Matenda a Endometrial: ndi chiyani, zimayambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Mitundu yayikulu ya hyperplasia
• 1. Osati atypical endometrial hyperplasia
• 2. Matenda a hyperplasia a endometrium
• Kodi matendawa ndi ati?
• Momwe mankhwalawa amachitikira

Matenda a endometrial, omwe amadziwikanso kuti endometrial hyperplasia, amaphatikizapo kukulitsa makulidwe amkati mkati mwa chiberekero, chifukwa chowonekera kwambiri ndi estrogen, yomwe imatha kupezeka mwa amayi omwe samatulutsa mwezi uliwonse kapena omwe amalandila mankhwala othandizira ma hormone m'malo mwake zopangidwa ndi estrogen.

Endometrial hyperplasia sikuti nthawi zonse imakhudzana ndi khansa, koma pamakhala zoopsa, makamaka kwa azimayi omwe amapezeka ndi estrogen, omwe ali ndi chiopsezo china monga kunenepa kwambiri komanso matenda ashuga kapena omwe amadwala matenda a chiwindi kapena impso, chifukwa Mwachitsanzo.

Ikani pomwe makulidwe amakula

Zizindikiro zazikulu

Zizindikiro zomwe zingayambike pakakhala kukhuthala kwa endometrium makamaka kutuluka magazi kosazolowereka, kupwetekedwa m'mimba, masiku osakwana 21 pakati pa msambo uliwonse, komanso kuwonjezeka pang'ono kukula kwa chiberekero, chozindikiridwa ndi ultrasound.

Zomwe zingayambitse

Endometrial hyperplasia imayamba chifukwa chokhala ndi mahomoni ambiri a estrogen ndipo nthawi zambiri progesterone imakwanira. Kusamvana kwa mahomoni kwa akazi kumatha kuyambitsidwa ndi izi:

• Kusakhazikika kosasintha kapena kutulutsa mazira sikuchitika mwezi uliwonse;
• Matenda ovuta a Polycystic;
• Thandizo m'malo mwa mahomoni, pogwiritsa ntchito estrogen yokha;
• Kukhalapo kwa chotupa mu ovary;
• Kusamba, komwe thupi limasiya kutulutsa progesterone;
• Kunenepa kwambiri.

Chiwopsezo chachikulu chokhala ndi endometrial hyperplasia chimachitika pakati pa 40 ndi 60 azaka zakubadwa.

Mitundu yayikulu ya hyperplasia

Mitundu yayikulu ya endometrial hyperplasia ndi iyi:

1. Osati atypical endometrial hyperplasia

Non-atypical endometrial hyperplasia ndi mtundu wa kukhuthala kwa endometrium komwe sikuphatikiza ma cell omwe ali ndi vuto.

2. Matenda a hyperplasia a endometrium

Atypical endometrial hyperplasia ndi chotupa chowopsa kwambiri cha endometrial kuposa choyambacho ndipo chitha kukhala chokhudzana ndi kukula kwa khansa ya endometrial. Chithandizo chimasiyanasiyana kutengera gawo la matendawa, ndipo nthawi zina, kumakhala kofunikira kuchotsa chiberekero.

Kodi matendawa ndi ati?

Matenda a endometrial hyperplasia atha kupangidwa ndi azachipatala pofufuza zomwe zimaperekedwa komanso transvaginal ultrasound. Pezani chomwe transvaginal ultrasound ndi momwe imagwirira ntchito.

Kuphatikiza apo, adotolo amathanso kupanga hysteroscopy, yomwe imaphatikizapo kuyika chida chokhala ndi kamera m'chiberekero, kuti muwone ngati pali china chilichonse chachilendo, ndi / kapena kuchita biopsy, momwe kachitsanzo kakang'ono kamatengedwa kuchokera minofu ya endometrial kuti iwunikenso.

Momwe mankhwalawa amachitikira

Chithandizo cha endometrial hyperplasia chimadalira mtundu wa hyperplasia yemwe mayi ali nawo komanso kuuma kwake, koma njira zochiritsira zimaphatikizapo kuchiritsa kwa minofu ya endometrial kapena kugwiritsa ntchito mankhwala monga progesterone kapena progestogens apakamwa, intramuscularly kapena intrauterine.

Pambuyo pa chithandizo, ndibwino kuti muzitha kupanga biopsy ya minofu ya endometrial kuti muwone bwino chithandizo.