Hyperplasia isiri yekenza - chii ichi? Glandular endometrial hyperplasia isiri yekenza. Lobular hyperplasia isiri yekenza of endometrium

Hyperplasia isiri yekenza - chirwere ichazivikanwa noku kuwedzera muchitokisi nhamba iri rinenge kana nhengo (kunze bundu munyama). Mubayiro kukura chirwere ichi ane bundu kana akacherekedza kuwedzera kukura mumuviri.

Anovandudza hyperplasia isiri yekenza vakazoroorwa zvakasiyana-siyana zvinofurira chokuita Mashoko mutange masero. Saka, kungakonzera kuvandudzwa antigenic mikana yakawanda yokukurudzira oncogenic zvinhu, kukura vatsigiri kana zvinyama kurasikirwa nokuda chero chikonzero, nhengo kana chikamu tishu. Vasiri hyperplasia isiri yekenza - a ukatambararira panguva nhumbu yacho mammary epithelium, nokuratidzwa glandular hyperplasia isiri yekenza isati kana panguva yekutevera, uye dzimwe kuratidzwa zvakafanana.

Somuenzaniso, hyperplasia isiri yekenza, mberi pathological ezvinhu, vanogona kunzi kuwedzera STRUCTURAL zvinhu zviri varwere mamwe kupererwa neropa myeloid tishu. Uyezve, hyperplastic maitiro inogona kuitika mune lymphoreticular zvinyama node nodes, sezvo masoja mhinduro iri chirwatata, panyaya zvirwere zvinotapuriranwa hunhu.

A zvakasiyana-siyana

In mushonga, pane mhando dzakawanda inokosha:

1. Vasiri hyperplasia isiri yekenza. Zvinyama kukura kunoitika, riri dzichipfekeka kana pfupi. Somuenzaniso, hyperplasia isiri yekenza kuti mammary mumasero panguva lactation kana pamuviri.
2. Pathological hyperplasia isiri yekenza. Nokuda vanoverengeka precipitating zvinoita kuitika tishu kukura.

Mukuwedzera, chirwere angava zvatichiri, diffuse uye polypous:

1. Kana pane chimiro pachena zvatichiri localization kwacho muchimiro munhu zvikamu.
2. In diffuse hyperplasia isiri yekenza zvachose sei pamusoro rukoko.
3. For polypous chimiro dzinoratidzwa gogonera rokuwedzera unobatanidza zvinhu. Muchiitiko chino, hyperplasia isiri yekenza kungakonzera pave substandard dzidzo uye cysts.

Diffuse hyperplasia isiri yekenza of thyroid shwanu

chirwere ichi kunoitika apo compensatory maitiro ari thyroid ayodhini kukanganisika. Shoko rokuti "diffuse" zvinoreva kuti zvokurwara kunokanganisa muviri wose, ndiko kuwedzera zvayo kukura nokuda kubereka vana prostate masero kuti tirambe secretion pamusoro thyroid mahormone kuti pave muviri, kuwedzera Absorção de Água reokisijeni kutsigira simba pamwero.

Thyroid ayodhini kunodiwa kuramba ayo hormone basa. Kushaya kana kusavapo ayodhini kunoita kuwanda masero kenza uye anogona zvadaro kuguma dysfunction.

adrenal hyperplasia isiri yekenza

The chirwere inogona diffuse kana nodular. Zvinonzi pamwe ikaramba adrenal zvinyama munyaya pineal anomera uye Cushing kuti syndrome. In vakuru, chimiro ichi hyperplasia isiri yekenza, kunyanya ziboshwe, pamwe Ultrasound kudzidza zvakaoma chaizvo kuziva uye anoramba nyaya chidzidzo MRI uye CT.

Dzimwe nguva diffuse adrenal hyperplasia isiri yekenza achabatsirwa yakawedzera vatevedzere apo kuramba renguva dzose chitarisiko mumasero - muchimiro hypoechoic zvivako, takapoteredzwa mafuta tishu. Kana nodular hyperplasia isiri yekenza mu "Triangle mafuta" anogona kuonekwa kumativi, homogeneous hypoechoic inotungamirwa. Ndivo zvakaoma kusiyanisa kubva adenoma pamusoro Ultrasound mufananidzo.

Yeprostate - prostatic hyperplasia isiri yekenza

About 85% yevarume vakuru kupfuura makore 50 ari pasi chirwere ichi. Benign prostatic hyperplasia isiri yekenza kunoratidzwa paumbwe prostate shoma nodules diki (kana mumwe) iro anopararira zvishoma nezvishoma vanotanga kushingirira pamusoro urethra, vakazochinja hunokonzera zvakaoma weti.

The chirwere haakonzeri metastasis, kuti chinhu chinosiyanisa ake kenza yeprostate, saka inonzi prostatic hyperplasia isiri yekenza. Muchiitiko chino, hakuna yakajeka zvikonzero uye kazhinji chokuita varume kubereka.

uterine endometrium

Hyperplasia isiri yekenza - munhu benign kuwedzera pakukora uye Vhoriyamu uterine lining. Zvingaita kuitika somugumisiro ruminant sezvo glandular uye mumwe tishu masero. The chirwere kungaita kuti nokuvhiringidzirwa ari kushanda basa endometrium (yokubereka matambudziko, havachanyatsogoni varikutsika).

Under kwomuzvarirwo ezvinhu, kuti endometrium inokura pasi kuitwa inonzi estrogen rokutanga kutenderera nguva, achifuridzirwa progesterone panguva wechipiri kutenderera zvadzorwa. Mune zvokurwara ose endometrial kukura riri kusingadzoreki, zviri anokwanisa rokutora zvose yose nechomukati mumuhara uye munhu zvikamu (lobular hyperplasia isiri yekenza).

Mhando dzakasiyana-siyana endometrial hyperplasia isiri yekenza

Maererano predominance kwezvimwe zvinhu zviri kuwedzera endometrium kusunungurwa:

1. Glandular hyperplasia isiri yekenza. mumasero Endometrial kukura zvakanyanya.
2. Polypoid hyperplasia isiri yekenza. Kupindana patchy ikure endometrium, riri glandular, glandular-fibrous uye fibrous zvakasikwa. mhando iyi hyperplasia isiri yekenza kashoma inova nyanyisa, asi inogona hwaro kukura gynecological zvirwere.
3. Adenomatous hyperplasia isiri yekenza nokuvapo masero atypical, premalignant. In degeneration ichi ari kenza hyperplasia isiri yekenza ichi mhando ungasvika vanenge 10%.
4. Cystic glandular hyperplasia isiri yekenza. Shwanu cysts uye kukura pamusoro chete.

zvinokonzera

Pari, chikuru chinokonzera chirwere ichi ndicho zvinopfuura hama kushayikwa progesterone vasiri inonzi estrogen mumatunhu. ezvinhu akadaro angaita:

1. Transitional zera iri kutyora hormone muviri uye hormone RINOFAMBIRA.
2. Vakadzi kufutisa.
3. Polycystic ovary Syndrome.
4. kubereka.
5. Kugamuchira kugadzirira ine estrogen, pasina kugamuchira progesterone.

Kakawanda, endometrial hyperplasia isiri yekenza (comments kubva nyanzvi zvinoratidza izvi) rinowanikwa mune vakadzi vasati kubereka vakadzi vaduku nulliparous.

Comorbidities, kuwedzera kuratidza hyperplasia isiri yekenza, vaitirei dambudziko pamwe adrenal shwanu uye zamu, thyroid chirwere, chirwere cheshuga mellitus vose mifananidzo, uyewo neBP. By kukura hyperplasia isiri yekenza kunogonawo kukonzera zvinhu zvakadai:

1. Inoverengwa parudzi dzokubereka nadzo zvirwere.
2. Adenominoz.
3. uterine fibroids.
4. Pamuviri uye curettage.
5. Anogumbura pezvakaitwa nhengo dzokubereka nadzo.

Zvikonzero kukura uye mhando glandular endometrial hyperplasia isiri yekenza

Main kunokonzera glandular hyperplasia isiri yekenza:

1. Anovulation.
2. Kufuta.
3. Kuvapo follicular cysts.
4. Kubereka.

Ichokwadi zvakare njodzi kutsungirira follicle chirwere, glycemia uye granulosa masero anomera.

Kushaikwa pakurapwa uye kunonoka chirwere chirwere ichi saka hwakazara nemigumisiro ine ngozi, sezvo pave endometrial kenza. Kunyanya pangozi vakadzi vanotambura atypical hyperplasia isiri yekenza ademonatoznoy nevakadzi munguva pashure kubereka. Hazvina zvatichiri uye diffuse hyperplasia isiri yekenza - munhu precancerous chimiro chirwere.

Nezvimwe endometrial hyperplasia isiri yekenza vanoonekwa ndichibvunza kuparadzirwa glandular epithelium, cystic dilated omumuviri uye glandular-cystic hyperplasia isiri yekenza.

zviratidzo

Kazhinji, hyperplasia isiri yekenza ari mumasero kunoitika pasina vakasiyana zvekuchipatara zviratidzo. In ichi zvakafanana kuratidzwa vanoonekwa dzinoparadzana uterine ropa kunokonzerwa kumwedzi hadzina kufambiswa zvakanaka (varikutsika kunonoka). ropa Izvi zvinogona kuva kunonyengedza uye refu, uye kurasikirwa neropa - rinorema kana mwero. Somugumisiro, kutanga neta neta zviratidzo: kurasikirwa kudya, kurukutika, utera.

Between nguva zvinogona kuonekwa kusvibisa. Kazhinji vakadzi nokuda anovulation kushaya nyaya. Ndizvo chaizvo chikonzero mbereko iri rwendo kuna chiremba uyo vakazoroorwa rokuongorora chirwere. Pakati zviratidzo anogona kuonekwa kurwadziwa rezasi abdominal nzvimbo.

Diagnosing glandular hyperplasia isiri yekenza inogona anoitwa dilatation uye curettage, iro rinoitwa pakarepo asati kumwedzi. Kazhinji kushandiswa nechirwere pamusoro Ultrasound, uye hysteroscopy.

lobular hyperplasia isiri yekenza

Lobular hyperplasia isiri yekenza (nyanzvi wongororo zvipupurire ichi) aigona angavhundutsira kenza uye kushaya mbereko. Zvakaneta akazivisa kana asymptomatic anogona kuona chirwere chete panguva Ultrasound kana gynecological kuzviongorora.

Kazhinji Lobular hyperplasia isiri yekenza hwapedyo gare gare hormone zvinetso, pashure kuchinjwa somatic zvirwere uye pamuviri kana tikafunga hyperplasia isiri yekenza pamusoro glandular mhando.

Lobular hyperplasia isiri yekenza pamusoro uterine epithelium kunokwanisa kuonekwa pachishandiswa zvinotevera zviratidzo:

• ropa mushure kumira kumwedzi;
• acyclic kana cyclic kumwedzi hadzina kufambiswa zvakanaka.

Kurapa chirwere ichi mu nzira huru mbiri:

1. Medical nzira - uchibatsirwa dzinokosha zvinodhaka, kusanganisira hormone zvisikwa.
2. Nzira kana kushanda nzira - kuburikidza tichibvisa ari uterine mhango.

Chirwere kubva endometrial hyperplasia isiri yekenza

The hwaro nechirwere chirwere ichi chiri kuongorora pedyo gayinakorojisiti, nokuti richishanda uye mumarabhoritari tsvakurudzo.

Huru chirwere nzira dzinosanganisira:

1. Ultrassom kuzviongorora dumbu uye zvinoshandiswa kusangana nekutsi kwemukadzi vachiongorora.
2. Hysteroscopy pamwe biopsy specimens kuti histological kuzviongorora.
3. Chirwere tichibvisa ari uterine mhango.
4. Kana zvakakodzera, kujekesa mhando hyperplasia isiri yekenza akabata chido biopsy.

Chimwe chezvinhu zvinokosha tsvakurudzo rabhoritari ndiyo tsanangudzo serum bonde mahomoni uye thyroid, uye adrenal mumasero.

Zvakakosha kuyeuka kuti chero hyperplasia isiri yekenza zvinoda kuongororwa zvakarurama uye kuziva zvinokonzera wechokwadi, izvo zvakaita kuti kuwedzera tishu.

mabatiro

Kudai nechirwere hyperplasia isiri yekenza, kurapwa rinoitwa pakarepo. Nzira anosarudzwa pachishandiswa zviratidzo chirwere uye zera murwere.

Nzira inonyatsobudirira yokuita - chirwere curettage kana hysteroscopic kubviswa kwacho diffuse endometrium.

Kana marapirwo muitiro chinhu multi-hunhu, pakutanga kwezvose, kuita nechimbichimbi kana zvokuwedzera tichibvisa. Nokushandisa rokutanga musimboti apo anemizatsii kana ropa.

Pakangotanga histology zvabuda tinogamuchirwa, nyanzvi anogona basa zvinotevera kurapa:

1. Pazera 35 makore prescribers mhandu ose gonadotropin.
2. Loop "Mirena" pamwe progestins.
3. progestin zvinodhaka ( "Djufaston", "Utrozhestan") tanzi nguva kutenderera wechipiri.
4. Nechinangwa asiri uchishandisa chemabhazi ropa mu nevasikana vaduku, vanobvumirwa kushandiswa kumbonyanya guru mishonga nomumukanwa pamuviri.
5. Combination zvokuudzwa nhumbu ( "regulon" "Yaryna" "Janine") riri basa 6 mwedzi pamwe kwakajairika kugamuchirwa redunhu.

Kugadzirira dzataurwa pamusoro apa, pave nomugumisiro dzakafanana mukuguma ura, asi reversible.

Pashure tichibvisa vachiri kwemwedzi mitanhatu kuongororwa, uye kana pane dzokororo ine adenomatous hyperplasia isiri yekenza siyana, zvinoratidza kuti kubviswa dumbu. Kana kumwe relapsing uye inefficiency mamwe marapiro yakabereka kuparadzwa chakagadzirwa pamusoro endometrium (ablation).

Fungidziro uye matambudziko

The kupfuura ngozi kuomesa kwakaita endometrial hyperplasia isiri yekenza - raro kuchinja mu nekenza dumbu. Zvisinei, ropa hapana zvishoma ngozi uye recurrences pamwe kukura mbereko uye kupererwa neropa.

Kazhinji, zvakanaka fungidziro: somugumisiro kuvhiyiwa uye Prima zvinodhaka nokuda 6-12 mwedzi havagoni zvachose kurapa chirwere.

dziviriro

Chinonyanya kukosha zviyero kudzivirira endometrial hyperplasia isiri yekenza - ndiko kudzivirira zvinokangaidza, kushingaira kurwisana kufuta uye kurapwa pakarepo kuti zvirwere kumwedzi. Zvinokoshawo chaizvo panguva yakakodzera gynecological kuongorora vakadzi.

Dzimwe nguva vechiduku vasikana nyanzvi ringavakurudzira kuti kudzivirira zvinodhaka hormone kuti yekuzvidzivirira endometrial hyperplasia isiri yekenza uye kenza. mukadzi upi vanofanira kuziva kuti mune huye uterine ropa hwobva kubvunza nyanzvi. Yeuka kuti nenguva kurapwa kuti chiremba kuchabatsira mune ramangwana kudzivisa dzakawanda matambudziko.