Namuhla sizokhuluma nge-hyperplasia ye-endometrium yesibeletho, futhi ikakhulukazi ngezimbangela nemiphumela yale nqubo yokwelapha.
I-hyperplasia ye-endometrium ekwenzeni ukwelashwa
Ngaphambi kokuba sibuyele esihlokweni sentshisekelo kithi, ngokushesha sikhetha futhi siqinisekisile abesifazane abaningi abangafundile kule ndaba: i-endometrial hyperplasia yesisu ayiyona umdlavuza, kodwa isifo esidinga ukwelashwa. Futhi manje ngokuhlelekile.
Ukuze sibe nomqondo onembile ngokwengeziwe okwenzekayo, ake sikhumbule inkambo yesimo semvelo esikoleni. Ngakho-ke, i-endometrium yi-membrane yangaphakathi yesibeletho, ehambisana nezinguquko ze-cyclic futhi iqukethe amangqamuzana amancane, izigqoko kanye nezitsha. Ngaphansi kwethonya lama-hormone esigabeni sokuqala somjikelezo, kukhula ngokweqile. Uma ukukhulelwa kungenzeki, bese isigaba sesibili sifa kancane kancane, futhi ekugcineni siyanqatshwa futhi siphume ngaphandle, okuyinto eqinisweni esibizwa ngokuthi ukuya esikhathini. Lapho umzimba wesifazane ulungile futhi isizinda se-hormonal sisimeme, ubukhulu be-endometrium phakathi nomjikelezo ufinyelela ku-18-21 mm. Ukuphambuka kusuka kwendabuko esiqondisweni esikhulu kuwubufakazi be-hyperplasia. Ngamanye amazwi, i-endometrial hyperplasia yesibeletho akuyona into engaphezu kwesigqabhezana sekhanda elingaphakathi, neshintsho esakhiweni samangqamuzana nezigulane.
Kuye ngokuthi isimo sezinguquko zesakhiwo, zikhona:
- ngokuzenzekelayo (kukhona ukwanda kwezicubu ezigulisayo, kuyilapho igobolondo likhula, izigulane zithola isimo esiyingozi kanye nendawo engalungile). Njengomthetho, lokhu kuyinkqubo enobungozi;
- i-cystic (e-endometrium kunezinhlayiya ezikhulisiwe nge-cystic);
- i-atypical, noma i-adenomatosis (ifomu eliyingozi kunazo zonke le-hyperplasia, libhekwa njengesimo esinqunyiwe);
- i-cystic;
- ama-polyps anezintambo ezinamafutha anesibindi.
Noma yikuphi kulezi zindlela zesifo akuyona into ejwayelekile kakhulu. Izimpawu ze-hyperplasia ye-endometrial yilezi:
- ukufihla okuphakathi (ukubona igazi kungabonakala phakathi komjikelezo, noma emva kokubambezeleka kancane esikhathini sokuya esikhathini);
- ukwephulwa komjikelezo wokuya esikhathini;
- Ukungenzi lutho kuyisignali enkulu ye-endometrial hyperplasia, okuyinto evame ukuholela abesifazane kwihhovisi likabafazi. Ngokumelene nesizinda salesi sifo, ukukhulelwa akukwazi ukufika, noma ngezinye izikhathi usongo lokuphazamiseka kokuqala luyanda.
Izimbangela nemiphumela ye-hyperplasia
Ukuqala kwazo zonke izifo eziphathelene nokuziphatha ngokomzimba emzimbeni wesifazane kungalingani kwe-hormonal. Futhi i-hyperplasia ayinjalo. Okokuqala, imbangela yokwanda kwesifo segciwane lesibindi esingaphakathi kwesibeletho kungaphezu kwama-estrogens nokuntuleka kwe-progesterone. Ezinye izimo ezibucayi zingase zibe yingozi, isibonelo, isifo sikashukela, isisindo segazi esiphakeme, i- myoma uterine, izibisi kanye nezifo ze-gland.
Kusobala ukuthi lesi sifo singenye yezingozi futhi sidinga ukwelashwa ngokushesha. Ngoba ezinye izinhlobo ze-hyperplasia ngokushesha ziyancipha zibe yisifo somdlavuza. Ngaphezu kwalokho, ngisho nangemva kokwelashwa, kubuya kabusha, ngeshwa, akuvamile. Ngokuqondene nezinqubo eziyingozi, zithinta imiphumela enjalo engathandeki njengokungabikho kokugula nokungasebenzi kwegazi.