Yezindlala polyp endometrial: izimbangela, izimpawu kanye nezici ukwelashwa

polyp yezindlala we endometrium - kuyinto zokugula evame kakhulu esifazane uhlelo zokuzala. Ivame kutholakala amantombazane asemancane. Lokhu kuwuphawu lwesimila akuyona libhekene izimpawu ejwayelekile, ngakho ubulili fair akuzona ezisheshayo abone udokotela. Ukungabi ukwelashwa okufika ngesikhathi kungaphumela ukungazali noma polyp aguqulayo ku isimila esibulalayo. Kulesi sihloko, sizama ukuqonda ukuthi kungani lezi izimila ukuthuthukisa, kulokho zokwelapha imithi yesimanje izipesheli.

Izici yenqubo sokugembula

Isinyathelo sokuqala siwukuba ucabangele le isakhiwo isitho zesifazane zokuzala. Kwesibeletho siqukethe izingqimba ezintathu: elingaphandle serous, maphakathi kwemisipha ne kwangaphakathi. Kugcine ngenye kuthiwa endometrium futhi ulwelwesi lwamafinyila. Kuyinto lesi sendlalelo, ngokuvamile ikhanga gynecologists.

I endometrium siqukethe ebusweni epithelium nezindlala okusemqoka - stroma. Babehlale ukukhiqiza imfihlo nge ukusabela ane-alikhali, kodwa inani elisukela umjikelezo isigaba sowesifazane. Lapho owesifazane esesikhathini ahlukaniswa kuphela ukuvundulula epithelium. Strom uhlala futhi ukhonza njengesisebenzi umthombo ukuvuselelwa ikusasa ulwelwesi lwamafinyila engxenyeni yokuqala lomjikelezo njalo.

A polyp kuyinto ukwakheka lwesimila. Ukuthuthukiswa Its uvame kwandulelwe Hyperplasia lesizalo. ayanda Focal we ulwelwesi lwamafinyila kuholela ekwakhekeni polyp. Ngakho-ke has a isakhiwo afana endometrium - ijwabu fibrous nezindlala. lezi zinhlobo ezilandelayo izimila benign lapha yilezi:

• yezindlala;
• fibrotic;
• polyp yezindlala-fibrous.

Esikhathini yayifanekisela nomxhantela isakhiwo ukuhlukanisa phakathi umzimba kanye nomlenze okuyinto elangena ngu imithambo yegazi amancane. Ubukhulu bayo ziyahlukahluka kusuka kwangu ambalwa 4-5 cm. Ubujamo yesimila sifana amakhowe amancane.

Kulesi sihloko, sizoxoxa ngamathonya izimbangela futhi izindlela zokwelapha polyp yezindlala, ngoba lolu hlobo zokugula sitholakale njalo kunabo. Indawo intandokazi of indawo yayo iyona ndawo phansi kwesibeletho noma engeli.

Kungani kwenzeka isifo?

Imbangela izimila, ezokwelapha zesimanje abakwazi igama. Ngakho-ke, kubalulekile kuphela ukubeka phambili iziphakamiso. esungulwe Kusobala ukuthi polyp yezindlala eba ku isizinda ukushintsha kwama-hormone kwabesifazane. Yayifanekisela nomxhantela unika uhlobo Ukuphendula i-estrogen, ungqimba kwangaphakathi kwesibeletho ngokuphinda ukuphendula. iziyaluyalu kwama-hormone kungaba izinhlobo ezimbili: ngokuphelele futhi isihlobo. Esimweni sokuqala, inani estrogen ekhiqizwa inyuka ngenxa izimila noma wesibeletho follicle ukuphikelela. Lapho isihlobo amazinga hyperestrogenia lama-hormone lingase ahlale evamile. Nokho angahlangani eba ngenxa ukuncishiswa isinyathelo antiestrogenic ka progesterone at enganele ekwakhiweni yayo.

Futhi odokotela isehlane iqembu izici, khona lapho kwandisa amathuba kumiswa kungavamile ukuba ingozi. Lezi zihlanganisa:

• izisu njalo;
• sikashukela;
• ukungawuvivinyi umzimba;
• ukhuluphele;
• Izifo ukuvuvukala kwezitho zobulili.

polyp yezindlala-fibrous ngokuvamile eba abesifazane abakhubazeke ngokwenqondo.

Izimpawu zokuqala

Neoplasms ka Lwezinhlelo ze-non-hormone cishe ungabonisi ngokwabo. Ukwephula kungase kuhambisane ezincane ukopha intermenstrual. Lapho polyp is phetho ukutheleleka emzimbeni, lesi sifo singumbulali ngesimo ukuvuvukala nevilaphayo.

Neoplasms bemvelo hormone, okubangelwa Hyperplasia sibonisa kukhuphuke ukopha esesikhathini. Ngakho-ke, kulezi iziguli ukuba kancane kancane ukuthuthukisa yensimbi ukuntula igazi. Uma usayizi polyp kunangendlela 2 cm, kungenzeka ukuvela ukungakhululeki ngesikhathi ubuhlobo. Izikhalazo ukuze cramping ezingajwayelekile kakhulu.

Ezichazwe zokugula sihloko asinazo izimpawu ezithile. Lapho eyodwa noma ngaphezulu izici ezingenhla kufanele afune usizo lodokotela. Kuyadingeka ukuba aqale ukwelashwa ngaleso sikhathi, njengoba 3% of the polyp yezindlala has a propensity kuya umdlavuza.

uhlelo Impilo inhlolovo

Ukuhlolwa okujwayelekile kwabesifazane esihlalweni izifo zabesifazane ngokuvamile uninformative. Udokotela ayikwazanga ukuqinisekisa zokugula, ngenxa nje yokuthi ukubonakaliswa kwangaphandle yayo. I Ukuhlolwa eyinhloko ihlanganisa izindlela zokuxilonga elandelayo wezinsimbi:

1. US (izifundo ulwazi cishe 98%).
2. Ucwaningo we aspirate lesizalo ingaphakathi (esetshenziswa ukubeka eceleni umdlavuza neoplasms).
3. Hysteroscopy (kusiza ukuhlola indawo kanye nosayizi polyp).
4. curettage Yokucwaninga (ukunquma uhlobo izimila).

Ngokusekelwe imiphumela yocwaningo le wezifo zabesifazane inika izincomo yokwelapha.

Indlela esiphatha ngayo nokugula?

Inketho ukwelashwa kuphela kubhekwa yezindlala polyp ukususwa. Ukusebenza wenziwa ngaphansi izinzwa jikelele noma wendawo. Ngesikhathi inqubo, udokotela wokuqala wenabisa ingaphakathi lesizalo, bese kususa hysteroscopy lwesimila. Uma ezingaphezu kweyodwa, kutuswa inqubo curettage. Ngemva kokuhlinzwa izingxenye ezilimele kwesibeletho cauterize liquid nitrogen ukuvimbela endometritis.

Yokutakula sivame ukwenzeka ngaphandle izinkinga. Ezinsukwini zokuqala 10 wokusebenza zokubona okuncane. Ngalesi sikhathi kungcono ukuba ayiyeke le contact obuseduze. Ngaphezu kwalokho, udokotela wakho angase akunikeze inkambo kwama-antibiotic. Yonke imithi, kanye isikhathi ngokusebenzisa kwawo akhethiwe ngamunye.

ukuthi ukwelashwa kuphela yezokwelapha kungenzeka? Yezindlala polyp endometrial abaye baphathwe ngayo elashwe hormone. Nokho, le ndlela kwamukelekile kuphela uma wentombi iyoba umama esikhathini esizayo. Ngaphezu kwalokho, izinguquko aspirate biopsy akufanele kube khona. Ngemva kweminyaka engu-40 okwelashwa okunjalo akukhona ezifiselekayo, ngoba ngalesi yobudala kwandisa amathuba wokuthuthukisa izinqubo umdlavuza.

Ukwelashwa ngemva kokususwa polyp yezindlala

Ukuphumelela msebenzi siyavunyelwa ukukhululeka uyahluleka uma elwa nokuphuza esikhathini esizayo. Isizathu salokhu kukhona ukushintsha kwama-hormone emzimbeni womuntu wesifazane, okuyinto kwaholela ekwakhekeni zokugula. Lezi zinqubo zingenza ukuba umzimba kabusha kumiswa ama-polyp.

Yini-ke zidinga ukwelashwa? Ngokuvamile, abesifazane kuyabekwa imithi progesterone iqembu. Abakwazi ukunciphisa amazinga estrogen, kuqedwe imbangela lesi sifo. Futhi emva kokuhlinzwa kuyadingeka njengoba isilinganiso izifo ukuze baphumelele ekuhlolweni ngesikhathi udokotela wezifo zabesifazane kanye ngonyaka. Uma, ezinyangeni ezingu-12, ukuphinda izimpawu sezihlonziwe, isiguli esuswa Dispensary.

yezinkinga kungenzeka

Ukwelashwa nokuvikelwa polyp yezindlala-fibrous kumele kuqale ngokushesha emva isiqinisekiso uphethwe. In the ukungabikho yokwelapha abanekhono kungadala-non-eyindilinga noma avamile ukopha. Banezinhliziyo ukonakaliswa ukuphila abantu besifazane ngokocansi futhi nempilo yabo.

Ikakhulukazi eziyingozi polyp ngesikhathi sokukhulelwa. Neoplasms kungaholela sina ukopha futhi lamabutho kwanoma placenta. Enye inkinga zokugula ezingemnandi kuba fetus hypoxia umbungu. Ngakho-ke kubalulekile at the stage of uhlela ingane ukuba ahlolwe ngokugcwele wezokwelapha. Esimweni izinkinga zempilo ezingathí sina - yokwelapha.

izinyathelo

Yezindlala ukwelashwa polyp okuhilela kokungenela kuhlinzwa, kunalokho zokugula okwandile. Ukuze ugweme izinkinga ezinjalo zezempilo, owesifazane kufanele nigcine izincomo ezilandelayo:

• isikhathi ukwelapha izifo gynecological;
• ahole indlela yokuphila enempilo;
• ukusebenzisa inzalo, ukuvimbela izisu;
• ukuhlolwa ngesikhathi udokotela kabili ngonyaka.

zokuvimbela Specific yesifo alikho. Lapho izimpawu asolisayo kufanele ngokushesha afune usizo lwezokwelapha. Ukuzithiba medicate is hhayi Kunconywa. Ukuthola Isikhathi esijwayelekile nokususwa yezindlala polyp endometrial ukuba ligweme izinkinga ezingase zivele esikhathini esizayo.