Hyperplasia endometrial mohiotia

hyperplasia Endometrial - ko te tupu rerekē o te roto (mucosal) ararewa o te kōpū, te wahi riro te reira nui atu i noa. I roto i te whānui, i te wā "hyperplasia" tikanga he hua i roto i te maha o ngā pūtau kopa o te tinana ranei, hua i roto i te rōrahi o te piki tinana. E ai ki ngā tatauranga hauora, pānga ake hyperplasia endometrial ki te 20% o nga wahine, me kua puta 5-10% o ratou ki te mate matepukupuku.

He maha ngā momo o te hyperplasia e:

• hyperplasia glandular;
• hyperplasia whēwhē;
• adenomatosis, arā hyperplasia endometrial mohiotia;
• hyperplasia lobular o te endometrium.

huaina take ka taea o te mate e disorders hormonal, disorders gynecological, polycystic syndrome ovarian (PCOS), materoto, fibroids uterine, tīwani tātaritanga, adenomyosis, e pā ana ekstragenital'nye mate (thyroid mate adrenal, mate huka, te mōmona, te pēhanga toto tiketike).

kia mahi tohu o te hyperplasia endometrial kōtītiti rite paheketanga (tona roa shortening ranei, taimaha mate toto); uterine ohorere toto i roto i paheke ranei i te waenganui o te huringa, tonu ake ki te maha wiki; pākoko.

hyperplasia endometrial mohiotia Ko reira te mate tino nui o nga momo whakahuatia i runga ake katoa. Ko te riri o tona panoni ki te mate pukupuku, ki te mahue kore maimoatia, mai i te 20% ki te 80%, me te tino nuinga o kitea i roto i te whakamutunga o te wā (i te tau) pānga paheketanga. I roto i mohiotia matotoru hyperplasia endometrial ko 3 cm.

iti (Lobular) hyperplasia o te endometrium - te polyps germinating pokapū takitahi. E ai ki te hanganga o te polyps he kaiota, glandular me adenomatous. Tei runga i te rahi o te polyp, Ka taea e matotoru endometrial e 6 cm.

e kore te mea he mate - apa i roto underdeveloped o te kōpū - endometrium hypoplastic. kite taua endometrium i mana ngoikore o hormones ovarian me e kore e rapua e maimoatanga - mataara noa.

I roto i te wā i reira te hyperplasia endometrial mohiotia mai anō ko a reira ko te tūpono nui o tona whakawhitinga ki te pokanga whakamahia puka mate pukupuku - nekehia atu paparanga tupuria te endometrium. Ko tino tika, nohopuku, me te rawa haumaru te tukanga, whakawhetai ki te hangarau hou.

Ētahi atu tikanga o te rongoā te mate uaua e tango o polyps - polypectomy, me tango o te kōpū ki te adnexa - hysterectomy. Hysterectomy Kei te tikanga e whakamahia ana i roto i te nui atypia uaua te whanaketanga, ngā āhua, polyps ā, myomas.

Ki te whānuitanga nui te pānga o te pokanga, tei runga i te āhua o te whai hua therapy taiki te pokanga, ka taea e tino whakaiti i te rōrahi o te endometrium hyperplastic rahi. hoki noa whakamahia huinga therapy e whakakotahi e rave rahi tikanga, hei tauira, maimoatanga hāparapara ki therapy hormonal.

hyperplasia endometrial mohiotia pāngia:

• ultrasound transvaginal;
• ehogisterosalpingografiey (Echo GHA);
• hysteroscopy (GHA);
• he unuhanga o te endometrium;

Ko e tika ana hoki te ārai o te mate ki:

• haere kotahi, e rua, he tau he whakamātautau gynecological ārai (ara, ki te reira e kore amuamu);
• maimoatanga o tini o nga mate rere extragenital (mate huka, te mōmona, takawhita, me etahi atu.);
• tātaritanga me te maimoatanga muri o mate taihemahema (fibroids uterine, adenomyosis et al.);
• hoko whakakahoretia o taimaha i te taikaha.

whakamātautau Periodic e tohunga tukua te wā ki te tāutu i te mate e wehingia ana, me i nga wa ka nui ake i te tūponotanga mō te ora tonu, me te ohorere.