Hyperplasia ya endometrium ndi matenda akuluakulu, omwe ali ndi zotsatirazi. Minofu yowonjezera chiberekero (endometrium) pa zifukwa zosiyanasiyana imakula, ikuwonjezeka mu volume, ndi magazi. Endometrial hyperplasia ikhoza kukhala:
- chophweka;
- chonchi;
- chithunzithunzi;
- wosakaniza;
- zovuta.
Mankhwalawa ndi hyperplasia ndi ochepa a endometrium wosasintha popanda kusintha kwa maselo; Mng'oma umatanthawuza kupezeka kwa zigawo zazing'ono zomwe sizikutanthauza (adenomatosis). Ndi mankhwala otchedwa cystic hyperplasia a endometrium, mapangidwe olakwika - ma cysts - amapezeka mu minofu. Pogwiritsa ntchito mawonekedwe amtunduwu, amapezeka mumapangidwe a mapuloteni - omwe amachititsa chiberekero. Mtundu wotsiriza wa matendawa ndi wamba pazochitika zachipatala.
Mosiyana, mtundu wonyansa wa cythtic endometrial hyperplasia uyenera kusiyanitsidwa. Ndiwopangidwe kwambiri, mosiyana ndi mankhwala osokoneza bongo komanso osakanikirana, chifukwa chakuti chiopsezo cha khansa ya m'magazi pakakhala iyi ndi 10-15%.
Zimayambitsa zizindikiro za matendawa
Zomwe zimachitika m'magulu otchedwa endometrial hyperplasia, monga mitundu ina, zimachitika, monga lamulo, motsutsana ndi chikhalidwe cha kusintha kwa thupi m'thupi (kawirikawiri kwa atsikana omwe ali aunyamata komanso amayi pa nthawi ya kusamba). Komanso, chitukuko cha matendawa chingathandize amayi olemera kwambiri, kukhalapo kwa mapuloteni ake, amenorrhea ndi kudzoza mafuta.
Chizindikiro chachikulu cha endometrial hyperplasia ndi magazi, omwe angakhale osowa kapena ochuluka, malingana ndi zinthu zosiyanasiyana. Chifukwa cha kuchepa kwa magazi, pakhoza kukhala ndi zizindikiro monga zofooka, chizungulire, kuchepetsa hemoglobini m'magazi.
Ngati matendawa akuphatikizapo kusowa kwa ovulation, ndiye kuti zotsatira zake zidzakhala kusabereka, kukayikira komwe nthawi zambiri kumatsogolera mkazi kwa dokotala.
Tiyeneranso kukumbukira kuti mapuloteni a hyperplasia a endometrium amatha kukhala osamveka kapena amawonetsa ngati kupweteka kosalekeza m'mimba pamunsi. Izi zimapangitsa kuti matendawa asokonezeke, omwe ngati dokotala akukayikira hyperplasia, mankhwalawa amachitidwa, ndipo ultrasound imagwiritsidwa ntchito kupeza ngati wodwalayo ali ndi mapuloteni ambiri a endometrium.
Kuchiza kwa endometrial glandular cystic hyperplasia
Chithandizo cha matendawa ndichindunji komanso chimadalira zinthu zambiri: msinkhu wa mkazi, mawonekedwe ake, mawonekedwe ake onse, kukhalapo kwa matenda aakulu, chilakolako chake m'tsogolomu kukhala ndi ana, ndi zina zotero ndi zofunikira ndi hyperplasia.
Popeza chifukwa cha matendawa nthawi zambiri chimabisika mu matenda a mahomoni, amathandizidwanso ndi mankhwala osokoneza bongo (progestins ndi progestogens). Asanachitike opaleshoniyi
Ngati hyperplasia ndi yonyansa, ndiye kuti mankhwala ake ayenera kuthana ndi mayi wa amayi. Ngati mankhwala a ma hormone amapereka zotsatira ndipo mkazi akufuna kuti azikhala ndi ana ambiri, madokotala amayesa kuti asapite kuzinthu zoopsa, koma ngati hyperplasia ikupita, ndiye odwala amaperekedwa opaleshoni (kuchotsa chiberekero) pofuna kuteteza chitukuko cha khansa.