Endometrium: he aha ia, kahi i loaʻa a me nā maʻi kūpono

Anter

• Nā hoʻololi endometrial i nā pae
• Endometrium i ka hāpai keiki
• Nā maʻi nui e hoʻopili i ka Endometrium
• 1. Ka maʻi ʻaʻai endometrial
• 2. Endometrial polyp
• 3. hyperplasia Endometrial
• 4. Adenomyosis

ʻO ka endometrium ke ʻano o nā laina i ka uterus i loko a ʻokoʻa kona mānoanoa ma luna o ka pōʻai menstrual e like me ka hoʻololi o ka paʻa o nā hormones i ke kahe o ke koko.

Aia ia i ka endometrium kahi hanana embryo implantation, hoʻomaka i ka hāpai keiki, akā no kēia e hiki ai, pono ka endometrium i ka mānoanoa kūpono a ʻaʻohe hōʻailona o ka maʻi. Ke loaʻa ʻole ka momona, ʻike ʻia nā puʻupuʻu, a me ka menstruation.

Nā hoʻololi endometrial i nā pae

ʻOkoʻa ka mānoanoa o ka endometrium i kēlā me kēia mahina i nā wahine āpau o nā makahiki hānau, e hōʻike ana i nā ʻāpana o ke kaʻina menstrual:

1. Pae Proliferative:Ma hope pono o ka menstruation, ua ihi loa ka endometrium a mākaukau e hoʻonui i ka nui, ua kapa ʻia kēia pae he proliferative, a i kēia manawa hoʻolauna ka estrogen i ka hoʻokuʻu ʻana o nā hunaola e hoʻonui i ko lākou mānoanoa, a me nā kīʻaha koko a me nā aʻa exocrine.
2. ʻOrylelo huna:I ka papa huna, i kū i ka wā momona, e hōʻoia ka estrogen a me ka progesterone i ka endometrium i nā meaola āpau e pono ai no ka implantation a me ka nutritional embryo. Inā loaʻa ka momona a hiki i ka embryo ke noho i ka endometrium, e ʻike ʻia kahi ʻāpala ʻākala a i ʻole nā ​​papa kope i kona lā momona, akā inā ʻaʻohe momona, ma hope o kekahi mau lā e menstruate ka wahine. ʻIke pehea e ʻike ai i nā ʻōuli o ka momona a me ka pūnana.
3. Mahele Menstrual: Inā ʻaʻole kū ka momona i ka wā momona, ʻo ia ka manawa o ka endometrium i ka mānoanoa, e komo kēia kikoʻī i kona wā menstrual a hoʻemi i ka mānoanoa ma muli o ke kahe koke o nā hormones i ke kahe o ke kahe a me ka hoʻoliʻiliʻi o ka wai i ka wai. Hoʻokumu kēia mau hoʻololi i ka endometrium e hoʻokuʻu liʻiliʻi a liʻiliʻi mai ka paia o ka uterine, e hoʻonui ana i ke kahe a mākou e ʻike ai ma ka menstruation.

Hiki ke loiloi i ka endometrium me ka hoʻohana ʻana i nā hōʻike kiʻi gynecological, e like me ke pelvic ultrasound, colposcopy a me nā kiʻi resonance ʻume mākenēki, no ka laʻana, kahi e nānā ai ke gynecologist no nā hōʻailona o ka maʻi a i ʻole nā ​​loli i kēia kiko. ʻIke i nā hoʻokolohua ʻē aʻe i noi ʻia e ke kauka wahine.

Endometrium i ka hāpai keiki

ʻO ka endometrium kūpono no ka hāpai ʻana kahi mea e ana ma kahi o 8mm a aia i loko o ka wahi huna, no ka mea ʻo ka endometrium lahilahi a atrophic paha, e ana ana ma lalo o 6mm, ʻaʻole hiki ke ʻae i ka pēpē e ulu. ʻO ke kumu nui o ka endometrium lahilahi ka nele o ka progesterone, akā hiki i kēia ke hana ma muli o ka hoʻohana ʻana o nā mea pale, ka ʻōpū pēpē a me nā ʻeha ma hope o ka hāpai ʻana a i ʻole curettage.

ʻO ka mānoanoa liʻiliʻi e hāpai ai ʻo 8 mm a ʻo ka mea kūpono ma kahi o 18 mm. I nā wahine kahi ʻaʻole kūlohelohe kēia, hiki i ke kauka ke kuhikuhi i ka hoʻohana ʻana i nā lāʻau hormonal e like me Utrogestan, Evocanil a i ʻole Duphaston e hoʻonui i ka mānoanoa endometrial, kōkua i ka implantation o ka embryo i loko o ka kōpū.

ʻO ka mānoanoa kūmole o ka endometrium ma hope o ka menopause ʻo 5 mm ia, hiki ke ʻike ʻia ma kahi ultrasound transvaginal. I kēia manawa, ke ʻoi aku ka mānoanoa ma mua o 5 mm, e kauoha ke kauka i kahi o nā hoʻokolohua ʻē aʻe e loiloi maikaʻi i ka wahine a e makaʻala i nā hōʻailona ʻē aʻe e hōʻike i nā maʻi kūpono e like me ka maʻi ʻaʻai endometrial, polyp, hyperplasia a adenomyosis, no ka mea laʻana.

Nā maʻi nui e hoʻopili i ka Endometrium

ʻO nā loli i ka endometrium ma muli o nā maʻi i hiki ke mālama ʻia a kaohi ʻia me ka hoʻohana ʻana o nā homone a, i kekahi mau hihia, ʻoki kino. Pono ka mālama olakino e hōʻalo i nā pilikia o kēlā me kēia maʻi, mālama i ke olakino uterine a hoʻonui i nā manawa o ka hāpai ʻana. ʻO nā maʻi maʻamau e pili ana i ka endometrium:

1. Ka maʻi ʻaʻai endometrial

ʻO ka maʻi maʻamau e hoʻopili i ka endometrium ka maʻi ʻaʻai endometrial. Hiki ke ʻike maʻalahi ʻia kēia no ka mea ʻo kāna hōʻailona nui ke kahe ʻana o ke kahe ma waho o ka menstruation. I ka hihia o nā wahine i hala mua i ka menopause a menstruating no 1 makahiki, ʻike koke ʻia ka ʻōuli.

No ka poʻe i hiki ʻole i ka menopause ka hōʻailona nui ka hoʻonui ʻana i ka nui o ke koko i nalowale i ka wā o ka menstruation. Pono ʻoe e makaʻala i kēia mau hōʻailona a nānā koke i kahi gynecologist koke, no ka mea ke ʻike koke ʻia ka pilikia, ʻoi aku ka nui o nā manawa o ka hoʻōla. E aʻo pehea e ʻike ai i ka maʻi ʻaʻai endometrial.

2. Endometrial polyp

Aia nā polyps i ka wahi o ka endometrium a maikaʻi ʻike ʻia no ka mea e hana ia nā hōʻailona e like me ke kahe o ke koko ma mua a ma hope paha o ka menstruation a paʻakikī paha i ka hāpai ʻana. ʻOi aku ka loli o kēia loli ma hope o ka menopause a maʻa mau i nā wahine e lawe nei i nā lāʻau e like me Tamoxifen.

ʻO ka hapanui o nā manawa ke ʻike ʻia kēia maʻi ma kahi ultrasound e hōʻike ana i ka hoʻonui ʻana o kona mānoanoa. ʻO ke koho ʻana he koho a ke gynecologist akā hiki ke hana ʻia me ka hemo ʻana ma o nā polyp ma o ke kaha ʻana, keu hoʻi inā ʻōpio ka wahine a makemake e hāpai, akā i nā manawa he nui ʻaʻole pono e hana i ke ʻoki, ʻaʻole hoʻi e lawe i nā lāʻau hormonal. ke nānā nei i ka hihia i kēlā me kēia 6 mau mahina e nānā ai i nā loli.

3. hyperplasia Endometrial

ʻO ka hoʻonui ʻia o ka mānoanoa o ka endometrium i kapa ʻia ʻo endometrial hyperplasia, ʻoi aku ka maʻamau ma hope o 40 mau makahiki. ʻO kāna ʻōuli nui ke kahe ʻana o ke kahe ma waho o ka menstrual period, me ka ʻeha o ka ʻōpū, ka ʻōpū o ka ʻōpū a me ka hoʻonui ʻana o ka kōpū, i ʻike ʻia ma kahi ultrasound transvaginal.

Nui a hewahewa nā ʻano endometrial hyperplasia a ʻaʻole pili nā mea āpau i ka maʻi ʻaʻai. Pili paha kāna lāʻau i nā lāʻau hormonal, curettage a i ʻole ke ʻoki ʻana, ma nā hihia ʻoi loa. E aʻo hou aʻe e pili ana i ka endometrial hyperplasia.

4. Adenomyosis

Hana ʻia ʻo Adenomyosis ke hoʻonui ka nui o nā paia i loko o nā paia uterine, e hoʻoulu ana i nā ʻōuli e like me ke kahe ʻana o ke kahe i ka wā o ka menstruation a me nā cramp e paʻakikī ai ke ola o nā wahine, a me ka ʻeha i ka wā pili pilikino, ka paʻa ʻana o ka ʻōpū. ʻAʻoleʻike maopopo ʻia nā kumu, akā hiki ke hana ʻia ma muli o nā ʻōpala gynecological a i ʻole ka lawe cesarean, no ka laʻana, me ka hoʻohui, hiki ke ʻike ʻia adenomyosis ma hope o ka hāpai ʻana.

Hiki ke hana i ka mālama ʻana me ka hoʻohana ʻana i nā mea pale, IUD hoʻokomo a i ʻole ʻoki ʻana e wehe i ka uterus, i nā hihia ʻoi loa, ke hoʻonāukiuki loa nā ʻōuli a ke loaʻa kahi contraindication i ka hoʻohana ʻana i nā lāʻau hormonal. E aʻo hou aʻe e pili ana i Adenomyosis.