Zokugula endometrial

ngezifo endometrial uya kuya kuxhaphaka kakhulu namhlanje. Iingcali bathi oku nge ukwanda ukutyeba, iingxaki ezidalwe kunye nezifo nciphisa yabafazi. Kwiimeko ezininzi leengxaki endometrial sikhatshwa yingxelo ukungalingani kwinkqubo hormone, iinkqubo yokucolwa. Ezibaluleke kakhulu luyanda inani chronicity isifo somatic.

Namhlanje, malunga nama-30-40% yazo zonke izifo yamanina kubonakele iinkqubo hyperplastic kwi endometrium. Iimeko ezinjalo ziquka abanesigulo endometrial, intsimbi-ezinezikhondo, polyp glandular adenomatosis. Kuya kusiba hyperplasia eqhelekileyo ngakumbi (glandulocystica, kwentamo okanye focal, glandular).

Iingcali ezininzi ziyavuma ukuba unobangela iinkqubo kukho ukusilela hormone kwabasetyhini. Endometrium uba lixhoba iihomoni ngokwesondo, ngenxa yobukho kuyo of nezamkeli ezithile. utshintsho hormone umfazi nabakhubekisayo, ikhokelela iyantlukwano kunye nokukhula lweziqalelo cellular. Ngenxa yokuba zokuphuhlisa neoplastic ngezifo endometrial okanye uhlobo hyperplastic. Eyona nto ibaluleke ngokukodwa kwiinkqubo kusenziwa uye hyperestrogenia. Ngeendlela ezininzi, ukunyuka kwamazinga estrogen kuchaphazela ukuphazamiseka metabolic, ehamba iintlobo zezifo zonyango.

Izikhalazo ezininzi eziqhelekileyo kwizigulane kunye neenkqubo hyperplastic na ulwabiwo zoqhagamshelwano negazi, zesibeleko ukopha (ubukhulu becala acyclic). Ukopha yobudala okuzala abavelayo elide kwaye ophe exesheni (ezifana menometroragii) kwi premenopausal - acyclic amabhinqa postmenopausal - khupha onegazi intensities ezahlukeneyo.

Uxilongo lwe hyperplasia endometrial lwenziwa yi ultrasound transvaginal kwizigqeba zangasese gistreroskopiey (diagnostic, kunye kokuphalwa eyahlukileyo, ukufunda histological umbandela ngenxa).

Omnye wale misebenzi ibalulekileyo namhlanje unyango yamanina iinkqubo hyperplastic. ngezifo Endometrial kubandakanya ukusetyenziswa unyango endala. Ezi ziquka unyango ihomoni ye estrogen-progestin amalungiselelo, amayeza progestagenic. Ukongeza, kukho izixhobo zotyando, kuquka mihla kancinane yeli lizwe, kukho amaxesha bachache ngokukhawuleza kakhulu.

Xa indlela rapid ubalisa resection (ablation) of the endometrium.

Injongo yale ahlinzwe ukuphelisa wabonakala kwezonyango iinkqubo ezikhoyo hyperplastic. Ukongeza, le ndlela isetyenziswa njenge yokuthintela umhlaza endometrial, ukwandisa amathuba kwesisu namakhosikazi aselekhulile yokuzala.

Phantsi ablation (ablation) curettage kuthetha endometrial, Ukusikwa, esibelekweni intshabalalo. De namhlanje, gynecologists ndaba andikezi uluvo enye, oko kuthathwa resection. Akukho ecacileyo malunga xa yokusebenzisa igama elithi "ablation".

Ukutshatyalaliswa bonke endometrium (ablation) ingaqhuba indlela electrosurgical kunye laser. Xa oku esikule lokubhalela uviwo histological ukuthatha engenakwenzeka.

Ukusikwa (resection) ubukhulu Endometrial na indlela electrosurgical kuphela. Kulo mzekelo, yomtya isithole excised ngokohlobo iitshiphusi zonke ingaphakathi isibeleko. Ekuqhubeni le utyando banethuba kamva ukuthatha inyama dissected ukulungiselela uviwo histological.

Ngokuqhelekileyo, umsebenzi lwenziwa phantsi zomzimba ebulewe okanye zomzimba ngokupheleleyo efakwa. Nge ukusetyenziswa ngaxeshanye endotracheal laparoscopy zomzimba.