Puas yog daim ntaub ntawm koj lub tsev menyuam tuab zuj zus? Cia peb tham txog '(Endometrial Hyperplasia)'!

Puas muaj tej lub sij hawm koj muaj hli tsis tu ncua, los ntshav ntau hnub ib zaug, lossis muaj ntshav tawm ntawm lub hli? Ib txhia neeg xav tias qhov no yog ib txwm muaj, tshwj xeeb tshaj yog thaum yuav txog lub sij hawm tas sij hawm lossis tom qab lub sij hawm ntawd, tab sis nws tsis yog li ntawd tas li. Qee zaum qhov no tuaj yeem yog ib qho cim qhia txog qee yam uas yuav tsum txhawj xeeb txog. Qhov ntawd yog qhov mob uas peb yuav tham txog hnub no, hu ua '(Endometrial Hyperplasia.' Txawm hais tias lub npe yuav suab txawv me ntsis, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

"Endometrial Hyperplasia" yog dab tsi? Cia peb nkag siab yooj yim.

, `(Endometrial Hyperplasia)` , `‍` (`Endometrium`) . `‍` , . , , . , `‍` ‍ , `(Endometrial Hyperplasia)` . `(Endometrial Cancer)` . .

Puas muaj ntau hom no? Lawv yog dab tsi?

Yog, cov kws kho mob faib cov kab mob Endometrial Hyperplasia raws li kev hloov pauv ntawm cov cell hauv koj lub endometrium. Qee hom muaj feem yuav mob qog noj ntshav ntau dua, thaum lwm hom tsis yog.

• Endometrial Hyperplasia tsis muaj Atypia: Hauv hom no, cov hlwb hauv daim ntaub ntawm lub tsev menyuam zoo li qub. Lawv tsis tshua muaj feem yuav mob qog noj ntshav. Qhov mob no yuav zoo dua yam tsis tau kev kho mob, lossis koj tus kws kho mob yuav pom zoo kom siv tshuaj hormones. Qhov no kuj muab faib ua ob hom: yooj yim thiab nyuaj. Nws yog txiav txim siab los ntawm tus qauv ntawm cov hlwb.

• `Atypia` `(Atypical Endometrial Hyperplasia / Endometrial Hyperplasia with Atypia)`: . `Atypia` ‍ , ‍ . , . ‍ , า . ` ‍ (Simple Atypical)` ` ‍ (Complex Atypical)` .

Yog koj tus kws kho mob qhia rau koj tias koj muaj tus mob no, nws yog ib qho tseem ceeb heev uas yuav tsum nkag siab meej tias nws yog hom mob dab tsi thiab muaj kev pheej hmoo dab tsi.

Endometrial hyperplasia feem ntau tshwm sim li cas?

Qhov tseeb, Endometrial Hyperplasia tsis yog ib qho mob uas pom ntau heev. Nws cuam tshuam kwv yees li 133 ntawm 100,000 tus poj niam.Tus mob no feem ntau pom muaj rau cov poj niam uas tab tom hloov mus rau hauv lub cev tsis hloov pauv lossis cov uas tau dhau los ntawm lub cev tsis hloov pauv tag nrho.

Cov tsos mob ntawm qhov no yog dab tsi? Saib seb koj puas muaj cov no thiab

Ib tug neeg uas muaj endometrial hyperplasia yuav muaj cov tsos mob zoo li no:

• Kev los ntshav tsis zoo li qub: Qhov no txhais tau tias los ntshav ntawm cov sij hawm los ntshav, lossis los ntshav dua tom qab kev los ntshav tsis ua hauj lwm lawm (tom qab kev los ntshav tas).
• Lub voj voog luv luv: Lub voj voog tshwm sim tsawg dua 21 hnub.
• Kev los ntshav ntau dhau.
• Los ntshav tom qab lub sijhawm tas lawm. Qhov no yog ib qho cim qhia tias koj yuav tsum mus ntsib kws kho mob.
• Qee zaum kev coj khaub ncaws tsis ua haujlwm kiag li (Amenorrhea).

Cov tsos mob no feem ntau pom tau thaum lub sijhawm hloov mus rau lub sijhawm tsis muaj hli. Nws yog ib qho ib txwm rau koj lub voj voog tsis zoo, rau qee lub hlis nws yuav tsis tshwm sim, thiab rau kev los ntshav tsis tu ncua tshwm sim. Txawm li cas los xij, yog tias koj muaj cov tsos mob no, nws yog qhov zoo tshaj plaws los tham nrog kws kho mob es tsis txhob tsuas yog xav tias nws yog ib qho cim ntawm kev tsis muaj hli. Tus kws kho mob tuaj yeem txiav txim siab seb qhov no puas yog "Endometrial Hyperplasia" lossis tsis yog.

Puas muaj mob?

Qee zaum, mob plab/lub duav yuav tshwm sim. Koj kuj tseem yuav mob thaum sib deev (Dyspareunia). Txawm li cas los xij, cov tsos mob feem ntau yog los ntshav tsis zoo.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Cov poj niam uas muaj Endometrial Hyperplasia tsim cov tshuaj hormones estrogen ntau dhau thiab tsis txaus cov tshuaj hormones progesterone. Ob hom tshuaj hormones no ua lub luag haujlwm tseem ceeb heev rau lub voj voog ntawm kev coj khaub ncaws thiab kev xeeb tub.

Xav txog nws, thaum lub sijhawm ovulation, cov tshuaj hormones estrogen ua rau lub txheej ntawm lub tsev menyuam (endometrium) tuab. Cov tshuaj hormones progesterone npaj lub tsev menyuam rau kev xeeb tub. Yog tias cev xeeb tub tsis tshwm sim, cov tshuaj progesterone poob qis. Qhov kev poob qis ntawm progesterone qhia rau lub tsev menyuam, "Okay, tam sim no nws yog lub sijhawm los tshem cov txheej no." Qhov ntawd yog qhov tshwm sim thaum muaj hli.

Txawm li cas los xij, rau cov poj niam uas muaj "Endometrial Hyperplasia", lub cev tsim cov progesterone me me lossis tsis muaj. Yog li ntawd, daim ntaub ntawm lub tsev menyuam tsis poob. Hloov chaw, daim ntaub txuas ntxiv loj hlob thiab tuab. Thaum nws tuab, cov hlwb uas ua rau nws sib ze heev thiab pib ua tsis sib xws.

Leej twg yuav muaj feem ntau dua rau qhov no? (Cov Yam Uas Ua Rau Muaj Kev Pheej Hmoo)

Qhov mob Endometrial Hyperplasia feem ntau tshwm sim rau cov poj niam uas yuav luag tas sij hawm lawm (perimenopause) lossis twb tas sij hawm lawm. Nws tsis tshua muaj rau cov poj niam hnub nyoog qis dua 35 xyoo kom muaj qhov mob no. Lwm yam uas ua rau muaj kev pheej hmoo suav nrog:

• Qee cov kev kho mob qog noj ntshav hauv lub mis (piv txwv li:"Tamoxifen").
• Rau cov neeg mob uas muaj mob ntshav qab zib (mob ntshav qab zib) .
• Pib muaj hli thaum tseem hluas heev lossis dhau lub hnub nyoog laus lig heev.
• Yog tias ib tug neeg hauv koj tsev neeg tau muaj mob qog nqaij hlav zes qe menyuam, mob qog nqaij hlav hauv tsev menyuam, lossis mob qog nqaij hlav plab hnyuv .
• Rau cov neeg uas muaj kab mob ntawm lub gallbladder .
• Yog koj muaj lub tsev menyuam, koj tab tom noj tshuaj hormones uas tsuas muaj estrogen xwb (tsis muaj progesterone).
• Rau cov poj niam uas tsis tau muaj menyuam .
• Kev rog dhau .
• Rau cov neeg uas muaj mob polycystic ovary syndrome (PCOS) .
• Rau cov neeg haus luam yeeb .
• Rau cov neeg uas muaj kab mob thyroid .
• Kev coj khaub ncaws tsis raws sijhawm lossis tsis muaj kev coj khaub ncaws ntev .
• Yog tias koj tau muaj kev kho mob pelvic irradiation .
• Yog tias lub cev tiv thaiv kab mob tsis muaj zog (vim yog tus kab mob autoimmune lossis qee yam tshuaj).

Qhov no ua rau muaj teeb meem dab tsi?

Txawm yog hom hyperplasia twg los xij, kev los ntshav tsis zoo thiab ntau dhau tuaj yeem ua rau koj muaj mob ntshav tsis txaus, lossis tsis txaus ntshav . Mob ntshav tsis txaus tshwm sim thaum lub cev tsis muaj cov qe ntshav liab txaus, uas muaj hlau.

Qhov tseem ceeb tshaj plaws yog tias yog tias hom "atypia" (Atypical Endometrial Hyperplasia) tsis kho, nws tuaj yeem ua mob qog noj ntshav.

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Kwv yees li 8% ntawm cov poj niam uas muaj "Simple Atypical Endometrial Hyperplasia" yuav mob qog noj ntshav yog tias tsis kho. Yuav luag 30% ntawm cov poj niam uas muaj "Complex Atypical Endometrial Hyperplasia" yuav mob qog noj ntshav yog tias tsis kho.

Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum mus ntsib kws kho mob sai sai yog tias koj muaj cov tsos mob thiab nrhiav seb muaj dab tsi tsis ncaj ncees lawm.

Tus kws kho mob kuaj qhov no li cas? (Kev kuaj mob)

Muaj ntau yam ua rau muaj kev los ntshav hauv tsev menyuam tsis zoo. Yog li, txhawm rau nrhiav qhov ua rau koj cov tsos mob, koj tus kws kho mob yuav ua ib lossis ntau qhov kev kuaj mob hauv qab no:

• Kev Siv Ultrasound Transvaginal: Qhov no suav nrog kev ntxig ib lub cuab yeej me me los ntawm qhov chaw mos thiab siv cov suab nthwv dej los thaij duab ntawm lub tsev menyuam. Cov duab no tuaj yeem pab txiav txim siab seb daim ntaub ntawm lub tsev menyuam puas tuab dhau.
• Ib qho 'Endometrial Biopsy': Qhov no suav nrog kev coj ib qho qauv me me ntawm cov ntaub so ntswg los ntawm daim ntaub ntawm lub tsev menyuam. Tom qab ntawd lawv yuav raug kuaj xyuas hauv qab lub tshuab microscope kom pom tias puas muaj cov hlwb mob qog noj ntshav lossis qhov xwm txheej ntawm 'Hyperplasia'.
• Kev kuaj lub tsev menyuam hauv plab (hysteroscopy): Yuav muab ib lub raj nyias nyias uas muaj lub koob yees duab txuas rau nws (hysteroscope) hla lub qhov ncauj tsev menyuam mus rau hauv lub tsev menyuam. Thaum lub sijhawm ua qhov no, yuav muaj kev kuaj thiab kho (D&C) lossis kev kuaj nqaij me me (biopsy). Kev kuaj lub tsev menyuam hauv plab (hysteroscopy) tso cai rau koj saib sab hauv ntawm lub tsev menyuam thiab, yog tias muaj tej qhov chaw txawv txawv, yuav muaj kev kuaj nqaij me me (biopsy).

Cov kev kho mob rau qhov no yog dab tsi? (Kev Kho Mob)

Feem ntau cov tshuaj hormones hu ua progestin kho qhov endometrial hyperplasia. Progestin yog ib hom tshuaj hormones uas tsim los ntawm cov tshuaj hormones progesterone, uas koj lub cev tsim tawm me me. Progestin muaj ntau hom sib txawv:

• Kev kho mob progesterone hauv qhov ncauj.
• Ua ib yam khoom siv uas ntxig rau hauv lub tsev menyuam (ib yam khoom siv Intrauterine - IUD, uas muaj 'Progesterone').
• Ua ib qho kev txhaj tshuaj (piv txwv li Depo-Provera® ).
• Ib qho tshuaj pleev rau ntawm qhov chaw mos (tshuaj pleev qhov chaw mos los yog gel).

Txawm li cas los xij, nyob rau hauv cov rooj plaub no, tus kws kho mob yuav pom zoo kom ua hysterectomy :

• Yog tias koj tus mob hnyav zuj zus tuaj, lossis yog tias cov hlwb mob qog noj ntshav pib loj hlob.
• Yog tias tus mob tsis zoo dua nrog kev kho mob progestin.

Puas tsim nyog yuav tsum tau phais tshem lub tsev menyuam?

Feem ntau cov endometrial hyperplasia tsis tas yuav tsum tau tshem tawm lub tsev menyuam. Muaj ntau tus poj niam ua tau zoo nrog kev kho mob progestin. Txawm li cas los xij, yog tias koj muaj feem yuav mob qog noj ntshav hauv tsev menyuam, tshwj xeeb tshaj yog tias koj muaj mob hu ua Complex Atypical Endometrial Hyperplasia, ces kev phais hysterectomy yuav yog ib qho kev xaiv.

Puas muaj dab tsi uas peb ua tau los tiv thaiv kev loj hlob ntawm '(Endometrial Hyperplasia)'?

Muaj qee yam koj ua tau los txo qhov kev pheej hmoo ntawm kev mob no:

• Yog tias koj noj tshuaj hormones tom qab lub sijhawm tas lawm, siv progesterone nrog rau estrogen (yog tias koj muaj lub tsev menyuam).
• Yog koj lub hlis tsis tu ncua, xav txog kev noj cov tshuaj tiv thaiv kev yug me nyuam uas muaj ob qho tib si estrogen thiab progestin (raws li koj tus kws kho mob tau sau tseg).
• Tsum haus luam yeeb.
• Tswj koj tus kheej kom muaj qhov hnyav zoo.

Yav tom ntej yuav zoo li cas nrog rau qhov xwm txheej no? (Outlook)

Kev loj hlob ntawm cov noob qes hauv lub tsev menyuam teb tau zoo rau kev kho mob progestin. Txawm li cas los xij, yog tias koj muaj kev loj hlob ntawm cov noob qes hauv lub tsev menyuam uas tsis zoo li qub, nws tuaj yeem hloov mus ua mob qog noj ntshav hauv lub tsev menyuam. Yog li ntawd, koj tus kws kho mob yuav pom zoo kom kuaj ultrasound tsis tu ncua, kuaj cov noob qes hauv lub cev, lossis phais tshem tawm cov noob qes kom tshem tawm qhov kev pheej hmoo ntawm mob qog noj ntshav. Cov lus qhia no yog ua raws li koj qhov kev kuaj mob, koj keeb kwm kev noj qab haus huv, thiab koj qhov kev pheej hmoo ntawm kev mob qog noj ntshav.

Puas yog Endometrial Hyperplasia hloov mus ua mob qog noj ntshav hauv txhua tus neeg?

Tsis yog, nws tsis tshwm sim li ntawd tas li. Qhov kev pheej hmoo ntawm kev mob qog noj ntshav tuaj yeem yog li ntawm 8% txog 30%, nyob ntawm hom Endometrial Hyperplasia uas koj muaj. Tsuas yog qee hom thiaj li hloov mus ua mob qog noj ntshav. Koj tus kws kho mob tuaj yeem piav qhia koj hom twg, kev kho mob zoo tshaj plaws yog dab tsi, thiab koj qhov kev pheej hmoo ntawm kev mob qog noj ntshav yog dab tsi.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj ib qho ntawm cov tsos mob no, mus ntsib kws kho mob kom sai li sai tau:

• Yog koj los ntshav ntau dhau los yog tsis raws li qhov xav tau.
• Yog tias koj muaj ntshav tawm ntawm qhov chaw mos tom qab lub sijhawm tas lawm.
• Yog tias koj muaj mob hnyav heev thaum muaj hli (Dysmenorrhea) .
• Yog koj mob thaum tso zis (dysuria) .
• Yog koj muaj mob thaum sib deev (Dyspareunia) .
• Yog tias koj muaj mob plab mog .
• Yog tias muaj cov kua tawm ntawm qhov chaw mos uas tsis tshua muaj .
• Yog koj tsis nco koj lub sijhawm ntau zaus .

Cov lus nug tseem ceeb uas yuav nug tus kws kho mob yog dab tsi?

Yog tias koj muaj Endometrial Hyperplasia, koj tuaj yeem nug koj tus kws kho mob cov lus nug no:

• Kuv muaj hom Endometrial Hyperplasia twg?
• Puas yog kuv muaj feem yuav mob qog nqaij hlav hauv tsev menyuam ntau dua? Yog tias muaj, kuv yuav ua li cas los txo kuv qhov kev pheej hmoo?
• Kev kho mob zoo tshaj plaws rau kuv hom Endometrial Hyperplasia yog dab tsi?
• Cov kev pheej hmoo thiab cov kev mob tshwm sim ntawm cov kev kho mob no yog dab tsi?
• Puas yog kuv tsev neeg muaj feem yuav mob Endometrial Hyperplasia? Yog tias muaj, lawv yuav ua li cas los txo lawv qhov kev pheej hmoo?
• Tom qab kho tas lawm, kuv xav tau kev saib xyuas tom qab li cas?
• Kuv puas yuav tsum tau ceev faj txog cov cim qhia tias muaj teeb meem?

Cov hnub nyoog twg uas tus mob no feem ntau tshwm sim?

Feem ntau pom muaj cov poj niam uas tab tom hloov mus rau hauv lossis tau tas sij hawm lawm. Lub hnub nyoog nruab nrab ntawm kev tas sij hawm yog li ntawm 51 xyoo. Yog li, cov poj niam hnub nyoog ntawm 50 thiab 60 xyoo feem ntau yuav muaj tus mob no.

Tej yam tseem ceeb uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Endometrial hyperplasia yog ib qho mob uas lub txheej ntawm lub tsev menyuam tuab zuj zus. Qhov no tuaj yeem ua rau los ntshav tsis zoo thiab qee zaum tsis xis nyob. Ntau tus poj niam pom kev pab nrog kev kho mob progestin hormone. Txawm li cas los xij, cov poj niam uas muaj atypical endometrial hyperplasia muaj feem ntau dua ntawm kev mob qog noj ntshav hauv tsev menyuam. Hauv cov xwm txheej zoo li no, kev phais hysterectomy tuaj yeem txo cov tsos mob thiab txo qhov kev pheej hmoo ntawm mob qog noj ntshav. Nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog kev kho mob zoo tshaj plaws rau koj. Tsis txhob ntshai nug koj tus kws kho mob yog tias koj muaj lus nug.

Endometrial Hyperplasia, daim ntaub ntawm lub tsev menyuam tuab, kev coj khaub ncaws tsis xwm yeem, kev hloov pauv hnub nyoog, progestin, mob qog nqaij hlav hauv tsev menyuam