I-Hyperplasia ye-endometrium iyisifo esiyingozi se-gynecological, equlethwe kule ilandelayo. Iimpawu ezifakwe kwisibeleko (endometrium) ngezizathu ezahlukahlukeneyo zikhula, zikhula ngokuvakalayo, kwaye ziphuma ngegazi. I-endometrial hyperplasia ingaba:
- elula;
- glandular;
- i-cystic-cystic;
- i-glandular fibrous;
- kwiimvelo.
I-hyperplasia elula i-thickening ye-endometrium ungqimba ngaphandle kokutshintsha isakhiwo seeseli; I-glandular ibonisa ubukho kwiindawo zeetyunithi zezakhiwo ezingezizo (ezibizwa ngokuba yi-adenomatosis). Nge-hyperplasia ye-cystic hyperplasia ye-endometrium, i-pathological formations - i-cysts - ifumaneka kwisakhiwo sesisu. Ngokubhekiselele kwifom ye-glandular fibrous, itholakala ngokukodwa kwiifom ze-polyps-formignations in the uterus. Ifom yokugqibela yesifo yinto eqhelekileyo kwizonyango.
Ngokwahlukileyo, uhlobo lwe-atypical ye-cystic hystplasia ye-endometrial kufuneka luvezwe. Le ndlela ifanelekileyo, ngokungafani ne-cystic-cystic ne-glandular fibrous, ekubeni ingozi yokuvelisa umdlavuza we-endometrial kulo mzekelo ngu-10-15%.
Izizathu kunye neempawu zesifo
I-hysplasia yama-cystic endometrial hyperplasia, njengezinye iintlobo, ivela, njengommiselo, ngokubhekiselele kwimvelaphi yenguqu ephawulekayo ye-hormones emzimbeni (ngokuqhelekileyo kumantombazana ebusheni kunye nakwabasetyhini ngexesha lokuphuma kwesisu). Kwakhona, ukuphuhliswa kwesi sifo kunokuba negalelo kumabhinqa angaphezu kokukhululeka, ubukho bee-cysts zakhe ze-follicular, i-amenorrhea kunye ne-anovulation.
Uphawu oluphambili lwe-endometrial hyperplasia luphaphaka, oluya kunqongophala okanye luninzi, kuxhomekeka kwiimeko ezahlukeneyo. Ngenxa yesiphumo sokubola, kunokuhamba kunye neempawu ezifana nobuthathaka, utywala, ukunciphisa i-hemoglobin egazini.
Ukuba eso sifo sihamba kunye nokungabikho kwe-ovulation, ke umphumo ohambelanayo uya kuba ukungabikho komsebenzi, ukusola okusoloko kukhokelela umfazi kugqirha.
Kufuneka kwakhona kuqaphele ukuba i-hyperplasia ye-cystic hyperplasia ye-endometrium inokuthi ingaqhubeki ngokucacileyo okanye ibonakale njengentlungu engavumelekanga kwisisu esisiswini. Oku kubaluleke kakhulu ukuxilongwa, apho ukuba ugqirha ugxeka i-hyperplasia, i-hysteroscopy yenziwa, kwaye i-ultrasound isetyenziswe ukufumanisa ukuba isigulane sinayo i-polys cystic ye-endometrium.
Unyango lwe-endometrial glandular cystic hyperplasia
Ukunyangwa kwesi sifo kunomntu ngamnye kwaye kuxhomekeka kwizinto ezininzi: ubudala bomfazi, ukubunjwa kwesimo sakhe, isimo sempilo jikelele, ubukho bezifo ezingapheliyo, umnqweno wakhe kwixesha elizayo ukuba babe nabantwana, njl. Kubaluleke kakhulu uhlobo lwe-hyperplasia.
Ngenxa yokuba isizathu sesifo sivame ukufihla kwi-hormonal disorder, ikwaphathwa kwakhona ngamayeza e-hormonal (progestins kunye neprogestogens). Ngaphambi kwalo myalelo wokuhlinzwa
Ukuba i-hyperplasia i-atypical, ngoko unyango lwayo kufuneka lujongane nomfokazi we-gynecologist-oncologist. Ukuba unyango lwe-hormone lunikeza iziphumo kwaye lona wesifazane ufuna ukuba nabantwana abaninzi, oogqirha bazama ukungahambi kumanyathelo angqongqo, kodwa ukuba i-hyperplasia iyaqhubeka, ngoko ke izigulane zinikwe ukungenelela kokunyanga (ukukhutshwa kwesibeletho) ukwenzela ukuthintela ukuphuhliswa komhlaza.