I-hyperplasia ye-epithelium engumgogodla ibizwa ngokuthi isifo se-uterine, esibonakala ngushintsho ku-stroma nama-glands we-membrane. Ukukubeka kalula, i-hyperplasia yezicubu ezinama-glandular yi-compaction excessive (i-proliferation) ye-endometrium. Kukhulu kakhulu uma kuqhathaniswa nomkhuba.
Ngokuvamile, i-hyperplasia ukwanda kwenani lamaseli kwanoma yisiphi isitho noma izicubu, okuholela ekukhuleni kwamathambo emthamo. Isisekelo se-hyperplasia sanda ukuphindaphinda okusebenzayo emzimbeni wamaseli, kanye nokubunjwa kwanoma yiziphi izakhiwo ezintsha.
Izinhlobo ze-endometrial hyperplasia
Ngokwenzokwelapha, izinhlobo ezine ze-hyperplasia ziyahlukaniswa:
- i-hyperplasia engokwemvelo ye-endometrium;
- i-hyperplasia e-atypical glandular ye-endometrium (i-adenomatous hyperplasia, i-adenomatosis);
- i-hyland-cystic hyperplasia;
- i-polyps ye-endometrium.
Umehluko phakathi kwalezi zinhlobo zesifo se-endometrial sisesithombeni sakhe esiyinkimbinkimbi, esibonisa isakhiwo esincane kakhulu sezindawo zokukhula ngokweqile kwe-mucosa. Lezi zinguquko ziyabonakala lapho zihlola izinto ezikhishwe.
Kungani i-hyperplasia ye-endometrial yenzeka?
Umphumela wokuqala kwezinqubo ezingenasisindo, ezenziwa ku-endometrium, ziyizifo ze-hormonal. Emzimbeni wesifazane kukhona ukuntuleka kwe-progesterone nokudlula ama-hormone e-estrogen. Ngokuvamile, lesi sifo singenzeka kwabesifazane abatholakala benesifo sikashukela, umfutho wegazi ophakeme noma ukukhuluphala ngokweqile. Kubalulekile ukucabangela ukuthi ngezinye izikhathi i-hyperplasia elula ye-endometrium elula igqugquzela ukuthuthukiswa kokungazalwa, umdlavuza nezinye izifo eziyingozi. Ngokuvamile inqubo ye-hyperplastic ihambisana ne-myoma yesibeletho, izinyathelo zokuvuvukala nezindabuko, i-endometriosis yesisu. Ukuxilongwa kwe-"hyperplasia glandular of the cervix" kuvame ukuzwa abesifazane abafika emitholampilo ukuhlola nokuthola izimbangela zokungakhulelwa. Kungakhathaliseki ukuthi yiziphi izimbangela ze-hyperplasia e-glandular ye-endometrium, qiniseka ukuthi uya kudokotela!
Izimpawu nokuphathwa kwe-hyperplasia
Phakathi kwezibonakaliso eziyinhloko ze-hyperplasia e-glandular ye-endometrium, ukungasebenzi, ukuphazamiseka emjikelezweni wokuya esikhathini, i-endometrial polyps, i-leiomyoma (i-fibromyoma), ne-endometriosis yizona eziveza kakhulu.
Ngokuvamile lesi sifo asizizwisi izibonakaliso ezibonakalayo, kodwa ezimweni eziningi owesifazane unegazi eliphuzayo lokuphuza okuvela embelethweni. Okokuqala, lo wesifazane uqaphela ukulibaziseka kokuya esikhathini, bese eqala ukuphuma kwegazi. Ngaphezu kwalokho, kunezibonakaliso ezibulalayo - ukulahlekelwa isifiso sokudla, ukuzonda futhi buthakathaka.
Ngokuvamile, ukwelashwa kwe-hyperplasia e-glandular ye-endometrium kulawulwa ngokwezindlela zokwelashwa nge-hormonal therapy (imijovo, ama-patches, amaphilisi, i-IMS Mirena, njll). Lezi zindlela zingaphulukisa i-hyperplasia elula futhi ejulile ye-endometrium, futhi ifomu elisebenzayo ngezinye izikhathi lidinga usizo lokuhlinzeka. Ukusebenza kuqukethe ukususa ungqimba oluthintekayo lwe-endometrium. Uma uhlobo lwe-hyperplasia lukhulu, owesifazane angasusa isisu. Lo msebenzi unomsebenzi ophezulu - okungaphezu kwama-90%. Ngezinye izikhathi kunesidingo sokwelashwa okuyinkimbinkimbi, lapho ungqimba lwe-endometrium ususwe futhi ukwelashwa kwe-hormone ye-dose ephansi.
Ukuze sinciphise ingozi ye-hyperplasia, kufanele silwe nokukhuluphala, sigweme ukucindezeleka, siphendule izinguquko ezincane emjikelezweni wanyanga zonke, vakashela umjovo wezifo ezivamile.