Endometrial zvokurwara

endometrial zvokurwara kuri kuramba vachiwanda nhasi. Nyanzvi vanoti ichi muitiro pamwe kuwedzera kufutisa, kwemakemikari anobudiswa zvirwere uye kuderera vakadzi kutapata. Muzviitiko zvizhinji pamusoro endometrial zvokurwara achabatsirwa ane kusaenzana mune hormone ino, metabolic kwendangariro. Zvikuru iri kuwedzera somatic chirwere chronicity.

Nhasi, anenge 30-40% vose gynecological zvirwere padzakacherechedza hyperplastic pezvakaitwa ari endometrium. ezvinhu akadaro zvinosanganisira fibrosis endometrial, simbi-fibrous, glandular polyps adenomatosis. Zvinonzi kuramba vachiwanda hyperplasia isiri yekenza (glandulocystica, diffuse kana zvatichiri, glandular).

Vanamazvikokota vakawanda vanobvuma kuti mhaka pezvakaitwa ndiyo hormone kukundikana vakadzi. Endometrium anova atambudzwe pabonde mahormone, nokuda pamberi mariri nezvevamwe receptors. hormone kuchinja agumbuka mukadzi kunoita kuti Kusiyanisa uye ikure cellular zvinhu. Somugumisiro dzichiri endometrial zvokurwara neoplastic kana hyperplastic hunhu. Of Kunyanya kukosha pakuumba pezvakaitwa ane hyperestrogenia. Munzira dzakawanda, kuwedzera inonzi estrogen yomuropa sei metabolic chinovanetsa, kufamba dzakasiyana-siyana dzokurapwa zvirwere.

Vakawanda zvichemo varwere hyperplastic pezvakaitwa vari ropa kuonana yavaive, uterine ropa (kunyanya acyclic). Ropa ari okubereka zera sevanhu mazhinji uye rinorema kugeza (kufanana menometroragii) mu premenopausal - acyclic vakadzi postmenopausal - ropa discharges ose intensities siyana.

Chirwere pamusoro endometrial hyperplasia isiri yekenza rinoitwa nevanhu transvaginal Ultrasound mune nhengo pelvic gistreroskopiey (chirwere, pamwe yoga tichibvisa, histological kudzidza zvichiguma zvinhu).

Chimwe chezvinhu zvinokosha mabasa nhasi ndiro gynecological dambudziko hyperplastic kwendangariro. Endometrial zvokurwara kunosanganisira kushandisa kuchinja mishonga. Izvi zvinosanganisira kemikari Mabatirwo inonzi estrogen-progestin kugadzirira, progestagenic mishonga. Uyezve, pane zvomusejari unyanzvi, kusanganisira zvishoma invasive ano, ane hwakanyatsorwisa kukurumidza kupora nguva.

By nokukurumidza nzira anorondedzera resection (ablation) ari endometrium.

Chinangwa kuvhiyiwa uku kubvisa zvekuchipatara kuratidzwa zviripo hyperplastic pezvakaitwa. Uyezve, nzira iyi rinoshandiswa senzira kudzivirira kubva endometrial kenza, kuwedzera mikana pamuviri vakadzi zera rokubereka.

Under ablation (ablation) zvinoreva endometrial curettage, excision, dumbu kuparadzwa. Kusvikira nhasi, gynecologists havana kuuya chete pfungwa, chii chiri vaitirei resection. Hakuna yakajeka pamusoro apo kushandisa shoko rokuti "ablation".

Kuparadzwa vose endometrium (ablation) anogona kuitwa electrosurgical uye Laser nzira. Kana zvinyama ichi kuti histological kuzviongorora kuti kutora hazviiti.

Excision (resection) Endometrial ukobvu ndiyo electrosurgical nzira chete. Panyaya iyi, nokuveza loop iri excised muchimiro machipisi ose lining yose dumbu. In kuitisa Kuvhiya uku vane mukana gare gare kutora dissected zvinyama kuti histological kuzviongorora.

Kazhinji, kuvhiyiwa rinoitwa pasi nhengo dzomuviri yokutindivadza kana zvachose intravenous yokutindivadza. With mawa kushandiswa laparoscopy endotracheal yokutindivadza.