Kurongedza endometrial hyperplasia: zvinhu, zviratidzo nemigumisiro

Vakadzi pamusana pezvisikwa zvemuviri wavo zvinowanzotarisana nezvirwere. Zviratidzo zvinogona kunge zvakasiyana. Vamwe vavo zvakaoma kuona. Kuti urege kuruma zvikwama zvako, unofanirwa kushanyira chiremba nenguva. Mudzimai wegynecologist achaitisa kuongororwa, teerera kumhan'ara yako uye, kana zvichifanira, tumira kune zvimwe zvinongororwa.

Inenge hafu yevamiririri vevakadzi vasina simba pakuenda kumwedzi uye shure kwekuratidza endometrial hyperplasia. Pasina kuvhara chibereko, zvinokwanisika kukunda hutachiona kunze kwepamamiriro ezvinhu chaiwo. Nyaya yemazuva ano ichakuudza nezvekwakabva kune chirwere ichi uye ichakupa iwe marudzi ayo. Uyezve, iwe uchaona kana zvakakosha kuita ne hyperplasia ye endometrium uye chii chakazara nacho.

Chii ichocho?

Kwete mukadzi wese anofanira kutsungirira kushandiswa kwakadaro sa gynecologic curettage. Ne endometrial hyperplasia, inowanzotaurwa, asi kwete nguva dzose. Usati wadzidza pamusoro pezvakananga zvekubiridzira, iwe unoda kuwana pfungwa yechirwere chacho pachako. Hyperplasia ye endometrium inokura semugumisiro wekukura kwemukati mukati memutsipa wechiremera chemarital. Chimwe nechimwe chinotenderera mumuviri wemukadzi pane kuchinja mune mahomoni. Panguva yokuenda kumwedzi, endometrium inobviswa uye inobuda pamwe chete neropa. Mushure mekunge izvi zvinouya nguva yevenrogen. Vanokurudzira kukura kwe follicles nekudzorerwa kwehupfumi hwemuviri. Uyezve, mushure mekuvhara ropa, progesterone inokurudzira kuchengetedza kwakakwana kwe endometrium, inogadzirira nhengo yepabonde yekuzvimba (kusungirirwa kwe fetal egg). Kana kubata pamuviri kusingaiti, ipapo huwandu hweprogesterone hunoderera, hunokonzera imwe kubuda ropa. Zvose zviri nyore kwazvo.

Asi kana nokuda kwechimwe chikonzero mukadzi ane kukwana kwehomoni, ipapo endometrium haina kubvarura kana kuti haisi kuonekwa kune chiito cheprogesterone. Nokuda kweizvi, kupesana kusadzora kwemasero kunotanga, kupararira kwavo. Ipapo vanachiremba vanoongorora "endometrial hyperplasia".

Mhando dze hyperplasia uye zvinoshandiswa kururamiswa kwayo

Kune marudzi akasiyana-siyana ehutachiona. Dzimwe dzadzo hadzizi nengozi uye dzinogona kutenderwa kuti dzigadziriswe nehomoni. Vamwe vanoshevedza kupindira kwokuvhiya. Mune mamwe mamiriro ezvinhu, kubviswa kwechibereko kunoratidzwa . Chii chinonzi endometrial hyperplasia?

• The glandular . Inotaridzirwa seimwe yezvinhu zviri nyore, zvinowanzogadziriswa nekurapa zvinodhaka. Iyo inosara inokura zvakashata, kwete kuumba masero emukati pakati peumwe.
• Cystic . Ichi chimiro chakafanana nechekuchera, asi nechomukati chekombe yemukati inokura lumpy, kuumba mabhutu, akafanana neystst. Iyo inobatwa neHommonal zvinoreva.
• Focal or diffif . Iyo inosara inokura zvakafanana (kana yakaparadzaniswa) kana kuti lumpy (inotarisa). Tsanga uye mapepa zvinoumbwa kune nzvimbo dzinobuda. Kune zviitiko zvekuwanda kweiyo hyperplasia muhosha yekenza.
• Atypical . Iyi fomu inonzi inonyanya kuipa. Nezvo, kukura kwemucosa kunoitika kwete chete pamusoro pepakati mukati. Maseji ari kuparadzanisa, achipinda mukati mekumusoro. Kurwisana ne endometrial hyperplasia zvechimiro ichi kazhinji hazvibatsiri. Kune zvimwe zviratidzo, zvakafanira kubvisa chibereko.

Zviratidzo zvehutachiona, zvichiratidza kudiwa kwekurapa

Zviratidzo zvikuru zvechirwere ichi ndezvimwe zvakasiyana-siyana zvekusagadzikana kwekuenda kumwedzi. Mukadzi anogona kunyunyuta pamusoro pokunonoka, kubuda ropa kwakanyanya, kuzodzwa asati asvika uye shure kwekuenda kumwedzi. Uyewo panguva iyi pane zviratidzo zve malaise: marwadzo emimba, indigestion, utano hwakanaka, fivha nezvimwe zvakadaro. Kakawanda, kushaya hupombwe kunosangana nekushaya simba. Ndezvipi zviitiko zviri kupera zvakagadzwa? Ne endometrial hyperplasia, zviratidzo zvinofanira kunge zvinotevera:

• Pain mukamu chezasi chemuviri;
• Kuchengetedza ropa;
• Nguva yekutenderera inopfuura mazuva makumi mana;
• Kusakosha kunogara kwenguva inopfuura hafu yegore;
• Kubuda ropa kunotyisa mukati rose;
• Bhuku rinotsigira hyperplasia.

Kugadzirira kugadzirisa: zvinhu

Kugadzirwa kwechibereko ne endometrial hyperplasia kunoitwa mushure mokugadzirira. Pakupedzisira, murwere anofanira kuongororwa navanachiremba vakadaro saurologist, cardiologist, chiremba. Nyanzvi dzinopedzisa kuti hapana zvinopesana nekutengesa. Panguva imwecheteyo, zvidzidzo zvakadai sezveruzhinji uye zvehupenyu hwekuongorora ropa, kusarudza kwezvirwere zvehutachiona hwehutachiona hweHIV uye chirwere chinonzi syphilis chinoitwa. Zvakakosha kuongorora mwoyo kuburikidza neEECG.

Mushure meizvi, murwere anofanira kushanyira gynecologist. Chiremba anorayira mimwe miedzo, iyo inosanganisira ultrasound kuongororwa, smear kuti aone kuchena kwemukadzi. Zvinorambidzwa kushandiswa nemigumisiro yakaipa. Kana pane chirwere chekuvhiringidza, saka inofanira kunge yakambobviswa.

Nzira: nzira yekuita

Kurongeka kwechibereko chekuberekwa ne endometrial hyperplasia kunoitwa mukati memadziro ehurumende yezvehutano. Iyo nzira yacho pachayo haitori maminitsi makumi maviri. Kushandura kunoda kuvhara anesthesia. Munguva yekugadzirisa murwere anorara kana hafu yehope: haanzwi kunzwa kusagadzikana. Nebatsiro revanotengesa, chiremba anozarura chirwere chechibereki, kupinda muchimukati chechirwere chepabonde. Curette inobvisa chikamu chakawandisa, icho chichazopfuurirwa mberi.

Muchigadzirwa chekugadzirisa, zviito zviviri zvakanaka zvinoitwa nokukurumidza: chiremba anochenesa zvakakonzerwa uye anogona kuve akazoona kuumbwa kwayo uye ngozi (kushandisa histology). Mushure mokuchenesa, murwere ari pasi pekutarisirwa kwevashandi vezvechiremba kweimwe maawa maviri kusvika ku4. Kana pasina matambudziko, mukadzi wacho anogona kuenda kumba.

Mushure mekunyora

Kana iwe wakacheneswa nekuda kwekuti endometrial hyperplasia inoshandiswa, kurapwa mushure mekugadzirisa kuchagadziriswa. Nguva dzose vanachiremba vanokurudzira nzira yekurapa maantibiotic. Anesthetics uye anti-inflammatory drugs zvinorayirwawo kana zvichidiwa. Zvimwe zviito zvinotorwa chete mushure mokunge zvinyorwa zvinyorwa zvake.

Kana iyo dhiyabhorosi ichibva kune chokwadi chokuti hapana chakaipa chinowanikwa muzvinyorwa zvidzidzo, ipapo murwere anorayirwa muitiro weHodmone therapy. Apo kuvapo kwemaitiro akaipa kunonzwisisika, zvinokosha kuti uzvichenese kuburikidza nekushanda kwakasiyana. Ngationgororei migumisiro yekucheka.

Kuvhiringidza nzira

Kana uine endometrial hyperplasia (pasina kurapwa mushure mekucheka), ipapo pane hutano hwepamusoro hwekuvhiringidza. Inozviratidza nezviratidzo zvinotevera: marwadzo emimba, kusununguka kusinganzwisisiki nekunhuhwirira kwakashata, kuwedzera kwekushisa kwemuviri. Mumamiriro ezvinhu ose, kururamisa kunokurumidza kunoratidzwa. Kazhinji, vanachiremba vanorondedzera kwenguva refu yemishonga inorwisa mabhakitiriya, inonyengera uye yevakadzi.

Kana kutuka kwakasimuka nekuda kwekuregererwa hakubviri kurapwa, saka hutachiona hunogona kupararira kune nhengo dzomunharaunda: maovha, ma fallopian tubes nezvimwewo. Zvose izvi zvakazara nemigumisiro yaro.

Kupera simba kwechibereko kana kuonda kwemasvingo echirongwa

Kurapa kwe endometrial hyperplasia pasina kuputika hakusi nyore. Kana pasina hunovandudzika mukati memwedzi weHermone therapy, iwe unofanira kunyatsozvichenesa. Munguva yekunyengedza, zvinetso zvakadai sekuputika kwehutanda hwomukati kunogona kuitika. Ichi chirwere chinodikanwa kupindira kunopupurirwa kwakakurumidza.

Uyezve, mugumisiro wekushandiswa kungave kuonda kwemasvingo emuviri wechipfu. Mune ramangwana izvi zvinotungamirira kumagariro aro. Somuenzaniso, panguva yekuzvitakura, kuputika kweukita kunogona kuitika . Kazhinji, ine masvingo akapfava, chikamu chakachengetedzwa chekudzivirira chinorayirwa .

Endometrial hyperplasia : kupera. Mhinduro pamusoro pemigumisiro yechirongwa

Chii chinoratidzwa nevarwere pamusoro peizvi? Vanhu vazhinji vanotaura kuti endometrial hyperplasia haisati yanyangarika mushure mekucheka. Mushure memaitiro mashomanana, mucous membrane inotanga kuvharazve zvakare, kugadzira cysts, polyps. Zvechokwadi, kana murwere asingatauri kurapa kwakakodzera, ipapo kupindira kwekuvhiya pachako hakungamuregeri kubva pachirwere. Kunyora hakubvisi chinokonzera hyperplasia, asi kunongogadzirisa migumisiro yaro. Nokudaro, zvakakosha kuti titeerere kugadzwa kwechiremba uye titevedzere kurapa kwakatemwa mushure mekushanda.

Kutaura muchidimbu

Kubva munyaya yaunogona kudzidza kuti kurapwa kwe endometrial hyperplasia pasina kupora kunogoneka, asi muzviitiko zvakasiyana. Kuti uongorore mamiriro ezvinhu emurwere, unofanirwa kuita bhizinesi kana kuporesa. Munzira iyi chete zvingave zvichibvira kusarudza mushonga unobatsira uchakuponesa kubva pane dambudziko riripo.