Pathology ntawm endometrium

Kev kuaj ntawm pathology ntawm endometrium ntawm uterus yog heev ntau, uas muaj xws li inflammatory hloov, ntau overgrowth ntawm endometrium (hyperplasia, polyposis). Rau txhua qhov pathology, nws cov cim ntawm endometrial pathology yog yam ntxwv. Nyob rau hauv tsab xov xwm no, peb yuav xav txog qhov ua rau, cov paib, kev tshuaj ntsuam thiab kev kho mob ntawm kev hloov ntawm txoj kev hloov qis.

Endometrial Pathology - Ua rau

Ib qho ntawm ntau hom kev endometrial pathology yog hyperplasia, qhov ua rau nws tuaj yeem: endocrine ntshawv siab, kis kab mob thiab kev cog tshuaj. Tus essence ntawm no pathology yog cov pathological proliferation ntawm cov hlab ntsha ntawm cov tshuaj tiv thaiv kawg ntawm cov qoob loo thiab lub qeeb ntawm kev tuag ntawm tes, uas yuav tsum muaj qhov chaw nyob rau ntawm qhov kawg ntawm kev coj khaub ncaws. Nyob rau hauv cov ntaub ntawv ntawm uneven kev loj hlob ntawm qhov mucous uterus, no pathology ntawm endometrium yog hu ua polyposis.

Qhov ua rau cov kab mob ntawm cov kab mob hauv endometrium yog cov kab mob, tshwj xeeb yog poj niam txiv neej (chlamydia, mycoplasma, gonorrhea rau cov poj niam ). Endometritis yuav yog qhov yuav tau txais kev rho menyuam tawm thiab kev nyuab heev.

Endometrial pathology - cov tsos mob

Hyperplasia ntawm endometrium yog clinically tshwm sim los ntawm uterine ntshav, lengthening ntawm menstrual ntshav thiab metrorrhagia thaum lub cev ntas. Cov npe ntawm cov ntshav tuaj yeem ua rau muaj cov hlab ntsws tsis muaj ntsws. Lub qog pathology ntawm kev ntsuas hauv plab thiab lub cev xeeb tub tsis zoo ib yam nkaus. Yog li, qhov loj hlob ntawm lub uterine mucosa muaj peev xwm cuam tshuam implantation ntawm embryo thiab ua rau infertility.

Endometritis tuaj yeem tshwm sim los ntawm sukrovichnymi secretions los ntawm lub tsev menyuam, nrog tus ntxhiab tsw, uas muaj cov tsos mob ntawm kev qaug zog (kev tsis muaj zog, mob taub hau, kub cev).

Kev kuaj ntawm txoj kev ua haujlwm ntawm lub cev

Thawj txoj kev kuaj kab mob yog ultrasound nrog lub qhov muag plawv. Cov cim qhia ntawm lub qog ntawm cov keeb qes qis no yog ib lub cev los sis hauv zos los ntawm qhov kev ntsuas endometrium. Hauv kev ntsuam xyuas, txoj haujlwm tseem ceeb yog ua si los ntawm kev xa cov kabmob uterine nrog kev soj ntsuam tom qab ntawm cov kabmob uterine kabmob. Histological soj ntsuam ntawm endometrium tso cai rau kev txiav txim siab seb hom hyperplasia (fibrous, glandular, glandular fibrous), thiab kuj los txiav txim seb muaj cov kab mob atypical hauv cov khoom khaws tseg. Hysteroscopy yog ib txoj kev niaj hnub thiab txoj hauv kev kuaj kab mob ntawm qhov qoob loo ntawm endometrium, uas tso cai rau koj pom kev loj hlob ntawm mucosa, tab sis kuj yog kom tshem tawm cov polyp los yog txiav cov kab mob pathological (hysteroresectoscopy).

Nws yuav tsum tau muab sau tseg tias qhov pathology ntawm endometrium nyob rau hauv postmenopausal poj niam yog ib qho kev hem thawj rau kev tsim cov malignant neoplasms ntawm lub tsev menyuam.

Pathology ntawm endometrium - kev kho mob

Nyob rau hauv kev kho mob ntawm endometrial pathology, conservative thiab ua hauj lwm txoj kev yog txawv. Txoj kev kho hormonal muaj xws li hormonal therapy. Nrog endometrium, cov kab mob txaus tsim nyog thiab kev siv tshuaj tua kab mob yog qhia. Cov kev phais mob, kev kho mob-tshawb nrhiav kev kho, hysteroresectoscopy thiab uterine tshem tawm yog qhov txawv. Kev kho mob-tshawb nrhiav kev txheeb ze yog siv nyob rau hauv cov ntaub ntawv ntawm uterine los ntshav. Nws lub hom phiaj tseem ceeb yog txiav kom los ntshav thiab noj biomaterial rau kev tshawb nrhiav. Hysteroresectoscopy pub rau koj kom ua tib zoo tshem tawm cov kab ntsig ntsws ntawm cov qoob loo ntawm cov keeb thiab cov thias. Yog hais tias muaj coob tus neeg atypical hlwb raug kuaj pom thaum pathohistological kev xeem, ces tus neeg mob tau pom zoo kom muaj kev qis ntawm lub tsev menyuam.

Peb kuaj xyuas tau ntau yam ntawm kev hloov cov kev hloov hauv cov kev ntsuas endometrium, lawv txoj kev kuaj mob thiab kev kho mob. Txhawm rau tiv thaiv qhov kev mob ntawm txoj kev cov kab mob pathological, kev ntsuam xyuas kev tiv thaiv ntawm cov kws kho hniav ginecologist tseem ceeb heev.