Ke eng glandular endometrial hyperplasia?

Lera la popelo ea, tlas'a liphetoho cyclical ho pholletsa ho ea matsatsing, bitsoa endometrium. Qalong ho ea matsatsing, khetla ena tlas'a tšusumetso ea li-hormone e qala ho hōla le ho fetola sebopeho lona ka ho lokisetsa ho fumana embryo. Haeba peō e-s'o be teng, ea endometrium butle-butle tloha botlaaseng le ka maro le mali a siea popelo - ho ilela khoeli e qala, 'me le eona e le qalo ea potoloho e ntjha ya ntshetsopele ya endometrium ena. Ka ketsahalo ea ho hōla ka tsela e feteletseng ea endometrium sa le hlaha ka ho hloka taolo endometrial hyperplasia.

Lefu lena le hangata o bontša ka boeona e mali uterine, ho ba le botho ba dysfunctional a hlahang ka mor'a lieha ya ovulation, hammoho le semelo kakaretso ea potoloho ea kamehla. Leha ho le joalo, ho na le maemo a ho asymptomatic dutla hyperplasia, ha phumano e pele kenngoa ka phuputso e entsoeng e akaretsang ka ho kgaolela basadi thari. Ho ba sieo ha ea bokhachane hobane glandular endometrial hyperplasia - e pathological boemo dishormonal, ka ho ba teng ha tseo ovulation ka 'na ba le sieo ka ho feletseng. Ho phaella moo, ho ke ke ha khoneha ho implantation tsa embryo e mabapi le lera la liphetoho tse popelo.

Ho na le mefuta e sa tsoaneng e 'maloa ea tšoaneng hyperplasia sobotta fapaneng:

- atypical hyperplasia;

- glandular-cystic hyperplasia;

- glandular hyperplasia tsa endometrium ea;

- endometrial polyps.

Glandular-cystic hyperplasia le e bonolo glandular hyperplasia tsa endometrium ka liponahatso ho tšoana haholo, empa foromo ea pele ke ho feta bitsoa. polyps Endometrial ba sebakeng seo, ba fokolang hyperplasia, 'me ka ho ba teng ha mehaho phetoho uterine mucosa le ho feta phatlalletsoang pompa litsoelesa itseng fumanoa atypical endometrial hypoplasia, e nkoa e le precancerous mucosa lefu. Ho boetse ho na le lingaka tse hlokolosi haholo bua ka hyperplasia glandular, eo reappears mora curettage, le manganga ho hyperplasia hormonal.

Glandular endometrial hyperplasia: Sesosa

Lisosa tsa lefu lena ke tse sa tšoaneng ka ho feletseng. Haholo-holo, li akarelletsa mafu a hormonal, mafu a lipid le k'habohaedreite ho leka-lekana, mafu gynecological, mafu a ea mosebetsi le ho ikatisa le matsatsing, 'me ho buuoa ka popelo le appendages. Ho phaella moo, hangata ha ho glandular hyperplasia tsa endometrium ka basali ba nang le mafu a kang hyperestrogenia, fibroids uterine, lefu letsoele, endometriosis, polycystic popelo lefu, mafu a ea lipid metabolism, kgatelelo ya madi, e phahameng ea mali tsoekere, lefu la sebete le ea nang le bokooa tshebediso ya li-hormone.

Ka nako e loketseng ba bonoa ba hyperplasia endometrial ke ea bohlokoa haholo bakeng sa kalafo le thibelo ea ho kgaolela basadi thari, hammoho le ho thibela kankere endometrial. Ho lemoha lefu lena sebelisa mefuta e fapaneng ya mekhoa, ho atileng ka ho fetisisa, empa hase kamehla ho ka tšeptjoang (nepahala ha mokhoa oo ha se ho feta 60%), e bolela tsa ultrasound mokhoa. Hape, bakeng sa fumanoe tsa hyperplasia etsoa aspiration kapa biopsy le endometrium nakong ea bobeli halofo potoloho. Ka ho fetisisa boitsebiso bo rutang tekotshupo mokhoa amana hysteroscopy, o entsoeng ka selelekeleng ka uterine cavity ya tsamaiso e khethehileng Optical, eo ka eona le shebiloeng biopsy o etsoa. Ho phaella moo, mokhoa ona ho hlahloba lefu e lumella ho hakanya pono boemo ba leboteng popelo.

Glandular endometrial hyperplasia: kalafo

Haholo-holo, kalafo li entsoe ka ho tlosa karolo e itseng ea lera mucous eo e undergone liphetoho pathological. Ho etsa sena, tšoara laoloa sebelisa hysteroscopy, curettage, ebe a etsa thuto ea histological. Hang a bua haholo ka ho ruruha e tlosoa, phekolo hormona e khanna. Ho itšetlehile ka ho khetheha ea tleleniki setshwantsho tsa lefu lena le, ka mokgwa wa lithibela-pelehi molomo sebelisoa litokisetso estrogen bananeng-progestin, GnRH agonists kapa progestins hloeka. Phekolo ke individualized, phethahatsoa ka hara bonyane likhoeli tse tharo. Ka mor'a moo u lokela ho ntšetsa pele hlahloba endometrium ena.