Uterine polyp: ndi chiyani, zimayambitsa zazikulu ndi chithandizo
Zamkati
Chiberekero cha chiberekero ndikokula kwambiri kwa maselo pakhoma lamkati mwa chiberekero, lotchedwa endometrium, ndikupanga timatumba tomwe timakhala ngati chiberekero timene timakhala m'chiberekero, ndipo timadziwikanso kuti polyp endometrial ndipo, pomwe ma polyp amapezeka khomo pachibelekeropo, limatchedwa polyp endocervical polyp.
Nthawi zambiri, ma polyps amtundu wa chiberekero amapezeka pafupipafupi mwa azimayi omwe amatha kusamba, komabe amathanso kuwonekera mwa azimayi achichepere, zomwe zimatha kubweretsa zovuta kutenga pakati, zomwe zimadalira kukula ndi malo amtundu wa polyp. Phunzirani momwe chiberekero cha uterine chingasokonezere mimba.
Chiberekero cha chiberekero si khansa, koma nthawi zina chimatha kukhala chotupa chowopsa, chifukwa chake ndikofunikira kuyesedwa ndi a gynecologist miyezi isanu ndi umodzi iliyonse, kuti muwone ngati polyp idakulanso kapena kuchepa, ngati tizilombo tatsopano kapena anasowa.
Zomwe zingayambitse
Zomwe zimayambitsa kukula kwa uterine polyp ndizosintha kwama mahomoni, makamaka estrogen, chifukwa chake, azimayi omwe ali ndi vuto la mahomoni monga omwe ali ndi kusamba kosasamba, kutuluka magazi kunja kwa msambo kapena kusamba kwanthawi yayitali ali pachiwopsezo chachikulu chotenga ma polyps a uterine.
Zinthu zina zimathandizira kukulitsa ma polyp uterine monga perimenopause kapena postmenopause, kunenepa kwambiri kapena kunenepa kwambiri, kuthamanga kwa magazi kapena kugwiritsa ntchito tamoxifen pochiza khansa ya m'mawere.
Kuphatikiza apo, palinso chiopsezo chowonjezeka chokhala ndi ma polyps a uterine mwa azimayi omwe ali ndi matenda a polycystic ovary, omwe amatenga ma estrogens kwakanthawi.
Zizindikiro zazikulu
Chizindikiro chachikulu cha polyp endometrial ndi kutuluka magazi kosazolowereka panthawi yomwe akusamba, komwe nthawi zambiri kumakhala kochuluka. Kuphatikiza apo, zizindikiro zina zitha kuwoneka, monga:
- Kusamba kosasamba;
- Ukazi ukazi pakati pa msambo;
- Ukazi ukazi ukakhudzana kwambiri;
- Ukazi ukazi atatha kusamba;
- Kukokana kwamphamvu msambo;
- Zovuta kutenga pakati.
Nthawi zambiri, ma polyps amtundu wa chiberekero samayambitsa zizindikilo, koma kutuluka magazi kumatha kuchitika pakati pa nthawi kapena mutagonana. Nthawi zambiri, ma polyps amatha kutenga kachilomboka, ndikupangitsa kutuluka kwachikasu chifukwa chakupezeka kwa mafinya. Onani zizindikiro zina za uterine polypo.
Mayi yemwe ali ndi zizindikilo za uterine polyp ayenera kufunsa azimayi ake azamayeso mayeso, monga pelvic ultrasound kapena hysteroscopy, mwachitsanzo, kuti azindikire vutoli ndikuyamba chithandizo choyenera kwambiri.
Momwe mankhwalawa amachitikira
Nthawi zambiri, ma polyps a uterine samasowa chithandizo ndipo a gynecologist amalimbikitsa kuwunika ndikutsata miyezi isanu ndi umodzi iliyonse kuti awone ngati polyp yakula kapena yachepa, makamaka ma polyps ali ochepa ndipo mkazi alibe zisonyezo. Komabe, adotolo angavomereze chithandizo ngati mkaziyo ali pachiwopsezo chotenga khansa ya m'mimba. Phunzirani momwe mungapangire polyp uterine kupewa khansa.
Mankhwala ena a mahomoni, monga njira zakulera zomwe zili ndi progesterone kapena mankhwala osokoneza bongo omwe amasokoneza chizindikiritso choti ubongo umatumiza m'mimba mwake kuti apange estrogen ndi progesterone, atha kudziwitsidwa ndi azachipatala kuti achepetse kukula kwa ma polyp, makamaka azimayi omwe ali ndi zizindikilo . Komabe, mankhwalawa ndi yankho la kanthawi kochepa ndipo zizindikilo nthawi zambiri zimawonekanso pomwe mankhwala ayimitsidwa.
Pankhani ya mayi yemwe akufuna kutenga pakati ndipo polyp ikuchititsa kuti njirayi ikhale yovuta kwambiri, adotolo amatha kupanga hysteroscopy yopanga opaleshoni yomwe imayika chida kudzera mu nyini m'chiberekero, kuchotsa polyp endometrial. Pezani momwe opareshoni yochotsera chiberekero cha uterine yachitika.
Milandu yovuta kwambiri, yomwe polyps sichitha ndi mankhwala, sangathe kuchotsedwa ndi hysteroscopy kapena yayamba kukhala yoyipa, a gynecologist angakulangizeni kuti achite opaleshoni kuti achotse chiberekero.
Kwa ma polyps m'mimba mwa chiberekero, opareshoni, yotchedwa polypectomy, ndiyo mankhwala oyenera kwambiri, omwe amatha kuchitidwa muofesi ya azachipatala pakuwunika kwa amayi, ndipo polyp imatumizidwa ku biopsy itachotsedwa.