Kazhinji kacho, mushure mokupinda munguva yakaoma, mukadzi anosvetuka pachake ndokurega kutarisira hutano hwake. Zvose zvirwere uye hutano husina hanya anonyora kuchinja kwehomoni mumuviri, kuregererwa kuzviramba. Iyi mafungiro pachayo inonyanya kukanganisa, nokuti panguva ino iyo inotarisana nenjodzi yezvirwere zvakawanda zvevakadzi, kubva pamatumbu ane chirwere chekenza. Nokudaro, mukadzi anongomanikidzwa kuti aongororwe nguva nenguva pane gynecologist munguva yekucherechedza dambudziko rekutsva. Hyperplasia ye endometrium - iyi ndeimwe yezvinetso zvinenge zvakamirira mukadzi ari kuenda kumwedzi.
Hyperplasia ye endometrium inowedzera ye mucous membrane yechibereko, iyo inozviratidza nehuwandu hwehutachiona hunopa ropa. Mukuguma kwemwedzi, endometrial hyperplasia inoumba pasi pesimba rekuchinja kwehomoni mumuviri. Kuwedzera kwehutachiwana, chirwere cheshuga mellitus nehutachiona, izvo zvakajairika kuvakadzi vanopfuura makumi mana, zvinopa zvakakosha pakutanga kwechirwere. Ihwo hutachiona hwemendometrium pakuguma kwemazuva hunogona kuva nengozi pamusoro pekusimudzirwa kwemaronda ane kenza. Atypical hyperplasia ye endometrium inotaridzirwawo nevanyanzvi semamiriro ezvinhu asina kunaka, izvo zvinotungamirira kukura kwekenza mu 25% yematambudziko. Kuti uzvidzivirire izvi nekukwanisa kuvepo, mukadzi anofanira kuziva nezvekudiwa kwerapi panguva yakakodzera.
Chimiro che endometrium pakuguma kwemwedzi
Ultrasound kuongororwa kwechibereko ndeye nzira yakatendeseka yekutarisa mamiriro ake ekuguma kwemazuva uye kuongorora hukuru hwe endometrium:
- hutachiona hwe endometrium pakuguma kwemwedzi haufaniri kudarika 5 mm;
- kukosha kwechiratidzo ichi mukati ma6-7 mm inova chinhu chinokosha chekutarisisa mamiriro ekupedzisira endometrium mune simba, nekudzokorora kwekudzivirira ultrasound mushure memwedzi mitatu nemwedzi mitanhatu;
- Uturu hwe endometrium hunopfuura 8 mm hunofungidzirwa. Nokuda kwekutsvaga zvakajeka munyaya iyi zvakakosha kuita kugadzirisa kugadzira;
- hukuru hwe endometrium mukuguma kwemwedzi kwe10-15 mm chiratidzo chekuporesa kwakasiyana, pamwe nekuongorora kwechirevo chake.
Inofanira kurangarirwa kuti kukanganisa chete kwehukuru hwe endometrium kubva pachimiro haisi chekugadzirisa muhutachiwana, naizvozvo kuongorora kunyorera kunofanira kuitwa.
Endometrial hyperplasia mukumera kwemwedzi: kurapa
Kurapa kwe endometrial hyperplasia pakuguma kwemazuva kunogona kuitwa nenzira dzinoverengeka:
1. Hormonal therapy. Nhamba yehomoni inotarisirwa kumurwere inogadziriswa mushure mekuongorora nguva dzekuongorora ma ultrasound ye endometrium. Izvi zvinoita kuti zvive nemigumisiro yehutano uye ndiko kudzivirira kwekugadzirwa kwekenza zvirongwa mumuchibereko.
2. Kupindira kwekuvhiya:
- Kugadzirwa kwemukasi membrane kumusoro kwechibereko - kunoitwa kubvisa futi yehutachiona, kurega kubuda ropa uye
for diagnostics; - laser cauterization (ablation) - kuparadzwa kwephological foci ne laser;
- Kubviswa kwechibereko (hysterectomy) - kunoitwa kuvarwere vane nzira shoma shoma (hormone therapy), kana vakadzoka zvakare, kana kuti kutonga pamusoro pemurwere hakugoneki.
3. Kusanganiswa kwakabatanidzwa - kusanganiswa kwehutachiona uye kuporesa. Hormonal therapy munyaya iyi inogona kuderedza zvakanyanya kuwanda kwekupindira kwekupindira nekuderedza mafikiti echirwere chetendometrium.