He rerekē tō paheketanga? Me ako tātou mō te Endometrial Hyperplasia!

Kua tino rerekē te huringa o tō paheketanga? I ētahi rā ka tino taumaha, i ētahi wā ka roa mō ētahi rā, ka kite anō rānei koe i ngā pata toto i muri i te mutunga o tō paheketanga? Ahakoa he mea noa ēnei mea ki te nuinga o ngā wāhine, i ētahi wā he tohu pea tēnei mō tētahi āhuatanga e hiahia ana kia arohia. Koinei te āhuatanga e kōrerohia ana i tēnei rā, ko te 'Endometrial Hyperplasia'.

He aha te Endometrial Hyperplasia?

He tino māmā noa iho. Ko te arai o tō kōpū, e kiia nei e mātou i roto i te rongoā ko te endometrium , ka matotoru ake i tōna matotoru e tika ana, e kiia nei ko te Endometrial Hyperplasia.

Whakaarohia, i ia marama i te wā o te paheketanga, ko tēnei arai endometrial te mea e puta mai ana i tō tinana. Waihoki, ina hapu he pēpi, ka tipu haumaru taua pēpi i roto i tēnei arai. Nō reira, ko te mea ka tupu i roto i tēnei āhuatanga ko te matotoru ake i tōna rahi e tika ana. Mō ētahi wāhine, ki te kore e whakahaeretia tēnei āhuatanga, ka taea e ia te whanake hei mate pukupuku endometrial . Nō reira, he mea tino nui kia mōhio koe ki tēnei.

He momo pēnei anō? He ōrite te mōrearea o te mate pukupuku mō te katoa?

Āe, e rua ngā momo matua o tēnei. Ka whakarōpūhia e ngā tākuta i runga i te momo pūtau i roto i te arai kōpū matotoru. Ko ētahi momo he nui ake te tūponotanga ka puta te mate pukupuku, ko ētahi he iti ake te tūponotanga.

He aha ngā tohu o tēnei mate?

Ko te tohu matua me te tohu tino kitea o tēnei ko te toto rerekē.

• Te paheketanga koretake: Te toto, te ira rānei i waenga i ngā huringa paheketanga.
• Ngā huringa paheketanga poto: Ko te paheketanga e puta ana i raro i te 21 ngā rā te wehenga.
• Te toto nui: He toto nui atu i te mea noa i te wā o te paheketanga.
• Te toto i muri i te paheketanga: Te toto tara e puta ana i muri i te paheketanga kua mutu katoa. Kaua rawa tēnei e whakahaweatia.
• Te korenga o te paheketanga: Ko ētahi tāngata kāore pea e pāngia e te paheketanga.

He tokomaha te hunga e wareware ana ki ēnei tohu i a rātou e whakatata atu ana ki te wā pāheketanga. Heoi, he pai ake te kōrero ki tō tākuta kia kitea ai te tino take.

He aha tēnei e tupu nei? He aha te take matua?

Ki te kī māmā noa iho, ko te tino take he kore taurite i waenga i ngā homoni e rua, arā, te estrogen me te progesterone, i roto i te tinana. Arā, ka nui ake te taumata o te estrogen i roto i te tinana i te mea e tika ana, ā, ka ngaro te nui o te progesterone e rite ana.

Whakaarohia, mā te homoni estrogen ka whakamātotoru te arai o te kōpū. Mā te homoni progesterone ka whakarite i taua arai matotoru mō te hāputanga. Ki te kore e hāpu, ka heke te nui o te progesterone, ā, koinā te wā ka marere te arai o te kōpū ka puta mai hei paheketanga.

Nō reira, ina kore e nui te progesterone, kāore te arai kōpū e whiwhi i te tohu kia marere. Engari, ka haere tonu te matotoru i raro i te mana o te estrogen. Koinei te mea e tupu ana i konei.

Ko wai ka nui ake te mōrearea mō tēnei?

Ahakoa ka pā tēnei āhuatanga ki ngā wāhine o ngā tau katoa, he nui ake te mōrearea o ētahi tāngata.

• Tau: He tino onge tēnei mō te hunga kei raro iho i te 35 tau te pakeke. Ko ngā wāhine e tata ana ki te menopause (perimenopause) ā, kua tae ki te menopause (menopause) he nui ake te mōrearea.
• Kāore anō kia hapu.
• Momonatanga: I te pikinga o te ngako o te tinana, ka piki ake hoki te hanga o te estrogen.
• Mate PCOS: Ko te hunga whai Polycystic Ovary Syndrome (PCOS) ka pāngia e te kore taurite o ngā homoni.
• Mate huka.
• Ko ētahi maimoatanga mate pukupuku:Ngā rongoā pēnei i te Tamoxifen, e whakamahia ana mō te mate pukupuku o te ū.
• Whakaora homoni: Ko ngā wāhine kāore anō kia tangohia te kōpū, ka tango i te homoni estrogen anake hei rongoā.
• Hītori whānau: Mena kua pāngia tetahi o tō whānau e te mate pukupuku kōpū, te mate pukupuku whēkau, te mate pukupuku koroni rānei.
• Te momi hikareti.

Me pēhea te kitenga a te tākuta i tēnei?

Mena he toto rerekē tōu, ka whakahaerehia pea e tō tākuta ētahi whakamātautau hei kimi i te pūtake.

1. Ultrasound Transvaginal: Ko te whakaurunga o tētahi taputapu iti mā roto i te tenetene hei tango whakaahua mārama o te kōpū. Ka taea te ine tika i te matotoru o te pakitara kōpū.

2. Te Kohikohi i te Endometrial: Koinei te whakamātautau tino nui. Ka tangohia he wahi kiko iti rawa mai i te pakitara o te kōpū, ka tirohia i raro i te karuārai. Kāore he mea e wehi ai, koinei te mea e titiro ana ki te āhua o ngā pūtau, ā, e whakaū ana mēnā he atypia, he pūtau matepukupuku rānei.

3. Hysteroscopy: Ka whakauruhia he ngongo angiangi, he rama, me te kāmera mā roto i te kaki kia tirohia tika ai te roto o te kōpū. Tērā pea ka tangohia he koiora i tēnei wā.

He aha tāu e mahi nei hei maimoatanga?

Ko te maimoatanga mō tēnei ka whakawhirinaki ki te momo hypoplasia kei a koe, tō tau, me te hiahia rānei koe kia nui ake ngā tamariki.

• Te rongoā homoni progestin: Koinei te maimoatanga matua mō te nuinga o te tangata. Ko te progestin he momo hangai o te homoni progesterone i kōrerohia e tātou. Mā te whakaiti i ngā pānga o te estrogen me te tuku i te arai kōpū matotoru kia marere.
• Ngā pire i horomia
• He taputapu ā-roto-uterus (IUD)
• Werohanga (hei tauira, Depo-Provera®)
• Ngā momo kirīmi tara

• Tāngohanga Histerekōkiri: Ko te tikanga tēnei e taunakitia ana mō ngā wāhine he hyperplasia me te atypia , he nui te mōrearea ki te mate pukupuku, ā, kāore e hiahia ana ki te whānau tamariki. Mā tēnei pokanga ka tangohia te kōpū, ka taea te whakaora katoa i ngā tohu me te whakaiti i te mōrearea o te mate pukupuku.

He aha ngā āhuatanga e tika ana kia toro atu koe ki te tākuta?

Mena kei a koe tētahi o ngā tohu e whai ake nei, me toro atu koe ki te tākuta.