Curettage ku hyperplasia endometrial: omsebenzi osemqoka, zikhombisa neziphumo

Amakhosikazi ngenxa awohluke lwesakhiwo umzimba wayo badla ujongene nesi sifo. iinkqubo yezifo kunokuba umlinganiswa eyahlukileyo. Ezinye zazo zi- lula ukuzibona. Ngoko ke niyagrenyana iingalo zenu, kufuneka utyelele ugqirha ngendlela ngexesha. Le ugqirha uya kuvanya, umamele izikhalazo zakho uze ubabuze uxilongo eyongezelelweyo xa kuyimfuneko.

Malunga nesiqingatha besini wamhle kwi koku- kwaye emva kokuba ibanjiwe hyperplasia endometrial. Ngaphandle sisusa i ngezifo zesibeleko zingaphunyezwa kuphela phantsi kweemeko ezizodwa. Inqaku Namhlanje uya kukuxelela malunga nemvelaphi sifo yaye ukuze ndinimise kunye izimvo zalo. Uyazi, qiniseka kaloku sisusa kunye hyperplasia endometrial kunye neziphumo.

Yintoni na?

Ayizizo zonke Umfazi ukunyamezela izakhi ezifana gynecologic curettage. Xa hyperplasia endometrial wabelwa rhoqo, kodwa akubi njalo. Phambi kokuba ufunde malunga iimpawu yokuntlokothiswa, kuyimfuneko ukuba afumane ufifi ngesi sifo. hyperplasia Endometrial iphuhlise ngenxa nonyebeleziso kumphezulu engaphakathi eveze kwezihlunu. Umjikelo ngamnye umzimba yomfazi utshintsho kumanqanaba hormone. Esexesheni, lo endometrium neqwengiweyo kude kwaye uyaphuma igazi. Emva ukuba lixesha lokuba estrogen. Baya kuba negalelo ekukhuleni zoboya abuyisele umaleko kwiinwebu isibeleko. Ngaphezu koko, emva ovulation, dlala ikhuthaza secretion olufanelekileyo endometrium, ilungisa umzimba ukuba ukukhulelwa nabantwana (i-attachment ye iqanda). Ukuba kwesisu akwenzeki, inqanaba dlala iyehla, ngenxa yoko baqalisa ukopha elandelayo. Zonke elula kakhulu.

Kodwa ukuba ngenxa yesizathu esithile ukusilela kwamadlala yomfazi kwenzeka, le endometrium ayikho yaliwe okanye angabekwa kwi dlala. Ngenxa yoku, uqala ukwahlulwa kwamalweyile ngendlela iiseli, ukwanda lwabo. Loko oogqirha kwaye kwafunyaniswa ukuba "hyperplasia endometrial."

Iindidi hyperplasia ingakumbi ukulungiswa kwayo

Kukho iintlobo ezininzi kwesi sifo. Abanye babo ingeyongozi kwaye ukuxhathisa ulungiso hormone. Abanye bathi kungenelelo yotyando. Kwezinye iimeko wenza ukubonisa ukususwa isibeleko. ingaba yintoni hyperplasia endometrial?

• Glandular. Oku kucingelwa ukuba yenye yezona ilula, ngokufuthi efanele unyango. indawo uxakaxa yandise ngokufanayo ngaphandle kusekwe phakathi kwabo iiseli stromal.
• Esinganyangekiyo. Le fomu kuyafana glandular, kodwa ayanda phezu iqokobhe engaphakathi kuskoobrazno ukwakha vesicles Kwangokufanayo cysts. Aphathwe arhente hormone.
• Focal okanye kwentamo. indawo uxakaxa yandise ngokufanayo (in kwentamo) okanye kuskoobrazno (kunye focal). Kwiindawo asahlumayo kwasekwa cysts kunye polyp. Kukho iimeko ezinjalo hyperplasia ngokwanda kule umhlaza.
• Nedlac. Le fomu ithathwa kuyingozi kakhulu. Xa ukukhula kube mucosal kwenzeka kuphela phezu komhlaba umaleko embilwini. Iiseli Yahlula ngenkuthalo luchukumisa umaleko Uhlobo Lokuqala. Curettage in hyperplasia endometrial ngayo ngalendlela ayisasebenzi. Kuba ezibonisa ezithile kufuneka ukususa isibeleko.

Iimpawu zesi sifo, ebonisa imfuneko curettage

Iimpawu eziphambili kwesi sifo iintlobo ukuphazamiseka ukuba sexesheni. Ibhinqa ezikhala kokulibazisa, ukopha kakhulu, aye aphose imibingelelo phambi nasemva kokuba sexesheni. Kwakhona, iimpawu oluthile ekhona kulo xesha: iintlungu esiswini, ukungacoleki kokutya, ukuziva ugula, ebanjwe yicesina njalo njalo. Soloko ilandelwa lutshintsho lwemithetho hypertrophy ukungachumi. Kwezinye iimeko, vekiweke kunjalo ukukrwela? Xa ufundo hyperplasia endometrial kufuneka ngolu hlobo lulandelayo:

• intlungu icandelo esezantsi esiswini;
• ukopha;
• Umjikelo ixesha elingaphezu kweentsuku ezingama-40;
• nenzalo, ehlala ngaphezu kweenyanga ezintandathu;
• imali ukopha ngethuba lomjikelo;
• elaborathri hyperplasia.

Ukulungiselela ukuze zisetyenziswe: Iimpawu

curettage le wesibeleko kunye hyperplasia endometrial kuphela emva koqeqesho. Pre-isigulane kufuneka axilongwe ngugqirha efana luvo, i cardiologist, i internist. Iingcali baphethe ukuba akukho contraindication ukuze zisetyenziswe kwiinkcukacha. Xa izifundo xesha olwenziwe esifanayo ezifana iimvavanyo zegazi kwemichiza, bazimisele antibodies hepatitis, i-HIV kunye negcushuwa. Qiniseka ukuba bahlole intliziyo ngokusebenzisa electrocardiogram.

Emva koko, isigulana kuya kufuneka atyelele ugqirha. Ugqirha umisele Uhlolo ezongezelelweyo eziquka uxilongo ultrasound, smear lobufazi ukufumanisa ntumbuluko. Akuvunyelwe ukwenza yokuphatha kwiziphumo emibi. Ukuba kukho inkqubo kwiintetho ezikralayo, kuyimfuneko ukuba ukususa kusengaphambili.

Ukufeza le nkqubo: ikhosi isenzo

Curettage ne hyperplasia endometrial kuphela phakathi kweendonga kwiziko lonyango. Le nkqubo kukodwa kuthatha imizuzu engaphantsi kwe-20. Buqhinga kufuna Ukubulawa efakwa. Ngeli sisusa isigulana ulele okanye isiqingatha belele: yena uvakalelwa ubuhlungu. Ngoncedo extenders ugqirha ivula wesibeleko ukuba ungene em- zangasese. Curette kususwe umaleko yene eziza kufundwa ngakumbi.

Kwinkqubo kokuphalwa wenziwe ngokukhawuleza amanyathelo ezintle ezimbini: Ugqirha ococa umaleko lwasemoyeni kwaye ngaphezulu imisele ukwakhiwa kunye nobungozi (usebenzisa histology). Emva yokucoca isigulana phantsi kweliso elibukhali likagqirha nokuba 2-4 iiyure. Ngaphandle kokuba kukho iingxaki, lo mfazi uye ekhaya.

emva curettage

Ukuba wenze wokucoca ngenxa yokuba njengeempawu hyperplasia endometrial, unyango emva curettage ziya kwabelwa ngokuqinisekileyo. Oogqirha bacebisa njalo baphathe ikhosi antibiotics. ntlungu Kwakhona ezimiselweyo amachiza-ukudumba xa kuyimfuneko. amanyathelo Eminye kuthathwa kuphela emva kokufumana khowudi yasiwa kumbhalo histological.

Ukuba ufika data bubonisa ukuba izinto lwe akukho ziphumo yingozi, isigulane wabelwa ukuba kwanonyango eqhelekileyo hormone. Xa kuqinisekiswa bubukho ezinezigulo, kuyimfuneko ukuba awasuse kulo msebenzi eyahlukileyo. Makhe siqwalasele ukuba yintoni iziphumo kungenzeka sisusa.

Le nkqubo arhabaxa

Ukuba unayo hyperplasia endometrial (unyango emva kokuba ayizange isetyenziswe curettage), ngoko kukho amathuba eliphezulu komtshiso oko. Ubonakala ezi mpawu zilandelayo: iintlungu esiswini, ngobhobhozo engaqhelekanga kunye ivumba elibi, ubushushu bomzimba ukwanda. Kuzo zonke iimeko eboniswe ukulungiswa ngokukhawuleza. Ngokuqhelekileyo, oogqirha amisele ikhosi ende antibiotics yomlomo, efakwa, kunye nolawulo lobufazi.

Ukuba ukudumba oko kwenzeka ngenxa ukukrwela, sithi singanyangwa, ngezifo ingahlakazeki zivamvo ezimelene: amaqanda, tubes, njalo-njalo. Konke oku naxa ingumbandela ozaliswe ziziphumo yaso.

Perforation le isibeleko okanye udonga umzimba hedge

Unyango hyperplasia endometrial ngaphandle sisusa eyenziwa kungeyonto ayenza rhoqo. Ukuba ngaba ngcono, ngoko kuyimfuneko ukuba ukucoca hormone therapy replacement inyanga. Ngexesha buqhinga inokuba ingxaki njengoko perforation eludongeni zesibeleko. Le ngezifo kufuna ungenelelo engxamisekileyo yotyando.

Ngenxa yokuba ukusetyenziswa nokuba olindelwe iindonga omzimba okuzala. Oku ngakumbi kukhokelela ingxaki yayo. Umzekelo, ngethuba lokukhulelwa kungenziwa komsipha wesizalo. Kudla ezimiselweyo iindonga ubhityileyo kwicandelo ekunokukhethwa ngoqhaqho.

Hyperplasia le endometrium: sisusa. Ukuphonononga ngemiphumo inkqubo

Luthini uluvo lwakho ikhula izigulane malunga nenkqubo? Abaninzi bathi emva curettage of hyperplasia endometrial ayenzi shwaka. Emva imijikelo ezimbalwa inwebu yangaphakathi iqala ukuba izokhula kwakhona, ukwakha cysts, polyp. Eneneni, ukuba isigulane na eyabelwe unyango olufanelekileyo, utyando ngokwayo iya ukuyibamba ngenxa yezifo. Kokuphalwa aluyiphelisi unobangela hyperplasia, yaye uyasiqeqesha kuphela neziphumo zawo. Ngoko ke, kubalulekile ukuphulaphula ukuqeshwa kugqirha kwaye emva kokuba umsebenzi ukuthobela nothomalaliso emiselweyo.

Ngamafuphi

into Ukususela nqaku oyifundayo ukunyanga hyperplasia endometrial ngaphandle sisusa kunokwenzeka, kodwa kuphela kwiimeko ezizodwa. Ukuze kuhlolwe ngokusengqiqweni imeko yesigulane, kufuneka enze biopsy okanye curettage. Kuphela ngale ndlela kuya kuba lula ukukhetha wonyango olusebenzayo kunisindisa ingxaki kusondele.