Endometrial Hyperplasia: Ua thiab Kho

Cov txheej txheem:

Endometrial Hyperplasia: Ua thiab Kho
Endometrial Hyperplasia: Ua thiab Kho
Anonim

Endometrial hyperplasia yog ib yam mob uas lub plab ntawm koj lub plab yuav tuab heev. Hauv qee tus poj niam, qhov no tuaj yeem ua rau mob qog noj ntshav ntawm lub tsev menyuam. Endometrial hyperplasia yog qhov tsawg. Nws cuam tshuam txog 133 ntawm 100,000 tus poj niam.

YEndometrial Hyperplasia yog dab tsi?

Y Koj endometrium yog lub hauv ob sab ntawm koj lub tsev menyuam (tsev menyuam). Thaum lub sij hawm cev xeeb tub, koj endometrium hloov. Cov tshuaj estrogen uas koj zes qe menyuam tsim ua rau koj cov endometrium thicken. Qhov no npaj koj lub tsev menyuam rau kev xeeb tub.

Tom qab tso qe los ntawm koj lub zes qe menyuam (ovulation), koj qib progesterone nce. Cov tshuaj no tau txais koj lub tsev menyuam npaj kom tau txais lub qe. Yog tias cev xeeb tub tsis tshwm sim, koj cov tshuaj estrogen thiab progesterone poob qis. Qhov no ua rau lub hauv ob sab phlu (menstruation).

Yog tias muaj qhov tsis txaus ntawm hormonal, txawm li cas los xij, koj lub endometrium tuaj yeem tuab thiab loj hlob ntau dhau. Qhov kev loj hlob txawv txav no yog endometrial hyperplasia.

Hom endometrial Hyperplasia yog dab tsi?

Muaj ob hom endometrial hyperplasia raws li hom kev hloov pauv ntawm tes hauv koj lub endometrium:

  • Yooj yim endometrial hyperplasia (tsis muaj atypia). Hom no muaj cov hlwb li qub uas tsis zoo li yuav mob qog noj ntshav. Tus mob no tuaj yeem txhim kho yam tsis tau kho.
  • Yooj yim lossis nyuaj atypical endometrial hyperplasia. Hom no yog precancerous thiab tshwm sim los ntawm ib tug overgrowth ntawm txawv txav hlwb. Yog tias tsis kho, nws yuav dhau mus ua mob qog noj ntshav los yog endometrial.

Dab tsi yog qhov ua rau Endometrial Hyperplasia?

Endometrial hyperplasia yog tshwm sim los ntawm cov tshuaj estrogen ntau dhau thiab tsis txaus progesterone. Yog tias muaj cov tshuaj progesterone tsawg dhau, koj lub tsev menyuam yuav tsis tshwm sim los ua rau nws cov kab mob (mob khaub thuas). Cov hauv ob sab phlu tseem thicken vim estrogen. Cov hlwb hauv ob sab yuav tuaj yeem sib sau ua ke thiab ua tsis zoo.

Cov tsos mob ntawm endometrial hyperplasia yog dab tsi?

Cov tsos mob ntawm endometrial hyperplasia suav nrog:

  • mob khaub thuas hnyav
  • Koob ntshav uas tshwm sim tom qab menopause
  • Kev coj khaub ncaws luv dua 21 hnub

Yuav ua li cas thiaj kuaj tau endometrial hyperplasia?

Koj tus kws kho mob yuav kuaj lub cev thiab suav nrog koj li keeb kwm kho mob. Lawv tuaj yeem nug txog koj cov tsos mob thiab keeb kwm kev coj khaub ncaws, xws li cov hnub nyoog uas koj pib ua poj niam cev xeeb tub thiab poj niam laus.

Ntau yam xwm txheej tuaj yeem ua rau los ntshav txawv txawv, yog li koj tus kws kho mob tuaj yeem ua qee qhov kev kuaj mob no:

Ultrasound. Koj tus kws kho mob yuav ua ultrasound transvaginal kom pom tias koj lub hauv ob sab phlu tuab. Lawv yuav ntxig ib lub cuab yeej me me rau hauv koj qhov chaw mos. Cov cuab yeej no siv suab nthwv dej, uas tau hloov mus rau hauv cov duab ntawm koj lub tsev menyuam. Yog tias koj qhov endometrium tuab, qhov ntawd txhais tau tias koj muaj endometrial hyperplasia.

Biopsy. Tej zaum koj kuj yuav tsum tau kuaj ntshav. Koj tus kws kho mob yuav tshem tawm cov qauv ntawm cov ntaub so ntswg ntawm koj lub tsev menyuam. Qhov no yuav raug sim hauv chav kuaj kom pom tias nws mob qog noj ntshav.

Hysteroscopy. Lub hysteroscope yog ib lub raj nyias, teeb, hloov tau yooj yim. Koj tus kws kho mob yuav siv nws los saib hauv koj lub tsev menyuam rau tej yam txawv txav. Lawv kuj tseem tuaj yeem ua qhov kev kuaj ntshav los yog qhov dilation thiab kho (D&C).

Thaum lub sijhawm dilation thiab khoov, koj tus kws kho mob yuav qhib (dilate) koj lub tsev menyuam, uas yog qhov qhib ntawm koj lub tsev menyuam. Tom qab ntawd lawv yuav siv cov cuab yeej nyias hu ua curette tshem tawm cov ntaub so ntswg ntawm koj lub tsev menyuam.

Kev kho mob rau endometrial hyperplasia yog dab tsi?

Feem ntau ntawm endometrial hyperplasia yog kho tau. Ib qho kev kho mob feem ntau yog progestin, ib tus neeg tsim progesterone.

Koj tus kws kho mob tuaj yeem sau tshuaj progestin hauv ob peb txoj kev sib txawv:

Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.

  • Via txhaj tshuaj
  • Nyob rau hauv vaginal cream
  • Nyob rau hauv ib qho khoom siv hauv tsev (IUD)
  • Koj yuav xav tau kev kho mob tsawg kawg rau lub hlis. Koj muaj kev pheej hmoo siab dua yog tias koj rog dhau los yog kho nrog qhov ncauj progestin, thiab koj yuav xav tau kev teem sijhawm rov qab txhua xyoo.

    hystercy. Koj tus kws kho mob yuav pom zoo rau kev phais kom tshem koj lub tsev menyuam (hysterectomy) yog:

    • Thaum koj kho, atypical endometrial hyperplasia tsim
    • Tom qab 12 lub hlis kho, tsis muaj kev txhim kho
    • Koj muaj mob rov qab los yog mob zuj zus ntxiv
    • Koj los ntshav tsis nres

    Tom qab ua hysterectomy, koj yuav tsis muaj peev xwm xeeb tub ntxiv lawm. Tham nrog koj tus kws kho mob kom paub seb qhov kev kho mob twg zoo tshaj rau koj.

    Puas muaj qhov pheej hmoo ua rau tau txais Endometrial Hyperplasia?

    Koj muaj kev pheej hmoo siab dua rau endometrial hyperplasia yog tias koj muaj cov xwm txheej txaus ntshai no:

    • Kev hloov pauv Menopause (perimenopausal) lossis menopause
    • Ib tsev neeg keeb kwm ntawm txoj hnyuv, zes qe menyuam, thiab mob qog noj ntshav
    • Tsis tau xeeb tub
    • Kev rog
    • Polycystic ovary syndrome (PCOS)
    • Smoking
    • kab mob gallbladder
    • kab mob thyroid
    • Kev kho mob qog noj ntshav mis
    • Hnub nyoog ntawm poj niam txiv neej
    • Hnub nyoog laus ntawm menopause

    Koj puas tuaj yeem tiv thaiv endometrial hyperplasia?

    Koj tsis tuaj yeem tiv thaiv endometrial hyperplasia, tab sis koj tuaj yeem txo koj txoj kev pheej hmoo nrog cov kauj ruam no:

    • Qu haus luam yeeb.
    • Tshaj tawm qhov hnyav.
    • Yog tias koj siv tshuaj hormone, noj cov tshuaj progestin nrog rau cov tshuaj estrogen.
    • Kev tiv thaiv kev yug menyuam los tswj koj lub cev kev coj khaub ncaws thiab cov tshuaj hormones.

    Cov Teeb Meem ntawm Endometrial Hyperplasia

    Yog tias tsis kho, atypical endometrial hyperplasia tuaj yeem ua mob qog noj ntshav. Kwv yees li 8% ntawm cov poj niam uas muaj cov kab mob atypical endometrial hyperplasia yooj yim uas tsis tau txais kev kho mob tsim mob qog noj ntshav. Ze li ntawm 30% ntawm cov neeg uas tsis kho qhov nyuaj atypical endometrial hyperplasia tsim mob qog noj ntshav.

    Pom zoo:

    Nthuav cov khoom
    Kev Siv Dej Cawv Dej
    Nyeem ntxiv

    Kev Siv Dej Cawv Dej

    Kev Siv Dej Cawv Yog Dab Tsi? Kev haus dej haus cawv (AUD) yog mob hlwb ntev uas koj tsis tuaj yeem nres lossis tswj koj haus txawm tias nws ua rau koj lub neej, koj txoj haujlwm, lossis kev noj qab haus huv. Nws yog ntau yam uas suav nrog kev haus cawv, uas yog thaum haus cawv muaj qhov tshwm sim loj dua.

    Kev Tsim Nyog Tshuaj: Hom Tshuaj, Cawv, Luam Yeeb, thiab lwm yam
    Nyeem ntxiv

    Kev Tsim Nyog Tshuaj: Hom Tshuaj, Cawv, Luam Yeeb, thiab lwm yam

    Kev tsim txom tshuaj tsis yog ib yam uas koj yuav tsum tau ua me ntsis. Nws tshwm sim thaum koj siv cawv, tshuaj kho mob, thiab lwm yam khoom raug cai thiab tsis raug cai ntau dhau los lossis tsis raug. Kev quav yeeb tshuaj txawv ntawm kev quav yeeb quav tshuaj.

    Sib Nrauj Ntsig Txog Kev Txhaum Cai
    Nyeem ntxiv

    Sib Nrauj Ntsig Txog Kev Txhaum Cai

    Kev quav cawv yog ib yam kab mob nyuaj thiab kho tau. Nws feem ntau yog kho nrog kev sab laj lossis lwm yam kev kho mob. Qee zaum koj yuav xav tau tshuaj nrog rau kev kho tus cwj pwm. Hmoov tsis zoo, ntau tus neeg uas muaj teeb meem siv tshuaj yeeb dej caw los yog kev quav yeeb quav tshuaj pom nws nyuaj rau kev tso tseg.