Ngokukhawuleza, emva kokungena kwixesha elidlulileyo, umfazi ugxuma kuye aze ayeke ukunyamekela impilo yakhe. Zonke izifo kunye nempilo ebuthakathaka ebhala kuyo ukutshintsha kwe-hormones emzimbeni, phantse ukuwahoxisa. Esi simo sengqondo sichaphazeleka kakhulu, kuba ngeli xesha lijongene neengozi ezininzi zezifo zesibhinqa, ezivela kwiimvumi ezinesifo somhlaza. Ngoko ke, umfazi unyanzelekile ukuba afake uviwo lwexesha lexesha kwi-gynecologist ngexesha lokubona ingxaki yokuvuthwa. I-Hyperplasia ye-endometrium - le ngenye yeengxaki ezilindele umfazi osesikhathini sokumisa.
I-Hyperplasia ye-endometrium yintshontsho yelungu le-uterus, elibonakalisa uninzi lwegazi lomzimba. Ngesiphelo sesisu, i-endometrial hyperplasia ikhula phantsi kweempembelelo ze-hormonal fluctuations in the body. Ubunzima obuninzi, isifo sikashukela nesifo sengqondo segazi, eziqhelekileyo kubasetyhini abadala kunama-40, zigalela kakhulu ukuqala kwesi sifo. Ukukhubazeka kwe-endometrium ekunqumeni komzimba kunokuba yingozi malunga nokuphuhliswa kwezicubu zomhlaza. I-hyperplasia ye-apipical ye-endometrium iphinda iqwalaselwe yiengcali njengemeko enqabileyo, ekhokelela ekuphuhlisweni komhlaza kwi-25% yamatyala. Ukuze uphephe oku kungenokwenzeka, umfazi kufuneka aqonde imfuno yonyango olufike ngexesha.
Isiqhelo se-endometrium ekumeni
Ukuhlolwa kwe-ultrasound ye-uterus yindlela enokuthenjelwa yokujonga imeko yakhe ekumiseni ukuphela komzimba kwaye unqume ubungakanani be-endometrium:
- Ubunzima be-endometrium ekumiseni kwesikhashana akufanele kudlule u-5 mm;
- Ixabiso loluphawu ngaphakathi kwe-6-7 mm luba yimfuneko yokujonga imeko ye-endometrium kwi-dynamics, ngokuphindaphinda kokulawula kwe-ultrasound emva kweenyanga ezintathu kunye neenyanga ezi-6;
- Ubunzima be-endometrium bungaphezu kwe-8 mm bujongwa njengentsholongwane. Ukuxilongwa ngokuchanekileyo kule meko kuyimfuneko yokwenza uvavanyo lokuxilonga;
- ubukhulu be-endometrium ekumiseni kwimiba ye-10-15 mm bubonakaliso be-curettage ehlukeneyo, kunye novavanyo lwakhe lwezinto eziphathekayo.
Kufuneka kukhunjulwe ukuba ukuphambuka kokuphela kobukhulu be-endometrium ukusuka kwisiqhelo akuyiyo inqununu kwi-diagnostic, ngoko kufuneka kuqhutywe ukuxilonga.
I-endometrial hyperplasia ekumiseni kwexesha: unyango
Unyango lwe-endometrial hyperplasia ekumiseni kwexesha lungenziwa ngeendlela ezininzi:
1. Ulwaphulo lweHormonal. Umthamo wama-hormone olawulwa isigulane ulungiswa emva kokuvavanya ukuhlolwa kwe-ultrasound ye-endometrium. Oku kuncedisa kwisiphumo esihle sonyango kwaye kukuthintela ukuphuhliswa kweenkqubo zomhlaza kwisisu.
2. Ukungenelela ngoncedo:
- ukukhwa kwe-membrane surface membrane - eyenziwa ukususa i-patcigy, ukuyeka ukuphuma kwegazi kunye
zokuxilonga; - i-laser cauterization (ablation) - ukutshabalalisa i-pathological foci yi-laser;
- ukususwa kwesibeleko (hysterectomy) - kwenziwa kwizigulane ezineendlela ezincinci (unyango lwe-hormone), ukuba uphinde ubuyeke, okanye xa ukulawula isigulane akunakwenzeka.
3. Unyango oluhlangeneyo - intsebenziswano yonyango lwe-hormone kunye nophando. I-hormonal therapy kulo mzekelo inokunciphisa kakhulu inani lokungenelela ngoncedo ngokunciphisa i-endometrium enokugula.