Hyperplasia - menene wannan? Glandular endometrial hyperplasia. Lobular hyperplasia na endometrium

Hyperplasia - wani yanayin halin da karuwa a cell lamba a nama ko Gabar (sai dai ƙari kyallen takarda). A sakamakon ci gaban da wannan cuta ne ƙari, ko da wani alama karuwa a jiki size.

Tasowa hyperplasia baya a fadi da dama tsoma da shafi yada haramta motsa Kwayoyin. Saboda haka, zai iya fararwa da ci gaban antigenic samuwar kasashe oncogenic abubuwa, girma promoters ko nama hasara, domin duk abin da dalili, sashin jiki ko sãshen nama. Physiological hyperplasia - a sprawl a lokacin daukar ciki da mammary epithelium, wata alama ce ta glandular hyperplasia kafin ko lokacin haila, da kuma sauran irin wannan manifestations.

A matsayin misali, hyperplasia, m pathological yanayi, za a iya kira da karuwa a cikin tsarin abubuwa a marasa lafiya tare da wasu siffofin anemia myeloid nama. Bugu da kari, hyperplastic matakai na iya faruwa a cikin lymphoreticular nama Lymph nodes, a matsayin rigakafi martani a cikin baƙin ciki, a game da cututtuka na dauke da kwayar cutar yanayi.

A salo da dama

A magani, akwai da dama na asali iri:

1. Physiological hyperplasia. Nama girma ya auku, wanda shi ne aikin ko wucin gadi. Alal misali, hyperplasia na mammary gland a lokacin lactation ko ciki.
2. Pathological hyperplasia. Saboda yawan precipitating dalilai faruwa nama girma.

Bugu da kari, cutar na iya zama mai da hankali, yaxuwa da kuma polypous:

1. Lokacin da akwai wani sarari nau'i na mai da hankali sarrafawa aiwatar a cikin nau'i na mutum sassan.
2. A yaxuwa hyperplasia total shafi surface Layer.
3. Domin polypous form halin da m fadada daga cikin haɗa da abubuwa. A wannan yanayin, hyperplasia iya fararwa da ci gaban substandard educations da cysts.

Yaxuwa hyperplasia na thyroid gland shine yake

Wannan cuta na faruwa a lokacin da compensatory dauki kan thyroid aidin rashi. Kalmar "yaxuwa" yana nufin cewa Pathology rinjayar da dukan jiki: shi ne wata karuwa a cikin size saboda haifuwa na prostate Kwayoyin domin ya kula da mugunya thyroid hormones da inganta metabolism, da inganta sha na oxygen goyon bayan samar da makamashi matakin.

Thyroid aidin da ake bukata domin kula da hormonal aiki. A rashin ko babu aidin inganta yaduwa na ciwon daji Kwayoyin kuma iya baya haifar da tabarbarewa.

adrenal hyperplasia

Cutar na iya zama yaxuwa ko nodular. Yana yana tare da ci gaba adrenal nama a cikin akwati na pineal marurai Cushing ta ciwo. A manya, wannan nau'i na hyperplasia, musamman hagu, tare da duban dan tayi nazari ne mai wuya a gane, ya zauna, batun binciken da MRI da CT.

Wani lokaci yaxuwa adrenal hyperplasia yana tare da ƙara tilasta yayin da rike al'ada bayyanar gland - a cikin nau'i na hypoechoic Tsarin, kewaye da m nama. A cikin hali na nodular hyperplasia a cikin "alwatika mai" za a iya gani zagaye, kama hypoechoic samuwar. Sun kasance wuya a bambanta daga wani adenoma a kan duban dan tayi hoto.

Prostate - benign prostatic hyperplasia

Game da 85% na maza girmi shekaru 50 shi ne batun da wannan cuta. Yãfẽwa prostatic hyperplasia ne halin da samuwar prostate 'yan kananan nodules (ko daya) wanda shimfidawa a hankali fara matsa a kan mafitsara, da wanda baya ya haddasa wahalar da urination.

Cutar ba sa metastasis, cewa factor bambanta da prostate ciwon daji, don haka shi ne ake kira benign prostatic hyperplasia. A wannan yanayin, yana da wani bayyanannen haddasawa da kuma yawanci hade tare da namiji menopause.

igiyar ciki endometrium

Hyperplasia - a benign karuwa da kauri da kuma girma daga cikin igiyar ciki rufi. Yana iya faruwa a sakamakon waddan matsayin glandular da sauran nama Kwayoyin. Cutar na iya haifar da rushewa daga cikin aikin ayyuka na endometrium (conceiving matsaloli, illa sananniya).

Karkashin al'ada yanayi, da endometrium tsiro a karkashin mataki na estrogen a farko sake zagayowar lokacin, a ƙarƙashin rinjayar progesterone a lokacin da biyu lokaci na zagayowar aka kange. A Pathology na endometrial girma shi ne uncontrolled, shi ne iya kamawa da biyu da dukan ciki daina kai hare hare da kuma mutum sassa (lobular hyperplasia).

Iri na endometrial hyperplasia

Bisa ga predominance na wasu abubuwa a cikin girma endometrium saki:

1. Glandular hyperplasia. Endometrial gland girma fiye da kima.
2. Polypoid hyperplasia. Za Prakiraan girma na endometrium, wanda shi ne glandular, glandular-fibrous kuma fibrous a yanayi. Wannan irin hyperplasia da wuya ya zama m, amma zai iya zama a matsayin tushen ci gaban gynecological cututtuka.
3. Adenomatous hyperplasia da gaban atypical Kwayoyin, premalignant. A wannan degeneration a wani ciwon daji hyperplasia irin wannan na iya kai game da 10%.
4. Cystic glandular hyperplasia. Gland shine yake cysts da kuma girma a game da wannan.

Sanadin

Don kwanan wata, babban dalilin da wannan cuta ne wuce haddi na dangi rashin progesterone physiological estrogen matakan. Irin wannan yanayin zai iya sa:

1. Tsaka shekaru a take hakkin da hormonal metabolism da hormonal surges.
2. Mata kiba.
3. Polycystic kwai ciwo.
4. menopause.
5. Karbar shirye-shirye dauke da estrogen, ba tare da samun progesterone.

Sau da yawa sosai, endometrial hyperplasia (comments daga masana tabbatar da wannan) ya bayyana a cikin mata kafin menopause a cikin matasa nulliparous mata.

Comorbidities, kara da magana daga hyperplasia, dauke da wani matsala da adrenal gland shine yake da nono, thyroid cuta, ciwon sukari mellitus na da iri, kazalika da hauhawar jini. By ci gaban hyperplasia kuma iya sa irin wannan dalilai kamar:

1. Gadar hali na al'aura cututtuka.
2. Adenominoz.
3. igiyar ciki fibroids.
4. Zubar da ciki da kuma curettage.
5. Kumburi tafiyar matakai genitalia.

Dalilan da ci gaba da kuma iri glandular endometrial hyperplasia

Main sa glandular hyperplasia:

1. Anovulation.
2. Kiba.
3. A gaban follicular cysts.
4. Menopause.

Shi ne kuma wani hadarin dagewa follicle ciwo, glycemia da granulosa cell siffofin maruran.

Rashin magani da kuma jinkirta ganewar asali da wannan cuta haka fraught tare da m sakamakon, kamar yadda ci gaban endometrial ciwon daji. Mafi yawa a hadarin ne mata da suke fama da atypical hyperplasia ademonatoznoy da mata a cikin lokaci bayan menopause. Shi ne mai da hankali da kuma yaxuwa hyperplasia - a precancerous nau'i na cutar.

Sauran siffofin endometrial hyperplasia suna dauke m yaduwar glandular epithelium, cystic dilated gland da kuma glandular-cystic hyperplasia.

cututtuka

A mafi yawan lokuta, hyperplasia na gland auku ba tare da jinsin na asibiti bayyanar cututtuka. A wannan na kowa bayyananen suna dauke dysfunctional igiyar ciki na jini ya sa ta hailar magudi (sananniya bata lokaci). Wannan zub da jini na iya zama duka profuse da kuma shafe tsawon, da kuma jini asara - nauyi ko matsakaici. A sakamakon haka, ci gaba m bayyanar cututtuka: asarar ci, gajiya, wani rauni.

Tsakanin lokaci za a iya gani spotting. Popular sau da yawa a cikin mata saboda anovulation rashin haihuwa lokuta. Wannan shi ne daidai dalilin rashin haihuwa ne mai tafiya zuwa likita wanda baya gane asali cutar. Daga cikin alamomin kuma za a iya lura zafi a cikin ƙananan ciki yankin.

Diagnosing glandular hyperplasia za a iya yi da dilatation da curettage, wanda aka yi nan da nan kafin haila. Popular sau da yawa amfani a cikin ganewar asali na duban dan tayi, kuma hysteroscopy.

lobular hyperplasia

Lobular hyperplasia (masana reviews tabbatar da wannan) na iya barazana ga ciwon daji da kuma rasa haihuwa. Weakly furta ko asymptomatic iya gane cutar kawai a lokacin duban dan tayi ko gynecological jarrabawa.

Lobular hyperplasia yawanci tasowa daga baya a hormonal cuta, bayan da canja wurin da somatic cututtuka da kuma abortions ko kan bango na hyperplasia na glandular irin.

Lobular hyperplasia na igiyar ciki epithelium aka kamu a kan tushen da wadannan cututtuka:

• zub da jini bayan lõkacin fatara daga haila;
• acyclic ko cyclic hailar magudi.

Jiyya da wannan cuta a manyan hanyoyi biyu:

1. Medical Hanyar - tare da taimakon musamman da kwayoyi, ciki har da hormonal yanayi.
2. M, ko gudanar da Hanyar - by scraping da igiyar ciki rami.

Ganewar asali endometrial hyperplasia

Dalili ga ganewar asali da wannan cuta ne wani jarrabawa da wani likitan mata, domin instrumental da dakin gwaje-gwaje da bincike.

Babban ganewar asali hanyoyin sun hada da:

1. Duban jarrabawa na zauna cikin mahaifa, kuma appendages farji bincike.
2. Hysteroscopy da biopsy samfurori for histological jarrabawa.
3. Bincike scraping da igiyar ciki rami.
4. Idan dole, bayyana da irin hyperplasia gudanar tsammãni biopsy.

Daya daga cikin mafi muhimmanci dakin gwaje-gwaje da bincike ne definition na magani jima'i hormone matakan da thyroid, kuma adrenal gland.

Yana da muhimmanci a tuna cewa duk wani nau'i na hyperplasia bukatar cikakken bincike da kuma gano gaskiya haddasawa, wanda ya kai ga wani karuwa a nama.

magani

Idan ka kamu da aka hyperplasia, magani ne da za'ayi nan da nan. A Hanyar da aka zaba bisa bayyanar cututtuka da cutar da kuma shekaru na haƙuri.

A mafi inganci hanya - diagnostic curettage ko hysteroscopic kau tsari a yaxuwa endometrium.

Idan magani tsari ne mai Multi-hali, Ta farko, yi gaggawa ko zaɓe na scraping. By resorting to a farko embodiment lokacin anemizatsii ko zub da jini.

Da zarar histology sakamakon da aka samu, da gwani iya sanya wadannan jiyya:

1. A cikin shekaru 35 da shekaru prescribers antagonists na gonadotropin.
2. IUD "Mirena" tare da progestins.
3. progestin kwayoyi ( "Djufaston", "Utrozhestan") aka sanya a karo na biyu lokaci na zagayowar.
4. Domin manufar da ba-aiki hana zub da jini a 'yan mata a wani matasa shekaru, an yarda da za a yi amfani da fairly manyan allurai na baka hana.
5. Hade baka hana ( "regulon" "Yaryna" "Janine") da ake sa zuwa 6 watanni tare da na al'ada liyafar kewaye.

Shirye-shirye ambata a sama, ya haifar da wani sakamako kama menopause, amma reversible.

Bayan scraping har yanzu watanni shida kula, kuma idan akwai wani komawa da adenomatous hyperplasia siffofin, shi ya nuna da kau na mahaifa. Lokacin da sauran siffofin relapsing da kuma gazawar da sauran jiyya samar wucin gadi halakar da endometrium (ablation).

Hangen nesa da kuma rikitarwa

A mafi hatsari wahala na endometrial hyperplasia - ne da canji a cikin ciwon daji na mahaifa. Duk da haka, babu kasa m zub da jini da kuma recurrences da ci gaban rashin haihuwa da kuma anemia.

A mafi yawan lokuta, a m hangen nesa: a sakamakon aikin tiyata da na raw kwayoyi for 6-12 watanni iya ba gaba daya warkar da cutar.

rigakafin

A mafi muhimmanci da matakan rigakafin endometrial hyperplasia - shi ne su hana stressful yanayi, wani aiki yaki da kiba da kuma nan da nan lura da cuta daga cikin hailar sake zagayowar. Shi ne kuma mai muhimmanci dace gynecological jarrabawa na mata.

Wani lokacin matasa 'yan mata gwani na iya bayar da shawarar don rigakafin hormonal kwayoyi da rage hadarin endometrial hyperplasia da kuma ciwon daji. Duk macen da ya kamata ka sani cewa, a cikin taron na igiyar ciki na jini kamata nan da nan tuntubar wani gwani. Ka tuna cewa dace magani ga likita zai taimaka a nan gaba don kauce wa mafi yawan matsaloli.