Zokugula endometrial

zokugula endometrial isiba kwande namuhla. Ochwepheshe bathi lokhu kubangwa mkhuba nokwanda ngokweqile, endocrine iziyaluyalu nokuvikeleka ukwehla zabesifazane. Ezimweni eziningi zokugula endometrial kuhambisana Ukungadli uhlelo hormone, izinqubo umzimba. Lokubaluleke kakhulu liyakhula inani ukuphathwa kwabathintwayo isifo chronicity.

Namuhla, cishe 30-40% azo zonke izifo gynecological Kutholwe izinqubo hyperplastic ku endometrium. Izimo ezinjalo zihlanganisa cystic endometrial, yensimbi-lunemicu polyp yezindlala adenomatosis. Sekuthanda Hyperplasia kwande (glandulocystica, ngokukhukhumala kwentamo noma ebalulekile, yezindlala).

Izazi eziningi ziyavuma ukuthi imbangela izinqubo kuyehluleka hormone kwabesifazane. Endometrium iba target-hormone ngokobulili, ngenxa yokubakhona therein we-receptor ethize. ukushintsha kwama-hormone Ecasulwe sowesifazane kuholela kwamangqamuzana nokukhula izakhi yeselula. Ngenxa yalokho asathuthuka endometrial zokugula neoplastic noma imvelo hyperplastic. Okubaluleke kakhulu izinqubo ukwakha has hyperestrogenia. Ngezindlela eziningi, ukwanda amazinga estrogen kuthinte ukuphazamiseka umzimba, futhi uhamba ezihlukahlukene izifo nokwelapha.

Izikhalazo ezivamile kweziguli izinqubo hyperplastic kukhona kwegazi ukwabiwa, lesizalo ukopha (ikakhulukazi acyclic). Ukopha nasenkathini zokuzala zibukeka isikhathi eside esindayo esikhathini (njenge menometroragii) e premenopausal - acyclic kwabesifazane postmenopausal - esithweni onegazi kwemibala ezahlukene.

Ukuxilongwa ka Hyperplasia endometrial wenziwa ultrasound transvaginal kwezitho zomzimba okhalo gistreroskopiey (zokuxilonga, nge nokususa ehlukile, cwaningo histological we indaba okuholela).

Munye walemisebenti ezibaluleke kakhulu namuhla ekwelapheni izifo zabesifazane izinqubo hyperplastic. zokugula Endometrial kuhilela ukusetshenziswa ukwelashwa olandelanayo. Lezi zihlanganisa ukwelashwa ngama-hormone amalungiselelo estrogen-progestin, nemithi progestagenic. Ngaphezu kwalokho, kukhona amasu zokuhlinza, kuhlanganise yesimanje kancane koda, nge izikhathi kuqhathaniswa okusheshayo yokutakula.

Ngu indlela okusheshayo uyalandisa resection (ablation) we endometrium.

Inhloso yalesi ukuhlinzwa ukushabalalisa ukubonakaliswa basemtholampilo hyperplastic izinqubo ezikhona. Ngaphezu kwalokho, le ndlela isetshenziswa njengophawu zokuvimbela lomdlavuza endometrial, ukwandisa amathuba sokuhlala kwesisu abesifazane yokuzala.

Ngaphansi ablation (ablation) kusho curettage endometrial, excision, kwesibeletho ekubhujisweni. Kuze kube namuhla, gynecologists abakazi umbono olulodwa, ngalokho okubhekwa 'njengempi resection. Akukho ukucaciseleka mayelana lapho ukusebenzisa elithi "ablation".

Ukubhujiswa zonke endometrium (ablation) theka electrosurgical kanye laser indlela. Uma lokhu izicubu luhlolo histological ukuthatha engenakwenzeka.

Excision (resection) ukujiya Endometrial kuyinto indlela electrosurgical kuphela. Kulokhu, loop ahlabayo is excised ngesimo chips zonke ulwelwesi kwesibeletho. Ekuqhubeni lolu ukuhlinzwa nethuba kwesikhathi ukuthatha izicubu dissected luhlolo histological.

Njengomthetho, ukusebenza wenziwa ngaphansi izinzwa epidural noma izinzwa Imininingwane emthanjeni. Ngekusetjentiswa kanyekanye endotracheal laparoscopy izinzwa.