Kawirikawiri, atalowa m'nyengo yovuta kwambiri, mayi amadziwulukira ndipo amasiya kusamalira thanzi lake. Matenda onse ndi thanzi labwino amalemba kuti asinthe mahomoni m'thupi, pafupifupi kuzinyalanyaza. Maganizo amenewa payekha ndi olakwika, chifukwa ndi nthawi yomwe akukumana ndi ngozi ya matenda ambiri aakazi, kuchokera ku zotupa zowopsa kwa khansa. Chifukwa chake, mkazi amangomangidwa kuti aziyesa kafukufuku wamaphunziro kwa mayi wamwamuna nthawi yomweyo kuti azindikire vuto lopsa. Hyperplasia wa endometrium - iyi ndi imodzi mwa mavuto omwe akudikirira kuyembekezera mkazi atapita kusamba.
Hyperplasia ya endometrium ndi chiwerengero cha mucous membrane ya chiberekero, chomwe chimadziwika ndi kuchuluka kwa magazi a uterine. Pakusintha kwa thupi, endometrial hyperplasia imayamba chifukwa cha kusintha kwa mahomoni m'thupi. Kuchulukitsitsa, matenda a shuga ndi kuthamanga kwa magazi, zomwe zimakhala zachilendo kwa amayi oposa 40, zimathandiza kwambiri kuti matendawa ayambe. Matenda a endometrium pakutha msambo ndi oopsa pokhudzana ndi chitukuko cha khansa. Atypical hyperplasia ya endometrium amalingaliranso ndi akatswiri monga chonchi, zomwe zimabweretsa chitukuko cha khansa mu 25% mwa milandu. Pofuna kupewa izi ndizotheka, mayi ayenera kuzindikira kufunika kochiza nthawi yake.
Chizoloŵezi cha endometrium pakuyamba kusamba
Kuyeza kwa chiberekero ndi njira yodalirika yothetsera vuto lake pakutha msinkhu ndi kuzindikira kukula kwa endometrium:
- makulidwe a endometrium pakusintha kwa thupi sayenera kupitirira 5 mm;
- kufunika kwa chizindikiro ichi mkati mwa 6-7 mm kumakhala chofunikira choyendetsa chikhalidwe cha endometrium mu mphamvu, ndi kubwereza kwa mphamvu ultrasound pambuyo pa miyezi itatu ndi miyezi 6;
- Kutalika kwa endometrium ndi oposa 8 mm omwe amawoneka ngati akudwala. Kuti mumvetsetse bwinobwino nkhaniyi, m'pofunika kuti mupeze matenda opatsirana;
- kukula kwa endometrium pakupita kwa pakati pa 10-15 mm ndi chiwonetsero cha machiritso osiyana, ndi kafukufuku wake wazinthu.
Tiyenera kukumbukira kuti kupatulidwa kokha kwa kukula kwa endometrium kuchokera ku chizoloŵezi sikumangoganizira za matendawa, choncho kupopera koyenera kuyenera kuchitidwa.
Endometrial hyperplasia pakuyamba kusamba: mankhwala
Chithandizo cha endometrial hyperplasia pakatha msambo chikhoza kuchitika m'njira zingapo:
1. Mankhwala a hormonal. Mlingo wa mahomoni operekedwa kwa wodwala umasinthidwa pambuyo poyesa kafukufuku kafukufuku wa ultrasound wa endometrium. Izi zimapangitsa kuti pakhale zotsatira zabwino za mankhwala ndipo ndizoletsera chitukuko cha khansa mu chiberekero.
2. Kutsegulira opaleshoni:
- Kujambula kwa mucous membrane pamwamba pa chiberekero - kumachotsedwa kudwala, kusiya magazi
zofufuza; - laser cauterization (ablation) - kuwonongeka kwa mankhwala osokoneza bongo ndi laser;
- Kuchotsa chiberekero (hysterectomy) - kwa odwala omwe ali ndi njira zochepetsera (hormone therapy), ngati abwereranso, kapena ngati sangathe kulamulira.
3. Mankhwala othandizira - kuphatikizapo mankhwala opangira mahomoni ndi opaleshoni. Thandizo la mahomoni m'nkhaniyi lingachepetse kwambiri kuchuluka kwa mankhwala opatsirana pogwiritsira ntchito kuchepetsa matenda a endometrium.