Koj lub voj voog ntawm koj lub hli puas tsis xwm yeem? Muaj tej hnub nws hnyav heev, tej zaum nws qeeb mus ob peb hnub, lossis koj puas pom cov ntshav dua tom qab koj lub hli tas lawm? Txawm hais tias tej yam no zoo li ib txwm muaj rau ntau tus poj niam, qee zaum qhov no tuaj yeem yog ib qho cim qhia txog ib qho mob uas xav tau kev saib xyuas. Qhov ntawd yog qhov mob uas peb tab tom tham txog hnub no, 'Endometrial Hyperplasia'.
Hauv lwm lo lus, endometrial hyperplasia yog dab tsi?
Nws yooj yim heev. Lub txheej ntawm koj lub tsev menyuam, peb hu ua endometrium , ua tuab dua li nws yuav tsum yog, uas hu ua Endometrial Hyperplasia.
Xav txog nws, txhua lub hlis thaum lub sijhawm muaj hli, nws yog daim ntaub endometrial no uas tawm hauv koj lub cev. Tsis tas li ntawd, thaum tus menyuam xeeb tub, tus menyuam ntawd loj hlob zoo hauv daim ntaub no. Yog li qhov tshwm sim hauv qhov xwm txheej no yog tias nws tuab dua li nws yuav tsum yog. Rau qee tus poj niam, yog tias qhov mob no tsis raug tswj, nws tuaj yeem loj hlob mus ua mob qog nqaij hlav endometrial . Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.
Puas muaj cov hom no? Puas yog qhov kev pheej hmoo ntawm mob qog noj ntshav zoo ib yam rau txhua tus?
Yog, muaj ob hom tseem ceeb ntawm qhov no. Cov kws kho mob faib nws raws li hom cell hauv daim ntaub uterine tuab. Qee hom muaj feem ntau ua rau mob qog noj ntshav, thaum lwm hom muaj feem tsawg dua.
| Hom zoo | Piav qhia yooj yim |
|---|---|
| Hyperplasia tsis muaj atypia | Hauv qhov no, cov hlwb hauv phab ntsa tsev menyuam zoo li qub. Qhov no txhais tau tias lawv tsis tshua muaj feem yuav mob qog noj ntshav. Qee zaum qhov mob no tuaj yeem zoo dua yam tsis tas kho dab tsi. Lossis nws tuaj yeem kho tau nrog kev kho tshuaj hormones. |
| Atypical Hyperplasia | Nov yog hom uas peb yuav tsum txhawj xeeb tshaj plaws . Hauv qhov no, cov cell zoo li txawv txawv. Qhov ntawd txhais tau tias lawv muaj feem yuav mob qog noj ntshav ntau dua.Qhov no yeej yuav tsum tau kho. |
Yog li ntawd, nws tseem ceeb heev rau koj tus kws kho mob kom kuaj xyuas kom meej seb koj puas muaj atypia lossis tsis muaj. Qhov no yuav txiav txim siab koj txoj kev kho mob yav tom ntej thiab kev pheej hmoo.
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob tseem ceeb thiab feem ntau ntawm qhov no yog kev los ntshav tsis zoo.
- Kev coj khaub ncaws tsis xwm yeem: Muaj xim av los yog los ntshav ntawm cov voj voog coj khaub ncaws.
- Lub voj voog luv luv: Lub voj voog tshwm sim tsawg dua 21 hnub sib nrug.
- Los ntshav ntau: Los ntshav ntau dua li qub thaum muaj hli.
- Kev los ntshav tom qab lub sijhawm tas lawm: Kev los ntshav ntawm qhov chaw mos uas tshwm sim tom qab lub sijhawm tas lawm twb tsis muaj lawm. Qhov no yuav tsum tsis txhob xav tias yooj yim.
- Tsis muaj hli: Qee tus neeg yuav tsis muaj hli li.
Muaj coob tus neeg tsis quav ntsej txog cov tsos mob no thaum lawv mus txog hnub nyoog laus. Txawm li cas los xij, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob kom paub qhov ua rau muaj qhov teeb meem no.
Vim li cas qhov no thiaj tshwm sim? Qhov laj thawj tseem ceeb yog dab tsi?
Hais yooj yim xwb, qhov ua rau tseem ceeb yog qhov tsis sib npaug ntawm ob hom tshuaj hormones estrogen thiab progesterone hauv peb lub cev. Qhov ntawd yog, cov tshuaj estrogen hauv lub cev nce ntau dua li qhov tsim nyog, thiab cov tshuaj progesterone poob ntau dhau.
Xav txog nws, cov tshuaj hormones estrogen ua rau daim ntaub hauv tsev menyuam tuab. Cov tshuaj hormones progesterone npaj cov ntaub hauv tsev menyuam kom npaj cev xeeb tub. Yog tias cev xeeb tub tsis tshwm sim, cov tshuaj progesterone poob qis, thiab thaum ntawd daim ntaub hauv tsev menyuam yuav poob thiab tawm los ua lub sijhawm muaj hli.
Yog li, thaum tsis muaj progesterone txaus, lub tsev menyuam tsis tau txais lub cim qhia kom poob. Hloov chaw, nws txuas ntxiv mus tuab dua nyob rau hauv kev cuam tshuam ntawm estrogen. Qhov ntawd yog qhov tshwm sim ntawm no.
Leej twg yuav muaj feem yuav muaj qhov teeb meem no ntau dua?
Txawm hais tias tus mob no tuaj yeem tshwm sim rau cov poj niam txhua lub hnub nyoog, qee tus neeg muaj kev pheej hmoo siab dua me ntsis.
- Hnub nyoog: Nws tsis tshua muaj rau cov neeg hnub nyoog qis dua 35 xyoos. Cov poj niam uas tab tom yuav txog lub sijhawm tas hnub (perimenopause) thiab tau dhau los ntawm lub sijhawm tas hnub (menopause) muaj kev pheej hmoo siab dua.
- Yeej tsis tau cev xeeb tub.
- Kev Rog Phem: Thaum cov rog hauv lub cev nce ntxiv, cov tshuaj estrogen kuj nce ntxiv.
- Mob PCOS: Cov neeg uas muaj Polycystic Ovary Syndrome (PCOS) muaj kev tsis sib npaug ntawm cov tshuaj hormones.
- Mob ntshav qab zib.
- Qee cov kev kho mob qog noj ntshav:Cov tshuaj xws li Tamoxifen, uas yog siv rau mob qog noj ntshav hauv lub mis.
- Kev kho mob Hormone: Cov poj niam uas tsis tau muab lawv lub tsev menyuam tshem tawm thiab noj cov tshuaj estrogen ib leeg ua kev kho mob.
- Keeb Kwm Tsev Neeg: Yog tias muaj leej twg hauv koj tsev neeg tau muaj mob qog nqaij hlav hauv tsev menyuam, zes qe menyuam, lossis mob qog nqaij hlav plab hnyuv.
- Haus luam yeeb.
Tus kws kho mob nrhiav tau qhov no li cas?
Yog koj los ntshav txawv txawv, koj tus kws kho mob yuav kuaj ntau zaus kom paub qhov ua rau.
1. Kev Siv Ultrasound Transvaginal: Qhov no suav nrog kev ntxig ib lub cuab yeej me me los ntawm qhov chaw mos kom thaij duab meej ntawm lub tsev menyuam. Qhov no tuaj yeem ntsuas qhov tuab ntawm phab ntsa tsev menyuam kom raug.
2. Kev Kuaj Mob Endometrial Biopsy: Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Ib daim ntaub me me raug coj los ntawm phab ntsa uterine thiab kuaj hauv qab lub tshuab microscope. Tsis muaj dab tsi yuav tsum ntshai, qhov no yog qhov uas saib qhov xwm txheej ntawm cov cell thiab lees paub seb puas muaj atypia lossis cov cell mob qog noj ntshav.
3. Kev kuaj lub tsev menyuam: Muab ib lub raj nyias nyias uas muaj lub teeb ci ntsa iab tso rau hauv lub qhov ncauj tsev menyuam kom saib ncaj qha rau sab hauv ntawm lub tsev menyuam. Kuj tseem yuav tau kuaj lub cev thaum lub sijhawm no.
Koj ua dab tsi li kev kho mob?
Kev kho rau qhov no nyob ntawm seb koj muaj hom hypoplasia twg, koj lub hnub nyoog, thiab seb koj puas xav muaj menyuam ntxiv.
- Kev kho mob hormone Progestin: Qhov no yog kev kho mob tseem ceeb rau cov neeg feem coob. Progestin yog ib hom tshuaj hormone progesterone uas peb tau tham txog. Nws ua haujlwm los ntawm kev txo cov teebmeem ntawm estrogen thiab cia cov ntaub ntawm lub tsev menyuam tuab tawm.
- Cov tshuaj ntsiav uas nqos lawm
- Ib lub cuab yeej siv rau hauv tsev menyuam (IUD)
- Kev txhaj tshuaj (piv txwv li Depo-Provera®)
- Hom tshuaj pleev qhov chaw mos
- Kev phais tshem tsev menyuam: Feem ntau qhov no yog pom zoo rau cov poj niam uas muaj hyperplasia nrog atypia , uas muaj feem yuav mob qog noj ntshav ntau, thiab cov uas tsis xav muaj menyuam lawm. Kev phais no tshem lub tsev menyuam tawm, uas tuaj yeem txo cov tsos mob thiab txo qhov kev pheej hmoo ntawm mob qog noj ntshav.
Muaj tej yam xwm txheej twg uas koj yuav tsum mus ntsib kws kho mob?
Yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no, mus ntsib kws kho mob.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kev los ntshav ntau dhau los yog txawv txawv | Yog tias koj muaj ntshav ntau thaum lub sijhawm lossis tom qab koj lub voj voog. |
| Ntshav tom qab lub sijhawm tas lawm | Qhov no yog qhov yuav tsum tau kuaj xyuas. |
| Mob plab qis heev | Mob tsis taus uas tshwm sim thaum muaj hli. |
| Mob thaum sib deev | Yog koj ntsib qhov mob uas tsis tau muaj dua ua ntej. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Endometrial hyperplasia yog ib qho mob uas tshwm sim los ntawm kev tsis sib npaug ntawm cov tshuaj hormones.
- Cov tsos mob tseem ceeb yog los ntshav tsis tu ncua thiab los ntshav ntau. Tsis txhob tsis quav ntsej txog qhov no, tshwj xeeb tshaj yog tias nws tshwm sim tom qab lub sijhawm tas lawm.
- Cov neeg uas muaj 'atypia' muaj feem yuav mob qog nqaij hlav hauv tsev menyuam. Yog li ntawd, kev kuaj mob kom raug yog qhov tseem ceeb heev.
- Tsis txhob txhawj, muaj cov kev kho mob hormone zoo heev thiab, yog tias tsim nyog, phais rau qhov no.
- Qhov kev pheej hmoo ntawm tus mob no tuaj yeem txo tau los ntawm tej yam xws li tswj qhov hnyav kom noj qab nyob zoo thiab tsis txhob haus luam yeeb.
- Yog koj pom muaj kev hloov pauv hauv koj lub cev, tsis txhob ntshai lossis ncua sijhawm nrog koj tus kws kho mob tham txog qhov ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus