Māuiuitanga endometrial

Kei te hoko māuiuitanga endometrial atu noa i teie mahana. Tohunga huanga tenei au ki te hua i roto i te mōmona, disorders endocrine me te wātea i te mate o te wahine heke. I roto i te nuinga o te māuiuitanga endometrial take tahi e te tāne i roto i te pūnaha hormonal, ngā tukanga pūkoro tinana. O te faufaa nui Kei te piki haere te maha o te chronicity mate somatic.

I teie mahana, āhua 30-40% o te katoa mate gynecological kitea tukanga hyperplastic i roto i te endometrium. Taua tikanga ngā kakakīrehe endometrial, rino-kaiota, adenomatosis polyps glandular. Kei te hoko te reira i hyperplasia atu noa (glandulocystica, E ruia ana ranei rahi, glandular).

whakaae te nuinga tohunga e te take o te tukanga ko te kore hormonal i roto i nga wahine. riro Endometrium he ūnga mo hormones moepuku, e tika ana ki te aroaro i reira o receptors motuhake. huringa hormonal wahine o pouri arata'i ki pārōnaki me te tupu o ngā huānga pūtau. Ka rite ki te hua o te whakawhanake neoplastic māuiuitanga endometrial āhua hyperplastic ranei. O te faufaa ngā i roto i ngā tukanga hanga he hyperestrogenia. I roto i te ara maha, te hua i roto i ngā taumata estrogen pā ngangau pūkoro, tahi he momo o mate whakaora.

Ko te amuamu tino noa o te tūroro ki ngā tukanga hyperplastic he tohatoha whakapā toto, uterine toto (te nuinga acyclic). Toto i roto i te tau whakaputa uri puta roa me wā taimaha paheketanga (rite menometroragii) i roto i te premenopausal - acyclic i roto i nga wahine postmenopausal - tukunga toto o te hohonuraa rerekē.

Tātaritanga o te hyperplasia endometrial whakamana e ultrasound transvaginal i roto i whekau papatoiake gistreroskopiey (tātaritanga, me te hāro motuhake, ako histological o te rauemi hua).

Ko tētahi o nga mahi tino nui tenei ra ko te maimoatanga gynecological o tukanga hyperplastic. māuiuitanga Endometrial whai wāhi te whakamahi o te therapy momo. Ko ētahi o ēnei taiaki maimoatanga o teuteu estrogen-progestin, ngā rongoā progestagenic. I tua atu, i reira he tikanga hāparapara, tae atu hou minimally urutomo, ki te wa whakaora āhua tere.

Na roto i te tikanga tere pā ana resection (ablation) o te endometrium.

Ko te whakaaro o tenei pokanga ko ki te whakakore i te mau faaiteraa haumanu o ngā tukanga hyperplastic ngā. I tua atu, whakamahia tenei tikanga te rite te ārai o te mate pukupuku endometrial, ki te whakapiki ake i te tūponotanga o te haputanga i roto i nga wahine o te whanautanga tamariki tau.

I raro i ablation (ablation) ware tīwani endometrial, excision, kōpū whakangaromanga. Tae noa tenei ra, e kore i gynecologists tae ki te whakaaro kotahi, he aha whakaaro te he resection. Kahore he kahore maramarama e pā ana ki ka ki te whakamahi i te wā "ablation".

Ka taea te kawea whakangaromanga o katoa o te endometrium (ablation) electrosurgical me laser tikanga. A, no te ki tenei kikokiko mo te whakamātautau histological tango taea.

Excision (resection) matotoru Endometrial he tikanga electrosurgical anake. I roto i tenei take, motuhia te koropiko whakairo kei roto i te puka o maramara te katoa ararewa o te kōpū. I roto i te whakahaere i tenei pokanga i muri te whai wāhi ki te tango i te kikokiko dissected mō te whakamātautau histological.

Ka rite ki te tikanga, whakamana te mahi i raro i rehunga epidural katoa rehunga rō-uaua ranei. Ki te whakamahi tukutahi endotracheal laparoscopy rehunga.