Hyperplasia ea lefu la endometrial

Hyperplasia ea endometrium ke ho ata ho sa tloaelehang ha leihlo le ka hare la mokokotlo oa sefuba ha le fetoha le leholo ho feta maemo a tloaelehileng. Ka kakaretso, lentsoe "hyperplasia" le bolela ho eketseha ha palo ea lisele tsa 'mele kapa litho tse itseng, ka lebaka la hore molumo oa setho sena se eketseha. Ho ea ka lipalo-palo tsa bongaka, endometrial hyperplasia e ama basali ba 20%, 'me ka 5-10% ea bona lefu lena le fetoha kankere.

Ho na le mefuta e mengata ea hyperplasia, tsena ke:

• Hlandia hyperplasia;
• Cystic hyperplasia;
• Adenomatosis, e.g. Hyperplasia ea ho qetela ea endometrial;
• E lebisa tlhokomelo ea hyperplasia ea endometrial.

Mathata a bakoang ke lefu lena ke mafu a li-hormone, maloetse a basali, polycystic ovary syndrome (PCOS), ho ntša mpa, uterine fibroids, ho koetlisoa ha mafu a mangata, mafu a mangata a mangata (adrenal, thyroid, lefu la tsoekere, botenya haholo, khatello ea mali).

Matšoao a hyperplasia ea endometrial a kenyeletsa mathata a ho ea khoeling (ho lelefatsa kapa ho qhibiliha, ho lahleheloa ke mali ho feteletseng); Ho tsoa mali ka tšohanyetso nakong ea khoeli kapa bohareng ba potoloho, ho fihlela libeke tse 'maloa; Ho hloka thuso.

Hyperplasia ea lefu la endometrial Ke lefu le tebileng ka ho fetisisa mefuta eohle e ka holimo. Tšokelo ea ho fetoha ha eona e le kankere, ha ho se na phekolo, ho tloha ho 20% ho ea ho 80% 'me hangata e hlokomeloa nakong ea ho khaotsa (ka lilemo) ea ho ilela khoeli. Le hyperplasia ea tlhaho ea mahlaseli, botenya ba endometrium bo fihla ho 3 cm.

E thibeloa (Focal) endometrial hyperplasia ke li-polyps tse mefuta e fapaneng. Sebopeho sa li-polyps li na le mafura, li ruruha ebile li na le li-adenomatous. Ho itšetlehile ka boholo ba polyp, botenya ba endometrium bo ka fihla ho 6 cm.

Ho se ke ha e-ba le lefu le ka hare ho sekhahla sa popelo - e leng lefu lena la endoprium - ha se lefu. Endometrium e joalo e hlokomeloa ka phello e fokolang ea li-hormone tsa mae a bomme 'me ha e hloke phekolo - e bonoloa feela.

Maemong ao ho nang le lefu la ho qetela la phekolo ea phekolo ea hyperplasia E hlaha hape ho na le kotsing e kholo ea ho fetela ho mokhoa o tsoetseng pele, ho kenella ho buoa ho sebelisoa - ho tlosa lera le leholo la sebete sa 'mele. Mokhoa ona o nepahetse haholo, o potlakile ebile o sireletsehile ka ho feletseng, ka lebaka la thekenoloji ea morao-rao.

Mekhoa e meng ea phekolo ea lefu le boima ke ho tlosoa ha polyps - polypectomy, le ho tlosoa ha sebete hammoho le li-appendages - hysterectomy. Hysterectomy, e le molao, e sebelisoa haholo, e rarahaneng ke nts'etsopele ea likokoana-hloko, mefuta, li-polyps, li-myomas.

Ka litsela tse ngata, katleho ea phekolo ea ho buoa e itšetlehile ka hore na phekolo ea hormonal e sebetsang pele e sebetsa joang, e leng ho nolofalletsang ho fokotsa matla a foci ea endocrrium. Hangata, ho sebelisoa phekolo e kopaneng, ho kopanya mekhoa e 'maloa, mohlala, phekolo ea ho buuoa ka phekolo ea hormone.

Hyperplasia ea lefu la endometrial E fumanoe le:

• Transvaginal ultrasound;
• Echogasterosalpingography (Echo-GHA);
• Hysteroscopy (GHA);
• Endometrial biopsy;

Bakeng sa thibelo ea mafu ho hlokahala:

• Palo ea tlhahlobo ea tlhahlobo ea mafu e thibelang basali ka nako e le 'ngoe kapa ka makhetlo a mabeli ka selemo (le haeba ho se na litletlebo tse fumanehang);
• Phekolo ea maloetse a mangata a mangata (lefu la tsoekere, botenya, khatello ea meriana, joalo-joalo);
• Ho lemoha le ho phekoloa ha maloetse a sebaka sa genital (uterine myoma, adenomyosis, joalo-joalo);
• Ho tlosa boima bo feteletseng.

Lipatlisiso tsa nako e telele ho litsebi li tla lumella ho senola ka nako e itseng boloetse bo tšabehang 'me ka linako tse ling li eketsa menyetla ea ho hlaphoheloa ka botlalo le ka potlako.