Hyperplasia ye endometrium chirwere chakakomba chechirwere, chinosanganisira pane zvinotevera. Muchengetedza mutsara (endometrium) nokuda kwezvikonzero zvakasiyana-siyana inokura, kuwedzera muzwi, uye kubuda ropa. Endometrial hyperplasia inogona kuva:
- nyore;
- glandular;
- glandular-cystic;
- glandular fibrous;
- atypical.
Zviri nyore hyperplasia inopisa ye endometrium pane pasina kuchinja sarudzo yemasero; kunyarara kunoreva kuvapo mumatanda ezvisikwa zvisingaiti (izvo zvinonzi adenomatosis). Ne-glandular-cystic hyperplasia ye endometrium, maitiro epfungwa-cysts - anowanikwa mune zvigunwe. Kana iri fomu inogadziriswa, inowanzowanikwa mumhando yepurops - bhendi maitiro mukati mechiberekero. Chimiro chekupedzisira chechirwere ndicho chinowanzoonekwa mukurapa.
Kusiyana, chimiro chechimiro chechirwere chinonzi cystic endometrial hyperplasia chinofanira kusiyaniswa. Icho chimiro chakanyanyisa, zvisingafani nechechi-cystic uye glandular fibrous, kubva pangozi yekudzivirira kenza yemapendometri munyaya iyi ndeye 10-15%.
Zvinokonzera uye zviratidzo zvechirwere
Nenzira dzakasiyana-siyana dzinonzi cystic endometrial hyperplasia, kufanana nedzimwe mhando, dzinoitika, sekutonga, pamusoro pemamiriro ekukosha ekuchinja kwehomoni mumuviri (kazhinji mumusikana mukuyaruka uye mumadzimai panguva yekupera kwemwedzi). Uyezve, kukura kwechirwere ichi kunogona kuita kuti vakadzi vanopfurikidza nehuwandu hwepamusoro, kuvepo kwake follicular cysts, amenorrhea nekuzodza.
Chiratidzo chikuru che endometrial hyperplasia chiri kubuda ropa, izvo zvingave zvishoma kana zvakawanda, zvichienderana nezvimwe zvinhu. Somugumisiro wekuita ropa, zvinogona kunge zvichiine zviratidzo zvakadai sokusava nesimba, chizuru, kuderedza hemoglobin muropa.
Kana chirwere chacho chiri pamwe nekushayikwa kwehuputi, ipapo kuwirirana kunoenderana kuchava kusabereka, kunyunyuta kunowanzoendesa mukadzi kune chiremba.
Inofanirawo kuonekwa kuti glandular-cystic hyperplasia ye endometrium inogona uye haina kuenderera mberi isingaenzaniswi kana kuratidzira sekusuruvara kusinganzwisisiki mudumbu rezasi. Izvi zvinonyanya kuomesa kuongororwa, iyo iyo kana chiremba achifungidzira hyperplasia, hysteroscopy inoitwa, uye ultrasound inoshandiswa kuziva kana murwere anewo glandular cystic polyps ye endometrium.
Kurapa kwe endometrial glandular cystic hyperplasia
Kurapa kwechirwere ichi kune munhu mumwechete uye kunobva pane zvinhu zvakawanda: nguva yemukadzi, kuumbwa kwechimiro chake, hutano hwehupenyu hwose, kuvapo kwezvirwere zvisingaperi, kuda kwake mune ramangwana kuva nevana, nezvimwewo zvinokosha ndezvipi zvakasiyana-siyana zve hyperplasia.
Sezvo chikonzero chechirwere chacho kakawanda chakavanzwa muhutachiona hweHodmonal, iyo inobatwawo nehommonal drugs (progestins uye progestogens). Pamberi pekuvhiya
Kana hyperplasia isypical, ipapo kurapwa kwayo kunofanira kutarisana ne gynecologist-oncologist. Kana chirwere chemhomoni chinopa mhinduro uye mukadzi anoda kuve nevana vakawanda, vanachiremba vanoedza kuti varege kuenda kune zviyero zvakanyanyisa, asi kana hyperplasia ichifambira mberi, saka varwere vanopiwa chirongwa chokuvhiya (kubviswa kwechibereko) kuitira kudzivirira kukura kwekenza.