Chii glandular endometrial hyperplasia isiri yekenza?

Lining of dumbu, pasi cyclical kuchinja yose kuenda kumwedzi, akadana endometrium. Pakutanga kumwedzi, goko ichi achifuridzirwa mahormone anotanga kukura uye kushandura nechivako yaro ichigadzirira kugamuchira embryo. Kana pakusangana kumboitika, kuti endometrium zvishoma nokubva nechigadziko uye neropa secretions kusiya dumbu - kumwedzi kunotanga, uye nawo kutanga itsva kutenderera okukura ari endometrium. Mune chiitiko wokunzwa ikure endometrium kunoitika nyonganyonga endometrial hyperplasia isiri yekenza.

Kazhinji The chirwere kunoratidza pacharo uterine ropa, ane dzinoparadzana hunhu dzinomuka mushure kunonoka kuti ovulation, uyewo mukuru pakanyorwa dzose kutenderera. Zvisinei, pane zviitiko asymptomatic leakage hyperplasia isiri yekenza, kana chirwere iri kutanga raizoiswa misoro ongororo pamusoro mbereko. Kusavapo pamuviri nokuti glandular endometrial hyperplasia isiri yekenza - a pathological mamiriro dishormonal, pamberi iyo ovulation kungava ndisipo zvachose. Uyezve, hazvibviri kuti muchibereko embryo chokuita lining yacho dumbu kuchinja.

Kune akasiyana inoverengeka zvakasiyana hyperplasia isiri yekenza yakasiyana histology:

- atypical hyperplasia isiri yekenza;

- glandular-cystic hyperplasia isiri yekenza;

- glandular hyperplasia isiri yekenza of endometrium;

- endometrial polyps.

Glandular-cystic hyperplasia isiri yekenza uye nyore glandular hyperplasia isiri yekenza pamusoro endometrium pamusoro kuratidzwa akafanana chaizvo, asi chokutanga chimiro zvikuru raidudzwa. Endometrial polyps vari yemunyika, shoma hyperplasia isiri yekenza, uye pamberi STRUCTURAL uterine mucosa kuchinja uye kupomba yakananga mumasero zvakawanda raidudzwa chirwere atypical endometrial hypoplasia, iro anoonekwa somunhu precancerous chirwere mucosa. Uyewo vanachiremba dzakangwarira chaizvo anoreva glandular hyperplasia isiri yekenza, izvo anoonekazve pashure curettage, uye husingakwanisi hormone hyperplasia isiri yekenza.

Glandular endometrial hyperplasia isiri yekenza: Zvinokonzera

The zvinokonzera chirwere ichi vari zvakasiyana-siyana. Zvikurukuru, izvi zvinosanganisira hormone zvinetso, zvirwere lipid uye carbohydrate dzakagadzikana gynecological zvirwere, zvirwere dzokubereka uye kumwedzi basa, uye kuvhiya ari dumbu uye zvinoshandiswa. Uyezve, kazhinji glandular hyperplasia isiri yekenza of endometrium vakadzi nezvirwere zvakadai hyperestrogenia, uterine fibroids, zamu chirwere, endometriosis, polycystic ovarian chirwere, kusagadzikana lipid muviri, BP, yakakwirira ropa shuga, chiropa chirwere pamwe havachanyatsogoni Utilisation pakati mahormone.

Panguva Chaiyo kuziva miedzo endometrial hyperplasia isiri yekenza kwakakosha nokuti mishonga uye kudzivirira mwana, uyewo nokuda kudzivirira endometrial kenza. Kuziva chirwere ichi vachishandisa nzira dzakasiyana-siyana, vanhuwo zvikuru, asi kwete nguva dzose akavimbika (rakarurama nzira haasi kupfuura 60%), kureva Ultrasound nzira. Uyewo, nokuti chirwere kuti hyperplasia isiri yekenza vakatakura chido kana biopsy kuti endometrium panguva yechipiri hafu yatinofema. Chinonyanya zvakwo chirwere nzira anorondedzera hysteroscopy, wakaumbwa munhanganyaya kupinda uterine mhango munhu anokosha Manyiminya gadziriro, izvo kubaya biopsy rinoitwa. Uyezve, nzira iyi chirwere rinobvumira kufungidzira nemaziso mamiriro ezvinhu dumbu rusvingo.

Glandular endometrial hyperplasia isiri yekenza: kurapwa

Zvikurukuru, marapirwo kunoratidzwa mukubvisa mugove mucous Kamudzira iyo ndavhiyiwa Kumwe kuchinja kunotanga. Kuti aite izvi, yaiitisa kudzorwa kushandisa hysteroscopy, curettage, uye ipapo akaita munhu histological kudzidza. Kamwe ainyanya kuzvimba hwaputswa, kemikari ARV kuitiswa. Zvichienderana chaiwo kunotoda mufananidzo hosha, muchimiro dzinogamuchidzanwa nhumbu vaishandisa inonzi estrogen-progestin kugadzirira, GnRH agonists kana progestins yakachena. Treatment iri pamunhu mumwe, kunze mukati dzinenge mwedzi mitatu. Pashure paizvozvo iwe chikonzero chokuwedzera kuzviongorora endometrium.