Endometrial bolwetse

endometrial bolwetse se tšoanelang ho feta atileng kajeno. Litsebi hlalosa tšekamelo ena ka ho eketseha ha botenya, mafu endocrine le maloetseng fokotseha basali. Maemong a mangata ba bolwetse endometrial e tsamaea le e imbalance tsamaisong ea hormonal, dithulaganyo tshilong ya dijo. Le ea bohlokoa haholo e eketseha palo ea somatic chronicity lefu.

Kajeno, hoo e ka bang 30-40% tsohle mafu gynecological lemoha dithulaganyo hyperplastic ka endometrium ena. Maemo a joalo kenyeletsa fibrosis endometrial, tšepe-fibrous, polyps glandular adenomatosis. Hoa tšoaneleha hyperplasia tloaeleha haholoanyane (glandulocystica, diffuse kapa tsepamiso, glandular).

litsebi tse ngata li lumela hore sesosa sa dithulaganyo ho ke ho hloleha hormonal ka basali. Endometrium fetoha shebiloeng bakeng sa li-hormone thobalano, ka lebaka la ho ba teng ho eona ea receptors itseng. Koatile mosali eo liphetoho hormonal isang dipharologano fa le kgolo ya likarolo lisele. Ka lebaka la ho ntshetsa pele endometrial bolwetse neoplastic kapa mofuta hyperplastic. Le ea bohlokoa ho khetheha ka dithulaganyo eaba ba etsa e na hyperestrogenia. Ka litsela tse ngata, ho eketseha ha maemo estrogen bananeng ama khathatsoa tshilong ya dijo, tsamaea le mefuta e fapaneng ya le mafu phekolo.

Litletlebo o tloaelehileng haholo oa bakuli ba dithulaganyo hyperplastic ke mali kabo ho ikopanya, uterine tsoa mali (boholo acyclic). Tsoa mali ka lilemo ho ikatisa bonahala nako e telele le le boima nako matsatsing (joaloka menometroragii) ka premenopausal - acyclic ka basali postmenopausal - tšollang mali lutla intensities fapaneng.

Phumano ya hyperplasia endometrial o etsoa ke tsa ultrasound transvaginal ka makala pelvic gistreroskopiey (tekotshupo, le ho fala ka thoko, histological ithuta lintho tse bonahalang sephetho).

E mong oa mesebetsi ea bohlokoa ka ho fetisisa kajeno ke kalafo gynecological tsa dithulaganyo hyperplastic. Endometrial bolwetse ho akarelletsa le tšebeliso ea phekolo mekhoa e tloaetsoeng. Tsena li akarelletsa li-hormone kalafo ya ka litokisetso estrogen bananeng-progestin, meriana progestagenic. Ho phaella moo, ho na le dithekeniki ho buoa, ho akarelletsa le minimally itaolang ea kajeno, ka linako tse batlang e le o potlakang hlaphoheloa.

Ke mokhoa potlako amana resection (ablation) ya endometrium ena.

Ka morero oa ho etsa opereishene ena ke ho felisa liponahatso tsa tleleniki ea dithulaganyo tse teng hyperplastic. Ho phaella moo, mokhoa ona o sebelisoa e le thibelo ya kankere endometrial, ho eketsa menyetla ea ho emola ka basali ba lilemong tsa ho ba le bana.

Tlas'a ablation (ablation) bolela'ng ha endometrial curettage, excision, popelo timetso. Ho fihlela kajeno, gynecologists ha baa le maikutlo a se nang balekane, se nkoang e le resection. Ha ho na ho hlaka ka ha ho sebelisa poleloana e reng "ablation".

Ho timetsoa ha bohle ba endometrium (ablation) ka ho phethahatsoa electrosurgical le tham mong bang laser mokhoa. Ha lisele ena ho itlhahloba histological ho nka etsahala.

Excision (resection) Endometrial botenya ke feela electrosurgical mokhoa. Tabeng ena, ho itšeha sekgoqetsane e excised ka mokgwa wa dita tsohle lera la popelo ea. Ka khanna ho buuoa sena ba le monyetla oa hamorao ho nka lisele dissected ho itlhahloba histological.

E le busa, buuoa o etsoa tlas'a thethebatso epidural kapa palo yohle intravenous thethebatso. Le tsoa hong tšebeliso laparoscopy endotracheal thethebatso.