Endometrial polyp: ọgwụgwọ enweghị ịwa ahụ na reviews

Endometrial polyp na-ezo aka benign etuto ahụ nke nwere ike ime na ndị inyom nke ọ bụla afọ. N'ihi ihe ize ndụ nke etuto ahụ na mbelata nke cancer mkpụrụ ndụ na-adọ ọgwụgwọ nke ọrịa a na-nyere pụrụ iche. On a par na isi ịwa ahụ e mesoro fibroid polyp endometrial na-abụghị nke ogwugwo na usoro.

Endometrial polyp - na bụ

Endometrial polyp - a uto nke eriri akpa nwa lining mkpụrụ ndụ. E nwere ike ịbụ na otu ka ọtụtụ polyps sitere na size site 1 millimeter 5 sentimita. Ọtụtụ mgbe ha ime nwanyi noo 40 ruo afọ 50. Dị ka ihe owuwu nke polyp ya mejupụtara a ahụ na pedicle, nke o attaches na eriri akpa nwa mgbidi. Ọ e ji a mgbagwoju Ọdịdị na ike ga-ahụ nọchiri anya ya glands na fibrous anụ ahụ. Na ikpe, ma ọ bụrụ na ndị mejupụtara nwere ndiiche sel, polyp weere adenomatous (precancerous). Dabere na Ọdịdị nke dịpụrụ adịpụ endometrial polyps 4 umu:

• Fibroids.

• Glandular.

• glandular-fibrous.

• Adenomatous.

A iche na-ọtọ endometrial polyp esịnede epithelial mkpụrụ ndụ na agbanwe n'oge ịhụ nsọ okirikiri na basal polyps ụdị, ịda site a ọrịa eriri akpa nwa ahu basal oyi akwa. Kpebisie ike na ezi guzobere Ọdịdị ada ada site na histological analysis remote mmewere. Ọtụtụ mgbe, polyps-anọgide n'ime akpanwa, na obere okwu, ha na-eto na cervix ma ọ bụ ikpu. The usoro ọgwụgwọ a na-ahọrọ na-adabere afọ nke onye ọrịa ahụ na e ji mara nke enweghị nchịkwa mgbanwe. Ịwa aka bụ isi usoro nke akara, ma ọ bụrụ na achọpụtara endometrial polyp. Ọgwụgwọ enweghị ịwa ahụ ọgwụ bụ omume ma ọ bụrụ na onye ọrịa jụ n'ịwa ahụ.

ihe

E nwere nsụgharị dị iche iche nke si malite endometrial polyp. Isi nke ha - mmiri ọgwụ ọrịa n'ihi oké estrogen ọdịnaya na progesterone erughi. Ndị dị otú ahụ a ọgwụgwụ ga-adọta si mmeghachi omume nke endometrial polyps ọmụmụ na estrogen mmalite. Ọzọkwa bụghị chịrị si ize ndụ nke ọrịa n'ihi na na-efe efe nke esịtidem oyi akwa nke akpanwa, nakwa dị ka n'ibu mmebi nke endometrium ruru ka ite ime, ite ime, ime ọpụpụ, curettage, yi ihe intrauterine ngwaọrụ a ogologo oge, na-ezughị ezu mwepụ nke Plasenta n'oge na-amụ nwa, na-eme egbochi mkpụkọ nke ọbara na fibrin etolite connective anụ ahụ na-aghọ a polyp. Ghara ego na likelihood nke polyp growths n'ihi na enwekwukwa vaskụla ibu n'ime eriri akpa nwa oghere. Mụbara ize ndụ nke na-emepe emepe na ọrịa na-emetụta ndị endocrine Filiks inyom metụtara na-arịa ọrịa shuga mellitus, a metabolic aghara, ọbara mgbali elu, thyroid ọrịa ịrụ ọrụ. Akpasu disturbances na mmiri ọgwụ na-etoju bụ ọrịa uche, ịda mbà n'obi, mmetụta uche, nchegbu, ma belata dịghịzi usoro na enweghi vitamin ke idem.

Mgbaàmà nke endometrial polyps

Na ikpe, ma ọ bụrụ na ndị epithelial proliferation nke obere na-ahụ ụdị, ihe ịrịba ama nke endometrial polyps mgbe anọghị. Ya mere chọpụtara, na-emekarị na pelvic ultrasound. N'elu na-eru a bukwanu size e dị otú ahụ a na-adakarị picture:

• amụba nọmba nke enweghị nchịkwa whitish precipitates (leucorrhea);

• nsogbu ịhụ nsọ okirikiri;

• arọ ịhụ nsọ eruba;

• nnukwu mgbu n'ụdị contractions mgbe a polyp esịmde cervical kanaal;

• e na-agba ọbara na intermenstrual oge;

• erughị ala na ihe mgbu n'oge mmekọahụ;

• infertility na-eto eto na omumu afọ;

• ọdịda n'oge IVF;

• omume nke na-agba ọbara n'oge menopause. Ya mere, ihe ka ọtụtụ kenyere mgbaàmà nke endometrial daa ọrịa polyp mwepụ. Nyocha nke ọrịa mgbe Ịwa ahụ na-atụ aro na ịwa ahụ ọgwụgwọ na-eme ka ofufe nke mgbaàmà kpamkpam na ndị inyom na-eche ịrịba enyemaka.

nchọpụta nsogbu

N'oge nnyocha na ọkachamara n'ọrịa ụmụ nwanyị pụrụ ịhụ ọtọ endometrial polyp, na-ahapụ cervix na ikpu. Ya mere, isi n'ụzọ na-amụ bụ inye ihe ultrasound. Na omume na-adịghị doro anya na visualized polyp, rụrụ gisterosonografiyu na-anọchite anya otu ultrasound, ma na iwebata n'ime akpanwa site na catheter nke saline. Nke a na Usoro-enye gị ohere inyocha na ihe nkowa nke polyp, ya size na udi. N'ihi na ihe ọmụma zuru ezu na-achọpụta ọrịa hysteroscopy a rụrụ, n'oge nke ọ bụ ike n'ụzọ ziri ezi chọpụta ebe orunótu nke polyp na iji usoro a ọ bụ omume na kpomkwem na-ewepụ a polyp na stalk. Technology nke ya nketa na-anọchi anya a minimally invasive usoro. Akpanwa na-ndinọ ngwa anya ngwá obere cross ngalaba n'obosara nke na-enye ohere nsu bi-optic ihe onwunwe na-ịkpụcha nke endometrium. Mgbe mwepụ nke polyp ọ na-zigara histological nnyocha, nke na-ekpughe bughi atụmatụ, ọnụnọ nke ndiiche sel ndimek n'ihu ọgwụgwọ. Mgbe ịchọputa ọnụnọ nke ndụ nke kansa kenyere ọkachamara nnyocha na gynecologic oncology.

Ụzọ nke ọgwụgwọ

E nwere isi ihe abụọ ụzọ nke ọgwụgwọ - na-ịwa ahụ na-abụghị nke ogwugwo usoro.

ịwa usoro

• Site na arụmọrụ usoro ndị kasị oru oma bụ hysteroscopy, nke ruru ka ngwa anya ngwaọrụ (hysteroscope gụnyere Micro ngwaọrụ a tube) na-enye ohere na-atụle ihe zuru ezu na ọnọdụ nke polyp ma n'ụzọ ziri ezi na-ewepụ ya na nwere elu mmasị karịa ịkpụcha blindly. The ime ihe nwere ike rụrụ na-enweghị ná Nkụnwụ na ná Nkụnwụ na anaghị a otutu oge - 5-20 nkeji, dabere na ọdịdị nke enweghị nchịkwa mgbanwe.

• hysteroresectoscopy - bụ a zuru usoro ịwa ahụ. Nanị ụzọ na ikpe nke oké ọrịa nke endometrium - mwepụ nke polyp. Nyocha nke ọrịa emume ịwa ahụ, na-ekwu na ọrụ bụ enweghi mgbu, ebe ọ bụ na-enwe general ná Nkụnwụ.

mgbanwe

• Surgery bụghị nanị otu, ma ọ bụrụ na a chọpụtara endometrial polyp, ọgwụgwọ na-enweghị ọrụ na o kwere omume n'ụzọ dị iche iche, bụ mmiri ọgwụ ahụ.

• Ọgwụ nje ọgwụgwọ na banyere ọrịa nke mmekọahụ okirikiri.

hormone ọgwụ

Na ikpe, ma ọ bụrụ na ahụrụ endometrial polyp, ọgwụgwọ na-enweghị ọrụ e kenyere ndị na-esonụ homonụ:

• progestogen progesterone (pụtara "Utrozhestan", "Duphaston"). The ọgwụ na-kenyere a oge nke 3-6 ọnwa na 2nd adọ nke ịhụ nsọ okirikiri.

• Mgbagwoju onu gbochie afọ na-kenyere ndị inyom n'okpuru afọ afọ 35, na-enwe a polyp nke eriri akpa nwa endometrium. The ọgwụgwọ dịruru maka ụbọchị 21.

• Agonists nke gonadotropin atọhapụ hormone

Non-ịwa ahụ ọgwụgwọ nke Chinese tampons

Mgbe ọ gaghị ekwe omume na-eduzi ịwa ahụ iji wepụ endometrial polyp, ọgwụgwọ enweghị ịwa ahụ a rụrụ na mgbanwe ụzọ - Chinese tampons. ha na-eji dị ka mgbochi nke nlọghachi azụ. The kasị mara tampons Clean Point, mara mma NDỤ. Ruo ọgwụgwọ ga-mkpa 10-12 tampons maka mgbochi - 2 tampon kwa ọnwa. Ha na-agụnye nke eke akwukwo nri mmiri nke sara mbara-ụdịdị dị iche iche, normalize homonụ na-agha megide na-efe efe. Folk ịgba akwụkwọ par ọgwụ ụzọ adị na unconventional ụzọ wepụ endometrial polyp, ndiife ịgba akwụkwọ igosipụta ala irè nke ọgwụgwọ. Otu ụzọ bụ ojiji nke garlic - ọ ga-agbaji, ọbọp ke a bandeeji, na-etolite a bọl na tie eriri. The swab na ẹkenam n'ime ikpu n'abalị maka otu ọnwa. Ọtụtụ anwalewo na usoro a, katọrọ mba ọgwụgwọ nke fibroid polyp nke endometrium, na reviews-atụ aro na idi ọbụna awa anọ bụ nnọọ ike, tinyekwara n'abalị. N'ihi ya, ọ bụ omume na-ọkụ mmamiri mucosa.

Prevention of endometrial polyps

Dị ka mgbochi nke endometrial polyp ga-rube isi na-esonụ ụkpụrụ nduzi:

• Jiri nlezianya na-emeso na-efe efe na mkpali oria nke nwanyi omumu akụkụ na irè ọgwụgwọ.

• ata mgbe nnyocha na ọkachamara n'ọrịa ụmụ nwanyị.

• Mgbe mbụ mgbaàmà na ịkpọ onye dọkịta.

• mepụta normalisation nke mmiri ọgwụ ndabere

Nlọghachị endometrial daa ọrịa ime na ihe omume na ọ bụ n'oge ọrụ, ọ na-kpamkpam wepụrụ. Dị ka mgbochi nke ntighari ọrịa iji hormone ọgwụ kwesịrị izere-akpata nchekasị, ite ime, rie nri ma nyochaa nke steeti ahụ ike na dịghịzi usoro.