Dab tsi yog Endometrial Hyperplasia thiab Kho Li Cas?

Zoo Siab

• Txheej txheem cej luam
• Dab tsi yog hom mob endometrial hyperplasia?
• Kuv yuav paub tau li cas yog tias kuv muaj nws?
• Dab tsi ua rau endometrial hyperplasia?
• Nws kuaj tau li cas?
• Yuav kho nws li cas?
• Nws puas tuaj yeem ua lwm yam tsis haum?
• Qhov tshwm sim yog dab tsi?

Txheej txheem cej luam

Endometrial hyperplasia yog hais txog qhov tuab ntawm endometrium. Nov yog txheej txheej ntawm cov qe ntshav uas nyob hauv koj lub tsev menyuam. Thaum koj cov leeg ntawm endometrium tuab, nws tuaj yeem ua rau ntshav tsis txawv txav.

Txawm hais tias qhov xwm txheej tsis yog mob qog noj ntshav, qee zaum nws yuav yog lub sijhawm ua ntej rau kev mob qog nqaij hlav hauv tsev menyuam, yog li nws zoo tshaj rau ua haujlwm nrog tus kws kho mob los saib xyuas cov kev hloov pauv.

Nyeem rau cov lus qhia txog yuav ua li cas kom paub txog cov tsos mob thiab txais kev kuaj mob kom raug.

Dab tsi yog hom mob endometrial hyperplasia?

Muaj ob lub ntsiab ntawm endometrial hyperplasia, nyob ntawm seb lawv koom nrog txawv hlwb, hu ua atypia.

Ob hom yog:

• Endometrial hyperplasia tsis muaj atypia. Hom no tsis cuam tshuam nrog cov cell txawv txawv.
• Atypical endometrial hyperplasia. Hom no yog cim los ntawm overgrowth ntawm lub hlwb txawv txawv thiab suav tias yog qhov xwm txheej. Qhov tseem ceeb tau txhais tau hais tias muaj txoj hmoo nws tuaj yeem hloov mus rau kev mob kheesxaws uterine yam tsis tau kho.

Paub txog hom kab mob endometrial hyperplasia uas koj muaj tuaj yeem pab koj kom nkag siab zoo dua koj qhov mob qog nqaij hlav cancer thiab xaiv cov kev kho kom zoo tshaj

Kuv yuav paub tau li cas yog tias kuv muaj nws?

Cov tsos mob tseem ceeb ntawm endometrial hyperplasia yog qhov txawv txav ntawm uterine los ntshav. Tab sis dab tsi qhov no yeej zoo li?

Hauv qab no tuaj yeem ua rau tag nrho cov kev qhia ntawm endometrial hyperplasia:

• Koj lub sijhawm kom ntev dua thiab hnyav dua li ib txwm.
• Muaj tsawg dua 21 hnub ntawm thawj hnub ntawm ib lub sijhawm mus rau thawj hnub ntawm hnub tom qab.
• Koj tau hnov ​​ntawm qhov chaw mos los ntshav txawm hais tias koj tau mus lawm.

Thiab, qhov tseeb, los ntshav tsis txawv tsis txhais tau tias koj muaj cov roj ntsha raum ua ntu zus. Tab sis nws kuj tuaj yeem yog qhov txiaj ntsig ntawm ntau tus mob, yog li nws yog qhov zoo tshaj rau kev soj ntsuam nrog kws kho mob.

Dab tsi ua rau endometrial hyperplasia?

Koj lub cev ntas feem ntau cuam tshuam rau cov tshuaj hormones estrogen thiab progesterone. Cov tshuaj estrogen pab ua rau cov hlwb nyob hauv ob txoj leeg ntawm lub tsev menyuam. Thaum tsis muaj qhov kev xeeb tub tshwm sim, qhov kev poob qis hauv koj qib progesterone qhia koj lub tsev menyuam kom tso tawm hauv ob sab phlu. Qhov ntawd tau txais koj lub caij nyoog pib thiab lub voj voog pib dua.

Thaum ob qho tshuaj hormones no nyob hauv kev sib npaug, txhua yam khiav zoo. Tab sis yog tias koj muaj ntau dhau lossis tsawg dhau, tej yam tuaj yeem tawm ntawm sync.

Qhov feem ntau ua rau endometrial hyperplasia yog muaj cov estrogen ntau dhau thiab tsis txaus progesterone. Uas ua rau lub cell overgrowth.

Muaj ntau ntau cov laj thawj uas koj yuav muaj kev tsis txaus los tshuaj:

• Koj muaj hnub lawm. Qhov no txhais tau tias koj tsis zes qe menyuam thiab koj lub cev tsis tsim progesterone.
• Koj nyob rau hauv perimenopause. Ovulation tsis tshwm sim tsis tu ncua ntxiv lawm.
• Koj tsis dhau lub caij lawm thiab tau noj los yog tam sim no noj tshuaj estrogen (kev hloov kho hormone).
• Koj muaj lub cev tsis xwm yeem, ntxiv lawm tshob lossis polycystic ovary syndrome.
• Koj noj tshuaj uas qog tshuaj estrogen.
• Koj pom tias yog rog.

Lwm yam uas tuaj yeem ua rau koj qhov kev pheej hmoo ntawm endometrial hyperplasia muaj xws li:

• ua nkauj nraug hnub nyoog 35 xyoos
• pib coj khaub ncaws thaum tseem hluas
• ncav cuag lawm thaum lub hnub nyoog laus
• muaj lwm yam mob xws li mob ntshav qab zib, mob qog, lossis mob rau daim tawv ncauj
• muaj keeb kwm ntawm tsev neeg muaj keeb kwm poj niam, muaj mob ntawm zes qe menyuam lossis mob hnyuv loj

Nws kuaj tau li cas?

Yog tias koj tau tshaj tawm tias muaj los ntshav txawv txawv, koj tus kws kho mob yuav pib nug cov lus nug txog koj li keeb kwm kev kho mob.

Thaum lub sijhawm koj qhov tau teem caij, nco ntsoov sib tham:

• yog tias muaj ntshav txhaws thiab yog cov ntshav ntws hnyav
• yog los ntshav los tau mob
• lwm yam tsos mob uas koj tuaj yeem muaj, txawm tias koj xav tias lawv tsis muaj feem xyuam
• lwm yam mob uas koj muaj
• txawm koj yuav xeeb tub los tsis ua cas
• seb koj puas tau mus lawm
• tej cov tshuaj hormonal koj noj lossis tau noj
• yog tias koj muaj tsev neeg muaj keeb kwm mob cancer

Raws li koj cov keeb kwm kho mob, lawv yuav sim ua qee qhov kev kuaj mob. Cov no yuav suav nrog ib qho los yog sib xyaw ua ke hauv qab no:

• Transvaginal ultrasound. Txoj kev ua no suav nrog tso khoom me me rau hauv qhov chaw mos uas tig suab suab mus rau hauv cov duab hauv lub vijtsam. Nws tuaj yeem pab koj tus kws kho mob ntsuas qhov tuab ntawm koj endometrium thiab saib koj lub tsev me thiab lub zes qe menyuam.
• Mob Lub Hlwb. Qhov no suav nrog tso cov khoom me me nrog lub teeb thiab lub koob thaij duab rau hauv koj lub tsev menyuam hla ntawm koj lub ncauj tsev menyuam kom kuaj xyuas qee yam tsis txawv txav sab hauv lub tsev menyuam.
• Raug me. Qhov no suav nrog kev ntsuas nqaij me me ntawm koj lub tsev menyuam kom kuaj xyuas seb puas muaj qee yam kab mob qog nqaij hlav. Cov ntaub so ntswg cov qauv tuaj yeem coj thaum lub caij hysteroscopy, kev ua pa thiab kho tus mob, lossis ua ib qho yooj yim hauv chaw ua haujlwm. Cov ntaub so ntswg cov qauv yog tom qab ntawd xa mus rau tus kws kho mob rau kev tshawb xyuas.

Yuav kho nws li cas?

Cov kev kho kho feem ntau muaj kev kho tshuaj hormone lossis phais.

Koj cov kev xaiv yuav vam khom qee yam, xws li:

• yog tias pom cov hlwb atypical
• yog tias koj tau mus txog lawm
• cov phiaj xwm cev xeeb tub yav tom ntej
• tus kheej thiab tsev neeg keeb kwm mob cancer

Yog tias koj muaj hyperplasia yooj yim yam tsis muaj atypia, koj tus kws kho mob yuav qhia tias cia li ua qhov muag pom ntawm koj cov tsos mob. Qee zaum, lawv tsis mob hnyav dua thiab tus mob yuav ploj nws tus kheej.

Txwv tsis pub, nws tuaj yeem kho nrog:

• Kev kho qog. Progestin, yog ib daim ntawv hluavtaws ntawm progesterone, muaj nyob hauv cov ntsiav tshuaj raws li kev txhaj tshuaj lossis tshuaj ntaus hauv tsev.
• Hysterectomy. Yog tias koj muaj atypical hyperplasia, tshem koj lub tsev menyuam yuav ua rau koj muaj mob qog nqaij hlav tsawg. Txoj kev phais mob no txhais tau tias koj tsis tuaj yeem cev xeeb tub. Nws yog ib txoj kev xaiv zoo yog tias koj tau coj khaub ncaws lawm, tsis txhob npaj lub cev xeeb tub, lossis muaj kev pheej hmoo mob cancer.

Nws puas tuaj yeem ua lwm yam tsis haum?

Cov txheej txheem ntawm lub tsev menyuam yuav tau tuab thaum lub sijhawm dhau mus. Hyperplasia tsis muaj atypia tuaj yeem txhim kho atypical hlwb. Qhov tseem ceeb tshaj plaws yog qhov kev pheej hmoo tias nws yuav nce mus rau kev mob qog nqaij hlav uterine.

Atypia yog suav tias yog precancerous. tau kwv yees qhov kev pheej hmoo ntawm kev muaj mob ntawm atypical hyperplasia mus rau mob cancer txog 52 feem pua.

Qhov tshwm sim yog dab tsi?

Endometrial hyperplasia qee zaus daws nws tus kheej. Thiab tshwj tsis yog koj tau noj cov tshuaj hormones, nws ua rau nws loj hlob qeeb.

Feem ntau, nws yuav tsis muaj mob qog noj ntshav thiab teb tau zoo rau kev kho mob. Ua raws li yog qhov tseem ceeb heev los xyuas kom meej tias hyperplasia tsis tau nce mus rau hauv atypical hlwb.

Txuas ntxiv mus kuaj mob tsis tu ncua thiab ceeb toom koj tus kws kho mob rau kev hloov pauv lossis cov tsos mob tshiab.