Endometrial hyperplasia: mgbaàmà, na-akpata, mmetụta, na ụdị

Otu n'ime ihe ndị kasị gynecological ọrịa bụ endometrial hyperplasia. Ọ dị ize ndụ n'ihi na ọ nwere ike tinye cancer na ime ka infertility. E nwere ọtụtụ ụdị nke ọrịa na-eduga ajọ usoro na mgbanwe degrees nke puru.

Ezi nchoputa bụ na o kwere omume nanị mgbe endometrial histology nwetara site biopsy ma ọ bụ curettage. Ikpeazụ bụ aghụghọ na agwọ ọrịa. Ya mma ịnọ n'okpuru akara hysteroscopy. A na-enwekwu arụmọrụ na nchekwa nke curettage.

Na-enyo enyo hyperplasia dọkịta nwere ike na-adabere na nke ọrịa mkpesa, nakwa dị ka na-arụpụta nke US. N'oge a na-amụ kpebisiri ọkpụrụkpụ nke endometrium. Ukwuu ya uru ike indicative nke hyperplasia. Otú ọ dị, ịdị irè nke ultrasound na nchoputa nke a na ọrịa bụ naanị 80%.

Ya mere, endometrial hyperplasia mgbaàmà:

• agba ọbara site akpanwa ná mgbanwe nke osisi ike na oge;

• infertility;

• spotting n'agbata oge;

• okirikiri ọrịa;

• oge nwere ike ịbụ ukwuu na-egbu mgbu;

• kwere omume amenorrhea.

Otú ọ dị, ọrịa nwere ike ime na asymptomatic. Endometrial hyperplasia na postmenopausal inyom na-egosi eriri akpa nwa agba ọbara, nke na-ewere dị ka a precancerous ọnọdụ nke endometrium.

Histology na-enye ohere ikpebi ụdị hyperplasia. Ọ dị mkpa na-ahọrọ si eme nke ọgwụgwọ na prognosis. Ihe wetara nhọrọ - bụ gbara gharịị hyperplasia, nke bụ karịa ihe ọ bụla ọzọ-emebi n'ime cancer. Ọ na-achọ chọpụtara gynecologists, oncologists.

Ọ bụrụ na ndị dị otú ahụ a nchoputa a mere n'ihi na ndị inyom nke omumu afọ bụ ndị ka na-achọ nwere ụmụaka, ha na-ike dụrụ na-atụrụ ime mgbe ihe ịga nke ọma ẹkụre ọgwụgwọ. Mgbe ahụ endometrial ablation a rụrụ, mgbe nke ịmụ nwa bụ agaghịkwa ekwe omume. Ọ bụrụ na ọrịa abịaghachikarị, ajụjụ nke mwepụ nke akpanwa adahade.

Endometrial hyperplasia menopause, nke bụ amenable ka mgbanwe omume, bụ ihe na-egosi ịwa ahụ aka. Rụrụ endometrial ablation ma ọ bụ hysterectomy, karịsịa na gbara gharịị ụdị.

Conservative ọgwụgwọ na-rụrụ hyperplasia homonụ. The onunu ogwu Usoro na Nwa họrọ n'otu n'otu. Jiri nke COCs, progestin, ọgwụ ọjọọ na-eme ka keakamere menopause. Ọ bụ ihe amamihe n'ihu prescribing ọgwụgwọ emefu mmiri ọgwụ nnyocha.

Oke nke ọgwụgwọ na-adabere na afọ, comorbidities, ọchịchọ ụmụ, ụdị ọrịa, ohere na-edebe a ọkachamara, imirikiti ndị ọrịa chọrọ. The hyperplasia nke endometrium, mgbaàmà nke nke e kwuru banyere ha n'elu emee ya ruru ka mmiri ọgwụ ahaghị nhata na nke ụba ego nke estrogen na progesterone larịị na-lowered.

Ndị dị otú ahụ na-enwe nsogbu bụ n'ihi anovulation, akpụ ovary, polycystic ovary syndrome, ibu oké ibu. Ke adianade do, n'ihi na nke erughị eru hormone estrogen nwere ike ime ka endometrial hyperplasia. Mgbaàmà nke ọrịa, dị ka anaemia, ike ọgwụgwụ, adịghị ike ime mgbe nnukwu ọbara ọgbụgba, ebe ọrịa na-abanyekwa n'ụlọ ọgwụ.

Ọ bụrụ na ihe ịga nke ọma, na ọgwụgwọ iji gbochie nlọghachite nke ọrịa mkpa ga-hụrụ a ọkachamara mgbe afọ ise nke hormone ọgwụ, na 6 ọnwa mgbe ịwa ahụ. Ọnwa isii ọ bụla, rụrụ ọgwụ nnyocha, ultrasound, histological nyochaa.

Ya mere, endometrial hyperplasia, mgbaàmà nke nke - bụ eriri akpa nwa agba ọbara, infertility, okirikiri ọrịa, nwere ike na-aga ajọ usoro. Ọ bụ ya mere na ọ dị mkpa na-akpa àgwà na-adọ ọgwụgwọ, nke nwere ike ịbụ mgbanwe na / ma ọ bụ arụmọrụ.