Hyperplasia ya epithelium yotchedwa githeular epithelium imatchedwa uterine matenda, omwe amadziwika ndi kusintha kwa stroma ndi glands za mucous membrane. Pofotokoza mosapita m'mbali, hyperplasia ya minofu yowonongeka ndi kuwonjezereka kwakukulu kwa endometrium. Ndizowonjezereka kwambiri poyerekeza ndi zomwe zimachitika.
Kawirikawiri, hyperplasia ndi kuwonjezeka kwa chiwerengero cha maselo a chiwalo chilichonse kapena minofu, zomwe zimabweretsa kuwonjezereka kwa mphamvu. Maziko a hyperplasia ndi kuchuluka kwa kuchuluka kwa thupi mu maselo, komanso kupanga mapangidwe atsopano.
Mitundu ya endometrial hyperplasia
Kuchita zamankhwala, mitundu inayi ya hyperplasia ndi yosiyana:
- hyperplasia wamtundu wa endometrium;
- mankhwala oopsa otchedwa endemicrium (adenomatous hyperplasia, adenomatosis);
- chithunzithunzi cha hyperplasia;
- mapulogalamu a endometrium.
Kusiyanitsa pakati pa mitundu iyi ya matenda a endometrial kuli muzithunzi zawo, zomwe zikuwonetsa zochitika zazikulu za madera owonjezeka kwambiri mu mucosa. Kusintha uku kumawonekera pofufuza zakuthupi.
Nchifukwa chiyani zotupa za endometrial hyperplasia zimachitika?
Chotsatira cha kuyambika kwa njira zowonjezera mphamvu, zomwe zimagwiritsidwa ntchito mu endometrium, ndi matenda a mahomoni. Mu thupi la mkazi muli kusowa kwa progesterone ndi ma exoni ochuluka oposa. Kawirikawiri, matendawa amapezeka kwa amayi amene amapezeka ndi matenda a shuga, matenda oopsa kapena obisala. Ndibwino kuti tiganizire kuti ngakhale yosavuta kwambiri ya hyperplasia ya endometrium nthawi zina imayambitsa kukula kwa kusabereka, khansa ndi matenda ena owopsa. Kawirikawiri thupi limakhala ndi chiberekero cha chiberekero, zotupa komanso zachilendo, mapeto a m'mimba. Kupezeka kwa "glandular hyperplasia ya chiberekero" kumamveka kawirikawiri ndi amayi omwe amabwera kuchipatala kuti akafufuze ndi kupeza zomwe zimayambitsa kusabereka. Zomwe zimayambitsa matenda a hyperplasia a endometrium, onetsetsani kupita kwa dokotala!
Zizindikiro ndi chithandizo cha hyperplasia
Zina mwa zizindikiro zazikulu za hyperplasia za endometrium, kusabereka, kusokonezeka kwa msambo, endometrial polyps, leiomyoma (fibromyoma), ndi endometriosis ndizoziwulula kwambiri.
Kawirikawiri matendawa sadzidzimva okha ndi zizindikiro zowoneka, koma nthawi zambiri mkazi amachotsa magazi m'mimba mwa chiberekero. Choyamba, mayiyo amadziwa kuchedwa kwa msambo, kenako amayamba kutaya magazi. Kuonjezera apo, pali zizindikiro zowonjezereka - kusowa kwa kudya, chizungulire ndi ofooka.
Kawirikawiri, mankhwala a hyperplasia a endometrium amathandizidwa ndi mankhwala a hormonal therapy (jekeseni, mapepala, mapiritsi, IMS Mirena, etc.). Njirazi zingachiritse zosavuta komanso zovuta kwambiri za hyperplasia za endometrium, ndipo mawonekedwe omwe amagwira ntchito nthawi zina amafuna opaleshoni. Ntchitoyi imachokera ku kuchotsa mapeto a endometrium. Ngati mawonekedwe a hyperplasia ndi owopsa, mkazi akhoza kuchotsa chiberekero. Opaleshoniyi ili ndi mphamvu zambiri - zoposa 90%. Nthawi zina pamakhala zofunikira zowonongeka, pamene chingwe cha endometrium chikuchotsedwa komanso chithandizo choyenera cha ma hormone chithandizo.
Pofuna kuchepetsa chiopsezo cha hyperplasia, tiyenera kumenyana ndi kunenepa kwambiri, kupewa kupanikizika, kuchitapo kanthu pa kusintha kochepa pamwezi, pitani kwa mayi wodwalayo.