I nausen pum chhunga lining chu a thick em? (Endometrial Hyperplasia) chungchang hi han sawi ila!

A chang chuan period mumal lo, ni tam tak thisen chhuak nasa tak, period inkar ah spotting i nei thin em? Mi thenkhat chuan hei hi thil pangngaiah an ngai a, a bik takin menopause hnaih emaw, chumi hnu emaw chuan, mahse chutiang chu a ni ngai lo. A châng chuan hei hi ngaihtuah tûr thil chhinchhiahna a ni thei bawk. Chu chu tunlaia kan sawi tur dinhmun chu a ni a, `(Endometrial Hyperplasia) tih hi a ni.` A hming hi a mak deuhin a lang thei a, mahse hei hi hriat a pawimawh hle.

``Endometrial Hyperplasia'' tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin, Endometrial Hyperplasia chu i nausen pum chhunga lining, endometrium an tih chu a tlangpui aia thuk zawk a nih hian a ni . Endometrium hi eng nge a nih i ngaihtuah chuan i period chhunga thla tin lining chhuak thin kha a ni. Tin, naute a pai hian he lining chhungah hian naute chu a lo thang lian tan hmasa ber thin. Chuvangin, endometrium chu a tlangpui aia thim a nih chuan Endometrial Hyperplasia an ti a ni. Hmeichhe thenkhat phei chu he natna avang hian endometrial cancer vei theihna an nei thei bawk. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Hei hi chi hrang hrang a awm em? Eng nge an nih?

Ni e, doctor te chuan Endometrial Hyperplasia hi i endometrium chhunga cell inthlak danglamna atanga thlirin an classified thin. A chi thenkhat chu cancer-ah an kal chak zawk a, thenkhat erawh chu an ni lo.

• Endometrial Hyperplasia without Atypia: Hetiang chiah hian nausen pum chhunga cell awmte chu a pangngai angin a lang. Cancer vei an tam lo hle. Hetiang dinhmun hi enkawl loh chuan a dam thei a, i doctor pawhin hormone therapy a rawt thei bawk. Hei pawh hi chi hnih ah then a ni a, simple leh complex. Cell te pattern atanga teh a ni.

• `Atypical Endometrial Hyperplasia / Endometrial Hyperplasia with Atypia`: Hei hi kan ngaihven zawk tur chi a ni. `Atypia` tih awmzia chu cell pangngai ni lo, a pangngai lo deuh tihna a ni. Chutiang cell a awm chuan cancer vei theihna chance a sang hle. Hei hi uluk taka enkawl a nih loh chuan uterine cancer vei theihna a sang hle. Hei hian `Simple Atypical` leh `Complex Atypical` tih chi hrang hrang a nei bawk.

I doctor-in he natna hi i nei tih a hrilh che a nih chuan eng chi nge a nih leh a hlauhawmna chu chiang taka hriat a pawimawh hle.

Endometrial Hyperplasia hi engtiang chiahin nge a awm?

Dik tak chuan Endometrial Hyperplasia hi a awm fo lo. Hmeichhia 100,000 zinga 133 velin a nghawng a ni.Hetiang dinhmun hi hmeichhia menopause-a inthlak mek emaw, menopause paltlang vek tawh emaw-ah a lang tam ber.

Hei hi eng symptoms nge ni? Hengte pawh hi i nei em tih en rawh

Endometrial Hyperplasia vei chuan a natna lan chhuahna a nei thei a:

• Thlasik laia thisen chhuak pangngai lo: Hei hian period inkara thisen chhuah tihna a ni a, a nih loh leh thlasik a chawlh hnuah (menopause hnuah) thisen chhuak leh tihna a ni.
• Thlai hun tawi: Ni 21 aia rei lovah thlasik a awm.
• Thlasik laiin thisen chhuak tam lutuk.
• Menopause hnua thisen chhuak. Hei hi doctor pan ngei ngei tur a ni tih chhinchhiahna a ni.
• A chang chuan thlasik hi a tawp vek (Amenorrhea).

Heng symptoms te hi menopause lama inthlak lai hian hmuh tur a awm fo thin. I thlasik hun a tibuai a, thla engemaw zat chu a awm lo thei a, thisen chhuah mumal lo a awm bawk. Mahse, heng symptoms te hi i neih chuan menopause chhinchhiahna anga ngaih mai ai chuan doctor nena inbiakna neih a tha zawk. Chumi hnuah chuan doctor chuan hei hi ``Endometrial Hyperplasia'' a nih leh nih loh a rel thei ang.

Natna a awm thei ang em?

A chang chuan pum/pelvic pain a awm thei bawk. Mipat hmeichhiatna hman laiin natna i nei thei bawk (Dyspareunia). Mahse, a lan chhuah dan tlangpui chu thisen chhuak pangngai lo a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hmeichhia Endometrial Hyperplasia vei te hian hormone estrogen an siam tam lutuk a, hormone progesterone an siam tlem hle. Heng hormone pahnih hian thlasik hun chhung leh naupai lai hian hmun pawimawh tak an chang a ni.

Ngaihtuah teh, ovulation lai hian hormone estrogen hian nausen pum chhunga lining (endometrium) chu a ti thim thin. Hormone progesterone hian naupai atan nausen pum hi a buatsaih a. Naupai a awm loh chuan progesterone level a tlahniam thin. Chu progesterone tlahniam chuan uterus chu, "Okay, tunah chuan he lining hi shed hun a ni tawh," tiin signal a pe a ni. Chu chu menstruation angin a thleng thin.

Mahse, ``Endometrial Hyperplasia`` vei hmeichhiaah chuan taksain progesterone a siam tlem hle emaw, a siam chhuak lo emaw a ni. Chuvangin, nausen pum chhunga lining chu a chhuak lo. Chu ai chuan lining chu a lo thang zel a, a thim zel bawk. A thick deuh deuh chuan a siamtu cell te chu an inhnaih hle a, an inrem lo tan ta a ni.

Hetiang hi tuin nge nei tam zawk? (Risk Factor hrang hrang) 1.1.

Endometrial Hyperplasia hi hmeichhia menopause hnaih tawh (perimenopause) emaw, menopause paltlang tawh emaw zingah a tam ber. Hmeichhia kum 35 hnuai lam tan a vei hi a tlem hle. Risk factor dangte chu:

• Hnute cancer enkawlna thenkhat (e.g.:`Tamoxifen` tih a ni).
• Zunthlum (Diabetes Mellitus) vei tan chuan .
• Kum naupang tak atanga thlasik tan emaw, menopause tlai lutuk emaw.
• I chhungkuaa mi tu emaw chuan ovarian, uterine, emaw colon cancer a nei tawh a nih chuan .
• Gallbladder natna nei tan chuan .
• Nausen pum i neih laiin estrogen chauh awmna hormone therapy (progesterone tel lo) i ei a nih chuan.
• Hmeichhe naupai ngai lo tan .
• Thau lutuk .
• `Polycystic Ovary Syndrome' (PCOS) vei tan chuan .
• Meizial zu thinte tan chuan .
• Thyroid natna nei tan chuan .
• Thlasik mumal lo emaw hun rei tak chhung thlasik nei lo emaw .
• Pelvic irradiation i neih tawh chuan .
• Immune system a chak loh chuan (autoimmune disease emaw damdawi thenkhat vang emaw).

Hei hian eng harsatna nge a thlen theih?

Hyperplasia chi hrang hrang chu eng pawh ni se, thisen chhuah dan pangngai lo leh tam lutuk chuan thisen tlakchhamna, a nih loh leh thisen tlakchhamna a thlen thei che a ni . Anemia hi taksain thisen sen (red blood cells) a neih tlem vang a ni a, chu chu iron a ni.

A pawimawh ber chu ``atypia'' (Atypical Endometrial Hyperplasia) chi hi enkawl loh chuan cancer a ni thei.

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``Simple Atypical Endometrial Hyperplasia'' vei hmeichhia 8% vel chuan enkawl loh chuan cancer an vei ang. ``Complex Atypical Endometrial Hyperplasia'' vei hmeichhia 30% vel chuan enkawl loh chuan cancer an vei ang.

Chuvang chuan symptoms i neih chuan doctor pan vat a pawimawh a, a dik lohna dik tak hriatchhuah a pawimawh.

Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.

Uterine bleeding pangngai lo a awm chhan tam tak a awm thei. Chuvangin, i natna lan chhuah chhan dik tak hriat tumin i doctor chuan a hnuaia test pakhat emaw a aia tam emaw a ti thei ang:

• Transvaginal Ultrasound: Hei hi vagina kaltlangin instrument te tak te dah luh a, sound wave hmanga nausen pum thlalak lak a ni. Heng thlalak te hian nausen pum chhunga lining a thuk lutuk leh thim lutuk loh hriat theih nan a pui thei a ni.
• An `Endometrial Biopsy`: Hei hi nausen pum chhunga lining atanga tissue sample te tak te lak a ni. Chumi hnuah chuan cell te chu microscope hmangin cancer cell a awm em tih emaw, `Hyperplasia` awm dan emaw an enfiah a.
• Hysteroscopy: Tube te tak te, eng nei, camera inbun (hysteroscope) chu serh chhung atangin nausen pum chhungah an lut a. Hetiang tih chhung hian D&C (dilation leh curettage) emaw biopsy emaw tih theih a ni. Hysteroscopy hmang hian nausen pum chhung lam hi ngun taka en theih a ni a, rinhlelhna hmun a awm chuan biopsy lak theih a ni bawk.

Hei hi eng enkawlna nge ni? (Tihdamna)

Endometrial Hyperplasia hi hormone progestin an tih hmanga enkawl a ni fo thin. Progestin hi hormone progesterone synthetic version a ni a, i taksa hian a tlem berah a siam a ni. Progestin hi chi hrang hrang a awm a:

• Oral progesterone hmanga enkawl a ni.
• Nausen pum chhunga dah luh (`Intrauterine device - IUD`, `Progesterone` awmna) angin.
• Injection angin (e.g. Depo-Provera® ).
• Vagina-a cream hnawih (Vaginal cream emaw gel emaw).

Mahse, hengte hi doctor chuan hysterectomy a rawt thei a ni :

• I dinhmun a chhe zual a nih chuan, emaw, cancer cells a lo thang lian tan a nih chuan.
• Progestin hmanga enkawl a nih chuan a dinhmun a ṭhat loh chuan.

Hysterectomy neih a ngai em?

Endometrial hyperplasia hi a tlangpuiin nausen pum hi lakchhuah a ngai lo. Hmeichhe tam tak chuan progestin therapy hmangin an ti tha hle. Mahse, uterine cancer vei theihna chance sang tak i neih chuan, a bik takin Complex Atypical Endometrial Hyperplasia tih natna i neih chuan hysterectomy hi duhthlan tur a ni thei.

`(Endometrial Hyperplasia)` lo awm tur venna tur hian kan tih theih a awm em?

Hetiang natna vei theihna tur tihtlem nan thil engemaw zat i tih theih a awm a:

• Menopause hnua hormone therapy i ei chuan estrogen (uterus i neih chuan) nen progesterone hmang bawk ang che .
• I period mumal lo a nih chuan birth control pill, estrogen leh progestin pahnih (doctor-in a tih angin) ei hi ngaihtuah rawh .
• Meizial zu kha bansan rawh.
• Nangmah tan chuan taksa rihna hrisel tak vawng reng rawh.

Hetiang dinhmun nen hian hmalam hun eng nge awm ang? (Hmuh dan tur) .

Endometrial hyperplasia hian progestin enkawlnaah a chhang tha hle. Mahse, atypical endometrial hyperplasia i neih chuan uterine cancer-ah a kal thei a ni. Chuvangin, i doctor chuan cancer hlauhawmna tihbo vek nan ultrasound, biopsies emaw, hysterectomy emaw neih fo a rawt thei ang. He rawtna hi i natna hmuhchhuah dan, i hriselna chanchin leh cancer vei theihna i neih dan atanga siam a ni.

Endometrial Hyperplasia hi mi zawng zawngah cancer-ah a chang vek em?

Ni lo, chutiang chuan a thleng ngai lo. Cancer vei theihna hi 8% atanga 30% inkar a ni thei a, Endometrial Hyperplasia i neih chi hrang hrang a zirin a ni. A chi thenkhat chauh hi cancer-ah an lo chang thin. I doctor chuan eng chi nge i neih tih te, eng enkawlna tha ber nge tih te, cancer vei theihna tur i neih dan te a hrilhfiah thei ang.

Engtik hunah nge doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan ngei ang:

• Thisen chhuah tam lutuk emaw, a pangngai lo emaw a nih chuan.
• Menopause hnua vaginal bleeding i neih chuan.
• Thlasik natna nasa tak i neih chuan (Dysmenorrhea) .
• Zun laiin natna i neih chuan (Dysuria) .
• Mipat hmeichhiatna hman laiin natna i neih chuan (Dyspareunia) .
• Pelvic pain i neih chuan .
• Vaginal discharge danglam tak a awm chuan.
• I period i miss fo chuan .

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Endometrial Hyperplasia i neih chuan doctor hnenah heng zawhnate hi i zawt thei ang:

• Eng ang Endometrial Hyperplasia nge ka neih?
• Uterine cancer vei theihna chance ka nei sang zawk em? Chutiang a nih chuan, ka risk tihtlem nân eng nge ka tih theih ang?
• Ka Endometrial Hyperplasia chi hrang hrang enkawlna tha ber chu eng nge ni?
• Chutiang enkawlnate chuan eng hlauhawmna leh nghawng ṭha lo nge a neih?
• Ka chhungte hi Endometrial Hyperplasia vei theihna hlauhawmah an awm em? Chutiang a nih chuan, an hlauhawmna tihtlem nân eng nge an tih theih ang?
• Enkawlna hnuah eng ang follow-up care nge ka mamawh?
• Complication chhinchhiahna awmte chu ka fimkhur tur em ni?

Eng kum lamah nge he natna hi a tam ber?

Endometrial Hyperplasia hi hmeichhia menopause-a inthlak mek emaw, menopause zo tawh emaw-ah hmuh a ni ber. Menopause kum zat chu kum 51 vel a ni. Chuvangin, hmeichhia kum 50 leh 60 inkar te hi he natna hi an vei tam ber.

Thil pawimawh hriat reng tur (Take-Home Message) .

Endometrial hyperplasia hi nausen pum chhunga lining a thim thin a ni. Hei hian thisen chhuah dan pangngai lo a thlen thei a, a chang chuan lungawi lohna a thlen thei bawk. Hmeichhe tam tak chuan progestin hormone therapy hmangin hahdamna an hmu thin. Mahse, atypical endometrial hyperplasia nei hmeichhiate chu uterine cancer vei theihna a sang hle. Chutiang hunah chuan hysterectomy hian symptoms a ti reh thei a, cancer vei theihna a ti tlem thei bawk. I tana enkawlna tha ber tur doctor nen inbiakna neih a pawimawh. Zawhna i neih chuan i doctor zawh hreh suh.

` Endometrial Hyperplasia, endometrial hyperplasia, uterine lining thickening, thlasik mumal lo, menopause, progestin, uterine cancer