Ngokuvamile, ngemuva kokungena esikhathini esiyinkimbinkimbi, owesifazane ugagasi kuye futhi eyeka ukunakekela impilo yakhe. Zonke izifo kanye nempilo embi ubhala ngenxa yezinguquko ze-hormonal emzimbeni, ngokungazinaki. Lesi simo sengqondo ngokwazo siphutha kakhulu, ngoba phakathi nalesi sikhathi esibhekene nengozi yezifo eziningi zesifazane, ezivela emathunjini abhekana nomdlavuza. Ngakho-ke, owesifazane uphoqeleke ukuba ahlolwe ngezikhathi ezithile kumjozi wezifo zokwelapha ngesikhathi sokubona inkinga yokuvuthwa. I-hyperplasia ye-endometrium - lena ingenye yezinkinga ezilindele owesifazane oye esikhathini sokuya esikhathini.
I-hyperplasia ye-endometrium iyinqwaba yekhanda elimangcwaba lesibeletho, esibonakala ngegazi eliningi lokuphuma kwegazi. Ekupheleni kwesikhathi, i-endometrial hyperplasia iqala ngaphansi kwethonya lokushintshashintsha kwama-hormone emzimbeni. Isisindo esiningi, isifo sikashukela kanye nomfutho wegazi ophezulu, okujwayelekile kubantu besifazane abadala kunama-40, banikela ngokuyinhloko ekusenikeni kwesifo. Ukukhubazeka kwe-endometrium esikhathini sokuya esikhathini kungase kube yingozi ngokuphathelene nokuthuthukiswa kwezicubu zomdlavuza. I-hyperplasia ye-apipical ye-endometrium iphindwe futhi njengabachwepheshe njengesimo esibucayi, okuholela ekuthuthukiseni umdlavuza ema-25% wamacala. Ukuze ugweme lokhu ngamathuba amaningi, owesifazane kufanele aqaphele isidingo sokwelashwa okufika ngesikhathi.
Isimiso se-endometrium ekunqophiseni isikhathi
Ukuhlolwa kwe-ultrasound kwesibeletho kuyindlela enokwethenjelwa kakhulu yokuhlola isimo sakhe ngesikhathi sokuya esikhathini bese unquma ubukhulu be-endometrium:
- ubukhulu be-endometrium ekumeni kokuya esikhathini akumele kudlule u-5 mm;
- ukubaluleka kwalesi sibonakaliso ngaphakathi kwe-6-7 mm kuba yinto ebalulekile yokuqapha isimo se-endometrium ku-dynamics, ngokuphindaphindiwe kokulawula i-ultrasound ngemuva kwezinyanga ezintathu nezinyanga ezingu-6;
- Ubuningi be-endometrium bungaphezu kuka-8 mm obhekwa njengokwelapha. Ukuze uthole ukuxilongwa okunembile kulokhu kudingekile ukwenza ukuhlunga ukuxilonga;
- ubukhulu be-endometrium ekunqophiseni kwamamitha ka-10-15 mm kuyisibonakaliso sokukhishwa okuhlukile, ngokuhlolwa kwe-histological yale ndaba.
Kufanele kukhunjulwe ukuthi ukuphambuka kokuphela kobukhulu be-endometrium kusukela kujwayelekile akuyona into ehlolisayo ekuxilongweni, ngakho-ke ukuhlunga ukuxilongwa kufanele kwenziwe.
I-endometrial hyperplasia ekumeni kokuya esikhathini: ukwelashwa
Ukwelashwa kwe-endometrial hyperplasia ekumeni kokuya esikhathini kungenziwa ngezindlela eziningana:
1. Ukwelashwa kwamahomoni. Umthamo wama-hormone ohlinzekwa isiguli ulungiswa emva kokuhlolwa kwesikhathi sokuhlolwa kwe-ultrasound ye-endometrium. Lokhu kubangela umphumela omuhle wezokwelapha futhi kukuvimbela ukuthuthukiswa kwezinqubo zomdlavuza esibelethweni.
2. Ukungenelela kokuhlinzwa:
- ukukhishwa kwekhanda elimangqimba phezu kwesibeletho - kwenziwa ukususa i-foci ye-pathology, ukumisa ukuphuma kwegazi
for diagnostics; - i-laser cauterization (ablation) - ukubhujiswa kwe-foci pathological by laser;
- Ukususwa kwesibeletho (hysterectomy) - kwenziwa iziguli ezinezinyathelo ezincane (ukwelashwa kwe-hormone), uma kubuyela emuva, noma uma ukulawula phezu kwesiguli kungenakwenzeka.
3. Ukwelashwa okuhlanganisiwe - inhlanganisela yokwelashwa kwe-hormonal and surgical. Ukwelashwa kwama-hormone kuleli cala kunganciphisa kakhulu inani lokungenelela okuhlinzekwa ngokunciphisa i-endometrium ene-pathologically.