Atypical endometrial hyperplasia

Endometrial hyperplasia - mea he'āno'ē ulu o ka pā (mucosal) naʻau o ka uterus, kahi i lilo nui pūhaka o maʻamau. I mau, i ka manawa "hyperplasia" 'o ia hoʻi ka hua i loko o ka helu o ke keena a me nā'aʻaʻa o ke kino, kūpono ai i loko o ka buke o ke kino, piʻi pū. E like me ke 'inikua' ikepili helu, endometrial hyperplasia e loli ai i ka 20% o na wahine a me 5-10% o ia i lilo iho i loko o cancerous maʻi.

He nui na ano o ka hyperplasia i:

• glandular hyperplasia;
• cystic hyperplasia;
• adenomatosis, oa atypical endometrial hyperplasia;
• lobular hyperplasia o ka endometrium.

Hiki kumu o ka maʻi ua kapaia hormonal kāna hana, gynecological kāna hana, polycystic ovarian maʻi pale (PCOS), abortion, uterine fibroids, PalekanaEND_LINK curettage, adenomyosis, ekstragenital'nye pili maʻi (thyroid adrenal maʻi, mimikō, obesity, kiʻekiʻe ke koko,).

Symptoms o endometrial hyperplasia i malama like menstrual paewaewa (kona hooloihiia mai ai hua'ōlelo, kaumaha koko poho); koke uterine kahe ana ke koko i menstruation a ma ka waenakonu o ka pōʻaiapuni, ka loihi o mai i kekahi mau pule; infertility.

Atypical endometrial hyperplasia He ka maʻi loa nui o nā mea a pau i ka luna i oleloia? Ueo. Ka hoʻoweliweli 'ana o kona loli i loko o Ka maʻi' aʻai, ina haʻalele untreated, hele mai ana mai ka 20% e 80% a me ka hapanui ana ike ma ka hoopau ana i ka wā (ma ka makahiki) menstrual kuleana pili i. Ma atypical endometrial hyperplasia mānoanoa o 3 knm.

i kaupalena ' (Lobular) hyperplasia o ka endometrium - ua polyps germinating kanaka-oaio? A. E like me ka 'ole o ka polyps i fibrous, glandular a me ka adenomatous. Ke kaumaha ma muli o ka nui o ka polyp, endometrial mānoanoa hiki e 6 knm.

Underdeveloped loko, ahu iho o ka uterus - hypoplastic endometrium - mea ole ka maʻi. Oia endometrium malama ma nawaliwali ole ana o ovarian hormones, a 'aʻole i koi lapaʻau - wale makaala.

Ma na wahi a ka atypical endometrial hyperplasia recurs a aia no he pilikia kiʻekiʻe o kona hoʻololi i ka maʻi 'aʻai ano hoʻohanaʻoki kino - Ua wehe' ulu, ahu iho endometrium. Ke kaʻina hana Ua nui pololei, hoʻokēʻaiʻana, a ihola ia ai, i ke aloha i ka 'ike loea o kēia au.

Other ano o ka hana maikaʻi i ka maʻi ua huikau ma ka wehe 'ana o polyps - polypectomy, a me ka wehe' ana i ka uterus me ka adnexa - hysterectomy. Hysterectomy ua nui hoʻohana 'ia i loko o loa huikau ulu atypia, kinona, na polyps, myomas.

I ka loa nui i ka hopena o keʻoki kino hilinaʻi nui ma luna o pehea ka hoʻokō preoperative hōmona Inc, hiki me ka nui loa emi i ka buke o ka mea nui hyperplastic endometrium. kekahi mau hoʻohana 'ia me ka hui pu Inc e hiehie mau' ana i kūpono, no ka laʻana,ʻoki lāʻau lapaʻau lapaʻau me hormonal Inc.

Atypical endometrial hyperplasia diagnosed:

• transvaginal ultrasound;
• ehogisterosalpingografiey (küpinaʻi GHA);
• hysteroscopy (GHA);
• he biopsy o ka endometrium;

No ka mea Kāohiʻana o ka maʻi he pono ia:

• maalo ae la oia i kekahi manawa, a me ka palua o ka makahiki i kāohi gynecological ninaninau (a hiki ina he mea ole hoopii);
• lapaʻau o nā concomitant extragenital maʻi (mimikō, obesity, hypertension, a me kekahi poe e ae.);
• ʻike, a me ka mahope lapaʻau o ka wahine maʻi (uterine fibroids, adenomyosis listen'ōlelo.);
• noho pakele o ka oi kaumaha.

Papa'āweʻaweʻa kemika examinations ma hoʻomalu ae manawa e kuhikuhi i ka maʻi weliweli, a ma na manawa e hoʻonui i ka hiki wale mai no ka piha a me ka hikiwawe ke ola.