Adenomyosis vs Endometriosis
Adenomyosis thiab endometriosis yog ob qho tib si vim muaj cov ntaub so ntswg endometrial nyob rau lwm qhov chaw uas tsis yog cov kab noj hniav ib txwm muaj. Adenomyosis yog ib hom kab mob endometriosis. Ob qho xwm txheej no muaj ntau yam sib txawv, tab sis muaj ob peb qhov sib txawv tseem ceeb thiab txhua tus yuav tau tham txog ntawm no kom meej.
Endometriosis
Lub tsev menyuam muaj lub hauv ob sab hauv hu ua endometrium uas hloov pauv hauv tuab, ntshav, thiab lwm yam ntxwv raws li cov cim hormonal ntawm hypothalamus, pituitary thiab zes qe menyuam. Cov kab no tawm txhua lub hlis thaum cev xeeb tub. Endometriosis yog txhais raws li kev kho mob raws li qhov muaj cov ntaub so ntswg endometrial ntawm qhov chaw uas tsis yog lub cev uterine kab noj hniav. Lub zes qe menyuam, hlab, dav ligament, qhov quav, zais zis thiab pelvic phab ntsa yog qhov chaw ntawm ectopic endometrial cov ntaub so ntswg. Cov ntaub so ntswg ectopic endometrial no kuj nyob rau hauv cov tshuaj hormonal ncaj qha. Vim yog kev hloov pauv hloov pauv cov ntaub so ntswg txawv txav ua rau muaj cov tsos mob tshwm sim thiab cov cim qhia. Endometrial deposits ntawm zes qe menyuam ua rau tsis muaj ovulation, kev puas tsuaj ntawm ova tom qab ovulation, cyst tsim thiab los ntshav rau hauv cov hlwv uas ua rau cov hlwv chocolate. Kev tso nyiaj rau ntawm ligament dav, phab ntsa ntawm lub plab, thiab cov hlab ntsha ua rau adhesions, uas cuam tshuam cov hlab ntsha perist altic tsis tu ncua. Qhov no tiv thaiv kev thauj ntawm ova thiab fertilized ov mus rau lub tsev menyuam, thiab subfertility thiab ectopic cev xeeb tub tuaj yeem ua rau. Endometrial deposits ntawm phab ntsa pelvic, broad ligament, hlab, thiab zes qe menyuam tuaj yeem los ntshav ua rau khaus ntawm lub plab peritoneum. Qhov no ua rau mob uas pib ob peb hnub ua ntej kev coj khaub ncaws thiab ua rau lub cev tsis muaj zog.
Ultrasound scan ntawm lub plab thiab pelvis yog qhov kev kuaj mob tshaj plaws rau endometriosis. CA-125, uas yog cov cim ntshav, tej zaum yuav nce siab hauv endometriosis tab sis tsis tshua muaj siab tshaj 100. Laparoscopy tso cai rau kev pom ncaj qha ntawm endometrial deposits thiab kho cauterization. Danazol, lupride, tshuaj tiv thaiv qhov ncauj, thiab kev txhaj tshuaj depo provera yog txoj kev kho hormonal rau endometriosis.
Adenomyosis
Adenomyosis yog muaj cov ntaub so ntswg endometrial hauv cov leeg nqaij ntawm lub tsev menyuam. Qhov no ua rau lub tsev menyuam loj sib xws. Muaj ntau dhau ntawm kev coj khaub ncaws los ntshav vim tias cov ntaub so ntswg endometrial cuam tshuam nrog kev cog lus ntawm cov leeg uterine. Muaj mob vim muaj los ntshav thiab khaus ntawm lub plab peritoneum. Tej zaum yuav los ntshav tsis tu ncua.
Ultrasound scan ntawm pelvis qhia tau hais tias lub tsev menyuam loj nrog kev tsis zoo ntawm qhov endometrium thiab myometrium. Adenomyomectomy, hysterectomy, thiab hormonal txoj kev kho mob muaj los kho adenomyosis.
Dab tsi yog qhov txawv ntawm Adenomyosis thiab Endometriosis?
• Endometriosis feem ntau yog hais txog qhov muaj cov ntaub so ntswg endometrial sab nraum lub tsev menyuam thaum adenomyosis hais txog qhov muaj cov ntaub so ntswg hauv tsev menyuam ntawm qhov chaw txawv txav.
• Hauv qhov mob endometriosis yog qhov tseem ceeb thaum nyob rau hauv adenomyosis irregular menstruation yog lub ntsiab feature.
• Pelvic endometriosis ua rau subfertility ntau dua li adenomyosis.
