Pathology endometrial

ua avea pathology endometrial taatele i aso nei. Tagata tomai faapitoa faafetaia lenei tulaga ma se faateleina o le obesity, endocrine faaletonu ma le faaitiitia o le puipuiga mausali tamaitai. I le tele o tulaga o pathology endometrial ua tuuina atu faatasi ma se eseʻesega i le faiga hormonal, faagasologa metabolic. O le taua tele o le faateleina o le aofai o chronicity faamaʻi somatic.

I aso nei, pe tusa o le 30-40% o uma faamai gynecological mateia faagasologa hyperplastic i le endometrium. Ia tuutuuga e aofia ai cystic endometrial, uamea-fibrous, polyps glandular adenomatosis. E avea atili hyperplasia masani (glandulocystica, faasalalauina po o le taulaiga, glandular).

O le tele o tagata tomai faapitoa ioe o le mafuaaga o le faagasologa o se toilalo hormonal i tamaitai. Endometrium avea o se sini mo homone feusuaiga, e tatau ona totogi atu i le afioaga i totonu o receptors patino. suiga hormonal a le fafine le fiafia e tau atu i eseesega ma le tuputupu ae o elemene feaveai. Ona o se taunuuga o le atiina ae pathology endometrial neoplastic po o le natura hyperplastic. O faapitoa le taua i le faavaeina faagasologa ua hyperestrogenia. I le tele o auala, e aafia ai le faateleina o le tulaga estrogen faalavelave metabolic, faatasi ma le tele o faamai togafitiga.

E sili ona taatele faitioga o gasegase ma faagasologa hyperplastic e toto fesootai faasoasoa, uterine tafetotoi (tele acyclic). Tafetotoi i le tausaga fanautama foliga faaumiumi ma vaitaimi palapala masina mamafa (e pei o menometroragii) i premenopausal - acyclic i tamaitai postmenopausal - faamatuu toto o intensities eseese.

Auga o hyperplasia endometrial e faatinoina i transvaginal ultrasound i totoga pelvic gistreroskopiey (diagnostic, ma fufuluina ese, suesue histological o le mea e mafua).

O se tasi o galuega e sili ona taua i aso nei o le togafitiga gynecological o faiga hyperplastic. pathology Endometrial e aofia ai le faaaogaina o togafitiga faautauta. E aofia ai hormone togafitiga o estrogen-progestin sauniuniga, vailaau progestagenic. I le faaopoopo atu, o loo i ai auala taotoga, e aofia ai aso nei minimally faalafua, i se taimi o le toe faaleleia vave matua.

E auala vave e faasino resection (ablation) o le endometrium.

O le faamoemoega o lenei taotoga e aveesea ai le faaaliga togafitiga o lo oi ai nei faiga hyperplastic. I le faaopoopo atu, o loo faaaogaina lenei auala e avea o se puipuiga o le kanesa endometrial, e faateleina ai le avanoa o le manatu i le tamaitai o tausaga le fanauina o fanau.

I lalo o ablation (ablation) uiga curettage endometrial, excision, faaumatiaga tō. Seia oo i le aso, e lei gynecologists i se manatu e tasi, o le mea ua manatu se resection. E leai se le manino e uiga i le taimi e faaaogaina le faaupuga "ablation".

Faaleagaina o le endometrium uma (ablation) e mafai ona tauaveina auala electrosurgical ma leisa. Pe a lenei pepa solo mo le suesueina histological e le mafai.

Excision (resection) Endometrial mafiafia na o le auala electrosurgical. I lenei tulaga, ua excised le matasele faaumatiaga i le tulaga o chips uma ie e ufiufi ai o le tō. I le faafoeina o lenei taotoga maua le avanoa mulimuli ane e ave le dissected pepa solo mo le suesueina histological.

O se tulafono, o le faagaoioiga ua faia i lalo o epidural vai faagase po atoa vai faagase totonu o le uaua. Faatasi ai ma le vai faagase endotracheal laparoscopy faaaogaina lava lena.