Endometrial polyp yog suav tias yog qhov txawv ntawm focal endometrial hyperplasia. Nyob rau hauv lwm yam lus, polyp yog lub pathology ntawm uterine mucosa. Rau kev kho mob zoo ntawm endometrial polyps, kev kuaj mob yog qhov tseem ceeb.
Ntau thiab cov tsos mob ntawm Polyps
Cov kws kho mob faib cov kab mob no rau ntau yam. Polyps loj hlob ntau tshaj li ntawm cov hauv paus ntawm lub lauj kaub tais diav thiab tuaj yeem ua rau cov nram qab no:
- fibrous (los ntawm kev sib txuas ntawm cov ntaub so ntswg);
- glandular-cystic (los ntawm kev ntxhib los ntawm daim ntaub txuas xov tooj thiab ntau tus qog);
- glandular fibrous (ntawm kev ntxhib los ntawm cov kab mob sib tw thiab muaj tsawg tus qog).
Cov tsos mob ntawm tus kab mob no yuav txawv txav. Qhov feem ntau pom yog:
- uterine ntshav;
- kev ua txhaum ntawm kev coj khaub ncaws;
- mob plawv;
- ntau tshaj tawm ntawm cov hniav dawb.
Diagnostics
Niaj hnub cov tshuaj rau kev kuaj mob ntawm cov polyps ntawm endometrium siv ntau qhov kev xeem:
- Hysteroscopy, uas yog lees paub tias yog txoj kev zoo tshaj plaws rau kev kuaj seb cov neoplasms ntawm cov poj niam hauv nruab nrog cev. Tsuas yog li no koj tuaj yeem nrhiav cov pob txha nyob rau ntawm cov ces kaum thiab hauv qab ntawm lub tsev menyuam. Nrog kev pab los ntawm kev ua kom hlais tawm, qhov kev tshem tawm ntawm cov tshuaj tiv thaiv kab mob endometrial yog ua los ntawm visually saib xyuas lub uterine kab noj hniav.
- Ultrasound ntawm lub me pelvis. Txoj kev kuaj no tuaj yeem ntes cov polyps ntawm glandular fibrous thiab fibrous.
- Histological tsom ntawm kev sib sab laj los txiav txim siab txog tus qauv ntawm lub polyp.
Kev kho mob ntawm endometrial polyp ntawm uterus
Tom qab kuaj tag nrho ntawm tus neeg mob thiab qhov kev kuaj mob, tus kws kho mob muab kev kho mob. Tag nrho cov neeg mob muaj kev pab cuam phais, tswj los ntawm ib tug hneev taw. Tu siab, kev kho mob ntawm endometrial polyps yam uas tsis muaj kev phais yog tsis yooj yim sua. Siv cov khoom siv cov tshuab kawg, tshem cov polyp, tom qab lub ncauj tsev menyuam. Thaum twg qhov loj ntawm qhov outgrowth loj dua (ntau dua 1 cm), txoj haujlwm yog ua los ntawm cov "untwisting" method. Ib txoj kev zoo sib xws yog hu ua polypectomy. Kom tsis txhob rov kho dua tshiab, qhov kawg ntawm cov kabmob ntawm tus kabmob polygon tau raug tshem tawm nrog lub vojvoog hysteroresectoscope.
Cov theem tom ntej yog cauterization ntawm qhov chaw uas tau tshem tawm cov qog, kua nitrogen lossis hluav taws xob tam sim no. Tiv thaiv kom tsis txhob rov huam mob, nws yog qhov yuav tsum tau ua. Kev kho mob ultrasound tom qab tau ob peb hnub.
Kev kho tom qab raug tshem tawm ntawm qhov kawg ntawm qhov hnyuv
Kev kho mob yog ua tiav nrog kev pab los ntawm kev siv cov qe thiab tom qab lub sijhawm, thaum lub qhov kawg ntawm tus kab mob polyp muaj fibrous qauv. Kev kho mob ntawm glandular polyps ntawm endometrium kuj suav nrog kev kho hormonal ntawm ib tug poj niam uas tswj kev ua kom nws cov keeb kwm yav dhau hormonal thiab kev coj khaub ncaws. Kev kho tus kabmob kho rau cov glandular fibrotic polyps ntawm endometrium zoo sib xws.
Thaum kuaj pom daim ntawv adenomatous ntawm polyp, tshem tawm ntawm lub tsev menyuam. Yog tias tus neeg mob muaj tus kab mob oncological predisposition thiab endocrine ntshawv siab, nws raug pom zoo kom tshem tawm cov ntawv ntxiv nrog lub tsev menyuam.
Rov qab kho tom qab phais feem ntau
Kev kho mob ntawm qhov kawg ntawm cov tshuaj phom polyp nrog cov tshuaj tua neeg yog ib qho ntawm cov zaub mov txawv raws li cov khoom ntuj tsim. Xws li cov kev kho ntawm txoj kev kho tau muaj kev kho zoo, tab sis ib qho tsis cia siab rau lawv. Kev kho haiv neeg kev kho mob ntawm qhov kawg ntawm tus mob polyp yog raug pom zoo los xyaum tom qab kev sab laj nrog tus kws kho mob. Nyob rau hauv qhov phem tshaj cov ntaub ntawv, koj tsis tau tsuas yog tsis pab, tab sis kuj ua rau koj tus kheej.