Hyperplasia - ihe bụ nke a? Glandular endometrial hyperplasia. Lobular hyperplasia nke endometrium

Hyperplasia - a ọnọdụ ji na-abawanye na cell nọmba na a anụ ahụ ma ọ bụ ngwa (ma e wezụga n'ihi akpụ anụ ahụ). The N'ihi nke mmepe nke a na ọrịa bụ a akpụ ma ọ bụ a akara na-abawanye na ahu size.

Amalite hyperplasia ekemende a dịgasị iche iche nke mmetụta ndị na-emetụta Mgbasa nke na-akpali akpali mkpụrụ ndụ. N'ihi ya, a pụrụ ịkpalite mmepe nke antigenic stimuli oncogenic bekee, ibu promoters ma ọ bụ anụ ahụ na ọnwụ, n'ihi na ihe ọ bụla mere, ngwa ma ọ bụ akụkụ nke anụ ahụ. N'ahụ hyperplasia - a akwaga n'oge ime na mammary epithelium, a pụta ìhè nke glandular hyperplasia tupu ma ọ bụ mgbe nanso, na ndị ọzọ yiri n'obiọma.

Dị ka ihe atụ, hyperplasia, aga n'ihu enweghị nchịkwa ọnọdụ, nwere ike na-akpọ na-abawanye na bughi ọcha na ọrịa na ụdị ụfọdụ nke anaemia myeloid anụ ahụ. Ke adianade do, hyperplastic Filiks nwere ike ime na lymphoreticular anụ Lymph, dị ka dịghịzi omume na splin, na ikpe nke ọrịa nke na-efe efe na okike.

A iche iche

Na nkà mmụta ọgwụ, e nwere ọtụtụ ndị isi ụdị:

1. N'ahụ hyperplasia. Anụ ahụ uto pụtara, nke bụ ọtọ ma ọ bụ ruo nwa oge. Ka ihe atụ, hyperplasia nke mammary glands n'oge lactation ma ọ bụ ime.
2. Enweghị nchịkwa hyperplasia. N'ihi a ọnụ ọgụgụ nke precipitating ihe ime anụ ahụ uto.

Ke adianade do, ọrịa nwere ike ịbụ Baịbụl hiwere isi n'ebe, asị ibe na polypous:

1. Mgbe e nwere a doro anya ụdị Baịbụl hiwere isi n'ebe orunótu usoro n'ụdị onye ngalaba.
2. Na asị ibe hyperplasia ngụkọta emetụta n'elu oyi akwa.
3. N'ihi polypous ụdị ji mkpumkpu mmụba nke ejikọta ọcha. Na nke a, hyperplasia pụrụ ịkpalite mmepe nke substandard akwụkwọ na cysts.

Asị ibe hyperplasia nke thyroid gland

Nke a na ọrịa na-adị mgbe compensatory mmeghachi omume na thyroid ayodiin erughi. Okwu ahụ bụ "agbasa" ọ pụtara na daa ọrịa na-emetụta ndị dum ahu: bụ na-abawanye na ya size ruru mmeputakwa nke prostate mkpụrụ ndụ iji nọgide na-enwe secretion nke thyroid homonụ na-akwalite metabolism, ime absorption nke oxygen na-akwado ike larịị.

Thyroid ayodiin chọrọ ịnọgide na-enwe ya mmiri ọgwụ ọrụ. The enweghị ma ọ bụ na-anọghị nke ayodiin akwalite proliferation nke cancer mkpụrụ ndụ na ike ekemende ịkpata dysfunction.

adrenal hyperplasia

The ọrịa nwere ike ịbụ asị ibe ma ọ bụ nodular. Ọ na-esonyere nọgide adrenal anụ ahụ na ikpe nke pineal etuto ahụ na Cushing si syndrome. Okenye, ụdị hyperplasia, karịsịa-eme aka ekpe, na ultrasound ọmụmụ bụ nnọọ ike na-aghọta na-anọgide na isiokwu nke ọmụmụ site MRI na CT.

Mgbe ụfọdụ agbasa adrenal hyperplasia na-esonyere ụba mmanye ma na-na nkịtị anya glands - n'ụdị hypoechoic owuwu, gbara ya gburugburu ọdụdụ anụ ahụ. N'ihe banyere nodular hyperplasia ke "triangle nke abụba" nwere ike hụrụ gburugburu, homogeneous hypoechoic guzobere. Ha na-esi ike ịmata ihe dị iche site na adenoma na ultrasound picture.

Prostate - benign prostatic hyperplasia

About 85% nke ndị ikom okenye karịrị afọ 50 bụ isiokwu ọrịa a. Benign prostatic hyperplasia e ji guzobe prostate ole na ole obere nodules (ma ọ bụ onye) nke na-agbasa nwayọọ nwayọọ amalite pịa na urethra, nke ekemende akpata ihe isi ike na urination.

The ọrịa adịghị akpata metastasis, na ihe na-akpata ọdịiche ya prostate cancer, n'ihi ya, ọ na-akpọ benign prostatic hyperplasia. Na nke a, na o nweghị doro anya na-akpata na-na-emekarị jikọtara nwoke menopause.

eriri akpa nwa endometrium

Hyperplasia - a benign abawanye ọkpụrụkpụ na olu nke eriri akpa nwa lining. Ọ nwere ike ime ka a n'ihi nke ozuzu dị ka glandular na ndị ọzọ na anụ ahụ na mkpụrụ ndụ. The ọrịa nwere ike ime ka emeghasịkwa nke ọtọ ọrụ nke endometrium (tụụrụ ime nsogbu, mkpọchị menses).

N'okpuru nkịtị ọnọdụ, endometrium-eto n'okpuru edinam nke estrogen ke akpa okirikiri oge, n'okpuru nduzi nke progesterone n'oge nke abụọ oge nke okirikiri na-erute. Na daa ọrịa nke endometrial ibu bụ n'echeghị echiche, ọ bụ ike nke na akada ma dum n'ime n'ọbọ na onye akụkụ (lobular hyperplasia).

Iche endometrial hyperplasia

Dị ka predominance nke ụfọdụ ọcha na-eto eto endometrium tọhapụrụ:

1. Glandular hyperplasia. Endometrial glands na-eto eto na ngafe.
2. Polypoid hyperplasia. Aga patchy uto nke endometrium, nke bụ glandular, glandular-fibrous na fibrous ke uwa. Nke a na ụdị hyperplasia adịkarịghị na-aghọ oké njọ, ma nwere ike ije ozi dị ka ihe ndabere maka mmepe nke gynecological ọrịa.
3. Adenomatous hyperplasia na ọnụnọ nke gbara gharịị sel, premalignant. Na nke a mbelata na a cancer hyperplasia ụdị pụrụ iru banyere 10%.
4. Cystic glandular hyperplasia. Gland cysts na-eto eto banyere otu.

akpata

Iji ụbọchị, isi na-akpata ọrịa a bụ ngafe nke a ikwu enweghị progesterone n'ahụ estrogen etoju. Ndị dị otú ahụ a ọnọdụ nwere ike ime ka:

1. Transitional afọ mebiri nke mmiri ọgwụ metabolism na mmiri ọgwụ surges.
2. Women ibu oké ibu.
3. Polycystic Ovary ọrịa.
4. menopause.
5. Ịnata preparations nwere estrogen, na-enweghị na-anata progesterone.

Ọtụtụ mgbe, endometrial hyperplasia (comments ndị ọkachamara gosi na nke a) na-egosi na ndị inyom tupu menopause na-eto eto nulliparous inyom.

Comorbidities, dịkwuo okwu nke hyperplasia, atụle a nsogbu na adrenal gland na ara, thyroid ọrịa, ọrịa shuga mellitus nke ma ụdị, nakwa dị ka ọbara mgbali. Site na mmepe nke hyperplasia nwekwara ike ime ka ihe ndị dị ka:

1. Si n'aka ruo n'aka nke Genital ọrịa.
2. Adenominoz.
3. eriri akpa nwa fibroids.
4. Ime na curettage.
5. Mkpali Filiks genitalia.

Ihe mere maka mmepe na ụdị glandular endometrial hyperplasia

Main-akpata glandular hyperplasia:

1. Anovulation.
2. Ibu.
3. Ọnụnọ nke follicular cysts.
4. Menopause.

Ọ bụkwa a ize ndụ nke eyịre follicle syndrome, glycemia na granulosa cell etuto ahụ.

Enweghị ọgwụgwọ na-egbu oge nchoputa nke ọrịa a ka fraught na ize ndụ pụta, dị ka na mmepe nke endometrial cancer. Ukwuu n'ime na n'ihe ize ndụ bụ ndị inyom na-ata ahụhụ site na gbara gharịị hyperplasia ademonatoznoy na ndị inyom oge mgbe menopause. Ọ bụ Baịbụl hiwere isi n'ebe na asị ibe hyperplasia - a precancerous ụdị ọrịa ahụ.

Ụdị ndị ọzọ nke endometrial hyperplasia na-atụle kpụ ọkụ n'ọnụ mgbasa nke glandular epithelium, cystic dilated glands na glandular-cystic hyperplasia.

mgbaàmà

N'ọnọdụ ka ukwuu, hyperplasia nke glands emee enweghị iche adakarị mgbaàmà. Na nke a nkịtị ngosipụta na-atụle dysfunctional eriri akpa nwa ọbara ọgbụgba mere site ịhụ nsọ ụfọdụ (menses oge). Nke a ọbara ọgbụgba nwere ike ịbụ ma profuse na ruo ogologo oge, na ọbara na ọnwụ - arọ ma ọ bụ agafeghị oke. N'ihi ya, ịzụlite ụkọ ọbara mgbaàmà: ọnwụ nke agụụ, ike ọgwụgwụ, adịghị ike.

N'etiti oge nwere ike hụrụ spotting. Ọtụtụ mgbe ndị inyom ruru anovulation infertility ikpe. Nke ahụ bụ kpọmkwem ihe mere infertility bụ a njem dọkịta ekemende ịchọpụta ọrịa. N'etiti mgbaàmà nwekwara ike-kwuru ihe mgbu na ala abdominal ebe.

Ịchọpụta Otú Nsogbu glandular hyperplasia nwere ike rụrụ site dilatation na curettage, nke a rụrụ ozugbo tupu ịhụ nsọ. Ọtụtụ mgbe na-eji na nchoputa nke ultrasound, na hysteroscopy.

lobular hyperplasia

Lobular hyperplasia (ọkachamara reviews gosiri na nke a) nwere ike ize cancer na infertility. Weakly akpọ ma ọ bụ asymptomatic nwere ike ịchọpụta ọrịa nanị n'oge ultrasound ma ọ bụ gynecological nyochaa.

Lobular hyperplasia emekarị amalite mgbe e mesịrị na mmiri ọgwụ ọrịa, mgbe nyefe nke somatic ọrịa na ime ma ọ bụ megide ndabere nke hyperplasia nke glandular ụdị.

Lobular hyperplasia nke eriri akpa nwa epithelium na-chọpụtara na ndabere nke ndị na-esonụ mgbaàmà:

• ọbara ọgbụgba mgbe cessation nsọ;
• acyclic ma ọ bụ cyclic ịhụ nsọ ụfọdụ.

Ọgwụgwọ nke ọrịa a na n'ụzọ abụọ bụ isi:

1. Medical usoro - na-enyemaka nke pụrụ iche ọgwụ ọjọọ eme ihe, gụnyere mmiri ọgwụ okike.
2. Ịwa ahụ ma ọ bụ ịkpa usoro - site ịkpụcha na eriri akpa nwa oghere.

Diagnosis nke endometrial hyperplasia

The ndabere maka nchoputa nke ọrịa a bụ nnyocha site a ọkachamara n'ọrịa ụmụ nwanyị, maka instrumental na laabu nnyocha.

Isi nchoputa ụzọ na-agụnye:

1. Ultrasound nnyocha nke akpanwa na ejiji mmamiri nyocha.
2. Hysteroscopy na biopsy ụdị maka histological nyochaa.
3. Diagnostic ịkpụcha na eriri akpa nwa oghere.
4. Ọ bụrụ na ọ dị mkpa, dokwuo anya ụdị hyperplasia ẹkenịmde ọchịchọ biopsy.

Otu n'ime ndị kasị mkpa ime nnyocha research bụ definition nke ọbara mmekọahụ hormone etoju na thyroid, na adrenal glands.

Ọ dị mkpa ka i cheta na ihe ọ bụla ụdị hyperplasia achọ ezi nchoputa na mata ezi na-akpata, nke mere ka onye na-abawanye na anụ ahụ.

ọgwụgwọ

Ọ bụrụ na ị na-chọpụtara na hyperplasia, ọgwụgwọ a rụrụ ozugbo. The usoro a họrọ dabeere na mgbaàmà nke ọrịa na afọ nke onye ọrịa.

The kasị dị irè otú - achọpụta ọrịa curettage ma ọ bụ hysteroscopic mwepụ usoro na asị ibe endometrium.

Ọ bụrụ na ọgwụgwọ usoro a multi-agwa, nke mbụ niile, igosi mberede ma ọ bụ elective scraping. Site n'ime ihe a mbụ n'onwe mgbe anemizatsii ma ọ bụ na-agba ọbara.

Ozugbo histology rụpụtara na-natara, na ọkachamara nwere ike ekenye ndị na-esonụ e si agwọ ọrịa:

1. Mgbe ọ dị afọ 35 afọ prescribers akụ ọkpọ nke gonadotropin.
2. IUD "Mirena" na progestins.
3. progestin ọgwụ ọjọọ ( "Djufaston", "Utrozhestan") na-kenyere nke abụọ oge nke okirikiri.
4. N'ihi nzube nke na-abụghị ọrụ na-akwụsị na-agba ọbara na ụmụ agbọghọ na-eto eto, na-ekwe na-eji na pụtara nnukwu doses nke ọnụ na gbochie afọ.
5. Nchikota onu gbochie afọ ( "regulon" "Yaryna" "Janine") na-kenyere 6 ọnwa na ot n'ikuku circuit.

Preparations kwuru n'elu, ike mmetụta yiri menopause, ma reversible.

Mgbe ịkpụcha ka n'ihi na ọnwa isii ekwu, na ọ bụrụ na e a nlọghachite nke adenomatous hyperplasia iche-iche, ọ na-egosi na mwepụ nke akpanwa. Mgbe ụdị ndị ọzọ nke relapsing na inefficiency ọzọ agwọ ọrịa na-emepụta wuru mbibi nke ndị na endometrium (ablation).

Prognosis na nsogbu

The kasị dị ize ndụ sikwuoro nke endometrial hyperplasia - bụ ya mgbanwe n'ime cancer nke akpanwa. Otú ọ dị, ọ na-erughị ize ndụ ọbara na-agba ugboro na mmepe nke infertility na anaemia.

N'ọnọdụ ka ukwuu, a mma prognosis: n'ihi nke ịwa ahụ na Prima ọgwụ maka 6-12 ọnwa nwere ike kpam kpam ịgwọ ọrịa ahụ.

mgbochi

The kasị mkpa jikoro nke mgbochi nke endometrial hyperplasia - bụ iji gbochie na-akpata nchekasị, na-arụsi ọrụ agha megide ibu na ozugbo ọgwụgwọ nke ọrịa nke ịhụ nsọ okirikiri. Ọ dịkwa nnọọ mkpa adọ gynecological nnyocha nke ndị inyom.

Mgbe ụfọdụ, ụmụ agbọghọ ọkachamara nwere ike ikwu na ihe mgbochi nke mmiri ọgwụ ọgwụ ọjọọ na belata ihe ize ndụ nke endometrial hyperplasia na cancer. Nwanyị ọ bụla kwesịrị ịmara na ihe omume nke eriri akpa nwa ọbara ọgbụgba kwesịrị ozugbo ịkpọ a ọkachamara. Cheta na-adọ ọgwụgwọ na nke dọkịta ga-enyere na-eme n'ọdịnihu iji zere ọtụtụ nsogbu.