Ukuqina kwe-endometrium: yintoni, unobangela kunye nonyango

Umxholo

• Iimpawu eziphambili
• Izizathu ezinokubangela
• Ezona ntlobo ziphambili zehyperplasia
• 1. I-nonplac endometrial hyperplasia
• 2. I-hyperplasia ye-Atypical ye-endometrium
• Yintoni isifo
• Unyango lwenziwa njani

Ukuqina kwe-Endometrial, ekwabizwa ngokuba yi-endometrial hyperplasia, kubandakanya ukonyusa ubukhulu bethishu ebambe ngaphakathi kwisibeleko, ngenxa yokuvezwa kakhulu kwe-estrogen, enokuthi yenzeke kwabasetyhini abangayivelisi inyanga nenyanga okanye abo bafumana unyango kunyango lwehomoni. yenziwe kuphela nge-estrogen.

I-Endometrial hyperplasia ayisoloko ihambelana nomhlaza, kodwa kukho umngcipheko, ngakumbi kwabasetyhini abachaphazeleka kwinqanaba eliphezulu le-estrogen, abanenye into eyingozi njengokutyeba kakhulu kunye neswekile okanye abanengxaki yezifo zesibindi okanye izintso, kuba umzekelo.

Beka apho ubukhulu bonyuka khona

Iimpawu eziphambili

Iimpawu ezinokuthi zivele kwimeko yokuqina kwe-endometrium ikakhulu kukuphaphaza kwesibeleko ngokungaqhelekanga, isisu esibuhlungu esiswini, iintsuku ezingaphantsi kwe-21 phakathi kokuya exesheni, kunye nokunyuka kancinci kubungakanani besibeleko, kuqatshelwe yi-ultrasound.

Izizathu ezinokubangela

I-endometriya hyperplasia ibangelwa kukuvezwa kakhulu yihomoni estrogen kwaye ihlala isixa esaneleyo seprogesterone. Ukungalingani kwamahomoni kwabasetyhini kunokubangelwa zezi meko zilandelayo:

• Umjikelo ongaqhelekanga okanye i-ovulation ayenzeki rhoqo ngenyanga;
• Isifo sePolycystic ovary;
• Unyango olubuyisela iHormone, lusebenzisa kuphela i-estrogen;
• Ubukho be-tumor kwi-ovary;
• Ukuyeka ukuya exesheni, apho umzimba uyeka ukuvelisa iprogesterone;
• Ukutyeba kakhulu.

Umngcipheko omkhulu wokuphuhlisa i-endometrial hyperplasia kwenzeka phakathi kweminyaka engama-40 ukuya kuma-60 ubudala.

Ezona ntlobo ziphambili zehyperplasia

Ezona ntlobo ziphambili ze-endometrial hyperplasia zezi:

1. I-nonplac endometrial hyperplasia

I-non-atypical endometrial hyperplasia luhlobo lokuqina kwe-endometrium engabandakanyi iiseli ezichazayo.

2. I-hyperplasia ye-Atypical ye-endometrium

I-atypical endometrial hyperplasia sisilonda se-endometrium esinzulu ngakumbi kunesangaphambili kwaye inokunxulumana nokukhula komhlaza we-endometrium. Unyango luya kwahluka ngokuxhomekeke kwinqanaba lesi sifo, kwaye kwezinye iimeko, kunokuba yimfuneko ukususa isibeleko.

Yintoni isifo

Ukuchongwa kwe-endometrial hyperplasia kunokwenziwa ngugqirha wezifo zabasetyhini ngohlalutyo lweempawu ezibonisiweyo kunye ne-transvaginal ultrasound. Fumanisa ukuba yeyiphi i-transvaginal ultrasound kwaye yenziwa njani.

Ukongeza, ugqirha unokwenza i-hysteroscopy, equka ukufaka isixhobo esinekhamera kwisibeleko, ukuze ubone ukuba akukho nto iphosakeleyo, kunye / okanye ukwenza i-biopsy, apho kuthathwa khona isampulu encinci izicubu ze-endometrium zokuqhubeka nokuhlalutya.

Unyango lwenziwa njani

Unyango lwe-endometrial hyperplasia luya kuxhomekeka kuhlobo lwe-hyperplasia umfazi anayo kunye nobukrakra bayo, kodwa iindlela zokonyango zibandakanya unyango lwezicubu ze-endometrium okanye ukusetyenziswa kwamayeza afana neprogesterone okanye i-synthetic progestogens ngomlomo, intramuscularly okanye intrauterine.

Emva konyango kucetyiswa ukuba kwenziwe i-biopsy yethisri ye-endometrium ukuqinisekisa impumelelo yonyango.