Uterine adenomatosis - ndichiyani?

Adenomatosis otchedwa atypical endometrial (focal kapena akakufunsani), endometrial hyperplasia Ndipotu, ndi chikhalidwe precancerous.

Preneoplastic ndondomeko - ndi kudwala yapadera yomwe, ndi osiyana a Mwina mukhoza kupita khansa. Precancerous hyperplastic ndondomeko amatha kusintha chitukuko,% 10 okhawo kwasanduka Oncology. adenomatosis la chiberekero ayenera kumwedwa mokhudzika ndi madokotala.

Kufotokozera za matenda

Pakuti njira endometrial hyperplastic mwachindunji zokhudzana m'thupi kukanika. Nthawi zambiri kuchitika magazi uterine ndi osabereka. iwo amaoneka chifukwa chakuti pali hyperestrogenia. Owonjezera kuchuluka timafunika kuti zotsatira endometrium mu Mkhalidwe ndi kachulukidwe kusintha structural kuti amakwiya kukula thickening ndi nyumba yake mkati. Ndipo pali adenomatosis khomo lachiberekero.

njira Hyperplastic ndi a mitundu yosiyanasiyana, malingana ndi mtundu wa khungu, amene kukhazikitsa ndondomeko izi mu thupi:

- glandular hyperplasia;

- akakufunsani hyperplasia;

- lobular hyperplasia.

Tikambirana aliyense zimenezi mwatsatanetsatane.

glandular hyperplasia

Pamene kuwonjezeka dongosolo glandular akufotokozera glandular hyperplasia wa endometrium lapansi. Nthawi zina zimenezi zimapangitsa kuti enaake patsogolo maphunziro zopangitsa zovuta, ndiye anapezeka ndi glandular-enaake hyperplasia. The endometrium kuoneka ndi kukula maselo nthenda kuti Ndi mmene kwa adenomatosis.

Nkofunika kudziwa kuti kuphwanya ubongo, makamaka ngati ubongo imene imalamulira kutentha akhudzidwa, komanso chitetezo chokwanira ndiponso anafooka matenda kagayidwe kachakudya tingafunse pa nkhani ya matenda a khansa ya hyperplasia glandular. Komanso, mosasamala kanthu za msinkhu.

akakufunsani hyperplasia

Nthawi zina, kufalikira kwa njira hyperplastic zikuchitika onse pamwamba pa endometrium, pamene akatswiri awulule akakufunsani hyperplasia. Ndiko akakufunsani adenomatosis ndi akakufunsani hyperplastic ndondomeko.

lobular hyperplasia

Komanso, pali mtundu wa hyperplasia focal. Kuchuluka kwa minofu endometriotic amapezeka m'dera zochepa. Ndiye kumanga mmwamba Mwamsanga mu uterine M'mimbamo, kuposa izo zimakhala zofanana polyp a. Mogwirizana adenomatosis ndi polyp, amene ali maselo nthenda.

Adenomatosis chiberekero ankachitira makamaka ndi opaleshoni. Mapa Komanso kumatengera zifukwa zingapo:

- wodwalayo zaka;

- chikhalidwe cha matenda m'thupi;

- neuroendocrine concomitant matenda;

- boma la chitetezo chokwanira.

Amayi ena amaganizira funso kodi kusiyana kwa chiberekero adenomatosis adenomatosis endometrium? Ndi ndondomeko ndi atypical. Mawu akuti "uterine adenomatosis" si zoonadi, monga atypia amakhudza okha M'kati, amene ndi endometrium. Ndipo m'mimba, pali zigawo zingapo.

Fibrosis ndi adenomatosis

Fibrous adenomatosis monga matenda kulibe. Fibrosis - ndi kudwala mu wophuka connective minofu adenomatosis - kukula glandular. Chikhalidwe wosanganiza wa kudwala, nawonso, akhoza kukhala kuti adzatchedwa fibrocystic hyperplasia.

Adenomatosis kungakhale osati chiberekero. Izo zimachitika mu bere, koma kwenikweni njira izi pathological ndi chosiyana. Adenomatosis matenda chifuwa ndi Reclus, pamene pali mapangidwe yaing'ono chosaopsa cysts kukula. Ife takambirana adenomatosis khomo pachibelekeropo. Kodi izo, zinadziwika.

ndi zimayambitsa adenomatosis endometrial chiyani?

Zimayambitsa kusintha atypical selo zinthu zimene zimachititsa njira hyperplastic mu endometrium lapansi. zifukwa zomveka adenomatosis silidziŵika. Inde, akapsa mowirikiza kuphunzira, koma mpaka lero n'zosatheka kunena chimodzimodzi zomwe ndi choyambitsa atypical njira endometrium lapansi. Koma zambiri pali zosiyanasiyana zinthu zoipa, wamkulu mosavuta kudwala matenda.

Malo oyamba mwa zifukwa Ochititsa adenomatosis onse endometrium amatenga kulephera m'thupi. Posasangalala neurohumoral lamulo la thupi lonse la munthu. Estrogens ndi progestins zimakhudzidwa kusintha thupi ozungulira mu chiberekero. Makamaka chifukwa esitirojeni ndi kuwonjezeka mu mkati wosanjikiza mucous. Koma ntchito ya progestogens ndi yake kusiya kukula kwa endometrium, ndipo anakanidwa.

Ngati kwambiri kuchuluka timafunika endometrial kuchuluka amapezeka kwambiri. Hyperestrogenia zingachitike pa zifukwa zosiyanasiyana:

- m'thupi yamchiberekero ntchito ndi makutu;

- pali anovulation;

- mkombero akukhala gawo limodzi;

- pali endometrial hyperplasia.

Ngati PCOS ndi anovulation aakulu. Ndi mtundu wa akatiputa kuti chitukuko cha hyperplasia. Ngati mkazi amatenga mankhwala timadzi mosatonthozeka, ndiye angakhudzidwe ndi mahomoni. Izi kuyamba ndondomeko mu endometrium hyperplastic.

Ngati pali imodzi hyperestrogenia, extragenital kudwala ndi matenda neuroendocrine m'thupi, izo kumachititsa kukhala adenomatosis. akazi wonenepa ndi hypertensive khansa matenda a endometrium akuwululidwa kwa nthawi 10 kuposa uja amene yachibadwa kulemera ndi magazi kuthamanga.

N'chifukwa chiyani akhoza kukhala hyperestrogenia? Kawirikawiri chiwindi ndi kapepala biliary amadwala matenda imeneyi yagwiritsa ntchito chiwindi estrogens.

Choncho, pali kukula kusalankhula wa M'kati mwa chiberekero, chifukwa mu mapangidwe maselo nthenda. Izi adenomatosis endometrium. Kodi ngati matenda a "khomo lachiberekero adenomatosis" chithandizo? Pa lino.

Zizindikiro za adenomatosis endometrial

Monga ulamuliro, palibe waledzera adenomatosis kulibe, chifukwa maselo nthenda angathe kuonedwa yekha zasayansi njira. Choyamba wapezeka ndondomeko hyperplastic, ndiye m'pofunika kuti anthu amvetse chikhalidwe chake.

Pali zizindikiro zina za hyperplasia, zimene ziyenera tcheru kuti:

- kusintha chikhalidwe cha magazi a - nthawi chachuluka, magazi akutuluka wa kuzungulira;

- ululu pamimba ndipo tsitsa mmbuyo kusamba ndi pa izo;

- kusonyezedwa kwa matenda kagayidwe kachakudya - kunenepa, thupi kwambiri tsitsi la mtundu wamwamuna, kuwonjezeka mlingo wa insulin m'mwazi;

- chakhungu chonde - sikutheka pakati ndipo adzabala mwana;

- pamaso pa mastitis;

- kutukusira kwa dongosolo urogenital;

- ululu kugonana, ukazi magazi pambuyo pake.

Kodi adenomatosis chiberekero wapezeka pa ultrasound?

Kugwiritsa akupanga chindodo anatsimikiza ndi makulidwe ndi kapangidwe ka endometrium lapansi. Transvaginal kafukufuku bwino ndi kafukufuku kupirira. Amene ndondomeko hyperplastic zimawonedwa - focal kapena akakufunsani - kusonyeza jambulani izi. Chifukwa, ngati anaulula akakufunsani hyperplasia, n'zotheka amaganiza pamaso pa adenomatosis akakufunsani. Muzione izo mwa sensa n'zosatheka, chifukwa palibe mbali zimasiyanitsa.

Mogwirizana adenomatosis chiberekero zosavuta kanthu, monga visualized monga polyp a. Ngakhale chikhalidwe cha kusintha ma komanso sizigwira ntchito kuti azindikire. Atypia sangathe kunachokera ndi akupanga chindodo.

Iwo kuchipala nembanemba mucous ya m'chiberekero, kenako chuma anatumiza kufufuza histological. Njira imeneyi matenda n'kofunika kwambiri pamene adenomatosis. Timaphunzira kapangidwe ka maselo, kusintha kwake structural, komanso mmene komanso kusalekerera zomwe ndi atypical. Ngati atypia sanapezeke, ndiye ikutchula chosaopsa hyperplasia.

Nthawi zambiri kuchipala opaleshoni ya uterine M'mimbamo, ndiyeno chuma chifukwa anali ankafufuza. Zimenezi zingakuthandizeni hysteroscopy kuyang'anira zithunzi pa achoke okwana endometrium lapansi.

uterine adenomatosis: chithandizo

Adenomatosis pamaso pa mkazi akhoza kukhala chifukwa cha osabereka, koma ngakhale bwino lingaliro msanga kuchotsa mimbayo angayambe ndi maziko a matenda.

Mankhwalawa makamaka tichipeza mfundo kuti umakaniko asintha atachotsedwa endometrium. Choncho, opaleshoni kuthetsa gwero la kusintha pathological Komanso ali kuchipala kufufuza histological. Pamene zotsatira analandira malingana ndi ndondomeko wofunitsitsa mankhwala.

anatumizidwa mankhwala ndiponso opaleshoni m'thupi payekha. Ngati mtsikana wamng'ono, akatswiri okha chithandizo cha mankhwala m'thupi. A wodwala amene ali pamalo pafupi zaka kuti kusintha ndi timadzi mankhwala ikuchitika opaleshoni kwakukulu - kuchotsa chiberekero ndi zokhudzana. Izi kwambiri amachepetsa Mwina kusintha adenomatosis khansa. Inu angapulumutse moyo wa mkazi.

Nkofunika kuzindikira kuti matenda oyambirira adenomatosis chofunika kwambiri, mu nkhani iyi, kansa ndi kochepa. Choncho ndikofunikira kukaona gynecologist zonse, kukumana Kupenda mabuku, kutenga mayesero zonse zofunikira. Takambirana m'nkhani ino adenomatosis khansa endometrial. Kusamalira thanzi lanu!