Endometrial thickening: chii, chinokonzeresa uye kurapwa
Zvemukati
- Zviratidzo zvikuru
- Zvinogona kukonzerwa
- Mhando huru dze hyperplasia
- 1. Asiri-atypical endometrial hyperplasia
- 2. Atypical hyperplasia ye endometrium
- Chii chinonzi kuongororwa
- Kurapwa kunoitwa sei
Endometrial thickening, inozivikanwawo se endometrial hyperplasia, inosanganisira kuwedzera kukura kwehutanda hwakakomberedza mukati mechibereko, nekuda kwekunyanyisa kusvibiswa neestrogen, iyo inogona kuitika kuvakadzi vasingasviki mwedzi wega wega kana vari kurapwa therapy hormone replacement therapy yakagadzirwa chete neestrogen.
Endometrial hyperplasia haisi kugara yakabatana negomarara, asi kune njodzi, kunyanya kuvakadzi vanoonekwa nezinga rakakwirira reestrogen, vane imwe njodzi ingave kufutisa uye chirwere cheshuga kana vanotambura nezvirwere zvechiropa kana neitsvo, muenzaniso.
Zviratidzo zvikuru
Zviratidzo zvinogona kumuka mune zviitiko zve endometriji kuonda zvinowanzoitika zvisina kujairika kubuda ropa muchibereko, zvakanyanya mudumbu colic, asingasviki mazuva makumi maviri nemaviri pakati pekuenda kumwedzi kumwe, uye kuwedzera kushoma muhukuru hwechibereko, kunoonekwa ne ultrasound.
Zvinogona kukonzerwa
Endometrial hyperplasia inokonzerwa nekunyanyisa kuratidzwa kune iyo hormone estrogen uye kazhinji isina kukwana huwandu hweprogesterone. Uku kusaenzana kwehomoni muvakadzi kunogona kukonzerwa nemamiriro ezvinhu anotevera:
- Kusarongeka kutenderera kana ovulation hakuitike mwedzi wega wega;
- Polycystic ovary chirwere;
- Hormone kutsiva kurapa, uchishandisa chete estrogen;
- Kuvapo kwebundu mune ovary;
- Kuenda kumwedzi, umo muviri unomira kuburitsa progesterone;
- Kufutisa.
Njodzi huru yekuvandudza endometrial hyperplasia inoitika pakati pemakore makumi mana nemakumi matanhatu ekuberekwa.
Mhando huru dze hyperplasia
Mhando huru dze endometrial hyperplasia ndeiyi:
1. Asiri-atypical endometrial hyperplasia
Asiri-atypical endometrial hyperplasia rudzi rwekusimbisa kweye endometrium iyo isingasanganisi maseru anononoka.
2. Atypical hyperplasia ye endometrium
Atypical endometrial hyperplasia chirwere chakakomba chakakomba chema endometrium kupfuura chekare uye chingave chine chekuita nekuvandudzwa kwekenza yemendometri. Kurapa kuchasiyana zvichienderana nedanho rechirwere, uye mune zvimwe zviitiko, zvingave zvakakodzera kubvisa chibereko.
Chii chinonzi kuongororwa
Kuongororwa kweiyo endometrial hyperplasia kunogona kuitwa naana gynecologist kuburikidza nekuongororwa kwezviratidzo zvinoratidzwa uye neiyo transvaginal ultrasound. Tsvaga kuti chii chinonzi transvaginal ultrasound uye kuti inoitwa sei.
Uye zvakare, chiremba anogona zvakare kuita hysteroscopy, iyo inosanganisira kuisa mudziyo nekamera muchibereko, kuti uone kana paine chero chinhu chisina kujairika, uye / kana kuita biopsy, mune iyo sampuro diki inotorwa kubva endometrial tishu yekuwedzera kuongorora.
Kurapwa kunoitwa sei
Kurapa kweiyo endometrial hyperplasia kunoenderana nerudzi rwehyperplasia iyo mukadzi anayo uye kuomarara kwayo, asi sarudzo dzekurapa dzinosanganisira kurapa kwetishu endometrium kana kushandiswa kwemishonga yakadai seprogesterone kana synthetic progestogens nemuromo, intramuscularly kana intrauterine.
Mushure mekurapa, zvinokurudzirwa kuita bhiopsy yemukati meetometriic tissue kuti ubudirire kurapwa.