I-Hyperplasia ye-epithelium ene-glandular ibizwa ngokuba yi-uterine isifo, esibonakaliswe ngenguqu kwi-stroma kunye neengqungquthela ze-membrane yayo. Ukukubeka ngokulula, i-hyperplasia yezicubu ezinobungqungquthela kukuxhomekeka ngokugqithisileyo (ukwandisa) kwe-endometrium. Kukhulu kakhulu xa kuthelekiswa nesiqhelo.
Ngokuqhelekileyo, i-hyperplasia yonyuka kwinani leeseli zaliphi na iqumrhu okanye izicubu, ezikhokelela ekunyuseni kwebhola. Isiseko se-hyperplasia sanda ukuphindaphinda ngokuqhubekayo emzimbeni weeseli, kwakunye nokubunjwa kwezakhiwo ezintsha.
Iintlobo ze-endometrial hyperplasia
Kwiindlela zonyango, ezine iintlobo ze-hyperplasia ziyahluka:
- i-hyperplasia ye-endorrium;
- i-atypical glandular hyperplasia ye-endometrium (i-adenomatous hyperplasia, adenomatosis);
- i-cystic hyperplasia;
- iindidi ze-endometrium.
Umahluko phakathi kwezi ntlobo zesifo se-endometrial esesithombeni sakhe esichazayo, esibonisa isakhiwo esincinci seendawo zokugqithisa ngokweqile kwe-mucosa. Ezi zinguqu zibonakala xa zihlolisisa izinto ezichongiweyo.
Kutheni kwenzeka i-endometrial hyperplasia?
Isiphumo sokuqala kweenkqubo ze-hyperplastic, ezisebenza kwi-endometrium, ziyizifo ezibangelwa yi-hormonal disorders. Emzimbeni womfazi kukho ukunqongophala kweprogesterone kunye ne-hormone ye-estrogen. Ngokuqhelekileyo, esi sifo singenzeka kubasetyhini abafumana ukuba banesifo sikashukela, isifo sengqondo segazi okanye ukukhuluphala. Kufanelekile ukuba sicinge ukuba i-hyperplasia elula ye-endometrium ngamanye amaxesha iyabangela ukuphuhliswa kokungapheli, umhlaza kunye nezinye izifo eziyingozi. Ngokuqhelekileyo inkqubo ye-hyperplastic ihambela i-myoma yesisu, isicathulo kunye nesimo esingapheliyo, i-endometriosis yomzimba. Ukuxilongwa kwe "glandular hyperplasia yomlomo wesibeleko" ngokuqhelekileyo kuvezwa ngabasetyhini abaza kwiikliniki ukuhlola nokufumanisa izizathu zokungabikho. Kungakhathaliseki ukuba ziphi izibangela ze-hyperplasia ye-endocrrium, qiniseka ukuba uye kugqirha!
Iimpawu kunye nokunyangwa kwe-hyperplasia
Phakathi kweempawu eziphambili ze-hyperplasia ye-endemicrium, ukungabikho komntwana, ukuphazamiseka kwimijikelezo yokuya esikhathini, i-polymetrical polyps, i-leiomyoma (fibromyoma), kunye ne-endometriosis yizona zinto zibonakalisa kakhulu.
Ngokuqhelekileyo esi sifo asizibonakali zibonakaliswe yimpawu ezibonakalayo, kodwa kwiimeko ezininzi umfazi unesifo esiphathekayo sokuphuma kwintsholongwane. Okokuqala, loo ntokazi ibona ukulibaziseka kokuya esikhathini, kwaye iqala ukuphuma kwegazi. Ukongezelela, kukho iimpawu ze-anemic - ukulahleka kwesidlo, ukungcola kunye nobuthathaka.
Uninzi lwamaxesha amaninzi, unyango lwe-hyperplasia ye-endometrium yonyango lulawulwa ngonyango lwe-hormonal (injections, patches, tablets, IMS Mirena, njl.). Ezi ndlela zingaphilisa i-hyperplasia ye-endometrium elula kwaye igxile kwi-endometrium, kunye nefom esebenzayo ngandlela-thile idinga ukungenelela ngoncedo. Umsebenzi uquka ukususa ugcino oluchaphazelekayo lwe-endometrium. Ukuba uhlobo lwe hyperplasia lukhulu, umfazi unokususa isisu. Lo msebenzi usebenza kakuhle-ngaphezu kwama-90%. Ngamanye amaxesha kunesidingo sokonyango oluyinkimbinkimbi, xa umgca we-endometrium ususwe kwaye unyango lwe-hormone ye-hormone ephantsi lusekelwe.
Ukunciphisa umngcipheko we-hyperplasia, kufuneka silwe nokunyanyisa, siphephe uxinzelelo, siphendule ukutshintshwa okuthe ngqo kumjikelezo wenyanga, tyelela umjoqgeni oqhelekileyo.