Hyperplasia - ndi chiyani ichi? Glandular endometrial hyperplasia. Lobular hyperplasia wa endometrium ndi

Hyperplasia - chikhalidwe yodziwika ndi kuchuluka khungu mu minofu kapena chiwalo (kupatula zimakhala chotupa). The chifukwa cha chitukuko cha matenda ndi chotupa kapena kuwonjezeka chilemba kukula thupi.

Mpatuko hyperplasia kenako zosiyanasiyana zinthu zimene zimakhudza kafalitsidwe maselo zolimbikitsa. Motero, mwina hule chitukuko cha antigenic zikuchitika zinthu oncogenic, kukula ochirikiza kapena imfa minofu, pakuti chirichonse chifukwa, chiwalo kapena mbali ya minofu. Thupi hyperplasia - ndi kukwawira pa mimba ya mammary epithelium, kusonyeza hyperplasia glandular pamaso kapena pa msambo, ndi zina mawonetseredwe ofanana.

Mwachitsanzo, hyperplasia, mwapang'onopang'ono zinthu pathological, angatchedwe kuwonjezeka zinthu kandalama odwala ndi mitundu ina ya magazi m'thupi myeloid minofu. Komanso njira hyperplastic angayambe mu lymphoreticular mfundo minofu lymph, monga mmene anthu a mthupi mu ndulu, mu nkhani ya matenda a chikhalidwe opatsirana.

A zosiyanasiyana

Mu mankhwala, pali mitundu ingapo yakuti:

1. Thupi hyperplasia. Minofu kukula amene akupezeka, lomwe ndi zinchito kapena zosakhalitsa. Mwachitsanzo, hyperplasia wa mammary zopangitsa pa mkaka wa m'mawere kapena mimba.
2. Pathological hyperplasia. Chifukwa zinthu zingapo precipitating zimachitika kukula minofu.

Komanso matenda akhoza kukhala mogwirizana, akakufunsani ndi polypous:

1. Pamene pali mtundu bwino focal ndondomeko kutanthauzira mu mawonekedwe a zigawo payekha.
2. Mu akakufunsani hyperplasia okwana wosanjikiza anakhudzidwa pamwamba.
3. Pakuti mtundu polypous yodziwika ndi kuwonjezeka m'goli mbali kulumikiza. Pankhaniyi, hyperplasia mwina hule chitukuko cha maphunziro zosaoneka ndi cysts.

Akakufunsani hyperplasia ya chithokomiro England

matenda Izi zimachitika pamene compensatory anatani akusowa chithokomiro ayodini. Mawu akuti "akakufunsani" zikutanthauza kuti kudwala amakhudza thupi lonse: akuwonjezeka kukula kwake chifukwa kubalana wa maselo a prostate kuti kukhala katulutsidwe mahomoni chithokomiro zimene zimalimbikitsa kagayidwe, utithandize mayamwidwe mpweya akuthandiza mlingo mphamvu.

Chithokomiro ayodini chofunika kukhalabe ntchito yake m'thupi. Chosowa kapena kusapezeka kwa ayodini amalimbikitsa kuchuluka kwa maselo a khansa ndipo akhoza kenako zotsatira mu kukanika.

adrenal hyperplasia

Matendawa akhoza kukhala akakufunsani kapena nodular. Iwo limodzi ndi anapitiriza adrenal minofu nkhani ya zotupa pineal ndi matenda Cushing a. Akuluakulu, mawonekedwe hyperplasia, makamaka wamanzere, ndi kuphunzira ultrasound zovuta kuzindikira akanali phunziro la mwa Kujambula ndi CT.

Nthawi zina akakufunsani hyperplasia adrenal limodzi ndi kuchuluka Kukwanilitsa pokhalabe zopangitsa zachilendo maonekedwe - mu mawonekedwe a nyumba hypoechoic, wazunguliridwa ndi minofu mafuta. Pankhani ya hyperplasia nodular mu "makona ya mafuta" Tingaone chonse, homogeneous hypoechoic mapangidwe. Iwo kovuta kusiyanitsa kuchokera adenoma pa ultrasound chithunzi.

Prostate - otchedwa benign prostatic hyperplasia

Pafupifupi 85% ya akulu kuposa zaka 50 umamumvera matenda. Chosaopsa Prostatic hyperplasia amakhala ndi mapangidwe Prostate tinatake tozungulira pang'ono (kapena wina) kamene anthu pang'onopang'ono ayamba kupitiriza mkodzo, amene kenako amachititsa bvuto ndi pokodza.

Matendawa sayambitsa metastasis, kuti chinthu chimasiyanitsa matenda akewo prostate, choncho amatchedwa otchedwa benign prostatic hyperplasia. Pankhaniyi, izo ziribe zimayambitsa bwino ndipo kawirikawiri kugwirizana ndi kusintha kwa thupi mwamuna.

endometrium uterine

Hyperplasia - mtima wabwino kuwonjezeka makulidwe ndi buku la uterine akalowa. Izo zingachitike chifukwa cha kuswana ngati glandular maselo ena minofu. Matendawa akhoza kuyambitsa kusokoneza ntchito zinchito za endometrium ndi (pathupi mavuto, mkhutu menses).

M'mikhalidwe wabwinobwino, ndi endometrium limakula pansi kanthu timafunika mu nthawi mkombero choyamba, mchikakamizo cha progesterone pa nthawi yachiwiri kuzungulira ndi anam'letsa. Mu kudwala kukula endometrial ndi kusalankhula, ndi waluso yolanda onse lonse lamkati m'chimake ndi mbali munthu (lobular hyperplasia).

Zosiyanasiyana hyperplasia endometrial

Malinga ndi predominance kwa zinthu zina mu endometrium kukula anamasulidwa:

1. Glandular hyperplasia. zopangitsa Endometrial kukula owonjezera.
2. Polypoid hyperplasia. Kupita kukula patchy wa endometrium, ndilo glandular, glandular-fibrous ndi fibrous m'chilengedwe. Mtundu uwu wa hyperplasia kawirikawiri amakhala oopsa, koma atha kutumikira ngati maziko a chitukuko cha matenda matenda.
3. Adenomatous hyperplasia ndi kukhalapo kwa maselo atypical, premalignant. Mu alibe izi mu hyperplasia khansa mtundu akhoza kufika pa 10%.
4. Enaake glandular hyperplasia. cysts England ndi kukula pafupi zofanana.

zimayambitsa

Pakali pano, chifukwa chachikulu cha matenda ndi owonjezera kupanda wachibale wa progesterone milingo thupi esitirojeni. Chotero chikhalidwe zingachititse:

1. Transitional zaka kuphwanya kagayidwe m'thupi ndi kukakhala m'thupi.
2. Akazi onenepa.
3. Polycystic n'kuwasanganiza Syndrome.
4. kusintha kwa thupi.
5. Kulandira kukonzekera munali esitirojeni, popanda kulandira progesterone.

Nthawi zambiri, endometrial hyperplasia (ndemanga akatswiri akutitsimikizira izi) amapezeka akazi pamaso kusintha mu atsikana nulliparous.

Comorbidities, kuwonjezera mawu a hyperplasia, ankaona vuto la England adrenal ndi chifuwa, matenda a chithokomiro, shuga a mitundu onse, komanso matenda oopsa. Ndi chitukuko cha hyperplasia akhoza kuyambitsa zinthu monga:

1. Chibadwa cha matenda maliseche.
2. Adenominoz.
3. uterine fibroids.
4. Mimba curettage.
5. Yotupa njira maliseche.

Zifukwa chitukuko ndi mitundu ya glandular endometrial hyperplasia

Main amachititsa glandular hyperplasia:

1. Anovulation.
2. Onenepa.
3. Pamaso pa cysts follicular.
4. Kusintha kwa thupi.

Ndi chiopsezo matenda kulimbikira follicle, glycemia ndi granulosa khungu zotupa.

Kupanda mankhwala ndi kuchedwa matenda a matenda kotero zinadzala ndi zotsatira zowawa, monga chitukuko cha khansa endometrial. Makamaka pa chiopsezo ndi akazi amene amadwala atypical hyperplasia ademonatoznoy ndi akazi mu nthawi pambuyo kusintha. Ndi mogwirizana ndi akakufunsani hyperplasia - ndi precancerous mawonekedwe a matenda.

Mitundu ina ya hyperplasia endometrial amaonedwa tima kufala kwa epithelium glandular, enaake zopangitsa dilated ndi glandular-enaake hyperplasia.

zizindikiro

Nthawi zambiri, hyperplasia wa zopangitsa kumachitika popanda zizindikiro zake zapadera matenda. Mu mawonekedwe wamba amaona osokonekera uterine magazi chifukwa cha kulephera kupita kumwezi (menses ikuchedwa). magazi Izi zimakhala profuse ndi yaitali, ndi kutaya magazi - katundu kapena zolimbitsa. Motero, kukhala ndi zizindikiro ndi magazi ochepa: kusafuna kudya, kutopa, kufooka.

Pakati pa nthawi Tingaone zoonera. Nthawi zambiri azimayi chifukwa milandu anovulation osabereka. Izo ziri chimodzimodzi chifukwa osabereka ndi ulendo wa dokotala amene kenako matenda a. Mwa zizindikiro angathe kukumbukira ululu m'dera m'munsi m'mimba.

Kupeza Vuto glandular hyperplasia angathe kuchitidwa ndi dilatation ndi curettage, umene umachitika nthawi yomweyo asanayambe kusamba. Ndithu amagwilitsidwa ntchito matenda a ultrasound, ndi hysteroscopy.

lobular hyperplasia

Lobular hyperplasia (Akatswiri ndemanga zimasonyeza kuti izi) zikhoza kusokoneza khansa ndi osabereka. Ofooka kutchulidwa kapena asymptomatic angazindikire matenda lokha pa ultrasound kapena Kupenda matenda.

Lobular hyperplasia zambiri akufotokozera kenako matenda m'thupi, pambuyo kulanda matenda somatic ndi mimba kapena motsutsa maziko a hyperplasia a mtundu glandular.

Lobular hyperplasia wa epithelium uterine amawapeza pamaziko zizindikiro zotsatirazi:

• magazi pambuyo kutha kusamba;
• acyclic kapena ozungulira kulephera kupita kumwezi.

Chithandizo cha matenda m'njira ziwiri zikuluzikulu:

1. Medical njira - mothandizidwa ndi mankhwala wapadera, kuphatikizapo chilengedwe m'thupi.
2. Opaleshoni kapena kugwira ntchito njira - by kuchipala ndi uterine patsekeke.

Matenda a hyperplasia endometrial

Maziko matenda a matenda ndi kuunikidwa ndi gynecologist, chifukwa kufufuza malangizo ndi zasayansi.

Waukulu matenda njira monga:

1. Ultrasound mosamala chiberekero ndi zokhudzana ukazi kafukufuku.
2. Hysteroscopy ndi biopsy toyesa kufufuza histological.
3. Matenda kuchipala ndi uterine patsekeke.
4. Ngati ndi kotheka, kulongosola mtundu wa hyperplasia unachitikira kukhumba biopsy.

Mmodzi wa kafukufuku zofunika kwambiri zasayansi ndiye matanthauziro a misinkhu seramu kugonana timadzi ndi pammero ndipo zopangitsa adrenal.

Nkofunika kukumbukira kuti zilizonse hyperplasia amafuna matenda molondola ndi kuzindikira zimayambitsa woona, chimene chinapangitsa ndi kuwonjezeka mu minofu.

chithandizo

Ngati inu anapezeka ndi hyperplasia, mankhwala ikuchitika yomweyo. njira amusankha zochokera zizindikiro za matenda ndi zaka wodwalayo.

Njira yabwino kwambiri - matenda curettage kapena hysteroscopic kuchotsa njira endometrium akakufunsani.

Ngati ndondomeko mankhwala ndi Mipikisano khalidwe, poyamba pa zonse, kuchita mwadzidzidzi kapena kusankidwa kuchipala. Pogwiritsa chimake choyamba pamene anemizatsii kapena magazi.

Kamodzi zotsatira histology amalandira, katswiri akhoza perekani chithandizo zotsatirazi:

1. Ndili ndi zaka 35 zakubadwa prescribers muzikangana wa gonadotropin.
2. IUD "Mirena" ndi progestins.
3. mankhwala progestin ( "Djufaston", "Utrozhestan") amapatsidwa mu nthawi yachiwiri kuzungulira.
4. Chifukwa cha sanali opaleshoni kuti magazi asiye kutuluka atsikana ali mwana, amaloledwa kugwiritsidwa ntchito pa mlingo mwachilungamo yaikulu ya kulera m'kamwa.
5. Kuphatikiza m'kamwa kulera ( "regulon" "Yaryna" "Janine") amagwira ntchito miyezi 6 ndi phwando dera ochiritsira.

Kukonzekera tatchulazi, kulenga zotsatira ndi ofanana ndi kusintha kwa thupi, koma kusintha.

Pambuyo kuchipala akadali kwa miyezi sikisi kusamala, ndipo ngati pali zisadzachitikenso mitundu adenomatous hyperplasia, izo zikusonyeza kuchotsa chiberekero. Pamene zina relapsing ndi inefficiency mankhwala ena a chiwonongeko yokumba wa endometrium (ablation).

Kulosera tsogolo la matenda ndi mavuto

The Vuto yoopsa kwambiri hyperplasia endometrial - kusandulika ake khansa ya m'chiberekero. Komabe, magazi chimodzimodzi oopsa ndipo recurrences ndi kukula kukhala osabereka ndi magazi m'thupi.

Nthawi zambiri, madokotala ananena zawo zabwino: chifukwa opaleshoni ndipo prima mankhwala kwa miyezi 6-12 sangathe kwathunthu kuchiza matenda.

kupewa

The miyeso chofunika kwambiri kupewa hyperplasia endometrial - ndi kupewa mavuto, nkhondo yogwira ndi onenepa kwambiri ndipo mwamsanga mankhwala a matenda a kuzungulira kusamba. M'pofunikanso kwambiri yake matenda Kupenda akazi.

Nthawi zina atsikana katswiri angakulangizeni kuti kupewa mankhwala mahomoni kuti kuchepetsa chiopsezo hyperplasia endometrial ndi khansa. Mkazi aliyense ayenera kudziwa kuti likhoza magazi uterine ayenera yomweyo kukaonana ndi katswiri. Kumbukirani kuti mankhwala yake kwa dokotala chingatithandize m'tsogolo kupewa mavuto ambiri.