Curettage e Hyperplasia endometrial: izici, izinkomba kanye nemiphumela

Abesifazane ngoba izici of yayo isakhiwo umzimba babhekana nalesi sifo. izinqubo sokugembula ungaba uhlamvu ezahlukene. Ezinye zazo yilezi bekulula ukuzibona. Ngakho asikho ukuluma izindololwane zakho, kuzomele uvakashele udokotela ngendlela esifike ngesikhathi. I wezifo zabesifazane sizohlola, ulalele izikhalo zakho bese uqondise uphethwe eyengeziwe uma kunesidingo.

Cishe isigamu wobulili bubuhle ku menopause futhi ngemva kwaso itholwa Hyperplasia endometrial. Ngaphandle nokususa ama-pathology lesizalo zinganqotshwa kuphela ngaphansi kwezimo ezikhethekile. Isihloko sanamuhla uzokutshela mayelana umsuka isifo futhi kunikeze kuwe imibono yayo. Uyazi, qiniseka mina benza nokususa ne Hyperplasia endometrial futhi ngeminye yemiphumela.

Kuyini lokhu?

Akuwona wonke owesifazane kufanele sikhuthazele zokukhwabanisa ezifana gynecologic curettage. Lapho Hyperplasia endometrial inikezwa kaningi, kodwa ngaso sonke isikhathi. Ngaphambi ufunde mayelana nezici zokukhwabanisa, kubalulekile ukuthola umbono ngalesi sifo. Hyperplasia Endometrial eba ngenxa ekwandeni ebusweni kwangaphakathi kwemisipha umthondo. Ngalinye umjikelezo yomzimba wowesifazane ushintsho amazinga ama-hormone. Esesikhathini, le endometrium is basishulwe bese uyaphuma ngegazi. Ngemva kwalokho kuba isikhathi estrogen. Isiza ukukhula follicle futhi abuyisele ungqimba lwamafinyila kwesibeletho. Ngetulu kwaloko, ngemuva nge-ovulation, progesterone ikhuthaza uketshezi kahle endometrium, ilungisa umzimba ukukhulelwa isikhathi sokuzala (okunamathiselwe we esibelethweni). Uma owesifazane ebamba ingekho, ezingeni progesterone liyancipha, ngenxa yalokho waqala ukopha esilandelayo. Zonke elula kakhulu.

Kodwa uma ngenxa yezizathu ezithile ukwehluleka hormone sowesifazane kwenzeka, endometrium is ngikwale noma ngeke ngaphansi isenzo progesterone. Ngenxa yalokhu, uqala lo division engalawuliwe amaseli, ayanda yabo. Kulapho odokotela ukuthi nginesifo "Hyperplasia endometrial."

Izinhlobo Hyperplasia futhi ikakhulukazi ukulungiswa yayo

Kukhona izinhlobonhlobo eziningana zalesi sifo. Ezinye zazo akuzona eziyingozi futhi singamelana ukulungiswa kwama-hormone. Abanye basibiza ngokuthi i-ukungenelela kuhlinzwa. Kwezinye izimo-ke enza ubonise ukususwa kwesibeletho. Yini kungaba Hyperplasia endometrial?

• Yezindlala. It kubhekwa ukuba ngomunye elula, ngokuvamile amenable ekukhetheni izindlela zokwelapha. ebusweni lwamafinyila ikhulisa nombala ngaphandle obumba phakathi kwabo amaseli stromal.
• Cystic. Leli fomu iyafana yezindlala, kodwa wenabisa kwangaphakathi igobolondo ebusweni kuskoobrazno ukwakha vesicles Wayefana izinhlumba. Waphatha ne ejenti hormone.
• I-Focal noma ehlasela umzimba. ebusweni lwamafinyila ikhulisa nombala (e ehlasela umzimba) noma kuskoobrazno (nge ebalulekile). Ezindaweni abasafufusa kwakhiwa izinhlumba futhi ama-polyp. Kukhona amacala anjalo Hyperplasia ukuphambana e umdlavuza.
• Atypical. Leli fomu kubhekwa ayingozi kakhulu. Lapho ukukhula mucosal kwenzeka hhayi kuphela phezu ungqimba kwangaphakathi. Amaseli uhlukanise ngenkuthalo ekujuleni ungqimba basal. Curettage e Hyperplasia endometrial walolu hlobo ngokuvamile lokhu akuphumeleli. Ukuze izinkomba ezithile ukususa kwesibeletho.

Izimpawu zesifo, lubonise curettage isidingo

Izimpawu esemqoka yalolu zezifo ezihlukahlukene izenzo eziphazamisa nomjikelezo wokuya esikhathini. Owesifazane angase esekhala ukubambezeleka, ukopha kakhulu, daub ngaphambi nangemva kokuya esikhathini. Futhi, izimpawu umkhuhlane abakhona kule nkathi: Ubuhlungu obukhulu besisu, ukuqunjelwa, ukuzizwa ugula, imfiva nokunye. Ngokuvamile ephelezelwa hypertrophy ukungabi nenzalo. Kwezinye izimo, Nokho abamisiwe nokususa? Lapho endometrial Hyperplasia okufundile kumele kube kanje:

• ubuhlungu ingxenye engezansi esiswini;
• ukopha okungapheli;
• umjikelezo isikhathi esingaphezu kwezinsuku ezingama- 40;
• ukungazali, kuze kube nini nanini izinyanga ezingaphezu kweziyisithupha;
• Inani ukopha phakathi umjikelezo;
• laboratory isiqinisekiso Hyperplasia.

Ukulungiselela zokukhwabanisa: Izici

curettage kwesibeletho nge Hyperplasia endometrial kuphela emva ukuqeqeshwa. Oku-nesineke kufanele lihlolwe udokotela ezifana kudokotela oyisazi sezinzwa ngezindleko, wenhliziyo, i wemithi yangaphakathi. Ochwepheshe baphethe ngokuthi akukho contraindication yokwesatshiswa. Ngezinye elifanayo izifundo nesikhathi olwenziwa ezifana ukuhlolwa kwegazi ne kwamakhemikhali, ekutholweni amasosha kwesibindi, HIV kanye nogcunsula. Qiniseka ukuthi uhlole inhliziyo nge electrocardiogram.

Ngemva kwalokho, isiguli kuzodingeka uvakashele udokotela wezifo zabesifazane. Udokotela sinquma ukuhlolwa ezengeziwe zihlanganisa ultrasound ukuhlola, smear lwesitho sangasese sowesifazane ukunquma ubumsulwa. Akuvunyelwe ukuba afeze handling emiphumeleni emibi. Uma kukhona ukuvuvukala, kubalulekile ukususa it kusengaphambili.

Kuphethe inqubo: inkambo

Curettage nge Hyperplasia endometrial kuphela ngaphakathi kwezindonga isikhungo sakho sezokwelapha. Inqubo ngokwaso kuthatha imizuzu engaphansi kwengu-20. Izikhundla kudinga izinzwa ngomjovo. Phakathi nokususa isiguli silele noma uhhafu ilele: akazizwa ukungakhululeki. Ngosizo extenders udokotela kuvula wesibeletho eba umgodi we umthondo. Curette isuswe ungqimba yene okuzokwenziwa eminye wafunda.

Ngo inqubo nokususa kwenziwe ngokushesha izinyathelo ezimbili: udokotela ahlanze ungqimba zanqwabelana futhi ungaqhubeka ukunquma ngezithako zawo futhi ingozi (usebenzisa Histology). Ngemva wokuhlanza isiguli ngaphansi kweso lwezokwelapha ngisho 2-4 amahora. Ngaphandle kukhona izinkinga, owesifazane ekhaya.

ngemva curettage

Uma wenze yokuhlanza ngenxa yokuthi isethi Hyperplasia endometrial, ukwelashwa emva curettage bayonikezwa nakanjani. Odokotela batusa njalo baphathe inkambo kwama-antibiotic. amaphilisi ezinhlungu Futhi anqunyiwe izidakamizwa eqeda ukuvuvukala uma kudingeka. Isinyathelo esithuthukile esithathwayo kuphela ngemva kokuthola ukuqaqwa histological.

Uma uza data bubonisa ukuthi impahla test ayinakho okutholakele abulalayo, isiguli inikezwe yokwelapha esezingeni hormone. Uma kuqinisekiswa khona komdlavuza, kubalulekile ukususa nabo operation ehlukile. Ake sicabangele lokho kungenzeka imiphumela nokususa.

Ukuvuvukala

Uma une Hyperplasia endometrial (ukwelashwa emva curettage awuzange wachitha), khona-ke kukhona awokuthi ukuvuvukala. It livezwa zimpawu ezilandelayo: ubuhlungu besisu, khulula engavamile nge nephunga ezingemnandi, kukhuphuke izinga lokushisa komzimba. Kuzo zonke izimo kuboniswe ukulungiswa esiphuthumayo. Ngokuvamile, odokotela linqume Yiqiniso eside ngokwanele kwemithi elwa namagciwane ngoba ngomlomo, emthanjeni, kanye nokuphathwa lwesitho sangasese sowesifazane.

Uma ukuvuvukala ukuthi kwenzeka ngenxa nokususa, hhayi kabi, lo zokugula Zingase zande zisakazekele nakwezinye kwezitho eduze: ezikhiqiza amaqanda, amashubhu fallopian, nokunye. Konke lokhu igcwele nemiphumela yaso.

Perforation kwesibeletho noma umzimba odongeni thinning

Ukwelashwa nokuvikelwa Hyperplasia endometrial ngaphandle nokususa kwenziwe njalo. Uma ungenalo ngcono ke kubalulekile ukuhlanza e-hormone okuthiwa i replacement therapy inyanga. Phakathi zokukhwabanisa kungaba inkinga njengoba perforation odongeni lesizalo. Lokhu zokugula edinga esiphuthumayo kuhlinzwa.

Ngenxa yezinto manipulation kungenziwa ehlambulula zokuzala isitho izindonga. Lokhu okunye kuholela inkinga yayo. Ngokwesibonelo, phakathi nenkathi yokukhulelwa singenzeka ukudabuka lesizalo. Ngokuvamile lomisiwe izindonga ezondile yokuqokwa Ukubeletha.

Hyperplasia we endometrium: nokususa. Izibuyekezo ngemiphumela inqubo

Uyini umbono wakho eba iziguli mayelana nenqubo? Abaningi bathi ngemva curettage ka Hyperplasia endometrial ingabe usekhona. Ngemva imijikelezo ambalwa ulwelwesi lwamafinyila uqala ukushwaqa futhi, ukwakha izinhlumba, ama-polyp. Ngempela, uma isiguli alinikeziwe yokwelapha ezifanele, ukuhlinzwa ngeke ngiwusindise ngenxa yezifo. Nokususa alubuqedi imbangela Hyperplasia, futhi ilungisa nemiphumela yayo kuphela. Ngakho-ke, kubalulekile ukulalela kudokotela futhi emva kokuhlinzwa ukuze ihambisane yokwelapha ebekiwe.

Kufinyeta

Kusukela sihloko ungase ufunde ukuthi ukwelapha Hyperplasia endometrial ngaphandle nokususa kungenzeka, kodwa kuphela ezimweni ezingavamile. Ukuze elivunyelwa ukuhlola isimo lesiguli, kufanele isethwe biopsy noma curettage. Okuwukuphela kwendlela ungakhetha ukwelashwa okuphumelelayo ezokwenza kuyokuqeda izinkinga ezikhona.