Ukuqina kwe-endometrium: kuyini, izimbangela nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izimbangela ezingaba khona
• Izinhlobo eziyinhloko ze-hyperplasia
• 1. I-nonplasia ye-endometrial hyperplasia
• 2. I-hyperplasia ye-Atypical ye-endometrium
• Yini ukuxilongwa
• Yelashwa kanjani

Ukuqina kwe-Endometrial, okwaziwa nangokuthi i-endometrial hyperplasia, kuqukethe ukukhulisa ukushuba kwezicubu ezifakwa ngaphakathi kwesibeletho, ngenxa yokuchayeka ngokweqile ku-estrogen, okungenzeka kwabesifazane abangavuthanga njalo ngenyanga noma abelashwa i-therapy therapy yenziwe kuphela nge-estrogen.

I-Endometrial hyperplasia ayihlali ihlobene nomdlavuza, kepha kunengozi, ikakhulukazi kwabesifazane abachayeke ezingeni eliphezulu le-estrogen, abanenye ingozi efana nokukhuluphala nesifo sikashukela noma abahlushwa izifo zesibindi noma izinso, ngoba isibonelo.

Beka lapho ukushuba kukhula khona

Izimpawu eziyinhloko

Izimpawu ezingavela ezimeni zokuqina kwe-endometrium ikakhulukazi ukopha okungavamile kwesibeletho, i-colic yesisu esibi, izinsuku ezingaphansi kwezingu-21 phakathi kokuya esikhathini ngakunye, nokwanda okuncane ngosayizi wesibeletho, obonwa yi-ultrasound.

Izimbangela ezingaba khona

I-endometrial hyperplasia idalwa ukuvezwa ngokweqile kwi-hormone estrogen futhi imvamisa inani elanele le-progesterone. Lokhu kungalingani kwamahomoni kwabesifazane kungadalwa yizimo ezilandelayo:

• Ukujikeleza okungajwayelekile noma i-ovulation akwenzeki njalo ngenyanga;
• I-Polycystic ovary syndrome;
• Ukwelashwa esikhundleni seHormone, usebenzisa i-estrogen kuphela;
• Ubukhona besimila esibelethweni;
• Ukunqamuka kokuya esikhathini, lapho umzimba uyeka ukukhiqiza iprogesterone;
• Ukukhuluphala ngokweqile.

Ingozi enkulu yokuthuthukisa i-endometrial hyperplasia yenzeka phakathi kweminyaka engama-40 nengama-60 ubudala.

Izinhlobo eziyinhloko ze-hyperplasia

Izinhlobo eziyinhloko ze-endometrial hyperplasia yilezi:

1. I-nonplasia ye-endometrial hyperplasia

I-nonplus endometrial hyperplasia uhlobo lokuqina kwe-endometrium engabandakanyi amaseli angaphambi kwesikhathi.

2. I-hyperplasia ye-Atypical ye-endometrium

I-atypical endometrial hyperplasia iyisilonda esibucayi kakhulu se-endometrium kunaleso esedlule futhi ingahle ihlobane nokukhula komdlavuza we-endometrium. Ukwelashwa kuzohluka kuye ngesigaba sesifo, futhi kwezinye izimo, kungadingeka ukususa isibeletho.

Yini ukuxilongwa

Ukuxilongwa kwe-endometrial hyperplasia kungenziwa ngudokotela wezifo zabesifazane ngokuhlaziya izimpawu ezethulwayo kanye ne-ultrasound engaphandle. Thola ukuthi yini i-transvaginal ultrasound nokuthi isebenza kanjani.

Ngaphezu kwalokho, udokotela angenza futhi i-hysteroscopy, equkethe ukufaka idivayisi enekhamera esibelethweni, ukuze ubone ukuthi ngabe kukhona yini okungahambi kahle, kanye / noma ukwenza i-biopsy, lapho kuthathwa khona isampula elincane izicubu ze-endometrial zokuhlaziywa okuqhubekayo.

Yelashwa kanjani

Ukwelashwa kwe-endometrial hyperplasia kuzoya ngohlobo lwe-hyperplasia owesifazane anayo nobukhulu bayo, kepha izinketho zokwelashwa zifaka ukwelashwa kwezicubu ze-endometrium noma ukusetshenziswa kwemithi efana ne-progesterone noma i-synthetic progestogens ngomlomo, nge-intramuscularly noma nge-intrauterine.

Ngemuva kokwelashwa, kungakuhle ukuthi wenze i-biopsy yezicubu ze-endometrium ukuqinisekisa impumelelo yokwelashwa.