Curettage mu hyperplasia endometrial: zizindikiro zosonyeza ndi zotsatira

Akazi chifukwa cha peculiarities dongosolo thupi lake nthawi zambiri anakumana ndi matenda. njira Pathological akhoza kukhala ndi makhalidwe osiyana. Ena a iwo ndi wokongola zosavuta kanthu. Kotero inu simukufuna kuluma elbows wanu, muyenera kutsatira dokotala m'nthawi yake. The gynecologist zifotokoza, madandaulo anu ndiponso kuti akutumikireni ndi matenda zina ngati n'koyenera.

Pafupifupi theka la kugonana fairer kusamba ndi pambuyo izo wapezeka endometrial hyperplasia. Popanda kuchipala ndi uterine kudwala tingagonjetse yekha m'mikhalidwe wapadera. Nkhani masiku ano angakuuzeni za chiyambi cha matenda ndi kukaimika inu ndi maganizo ake. Inu mukudziwa, onetsetsani ndikudziwitsani kuchipala ndi hyperplasia endometrial ndi zotsatira zake.

Ndi chiyani icho?

Osati mkazi aliyense ali ndi kupirira mpheto monga gynecologic curettage. Pamene hyperplasia endometrial akapatsidwa zambiri, koma osati nthawi zonse. Musanayambe kuphunzira za maonekedwe a mpheto, m'pofunika kuti tikhale ndi lingaliro za matenda. Endometrial hyperplasia akufotokozera chifukwa kuchuluka kwa nyemba lamkati la kumaliseche minofu. Lililonse mkombero m'thupi la mayi ndi kusintha madzi a m'thupi. Pa msambo, ndi endometrium ndi zofunkha ndipo akutuluka magazi. Pambuyo kuti nthawi esitirojeni. Iwo ukule wa follicles ndi kubwezeretsa wosanjikiza mucous la chiberekero. Komanso, pambuyo ovulation, progesterone amalimbikitsa katulutsidwe moyenera endometrium ndi, imakonza thupi mimba kubala (ubwenzi wa linagwira ntchito ya). Ngati lingaliro zimachokeradi, mlingo progesterone ndi kuchepekela, chifukwa chomwe chinayambitsa magazi lotsatira. Onse lophweka.

Koma ngati pazifukwa zina mkazi kulephera m'thupi kumachitika, ndi endometrium si anakana kapena si pansi zochita za progesterone. Chifukwa cha zimenezi, iwo amayamba magawano kusalankhula maselo, kuchuluka kwawo. Ndi pamene madotolo ndi anapezeka ndi "hyperplasia endometrial."

Mitundu hyperplasia makamaka kukonzedwa ake

Pali mitundu ingapo ya matenda. Ena a iwo sali oopsa ndipo angakane malangizo m'thupi. Ena oyitanira zikunena opaleshoni. Nthawi zina limasonyezabe kuchotsa chiberekero. Kodi kukhala endometrial hyperplasia?

• Glandular. Ndi imodzi ya zovuta, nthawi zambiri amenable mankhwala. Mucous pamwamba zambiri uniformly popanda kuchita pakati pawo maselo stromal.
• Enaake. fomu iyi ndi ofanana glandular, koma zambiri lamkati chipolopolo pamwamba kuskoobrazno kupanga vesicles Mofanana cysts lapansi. Mankhwala wothandizila m'thupi.
• Mogwirizana kapena akakufunsani. Mucous pamwamba zambiri uniformly (mu akakufunsani) kapena kuskoobrazno (ndi focal). M'madera akutulukira anapanga cysts ndi tizilombo ting'onoting'ono. Pali Zikatero likukula mofulumira hyperplasia khansa.
• Atypical. fomu iyi imatengedwa zoopsa kwambiri. Pamene mucosal kukula amene akupezeka osati padziko lapansi M'kati. Maselo Gawani mwachangu ozama wosanjikiza woyambira. Curettage mu endometrial hyperplasia a chikhalidwe ichi nthawi zambiri sizithandiza. Pakuti zizindikiro zina ndi kuchotsa chiberekero.

Zizindikiro za matenda, kusonyeza kusowa curettage

Zizindikiro zazikulu za matenda zosiyanasiyana disruptions a kuzungulira kusamba. Mkazi angadandaule la kuchedwa, magazi ochuluka, daub pamaso ndipo pambuyo kusamba. Komanso, zizindikiro za malaise pano mu nthawi iyi: ululu m'mimba, kudzimbidwa, kudwala, malungo ndi zina zotero. Kawirikawiri limodzi ndi hypertrophy osabereka. Nthawi zina Koma wosankhidwa kuchipala? Pamene endometrial hyperplasia kuwerenga ayenera kukhala motere:

• ululu mu gawo m'munsi wa pamimba;
• magazi yaitali;
• mkombero nthawi ya masiku opitirira 40;
• osabereka, mpaka miyezi isanu ndi umodzi;
• kuchuluka kwa magazi pa kuzungulira;
• zasayansi chitsimikiziro hyperplasia.

Kukonzekera kwa mpheto: Features

curettage la chiberekero ndi endometrial hyperplasia pokhapokha maphunziro. Pre-mtima amfunsefunse ndi dokotala monga matenda okhudza ubongo, munthu cardiologist, ndi internist. Akatswiri amanena mawu kuti palibe contraindication kwa mpheto. Pa yomweyo maphunziro nthawi imachitika monga MAGAZI ndi amuzolengedwa, mtima wa chitetezo ku matenda a chiwindi, HIV ndi chindoko. Onetsetsani kufufuza mtima kudzera electrocardiogram ndi.

Pambuyo pake, wodwalayo adzayenera kukaona gynecologist. dokotala n'kukulemberani chiphasochi zina monga ultrasound diagnostics, chopaka ukazi kudziwa chiyero. Ndi zoletsedwa kugwira akuchitira zotsatira zoipa. Ngati pali ndondomeko yotupa, m'pofunika kuchotsa izo zisanachitike.

Pogwira ndondomeko: zochitira

Curettage ndi hyperplasia endometrial kokha mwa mpanda wa bungwe la zachipatala. Ndondomeko palokha amatenga Pasanathe mphindi 20. Mpheto amafuna mtsempha ochititsa dzanzi. Pa kuchipala wodwala akugona kapena kusinza: iye asaone nkhawa. Mothandizidwa ndi extenders dokotala amatsegula khomo pachibelekeropo kulowa M'mimbamo wa kumaliseche. Curette kuchotsedwa atachuluka wosanjikiza umene zina kuphunzira.

Mu ndondomeko kuchipala ikuchitika yomweyo zinthu ziwiri zabwino: dokotala aisadza wosanjikiza anadzadza ndipo akhoza zina kudziwa kapangidwe kake ndi chiopsezo (ntchito histology). Pambuyo kukonza wodwalayo moyang'aniridwa ndi achipatala ngakhale 2-4 maola. Pokhapokha pali mavuto, mkazi akhoza kupita kunyumba.

pambuyo curettage

Ngati munapanga kuyeretsa chifukwa chakuti ya hyperplasia endometrial, mankhwala pambuyo curettage nkhani motsimikizika. Madokotala amalangiza nthawizonse umatenga njira ya mankhwala. Komanso Kwalamulidwa othetsa ululu ndi mankhwala odana ndi yotupa kutero. kanthu ena kokha pambuyo kupeza histological decryption.

Mukadzabwera deta amasonyeza kuti mayeso zinthu alibe anapezazo zilonda, mtima ulipo ndi muyezo mankhwala m'thupi. Pamene anatsimikizira ndi kukhalapo kwa malignancies, m'pofunika kuwachotsa mu ntchito zosiyana. Tiyeni tione zotsatira zake akhoza kuchipala.

The ndondomeko yotupa

Ngati muli endometrial hyperplasia (chithandizo pambuyo curettage sanali anakhala), ndiye pali Mwina mkulu kutupa. Iwo akuwonetseredwa ndi zizindikiro zotsatirazi: ululu m'mimba, kumaliseche zachilendo ndi chinthu chosangalatsa fungo, kuchuluka kutentha thupi. Nthawi zonse asonyeza kukonzedwa mwamsanga. Childs, madokotala mankhwala njira yaitali mankhwala chifukwa m'kamwa, mtsempha, ndi yoyendetsa ukazi.

Ngati kutupa kuti kumachitika chifukwa kuchipala, osati ankachitira, ndi kudwala angathe kufalitsa ziwalo pafupi: thumba losunga mazira, chiberekero, ndi zina zotero. Zonsezi ndi zinadzala ndi zotsatira zake.

Perforation la chiberekero kapena pakhoma thupi kupatulira

Chithandizo cha hyperplasia endometrial popanda kuchipala anachita infrequently. Ngati mulibe kusintha, ndiye m'pofunika kuti ayeretse mu timadzi m'malo mankhwala kwa mwezi umodzi. Pa mpheto mwina vuto ngati perforation a linga uterine. kudwala Izi zimafuna mwamsanga alowererepo pa opaleshoni.

Chifukwa cha mpheto akhoza kupatulira limba makoma ubereki. Imeneyi kumabweretsa vuto lake. Mwachitsanzo, pa mimba angayambe chotupa uterine. Nthawi zambiri munthu akakhala ndi makoma zonyalazo kusankidwa Kaisara gawo.

Hyperplasia wa endometrium kuti: kuchipala. Reviews zotsatirapo za ndondomeko

Kodi maganizo anu kumakulitsa odwala za ndondomeko? Ambiri amanena kuti pambuyo curettage wa hyperplasia endometrial Kodi kutha. Patapita m'zinthu zochepa za Kakhungu mucous akuyamba thicken kachiwiri, kupanga cysts, ndi tizilombo ting'onoting'ono. Inde, ngati wodwalayo si anatumizidwa mankhwala oyenerera, opaleshoni sichidzafafanizidwa adzaupulumutsa ku matenda. Kuchipala sichimachotsa chifukwa cha hyperplasia, ndi kokha likukonza zotsatira zake. Choncho, n'kofunika kumvera yokumana ndi dokotala ndipo pambuyo opaleshoni kumvera mankhwala amene wapatsidwa.

kuti adzimvera

Kuchokera m'nkhani mutaphunzira kuti kuchitira endometrial hyperplasia popanda kuchipala n'zotheka, koma pokha pokha yapadera. Pofuna mosapita kuwunika alili, muyenera kuchita biopsy kapena curettage. Mwa njira iyi kudzakhala kotheka kusankha mankhwala kuti adzakupulumutsa vuto pa dzanja.