiam. Adenomyosis feem ntau yog nrog ua txhaum ntawm lub voj voog, ces kev xeeb tub ntawm nws keeb kwm yuav tsis tshwm sim. Txawm li cas los xij, tus kab mob no tsis yog 100% kev tsis sib haum xeeb rau lub tswv yim. Western cov kws txawj tawm tsam tias adenomyosis txwv tsis pub cev xeeb tub yog tias muaj lwm yam kab mob.