ʻO ka mānoanoa Endometrial: he aha ia, nā kumu a me ka lāʻau

Anter

• Nā hōʻailona nui
• Nā kumu kūpono
• Nā ʻano nui o hyperplasia
• 1. hyperplasia endometrial non-atypical
• 2. hyperplasia Atypical o ka endometrium
• He aha ke kuhi
• Pehea e hana ai i ka lāʻau

ʻO ka mānoanoa endometrial, i ʻike ʻia he endometrial hyperplasia, pili i ka hoʻonui ʻana i ka mānoanoa o nā ʻili e uhi ana i ka loko o ka kōpū, ma muli o ka nui o ka hopena o ka estrogen, i hiki ke hana ʻia i nā wahine ʻaʻole ovulate i kēlā me kēia mahina a i ʻole nā ​​mea e mālama nei i ka hormone replacement therapy. hana ʻia me ka estrogen wale nō.

ʻAʻole pili mau ka hypertrasia Endometrial i ka maʻi ʻaʻai, akā aia kahi makaʻu, keu hoʻi i nā wahine i hōʻike ʻia i ke kiʻekiʻe o ka estrogen, ka mea i loaʻa i kahi mea ʻē aʻe e like me ka momona a me ka maʻi kō a i ʻole nā ​​mea ʻeha i nā maʻi o ke ake a me nā puʻupaʻa, no ka mea laʻana.

Kahi e hoʻonui ai ka mānoanoa

Nā hōʻailona nui

ʻO nā ʻōuli i hiki ke ala aʻe i nā hihia o ka mānoanoa endometrial ka nui o ke kahe ʻana o ka uterine abnormal, colic ʻōpū nui, ma lalo o 21 mau lā ma waena o kēlā me kēia menstruation, a me kahi hoʻonui iki o ka nui o ka uterus, ʻike ʻia e ultrasound.

Nā kumu kūpono

Hoʻokumu ʻia ʻo Endometrial hyperplasia e ka hōʻike nui ʻana i ka hormone estrogen a me ka maʻamau he lawa ʻole o ka progesterone. Hiki ke hoʻokumu i kēia kaulike ʻole hormonal i nā wahine e nā ʻano aʻe:

• ʻAʻole hiki i ka pōʻaiapuni maʻamau a i ʻole ka hoʻoipoipo ʻana i kēlā me kēia mahina.
• Maʻi maʻi ovary Polycystic;
• Hormone replacement therapy, hoʻohana i ka estrogen wale nō;
• Ke kūʻana o kahi tumo i ka ovary;
• Menopause, kahi e hoʻopau ai ke kino i ka hana ʻana i ka progesterone;
• Momona

ʻO ka makaʻu nui o ka hoʻomōhala ʻana i ka hyperplasia endometrial ma waena o 40 a me 60 mau makahiki.

Nā ʻano nui o hyperplasia

ʻO nā ʻano nui o ka hyperplasia endometrial:

1. hyperplasia endometrial non-atypical

ʻO ka hyperplasia endometrial non-atypical kahi ʻano o ka mānoanoa o ka endometrium i pili ʻole i nā hunaola precancerous.

2. hyperplasia Atypical o ka endometrium

ʻO ka hyperplasia endometrial atypical kahi liona endometrial koʻikoʻi hou aʻe ma mua o nā mea i hala a pili paha i ka ulu ʻana o ka maʻi ʻaʻai endometrial. E loli ka hoʻomaʻamaʻa e pili ana i ka pae o ka maʻi, a i kekahi mau manawa, pono paha e hemo i ka uterus.

He aha ke kuhi

ʻO ke kuhi o ka hypertrasia endometrial hiki ke hana ʻia e kahi gynecologist ma o ke kālailai ʻana i nā ʻōuli i hōʻike ʻia a me kahi ultrasound transvaginal. E ʻike he aha ka ultrasound transvaginal a pehea e hana ai.

Eia hou, hiki i ke kauka ke hana i kahi hysteroscopy, i loko o ka hoʻokomo ʻana i kahi hāmeʻa me ka pahu paʻi kiʻi i loko o ka kōpū, i mea e ʻike ai inā aia kekahi mea ʻē aʻe, a / a i ʻole ke hana ʻana i kahi biopsy, kahi i lawe ʻia ai kahi mea liʻiliʻi mai ka kiko endometrial no ke kālailai hou.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana i ka hyperplasia endometrial e pili ia i ke ʻano o ka hyperplasia a ka wahine a me kona koʻikoʻi, akā ʻo nā koho therapeutic me ka curettage o ka aʻa endometrial a i ʻole ka hoʻohana ʻana i nā lāʻau e like me progesterone a synthetic progestogens ma ka waha, intramuscularly a i ʻole intrauterine.

Ma hope o ka mālama ʻana, pono e hana i kahi biopsy o nā kiko endometrial e hōʻoia i ka kūleʻa o ka lāʻau.