YFibroid vs Polyp
Fibroids thiab polyps yog ob qho tib si gynecological mob tshwm sim hauv kev kho mob. Txawm hais tias muaj ntau hom fibroids thiab polyps, endometrial polyps thiab uterine fibroids yog ob qhov chaw uas feem ntau ua rau tsis meej pem. Ob qho xwm txheej muaj qee qhov kev nthuav qhia zoo sib xws thiab kev tshawb pom ntawm ultrasound kuj tuaj yeem sib npaug. Txawm hais tias qhov teeb meem ntawm kev kho mob no, muaj ntau qhov sib txawv ntawm fibroids thiab polyps, uas tau tham txog ntawm no kom meej.
Fibroids yog qhov txawv txav uas tshwm sim los ntawm cov ntaub so ntswg ntawm lub tsev menyuam. Lawv tuaj yeem tshwm sim ib leeg thiab hauv pawg. Tej zaum lawv yuav loj thiab me. Raws li qhov chaw, muaj plaub hom fibroids. Lawv yog cov sub-endometrial, intramural, sub-serosal thiab pedunculated fibroids. Sub-endometrial fibroids nyob rau hauv lub endometrium nyob rau hauv lub myometrium. Intramural fibroids pom nyob rau hauv lub myometrium. Sub-serosal fibroids protrude sab nraud ntawm sab hauv myometrium. Pedunculated fibroids pw txuas nrog lub tsev menyuam los ntawm ib tug stalk.
Fibroids tuaj yeem nthuav tawm ntau txoj hauv kev. Feem ntau cov fibroids ua rau cov poj niam los ntshav ntau dhau. Intramural fibroids cuam tshuam nrog uterine nqaij contraction thiab retards hemostasis tom qab coj khaub ncaws. Sub-endometrial fibroids nce qhov chaw ntawm lub endometrium thiab nce cov ntaub so ntswg rhiab heev rau hormonal hloov. Qee lub sij hawm fibroids tshwm sim qeeb zuj zus hauv plab. Sub-serosal thiab pedunculated fibroids tuaj yeem cuam tshuam rau ntawm lub plab thiab lub plab thiab ua rau cov tsos mob siab. Fibroids tuaj yeem ua rau muaj kev xeeb tub los ntawm kev cuam tshuam nrog kev cog qoob loo ntawm lub zes qe menyuam.
Fibroids tuaj yeem ua rau liab degeneration, hyaline degeneration, rog degeneration, calcification thiab tsiv teb tsaws. Malignant transformation yog tsis tshua muaj heev. Yog tias asymptomatic, fibroids tsis xav tau kev tshem tawm vim tias lawv rov ua dua tom qab lub cev tsis muaj zog. Yog tias cov tsos mob, myomectomy thiab hysterectomy yog kho.
Polyps
Polyps tuaj yeem tshwm sim los ntawm txhua qhov chaw. Hauv kev xyaum gynecological, lub ncauj tsev menyuam polyps thiab endometrial polyps tau ntsib ntau zaus. Cervical polyps tam sim no raws li qhov tsis sib xws ntawm qhov chaw mos los ntshav, post coital los ntshav thiab tshwm sim ntawm cov poj niam-cov chaw kho mob zoo. Cervical polyps yuav tsum tau excised thiab kuaj nyob rau hauv lub microscope, los txiav txim seb lawv puas benign los yog malignant.
Endometrial polyps feem ntau tshwm sim raws li kev coj khaub ncaws tsis tu ncua thiab los ntshav ntau dhau. Ultrasound scan ntawm pelvis qhia tau hais tias muaj zog endometrial thickness. Qhov no yuav tsum tau kuaj biopsy thiab tshawb nrhiav histological. Qee qhov endometrial polyps yog benign, thiab tsuas yog ib qho me me rov tshwm sim tom qab txiav. Qee qhov endometrial polyps yog malignant thiab xav tau hysterectomy.
Qhov txawv ntawm Fibroids thiab Polyps yog dab tsi?
• Fibroids yog cov ntaub so ntswg sib txuas thaum polyps yog keeb kwm ntawm epithelial. (Nyeem qhov txawv ntawm Epithelial thiab Connective ntaub so ntswg)
• Fibroids tuaj yeem loj heev thaum polyps feem ntau me me.
• Fibroids tuaj yeem ua rau lub tsev menyuam loj zuj zus thaum polyps tsis ua.
• Fibroids yuav luag tsis muaj mob thaum muaj tus lej tseem ceeb ntawm endometrial polyps yog malignant.
• Fibroids tsis xav tau kev kho mob yog tias asymptomatic thaum polyps ib txwm xav tau tshem tawm thiab tshuaj xyuas histological.
• Fibroids yog cov tshuaj estrogen rhiab heev thaum cov tshuaj estrogen ntau dhau yog qhov pheej hmoo rau endometrial polyps.
• Fibroids tuaj yeem dhau hyaline, liab thiab rog degeneration thaum polyps tsis ua. Fibroids regress tom qab menopause thaum polyps disintegrate.
Nyeem ntxiv:
1. Qhov txawv ntawm Cyst thiab Fibroid
2. Qhov txawv ntawm Medusa thiab Polyp
