Endometrial polyp: kurapwa pasina kuvhiyiwa uye wongororo

Endometrial polyp anoreva namamota benign kuti munogona vakadzi chero zera. Nokuda mikana anomera munzvimbo degeneration masero kenza kusvika nenguva kurapwa chirwere ichi anopiwa vainyatsotarisirwa. On a ndima ine kuvhiyiwa ikoko kubatwa fibroid polyp endometrial non-zvomusejari nzira.

Endometrial polyp - kuti

Endometrial polyp - kukura of uterine lining masero. Pangave kubva munhu polyps wandei siyana kukura kubva 1 millimeter kusvika 5 masendimita. Most kazhinji dzinoitika vakadzi vane makore 40 kusvika 50 makore. Maererano nemamiriro polyp inoitwa muviri uye pedicle, zvaakanga kwakunoitwa kuti uterine rusvingo. It kunoratidzwa kunzwisisa womukati marongerwo inogona inomirirwa omumuviri uye fibrous tishu. Pakadaro, kana murwiyo rine masero kanganisika, polyp inokurukura adenomatous (precancerous). Zvichienderana nemamiriro voga endometrial polyps 4 marudzi:

• Fibroids.

• Glandular.

• glandular-fibrous.

• Adenomatous.

A mutsauko kuri dzichipfekeka endometrial polyp zvinosanganisira masero epithelial uye shanduka panguva kuenda kumwedzi uye basal polyps mhando, kunobva munhu hosha uterine muviri basal rukoko. Sarudza yakarurama inotungamirwa mamiriro anokundikana Via histological pachisara kure maatomu akafanana. Kakawanda, polyps kuramba mukati muchibereko chemusikana, muna zvisingawanzoitiki nguva vanokurira munzvimbo cervix kana nyinyo. Nzira kurapwa anosarudzwa zvichienderana nemakore murwere uye hunhu Kumwe kuchinja kunotanga. Kuvhiya Kupindira ndiyo nzira huru dzokudzora, kana dzakaonekwa endometrial polyp. Kurapa pasina mishonga Kuvhiya zvinogoneka kana murwere akaramba kuvhiyiwa.

zvikonzero

Pane shanduro dzakasiyana-siyana kwakabva endometrial polyp. The chikuru kwavari - hormone zvinetso nokuda kwazvo inonzi estrogen tigutsikane progesterone kukanganisika. Mhedziso iyoyo yaigona kuwanikwa kwaiita endometrial polyps yokudzidza estrogen dzishande. Uyewo haana warambidzwa pangozi nechirwere nokuda zvirwere zviri womukati paiva muchibereko chemusikana, uyewo zvokuimba kuvadza endometrium nokuda pamuviri, kubvisa pamuviri, zvinoguma nokupfupfudzika, curettage, akapfeka ane intrauterine mudziyo kwenguva refu, kukwana nokubviswa placenta pakusununguka, zvichikonzera ropa clots uye fibrin rinokura connective zvinyama uye uve polyp. Irege discounted uye mukana wokuti ari polyp growths yakafanira kune kunowedzera vascular kukura kupinda uterine mhango. Mikana yokuita chirwere kukanganisa kwemakemikari anobudiswa pezvakaitwa vakadzi chokuita cheshuga mellitus, munhu metabolic wenyonganyonga, BP, thyroid chirwere inoshanda. Kutsamwisa vachivavhiringidza mu hormone siyana vari chirwere chepfungwa, kuora mwoyo, pfungwa, kushushikana, uye kuderedzwa rokuzvidzivirira uye kushaya mavhitaminzi pamuviri.

Zviratidzo endometrial polyps

Pakadaro, kana epithelial yokuwedzera duku kutora chimiro, zviratidzo endometrial polyps kazhinji vasipo. Saka chirwere, kazhinji pamwe pelvic Ultrasound. Paaizosvika rebei saizi pane kumwe mufananidzo yakadai:

• kuwedzera uwandu pathological whitish precipitates (leucorrhea);

• dzavari kumwedzi;

• kumwedzi kuyerera rinorema;

• kurwadziwa muchimiro sunga kana polyp anosvika remuromo Canal;

• pane ropa mukati intermenstrual kumwedzi;

• kusagadzikana uye marwadzo panguva zvepabonde;

• kushaya mbereko iri diki pamuviri zera;

• kukundikana panguva IVF;

• panowanikwa ropa panguva kubereka. Naizvozvo, kazhinji nachiremba zviratidzo endometrial zvokurwara polyp rokubvisa. Reviews wevarwere pashure kuvhiya zvinoratidza kuti kuvhiya kurapwa chinowedzera kunyangarika zviratidzo zvachose nevakadzi vanonzwa chinokosha zororo.

Diagnostics

Munguva kuongororwa kuti gayinakorojisiti anogona kuona dzichipfekeka endometrial polyp, vachisiya cervix uye nyinyo. Naizvozvo, mukuru nzira kudzidza ndiko kupa Ultrasound. Kuri kuti hauna mufanidziro zvakajeka polyp, vakatakura gisterosonografiyu rinomiririra chete Ultrasound, asi pakatanga kupinda dumbu nomukombiyuta anobudisa mushonga zvishoma nezvishoma kuti sesaline. Nzira iyi inobvumira kuti kuongorora muudzame ari polyp, ayo ukuru uye chimiro. Kuti uwane mamwe mashoko chirwere hysteroscopy rinoitwa, umo zvinokwanisika kuti zvakarurama kuziva nzvimbo localization pamusoro polyp uye kushandisa nzira iyi zvinokwanisika chaizvo kubvisa polyp pamwe padzinde. Technology kwayo kunhaka anomirira zvishoma invasive muitiro. The dumbu chinotarisirwa Manyiminya Chishandiso duku muchinjikwa chikamu dhayamita iyo rinobvumira fenzi bi-optic zvinhu uyewo tichibvisa pamusoro endometrium. Pashure nokubviswa polyp riri yakatumwa histological kuongororwa, iyo inoratidza STRUCTURAL features, kuvapo masero kanganisika uye kugadza zvakare kurapwa. Kana Detective kuvapo kenza dzavakatumirwa nyanzvi kuongorora muna gynecologic oncology.

Nzira kurapwa

Pane chikuru nzira kurapwa vaviri - iri kuvhiyiwa uye non-zvomusejari nzira.

zvomusejari unyanzvi

• Kubva operative nzira chinonyanya basa iri hysteroscopy, izvo nokuda Manyiminya mudziyo (hysteroscope dzine micro zvombo kumicheto) anobvumira kuti funga muudzame nzvimbo polyp uye zvakarurama bvisa uye ane yepamusoro zvinodiwa kupfuura tichibvisa tinongoita. The oparesheni anogona kuitwa pasina yokutindivadza uye yokutindivadza uye asingauyi kutora nguva yakawanda - maminitsi 5-20, zvichienderana yezvakaita Kumwe kuchinja kunotanga.

• hysteroresectoscopy - mushumiri wenguva kuvhiya. The chete nzira kana chirwere chakakomba of endometrium - kubviswa polyp. Reviews wevarwere achirapwa kuvhiyiwa, vanoti mashandiro ari nyarara, sezvo kuwana mukuru yokutindivadza.

kuchinja

• kuvhiya kwete chete, kana akaonekwa endometrial polyp, kurapwa pasina kuvhiyiwa zvinobvira munzira dzakasiyana-siyana, kunyanya mahormone.

• Antibiotic kurapwa kana chirwere dzepabonde bhora.

kemikari kurapa

Pakadaro, kana kuona endometrial polyp, kurapwa pasina kushanda basa zvinotevera mahormone:

• progestogen progesterone (rinoreva "Utrozhestan", "Duphaston"). The mushonga ari ushandiswe kwenguva 3-6 mwedzi iri 2nd chokutambudzika kumwedzi.

• Complex dzaiita pamuviri vari ushandiswe vakadzi pasi makore 35, ane polyp kuti uterine endometrium. Marapirwo kunotora mazuva 21.

• Agonists kuti gonadotropin kwokusunungura kemikari

Non-kuvhiya nokurapa Chinese tampons

Kana hazvibviri kuitisa kuvhiyiwa kubvisa endometrial polyp, kurapwa pasina kuvhiya rinoitwa ne kuchinja nzira - Chinese tampons. vari akashandisawo sezvo kudzivirira wava kusvutazve. Akanakisisa anozivikanwa tampons Yakachena Point, RAKANAKA UPENYU. Zvakaitika yawapiwa achada 10-12 tampons kuti muzvidzivirire - 2 tampon pamwedzi. Zvinosanganisira rwokuzvarwa miriwo zvinoumba yakafara-chakarondedzera, normalize hormone pakurwisa zvirwere. Folk mishonga ndima chete wezvokurapa nzira dziripo uye unconventional nzira kubvisa endometrial polyp, chevarwere mishonga kuratidza pasi kubudirira kurapwa. Imwe nzira iri kushandiswa negariki - inofanira akadzvinyirirwa, nejira, vanoumba bhora uye sunga tambo. The swab kutaurwa kupinda nyinyo usiku mumwedzi mumwe. Vazhinji vaedza nzira iyi, kubatanidzwa National dambudziko fibroid polyp pamusoro endometrium, ivo wongororo zvinoratidza kuti kutsungirira kunyange zvina maawa zvakaoma chaizvo, tisingatauri usiku. Saka zvinobvira kupisa kusangana nekutsi kwemukadzi mucosa.

Kudzivirira endometrial polyps

Sezvo kudzivirira endometrial polyp vanofanira kuomerera zvinotevera:

• Nyatsogovera kubata zvinotapukira uye anogumbura nezvirwere munhukadzi nhengo dzokubereka nadzo uye inoshanda kurapwa.

• achindireverera nguva rokuongorora panguva gayinakorojisiti.

• Kana zviratidzo zvokutanga kuti chiremba.

• Itirai normalization pakati hormone kumashure

Zvazvo endometrial zvokurwara kuitika mune chiitiko kuti munguva oparesheni, haana kubviswa zvachose. Sezvo kudzivirira idzokororo chirwere kushandisa kemikari kurapa vanofanira kudzivisa zvinokangaidza, kubvisa pamuviri, mudye zvakanaka, uye kuongorora mamiriro utano uye zvirwere.