Kuyini yezindlala Hyperplasia endometrial?

Lining kwesibeletho, ngaphansi izinguquko cyclical lonke umjikelezo wokuya esikhathini, ebizwa ngokuthi i-endometrium. Ekuqaleni nomjikelezo wokuya esikhathini, lokhu igobolondo ngaphansi kwethonya hormone uqala zikhule futhi ushintshe isakhiwo yayo belungiselela ukuthola umbungu. Uma ekukhulelweni lube khona, lo endometrium kancane kancane sisuka isizinda kanye ne uketshezi igazi kokushiya kwesibeletho - kokuya esikhathini kuqala, futhi-ke ekuqaleni umjikelezo entsha yentuthuko endometrium. Esimweni ukukhula ngokweqile we endometrium kwenzeka disorder Hyperplasia endometrial.

Lesi sifo ngokuvamile kubonakala ukopha lesizalo, kokuba uhlamvu enezinkinga ukuthi kuphakama emva ukubambezeleka nge-ovulation, kanye ngemuva jikelele umjikelezo ovamile. Nokho, kukhona amacala asymptomatic ukuvuza Hyperplasia, lapho inkinga itholakala lapho kuqala afakwe ucwaningo olunzulu mayelana nenzalo. Ukungabikho sokukhulelwa ngoba yezindlala Hyperplasia endometrial - a sokugembula isimo dishormonal, phambi zazo nge-ovulation kungenzeka ukuthi ingabi khona ngokuphelele. Ngaphezu kwalokho, akunakwenzeka zokwakha umbungu ngokuqondene ulwelwesi lwesisu, kwenze izinguquko kwesibeletho.

Kukhona izinhlobonhlobo eziningana kuhluka Hyperplasia Histology ezahlukene:

- Hyperplasia atypical;

- Hyperplasia yezindlala-fibrosis;

- Hyperplasia yezindlala we endometrium;

- endometrial polyp.

Hyperplasia yezindlala-fibrosis futhi Hyperplasia elula yezindlala we endometrium ku ukubonakaliswa zifana kakhulu, kodwa ifomu sokuqala evelele. polyp Endometrial kukhona wendawo, Hyperplasia elinganiselwe, futhi khona kwesakhiwo lesizalo mucosa ukulungiswa kanye evelele Pumping nezindlala ethize kutholakala ukuthi uphethwe yini atypical hypoplasia endometrial, okuyinto zithathwa njengeziNdawo ezingamaGugu precancerous isifo mucosa. Libuye odokotela abaqaphe kakhulu ubheke Hyperplasia yezindlala, okuyinto kuyabuya ngemva curettage, futhi amelana Hyperplasia hormone.

Yezindlala Hyperplasia endometrial: Izimbangela

Izimbangela lesi sifo abasakwazi ezihlukahlukene. Ngokuyinhloko, lokhu kuhlanganisa iziyaluyalu hormone, izifo lipid kanye carbohydrate ibhalansi, izifo izifo zabesifazane, iziyaluyalu umsebenzi wokuzala kanye nokuya zabantu besifazane, ukuhlinzwa esibelethweni futhi ezihlobene. Ngaphezu kwalokho, Hyperplasia ngempela ngokuvamile yezindlala we endometrium kwabesifazane yizifo ezifana hyperestrogenia, lesizalo fibroids, isifo webele, i-endometriosis, polycystic isifo wesibeletho, iziyaluyalu lipid umzimba, umfutho wegazi ophakeme, ushukela egazini ephakeme, isifo sesibindi ne ukusetshenziswa kahle kwama-hormone.

Ukuthola esifike Hyperplasia endometrial kubaluleke kakhulu ngoba ukwelapha nokuvimbela ukungabi nenzalo, kanye nokuvimbela umdlavuza endometrial. Ukuthola lesi sifo kusetshenziswa izindlela ezihlukahlukene, ezivame kakhulu, kodwa hhayi okunokwethenjelwa njalo (ukunemba indlela akuyona engaphezu kwengu-60%), libhekisela ultrasound indlela. Futhi, i-sitholakele Hyperplasia eyenziwa nenshisekelo noma biopsy le endometrium phakathi nekhulu lesibili mjikelezo othatha isigamu. Kakhulu ulwazi indlela zokuxilonga uyalandisa hysteroscopy, ehlanganisa esethulweni phakathi lesizalo umgodi we bethole indlela ekhethekile optical, lokho biopsy target wenziwa. Ngaphezu kwalokho, le ndlela zokuxilonga ivumela ukulinganisa zibukeke isimo odongeni kwesibeletho.

Yezindlala Hyperplasia endometrial: ukwelashwa

Ngokuyinhloko, ukuphathwa liqukethe kokukhipha ingxenye ulwelwesi lwamafinyila lapho uye washintsha sokugembula. Ukuze wenze lokhu, kwenziwa elawulwa usebenzisa hysteroscopy, curettage, bese kwenziwa ucwaningo histological. Uma kugxilwa ukuvuvukala isuswe, ukwelapha i-hormone selenziwe. Kuye ngokukhethekile isithombe emitholampilo ye isifo, ngesimo izinto zokuvimbela inzalo ngomlomo esetshenziswa amalungiselelo estrogen-progestin, GnRH agonists noma progestins ahlanzekile. Ukwelashwa kwemfuyo kusebenza ngamuntu munye, eyenziwa izinyanga okungenani ezintathu. Ngemva kwalokho kudingeka ukuze aqhube ukuhlolwa endometrium.