Nā polyp endometrial

ʻO Endometrium ka pale o loko o ka ʻōpū (uterus). Hiki i ka ulu ʻana o kēia pale ke hana i nā polyps. ʻO nā Polyps ka ulu o ka manamana e hoʻopili i ka paia o ka kōpū. Hiki iā lākou ke liʻiliʻi e like me ka hua sesame a ʻoi aku paha ma mua o ka pōpō kolepa. Hoʻokahi paha a nui paha nā polyps.

ʻAʻole ʻike ʻia ke kumu kūpono o nā polyps endometrial i nā wahine. Kūleʻa lākou e ulu ke nui ka nui o ka hormone estrogen i ke kino.

ʻAʻole cancerous ka hapa nui o nā polyps endometrial. Hiki i nā mea kakaikahi ke lilo i maʻi ʻaʻai a me precancerous. ʻOi aku ka kiʻekiʻe o ka maʻi ʻaʻai inā postmenopausal ʻoe, ma Tamoxifen, a i ʻole he wā kaumaha a kūlike ʻole paha.

ʻO nā kumu ʻē aʻe e hoʻonui i ka makaʻi no nā endometrial polyps:

• Ka momona
• ʻO Tamoxifen, kahi lapaʻau no ka maʻi ʻaʻai umauma
• Hoʻomaʻamaʻa hormonone postmenopausal
• ʻO ka moʻolelo ʻohana o Lynch Syndrome a i ʻole ʻo Cowden Syndrome (nā kūlana kūlohelohe e holo i loko o nā ʻohana)

ʻO nā polyp endometrial ka mea maʻamau i nā wahine ma waena o 20 a 40 mau makahiki.

ʻAʻohe ou mau ʻōuli o nā endometrial polyps. Inā loaʻa iā ʻoe nā ʻōuli, pili pū paha lākou:

• ʻO ke kahe Menstrual ʻaʻole maʻamau a wānana ʻole ʻia
• Ka lōʻihi a kaumaha paha o ka menstrual
• Kahe i waena o nā wā
• Kahe mai ka puki ma hope o ka menopause
• Pilikia i ka noho ʻana a i ʻole ka hāpai ʻana (infertility)

E hana paha kāu mea mālama ola i kēia mau hoʻokolohua e ʻike inā loaʻa iā ʻoe nā polyp endometrial:

• ʻO ke ultrasound Transvaginal
• Hysteroscopy
• ʻO ka biopsy endometrial
• Hysterosonogram: kahi ʻano loea o ultrasound kahi i hoʻokomo ʻia ai ka wai i loko o ka lua uterine ke hana ʻia kahi ultrasound
• ʻEkolu dimensional ultrasound

Pono e hemo i nā polyps he nui no ka maʻi liʻiliʻi o ka maʻi ʻaʻai.

Lawe pinepine ʻia nā polyps endometrial e kahi hana i kapa ʻia ʻo hysteroscopy. I kekahi manawa, hiki i D a me C (Dilation a me Curettage) ke hana i biopsy ka endometrium a hemo i ka polyp. Hoʻohana liʻiliʻi ʻia kēia.

ʻO nā wahine Postmenopausal i loaʻa i nā polyps i kū ʻole i nā hōʻailona e noʻonoʻo paha i ke kali kiaʻi. Eia naʻe, pono e hemo i ka polyp inā ke kumu ia e kahe ana ke kahe o ke kino.

I nā hihia maʻamau, hiki i nā polyps ke hoʻi ma hope o ka mālama ʻana.

Hiki i nā polyp endometrial ke paʻakikī e kiʻi a noho hāpai paha.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻO ke kahe Menstrual ʻaʻole maʻamau a wānana ʻole ʻia
• Ka lōʻihi a kaumaha paha o ka menstrual
• Kahe i waena o nā wā
• Kahe mai ka puki ma hope o ka menopause

ʻAʻole hiki iā ʻoe ke pale aku i nā polyps endometrial.

Uterine polyps; Kahe ʻana o ka uterine - polyps; Kahe koko - polyps

Bulun SE Physiology a me nā pathology o ka wahine hānau axis. I: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. ʻO Williams Textbook of Endocrinology. 13th ed. Piladelapia, PA: Elsevier; 2016: chap 17.

ʻO Dolan MS, Hill C, Valea FA. Nā lehele wahine gynecologic Benign: ʻāpau, ʻōpua, ʻehaʻeha, uterus, oviduct, ovary, kiʻi ultrasound o nā pelvic. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 18.

Gilks ​​B. Uterus: kupapaʻu. I: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. ʻO Rosai lāua ʻo Ackerman's Surgical Pathology. 11th hua. Piladelapia, PA: Elsevier; 2018: chap 33.