Ezinepolyps Endometrium

I-Endometrium ngumtya wangaphakathi wesibeleko (isibeleko). Ukugqithisa kwalo mgca kungadala iipolyps. Iipolyps zikhula okomnwe eziqhotyoshelwe eludongeni lwesibeleko. Zingabancinci njengembewu yesesame okanye zibe nkulu kunebhola yegalufa. Kunokubakho enye okanye iipolyps ezininzi.

Oyena nobangela wee-endometrial polyps kwabasetyhini akaziwa. Bahlala bekhula xa kukho ihomoni estrogen emzimbeni.

Uninzi lwee-endometrial polyps alunomhlaza. Bambalwa kakhulu abanokuba nomhlaza okanye abanesifo. Ithuba lomhlaza liphezulu ukuba uphuma emva kwexesha, kwiTamoxifen, okanye unexesha elinzima okanye elingaqhelekanga.

Eminye imiba enokuthi inyuse umngcipheko wee-endometrium polyps zezi:

• Ukutyeba kakhulu
• I-Tamoxifen, unyango lomhlaza webele
• Unyango lwe-Postmenopausal hormone
• Imbali yosapho yeLynch syndrome okanye iCowden syndrome (iimeko zemfuza eziqhutywa kwiintsapho)

Ii-polyps ze-Endometrial ziqhelekile kubafazi abaphakathi kweminyaka engama-20 ukuya kuma-40 ubudala.

Awunakho ukuba naziphi na iimpawu zeepypyps zeepometri. Ukuba unayo impawu, zingabandakanya:

• Ukopha exesheni okungaqhelekanga okanye okungaxelwa kwangaphambili
• Ukopha ixesha elide okanye elinzima
• Ukopha phakathi kwamaxesha
• Ukopha kwilungu lobufazi emva kokuyeka ukuya exesheni
• Ingxaki yokufumana okanye ukuhlala ukhulelwe (ukungachumi)

Umboneleli wakho wokhathalelo lwempilo unokwenza ezi mvavanyo ukuze ufumanise ukuba uneepypypyp polyps:

• I-ultrasound yangaphantsi
• IHysteroscopy
• I-biopsy ye-Endometrium
• IHysterosonogram: uhlobo olukhethekileyo lwe-ultrasound apho ulwelo lufakwa kwisibeleko ngelixa kusenziwa i-ultrasound
• I-ultrasound yamacala amathathu

Iipolyps ezininzi kufuneka zisuswe ngenxa yomngcipheko omncinci womhlaza.

Ii-polyps ze-Endometrial zihlala zisuswa yinkqubo ebizwa ngokuba yi-hysteroscopy. Ngamanye amaxesha, i-D kunye no-C (Ukudibanisa kunye neCurettage) kunokwenziwa kwi-biopsy i-endometrium kwaye kususwe i-polyp. Oku akusetyenziswa kakhulu.

Abafazi be-Postmenopausal abanee-polyps ezingabangeli zimpawu banokucinga ukuba bahlala belindile. Nangona kunjalo, i-polyp kufuneka isuswe ukuba ibangela ukopha kwilungu lobufazi.

Kwiimeko ezinqabileyo, iipolyps zingabuya emva konyango.

Ii-polyps ze-Endometrial zinokwenza kube nzima ukufumana okanye ukuhlala ukhulelwe.

Fowunela umnikezeli wakho ukuba unayo:

• Ukopha exesheni okungaqhelekanga okanye okungaxelwa kwangaphambili
• Ukopha ixesha elide okanye elinzima
• Ukopha phakathi kwamaxesha
• Ukopha kwilungu lobufazi emva kokuyeka ukuya exesheni

Awunakho ukuthintela ii-polyps ze-endometrium.

Polyp zesisu; Ukuphuma kwesizalo - iipolyps; Ukopha kwilungu lobufazi - iipolyps

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I-Dolan MS, iNduli C, iValea FA. Izilonda zeBenign gynecologic: ubufazi, ubufazi, umlomo wesibeleko, isibeleko, i-oviduct, i-ovary, imaging ye-ultrasound yezakhiwo ze-pelvic. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 18.

UGilks ​​B. Isibeleko: isidumbu. Ku: Goldblum JR, Izibane LW, McKenney JK, Myers JL, eds. Rosai kunye neAckerman's Pathology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2018: isahluko 33.