Endometrium: chii zvazviri, kwairi uye zvinogona zvirwere

Zvemukati

• Endometrial shanduko muzvikamu
• Endometrium mukuzvitakura
• Zvirwere zvikuru zvinokanganisa Endometrium
• 1. Gomarara reEndometrium
• 2. Endometrial polyp
• 3. Endometrial hyperplasia
• 4. Adenomyosis

Iyo endometrium ndiyo nyama inokwenenzvera chibereko mukati uye kuwanda kwayo kunosiyana pamusoro pekuenda kumwedzi zvinoenderana nekusiyana kweyakaunganidzwa mahormone muropa.

Mune iyo endometrium umo kuiswa kweembryo kunoitika, kutanga nhumbu, asi kuti izvi zviitike, iyo endometrium inofanirwa kuve nehukuru hwakakwana uye isina zviratidzo zvechirwere. Kana pasina hurume, zvinyama zvinoyerera uye kuenda kumwedzi kunoonekwa.

Endometrial shanduko muzvikamu

Ukobvu hwe endometrium hunosiyana mwedzi wega wega mune vese vakadzi vezera rekubereka, zvichiratidza zvikamu zvekuenda kumwedzi:

1. Chikamu chekuwedzera:Pakarepo mushure mekuenda kumwedzi, iyo endometrium yakanyatso svuurwa uye yakagadzirira kuwedzera saizi, chikamu ichi chinonzi kuwanda, uye munguva ino estrogen inosimudzira kuburitswa kwemasero anowedzera kukora kwawo, pamwe nemidziyo yeropa uye gland ye exocrine.
2. Chakavanzika chikamu:Muchikamu chakavanzika, icho chinoitika panguva yakaorera, estrogen uye progesterone ichave nechokwadi chekuti endometrium ine zvese zvinovaka muviri zvinodiwa pakuiswa uye kudya kwemwana. Kana paine hurume uye "embryo" inokwanisa kugara mu "endometrium", "pink" kubuda "kana nzvimbo yekofi inogona kuonekwa mukati mezuva rake rakaorera, asi kana pasina hurume, mushure memazuva mashoma mukadzi anozoenda kumwedzi. Ziva maitiro ekuziva zviratidzo zvekusangana uye nesting.
3. Chikamu chekuenda kumwedzi: Kana fetereza ikasaitika panguva yakaorera, inova iyo endometrium painenge yakanyanya kukora, munyama uyu zvino unopinda chikamu chekuenda kumwedzi uye unodzikira pakukora nekuda kwekudonha kamwe-kamwe kwemahormone muropa uye kuderera kwemadiridziro enyama. Shanduko idzi dzinokonzeresa kuti endometrium isununguke zvishoma nezvishoma kubva pamadziro echibereko, zvichipa kubuda kweropa ratinoziva nekuenda kumwedzi.

Iyo endometrium inogona kuongororwa ichishandisa gynecological imaging bvunzo, senge pelvic ultrasound, colposcopy uye magnetic resonance imaging, semuenzaniso, mune iyo gynecologist inoongorora chero zviratidzo zvechirwere kana shanduko mune ino nyama. Ziva mimwe bvunzo yakakumbirwa nachiremba.

Endometrium mukuzvitakura

Iyo endometrium yakakodzera yekubata nhumbu ndeimwe inoyera nezve 8mm uye iri muchikamu chakavanzika, nekuti iyo yakatetepa kana atrophic endometrium, inoyera isingasviki 6mm, haigone kubvumira mwana kukura. Chikonzero chikuru cheiyo endometrium yakatetepa kushomeka kweprogesterone, asi izvi zvinogona kuitikawo nekuda kwekushandisa mishonga yekudzivirira, chibereko chevacheche uye kukuvara mushure mekubvisa nhumbu kana mushonga wekurapa.

Hushoma huremu hwekuita nhumbu ndeye 8 mm uye iyo yakaringana ingangoita 18 mm. Mumadzimai uko izvi zvisingaitike nenzira yechisikigo, chiremba anogona kuraira kushandiswa kwemishonga yemahormone yakadai saUtrogestan, Evocanil kana Duphaston kuwedzera iyo endometrium ukobvu, zvichiita kuti kuiswa kwemucheche muchibereko.

Refu ukobvu weiyo endometrium mushure mekuenda kumwedzi ndeye 5 mm, iyo inogona kuoneka pane yekunze ultrasound. Muchikamu chino, kana ukobvu hwanyanya kupfuura mamirimita mashanu, chiremba acharaira akateedzana emamwe mabvunzo kuti anyatsoongorora mukadzi uye kuti azive zvimwe zviratidzo zvinogona kuburitsa zvinogona kuitika zvirwere zvakadai sekenza yemendometrium, polyp, hyperplasia kana adenomyosis, muenzaniso.

Zvirwere zvikuru zvinokanganisa Endometrium

Shanduko mu endometrium inogona kunge iri nekuda kwezvirwere zvinogona kurapwa uye kudzorwa nekushandiswa kwehomoni uye, mune dzimwe nguva, kuvhiyiwa. Kuenderera mberi kwekurapa kwakakosha kudzivirira matambudziko echirwere chimwe nechimwe, kuchengetedza hutano hwechibereko uye kuwedzera mikana yekuva nepamuviri. Zvirwere zvakajairika zvine chekuita ne endometrium ndezvi:

1. Gomarara reEndometrium

Chirwere chinowanzoitika chinokanganisa endometrium kenza yemendometrium. Izvi zvinogona kuwanikwa zviri nyore nekuti chiratidzo chayo chikuru kubuda ropa kunze kwekuenda kumwedzi. Panyaya yevakadzi vakatopfuura kuenda kumwedzi uye vanga vari kumwedzi kwegore rimwe, chiratidzo chinobva chaonekwa.

Kune avo vasati vasvika kumwedzi chiratidzo chikuru chiratidzo chekuwedzera kweropa rakarasika panguva yekutevera. Unofanirwa kuziva nezvezviratidzo izvi uye wotsvaga gynecologist ipapo, nekuti nekukurumidza dambudziko parinowanikwa, ndipo panowedzera mikana yekurapa. Dzidza maitiro ekuziva cancer yegomometri.

2. Endometrial polyp

Polyps iri mudunhu reendometrium ine hunyoro uye inonzwisisika nyore nekuti inogadzira zviratidzo sekurasikirwa neropa pamberi kana mushure mekuenda kumwedzi kana kunetsekana kuve nepamuviri. Iyi shanduko inowanzoitika mushure mekuguma kuenda kumwedzi uye kazhinji kunoitika kune vakadzi vanotora mishonga seTamoxifen.

Kazhinji yenguva chirwere ichi chinowanikwa pane iyo ultrasound inoratidza kuwedzera kwehukuru hwayo. Mushonga uyu ndewechisarudzo chegynecologist asi zvinogona kuitwa nekubvisa kuburikidza nema polyp kuburikidza nekuvhiyiwa, kunyanya kana mukadzi ari mudiki uye achida kuve nepamuviri, asi muzviitiko zvakawanda hazvidikanwe kuvhiya, kana kutora mishonga yemahomoni, kugadzira kuongorora kwenyaya yega mwedzi mitanhatu kutarisa chero shanduko.

3. Endometrial hyperplasia

Iko kuwedzera kweukobvu hwendometrium kunodaidzwa kunzi endometrium hyperplasia, ichive yakajairika mushure memakore makumi mana ekuberekwa. Chiratidzo chayo chikuru kubuda ropa kunze kwekuenda kumwedzi, kuwedzera pakurwadziwa, mudumbu colic uye kuwedzera kwechibereko, kunoonekwa pane yekunze kwe ultrasound.

Kune akatiwandei marudzi eendometrial hyperplasia uye haazi ese ane hukama nekenza. Kurapa kwayo kunogona kusanganisira mishonga yemahomoni, kurapwa kana kuvhiyiwa, mumatambudziko akaipisisa. Dzidza zvakawanda nezve endometrial hyperplasia.

4. Adenomyosis

Adenomyosis inoitika kana nyama mukati memadziro echibereko ichiwedzera saizi, zvichikonzera zviratidzo zvakadai sekubuda ropa kwakanyanya panguva yekutevera nekurwadziwa kunoita hupenyu kuomera vakadzi, pamwe nekurwadziwa panguva yehukama hwepedyo, kuzvimbirwa uye kuzvimba kwemimba. Zvinokonzera hazvizivikanwe zvizere, asi zvinogona kuitika nekuda kwekuvhiya kwevakadzi kana kuitisa cesarean, semuenzaniso, mukuwedzera, adenomyosis inogona kuoneka mushure mekuzvitakura.

Kurapa kunogona kuitwa nekushandiswa kwemishonga yekudzivirira, kuisa IUD kana kuvhiya kubvisa chibereko, mumatambudziko akaipisisa, apo zviratidzo zvinoshungurudza uye kana paine kupesana nekushandiswa kwemishonga yemahormone. Dzidza zvakawanda nezve Adenomyosis.