He aha ke aho Endometrial?

Anter

• Pehea ke ʻano o ke kaha?
• Mahele Menstrual a i ʻole ka wā hoʻonui mua
• Mahele hoʻolana lohi
• ʻ Secretlelo huna
• Pehea ka mānoanoa o ke kaha?
• Pediatric
• Premenopausal
• Hapai keiki
• Lāʻau hānau
• Postmenopausal
• He aha ke kumu o ka mānoanoa o ka mānoanoa?
• Polyps
• ʻO Fibroids
• Hoʻohana Tamoxifen
• Hyperplasia Endometrial
• Maʻi ʻaʻai Endometrial
• He aha ke kumu o ka lahilahi o ke kino?
• Menopause
• ʻO Atrophy
• He aha nā hōʻailona e pili pū me nā mea kūpono ʻole i kaʻiʻo?
• E kamaʻilio me kāu kauka

He aha kēīa?

Kāhea ʻia kou uhi ʻia ʻo uterine ka endometrium. Ke loaʻa iā ʻoe kahi ultrasound a i ʻole MRI, e hōʻike ʻia kāu endometrium ma ke ʻano he laina pouli ma ka pakuhi. Kuhi ʻia kēia laina i kekahi manawa ma ke ʻano he "stripe endometrial." ʻAʻole kuhikuhi kēia huaʻōlelo i kahi kūlana olakino a i ʻole kahi hōʻailona, ​​akā i kahi ʻāpana maʻamau o kaʻiʻo o kou kino.

Hiki ke ʻike ʻia nā hunaola endometrial i nā ʻāpana ʻē aʻe o kou kino ma ke ʻano he hōʻailona o ka endometriosis, akā ʻo kahi "ʻoki endometrial" pili pono ia i nā kiko endometrial i loko o kāu kōpū.

E loli maoli kēiaʻaʻaʻa i kou mau makahiki a neʻe i waena o nā hanana hānau. E heluhelu e aʻo hou e pili ana i kēia mau loli, nā ʻōuli e kiaʻi ai, a i ka manawa e ʻike ai i kāu kauka.

Pehea ke ʻano o ke kaha?

Inā ʻoe he mau makahiki hānau, ʻo ka hiʻona holoʻokoʻa o kāu aho endometrial e hilinaʻi ia ma hea ʻoe i kāu pōʻai menstrual.

Mahele Menstrual a i ʻole ka wā hoʻonui mua

ʻO nā lā i kou wā a ma hope koke o ke kapa ʻia ʻo ka menstrual, a i ʻole ka wā mua. I kēia manawa, e nānā ka lahilahi endometrial lahilahi, e like me ka laina pololei.

Mahele hoʻolana lohi

E hoʻomaka ka mānoanoa o kāu kiko endometrial ma hope i kāu pōʻaiapuni. I ka wā o ka hopena o ka hopena o ka hopena, ʻike ʻia ke kahakaha ʻia me ka laina ʻeleʻele e holo ana ma waena. Pau kēia manawa ke hele a ovulate ʻoe.

ʻ Secretlelo huna

ʻO ka ʻāpana o kāu pōʻaiapuni ma waena o ka wā e ovulate ai a i ka wā e hoʻomaka ai kou wā i kapa ʻia ka pae huna. I kēia manawa, ka mānoanoa o kāu endometrium. Hoʻoulu ka ʻāpana i ka wai a puni ia, a ma ka ultrasound, e like ana ke kaulike a me ke kala a puni.

Pehea ka mānoanoa o ke kaha?

ʻOkoʻa ka laulā maʻamau o ka mānoanoa e like me ke ʻano o ke ola āu i loko.

Pediatric

Ma mua o ka ʻōpio, ke aniani o ke aho endometrial me he lālani lahilahi i ka mahina holoʻokoʻa. I kekahi mau hihia, ʻaʻole hiki ke ʻike ʻia e kahi ultrasound.

Premenopausal

No nā wahine o ka wā hānau, mānoanoa ka pā o ka endometrial a wīwī e like me kā lākou menstrual cycle. Hiki ke kaula i nā wahi mai ka liʻiliʻi iki ma mua o 1 millimeter (mm) a i iki iki o 16 mm i ka nui. Aia ia i ka hopena o ka menstruation āu e ʻike nei ke lawe ʻia ke ana.

Penei nā ana ʻana:

• I kou wā: 2 a 4 mm
• ʻO ka pae hoʻonui mua: 5 a 7 mm
• Nā papa hana hoʻolaha hope loa: E piʻi i 11 mm
• Kahi huna: Aia i 16 mm

Hapai keiki

Ke hiki ke hāpai, e hoʻokomo i kahi hua manu momona i loko o ka endometrium ʻoiai ia ma ka mānoanoa. Hiki i nā hoʻokolohua kiʻi ke hana i ka wā o ka hāpai mua ke hōʻike i kahi aho endometrial o 2 mm a ʻoi paha.

I kahi hāpai maʻamau, e lilo ka stripe endometrial i home no ka ʻōpū e ulu ana. E hūnā ʻia ke kaula e kahi ʻeke hāpai a me kahi placenta.

Lāʻau hānau

ʻOi aku ka mānoanoa o ke kaʻi endometrial ma mua o ka maʻa mau ma hope o ka hānau ʻana. ʻO ia no ka mea hiki i nā kahe koko a me nā mea kahiko ke hoʻolōʻihi ma hope o ka lawe ʻana.

ʻIke ʻia kēia mau koena ma hope o 24 pākēneka o nā hāpai keiki. Kūleʻa like lākou ma hope o ka hoʻouna cesarean.

E hoʻi ka ʻāpana endometrial i kāna pōʻaiapuni maʻamau o ka lahilahi a me ka mānoanoa ke hoʻomaka hou kāu pōʻaiapuni wā.

Postmenopausal

Hoʻopaʻa ka mānoanoa o ka endometrium ma hope o kou hiki ʻana i ka menopause.

Inā kokoke ʻoe i ka hiki ʻana i ka menopause akā loaʻa i kekahi manawa ke kahe o ke kahe o ke kino, ʻoi aku ka liʻiliʻi o ke kaha awelika ma mua o 5 mm o ka mānoanoa.

Inā ʻaʻole ʻoe e ʻike hou i kekahi kahe koko, he kaha endometrial ma luna o 4 mm a ʻoi paha i manaʻo ʻia he hōʻailona no ka maʻi ʻaʻai endometrial.

He aha ke kumu o ka mānoanoa o ka mānoanoa?

Inā ʻaʻole ʻoe e ʻike nei i nā ʻōuli maʻamau, ʻaʻole nā ​​kumu endometrial mānoanoa i kumu no ka hopohopo. I kekahi mau hihia, he kaha endometrial mānoanoa kahi hōʻailona o:

Polyps

ʻO nā polyps endometrial kahi ʻano ʻino i loaʻa i ka kōpū. Hōʻike kēia mau polyps i ka endometrium i mānoanoa i kahi sonogram. I ka hapanui o nā hihia, maikaʻi nā polyps. I nā o nā hihia, hiki i nā polyp endometrial ke lilo i mea hōʻino.

ʻO Fibroids

Hiki i nā fibroids utterine ke hoʻopili i ka endometrium a mānoanoa. Kūlohelohe loa nā fibroids, o nā wahine e hoʻomohala iā lākou i kekahi manawa ma mua o ka huli ʻana i 50.

Hoʻohana Tamoxifen

ʻO Tamoxifen (Nolvadex) kahi lāʻau i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai umauma. ʻO nā hopena ʻē aʻe e pili pū me ka menopause mua a me nā loli i ke ala o kou endometrium a mānoanoa.

Hyperplasia Endometrial

Hana ʻia ka hyperplasia endometrial ke hana kāu mau endometrial glands i ka ulu o nā meaola me ka wikiwiki. ʻOi aku ka maʻamau o kēia kūlana i nā wahine i hōʻea i ka menopause. I kekahi mau hihia, hiki i ka hypertrasia endometrial ke lilo i mea hōʻino.

Maʻi ʻaʻai Endometrial

Wahi a ka American Cancer Society, ʻaneʻane kokoke i nā maʻi ʻaʻai uterine āpau e hoʻomaka i nā hunaola endometrial. ʻO ka loaʻa ʻana o kahi endometrium mānoanoa maʻamau ʻole hiki ke lilo i hōʻailona mua o ka maʻi ʻaʻai. ʻO nā ʻōuli ʻē aʻe e pili ana i ke kahe nui, pinepine, a i ʻole ke kūlike ʻole i ke kahe ʻana, ka hoʻokuʻu kū ʻole ma hope o ka menopause, a me ka ʻeha o ka ʻōpū a pelvic hoʻi i lalo.

He aha ke kumu o ka lahilahi o ke kino?

Inā ʻaʻole ʻoe e ʻike nei i nā ʻōuli maʻamau, ʻaʻole nā ​​kumu endometrial lahilahi ke kumu o ka hopohopo. I kekahi mau hihia, he kaha endometrial lahilahi paha kahi hōʻailona o:

Menopause

E hoʻopau kāu endometrium i ka lahilahi a me ka mānoanoa o ka mahina i ka wā a ma hope o ka menopause.

ʻO Atrophy

Hiki i nā pae estrogen haʻahaʻa ke alakaʻi i kahi kūlana i kapa ʻia ʻo endometrial atrophy. ʻO ka pinepine, pili kēia i ka hoʻomaka o ka menopause. Hiki i ke kaulike ʻole o ka Hormone, nā maʻi ʻai, a me nā kūlana autoimmune ke alakaʻi i ka atrophy i nā wahine ʻōpio. Ke loaʻa ka haʻahaʻa o ka estrogen i kou kino, ʻaʻole paha e mānoanoa kou kino endometrial no ka hoʻokomo ʻana o ka hua manu.

He aha nā hōʻailona e pili pū me nā mea kūpono ʻole i kaʻiʻo?

Ke ulu nei nā hunaola endometrial i kahi helu maʻamau, hiki i nā ʻōuli ʻē aʻe ke hopena.

Inā loaʻa iā ʻoe kahi mānoanoa ma mua o ka maʻamau endometrial stripe, hiki i kēia mau ʻōuli ke hoʻopili:

• kahe holomua ma waena o nā kau
• wā ʻeha loa
• pilikia i ka hāpai ʻana
• pōkole loa ma mua o 24 mau lā a ʻoi aku paha ma mua o 38 mau lā
• kahe nui ke kahe i kou wā

Inā lahilahi kou endometrium ma mua o ka maʻamau, loaʻa paha iā ʻoe kekahi o nā ʻōuli like e pili pū ana me nā mea mānoanoa. E ʻike paha ʻoe:

• ua haʻalele i nā wā a i ʻole ka loaʻa ʻole o ka menstruation
• ʻeha pelvic i nā manawa like ʻole i loko o ka mahina
• moe kolohe ʻeha

Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e hoʻopaʻa i kāu manawa me kāu kauka. Paipai paha lākou i kahi ultrasound a i ʻole nā ​​hōʻike diagnostic e hoʻoholo i ke kumu.

E kamaʻilio me kāu kauka

Mai kānalua e nīnau i kāu kauka e pili ana i kou olakino hānau. Hiki i kāu kauka ke nānā i kāu mōʻaukala olakino a kūkākūkā i ka mea maʻamau nāu.

Inā ʻoe e ʻike nei i nā ʻōuli maikaʻi ʻole, e ʻike pono e ʻike i kāu gynecologist - ʻaʻole pono ʻoe e kali a hiki i kāu hōʻike makahiki. ʻO ka hana ʻana pēlā hiki ke hoʻopaneʻe i kekahi lapaʻau kūpono.