Ke mānoanoa nei ka uhi o kou ʻōpū? E kamaʻilio kākou e pili ana i ka (Endometrial Hyperplasia)!

Loaʻa iā ʻoe kekahi manawa nā wā ʻaʻole i kūpono, ke kahe nui ʻana o ke koko no nā lā i ka manawa, a i ʻole nā ​​kiko ma waena o nā wā? Manaʻo kekahi poʻe he mea maʻamau kēia, ʻoiai ke kokoke mai nei ka menopause a ma hope paha o kēlā manawa, akā ʻaʻole ia ka hihia mau. I kekahi manawa hiki i kēia ke hōʻailona o kahi mea e hopohopo ai. ʻO ia ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo `(Endometrial Hyperplasia).` ʻOiai he mea ʻē paha ka inoa, he mea nui loa ia e makaʻala i kēia.

He aha ka "Endometrial Hyperplasia"? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo Endometrial Hyperplasia ka wā e mānoanoa ai ka uhi o kou uterus, i kapa ʻia ʻo endometrium, ma mua o ka maʻamau . Inā ʻoe e noʻonoʻo e pili ana i ke ʻano o ka endometrium, ʻo ia ka uhi e hoʻokahe ʻia i kēlā me kēia mahina i kou wā. Eia kekahi, i ka wā e hāpai ʻia ai kahi pēpē, aia i loko o kēia uhi e hoʻomaka mua ai ka pēpē e ulu. No laila, inā mānoanoa ka endometrium ma mua o ka maʻamau, ua kapa ʻia ʻo Endometrial Hyperplasia. Hiki i kekahi mau wahine ke pilikia i ka loaʻa ʻana o ka maʻi ʻaʻai endometrial ma muli o kēia kūlana. No laila, he mea nui loa ka makaʻala i kēia.

Aia kekahi mau ʻano like ʻole o kēia? He aha lākou?

ʻAe, hoʻokaʻawale nā ​​kauka i ka Endometrial Hyperplasia ma muli o nā loli i loko o nā pūnaewele i loko o kou endometrium. ʻOi aku ka nui o ka holomua o kekahi mau ʻano i ka maʻi kanesa, aʻo kekahi ʻaʻole.

• ʻO ka Hyperplasia Endometrial me ka ʻole o Atypia: Ma kēia ʻano, ʻike ʻia nā pūnaewele i loko o ka uhi o ka ʻōpū he maʻamau. ʻAʻole lākou e lilo i maʻi kanesa. Hiki ke hoʻomaikaʻi ʻia kēia ʻano me ka ʻole o ka lāʻau lapaʻau, a i ʻole e ʻōlelo paha kāu kauka i ka lāʻau lapaʻau hormone. Ua māhele ʻia kēia i ʻelua ʻano: maʻalahi a paʻakikī. Hoʻoholo ʻia e ke ʻano o nā pūnaewele.

• ʻO ka `Atypical Endometrial Hyperplasia / Endometrial Hyperplasia me Atypia`: ʻO kēia ke ʻano e pono ai mākou e hopohopo nui. ʻO ke ʻano o ka `Atypia` ʻaʻole maʻamau nā cell, akā he ʻano ʻē iki. Inā he mau cell like, kiʻekiʻe ka manawa e loaʻa ai ka maʻi kanesa. Inā ʻaʻole mālama pono ʻia kēia, piʻi ka pilikia o ka loaʻa ʻana o ka maʻi kanesa uterine. Loaʻa i kēia nā ʻano i kapa ʻia ʻo `Simple Atypical` a me `Complex Atypical`.

Inā haʻi aku kāu kauka iā ʻoe he loaʻa iā ʻoe kēia ʻano maʻi, he mea nui loa ia e hoʻomaopopo pono i kona ʻano a me nā pilikia.

Pehea ka maʻamau o ka Endometrial Hyperplasia?

ʻO ka ʻoiaʻiʻo, ʻaʻole ia he maʻi maʻamau ka Endometrial Hyperplasia. Hoʻopilikia ia ma kahi o 133 o 100,000 mau wahine.ʻIke pinepine ʻia kēia ʻano i nā wahine e hoʻololi ana i ka menopause a i ʻole ua hala loa i ka menopause.

He aha nā hōʻailona o kēia? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi

Hiki i kekahi kanaka me ka endometrial hyperplasia ke ʻike i nā hōʻailona e like me:

• ʻO ke kahe koko ʻana o ka menstrual maʻamau ʻole: ʻO ia hoʻi ke kahe koko ma waena o nā menstruation, a i ʻole ke kahe hou ʻana o ke koko ma hope o ka pau ʻana o ka menstruation (ma hope o ka menopause).
• Ka pōʻaiapuni menstrual pōkole: Ke hana nei ka menstruation ma lalo o 21 mau lā.
• Ka nui o ke kahe ʻana o ke koko i ka wā o ka menstruation.
• Ke kahe ʻana o ke koko ma hope o ka menopause. He hōʻailona kēia e pono ai ʻoe e ʻike i ke kauka.
• I kekahi manawa, pau loa ka menstruation (Amenorrhea).

Hiki ke ʻike pinepine ʻia kēia mau hōʻailona i ka wā o ka hoʻololi ʻana i ka menopause. He mea maʻamau ka hoʻopilikia ʻia ʻana o kāu pōʻaiapuni menstrual, no kekahi mau mahina ʻaʻole paha e hiki mai, a no ke kahe ʻana o ke koko maʻamau ʻole. Eia nō naʻe, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka ma mua o ka manaʻo wale ʻana he hōʻailona ia o ka menopause. A laila hiki i ke kauka ke hoʻoholo inā he "Endometrial Hyperplasia" kēia a i ʻole.

Hiki ke loaʻa ka ʻeha?

I kekahi manawa, hiki ke loaʻa ka ʻeha o ka ʻōpū/pelvic. Hiki iā ʻoe ke ʻike i ka ʻeha i ka wā o ka moekolohe (Dyspareunia). Eia naʻe, ʻo ka hōʻailona maʻamau ka kahe koko kūpono ʻole.

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

ʻO nā wāhine me ka Endometrial Hyperplasia e hana i ka nui o ka hormone estrogen a ʻaʻole lawa ka hormone progesterone. He kuleana koʻikoʻi kēia mau hormones ʻelua i ke kaʻina hana menstrual a me ka hāpai ʻana.

E noʻonoʻo e pili ana i ia mea, i ka wā o ka ovulation, hoʻomānoanoa ka hormone estrogen i ka uhi o ka uterus (endometrium). Hoʻomākaukau ka hormone progesterone i ka uterus no ka hāpai ʻana. Inā ʻaʻole hāpai, hāʻule nā ​​​​pae progesterone. ʻO kēlā hāʻule ʻana o ka progesterone e hōʻike ana i ka uterus, "ʻAe, i kēia manawa ua hiki i ka manawa e wehe ai i kēia uhi." ʻO ia ka mea e hana ʻia ma ke ʻano he menstruation.

Eia nō naʻe, i nā wahine me ka "Endometrial Hyperplasia", hana ke kino i ka progesterone liʻiliʻi a ʻaʻohe paha. No laila, ʻaʻole e hemo ka uhi o ka ʻōpū. Akā, hoʻomau ka ulu ʻana a me ka mānoanoa o ka uhi. I kona mānoanoa ʻana, lilo nā pūnaewele e hana ana iā ia i kokoke loa a hoʻomaka e lilo i mea ʻē.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia? (Nā kumu pilikia)

ʻO ka Endometrial Hyperplasia ka mea maʻamau i nā wahine e kokoke ana i ka menopause (perimenopause) a i ʻole ua hala mua i ka menopause. He mea kākaʻikahi loa ia no nā wahine ma lalo o 35 mau makahiki ke loaʻa iā ia. ʻO nā kumu pilikia ʻē aʻe:

• ʻO kekahi mau lāʻau lapaʻau no ka maʻi ʻaʻai umauma (e.g.:'Tamoxifen').
• No nā poʻe me ka maʻi diabetes (Diabetes Mellitus) .
• Hoʻomaka ka menstruation i ka wā ʻōpiopio loa a i ʻole ka hele ʻana i ka menopause ma hope loa.
• Inā ua loaʻa kekahi o kou ʻohana i ka maʻi ʻōpū, ka ʻōpū, a i ʻole ka maʻi kanesa colon .
• No nā poʻe me nā maʻi gallbladder .
• Inā he ʻōpū kou, ke lawe nei ʻoe i ka lāʻau lapaʻau hormone nona wale nō ka estrogen (me ka ʻole o ka progesterone).
• No nā wahine i hāpai ʻole ma mua .
• Ka momona nui .
• No nā poʻe me ka Polycystic Ovary Syndrome (PCOS) .
• No ka poʻe puhi paka .
• No nā poʻe me nā maʻi thyroid .
• Ka menstruation kūpono ʻole a i ʻole ka nele o ka menstruation no ka manawa lōʻihi .
• Inā ua loaʻa iā ʻoe ka irradiation pelvic .
• Inā ua nāwaliwali ka ʻōnaehana pale (ma muli o ka maʻi autoimmune a i ʻole kekahi mau lāʻau lapaʻau).

He aha nā pilikia e hiki ai i kēia ke hana?

Me ka nānā ʻole i ke ʻano o ka hyperplasia, hiki i ke kahe koko kūpono ʻole a nui ke kumu e loaʻa ai ka anemia, a i ʻole ka nele o ke koko . Hana ʻia ka anemia ke lawa ʻole nā ​​​​​​kelepona koko ʻulaʻula i ke kino, nona ka hao.

ʻO ka mea nui loa, inā ʻaʻole mālama ʻia ke ʻano o ka "atypia" (Atypical Endometrial Hyperplasia), hiki iā ia ke lilo i maʻi ʻaʻai.

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Ma kahi o 8% o nā wahine me ka "Simple Atypical Endometrial Hyperplasia" e loaʻa i ka maʻi kanesa inā ʻaʻole mālama ʻia. Ma kahi o 30% o nā wahine me ka "Complex Atypical Endometrial Hyperplasia" e loaʻa i ka maʻi kanesa inā ʻaʻole mālama ʻia.

No laila he mea nui e ʻike koke i ke kauka inā loaʻa iā ʻoe nā hōʻailona a ʻike pono i ke kumu.

Pehea e ʻike ai ke kauka i kēia? (Diagnosis)

Nui nā kumu no ke kahe koko ʻana o ka ʻōpū ma ke ʻano ʻē. No laila, no ka ʻike ʻana i ke kumu pololei o kāu mau hōʻailona, ​​​​hiki i kāu kauka ke hana i hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe:

• ʻO ka Ultrasound Transvaginal: Pili kēia i ke komo ʻana i kahi mea hana liʻiliʻi ma o ka vagina a me ka hoʻohana ʻana i nā nalu kani e kiʻi i nā kiʻi o ka uterus. Hiki i kēia mau kiʻi ke kōkua i ka hoʻoholo ʻana inā mānoanoa loa ka uhi o ka uterus.
• ʻO kahi `Endometrial Biopsy`: ʻO kēia ke kumu o ka lawe ʻana i kahi laʻana liʻiliʻi o nā ʻiʻo mai ka uhi o ka ʻōpū. A laila e nānā ʻia nā ʻāpana ma lalo o kahi microscope e ʻike ai inā he mau ʻāpana kanesa a i ʻole ke ʻano o ka `Hyperplasia`.
• Hysteroscopy: Hoʻokomo ʻia kahi ʻōmole lahilahi a hoʻomālamalama ʻia me kahi kāmela i hoʻopili ʻia iā ia (hysteroscope) ma o ka cervix i loko o ka uterus. I loko o kēia kaʻina hana, hiki ke hana ʻia kahi D&C (dilation a me curettage) a i ʻole biopsy. Hiki i ka Hysteroscopy ke nānā pono i loko o ka uterus a, inā he mau wahi kānalua, hiki ke lawe ʻia kahi biopsy.

He aha nā lāʻau lapaʻau no kēia? (Lāʻau lapaʻau)

Hoʻomaʻamaʻa pinepine ʻia ka Endometrial Hyperplasia me kahi hormone i kapa ʻia ʻo progestin. ʻO ka Progestin kahi mana synthetic o ka hormone progesterone, ka mea a kou kino e hana ai i nā liʻiliʻi. Loaʻa ka Progestin i nā ʻano like ʻole:

• ʻO ka lāʻau lapaʻau progesterone waha.
• Ma ke ʻano he mea i hoʻokomo ʻia i loko o ka ʻōpū (he `Intrauterine device - IUD`, aia ka `Progesterone`).
• Ma ke ʻano he inikini (e.g. Depo-Provera® ).
• He kirīmi i hoʻopili ʻia i ka vagina (Vaginal cream a gel paha).

Eia nō naʻe, i kēia mau hihia, hiki i ke kauka ke ʻōlelo aku i kahi hysterectomy :

• Inā ʻoi aku ka ʻino o kou kūlana, a inā hoʻomaka ka ulu ʻana o nā hunaola kanesa.
• Inā ʻaʻole hoʻomaikaʻi ke kūlana me ka mālama ʻana me ka progestin.

He mea pono anei ke hana ʻia kahi hysterectomy?

ʻAʻole pono ka wehe ʻana o ka ʻōpū no ka endometrial hyperplasia. Hana maikaʻi ka nui o nā wahine me ka progestin therapy. Eia nō naʻe, inā he kiʻekiʻe kou pilikia o ka loaʻa ʻana o ka maʻi ʻōpū, ʻoiai inā he maʻi kou i kapa ʻia ʻo Complex Atypical Endometrial Hyperplasia, a laila he koho paha ka hysterectomy.

Aia kekahi mea e hiki ai iā kākou ke hana e pale aku i ka ulu ʻana o ka `(Endometrial Hyperplasia)`?

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia ʻano:

• Inā ʻoe e lawe ana i ka lāʻau lapaʻau hormone ma hope o ka menopause, e hoʻohana i ka progesterone me ka estrogen (inā he uterus kou).
• Inā he mau wā kūpono ʻole kou, e noʻonoʻo e lawe i nā pila hoʻomalu hānau e loaʻa ana ka estrogen a me ka progestin (e like me ke kauoha a kāu kauka).
• E ho'ōki i ka puhipaka.
• E mālama i ke kaumaha olakino nou iho.

He aha ka mea e hiki mai ana me kēia kūlana? (Outlook)

Hoʻopane maikaʻi ka hyperplasia endometrial i ka mālama ʻana i ka progestin. Eia nō naʻe, inā loaʻa iā ʻoe ka hyperplasia endometrial atypical, hiki iā ia ke holomua i ka maʻi ʻaʻai uterine. No laila, hiki i kāu kauka ke paipai i nā ultrasounds maʻamau, biopsies, a i ʻole hysterectomy e hoʻopau loa i ka pilikia o ka maʻi ʻaʻai. Hana ʻia kēia ʻōlelo aʻoaʻo ma muli o kāu hōʻailona, ​​​​kou mōʻaukala olakino, a me kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai.

Lilo anei ka Endometrial Hyperplasia i ka maʻi kanesa i loko o kēlā me kēia kanaka?

ʻAʻole, ʻaʻole ia e hana mau ʻia pēlā. Hiki i ka pilikia o ka loaʻa ʻana o ke kanesa ke piʻi mai 8% a 30%, ma muli o ke ʻano o ka Endometrial Hyperplasia āu. ʻO kekahi mau ʻano wale nō e ulu aʻe i loko o ke kanesa. Hiki i kāu kauka ke wehewehe i ke ʻano āu i loaʻa ai, he aha ka lāʻau lapaʻau maikaʻi loa, a he aha kou pilikia o ka maʻi kanesa.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

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

• Inā ʻoe e kahe nui ana ke koko a i ʻole ke ʻano ʻē.
• Inā he kahe koko kou ma hope o ka menopause.
• Inā loaʻa iā ʻoe ka ʻeha nui o ka menstruation (Dysmenorrhea) .
• Inā loaʻa iā ʻoe ka ʻeha i ka wā e mimi ai (Dysuria) .
• Inā loaʻa iā ʻoe ka ʻeha i ka wā o ka moekolohe (Dyspareunia) .
• Inā loaʻa iā ʻoe ka ʻeha pelvic .
• Inā he kahe ʻano ʻē o ka ʻōpū .
• Inā ʻoe e haʻalele pinepine i kou menstruation .

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Inā loaʻa iā ʻoe ka Endometrial Hyperplasia, hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau:

• He aha ke ʻano o ka hyperplasia endometrial i loaʻa iaʻu?
• Aia anei au i ka pilikia nui o ka loaʻa ʻana o ka maʻi ʻōpū? Inā pēlā, he aha kaʻu e hana ai e hōʻemi i koʻu pilikia?
• He aha ka lāʻau lapaʻau maikaʻi loa no koʻu ʻano Endometrial Hyperplasia?
• He aha nā pilikia a me nā hopena ʻaoʻao o kēlā mau lāʻau lapaʻau?
• Aia anei koʻu ʻohana i ka pilikia o ka hoʻomohala ʻana i ka Endometrial Hyperplasia? Inā pēlā, he aha kā lākou e hana ai e hōʻemi i ko lākou pilikia?
• He aha ke ʻano o ka mālama ma hope o ka lāʻau lapaʻau e pono ai iaʻu?
• Pono anei au e makaʻala i nā hōʻailona o nā pilikia?

I nā hui makahiki hea i maʻamau ai kēia ʻano?

ʻIke pinepine ʻia ka Endometrial Hyperplasia i nā wahine e hoʻololi ana i loko a i ʻole ua pau ka menopause. ʻO ka awelika o ka makahiki menopause ma kahi o 51 mau makahiki. No laila, ʻo nā wahine ma waena o 50 a me 60 mau makahiki ka mea e loaʻa pinepine ai kēia maʻi.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻO ka endometrial hyperplasia kahi kūlana e mānoanoa ai ka uhi o ka ʻōpū. Hiki i kēia ke hoʻoulu i ke kahe koko maʻamau a i kekahi manawa ʻoluʻolu ʻole. Loaʻa i nā wahine he nui ka hōʻoluʻolu me ka lāʻau lapaʻau hormone progestin. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o nā wahine me ka atypical endometrial hyperplasia i ka loaʻa ʻana o ka maʻi ʻōpū. I ia mau hihia, hiki i ka hysterectomy ke hōʻoluʻolu i nā hōʻailona a hōʻemi i ka pilikia o ka maʻi ʻaʻai. He mea nui e kamaʻilio me kāu kauka e pili ana i ka lāʻau lapaʻau maikaʻi loa nāu. Mai makaʻu e nīnau i kāu kauka inā he mau nīnau kāu.

ʻO ka Hyperplasia Endometrial, ka mānoanoa o ka uhi ʻōpū, ka menstruation kūpono ʻole, ka menopause, progestin, ka maʻi ʻōpū