Endometrial kudwala

endometrial kudwala likupitirirabe masiku ano. Akatswiri amanena azimuth ndi kuwonjezeka mu kunenepa, matenda endocrine ndi chitetezo chokwanira kuchepa akazi. Nthawi zambiri za kudwala endometrial limodzi ndi vutoli mu dongosolo m'thupi, njira kagayidwe kachakudya. Chofunika kwambiri ndi kuwonjezera chiwerengero cha somatic chronicity matenda.

Masiku ano, pafupifupi 30-40% ya onse matenda matenda wapezeka njira hyperplastic mu endometrium lapansi. zinthu zimenezo zimaphatikizapo fibrosis endometrial, chitsulo fibrous, ndi tizilombo ting'onoting'ono glandular adenomatosis. Kuyenera hyperplasia wamba (glandulocystica, akakufunsani kapena focal, glandular).

Akatswiri ambiri amavomereza kuti chifukwa cha njira ndi kulephera m'thupi mwa akazi. Endometrium amakhala chandamale cha mahomoni kugonana, chifukwa kukhalapo m'menemo ya maselo yeniyeni. Khumudwa mkazi kusintha m'thupi kumayambitsa zosiyanasiyana ndi kukula kwa zinthu ma. Chifukwa cha osauka endometrial kudwala neoplastic kapena chikhalidwe hyperplastic. La zinthu zofunika kwambiri pa ndondomeko kupanga ali hyperestrogenia. Mu njira zambiri, kuchuluka misinkhu esitirojeni bwanji chisokonezo kagayidwe kachakudya, m'munsili zosiyanasiyana matenda achire.

Madandaulo ambiri odwala ndi njira hyperplastic ndi magazi Kugawilidwa kwanthaka kukhudzana, uterine magazi (makamaka acyclic). Magazi mu m'badwo ubereki amaoneka yaitali ndi katundu kusamba (monga menometroragii) mu premenopausal - acyclic mu akazi postmenopausal - wamagazi kukha wa intensities osiyana.

Matenda a hyperplasia endometrial imagwiridwa ndi ultrasound transvaginal ziwalo m'chiuno gistreroskopiey (matenda, ndi kuchipala osiyana, histological kuphunzira zinthu chifukwa).

Imodzi mwa ntchito zofunika kwambiri lero ndi mankhwala matenda a njira hyperplastic. Endometrial kudwala zimaphatikizapo kugwiritsa ntchito mankhwala ndiwofatsa. Zikuphatikizapo timadzi mankhwala kukonzekera esitirojeni-progestin, mankhwala progestagenic. Komanso, pali njira opaleshoni, kuphatikizapo asang'ambe ano, ndi nthawi ndi mwamsanga kuchira.

Mwa njira mofulumira anafotokoza resection (ablation) wa endometrium lapansi.

Cholinga cha opaleshoni imeneyi kuchotsa mawonetseredwe matenda a njira alipo hyperplastic. Komanso, njira imeneyi ntchito monga kupewa khansa endometrial, kuwonjezera mwayi wa mayi akazi a msinkhu wobereka.

Pansi ablation (ablation) zikutanthauza endometrial curettage, excision, chiberekero chiwonongeko. Mpaka lero, gynecologists ndiribe kubwera lingaliro limodzi, zimene ankaona resection. Palibe momveka bwino za pamene kugwiritsa ntchito mawu akuti "ablation".

Kuwonongedwa kwa onse a endometrium (ablation) angathe kuchitidwa electrosurgical ndi laser njira. Pamene minofu imeneyi kufufuza histological kutenga zosatheka.

Excision (resection) Endometrial makulidwe kokha electrosurgical njira. Pankhaniyi, kudula kuzungulira ndi excised mu mawonekedwe a tchipisi onse akalowa la chiberekero. Kuchititsa opaleshoni imeneyi ndi mwayi kenako kutenga minofu kuligaŵa kufufuza histological.

Monga ulamuliro, opaleshoni imagwiridwa pogonekedwa ndi mankhwala epidural kapena okwana mtsempha ochititsa dzanzi. Ndi munthawi yomweyo kugwiritsa ntchito laparoscopy endotracheal ochititsa dzanzi.