I-endometrium ye-polyp: ukwelashwa ngaphandle kokuhlinzwa nokubuyekezwa

I-endometrium ye-polyp ibhekisela kuma-neoplasms angenangqondo engahle ayenze kwabesifazane banoma yisiphi isikhathi. Ngokuphathelene nenengozi yokwanda kwesifo esiwumdlavuza we-tumor cells, ukwelashwa okufika ngesikhathi kwalesi sifo kunikezwa ukunakwa okukhethekile. Kanye nokungenela okuyisisekelo okuhlinzeka, kukhona ukwelashwa kwama-polyps fibrotic we-endometrium ngezinqubo ezingekho zokuhlinzwa.

I-endometrium ye-polyp - iyini

I-polyps ye-endometrium yikwanda kwamaseli wegobolondo langaphakathi lesibeletho. Kungabonwa kusukela kwesinye kuya kwi-polyps eziningana ngobukhulu kusuka kumamitha ayi-1 ukuya ku-5 cm. Ngokuvamile zivela kubesifazane abaneminyaka engama-40 kuya ku-50. Ngokwesakhiwo, i-polyp iqukethe umzimba kanye ne-pedicle ye-vascular, lapho ihlanganiswe nodonga lwesibeletho. Ihlukaniswa isakhiwo esiyinkimbinkimbi esingaphakathi, esingabekwa yizinhlayiya kanye nezicubu ezinamafutha. Uma kwenzeka ukuthi kukhona amangqamuzana e- atypical ekubunjweni , i- polyp ibhekwa njenge-adenomatous (precancerous). Kuye ngesakhiwo, izinhlobo ezine ze-polyps ze-endometriya zihlukaniswa:

• Fibrous.

• Izigulane.

• I-glandular fibrous.

• I-Adenomatous.

Kukhona futhi ama-polyps e-endometrial esebenzayo ahlanganisa amangqamuzana e-epithelial futhi ashintsha ngesikhathi sokuya esikhathini, kanye nohlobo oluyisisekelo lwe-polyps oluvela ohlakeni lwe-basal oluguquguqukayo oluthile lwe-body uterus. Ukunquma isakhiwo esiqondile semfundo kungenzeka ngokusebenzisa ukuhlaziywa kwakhe kwasendulo kwezinto ezikude. Ngokuvamile, ama-polyps ahlala ngaphakathi emgodini wesibindi, ezimweni ezingavamile zikhula zibe umlomo wesibeletho noma ubulili. Indlela yokwelapha ikhethwe kuye ngokuthi uneminyaka yesiguli kanye nezici zezinguquko ze-pathological. Ukungenelela kokusebenza kuyindlela esemqoka yokulawula uma kutholakala i-polyp endometrial. Ukwelashwa ngaphandle kokuhlinzwa ngemithi kungenzeka uma isiguli senqaba ukuhlinzwa.

Izimbangela

Kunezinguquko ezihlukahlukene zomsuka we-polyp endometrial. Okuyinhloko yazo - izifo ezibangelwa i-hormonal ezibangelwa i-estrogen ngokweqile phambi kokuntuleka kwe-progesterone. Lesi siphetho senziwa ngesisekelo sokutadisha impendulo yamapolitiki e-endometrium ukugqugquzela nama-estrogen. Amathuba okukhubazeka ngenxa yezifo ezithathelwanayo ezingxenyeni zangaphakathi zesisu, kanye nokulimala komshini ku-endometrium ngenxa yokukhipha isisu, ukukhipha isisu, ukukhubazeka, ukukhumula, ukugqoka idivayisi ye-intrauterine isikhathi eside, ukukhishwa okungaphelele kwe-placenta ngesikhathi sokubeletha akupheli, okuholela ekugodleni kwegazi I-Fibrin inqwabelene nezicubu ezixhumene futhi iphenduka ipolitiki. Musa ukuphulukisa amathuba okukhuphuka kwama-polyps ngenxa yokukhula kweminye yegazi emgodini we-uterine. Izinqubo ze-endocrine emzimbeni wesifazane ohlangene nesifo sikashukela, izifo eziwumzimba, umfutho wegazi ophezulu, kanye nokukhubazeka kwegciwane kuthinta ukwanda kwengozi yokuthuthukiswa kwesifo. Ukuphazamiseka kwezimo ze- hormonal kungaba nokuphazamiseka kwengqondo, ukucindezeleka, okuhlangenwe nakho, izimo ezicindezelayo, kanye nokunciphisa umzimba kanye nokuntuleka kwamavithamini emzimbeni.

Izimpawu ze-polyp endometrial

Uma kwenzeka ukuthi ukukhula kwe-epithelium kuthatha amafomu amancane, izimpawu ze-polyp endometrial zivame ukungabikho. Ngakho-ke, kutholakala, njengomthetho, nge- ultrasound ye-pelvis encane. Ekufezeni ubukhulu obukhulu isithombe esilandelayo somtholampilo siyaphawula:

• ukwanda kwenani lezimfihlo ezingavamile (ezimhlophe);

• umjikelezo wokuya esikhathini uphazamiseka;

• ukugeleza okuningi kokuya esikhathini;

• ubuhlungu obukhulu ngendlela yokulwa, lapho i-polyp ifika emgodini wesibeletho;

• Ukuphuma kwegazi kwenzeka esikhathini sokuqala;

• ukungahambi kahle nobuhlungu ekuthandaneni kocansi;

• ukungabi nalutho esikhathini esizayo sokuzala;

• ukwehluleka kwe-IVF;

• ukuvela kokuphuma kwegazi lapho kuqala ukuphuma esikhathini. Ngakho-ke, ngokuvamile ukuqoqwa ngezinambuzane ezinjalo ze-pathology ye-endometrium ukususwa kwe-polyp. Impendulo yesiguli emva kokuhlinzwa ibonisa ukuthi ukwelashwa okuhlinzekwayo kubangela ukunyamalala kwezimpawu ngokuphelele futhi abesifazane bazizwa bekhululekile kakhulu.

Izifo

Ngesikhathi sokuhlolwa, umjozi wezinzwa angabona i-polyp functional ye-endometrium evuleka esibelethweni nasesiswini. Ngakho-ke, indlela eyinhloko yokucwaninga ukuziphatha kwe-ultrasound. Uma kwenzeka ukuthi i-polyp ingabonakali ngokucacile, i-hysterosonography yenziwa, okuyi-ultrasound efanayo, kodwa ngokusungulwa kwesisombululo somzimba esibelethweni nge-catheter. Le nqubo ivumela ukuhlolwa okuningiliziwe kwe-polyp, ubukhulu bayo nokuma kwayo. Ukuze uthole ukuxilongwa okuningiliziwe, i-hysteroscopy yenziwa, okuyinto lapho kungenzeka khona ukunquma ngokunembile indawo ye-polyp, futhi ngale ndlela kungenzeka ukuba ususe ngokunembile i-polyp kanye nomlenze. Ubuchwepheshe bokuqaliswa kwalo kuyindlela yokunciphisa encane. Esigumbini se-uterine, ithuluzi lokubonakala elinomkhawulo omncane wesigaba kufakwa, okuvumela ukuqoqwa kwezinto eziphilayo, kanye nokwakheka kwe-endometrium. Emva kokususwa kwe-polyp, ithunyelwa ukuhlolwa kwe- hertological, okuvumela ukuveza izici zesakhiwo, ukutholakala kwamaseli ase-atypical nokubeka ukwelashwa okunye. Lapho bebona ukuthi kukhona amangqamuzana omdlavuza, ukuhlolwa komchwepheshe we-oncology gynecological kuqokwe.

Izindlela zokwelapha

Kunezinhlobo ezimbili eziyinhloko zokwelashwa - ukungenelela kokuhlinzwa kanye namasu angewona okuhlinzwa.

Izinqubo zokuhlinza

• I-Hysteroscopy iyindlela ephumelela kunazo zonke yamasu okuhlinzeka, ngenxa ye-optical device (i-hysteroscope equkethe izinsimbi ezincane ngaphakathi kwiphubhu), ivumela ukuhlola ngokucophelela indawo ye-polyp nokuyikhipha ngokunembile futhi ibe nokukhetha okukhulu uma kuqhathaniswa nokukhipha okuyimpumputhe. Ukusebenza kungenziwa ngaphandle kwe-anesthesia kanye ne-anesthesia futhi kungathathi isikhathi esiningi - imizuzu engu-5-20, kuye ngokuthi isimo sezinguquko ze-pathological.

• I-Hysteroresectoscopy - ukuhlinzwa okugcwele ngokugcwele. Indlela kuphela yokuphuma uma kwenzeka isifo esibucayi se-endometrium ukususa i-polyp. Ukubuyekezwa kweziguli ezitholile ukusebenza, zithi ukuhlinzwa akusizi, ngoba kuncike ekuhloleni kwe-anesthesia.

Izindlela zokuqapha

• Ukwelashwa akuyona kuphela ukhetho uma i-polyp endometrial ikhonjwa, ukwelashwa ngaphandle kokuhlinzwa kungenzeka ngezindlela ezihlukahlukene, izidakamizwa ikakhulukazi ze-hormone.

• Ukwelashwa kwe-antibacterial phambi kwezifo zesifo sangasese.

Ukwelashwa kwama-Hormonal

Uma kwenzeka ukuthi i-polyp endometrial isitholwe, ukwelashwa ngaphandle kokuhlinzekwa kunqunywe imithi elandelayo ye-hormonal:

• AmaGestagenes, okuqukethwe kwe-progesterone (kusho "Utrozhestan", "Dyufaston"). Lezi zidakamizwa zibekwe isikhathi sezinyanga ezintathu kuya kwezi-6 kulesi sigaba sesibili sokujikeleza kokuya esikhathini.

• Izindleko zokuvimbela izitho zomlomo eziyinkimbinkimbi zenzelwe abesifazane abangaphansi kweminyaka engama-35 ubudala abanesibeletho se-endometrial se-polyp. Ukwelashwa kuthatha izinsuku ezingu-21.

• I-Gonadotropin ikhulula ama-agonist agonists

Ukwelashwa okungahlinzekiwe ngama-Chinese tampons

Uma ukungenelela okuhlinzayo kungenakwenziwa ukuze kususwe i-polyp endometrial, ukwelashwa ngaphandle kokuhlinzwa kwenziwa ngezindlela ezizimele - amathoni aseChina. Futhi zisetshenziselwa ukuvimbela ukubuyela kabusha. I-tampons eyaziwa kakhulu yi-Clean Point, Beauty Life. Ngenkathi yokwelashwa kuzodinga amathoni angama-10-12, ngokuvimbela - amathoni amabili ngenyanga. Zinezici zezitshalo zemvelo zesenzo esiningi, zivuselele imvelaphi ye-hormonal futhi zilwe nezifo ezithathelwanayo. Amakhambi omphakathi, kanye nezindlela zezokwelapha, kunezindlela ezingavumelani nezindlela zokususa i-polyp ye-endometrium, izikhambi zabantu zibonisa ukusebenza okuphansi kwezokwelapha. Enye indlela ukusebenzisa i-garlic - kufanele ichotshozwe, ihlanganiswe nge-bandage, yakha i-swab futhi ibanjwe ngentambo. I-tampon ilawulwa ngobusuku obunini emkhathini kwenyanga eyodwa. Abaningi abaye bazama le ndlela bahlambalaza ukwelashwa kwabantu ngama-polyp fibrous we-endometrium, ubufakazi bufakazela ukuthi kunzima kakhulu ukusinda ngisho namahora amane, kungakhulumi ngalo lonke ubusuku. Ngakho-ke, ungashisa i-membrane yomsindo wesifazane.

I-prophylaxis ye-polyp endometrial

Njengoba i-prophylaxis ye-polyp endometrial, izincomo ezilandelayo kufanele zilandelwe:

• Ukuphatha ngokucophelela izifo ezithathelwanayo nokuvuvukala kwezitho zangasese zokubeletha nokuziphatha ngendlela efanele.

• Njalo uhlolwe ngumjozi wezifo zegazi.

• Uma izimpawu zokuqala zivela, thintana nodokotela.

• Qalisa ukujwayelekile kwesizinda se-hormonal

Ukubuyiselwa kwe-endometrial pathology kwenzeka uma kungasuswa ngokuphelele ngesikhathi sokusebenza. Njengoba i-prophylaxis yezifo eziphindaphindiwe, ukwelashwa kwe-hormone isetshenziswa, izimo ezicindezelayo, ukukhipha izisu, ukudla okunempilo nokuqapha kwezempilo kanye nesistimu yomzimba wokuzivikela kufanele kugwenywe.