The endometrial polyp inoonekwa sechinhu chakasiyana-siyana che endometrial hyperplasia. Mune mamwe mazwi, mapuropa ndiwo hutachiona hwemuuterine mucosa. Pamusoro pehutano hwemaprotometrial polyps, kunyatsoongorora chirwere kunokosha.
Kusiyana uye Zviratidzo zvePolps
Vanachiremba vanoparadzanisa chirwere ichi mumhando dzakasiyana-siyana. Polyps inokura kakawanda pamusana pebhaari yepamusoro uye inogona kuva yemhando dzinotevera:
- fiber (kubva mumashini akafanana akafanana nemashonga);
- glandular-cystic (kubva kune-spindle-shaped connective tishu uye nhamba yakawanda yezvitsvuku);
- glandular fibrous (yezvigunwe zvakagadzirwa nemagetsi anokwana uye nhamba shomanana yezvigunwe).
Zviratidzo zvechirwere ichi zvinogona kunge zvakasiyana zvachose. Kunyanya kuzivisa ndeikuti:
- uterine kubuda ropa;
- kusagadzikana kwekuenda kumwedzi;
- cramping pain;
- Zvakawanda zvakavanzika zvekuchena.
Diagnostics
Mishonga yemazuva ano kwekuongororwa kwepuropiti ye endometrium inoshandisa mimwe miongororo:
- Hysteroscopy, iyo inozivikanwa senzira yakanakisisa yekuona neoplasms yenhengo dzevakadzi. Nzira iyi chete iwe unogona kuwana mapuropa mumakona uye pasi pechibereko. Nekubatsirwa kwehutachiona, kubviswa kwe endometrial polyps kunoitwa nekuona zviri pachena uterine cavity.
- Ultrasound yemadutu mapfupi. Iyi nzira yekuongororwa inogona kuona mapuropiti ezvinyama zvinokonzerwa nemafuta uye fiber.
- Tsanangudzo yake yekuongorora zvinyorwa zvekuchera kuti aone kuumbwa kwepuropiti.
Kurapa kwemugumo wemaprotometrial yepuroyoyo
Mushure mokuongorora zvakakwana murwere uye kuongororwa, chiremba anorayira kurapwa. Vose varwere vanopiwa chirongwa chokuvhiya, chinotungamirirwa ne hysteroscope. Zvinosuruvarisa, kurapwa kwemapendometrial polyps pasina chirwere hazvibviri. Zvichida kushandisa endoscopic midziyo, bvisa pombi, uye gadzirai uterine cavity. Kana uwandu hwekubuda hukuru (kupfuura 1 cm), kushanda kunoitwa nenzira ye "untwisting". Nzira yakadaro inonzi polypectomy. Kuti urege kudzivirirwazve, rutsoka rwe endometrium ruteguru rinobviswa ne hysteroresectoscope loop.
Chikamu chinotevera chiri cauterization yenzvimbo iyo yakabviswa gumbo racho, liquid nitrogen kana magetsi. Kuti udzivise kudzokera zvakare, inonzi inotenderwa. Kutevera-up ultrasound kunoitwa mumazuva mashoma.
Mishonga pashure pokubviswa kwe endometrial polyp
Kurapa kunowanikwa chete nekubatsirwa kweiyo hystrascopy uye kupera kwekupedzisira, apo endometrial polyp ine yakagadzirisa sarudzo. Kurapa kwezvinyorwa zvinoputika zve endometrium zvinosanganisira hormonal therapy yemukadzi ane chinangwa chekudzorera hutachiona hwemashure uye kuenda kumwedzi. Mishonga yekurapa yezvinyorwa zvinokonzerwa nehutachiona zvepopotrium yakafanana.
Apo kuongororwa kwehuwandu hwemhando yehuputi, kubviswa kwechibereko kunoratidzwa. Kana murwere ane zvinokonzerwa nehutachiona uye zvinokonzera endocrine, zvinokurudzirwa kubvisa zvigadzirwa zvechibereko.
Kubva shure kwekuvhiyiwa kazhinji
Kurapa kwemugumo wemaprotometrial nemapiritsi evanhu ndeye mutsara wemarepeti anobva pane zvisikwa zvakasikwa. Nzira dzakadaro dzokurapa dzinogona kuva nekuporesa, asi munhu haafaniri kutarisira kwavari. Kurapa kwevanhu ve endometrial polyp kunorudzirwa kuti vashandise chete mushure mekutaurirana nechiremba ari kuenda. Munyaya yakaipisisa, iwe haugoni kungobatsira chete, asi unozvikuvadza iwe pachako.