Endometrial polyps

Endometrium yog lub tog menyuam sab hauv ntawm lub tsev menyuam (tsev menyuam). Overgrowth ntawm kab no tuaj yeem tsim polyps. Polyps yog qhov kev loj hlob zoo li ntiv tes uas txuas rau ntawm phab ntsa ntawm lub tsev menyuam. Lawv tuaj yeem yog me me li cov noob hnav lossis loj dua li pob golf. Tej zaum yuav muaj ib lossis ntau polyps.

Qhov tseeb yog vim li cas ntawm endometrial polyps nyob rau hauv cov poj niam tsis paub. Lawv zoo li yuav loj hlob thaum muaj ntau dua ntawm cov tshuaj estrogen hauv lub cev.

Feem ntau ntawm cov endometrial polyps tsis muaj mob qog. Tsawg tsawg leej neeg tuaj yeem yog cov kabmob lossis mob ua xaj. Txoj kev muaj mob kheesxaws ntau dua yog tias koj yog tus mob postmenopausal, ntawm Tamoxifen, lossis sijhawm hnyav lossis qog.

Lwm yam ua rau muaj kev pheej hmoo rau polyps endometrial yog:

• Kev pham
• Tamoxifen, kev kho mob qog noj ntshav mis
• Postmenopausal hormone hloov kev kho
• Tsev neeg muaj keeb kwm mob Lynch syndrome lossis Cowden syndrome (caj ces mob uas khiav hauv tsev neeg)

Endometrial polyps feem ntau muaj rau cov poj niam hnub nyoog 20 txog 40 xyoo.

Koj yuav tsis muaj cov tsos mob ntawm endometrial polyps. Yog tias koj muaj cov tsos mob, lawv yuav suav nrog:

• Los ntshav coj los ntshav uas tsis los ntshav li ib txwm muaj los
• Ntev los ntshav hnyav li coj khaub ncaws
• Los ntshav ntawm ntu
• Los ntshav los ntawm qhov chaw mos los tom qab lawm
• Cov teeb meem tau txais los yog nyob xeeb tub (ntxiv lawm tshob)

Koj tus neeg saib xyuas kev noj qab haus huv tuaj yeem ua cov kev ntsuas no kom paub seb koj puas muaj polyps endometrial:

• Transvaginal ultrasound
• Mob Lub Hlwb
• Endometrial me me
• Hysterosonogram: ib hom tshwj xeeb ntawm cov ultrasound hauv cov kua dej uas tau muab tso rau hauv uterine kab noj hniav thaum ua ultrasound
• Peb-seem ultrasound

Ntau polyps yuav tsum tau muab tshem tawm vim yog qhov muaj feem me me rau mob qog nqaij hlav.

Endometrial polyps feem ntau tshem tawm los ntawm tus txheej txheem hu ua hysteroscopy. Qee zaum, ib qho D thiab C (Dilation thiab Curettage) tuaj yeem ua mus rau biopsy endometrium thiab tshem tawm cov polyp. Qhov no tsis tshua siv.

Cov poj niam postmenopausal uas muaj mob polyps uas tsis ua rau cov tsos mob kuj tseem tuaj yeem xav txog lub sijhawm tos. Txawm li cas los xij, polyp yuav tsum tau muab tshem tawm yog tias nws ua rau qhov chaw mos los ntshav.

Tsawg zaus, polyps tuaj yeem rov qab los tom qab kho tas.

Endometrial polyps tej zaum yuav ua rau nws nyuab los yog cev xeeb tub.

Hu rau koj tus kws khomob yog koj muaj:

• Los ntshav coj los ntshav uas tsis los ntshav li ib txwm muaj los
• Ntev los ntshav hnyav los ntshav
• Los ntshav ntawm ntu
• Los ntshav los ntawm qhov chaw mos los tom qab lawm

Koj tsis tuaj yeem tiv thaiv kev mob endometrial polyps.

Uterine polyps; Kev mob ntshav khov - polyps; Vaginal los ntshav - polyps

Bulun SE. Muaj sia thiab pathology ntawm poj niam kev muaj me nyuam axis. Hauv: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Phau Ntawv ntawm EndocrinologyCov. 13th ed. Philadelphia, PA: Elsevier; 2016: chap 17.

Dolan MS, Toj C, Valea FA. Cov txhab txhab ua haujlwm rau lub ntsej muag: lub chaw mos, lub paum, lub ncauj tsev menyuam, lub tsev menyuam, oviduct, zes qe menyuam, ultrasound duab ntawm pelvic lug. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 18.

Gilks ​​B. Uterus: corpus. Hauv: Goldblum JR, Teeb Yuav LW, McKenney JK, Myers JL, eds. Rosai thiab Ackerman's phais Neeg Kho MobCov. 11th ed. Philadelphia, PA: Elsevier; 2018: chap 33.