Endometrium: nws yog dab tsi, uas nws nyob thiab tej zaum muaj kab mob

Zoo Siab

• Endometrial hloov pauv ntawm theem
• Endometrium hauv plab
• Cov kab mob tseem ceeb uas cuam tshuam rau Endometrium
• 1. Mob Khees Xaws (Cancer)
• 2. Endometrial polyp
• 3. Endometrial hyperplasia
• 4. Adenomyosis

Endometrium yog cov ntaub so ntswg uas ua rau txoj kab ntawm lub tsev menyuam sab hauv thiab nws cov tuab tuab sib txawv raws kev coj khaub ncaws raws li kev hloov pauv ntawm cov tshuaj hormones hauv cov hlab ntshav.

Nws yog nyob rau hauv endometrium uas qhov hlav ntawm lub cev pib tshwm sim, pib qhov kev xeeb tub, tab sis rau qhov no tshwm sim, endometrium yuav tsum muaj qhov tuab zoo tshaj plaws thiab tsis muaj cov cim qhia muaj kab mob. Thaum tsis muaj fertilization, daim ntaub plaub ya ri, thiab kev coj khaub ncaws yog tus cwj pwm.

Endometrial hloov pauv ntawm theem

Lub thickness ntawm endometrium sib txawv txhua lub hlis hauv txhua tus poj niam ntawm kev ua me nyuam hnub nyoog, yam ntxwv ntawm ntu ntawm kev coj khaub ncaws:

1. Proliferative theem:Txoj cai tom qab ua poj niam, tus endometrium kiag li tev tawm thiab npaj kom ntau ntxiv rau qhov loj me, cov theem no hu ua kev nthuav tawm, thiab nyob rau lub sijhawm no cov tshuaj estrogen pab txhawb cov kev tso tawm ntawm cov hlwb uas ua rau lawv cov tuab, ntxiv rau cov hlab ntshav thiab exocrine qog.
2. Cov ntawv hauv theem:Hauv theem zais cia, uas tau tshwm sim thaum lub sijhawm muaj txiaj ntsig, tshuaj estrogen thiab progesterone yuav ua kom paub tseeb tias endometrium muaj tag nrho cov as-ham tsim nyog rau kev cog qoob loo thiab khoom noj zoo ntawm lub cev. Yog tias muaj qhov chaw yug me nyuam thiab cov embryo tswj tau kom nyob hauv endometrium, qhov liab daj 'tso tawm' lossis kas fes thaj av yuav pom thaum nws lub hnub muaj me nyuam, tab sis yog tias tsis muaj qhov chaw yug, tom qab ob peb hnub tus poj niam yuav coj khaub ncaws. Paub yuav ua li cas paub txog cov tsos mob ntawm kev yug me nyuam thiab ua zes.
3. Kev coj khaub ncaws: Yog tias qhov chaw yug me nyuam tsis tshwm sim thaum lub sijhawm fertile, uas yog thaum endometrium nyob rau ntawm nws tuab, cov ntaub so ntswg no tam sim no nkag mus rau nws lub cev ntas thiab txo qis hauv cov tuab vim qhov tshwm sim tam sim ntawd cov tshuaj hormones hauv cov hlab ntshav thiab cov nqaij mos tsis ua haujlwm. Cov kev hloov pauv no ua rau endometrium kom xoob me ntsis los ntawm me me ntawm lub tsev menyuam phab ntsa, muab qhov ntshav nce uas peb paub los ntawm kev coj khaub ncaws.

Endometrium tuaj yeem txheeb xyuas tau siv kev kuaj mob gynecological, xws li pelvic ultrasound, colposcopy thiab cov duab hluav taws xob resonance, piv txwv li, nyob rau hauv uas tus kws kho mob poj niam kuaj xyuas txhua yam cim ntawm tus kab mob lossis hloov hauv cov ntaub so ntswg no. Paub lwm yam kev kuaj mob uas thov los ntawm tus kws kho mob poj niam.

Endometrium hauv plab

Qhov zoo tshaj plaws ntawm endometrium kom tau cev xeeb tub yog ib qho uas ntsuas txog 8 hli thiab yog nyob rau hauv chav zais khoom, vim hais tias qhov qog lossis atrophic endometrium, ntsuas tsawg dua 6 hli, tsis muaj peev xwm cia tus menyuam loj hlob. Lub hauv paus tseem ceeb ntawm cov qog endometrium yog qhov tsis muaj progesterone, tab sis qhov no tseem tuaj yeem tshwm sim vim kev siv tshuaj tiv thaiv, menyuam mos thiab mob raug mob tom qab rho menyuam lossis kho tawm.

Qhov tsawg kawg nkaus tuab kom cev xeeb tub yog 8 hli thiab qhov zoo tagnrho yog kwv yees li 18 hli. Hauv cov poj niam uas qhov no tsis tshwm sim zoo, tus kws kho mob yuav sau ntawv siv cov tshuaj hormonal xws li Utrogestan, Evocanil lossis Duphaston kom ntxiv rau cov leeg endometrial thickness, pab txhawb qhov cog lus ntawm lub cev uas nyob hauv lub tsev menyuam.

Kev siv cov tuab ntawm endometrium tom qab lawm yog 5 hli, uas tuaj yeem pom ntawm transvaginal ultrasound. Nyob rau theem no, thaum lub sijhawm loj tshaj 5 hli, tus kws kho mob yuav xaj ib qho kev kuaj mob ntxiv los ntsuas tus poj niam zoo dua thiab paub txog lwm yam cim uas yuav qhia tau cov kab mob xws li mob qog nqaij hlav endometrial, polyp, hyperplasia lossis adenomyosis, rau Piv txwv li.

Cov kab mob tseem ceeb uas cuam tshuam rau Endometrium

Hloov pauv hauv endometrium vim yog los ntawm cov kab mob tuaj yeem kho thiab tswj nrog kev siv cov tshuaj hormones thiab qee zaum muaj kev phais mob. Kev soj qab kuaj mob yog ib qho tseem ceeb kom tsis txhob muaj teeb meem ntawm txhua tus kab mob, tswj kev noj qab haus huv ntawm uterine thiab nce txoj hauv kev cev xeeb tub. Feem ntau cov kabmob uas cuam tshuam txog ntawm endometrium yog:

1. Mob Khees Xaws (Cancer)

Tus mob feem ntau uas cuam tshuam rau endometrium yog endometrial cancer. Qhov no tuaj yeem nrhiav tau yooj yim vim tias nws cov tsos mob tseem ceeb yog los ntshav sab nraud thaum coj khaub ncaws. Cov poj niam uas twb dhau los lawm thiab twb tau coj khaub ncaws mus 1 xyoo, pom tus tsos mob tam sim ntawd.

Rau cov neeg uas tseem tsis tau mus txog lub cev ntas tuag lub ntsiab tshwm sim yog ib qho kev nce ntxiv hauv cov ntshav poob lub sijhawm thaum coj khaub ncaws. Koj yuav tsum paub txog cov paib no thiab nrhiav tus kws kho mob poj niam tam sid, vim tias qhov teeb meem tshwm sim sai sai, qhov muaj feem yuav kho tau ntau dua. Kawm paub txheeb xyuas kab mob qog ntshav endometrial.

2. Endometrial polyp

Polyps nyob hauv thaj av ntawm endometrium muaj teeb meem thiab pom yooj yim vim tias nws ua rau cov tsos mob xws li ntshav poob ua ntej lossis tom qab pib ua poj niam lossis nyuaj lossis cev xeeb tub. Qhov kev hloov no tshwm sim ntau dua tom qab lub cev ntas thiab feem ntau tshwm sim rau cov poj niam noj tshuaj xws li Tamoxifen.

Feem ntau lub sijhawm cov kabmob no tau tshawb pom ntawm cov duab hluav taws xob (ultrasound) uas pom qhov nce ntawm nws tuab. Txoj kev kho yog ntawm tus kws kho mob poj niam ua tus xaiv tab sis tuaj yeem ua nrog kev tshem tawm los ntawm polyps los ntawm kev phais mob, tshwj xeeb tshaj yog yog tus poj niam tseem hluas thiab xav tau cev xeeb tub, tab sis feem ntau nws tsis tas yuav ua kev phais mob, tsis tas yuav noj tshuaj hormonal, ua ib qho kev soj ntsuam ntawm rooj plaub txhua txhua 6 lub hlis txhawm rau txhawm rau txhawm rau hloov pauv.

3. Endometrial hyperplasia

Qhov nce ntawm cov tuab ntawm endometrium yog hu ua endometrial hyperplasia, ua qhov ntau dua tom qab 40 xyoo. Nws cov tsos mob tseem ceeb yog los ntshav sab nraum lub cev ntas, ntxiv rau qhov mob, mob plab thiab ua rau lub tsev menyuam loj tuaj, uas tuaj yeem pom ntawm transvaginal ultrasound.

Muaj ob peb hom endometrial hyperplasia thiab tag nrho tsis cuam tshuam txog kabmob kheesxaws. Nws txoj kev kho mob yuav cuam tshuam nrog cov tshuaj hormones, kho mob los yog phais mob, hauv cov mob hnyav tshaj plaws. Kawm paub ntau ntxiv txog endometrial hyperplasia.

4. Adenomyosis

Adenomyosis tshwm sim thaum cov nqaij hauv cov phab ntsa uterine nce ntxiv, ua rau cov tsos mob xws li los ntshav hnyav thaum coj khaub ncaws thiab mob plab ua rau lub neej nyuaj rau cov poj niam, nrog rau qhov mob thaum sib chwv, cem quav thiab mob plab. Nws cov laj thawj tsis tau paub txhij txhua, tab sis nws tuaj yeem tshwm sim vim kev kho mob gynecological lossis kev phais plab yug me nyuam, piv txwv li, ntxiv rau, adenomyosis tuaj yeem tshwm sim tom qab cev xeeb tub.

Kev kho mob tuaj yeem ua nrog kev siv tshuaj thaiv, kev nkag los rau hauv lossis phais los txhawm rau tshem tawm lub tsev me nyuam, feem ntau mob hnyav, thaum cov tsos mob cuam tshuam heev thiab thaum muaj kev cuam tshuam nrog kev siv tshuaj los kho hormonal. Kawm ntxiv txog Adenomyosis.