I-endometrial polyposis: izimbangela, izimpawu, ukwelashwa

Izifo zesimiso sokuzala besifazane zihlala ziyingozi kakhulu. I-Endometrial polyposis ayikho into ehlukile. Kodwa-ke, kwezinye izimo isifo esinjalo akusona isongo, kwabanye sidinga ukwelashwa okusheshayo.

Iyini i-endometrium?

I-endometrial ibiza amangqamuzana akhethekile e-epithelium, ehlanganisa ubuso obuphakathi kwesibeletho. Isici salendwangu yikhono lokukhukhumeza ezinsukwini zokugcina zomjikelezo wokuya esikhathini. Phakathi nalesi sikhathi, ukunikezwa kwegazi kubuye kube nokugcwele. Konke lokhu kuyadingeka ukuze umbungu uqiniseke ngokweqile emgodini wesitho. Uma ukukhulelwa kungenzeki, khona-ke ingxenye ethile yamaseli iyanyamalala. Baxoshwa emzimbeni lapho kuqala ukuya esikhathini. Emjikelezweni olandelayo, i-endometrium ibuyiselwa futhi.

Izinhlobo zama-polyps

Ngokuvamile, ku-endometrium, i-neoplasms ingabonwa, okubukeka njenge-nodule (esiteshini). Lena polyposis ye-endometrium yesibeletho. Ubukhulu bokubunjwa kungaba ngamasentimitha amaningana. Kunezinhlobo zazo eziningana. Ama-polyps ama-glandular atholakala emathisini e-gland. Amafomu angenza ama cell cell. Futhi kungahlanganiswa kokubili izinhlobo - lezi yizinto ezibizwa ngokuthi ama-polyps glandular fibrosing. Kukhona elinye iqembu lamathumba - adenomatous. Kulesi simo, amangqamuzana e-atypical asekhona esakhiweni . Ngesinye isikhathi ochwepheshe babiza lesi sifo isimo esimangalisa . Ngokuvamile, i-polyposis ye-endometrium itholakala kubesifazane emva kweminyaka engama-35. Kodwa-ke, namuhla ungathola izifo zedayane ezinganeni, nakwabesifazane abasebasha. Ngezinye izikhathi iziguli azikho ngisho nezinsolo zokuthi i-polyps ikhona.

I-Polyposis ye-endometrium. Izimbangela

Izimbangela ezithile zesifo aziwa. Kodwa-ke, ochwepheshe baveza izinto eziningana ezingasusa lesi sizwe. Okokuqala, kungukuphulwa kwesizinda se-hormonal. Kunezinguquko ezinjalo ekugqithweni kwama-estrogen kanye nesilinganiso esanele se-progesterone. Isizathu esilandelayo singumonakalo womshini emgodini we-uterine. Lokhu kungenzeka ngenxa yokukhipha isisu. Futhi ukucasula i-polyposis ye-endometrium ingaba ukukhula okwenyuka kwemithambo yegazi esesigodini se-uterine. Izifo ezithathelwanayo, ubufebe - nakho nakho ukudala isifo esifanayo. Futhi abasengozini abantu abanesifo sikashukela, nalabo abakhuluphele ngokweqile.

Isibalo

Ngokuvamile i-polyp ayibonakali, futhi lona wesifazane akasoze asho ukuthi kukhona khona. Njengomthetho, lesi sifo sitholwa ngengozi (ngokuhlolwa kwe-ultrasound). Kodwa kungenzeka kube nezimpawu ezithile. Kufanelekile ukunakekelwa njalo ngenyanga, kanye nanoma yikuphi ukuphuma kwegazi phakathi nomjikelezo. Ukungahambi kahle kokuya esikhathini kungenye indlela yesifo. Uma i-polyp enkulu (engaphezu kuka-2 cm), khona-ke izinzwa ezithile ezizwakala ubuhlungu zingenzeka. Kaningi futhi owesifazane uzwa imizwa engathandeki ngesikhathi socansi. Uma ngemuva kokuphuma kwegazi lokuphuma esikhathini, kwenzeka ukuthi onguchwepheshe angase asho ukuthi kukhona izidumbu.

I-Polyposis ye-endometrium nokukhulelwa nakho kuhlotshaniswa. Njengomthetho, owesifazane akakwazi ukukhulelwa umntwana ngalesi sifo. I-polyp emzimbeni iziphatha njenge-intrauterine spiral, okungukuthi, ayiniki ithuba lokuthola iqanda elifakwe emzimbeni emzimbeni. Futhi, angavimbela i-tublopian tube, kanti insimu ayikwazi ukungena ngaphakathi.

I-Polyposis Diagnosed kanjani?

Ekucwaningeni okujwayelekile kudokotela i-polyp ukuthola ukuthi akunakwenzeka (ngaphandle uma ubukhulu bayo bukhulu kakhulu, eshiya isisu sesibeletho). Ngokujwayelekile, i-endometrial polyposis itholakala ngesikhathi sokuhlolwa kwe-ultrasound. Kulesi simo, ukutholakala kwendawo ye-neoplasm, ubukhulu bayo, kanye nesimo sezingxube ezizungezile kuyatholakala. Kunezimo lapho i-polyp ingabonakali ngokucacile. Ezimweni ezinjalo, i-hysteroscopy iyadingeka. Okuyinhloko yale ndlela ukufaka ikhamera kanye nedivayisi ekhethekile esibelethweni. Ngesifundo esinjalo, udokotela angabona yonke indawo yomzimba. I-hysteroscopy yenza kube lula ukuthatha ucezu lwe-endometrium ukuze kuhlaziywe okunye, futhi nokususa ama-polyps. Ukuqinisekisa ukuhlolwa, ukuhlolwa kwakhe ngokwemvelo kuyadingeka .

Yiziphi izindlela zokwelapha

I-hyperplasia, i-endometrial polyposis - yonke le mibandela idinga ukwelashwa okufika ngesikhathi. Ukususa i-polyp yindlela kuphela yokususa inkinga. Ukungenelela kokusebenza kwenziwa ngezindlela ezimbili. Ukudweba kuyinkqubo eyenziwa ngaphansi kwe-anesthesia yendawo noma jikelele. Ithuluzi elikhethekile landa indawo yelungu, futhi i-polyp isuswa kanye nomlenze. Lephuzu elibalulekile, njengoba ingxenye yalo esele ingakwazi ukukhula. Uma inani lamathumba likhulu (i-polyposis ye-endometrium), izindonga zesisu zihlungwa. Lokhu kukhwabanisa kungalimaza isitho, ngakho-ke kukhona enye indlela - ukususwa nge-hysteroscope. Lokhu kusebenza kunesiphambeko, i-polyp isuswa ngokucacile nangendlela efanele (kanye nesisekelo). Ikhamera yenza kube lula ukulawula ukungenelela kokuhlinzwa.

Ukubuyiswa ngemuva kokuhlinzwa

Ngesifo ezifana ne-polyposis ye-endometrium, ukwelashwa kuyadingeka ngemuva kokusebenza. Ngokushesha ngemva kokususwa kwe-polyp isazi singakwazi ukubeka phansi isisekelo sayo nge-nitrogen enamandla. Lokhu kuyadingeka ukuze kuvinjelwe ukukhula kwesisu esikhathini esizayo. Ukwelashwa kwe-hormone futhi. Akusetshenziselwa amacala amaningi: uhlobo lwe-fibrous, uhlobo lwesifo sikashukela, umfutho wegazi ophakeme, umjikelezo ovamile. Ukukhethwa kwezidakamizwa kwenziwa ngabanye, isazi sokubeletha sigxila ekufikeni kwezinye izifo, nesifiso sowesifazane sokukhulelwa. Njengomthetho, ngesikhathi se-postoperative, isiguli siyi-antibiotics enqunyiwe (ukukhipha izinqubo zokuvuvukala).
Futhi emavikini okuqala, kunconywa ukudla okuphansi kwekhalori kanye nokungabikho koxhumana nabo ocansi. Ngokuqinisekile, zonke izicubu ezisusiwe zithunyelwa ukucwaninga okuqhubekayo. Uma amaseli ase-atypical atholakele kuwo, ukubonisana kwe-oncologist sekuvele kudingekile. Kwezinye izimo, uma kutholakala inqubo embi, isazi singase sinikeze isinqumo sokususwa kwesibeletho. Kubalulekile ukukhumbula ukuthi uma i-endometrial polyposis itholakale, ukwelashwa ngamakhambi abantu akulungile.

Kunokwelashwa okungakazelelwe kwama-polyps kuyingozi

Ngokuvamile kunezimo lapho ngemuva kokuhlonza nokufeza yonke ucwaningo oludingekayo owesifazane ohlehlisa ukwelashwa okwesikhashana. I-Polyposis ibhekwa njengesifo esilula futhi ayiphathwa kabi ngokwanele. Kodwa-ke, ingozi enkulu yalezo zakhiwo ukuthi ngokuhamba kwesikhathi bayakwazi ukuguqula zibe yizibi. Ngaphezu kwalokho, ukuya esikhathini, ukuphazamiseka okukhululekile nakho kuletha ukuphazamiseka okuningi. Ukulahlekelwa okukhulu kwegazi kungabangela i-anemia.

Izinkinga zivela lapho ingane ikhulelwa. Kodwa uma ukukhulelwa kusekhona, kunengozi enkulu yokuphazamiseka kwayo. Ama-neoplasms ayaphazamisa kakhulu isakhiwo se-endometrium, ngakho-ke iqanda elikhulile alinakulungiswa kahle. Ngenxa yokuphuma kwegazi, okuwumphumela walesi sifo, inqola yamapayipi ingenzeka. Njengoba kunikezwe wonke amaphuzu angenhla, uma owesifazane ethola ukuthi une "polyposis ye-endometrium," ukwelashwa kuyadingeka futhi kudingekile.

Izindlela zokuvimbela

Ukuze kuncishiswe ingozi yesifo, ukuhlolwa okuvamile kumjozi wezifo kuyadingeka. Zonke izinqubo zokuvuvukala noma ezithathelwanayo kufanele ziphathwe ngendlela esifike ngesikhathi. Ukunakekela impilo yakho kuzothela izithelo. Ochwepheshe batusa ukuthi bakhethe kahle imithi yokuvimbela imithi futhi bahlele ukukhulelwa kwengane. Lokhu kuzokwehlisa kakhulu amathuba okukhipha isisu, okungabangela isimo ezifana ne-endometrial polyposis. Noma yikuphi ukukhubazeka emzimbeni kufanele ngokushesha uqaphe owesifazane. Uma kunenkinga, ukuphuza ukuvakashelwa kudokotela akusifisi futhi kuyingozi.