Atypical endometrial hyperplasia

Endometrial hyperplasia - ndi kukula nthenda ya mkati (mucosal) akalowa la chiberekero, kumene amakhala thicker kwambiri kuposa zachibadwa. Ambiri, mawu akuti "hyperplasia" amatanthauza kuchuluka kwa maselo kapena zimakhala za thupi, chifukwa mu buku la ukuwonjezeka thupi. Malinga ndi zomwe zachipatala, endometrial hyperplasia amakhudza 20% ya amayi ndi 5-10% a iwo lidzasinthidwa matenda a khansa.

Pali mitundu ingapo ya hyperplasia ndi:

• glandular hyperplasia;
• enaake hyperplasia;
• adenomatosis, mwachitsanzo atypical endometrial hyperplasia;
• lobular hyperplasia wa endometrium lapansi.

zingayambitse matendawa amatchedwa matenda m'thupi, matenda matenda, polycystic yamchiberekero syndrome (PCOS), mimba, fibroids uterine, matenda curettage, adenomyosis, ekstragenital'nye zokhudza matenda (chithokomiro matenda adrenal, shuga, kunenepa kwambiri, kuthamanga magazi).

Zizindikiro za hyperplasia endometrial ukhalebe monyanyira monga kusamba (kutalikitsa ake kapena kufupikitsa, magazi katundu imfa); mwadzidzidzi uterine magazi pa msambo kapena pakati pa kuzungulira, mpaka masabata angapo; osabereka.

Atypical endometrial hyperplasia Ndi matenda ambiri a mitundu yonse tatchulazi. Kuopseza kusinthika ake khansa, ngati sanalandire chithandizo, amachokera 20% 80% ndi ambiri zambiri zimachitika mu kuchotsa nyengo (ndi zaka) Ntchito kusamba. Mu atypical endometrial hyperplasia makulidwe ndi 3 cm.

zochepa (Lobular) hyperplasia wa endometrium ndi - ndi tizilombo ting'onoting'ono germinating malo payekha. Malinga ndi kapangidwe ndi tizilombo ting'onoting'ono ndi fibrous, glandular ndi adenomatous. Malinga ndi kukula kwa polyp ndi, endometrial makulidwe akhoza kukhala 6 cm.

Underdeveloped M'kati mwa chiberekero - hypoplastic endometrium - si matenda. endometrium amenewa anaona pa chikoka ofooka mahomoni yamchiberekero ndi sikutanthauza mankhwala - chabe penyani.

Nthawi kumene atypical endometrial hyperplasia recurs ndipo pali chiopsezo kusintha kwake kwa mtundu khansa ntchito opaleshoni - atachuluka wosanjikiza atachotsedwa endometrium. Ndondomeko ndi zolondola kwambiri, kudya ndiponso kotheratu, chifukwa cha luso lamakono.

njira zina amachitira nthendayo kobvuta ndi kuchotsa tizilombo ting'onoting'ono - polypectomy, ndi kuchotsa chiberekero ndi adnexa - hysterectomy. Hysterectomy amagwiritsidwa ntchito mu aakulu zovuta atypia chitukuko, akalumikidzidwa, ndi tizilombo ting'onoting'ono mkati, myomas.

Pamlingo waukulu zotsatira za opaleshoni zimadalira m'mene ogwira preoperative timadzi mankhwala, angathe kuchepetsa voliyumu ya focal hyperplastic endometrium. komanso amagwiritsidwa ntchito osakaniza mankhwala kuti Chili njira zingapo Mwachitsanzo, mankhwala opaleshoni ndi mankhwala m'thupi.

Atypical endometrial hyperplasia matenda:

• transvaginal ultrasound;
• ehogisterosalpingografiey (Echo GHA);
• hysteroscopy (GHA);
• ndi biopsy wa endometrium ya;

Pakuti kupewa matenda ndi zofunika:

• kudutsa kamodzi kapena kawiri pa chaka ndi njira matenda Kupenda (ngakhale palibe madandaulo);
• mankhwala a matenda osiyanasiyana concomitant extragenital (shuga, kunenepa kwambiri, matenda oopsa, ndi ena).
• matenda ndi mankhwala wotsatira wa matenda maliseche (fibroids uterine, adenomyosis neri Al.);
• ndiyotani pakuchotsa kulemera owonjezera.

mayeso zodziwitsa ndi akatswiri mpata kudziwa khate ndipo nthawi zina adzakhala kuwonjezera mwayi kwa kuchira bwino ndi othamanga.