He aha ka endometrial hyperplasia a pehea e mālama ʻia ai?

Anter

• Hōʻike Overview
• He aha nā ʻano o ka endometrial hyperplasia?
• Pehea wau e ʻike ai inā loaʻa iaʻu?
• He aha ke kumu o hypertrasia endometrial?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• Hiki iā ia ke kumu i nā pilikia?
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO ka hyperplasia endometrial pili i ka mānoanoa o ka endometrium. ʻO kēia ka papa o nā pūnaewele e hoʻopili i ka loko o kou kōpū. Ke mānoanoa kou endometrium, hiki iā ia ke alakaʻi i ke kahe koko ʻole.

ʻOiai ʻaʻole maʻi maʻi ke ʻano maʻi, hiki i kekahi manawa ke lilo i mea mua i ka maʻi ʻaʻai uterine, no laila ʻoi aku ka maikaʻi o ka hana pū ʻana me ke kauka e nānā i nā loli.

E heluhelu aʻe no nā ʻōlelo aʻoaʻo no ka ʻike ʻana i nā ʻōuli a loaʻa ka ʻike pololei.

He aha nā ʻano o ka endometrial hyperplasia?

Aia he ʻano nui ʻelua o ka endometrial hyperplasia, kaukaʻi ʻia inā pili lākou i nā hunaola ʻokoʻa, i ʻike ʻia he atypia.

ʻO nā ʻano ʻelua nā:

• ʻO hyperplasia Endometrial me ka ʻole atypia. ʻAʻole pili kēia ʻano i nā hunaola ʻokoʻa.
• Hyperplasia endometrial atypical. Kaha ʻia kēia ʻano e ka ulu nui ʻana o nā hunaola ʻē aʻe a manaʻo ʻia he precancerous. ʻO Precancerous ka manaʻo aia hiki i kahi manawa ke hoʻololi i ka maʻi ʻaʻai uterine me ka ʻole o ka lāʻau.

ʻO ka ʻike ʻana i ke ʻano o ka hypertrasia endometrial i loaʻa iā ʻoe hiki ke kōkua iā ʻoe e hoʻomaopopo pono i kāu maka maʻi ʻaʻai a koho i ka lāʻau maikaʻi loa.

Pehea wau e ʻike ai inā loaʻa iaʻu?

ʻO ka ʻōuli nui o ka hypertrasia endometrial ka hoʻokahe koko uterine maʻamau. Akā pehea ke ʻano o kēia?

Hiki i nā mea aʻe i hōʻailona o ka hyperplasia endometrial:

• Ke hele nei a lōʻihi ke kaumaha o kāu mau kau ma mua o ka maʻamau.
• Aia ma lalo o 21 mau lā mai ka lā mua o hoʻokahi manawa a hiki i ka lā mua o ka lā aʻe.
• Ke ʻike nei ʻoe i ke kahe o ka maʻi ʻoiai ua hiki ʻoe i ka menopause.

A, ʻoiai, ʻo ke kahe mau ʻana o ke kahe ʻaʻole pono ia he hyperplasia endometrial ʻoe. Akā hiki ke lilo ia i hopena o kekahi mau ʻano ʻē aʻe, no laila ʻoi aku ka maikaʻi o ka ukali ʻana me ke kauka.

He aha ke kumu o hypertrasia endometrial?

Hilinaʻi nui kāu pōʻai menstrual i nā hormones estrogen a me ka progesterone. Kōkua ka Estrogen i nā hunaola ma ka uhi o ka kōpū. Ke kū ʻole kahi hāpai, kahi kulu o kāu pae progesterone e ʻōlelo i kāu kōpū e hoʻolei i kāna uhi. Hoʻomaka kēlā i kou manawa a hoʻomaka hou ke pōʻaiapuni.

Ke kūlike kēia mau hormones ʻelua, holo pono nā mea āpau. Akā inā he nui a liʻiliʻi paha kāu, hiki i nā mea ke hele i waho o ka lōkahi.

ʻO ke kumu maʻamau o ka hypertrasia endometrial ka nui o ka estrogen a ʻaʻole lawa ka progesterone. ʻO ia e alakaʻi ai i ka ulu ulu ʻana o ka cell.

Nui a hewahewa nā kumu e loaʻa ai iā ʻoe kahi kaulike ʻole hormonal:

• Ua hōʻea ʻoe i ka menopause. ʻO kēia ka manaʻo ʻaʻole ʻoe e ovulate hou a hana ʻole kou kino i ka progesterone.
• Aia ʻoe i perimenopause. ʻAʻole kū hou ka ovvulation.
• Ua ʻoi aku ʻoe ma mua o ka menopause a lawe a i ʻole lawe i kēia manawa i ka estrogen (hormone replacement therapy).
• Loaʻa iā ʻoe kahi pōʻai kūpono ʻole, infertility, a i ʻole polycystic ovary syndrome.
• Lawe ʻoe i nā lāʻau e hoʻohālike i ka estrogen.
• Ua manaʻo ʻia ʻoe he momona.

ʻO nā mea ʻē aʻe e hiki ke hoʻonui i kāu makaʻu o ka hypertrasia endometrial me:

• ma luna o 35 mau makahiki
• ke hoʻomaka nei i ka menstruation i ka wā ʻōpio
• ke hōʻea nei i ka menopause i kahi makahiki hope
• ke loaʻa ʻana i nā kūlana olakino ʻē aʻe e like me ka maʻi kō, ka maʻi thyroid, a i ʻole ka maʻi gallbladder
• he moʻolelo ʻohana o ka uterine, ovarian, a i ʻole ka maʻi ʻaʻai kolone

Pehea ia ʻike?

Inā ua hōʻike ʻoe i ke kahe mau ʻana o ke kahe, e hoʻomaka paha kāu kauka ma ka nīnau ʻana i nā nīnau e pili ana i kāu moʻolelo olakino.

I kou wā i koho ʻia ai, e nānā e kūkā:

• inā he ʻōpala ʻana i ke koko a inā kaumaha ke kahe
• inā ʻeha ke kahe
• kekahi mau hōʻailona ʻē aʻe āu e loaʻa ai, ʻoiai ʻoe e manaʻo pili ʻole lākou
• nā kūlana olakino ʻē aʻe āu
• inā paha ʻaʻole hiki iā ʻoe ke hāpai
• inā ua hōʻea ʻoe i ka menopause
• nā lāʻau lapaʻau hormonal āu e lawe ai a lawe paha
• inā he moʻolelo ʻohana kou o ka maʻi ʻaʻai

Ma muli o kāu mōʻaukala olakino, e hoʻomaka paha lākou me kekahi mau hōʻoia hōʻoia. Pili paha kēia i hoʻokahi a i ʻole ka hui pū ʻana o kēia:

• ʻO ke ultrasound Transvaginal. Pili kēia hana i ke kau ʻana i kahi hāmeʻa liʻiliʻi i loko o ka lua e hoʻohuli i nā nalu kani i nā kiʻi ma ka pakuhi. Hiki iā ia ke kōkua i kāu kauka e ana i ka mānoanoa o kou endometrium a nānā i kou kōpū a me nā ovaries.
• Hysteroscopy. Hoʻopili kēia i ka hoʻokomo ʻana i kahi mea liʻiliʻi me ke kukui a me ka pahu paʻi kiʻi i loko o kou kōpū ma o kou cervix e nānā no nā mea maʻamau ʻole i loko o ka pūpū.
• ʻO Biopsy. Hoʻopili kēia i ka lawe ʻana i kahi lāpana kikoʻī o kou kōpū e nānā no nā hunaola maʻi ʻino. Hiki ke lawe ʻia ka laʻana o ke kiko i ka manawa o ka hysteroscopy, kahi dilation a me curettage, a i ʻole ma ke ʻano he hana maʻalahi i loko o ka keʻena. Hoʻouna ʻia ka hāpana kiko i kahi pathologist no ke kālailai.

Pehea e mālama ʻia ai?

Hoʻomaʻamaʻa maʻamau ka i loko o ka hormone therapy a i ʻole ke ʻoki ʻana.

E hilinaʻi kāu mau koho i kekahi mau kumu, e like me:

• inā loaʻa nā hunaola atypical
• inā ua hōʻea ʻoe i ka menopause
• nā hoʻolālā hāpai e hiki mai ana
• pilikino a me ka moʻolelo ʻohana o ka maʻi ʻaʻai

Inā loaʻa iā ʻoe kahi hyperplasia maʻalahi me ka ʻole atypia, e ʻōlelo paha kāu kauka e nānā pono i kāu mau ʻōuli. I kekahi manawa, ʻaʻole e ʻino lākou a hele paha ke kūlana ma kāna iho.

Inā ʻole, hiki ke mālama ʻia me:

• Hoʻoikaika Hormonal. Loaʻa ʻo Progestin, kahi ʻano synthetic o progesterone, i ka palapala pill a me ka injection a me ka intrauterine device.
• Hysterectomy. Inā loaʻa iā ʻoe kahi atplical hyperplasia, e hoʻoliʻiliʻi ana i kāu uterus e hoʻohaʻahaʻa ai i kāu maʻi maʻi ʻaʻai. Loaʻa i kēia ʻoki ʻana ʻaʻole hiki iā ʻoe ke hāpai. He koho maikaʻi paha inā ua hiki ʻoe i ka menopause, mai hoʻolālā i ka hāpai ʻana, a i ʻole ka makaʻu nui i ka maʻi ʻaʻai.

Hiki iā ia ke kumu i nā pilikia?

ʻOi aku ka mānoanoa o ka uhi ʻana o ka uterine i ka hala ʻana o ka manawa. Hiki i ka Hyperplasia me ka ʻole atypia ke hoʻomohala i nā hunaola atypical. ʻO ka pilikia nui ka makaʻu e hele i mua i ka maʻi ʻaʻai uterine.

Manaʻo ʻia ʻo Atypia he precancerous. ua hoʻohālikelike i ka makaʻu o ka holomua mai hyperplasia atypical i ka maʻi ʻaʻai a hiki i ka 52 pakeneka.

He aha ke kuanaʻike?

Hoʻopau ka endometrial hyperplasia i kekahi manawa iā ia iho. A ke ʻole ʻoe i lawe i nā hormoni, e lohi ka ulu ʻana.

ʻO ka hapa nui o ka manawa, ʻaʻole ia he maʻi ʻaʻai a pane maikaʻi i ka lapaʻau. He mea nui ka ukali ʻana e hōʻoia i ka holomua ʻole o hyperplasia i loko o nā hunaola atypical.

E hoʻomau i ka nānā maʻamau ʻana a hoʻomaopopo i kāu kauka i nā loli a i ʻole nā ​​hōʻailona hou.