He ʻano ʻē anei kou wā? E aʻo kākou e pili ana i ka Endometrial Hyperplasia!

Ua lilo anei kou pōʻaiapuni menstrual i mea ʻano ʻē loa? I kekahi mau lā, he kaumaha loa ia, i kekahi manawa ua lohi no kekahi mau lā, a i ʻole ʻike hou ʻoe i nā kulu koko ma hope o ka pau ʻana o kou wā? ʻOiai he mea maʻamau kēia mau mea i nā wahine he nui, i kekahi manawa he hōʻailona kēia o kahi maʻi e pono ai ka nānā ʻana. ʻO ia ke ʻano a mākou e kamaʻilio nei i kēia lā, ʻo 'Endometrial Hyperplasia'.

I ka ʻōlelo maʻalahi, he aha ka Endometrial Hyperplasia?

He maʻalahi loa ia. ʻO ka uhi o kou ʻōpū, kapa mākou ʻia ʻo ka endometrium ma ke ʻano lapaʻau, e lilo i mānoanoa ma mua o ka mea e pono ai, ʻo ia hoʻi ʻo Endometrial Hyperplasia.

E noʻonoʻo e pili ana i ia mea, i kēlā me kēia mahina i ka wā o ka menstruation, ʻo ia kēia uhi endometrial e puka mai ana mai kou kino. Eia kekahi, ke hāpai ʻia kahi pēpē, ulu palekana kēlā pēpē i loko o kēia uhi. No laila, ʻo ka mea e hana ʻia ma kēia kūlana, ʻo ia ka mānoanoa ma mua o ka mea e pono ai. No kekahi mau wahine, inā ʻaʻole i kāohi ʻia kēia kūlana, hiki iā ia ke ulu a lilo i ka maʻi ʻaʻai endometrial . No laila, he mea nui loa ka makaʻala i kēia.

Aia kekahi mau ʻano o kēia? Ua like anei ka pilikia o ka maʻi kanesa no kēlā me kēia kanaka?

ʻAe, ʻelua ʻano nui o kēia. Hoʻokaʻawale nā ​​kauka iā ia ma muli o ke ʻano o nā pūnaewele i loko o ka ʻili o ka ʻōpū mānoanoa. ʻOi aku ka nui o kekahi mau ʻano e hoʻoulu ai i ka maʻi kanesa, aʻo kekahi he emi iki ka hiki.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hōʻailona nui a maʻamau o kēia, ʻo ke kahe koko kūpono ʻole.

• Ka menstruation kūpono ʻole: Ke kahe ʻana o ke koko a i ʻole nā ​​kiko ma waena o nā pōʻaiapuni menstrual.
• Nā pōʻaiapuni menstrual pōkole: ʻO ka menstruation e hana ʻia ma lalo o 21 mau lā ke kaʻawale.
• Ke kahe koko nui: Ke kahe koko nei ma mua o ka maʻamau i ka wā menstruation.
• Ke kahe koko ma hope o ka menopause: Ua pau loa ke kahe koko ʻana o ka wahine ma hope o ka menopause. ʻAʻole pono e lawe māmā ʻia kēia.
• ʻAʻohe menstruation: ʻAʻole paha i loaʻa i kekahi poʻe ko lākou menstruation.

Hoʻowahāwahā ka poʻe he nui i kēia mau hōʻailona i ko lākou hoʻokokoke ʻana i ka menopause. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e ʻike i ke kumu pololei.

No ke aha lā kēia e hana nei? He aha ke kumu nui?

I ka ʻōlelo maʻalahi, ʻo ke kumu nui ka nele i ke kaulike ma waena o nā hormones ʻelua o ka estrogen a me ka progesterone i loko o ko kākou kino. ʻO ia hoʻi, piʻi ka nui o ka estrogen i loko o ke kino ma mua o ka mea e pono ai, a nalowale ka nui o ka progesterone.

E noʻonoʻo e pili ana i ia mea, hoʻomānoanoa ka hormone estrogen i ka ʻili o ka ʻōpū. Hoʻomākaukau ka hormone progesterone i kēlā ʻili mānoanoa no ka hāpai ʻana. Inā ʻaʻole hāpai, hāʻule nā ​​​​pae progesterone, a ʻo ia ka manawa e hemo ai ka ʻili o ka ʻōpū a puka mai i waho ma ke ʻano he menstruation.

No laila, i ka wā ʻaʻole lawa ka progesterone, ʻaʻole e loaʻa i ka ʻili o ka ʻōpū ka hōʻailona e hemo. Akā, hoʻomau ia i ka mānoanoa ma lalo o ka mana o ka estrogen. ʻO ia ka mea e hana nei ma ʻaneʻi.

ʻO wai ka mea e piʻi aʻe ka pilikia no kēia?

ʻOiai hiki ke loaʻa kēia ʻano i nā wahine o kēlā me kēia makahiki, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe.

• Makahiki: He mea kākaʻikahi loa ia no ka poʻe ma lalo o 35 mau makahiki. ʻOi aku ka nui o ka pilikia o nā wāhine e kokoke ana i ka menopause (perimenopause) a ua hala i ka menopause (menopause).
• ʻAʻole loa i hāpai.
• Momona: Ke piʻi aʻe nei ka momona o ke kino, piʻi pū kekahi ka hana ʻana o ka estrogen.
• Maʻi PCOS: ʻO ka poʻe me ka Polycystic Ovary Syndrome (PCOS) e ʻike i nā hemahema hormonal.
• Ka maʻi diabetes.
• ʻO kekahi mau lāʻau lapaʻau no ka maʻi kanesa:Nā lāʻau lapaʻau e like me Tamoxifen, i hoʻohana ʻia no ka maʻi ʻaʻai umauma.
• Lapaʻau hormone: ʻO nā wahine i wehe ʻole ʻia ko lākou ʻōpū a lawe i ka hormone estrogen wale nō ma ke ʻano he lāʻau lapaʻau.
• Moʻolelo ʻohana: Inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻōpū, ovarian, a i ʻole ka maʻi kolona.
• Puhi paka.

Pehea e ʻike ai ke kauka i kēia?

Inā he kahe koko ʻē kou, hiki i kāu kauka ke hana i kekahi mau hoʻokolohua e ʻike ai i ke kumu.

1. Transvaginal Ultrasound: ʻO kēia ke komo ʻana i kahi mea liʻiliʻi ma o ka vagina e lawe i nā kiʻi maopopo o ka uterus. Hiki i kēia ke ana pololei i ka mānoanoa o ka paia o ka uterine.

2. Endometrial Biopsy: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka paia o ka ʻōpū a nānā ʻia ma lalo o kahi microscope. ʻAʻohe mea e makaʻu ai, ʻo ia ka mea e nānā pono ai i ke ʻano o nā ʻāpana a hōʻoia inā he atypia a i ʻole nā ​​ʻāpana kanesa.

3. Hysteroscopy: Hoʻokomo ʻia kahi ʻōmole lahilahi a hoʻomālamalama ʻia me kahi kāmela ma o ka cervix e nānā pololei i loko o ka ʻōpū. Hiki ke lawe ʻia kahi biopsy i kēia manawa.

He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?

ʻO ke ʻano o ka mālama ʻana no kēia mea e pili ana i ke ʻano o ka hypoplasia āu, kou makahiki, a inā makemake ʻoe e loaʻa nā keiki hou aku.

• ʻO ka lāʻau lapaʻau hormone Progestin: ʻO kēia ka lāʻau lapaʻau nui no ka hapa nui o ka poʻe. ʻO ka Progestin kahi ʻano synthetic o ka hormone progesterone a mākou i kamaʻilio ai. Hana ia ma ka hōʻemi ʻana i nā hopena o ka estrogen a me ka ʻae ʻana i ka uhi ʻōpū mānoanoa e hemo.
• Nā pila i ale ʻia
• He mea hana intrauterine (IUD)
• ʻO ka inikini (e.g. Depo-Provera®)
• Nā ʻano kirīmi vaginal

• Hysterectomy: Manaʻo pinepine ʻia kēia no nā wahine me ka hyperplasia me ka atypia , ka poʻe i loaʻa i ka maʻi kanesa kiʻekiʻe, a ʻaʻole makemake hou e loaʻa nā keiki. Wehe kēia ʻoki i ka ʻōpū, hiki ke hōʻoluʻolu loa i nā hōʻailona a hōʻemi i ka pilikia o ka maʻi kanesa.

He aha nā kūlana e pono ai ʻoe e ʻike i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka.