Lesizalo adenomatosis - kuyini?

Adenomatosis ngokuthi endometrial atypical (ebalulekile noma ehlasela umzimba), Hyperplasia endometrial, eqinisweni, isimo precancerous.

inqubo Preneoplastic - kuyinto zokugula athize, nge ntshashintshe ematfuba ungaya ku umdlavuza. Precancerous inqubo hyperplastic unekhono ukuhlanekezela ukuthuthukiswa,% 10 kuphela empeleni liphenduka Oncology. adenomatosis kwesibeletho kufanele yasithatha ngokungathí sina ngodokotela.

Incazelo isifo

Ukuze izinqubo endometrial hyperplastic kuhlobene ukungasebenzi hormone. Ngokuvamile kwenzeke lesizalo ukopha nenzalo. zivela ngenxa yokuthi kukhona hyperestrogenia. inani eleqile estrogen imiphumela endometrium e izinguquko qualitative ambalwa kwesakhiwo ukuthi kuphakamisa ukuqina ukukhula kanye nezinhlaka zayo zangaphakathi. Futhi kukhona adenomatosis wesibeletho.

izinqubo Hyperplastic kukhona ezinhlobo eziningana, kuye ngohlobo cell, okuyinto setfule lamasu izinqubo emzimbeni:

- Hyperplasia yezindlala;

- ngokukhukhumala kwentamo Hyperplasia;

- Hyperplasia lobular.

Thina sicabangele ngasinye sazo kabanzi.

Hyperplasia yezindlala

Lapho okwandisa ukwakheka yezindlala eba Hyperplasia yezindlala we endometrium. Kwesinye isikhathi lokhu kuholela ukunwetshwa fibrosis sokufundiswa nezindlala izikhala, bese ethola ukuthi unesifo Hyperplasia yezindlala-fibrosis. I endometrium avele futhi sikhule amaseli angavamile kuyinto ejwayelekile adenomatosis.

Kubalulekile ukuqonda ukuthi kuphula umthetho we ekusebenzeni kobuchopho, ikakhulukazi uma i-hypothalamus ethintekile, kanye nokuvikeleka buthaka futhi umzimba syndrome ephakama kuwumdlavuza we Hyperplasia yezindlala. Ngaphezu kwalokho, kungakhathaliseki ubudala.

Hyperplasia ngokukhukhumala kwentamo

Kwezinye izimo, ukusabalala izinqubo hyperplastic kwenzekani wonke ebusweni endometrium, kuyilapho izazi zembula Hyperplasia ehlasela umzimba. Lokho ekubhebhetselisa adenomatosis kuyinto ngokukhukhumala kwentamo inqubo hyperplastic.

Hyperplasia lobular

Ngaphezu kwalokho, kukhona uhlobo Hyperplasia eqondile. Ekwandeni izicubu endometriotic kwenzeka endaweni elinganiselwe. Khona-ke Kusachutjekwa ubalekela ingaphakathi lesizalo, kunalokho uyofana a polyp. adenomatosis Focal kuyinto polyp, esesikhundleni amaseli angavamile.

Adenomatosis kwesibeletho iphathwa ngokuyinhloko ukuhlinzwa. Ngaphezu kwalokho umhlahlo kuxhomeke ezicini eziningana:

- yobudala lesiguli;

- ubunjalo iziyaluyalu hormone;

- neuroendocrine izifo concomitant;

- isimo amasosha omzimba.

Abanye besifazane abangamaRom babesizakala unesithakazelo umbuzo uyini umehluko ezingadingekile esibelethweni adenomatosis adenomatosis endometrium? Kuyinto inqubo esifanayo atypical. Igama elithi "lesizalo adenomatosis" akukalungi kahle olungile, njengoba atypia kuthinta kuphela ungqimba kwangaphakathi, ubani okufanele endometrium. Futhi ezimbili usesibelethweni, kukhona izingqimba eziningana.

Fibrosis futhi adenomatosis

adenomatosis fibrous njengoba ukuxilongwa alikho. Fibrosis - a zokugula lapho ikhula zezinzwa izicubu adenomatosis - ezikhulayo yezindlala. Imvelo okuxubile zama-pathology, futhi, ungaba ukuthi kuyothiwa Hyperplasia fibrocystic.

Adenomatosis kungase kungabi kuphela kwesibeletho. Kwenzeka ebeleni, kodwa eqinisweni lezi izinqubo sokugembula bahluke ngokuphelele. Adenomatosis isifo lwebele yilona Reclus, uma kukhona kumiswa izinhlumba encane ingozi ngosayizi. Sabuyekeza adenomatosis wesibeletho. Kuyini, kwaba sobala.

Ziyini izimbangela ka adenomatosis endometrial?

Izimbangela atypical cell ukuguqulwa kuyizimbangela efanayo ezibanga izinqubo hyperplastic ku endometrium. Isizathu esizwakalayo adenomatosis ezingenakuqondakala obungazazi. Yiqiniso, ashaywe njalo wafunda, kodwa kuze kube namuhla akunakwenzeka ukusho ngokuthe ngqó ukuthi yini inhlamvu inqubo atypical ku endometrium. Kodwa kuba ilapho zithola okwengeziwe ezihlukahlukene izimo ezingezinhle, aba maningi amathuba okuba nesifo.

Indawo yokuqala phakathi kwazo zonke endometrium zezici letsintsa adenomatosis kuthatha ukwehluleka hormone. Siyabhubha isiqondiso neurohumoral yokukhula komzimba wonke womuntu. Estrogens futhi progestins zinengxenye izinguquko bokuphila eyindilinga esibelethweni. Ngokuyinhloko ngoba estrogen nokwanda ungqimba lwamafinyila yangaphakathi. Kodwa umsebenzi progestogens sidzingeka ukuyeka ukukhula kwe-endometrium, futhi sinqatshiwe.

Uma isamba ngokweqile estrogen endometrial ekwandeni kwenzeka ezimathonsi. Hyperestrogenia kungenzeka ngenxa yezizathu ezihlukahlukene:

- hormone umsebenzi wesibeletho kahle;

- kukhona anovulation;

- umjikelezo iba isigaba esisodwa;

- kukhona Hyperplasia endometrial.

Uma PCOS kuyinto anovulation ezingamahlalakhona. Libuye libe uhlobo sicasulwa ekuthuthukiseni Hyperplasia. Uma owesifazane enza i-hormone izidakamizwa ezimathonsi ke lokhu kungase kuthinteke ne-hormone. Lokhu kuzokwenza uqale inqubo in the endometrium hyperplastic.

Uma kukhona kanyekanye hyperestrogenia, zokugula extragenital futhi neuroendocrine iziyaluyalu emzimbeni, it kwandisa amathuba wokuthuthukisa adenomatosis. abesifazane abakhuluphele kanye abanomfutho wegazi ophakeme umdlavuza nesifo se-endometrium echayeke 10 nkulu kunaleyo lapho evamile isisindo futhi wegazi izikhathi.

Kungaziphi izizathu angase aqhubeke ukuthuthukisa hyperestrogenia? Ngokuvamile sesibindi ipheshana biliary okuholela lesi sifo, ngoba isebenzisa estrogens isibindi.

Ngakho, kukhona ukwanda okungaqondiswa kwamadolobha ungqimba engaphakathi kwesibeletho, okuholela kwetinhlavu amaseli angavamile. Lena adenomatosis endometrium. Kuthiwani uma uphethwe ukwelashwa "adenomatosis wesibeletho"? On lokhu kamuva.

Izimpawu adenomatosis endometrial

Njengomthetho, akukho izimpawu ezisobala adenomatosis alikho, ngoba amaseli angavamile kungatholakala indlela laboratory kuphela. Okokuqala Kutholwe inqubo hyperplastic ke kubalulekile ukucacisa isimo sawo.

Kukhona ezinye izimpawu Hyperplasia, okumele abe alalelwa:

- ukushintsha uhlobo ukopha - nezikhathi luningi igazi kuza uphume ku-loop;

- ubuhlungu esiswini bese wehlise emuva ngaphambi esikhathini ngesikhathi ke;

- ibonakalisa syndrome umzimba - ukukhuluphala ngokweqile umzimba izinwele ohlobo wesilisa, okwandisa izinga insulin egazini;

- kahle wenzalo - akunakwenzeka ukuba uzale ingane;

- khona mastitis;

- ukuvuvukala uhlelo urogenital;

- Ubuhlungu ngesikhathi bezoziphatha, ukopha sowesifazane sangasese emva kwakhe.

Ingabe adenomatosis kwesibeletho sitholakale ultrasound?

Ukusebenzisa ukuskena ultrasonic kunqunywa ukujiya kanye nokwakheka endometrium. Transvaginal Uphenyo kahle nale ucwaningo ngibhekane nenkinga yami. Yikuphi inqubo hyperplastic siyenzeka - ebalulekile noma ehlasela umzimba - ubonise lo scan. Ngenxa yalokho, uma wembula Hyperplasia ehlasela umzimba wonke, kungenzeka ukuthi iqalise khona adenomatosis ehlasela umzimba. Ake usibone ngeso lengqondo ke esebenzisa inzwa akunakwenzeka, ngoba akukho timphawu letehlukene.

I-Focal adenomatosis kwesibeletho lula ukuzibona, njengoba libonakala njengoba polyp. Nakuba uhlobo izinguquko yeselula futhi ngeke kusebenze ukuthola. Atypia ingengaakwazi by ukuskena ultrasonic.

It is nokususa ulwelwesi lwamafinyila kwesibeletho, ngemva kwalokho izinto uthunyelwa luhlolo histological. Le ndlela ukuxilongwa kubaluleke kakhulu lapho adenomatosis. Sifunda isakhiwo amaseli, ushintsho yayo kwesakhiwo, kanye ngezinga elingakanani nobukhali kuba atypical. Uma atypia alutholakalanga, khona-ke kusikisela Hyperplasia kungavamile ukuba ingozi.

Ngokuvamile kwenziwa nokususa kuhlinzwa we umgodi lesizalo, futhi ke impahla wafakwa uphenyo. Lokhu kungasiza hysteroscopy ukuze ihlolwe yokubonakala wokuba abantu baphume isamba endometrium.

lesizalo adenomatosis: ukwelashwa

Adenomatosis khona owesifazane kungaba imbangela ukungabi nenzalo, kodwa ngisho yimpumelelo ebamba isisu ekunqanyulweni kwesikhathi sokukhulelwa singenzeka ngokumelene ngemuva kwalesi sifo.

Ukwelapha ngokuyinhloko siqukethe iqiniso lokuthi ezishintshwe athutha sisuswa endometrium. Ngakho, surgically ukuqeda umthombo izinguquko sokugembula, ngaphezu kwalokho, ingabe nokususa luhlolo histological. Lapho imiphumela eyatholakala, kuye ngokuthi uhlelo uzimisele yokwelapha.

babelwe yokwelapha hormone nokuhlinzwa ngamunye. Uma intombazane esencane, izazi anqunyelwe ukwelashwa izidakamizwa hormone. Isiguli ongudokotela eduze yobudala ukuze menopause elashwe i-hormone kwenziwe ukuhlinzwa olukhulu - ukususwa kwesibeletho futhi ezihlobene. Lokhu kwehlisa ematfuba inguqulelo adenomatosis e umdlavuza. Ungagcina ekuphileni sowesifazane.

Kubalulekile ukuqonda ukuthi ekuqaleni uphethwe adenomatosis efiseleka kakhulu, kulesi simo, umdlavuza ingozi incane. Ngakho-ke kubalulekile ukuba uvakashele udokotela wezifo zabesifazane njalo, ibhekane luhlolo olunzulu, ukuthatha lonke uvivinyo ezidingekayo. Siye kulesi sihloko adenomatosis umdlavuza endometrial. Nakekela impilo yakho!