Yintoni hyperplasia glandular endometrial?

Ingaphakathi isibeleko, phantsi utshintsho yovandlakanyo kuyo kumjikelo sexesheni, ebizwa ngokuba endometrium. Ekuqaleni sexesheni, eli qokobhe phantsi kweempembelelo hormone uqala ukuze akhule kwaye ukutshintsha isakhiwo yayo ukulungiselela ukufumana mbungu. Ukuba ekukhulelweni akukho kwenzeke, i-endometrium ngokuthe ukusuka kwisiseko kunye netuwa igazi abashiya isibeleko - exesheni luqala, kwaye nalo ke umjikelo uqalile entsha yophuhliso endometrium. Xa kuthe yokukhula ngokugqithisileyo kulo endometrium lwenzeka sifo hyperplasia endometrial.

Esi sifo sidla kuziveza ukopha zesibeleko, ukuba umlinganiswa kukuba iveza ukuba kuvela emva kokuba nokubambezeleka ovulation, kwakunye nemvelaphi lomjikelo rhoqo. Nangona kunjalo, kukho iimeko nazimpawu ukuvuza hyperplasia, xa uxilongo ibekwe yokuqala uphando olubanzi malunga ukungachumi. Ukungabikho ukukhulelwa ngenxa yokuba hyperplasia endometrial glandular - a lwezidumbu imeko dishormonal, phambi apho ovulation kungangabikho kuphele. Ukongeza, akunakwenzeka umzila bemveku ngokunxulumene ingaphakathi utshintsho esibelekweni.

Kukho iintlobo ezininzi kuhluka hyperplasia histology ezahlukeneyo:

- hyperplasia Nedlac;

- hyperplasia glandular-esinganyangekiyo;

- hyperplasia glandular le endometrium;

- endometrial polyp.

hyperplasia Glandular-esinganyangekiyo kunye hyperplasia elula glandular le endometrium kwi wabonakala ziyafana kakhulu, kodwa ke uhlobo yokuqala ucaca ngakumbi. polyp Endometrial lapha, hyperplasia olungephi, kwaye phambi kokulungisa zesibeleko isifo zokusebenza kunye kwamadlala ucaca ngakumbi ukumpontshwa ethile kwafunyaniswa hypoplasia Nedlac endometrial, nto leyo ithathwa njengokuba isifo nesifo precancerous. Kwakhona oogqirha balumke kakhulu zibhekisela hyperplasia glandular, leyo agqabhuke emva curettage, kwaye ukumelana hyperplasia hormone.

Glandular hyperplasia endometrial: Oonobangela

Izinto ezibangela le sifo kakhulu zahlukene. Ngokuyintloko, ezi ziquka ukuphazamiseka kwamadlala, izifo lipid kunye carbohydrate balance, izifo yamanina, ukuphazamiseka yomsebenzi ekuzaleni yaye sexesheni, notyando kwi wesibeleko kunye ezihlobene. Ukongeza, hyperplasia kaninzi glandular le endometrium kwabasetyhini nezifo ezifana hyperestrogenia, fibroids zesibeleko, isifo ibele, endometriosis, polycystic isifo ovarian, ukuphazamiseka of lipid ukutya, lwegazi, iswekile yegazi ophakamileyo, isifo ewasusa ukusetyenziswa kakuhle hormone.

Ubhaqo ngexesha hyperplasia endometrial kubaluleke kakhulu ukuba unyango kunye nothintelo ukungachumi, kwakunye nokuthintela umhlaza endometrial. Ukuze ukubona le sifo kusetyenziswa iindlela ngeendlela, eyona eqhelekileyo, kodwa akusoloko oluthembekileyo (ukuchaneka indlela ayikho ngaphezu kwe-60%), ubhekisela indlela ultrasound. Kwakhona, kuba lokufunyaniswa hyperplasia bamthwala njengeminqweno yoluntu okanye biopsy i endometrium ngethuba lomjikelo kwisiqingatha sesibini. Eyona ndlela kakhulu ulwazi diagnostic ubalisa hysteroscopy, owakhiwa kwintshayelelo kulo zesibeleko em- inkqubo ekhethekileyo enombala, ngazo biopsy ekujoliswe kulo luyenziwa. Ukongeza, le ndlela diagnostic kuvumela ukuqikelela abangaboniyo imeko kodonga esibelekweni.

Glandular hyperplasia endometrial: unyango

Ngokuyintloko, unyango iqulathe ekususeni isabelo inwebu yangaphakathi leyo unenzondelelo utshintsho zophendlo lwezifo. Ukuze wenze oku, lwenziwa ilawulwe esebenzisa hysteroscopy, curettage, waza wenza isifundo histological. Xa ugqaliselo ukudumba isusiwe, unyango hormone kwenziwa. Kuxhomekeka umfanekiso othile kwezonyango sifo, ngokohlobo zokucwangcisa ngomlomo ezisetyenziswa estrogen-progestin amalungiselelo, agonists GnRH okanye progestins acocekileyo. Unyango uwedwa, uqhutywe kwisithuba seenyanga ezintathu ubuncinane. Emva koko kufuneka baqhubele iimviwo endometrium.