Endometrial pathology

endometrial pathology ua lilo hou, he pono ole i keia la. Poe akamai i ke kaila kēia au me ka hoomahuahua i loko o obesity, endocrine kāna hana a me ka emi wahine ka e hoʻonele. Ma ka hapanui o na hihia o endometrial pathology ua pu ma ka imbalance i loko o ka hormonal'ōnaehana, metabolic keʻano o ka hanaʻana. O ka nui no ka hana i ka helu o somatic maʻi chronicity.

I kēia lā, ka hola 30-40% o nā mea a pau gynecological mai ia akulla hyperplastic keʻano o ka hanaʻana i loko o ka endometrium. Na hana hea nā fibrosis endometrial, hao-fibrous, glandular polyps adenomatosis. Ua Ua lilo oi, he pono ole hyperplasia (glandulocystica, eiei paha mea nui, glandular).

Ka hapanui o ia mau loea, 'aelike i ka aoao o ka keʻano o ka hanaʻana o ka hormonal ole i loko o na wahine. Endometrium lilo i pale umauma hoʻokahi no ka 'īnea i hormones, ma muli o ia i ke alo ma loko o kekahi receptors. Kōkua wahine ka hormonal loli hiki aku ai i ka differentiation a me ka ulu ana o ke kelepona hele hehee wale. E like me ka hopena o ka ulu endometrial pathology neoplastic a hyperplastic ano. Of mau mea nui i ka ho okumu i keʻano o ka hanaʻana i hyperestrogenia. Ma na aoao, ka mea ulu ma ka estrogen pae lakou aloha ia metabolic haunaele, e hele pū ana i kekahiʻano o ka pākōlea ka maʻi.

Ka loa e like me ka hoopii ana o nā mea maʻi me ka hyperplastic keʻano o ka hanaʻana i ke koko kelepona e auaaeaiea, uterine kahe ana ke koko (ka hapanui acyclic). Kahe ana ke koko i loko o ka reproductive makahiki hemahema hoʻopaneʻeʻia, a kaumaha menstrual manawa (e like menometroragii) ma ka premenopausal - acyclic ma postmenopausal wahine - koko hookuuia o kekahi intensities.

ʻike, o endometrial hyperplasia ua hana ia e transvaginal ultrasound i loko o nā loko pelvic gistreroskopiey (PalekanaEND_LINK, a me kuokoa hamoʻia, histological study o ka kūpono mea).

Kekahi o ka mea nui ka hana i keia la o ka gynecological lapaʻau o hyperplastic keʻano o ka hanaʻana. Endometrial pathology komo ai i ka hoʻohana 'ana o ka makeʻe kulana Inc. Mau nā hōmona hana maikaʻiʻole o ka estrogen-progestin hoomakaukau, progestagenic lāʻau. Eia hou, ma laila eʻoki lāʻau lapaʻau 'ana i kūpono, a me minimally invasive ke kālā, a me ka kŘpa a ola ola manawa.

Ma kokololio iaoia pili resection (ablation) o ka endometrium.

Ke kumu o keiaʻoki kino mea, e hoʻopau i ka lapaʻau hoikeana o na hyperplastic keʻano o ka hanaʻana. Eia hou, ua iaoia ua hoʻohana 'ia e like me ka Kāohiʻana o endometrial Ka maʻi' aʻai, e hoomahuahua i ka manawa o ka hapai ana i loko o nā wāhine o ka hanau keiki ana kona mau makahiki.

Ma lalo o ablation (ablation) kaulana endometrial curettage, excision, uterus luku. A hiki i kēia lā, gynecologists i i hele mai ai i ka hookahi manao, i ka noʻonoʻo i ka resection. Aia mea ole mōakaaka e pili ana i ka wā e hoʻohana i ka makahiki "ablation".

Luku ana a pau o ka endometrium (ablation) hiki ke lawe electrosurgical a me kukuna hana. A pau keia'aʻaʻa no histological ninaninau i ka lawe ole i ke Akua.

Excision (resection) Endometrial mānoanoa mea wale electrosurgical hana. Ma keia hihia, ke ohi loop ua excised i loko o ka palapala o? Inoaia a pau i ka naʻau o ka uterus. Ma ka hoʻokō 'ia kēiaʻoki kino i ka manawa ma hope, e lawe i ka dissected'aʻaʻa no histological ninaninau.

E like me ka rula, o ka hana ua hana ma lalo o epidural anesthesia a huina intravenous anesthesia. Me ka i ka wā hoʻokahi ana laparoscopy endotracheal anesthesia.