Hyperplasia - he aha te mea tenei? Glandular hyperplasia endometrial. hyperplasia Lobular o te endometrium

Hyperplasia - he tu'unga āhuatanga e te hua i roto i te tau pūtau i roto i te kiko okana ranei (ki te kahore hoki te kopa puku). Ko te hua o te whanaketanga o tenei mate ko te puku he hua tohua i roto i te rahi te tinana ranei.

Whakawhanake hyperplasia muri i te whānui o te awenga e pā whakatö o ngā pūtau whakaongaonga momo. Ko te kupu, kia tīmata te whanaketanga o whakaohooho antigenic matū oncogenic, kaiwhakatairanga tipu kiko ngaronga ranei, mo nga mea katoa te take, okana wahi o kiko ranei. hyperplasia whaiaroaro - he whaanui te wā hapūtanga te epithelium mammary, he faaiteraa o te hyperplasia glandular i mua i roto i paheke ranei, me ētahi atu mau faaiteraa rite.

Ka rite ki te tauira, hyperplasia, tikanga pathological ahu whakamua, e taea te huaina te hua i roto i te āhuatanga hanganga i roto i te tūroro ki te etahi momo o anemia kiko myeloid. I tua atu, ka taea e ngā tukanga hyperplastic puta i roto i te kōpuku kiko waitinana lymphoreticular, rite te whakautu ārai i roto i te kōateate, i roto i te take o mate o te natura hopuhopu.

He momo o puka

I roto i te rongoā, i reira e rave rahi ngā momo taketake:

1. hyperplasia whaiaroaro. puta tupu kikokiko, i te mea mahi rangitahi ranei. Hei tauira, hyperplasia o mammary repe i roto i te hohipera hapū ranei.
2. hyperplasia pathological. Nā ki te maha o ngā āhuatanga precipitating puta tupu kiko.

I tua atu, kia wāhi, E ruia ana, me te polypous te mate:

1. A, no te reira te mea he mārama ahua o te tukanga localization wāhi i roto i te puka o ngā wāhanga takitahi.
2. I roto i te hyperplasia katoa apa mata pāngia E ruia ana.
3. Hoki puka polypous āhuatanga e roha pāhiwihiwi o te huānga honotanga. I roto i tenei take, kia tīmata hyperplasia te whanaketanga o haapiiraa hë me cysts.

hyperplasia E ruia ana o te repe thyroid

puta tenei mate tauhohe, ka e vai i runga i thyroid konutawa hē. Ko te wā "haaparare i" te auraa e pānga te māuiuitanga te tinana katoa: ko te hua i roto i tona rahi e tika ana ki te uri o ngā pūtau repeure i roto i te tikanga ki te mau tonu i te secretion o hormones thyroid e whakatairanga pākia, te whakarei ake i te absorption o te hāora tautoko taumata pūngao.

Thyroid konutawa hiahiatia ki te mau tonu tona mahi hormonal. Ko te kore ngaro o te konutawa ranei whakatairanga tini o ngā pūtau mate pukupuku, me te taea muri hua i roto i te pōrearea.

hyperplasia adrenal

Ka taea e te mate e E ruia ana nodular ranei. Kei te haere tahi te reira e tonu kiko adrenal i te take o te pukupuku pineal me syndrome o Cushing. I roto i te pakeke, he tino uaua ki te mohio ki tenei ahua o te hyperplasia, rawa mahue-hoatu, ki te ako ultrasound me noho tonu te kaupapa o te ako i MRI ko CT.

I te tahi taime te haaparare i haere tahi hyperplasia adrenal e nui haere uruhi i te pupuri repe ahua noa - i roto i te puka o ngā hanganga hypoechoic, e karapotia ana e kiko fatty. I roto i te take o te hyperplasia nodular i roto i te "tapatoru o ngako" taea te kite a tawhio, hanganga hypoechoic ōrite. He uaua ki te wehewehe i te adenoma runga i te pikitia ultrasound ratou.

Repeure - te benign prostatic hyperplasia

Mō 85% o nga tangata pakeke atu i te 50 nga tau he raro ki tenei mate. Koló prostatic hyperplasia āhuatanga e te hanganga o repeure torutoru nodules iti (ranei tetahi) e horahia āta timata ki te pēhi i te taiawa mimi, e muri ai uaua ki urination.

E kore e te mate meinga metastasis, titore e take tona matepukupuku repeure, na huaina ko reira prostatic hyperplasia mārire. I roto i tenei take, kua reira kahore take mārama me e te nuinga o e pā ana ki menopause tane.

endometrium uterine

Hyperplasia - he hua Koló te matotoru, me te rōrahi o te ararewa uterine. Kia puta te reira i rite ki te hua o hua rite te glandular me te tahi atu pūtau kiko. Ka taea e te mate arahi ki te rangirua o te mahi mahi o te endometrium (hapu raruraru, te waipara waimaero).

I raro i ngā āhuatanga noa, tupu te endometrium raro i te mahi o te estrogen i roto i te wā huringa tuatahi, i raro i te mana o te taiaki i roto i te wā tuarua o te huringa te pehi. I roto i te mea tutu te māuiuitanga o te tupu endometrial, he reira, e nehenehe o hopu e rua te takotoranga i roto katoa me nga wahi takitahi (lobular hyperplasia).

Ngā momo o hyperplasia endometrial

E ai ki te predominance o etahi āhuatanga i roto i te endometrium tipu tukua:

1. hyperplasia glandular. repe Endometrial tupu i roto i te i te taikaha.
2. hyperplasia Polypoid. Haere tupu te pātītī o te endometrium, i te mea glandular, glandular-kaiota te, me te kaiota i roto i te natura. Tenei ahua o te hyperplasia varavara riro mārere, engari ka taea e te mahi rite te pūtake mo te whanaketanga o mate gynecological.
3. hyperplasia Adenomatous ki te aroaro o ngā pūtau mohiotia, premalignant. I roto i tenei e hōloa i roto i te hyperplasia pukupuku kia tae tenei momo e pā ana ki 10%.
4. Whēwhē hyperplasia glandular. cysts repe ka tupu e pā ana ki te taua.

take o

Ki te rā, te take matua o tenei mate ko te taikaha o te kore whanaunga o te taiaki taumata estrogen whaiaroaro. Ka taea e te huru taua meinga:

1. tau tauwhirowhiro i roto i te ofatiraa o te pākia hormonal me ongo hormonal.
2. mōmona Women o.
3. Polycystic kura kākano Syndrome.
4. menopause.
5. Te fariiraa teuteu kei roto estrogen, kahore te fariiraa i te taiaki.

Tino maha, hyperplasia endometrial (kōrero i te tohunga whakaū tenei) puta i roto i nga wahine i mua i te menopause i roto i taitamariki wahine nulliparous.

Comorbidities, whakanui i te faaiteraa o te hyperplasia, whakaaro he raruraru ki te repe adrenal me uma, mate thyroid, mate huka mellitus o ngā momo e rua, me te takawhita. Na roto i te whanaketanga o te hyperplasia taea meinga hoki taua āhuatanga rite:

1. Whakapapa o mate taihemahema.
2. Adenominoz.
3. fibroids uterine.
4. Materoto me tīwani.
5. tukanga inflammatory taihemahema.

Ngā take mō te whanaketanga me te momo o te hyperplasia endometrial glandular

ai Main hyperplasia glandular:

1. Anovulation.
2. Taumaha.
3. Ko te aroaro o cysts follicular.
4. Menopause.

Ko reira ano hoki te mōrea o te vilitakí ruahuru syndrome, glycemia me te pūtau granulosa pukupuku.

Te kore o te maimoatanga me te tātaritanga roa o tenei mate kia wehe ki hopearaa mōrearea, rite te whanaketanga o te mate pukupuku endometrial. Nuinga i mōrearea he wahine e mamae i mohiotia ademonatoznoy hyperplasia me nga wahine i roto i te wā i muri i menopause. Ko te rahi me te hyperplasia E ruia ana - he puka precancerous o te mate.

E whakaaro Ētahi atu momo o te hyperplasia endometrial horapa kaha o epithelium glandular, whēwhē repe dilated me hyperplasia glandular-whēwhē.

tohu

I roto i te nuinga o te wā, hyperplasia o te repe puta kahore tohu haumanu motuhake. I roto i tenei faaiteraa noa e whakaaro toto uterine aueue meinga e kōtītiti paheketanga (te waipara whakaroa). Ka taea e tenei toto e rua auau, me te auroa, me te mate toto - taimaha ranei āhua. Ka rite ki te hua, te whakawhanake i tohu anemic: mate o te hiahia, te rohirohi, ngoikore.

I waenganui i taea te kite i wā poke iho. Tino maha i roto i nga wahine e tika ana ki te wā anovulation te pākoko. Ko rite te take mo te te pākoko ko te haerenga ki te tākuta nei te tātari muri te mate. I roto i te tohu hoki e taea te kï mamae i roto i te rohe puku o raro.

Tātarihia te hyperplasia glandular taea te whakamana e te pītore me tīwani, whakamana nei te tonu i mua ki te paheketanga. Tino maha whakamahia i roto i te tātaritanga o te ultrasound, me hysteroscopy.

hyperplasia lobular

hyperplasia Lobular (tohunga arotake faaite ki tenei) i taea e whakawehi i te mate pukupuku, me te te pākoko. Ngonge korerotia asymptomatic taea kitea te mate i roto i ultrasound whakamātautau gynecological ranei anake ranei.

te tikanga whakawhanake muri hyperplasia Lobular i roto i disorders hormonal, i muri i te whakawhitinga o mate tinana me ngā mâtutuhia ranei ki te papamuri o hyperplasia o te momo glandular.

pāngia hyperplasia Lobular o uterine epithelium te i runga i te pūtake o te tohu e whai ake nei:

• toto i muri mutunga o paheketanga;
• acyclic huringa kōtītiti paheketanga ranei.

Maimoatanga o tenei mate i roto i rua ara matua:

1. tikanga Medical - ki te awhina o taero motuhake, tae atu ki te āhua hormonal.
2. tikanga hāparapara operative ranei - i haro i te kōhao uterine.

Tātaritanga o te hyperplasia endometrial

Ko te pūtake mo te tātaritanga o tenei mate ko te whakamātautau i te rata mātai, mo te rangahau mauhaa me te taiwhanga.

Ko te tikanga tātaritanga matua ngā:

1. Ultrasound whakamātautau o te kōpū, me konga uiuia tara.
2. Hysteroscopy ki ngā tauira unuhanga mō whakamātautau histological.
3. Tātaritanga haro te kōhao uterine.
4. Ki te tika, te whakamārama i te momo o te hyperplasia tū wawata unuhanga.

Ko tētahi o te rangahau tino nui taiwhanga ko te whakamāramatanga o te serum taumata sex taiki me thyroid, me repe adrenal.

He mea nui ki te mahara e titau tetahi ahua o te hyperplasia tātaritanga tika, me te tautuhi i te take pono, i arahina ki te hua i roto i te kiko.

maimoatanga

Ki te i pāngia koe ki te hyperplasia, kawea maimoatanga i roto tonu. tīpakohia te tikanga kei te hāngai i runga i nga tohu o te mate, me te tau o te manawanui.

Ko te ara whai hua tino - tīwani tātaritanga tukanga tango hysteroscopic i roto i endometrium E ruia ana ranei.

Ki te ko te tukanga maimoatanga he-pūāhua maha, te tuatahi o te katoa, te mahi ohorere hāro fili ranei. Na roto i te paitanga ki te whakatinanatanga tuatahi toto ina anemizatsii ranei.

Kia e riro te hua histology, ka taea e te tohunga tautapa te maimoatanga e whai ake nei:

1. I te tau o 35 tau kaitūtohu te raveraa ra o gonadotropin.
2. Rore hua "Mirena" ki progestins.
3. raau taero progestin ( "Djufaston", "Utrozhestan") e whakaritea i roto i te wā tuarua o te huringa.
4. Hoki te whakaaro o te mutu whakahaere-kore toto i roto i te mau tamahine i te kuao tau, e whakaaetia ki te whakamahi i roto i pota tika nui o te whakawhānau-waha.
5. Pahekotanga te whakawhānau waha ( "regulon" "Yaryna" "Janine") whakaritea te ki 6 marama ki te ara iahiko fariiraa tikanga.

Whakatakataka whakahuatia i runga ake, te hanga i tētahi pānga rite ki te menopause, engari reversible.

I muri haro tonu hoki e ono nga marama aroturuki, me te mea i reira te mea he hohokitanga o ngā puka hyperplasia adenomatous, whakaatu reira te tango o te kōpū. A, no te hua atu momo o te kai paipa me te koretake atu maimoatanga whakangaromanga tāwhaiwhai o te endometrium (ablation).

Waitohunga me pōauautanga

Ko te pōauautanga tino mōrearea o te hyperplasia endometrial - ko tona huringa ki te mate pukupuku o te kōpū. Heoi, toto kahore iti mōrearea me auau ki te whanaketanga o te pākoko, me te anemia.

I roto i te nuinga o te wā, he waitohunga pai: kia rite ki te hua o te pokanga me prima taero mō te 6-12 marama e taea kore tino whakaora te mate.

ārai

Ko te mehua tino nui o te ārai o te hyperplasia endometrial - ko ki te ārai i ngā āhuatanga taumaha, he whawhai kaha ki te maimoatanga taumaha, me te tonu o disorders o te huringa te paheketanga. Ko reira ano hoki te tino nui whakamātautau gynecological wā o te wahine.

I te tahi taime e tūtohu taitamariki kotiro mātanga mo te ārai o taero hormonal e whakaiti i te tūponotanga o te hyperplasia endometrial me mate pukupuku. kia mōhio e i roto i te hui o te uterine toto kia kōrero tonu i te mātanga Tetahi wahine. Kia mahara e te maimoatanga wā ki te tākuta, ka āwhina i roto i te heke mai ki te karo i te nuinga o nga raruraru.