Hyperplasia endometrial Atypical

hyperplasia Endometrial - o se tuputupu ae faaletonu o le loto (mucosal) ie e ufiufi ai o le tō, lea e avea tele faamafiafiaina nai lo masani. I se tulaga lautele, o le faaupuga "hyperplasia" o lona uiga o le faateleina o le aofai o sela po o aano o le tino o le tino, e mafua i se voluma o le tino faateleina. E tusa ai ma fuainumera faafomai, hyperplasia endometrial aafia ai e oo atu i le 20% o tamaitai ma 5-10% oi latou o loo liua i faamaʻi cancerous.

E tele ni ituaiga o hyperplasia ua:

• hyperplasia glandular;
• hyperplasia fibrosis;
• adenomatosis, o lona uiga hyperplasia atypical endometrial;
• hyperplasia lobular o le endometrium.

Mafai mafuaaga o le faamaʻi ua taua o faaletonu hormonal, faaletonu gynecological, polycystic syndrome ovarian (PCOS), faapau pepe, fibroids uterine, curettage diagnostic, adenomyosis, ekstragenital'nye faamaʻi fesootai (thyroid faamaʻi adrenal, suka, obesity, toto maualuga).

O auga o hyperplasia endometrial mafai ona auauna atu o ni faaletonu palapala masina (ona uumi po o shortening, leai toto mamafa); uterine faafuasei tafetotoi i maʻimāsina po o le ogatotonu o le lio, tumau e oo atu i ni nai vaiaso; mauaina o fanau.

hyperplasia endometrial Atypical O le faamaʻi sili ona ogaoga o le uma o le ituaiga o loo taʻua i luga. O le lamatia o ana suiga i le kanesa, afai e le untreated, e sau mai le 20% i le 80% ma e masani ona matauina i le taimi o le faamutaina (e ala i matua) galuega tauave palapala masina. I mafiafia hyperplasia atypical endometrial o 3 cm.

faatapulaaina (Lobular) hyperplasia o le endometrium - Ua polyps germinating nofoaga autu o tagata taitoatasi. E tusa ai ma le faatulagaga o le polyps e fibrous, glandular ma adenomatous. E faalagolago i le aofai o le polyp, mafiafia endometrial e mafai ona oo atu i le 6 cm.

Underdeveloped vaega i totonu o le tō - endometrium hypoplastic - e le o se faamai. endometrium e matauina i aafiaga vaivai o homone ovarian ma e le manaomia ai togafitiga - na ona matamata.

I tulaga pe afai o le hyperplasia atypical endometrial recurs ma o loo i ai se tulaga lamatia tele o le faaliliuina i se kanesa pepa, faaaoga taotoga - Aveese le soona ola vaega o le endometrium. O le taualumaga o le maualuga saʻo, anapogi ma matua mautu, e faafetai ai i tekinolosi faaonaponei.

Isi metotia o le taulimaina o le faamai ua faigata i le aveesea o polyps - polypectomy, ma le aveesea o le tō ma adnexa - hysterectomy. Hysterectomy e masani ona faaaogaina i faigata atypia atinae ogaoga, foliga, polyps lotoifale, myomas.

I se tulaga tele le aafiaga o taotoga e faalagolago i togafitiga hormone preoperative pe faapefea ona aoga, e mafai ona matua faaitiitia le tele o endometrium hyperplastic taulaiga. foi faaaogaina masani togafitiga tuufaatasiga o le tuufaatasia ni metotia, mo se faataitaiga, togafitiga taotoga ma togafitiga hormonal.

hyperplasia endometrial Atypical maua:

• ultrasound transvaginal;
• ehogisterosalpingografiey (Echo GHA);
• hysteroscopy (GHA);
• a biopsy o le endometrium;

Mo le talafeagai le puipuia o le faamai i le:

• le tufaina o le faatasi pe faalua i le tausaga se suesuega gynecological puipuia (e tusa lava pe leai ni faitioga);
• togafitia o faamai extragenital concomitant eseese (suka, obesity, toto maualuga, ma isi.);
• auga ma togafitiga e mulimuli ane ai o faamai genital (fibroids uterine, adenomyosis, ma isi.);
• Faamasani aveesea o le mamafa tele.

suesuega faavaitaimi i tomai faapitoa se taimi e faailoa mai se faamaʻi matautia ma i taimi o le a faateleina le avanoa mo se toe faaleleia atoa ma vave.