Wesizalo adenomatosis - ntoni na?

Adenomatosis wabiza endometrial Nedlac (focal okanye kwentamo), hyperplasia endometrial, enyanisweni, i imeko precancerous.

inkqubo Preneoplastic - yinto ngezifo oluthile, kunye ubuchule linokuba nako ukungena ngumhlaza. inkqubo Precancerous hyperplastic uyakwazi umva uphuhliso, 10% kuphela okunene iba Oncology. adenomatosis ye wesibeleko kufuneka luthathelwe ingqalelo kakhulu ngoogqirha.

Inkcazelo sifo

Kuba iinkqubo endometrial hyperplastic inxulumene ngqo kwekhono hormone. Idla kwenzeke zesibeleko ukopha kunye ukungachumi. ukuba zivela ngenxa yokuba kukho hyperestrogenia. imali ezingaphezu estrogen kwiziphumo endometrium neenguqu yokusemgangathweni nobungakanani beemeko kudale ukukhula ukuqina kunye nezakhiwo zawo zangaphakathi. Kwaye kukho adenomatosis wesibeleko.

iinkqubo Hyperplastic kukho iindidi ezininzi, kuxhomekeke kudidi lwe yeseli, leyo ukuphumeza ezi nkqubo emzimbeni:

- hyperplasia glandular;

- diffuse hyperplasia;

- hyperplasia lobular.

Thina uqwalasela ngamnye kule zolwimi ngokunzulu.

hyperplasia glandular

Xa ukwandisa isakhiwo glandular iphuhlise hyperplasia glandular le endometrium. Ngamanye amaxesha oku kukhokelela ekwandeni esinganyangekiyo lemfundo kwamadlala emathutyeni, koko kwafunyaniswa ukuba hyperplasia glandular-esinganyangekiyo. Le endometrium abonakale nokukhula iiseli ezingaqhelekanga ababa ukuba adenomatosis.

Kubalulekile ukuqonda ukuba kophulwa umthetho nokusebenza kwengqondo, ingakumbi xa le ngxenye abachaphazelekayo, kwakunye okukwazi buthathaka kwaye pathways syndrome kuvela kwimeko umhlaza hyperplasia glandular. Ngaphezu koko, kungakhathaliseki ubudala.

hyperplasia kwentamo

Kwezinye iimeko, ukunwenwa iinkqubo hyperplastic ehamba bonke phezu komhlaba endometrium, lo gama iingcali atyhila hyperplasia kwentamo. Loo nto kuyenye adenomatosis inqubo ehlasela hyperplastic.

hyperplasia lobular

Ukongeza, kukho uhlobo hyperplasia focal. Zixhaphakile zomzimba endometriotic lwenzeka kwi indawo elinganiselwe. Ke Kwingabula-up ubalekela lweHo- zesibeleko, kunokuba kube efana liqhubu. adenomatosis Focal yi liqhubu, nto leyo eye iiseli ezingaqhelekanga.

Adenomatosis wesibeleko iphathwa kakhulu uqhaqho. zemo yezulu Enye kuxhomekeke kwizinto ezininzi:

- ubudala yesigulana;

- uhlobo ukuphazamiseka hormone;

- izifo ehambisana neuroendocrine;

- urhulumente sifo.

Amanye amabhinqa abanomdla umbuzo wokuba yintoni umahluko ukusuka isibeleko adenomatosis adenomatosis endometrium? Yeyona inkqubo efanayo Nedlac. Igama elithi "adenomatosis zesibeleko" ayikho kakhulu zichanekile, njengoko atypia kuchaphazela kuphela umaleko engaphakathi, elulolwakhe endometrium. Kwaye esizalweni, kukho kwiiseli ezininzi.

Abanesigulo kunye adenomatosis

adenomatosis ezinezikhondo njengokuba isifo ayikho. Abanesigulo - a leengxaki apho ekhula nokuqina izihlunu adenomatosis - ekhula glandular. Uhlobo olungumxube ngezifo, nathi, sinokuba eya kubizwa ngokuba hyperplasia fibrocystic.

Adenomatosis kusenokungabikho kuphela wesibeleko. Kuyenzeka emabeleni, kodwa enyanisweni ezi nkqubo zophendlo lwezifo zahlukile ngokupheleleyo. Adenomatosis isifo ibele Reclus, xa kukho ukubunjwa cysts ezincinane ebubonisayo ngesithomo. Siye ngokutsha adenomatosis wesibeleko. Yintoni na, kwacaca.

Zintoni izinto ezibangela adenomatosis endometrial?

Izizathu yotshintsho iseli Nedlac zezona zinto ezifanayo engabangela iinkqubo hyperplastic kwi endometrium. Izizathu ezibambekayo adenomatosis ayaziwa. Kakade ke, lo kudala zihlolisiswe rhoqo, kodwa kude namhlanje akunakwenzeka ukuba bathi kanye yintoni 'umnyele inkqubo Nedlac kwi endometrium. Kodwa ke ngakumbi kukho iintlobo iimeko ezinzima, kokukhona okuba nesifo.

Le ndawo yokuqala phakathi kwabo bonke endometrium izinto Ngokuqunjiswa adenomatosis kuthatha ukusilela hormone. Zaphazanyiswa ummiselo neurohumoral yonke umzimba womntu. Estrogen kunye progestins inxaxheba utshintsho elibujikele komzimba kwi wesibeleko. Ngokuyintloko kuba estrogen kukunyuka nwebu uxakaxa lwangaphakathi. Kodwa ke umsebenzi progestogens esifike ukunqanda ukukhula le endometrium, kwaye walahlwa.

Xa unomthamo ogqithisileyo estrogen endometrial proliferation kwenzeka angalawuleki. Hyperestrogenia kwenzeka ngenxa yezizathu ezahlukeneyo:

- umsebenzi hormone ovarian kahle;

- kukhona anovulation;

- umjikelo uba wesigaba esinye;

- kukho hyperplasia endometrial.

Ukuba PCOS i anovulation ezigulo ezondeleyo. Kananjalo uhlobo ingqumbo kuphuhliso hyperplasia. Ukuba umfazi kuthatha iziyobisi traps engalawulekiyo, ngoko oku kuchatshazelwa yi iihomoni. Oku kuya kuqala inkqubo endometrium hyperplastic.

Ukuba kukho ngaxeshanye hyperestrogenia, kwizifo extragenital kunye nokuphazamiseka neuroendocrine emzimbeni, oko konyusa amathuba nokuphuhlisa adenomatosis. abafazi nomzimba kunye nomhlaza isifo unesifo le endometrium bayaboniswa bachazelwe kangangoko amaxesha 10 umkhulu kunalowo apho eqhelekileyo ubunzima kunye wegazi.

Ziziphi izizathu isenokuba ukuphuhlisa hyperestrogenia? Amaxesha amaninzi kwesibindi kunye iphecana biliary ezikhokelela kwesi sifo, ekubeni isebenzisa estrogen zesibindi.

Ngoko ke, kukho ukukhula kwamalweyile ngendlela umaleko engaphakathi isibeleko, ebangela ukuba kusekwe iiseli ezingaqhelekanga. Oku adenomatosis endometrium. Kuthekani ukuba lokufunyaniswa unyango "adenomatosis wesibeleko"? Kule kamva.

Iimpawu ze adenomatosis endometrial

Ngokuqhelekileyo, akukho adenomatosis iimpawu ezicacileyo ayikho, kuba iiseli ezingaqhelekanga kungabonwa kuphela indlela elebhu. Okokuqala bekubona inkqubo hyperplastic, ngoko kuyimfuneko ukuba acacise indalo yayo.

Kukho ezinye iimpawu hyperplasia, ekufuneka ihlawulwe ingqalelo:

- ukutshintsha uhlobo ukopha - amaxesha kuba luninzi, igazi xa iphuma yomtya;

- intlungu esisu kwaye sehlise emva kokuba sexesheni nangethuba kuyo;

- ibonakalisa syndrome pathways - ukutyeba, ngokugqithiseleyo umzimba iinwele lohlobo eyindoda, ukunyusa umgangatho insulin egazini;

- kakuhle ukuchuma - akunakwenzeka ukuba kumitha, uzale umntwana;

- phambi imastitis;

- ukudumba inkqubo enzala;

- Pain ngexesha iintlobano, ukopha lobufazi emva kwakhe.

Yenza adenomatosis wesibeleko zabonwa ultrasound?

Ukusebenzisa ayisuse cuke umiselwa Ebubanzini kunye isakhiwo endometrium. Transvaginal zihlole kakuhle olu phando ukumelana. Yeyiphi inkqubo hyperplastic liyasetyenziswa - focal okanye kwentamo - ukubonisa le bacita. Ngenxa yoko, xa kutyhilwa hyperplasia ehlasela, kunokwenzeka ukuba iqalise ubukho adenomatosis kwentamo. Yiba nomfanekiso ngayo ngokusebenzisa woluvo nto ayinakwenzeka; ngenxa yokuba akukho iimpawu ezinika ingcaciso.

Focal adenomatosis wesibeleko lula ukuzibona, njengokuba kubhaliwe njengombala liqhubu. Nangona uhlobo utshintsho cellular uya kusebenza ukuze ziqondwe. Atypia akafumaneki yi ayisuse cuke.

Oku sisusa i inwebu kwiinwebu isibeleko, emva koko izinto ithunyelwa ukulungiselela uviwo histological. Le ndlela uphethwe kubaluleke kakhulu xa adenomatosis. Siye sifunde isakhiwo iiseli, lutshintsho zesakhiwo, kwakunye ukuba kangakanani kunye nobukhulu oko Nedlac. Ukuba ayifumanekanga atypia, ngoko icebisa hyperplasia elihle.

Kudla eyenziwa kokuphalwa zoqhaqho lweHo- zesibeleko, kwaye ngoko ke zezinto ezithile eziziphumo wancinwa. Oku kunceda hysteroscopy ukuba uhlolo olubonakalayo kwi baphume epheleleyo endometrium.

wesizalo adenomatosis: unyango

Adenomatosis phambi umfazi inokuba ngunobangela nenzalo, kodwa kube okuphumelelayo ukukhulelwa ukupheliswa ngaphambi lokukhulelwa kunokwenzeka ngokuchasene nentsukaphi sifo.

Unyango kakhulu iquka isibakala sokuba etshintshiweyo zoomatshini lisusiwe endometrium. Ngenxa yoko, intsumpa ukuphelisa umthombo utshintsho lwezidumbu, koko, ukuba ukukrwela ezibekelwe ukubhala iimviwo histological. Xa iziphumo ezifunyenweyo, kuxhomekeka isicwangciso ezimisele unyango.

abelwa unyango hormone kunye notyando ngamnye. Ukuba intombazana eselula, lo iingcali kuphela kunyango amachiza hormone. Isigulana ngubani na kwi nobuhlobo ubudala ukuya exesheni kunye hormone unyango olwenziwe utyando olukhulu - ukususwa wesibeleko kunye ezihlobene. Oku kunciphisa kakhulu amathuba adenomatosis utshintsho in umhlaza. Uyakwazi ukugcina ubomi mfazi.

Kubalulekile ukuqonda ukuba isifo adenomatosis kwangethuba kakhulu ezinqwenelekayo; kulo mzekelo, ingozi yomhlaza kuba ncinci. Ngoko kuyimfuneko ukuba ukutyelela ugqirha rhoqo, bangenele iimviwo ebanzi, ukuze zonke iimvavanyo eziyimfuneko. Siye sahlolisisa kweli nqaku adenomatosis umhlaza endometrial. Khathalela impilo yakho!