ʻO ka Hyperplasia o ka endometrium he maʻi kīkino maʻamau, e like me kēia. ʻO ke kino e uhi ana i ka pūpū (endometrium) no nā kumu likeʻole, e ulu ana i ka leo, a me nā uila. ʻO ka hyperplasia endometrial hiki ke:
- mālahi;
- glandular;
- glandular-cystic;
- haʻupuʻu glandular;
- Pākī.
ʻO ka hyperplasia maʻamau ka māmā o ka papa endometrium me ka hoʻololiʻoleʻana i keʻano o nā pūnaewele; ʻo ke kikowaena e hōʻike ana i ka hikiʻana i nā papa o nāʻano o nā hanana kīnāʻole (ka mea i kapaʻiaʻo adenomatosis). Me keʻano o ka hyperplasia glandular-cystic o ka endometrium, nā hoʻokolohua pilikino - nā kupa - i loaʻa i loko o ka hanana kiko. ʻO keʻano o nāʻano fibrous glandular, uaʻikeʻia ma keʻano o polyps - kahi kūpono i loko o ka'ōpū. ʻO ka hopena hope loa o ka maʻi iʻoi loa i kaʻoihana olakino.
Ma keʻanoʻokoʻa, he mea nui keʻano o nā'āpana lolopa o ka diaclasia endometrial. Heʻano kūʻokoʻa ia, e like me ka glandular-cystic a me ka fibrous glandular, no ka mea, he 10-15% ka hopena o ka hōʻaiaʻana i ka maʻi o endometeria.
Nā kumu a me nā hōʻailona o ka maʻi
ʻO ka Glassular cystic vasometrial hyperplasia, e like me nāʻano'ē aʻe, e like me ke kānāwai, i ke kumu o nā hanana hormonal nui i ke kino (i nā manawa i nā kaikamahine i ka wā'ōpio a me nā wāhine i ka manawa o ka menopause). ʻO ka uluʻana i kēia maʻi, hiki ke kōkua i ka wahine kaulike, ke kūʻana o kāna mau hulu'ōpiopio, amenorrhea, a me ka'ovulation.
ʻO ke kumu nui o ka hyperplasia endometrial e kahe ana, hiki paha ke liʻiliʻi a nui paha, ma muli o nā kumu likeʻole. ʻO ka hopena o ka hemorrhage, hiki ke hele pū me nā hōʻailona e like me ka nāwaliwali, ka liʻiliʻi, ka hoʻohaʻahaʻaʻana i ka hemoglobin i loko o ke koko.
Inā hele pūʻia ka maʻi me ka nele o ka'ōpiopioʻana, a laila,ʻo ka hopena o ka hopena e liloʻole i meaʻole,ʻo ka kānaluaʻana i kekahi manawa e alakaʻi i kahi wahine i ke kauka.
Pono e hoʻomaopopoʻia he hiki i ka diaplasia glandular-cystic o ka endometrium aʻaeʻole e hana i ka hopena asymptomatically a iʻole e hōʻikeʻia e like me kaʻehaʻole i ka lalo lalo. Hōʻike kēia i ka diagnostics, no ka mea, ke hana ke kahuna i ka hyperplasia, hanaʻia ka hysteroscopy, a hoʻohanaʻia ka ultrasound eʻike ai inā heʻano hauʻoliʻo cystic polyps o ka mea maʻi i ka endometrium.
Hoʻomaʻoʻia o ka hyperplasia i ka endometrial glandular
ʻO kahi maʻamau o kēia maʻi he mea pono loa ia a ma muli o nā kumu he nui:ʻo ka makahiki o ka wahine, ka hana o kona kiʻi, ka nohona olakino, ke kūʻana o nā maʻi mau loa, kona makemake i ka wā e hiki mai ana i nā keiki, a pēlā aku. Heʻano nui ka hyperplasia.
ʻOiaiʻo ka kumu o ka maʻi i pinepineʻia i hūnāʻia i loko o ka maʻi hōʻinoʻia, ua mālama pūʻia me nā hua'ōlelo hormonal (progesin and progestogen). Ma mua o ke kaʻina hana
Inā loaʻa keʻano o ka hyperplasia, a laila e hoʻoponoponoʻia kāna hanaʻana me ke kaukamaikahonua. Inā hōʻoia ka hormone therapy i ka hopena a makemake ka wahine e nui aʻe nā keiki,ʻaʻole pono nā kauka e hele i nā hana kūpono, akā inā e holomua ka hyperplasia, ua hāʻawiʻia nā maʻi i ka hanaʻana i ka maʻi o ka maʻi.