Atypical endometrial hyperplasia isiri yekenza

Endometrial hyperplasia isiri yekenza - ane zvemamiriro kukura yomukati (mucosal) lining pamusoro dumbu, apo zvinova mukobvu kupfuura dzose. Kazhinji, shoko rokuti "hyperplasia isiri yekenza" rinoreva kuwedzera kwenhamba masero kana nyama dzomuviri, zvichiguma Vhoriyamu muviri inowedzerawo. Maererano zvokurapa uwandu, endometrial hyperplasia isiri yekenza inobata kusvika 20% yevakadzi uye 5-10% vavo tinoshandurirwa chirwere kenza.

Kune mhando dzakawanda hyperplasia isiri yekenza vari:

• glandular hyperplasia isiri yekenza;
• cystic hyperplasia isiri yekenza;
• adenomatosis, kureva atypical endometrial hyperplasia isiri yekenza;
• lobular hyperplasia isiri yekenza of endometrium.

Possible zvinokonzera hosha inonzi hormone zvinetso, gynecological zvirwere, polycystic ovarian syndrome (PCOS), kubvisa pamuviri, uterine fibroids, chirwere curettage, adenomyosis, ekstragenital'nye chokuita chirwere (thyroid adrenal chirwere, chirwere cheshuga, kufutisa, cheBP).

Zviratidzo endometrial hyperplasia isiri yekenza dzingava kumwedzi hadzina kufambiswa zvakanaka (ayo dzikawedzerwa kana kupfupikisa, rinorema ropa kurasikirwa); kungoerekana uterine ropa panguva yekutevera kana pakati ichitanga, inogara kusvikira vhiki dzinoverengeka; kushaya mbereko.

Atypical endometrial hyperplasia isiri yekenza Ndicho chirwere chikuru pane zvose zvataurwa pamusoro apa marudzi. Kutyisidzirwa rayo kusanduka kupinda kenza, kana akasiya untreated, rinobva 20% 80% uye vakawanda kazhinji kuchengetwa kugumiswa kwenguva (nokuchembera) kumwedzi ushande. In atypical endometrial hyperplasia isiri yekenza ukobvu ndiyo 3 cm.

shoma (Lobular) hyperplasia isiri yekenza of endometrium - iri polyps hunovambira nomumwe nzvimbo. Maererano nemamiriro polyps vari fibrous, glandular uye adenomatous. Zvichienderana kukura polyp, endometrial ukobvu kunogona 6 cm.

Underdeveloped romukati rukoko of dumbu - hypoplastic endometrium - hachisi chirwere. endometrium kwakadaro pasika simba kwomudzimu ovarian hormone haatarisiri kurapwa - nyore arinde.

Muzviitiko umo atypical endometrial hyperplasia isiri yekenza kuripo uye pane mukuru mukana wayo yezwi nekenza fomu akashandisa kuvhiya - vashoma rukoko vabviswa endometrium. The nzira iri zvikuru zvakarurama, kutsanya uye kuchengeteka zvachose, akavonga yazvino.

Dzimwe nzira kurapa chirwere rakaoma nokuda kubviswa polyps - polypectomy, uye nokubviswa dumbu pamwe adnexa - chibereko. Chibereko unowanzoonekwa kushandiswa zvikuru yakaoma kukura atypia, zvitarisiko, zvemukati polyps, myomas.

Kazhinji matambudziko pakuvhiya kunoenderana sei zvinobudirira preoperative kemikari mushonga, unogona kuderedza bhuku zvatichiri hyperplastic endometrium. uyewo yaiwanzoshandiswa mubatanidzwa kurapa kuti rinobatanidza nzira dzakawanda Somuenzaniso, kuvhiya kurapwa pamwe hormone kurapa.

Atypical endometrial hyperplasia isiri yekenza chirwere:

• transvaginal Ultrasound;
• ehogisterosalpingografiey (Echo GHA);
• hysteroscopy (GHA);
• mumwe biopsy of endometrium;

Nokuti kudzivirira chirwere zvaanofanira:

• achipfuura kamwe kana kaviri pagore kuzvidzivirira gynecological kuongororwa (kunyange kana pasina kunyunyuta);
• Mabatirwo siyana concomitant extragenital zvirwere (chirwere cheshuga, kufutisa, BP, uye vamwe.);
• chirwere kwaizotevera vabatwe dzokubereka zvirwere (uterine fibroids, adenomyosis, et unto.);
• ndichipfeka kubvisa yokufutisa.

Periodic bvunzo kubudikidza vanachiremba kubvumira nguva kuziva chirwere inotyisa uye dzimwe nguva kuchawedzera mikana kuti uzere uye kunokurumidza kupora.