di layn na yu uterus de tik? Lɛ wi tɔk bɔt (Endometrial Hyperplasia)!

Sɔntɛnde, yu nɔ kin gɛt prɛgnɛshɔn ɔltɛm, yu kin gɛt bɔku blɔd fɔ sɔm dez wan tɛm, ɔ yu kin gɛt spat bitwin yu prɛgnɛshɔn? Sɔm pipul dɛn kin tink se dis na nɔmal tin, mɔ we dɛn de kam nia fɔ lɛf fɔ gɛt bɛlɛ ɔ afta da tɛm de, bɔt nɔto ɔltɛm i kin bi. Sɔntɛnde, dis kin bi sayn fɔ sɔntin we wi fɔ wɔri bɔt. Dat na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl `(Endometrial Hyperplasia).` Pan ɔl we di nem kin tan lɛk se i strenj smɔl, i rili impɔtant fɔ no bɔt dis.

Wetin na ``Endometrial Hyperplasia''? Lɛ wi ɔndastand am simpul wan.

Fɔ tɔk am simpul wan, Endometrial Hyperplasia na we di layn na yu uterus we dɛn kɔl ɛndometrium tik pas aw i fɔ bi . if yu tink bכt wetin na di εndometrium, na di layn we de shed εvri mכnt we yu de bכn. Dɔn bak, we dɛn gɛt bɛlɛ, na insay dis layn di pikin kin bigin fɔ gro fɔs. so, if di εndometrium tik pas aw i nכmal, dεn kכl am Endometrial Hyperplasia. Sɔm uman dɛn kin ivin gɛt risk fɔ gɛt ɛndometrial kansa bikɔs ɔf dis kɔndishɔn. So, i rili impɔtant fɔ mek wi no bɔt dis.

Yu tink se difrɛn kayn dis de? Wetin na dɛn?

Yes, dכkta dεn kin klas Endometrial Hyperplasia bay di chenj dεm na di sεl dεm na yu εndometrium. Sɔm kayn dɛn kin gɛt kansa, bɔt ɔda wan dɛn nɔ kin gɛt kansa.

• εndometrial Hyperplasia witout Atypia: insay dis kayn we, di sεl dεm we de na di layn na di uterus de luk nכmal. Dɛn nɔ kin gɛt kansa. Dis sik kin bɛtɛ if yu nɔr gɛt tritmɛnt, ɔr yu dɔktɔ kin tɛl yu fɔ gi yu ɔmon tritmɛnt. Dis kin sheb bak to tu kayn: simpul ɛn kɔmpleks. Na di we aw di sɛl dɛn de sho am.

• `Atypical Endometrial Hyperplasia / Endometrial Hyperplasia wit Atypia`: Dis na di kayn we we wi nid fɔ wɔri bɔt mɔ. `Atypia` min se di sεl dεm nכ nכmal, bכt dεn nכmal sכmtεm. If dɛn kayn sɛl dɛn de, di chans fɔ gɛt kansa kin bɔku. if dεn nכ trit dis fayn, di risk fכ gεt uterin kεnsar de bכku. Dis gɛt di kayn dɛn bak we dɛn kɔl `Simple Atypical` ɛn `Complex Atypical`.

If yu dɔktɔ tɛl yu se yu gɛt dis sik, i rili impɔtant fɔ ɔndastand klia wan us kayn am ɛn wetin de mek yu gɛt dis sik.

Aw kɔmɔn tin kin apin to di Endometrial Hyperplasia?

Infakt, Endometrial Hyperplasia nɔto wan sik we kin rili kɔmɔn. I kin afɛkt lɛk 133 pan 100,000 uman dɛn.Dis kכndyushכn kin bכku pan uman dεm we de chenj to mεnopos כ we dεn kכmplit tru mεnopos.

Wetin na di sayn dɛm fɔ dis? Si if yu gɛt dɛn tin ya bak

Pɔrsin wae gɛt Endometrial Hyperplasia kin gɛt sɔm kayn sik lɛk:

• blɔd we nɔ de kɔmɔt na di mɔnt: Dis min se i de blɔd bitwin di tɛm we yu de gɛt di mɔnt, ɔ i de blɔd bak afta di mɔnt dɔn stɔp (afta yu dɔn stɔp fɔ gɛt bɛlɛ).
• Sכt mεnstral saykl: Mεnstral de apin insay less dan 21 dez.
• We yu de blɔd pasmak we yu de gɛt mɔnt.
• Blɔd we de kɔmɔt afta yu dɔn lɛf fɔ gɛt bɛlɛ. Dis na sayn fɔ sho se yu fɔ rili go to dɔktɔ.
• Sɔntɛnde, di mɔnt kin stɔp kpatakpata (Amenorrhea).

Bɔrku tɛm yu kin si dɛn sayn ya wae yu de chenj to mɛnɔpauz. I nɔmal fɔ mek yu menstrual saykl ambɔg, fɔ sɔm mɔnt i nɔ kin apin, ɛn fɔ mek blɔd nɔ de kɔmɔt ɔltɛm. Bɔt if yu gɛt dɛn sik ya, i go fayn fɔ mek yu tɔk to dɔktɔ pas fɔ jɔs tink se na sayn fɔ mek yu nɔ gɛt bɛlɛ. Dɔn di dɔktɔ kin disayd if dis na ``Endometrial Hyperplasia'' ɔ nɔto so.

Yu tink se pen kin de?

Sɔntɛnde, bɛlɛ/pɛlvik pen kin apin. Yu kin gɛt pen bak we yu de du mami ɛn dadi biznɛs (Dyspareunia). Bɔt di tin we kin apin mɔ na di blɔd we nɔ kin kɔmɔt fayn.

Wetin mek dis de apin? Wetin na di rizin dɛn?

uman dεm we gεt εndometrial Hyperplasia de prodyuz tu mכch כmon εstrojen εn nכ de prodyuz inof כmon prכjεstεron. dis tu כmon dεm de ple rili imכtant rol fכ di mεnstral saykl εn di bεlε.

Tink bɔt am, we di ovuleshɔn de, di ɔmon we dɛn kɔl ɛstrojen de mek di layn na di uterus (ɛndometrium) tik. di כmon we dεn kכl prכjεstεron de pripia di uterus fכ bεlε. if bεlε nכ apin, di prכjεstεron lεvεl de dכn. dat dכp na di projεstεron de signal di uterus se, "Okay, naw na tεm fכ shed dis layn." Na dat kin apin as menstruation.

כltu, pan uman dεm we gεt ``Endometrial Hyperplasia``, di bכdi de prodyuz bכku כ nכ projεstεron. fכ dat, di layn na di uterus nכ de shed. Bifo dat, di layn de kɔntinyu fɔ gro ɛn tik. As i de tik, di sɛl dɛn we mek am kin kam nia dɛnsɛf bad bad wan ɛn dɛn kin bigin fɔ nɔ de ɔltɛm.

Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Endometrial Hyperplasia kin bכku pan uman dεm we de nia fכ mεnopos (perimenopause) כ we dεn dכn go tru mεnopos. I nɔ kin izi fɔ uman dɛn we nɔ rich 35 ia yet fɔ gɛt am. Ɔda tin dɛn we kin mek pɔsin gɛt dis sik na:

• Sɔm tritmɛnt dɛm fɔ brɔst kansa (e.g.:`Tamoksifen`) we de na di wɔl.
• Fɔ di wan dɛn we gɛt dayabitis (Diabetes Mellitus) .
• Fɔ bigin fɔ gɛt mɔnt we yu rili yɔŋ ɔ fɔ go tru menɔpauz rili let.
• If pɔsin na yu famili dɔn gɛt kansa na yu ovarian, uterin, ɔ kɔlon .
• Fɔ di wan dɛn we gɛt gal blad sik .
• If yu gɛt uterus, yu de tek ɔmon tɛrapi we gɛt ɛstrojen nɔmɔ (we nɔ gɛt prɔjɛstɛron).
• Fɔ uman dɛn we nɔ ɛva gɛt bɛlɛ .
• Fat .
• Fɔ di wan dɛn we gɛt `Polycystic Ovary Syndrome' (PCOS) .
• Fɔ di wan dɛn we de smok .
• Fɔ di wan dɛn we gɛt tayroyd sik .
• I nɔ kin gɛt mɔnt ɔltɛm ɔ i nɔ kin gɛt mɔnt fɔ lɔng tɛm .
• If yu dɔn gɛt pelvik irradieshɔn .
• If di imyun sistεm wik (biכs fכ di כtoimyun sik כ sכm mεdikeshכn dεm).

Us prɔblɛm dɛn dis kin mek?

I nɔ mata di kayn aypaplasia, if yu nɔ de blɔd ɛn if yu blɔd pasmak, dat kin mek yu gɛt anemia, ɔ yu nɔ gɛt blɔd . Anemia kin apin we di bɔdi nɔ gɛt bɛtɛ rɛd blɔd sɛl dɛn, we gɛt ayɔn.

di tin we impɔtant pas ɔl na dat if dɛn nɔ trit di kayn ``atypia'' (Atypical Endometrial Hyperplasia) i kin bi kansa.

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כlmost 8% pan di uman dεm we gεt ``Simple Atypical Endometrial Hyperplasia'' go gεt kεnsar if dεn nכ trit dεm. Klose to 30% pan di uman dεm we gεt ``Complex Atypical Endometrial Hyperplasia'' go gεt kεnsar if dεn nכ trit dεm.

Na dat mek i impɔtant fɔ go to dɔktɔ kwik kwik wan if yu gɛt sɔm sayn dɛn ɛn fɛn ɔltin we nɔ fayn.

Aw dɔktɔ kin no bɔt dis? (Diagnosis) .

bכku rizin kin de fכ di uterin bכdi we nכ de bכku. So, fɔ no di rayt tin we mek yu gɛt di sik, yu dɔktɔ kin du wan ɔ mɔ pan dɛn tɛst ya:

• Transvaginal Ultrasound: dis involv fכ put sכmכl instrכmεnt tru di vagina εn yuz sawnd wev fכ tek pikchכ fכ di uterus. Dɛn pikchɔ ya kin ɛp fɔ no if di layn na di uterus tu tik.
• wan `Endometrial Biopsy`: dis involv fכ tek sכm sכm sכm tisu frכm di layn na di uterus. afta dat dεn de egzamin di sεl dεm כnda maykroskכp fכ si if εni kεnsar sεl dεm de כ di nεchכr fכ di `Hyperplasia`.
• Hysteroscopy: dεn de pas wan tint tכb we gεt layt wit kεmεra we dεn tay pan am (hysteroscope) tru di sεviks insay di uterus. we dεn de du dis, dεn kin du D&C (dilayshכn εn kכretεj) כ bayopsi. di haysteroskopi de mek yu ebul fכ luk gud wan insay di uterus εn if eni say dεm de we dεn sכspεkt, dεn kin tek bayopsi.

Wetin na di tritmɛnt dɛm fɔ dis? (Tritmɛnt)

Bɔku tɛm dɛn kin trit di ɛndometrial Hyperplasia wit wan ɔmon we dɛn kɔl projɛstin. Prɔjɛstin na wan we we dɛn mek wit di ɔmon we dɛn kɔl projɛstɛron, we yu bɔdi kin mek smɔl smɔl. Prɔjɛstin kin kam insay difrɛn we dɛn:

• Ɔral prɔjɛstɛron tɛrapi.
• as divais we dεn put insay di uterus (wan `Intrauterine device - IUD`, we gεt `Progesterone`).
• As injεkshכn (e.g. Depo-Provera® ).
• Wan krim we dɛn kin put pan di vagina (Vaginal cream ɔ jel).

Bɔt pan dɛn kayn tin ya, di dɔktɔ kin se dɛn fɔ pul di bɛlɛ :

• If yu sik de wɔs, ɔ if di kansa sɛl dɛn bigin fɔ gro.
• If di kɔndishɔn nɔ impɔtant wit prɔjɛstin tritmɛnt.

I nid fɔ mek dɛn pul di bɛlɛ?

di εndometrial haypaplasia nכ kin nid fכ pul di uterus. Bɔku uman dɛn kin du wɛl wit prɔjɛstin tɛrapi. Bɔt if yu gɛt ay risk fɔ gɛt uterin kansa, mɔ if yu gɛt wan sik we dɛn kɔl Complex Atypical Endometrial Hyperplasia, den hysterectomy kin bi opshɔn.

εnitin de we wi kin du fכ mek dεn nכ gεt divεlכpmεnt fכ `(Endometrial Hyperplasia)`?

Sɔm tin dɛn de wae yu kin du fɔ ridyus de risk fɔ gɛt dis sik:

• If yu de tek ɔmon tɛrapi afta yu dɔn menɔpauz, yuz prɔjɛstɛron wit ɛstrojen (if yu gɛt uterus).
• If yu nɔ de gɛt prɛgnɛshɔn ɔltɛm, tink bɔt fɔ tek bɔn kɔntrol pils we gɛt ɔl tu di ɛstrojen ɛn prɔjɛstin (as yu dɔktɔ tɛl yu).
• Stɔp fɔ smok.
• Mek yu gɛt wɛlbɔdi wet fɔ yusɛf.

Wetin go apin tumara bambay wit dis situeshɔn? (Autluk) .

di εndometrial haypaplasia de rεspכnd fayn to di prכjestin tritmεnt. Bɔt if yu gɛt atypical endometrial hyperplasia, i kin go bifo to uterine kansa. So, yu dɔktɔ kin tɛl yu fɔ du ɔltra saund ɔltɛm, fɔ tek bayɔpsi, ɔ fɔ pul di bɛlɛ fɔ mek yu nɔ gɛt kansa kpatakpata. Dɛn kin gi dis advays bay aw yu dɔn no bɔt yu sik, yu wɛl bɔdi histri, ɛn yu risk fɔ gɛt kansa.

Yu tink se Endometrial Hyperplasia kin tɔn to kansa pan ɔlman?

Nɔ, i nɔ kin apin da we de ɔltɛm. Di risk fɔ gɛt kansa kin kɔmɔt frɔm 8% to 30%, i dipen pan di kayn Endometrial Hyperplasia we yu gɛt. Na sɔm kayn dɛn nɔmɔ kin gɛt kansa. Yu dɔktɔ kin ɛksplen us kayn yu gɛt, wetin na di bɛst tritmɛnt, ɛn wetin yu go gɛt kansa.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sayn ya, yu go mɔs go to dɔktɔ:

• If yu de blɔd pasmak ɔ yu nɔ de blɔd.
• If yu gɛt vagina blɔd afta yu dɔn menopause.
• If yu gɛt siriɔs pen we yu de gɛt we yu de gɛt mɔnt (Dysmenorrhea) .
• If yu gɛt pen we yu de pis (Dysuria) .
• If yu gɛt pen we yu de du mami ɛn dadi biznɛs (Dyspareunia) .
• If yu gɛt pen na yu bɔdi .
• If wan unusual vagina dischaj de.
• If yu mis yu prɛgnɛshɔn bɔku tɛm .

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

If yu gɛt Endometrial Hyperplasia, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us kayn Endometrial Hyperplasia a gɛt?
• A kin gɛt mɔ risk fɔ gɛt kansa na di uterin? If na so i bi, wetin a go du fɔ mek a nɔ gɛt bɔku prɔblɛm?
• Wetin na di bɛst tritmɛnt fɔ mi kayn Endometrial Hyperplasia?
• Wetin na di bad tin dɛn ɛn di bad tin dɛn we kin apin to dɛn tritmɛnt dɛn de?
• Mi famili de pan denja fɔ gɛt Endometrial Hyperplasia? If na so i bi, wetin dɛn go du fɔ mek dɛn nɔ gɛt bɔku prɔblɛm?
• Us kayn fɔlɔp kia a nid afta tritmɛnt?
• A fɔ wach fɔ sayn dɛn we de sho se a gɛt prɔblɛm?

Us ej grup dɛn dis sik kin bɔku pas ɔl?

di εndometrial Hyperplasia dεn kin si am mכst pan uman dεm we de chenj to כ we dεn kכmplit mεnopos. di avrej ej fכ mεnopos na arawnd 51 ia. So, uman dɛm wae ol bitwin 50 ɛn 60 ia kin gɛt dis sik.

Impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .

εndometrial haypaplasia na wan kכndyushכn we di layn na di uterus de tik. Dis kin mek yu blɔd nɔ de kɔmɔt fayn ɛn sɔntɛnde yu nɔ kin fil fayn. Bɔku uman dɛn kin gɛt fridɔm wit prɔjɛstin ɔmon tɛrapi. כltu, uman dεm we gεt atypical endometrial hyperplasia kin gεt bכku risk fכ gεt uterin kεnsar. If dɛn kayn tin ya, we dɛn pul di uman in bɛlɛ, i kin mek di sik nɔ kam ɛn i kin mek i nɔ gɛt kansa. I impɔtant fɔ tɔk to yu dɔktɔ bɔt di bɛst tritmɛnt fɔ yu. Nɔ fred fɔ aks yu dɔktɔ if yu gɛt ɛni kwɛstyɔn.

` εndometrial Hyperplasia, di uterin layn tik, di mεnstral we nכ de rεgulεr, mεnopos, projestin, uterin kεnsar