Kei te matotoru haere te arai o tō kōpū? Me kōrero tātou mō te (Endometrial Hyperplasia)!

He rerekē te āhua o tō paheketanga i ētahi wā, he toto nui mō ngā rā i ia wā, he ira rānei i waenga i ngā paheketanga? Ki tā ētahi he mea noa tēnei, inā koa ka tata te paheketanga, i muri rānei i taua wā, engari kāore i te pērā tonu. I ētahi wā he tohu pea tēnei mō tētahi mea hei āwangawanga māu. Koinei te āhua ka kōrerohia e tātou i tēnei rā, e kiia nei ko te (Endometrial Hyperplasia). Ahakoa he ahua rerekē te ingoa, he mea nui kia mōhio ki tēnei.

He aha te "Endometrial Hyperplasia"? Me mārama noa iho.

I te whakarapopototanga, ko te Endometrial Hyperplasia te wā e matotoru ake ai te arai o tō kōpū, e kiia nei ko te endometrium, i te mea noa . Ki te whakaarohia e koe te endometrium, ko te arai e marere ana i ia marama i roto i tō paheketanga. Waihoki, ina hapu he pēpi, kei roto i tēnei arai ka tīmata te tipu o te pēpi. Nō reira, ki te matotoru ake te endometrium i te mea noa, ka kiia ko te Endometrial Hyperplasia. Tērā pea ētahi wāhine ka pāngia e te mate pukupuku endometrial nā tēnei āhuatanga. Nō reira, he mea nui kia mōhio ki tēnei.

He momo rerekē tēnei? He aha ēnei?

Ae, ka whakarōpūhia e ngā tākuta te Endometrial Hyperplasia i runga i ngā huringa o ngā pūtau i roto i tō endometrium. Ko ētahi momo ka nui ake te tūponotanga ka whanake hei mate pukupuku, ko ētahi kāore.

• Te Hyperplasia Endometrial kāore he Atypia: I tēnei momo, he āhua noa ngā pūtau i roto i te arai o te kōpū. He iti ake te tūponotanga ka noho hei matepukupuku. Tērā pea ka pai ake tēnei āhuatanga me te kore he maimoatanga, ka tūtohu rānei tō tākuta i te rongoā homoni. E rua ngā momo o tēnei: ​​he māmā me te uaua. Ka whakatauhia e te tauira o ngā pūtau.

• Te Hiperplasia Endometrial Āhuakore / Te Hiperplasia Endometrial me te Ātipia: Koinei te momo me aro nui atu tātou. Ko te tikanga o te Ātipia ehara i te mea noa ngā pūtau, engari he āhua rerekē. Mena he pūtau pēnei, he nui te tūponotanga ka pāngia e te mate pukupuku. Ki te kore tēnei e rongoatia tika, ka piki ake te tūponotanga ka pāngia e te mate pukupuku kōpū. Kei roto hoki i tēnei momo ko te Ātipia Ngāwari me te Ātipia Matatini.

Ki te kī atu tō tākuta kei a koe tēnei mate, he mea tino nui kia mārama koe ki tōna momo me ōna mōrearea.

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He pēhea te noa o te Endometrial Hyperplasia?

Ina hoki, ehara te Endometrial Hyperplasia i te mate tino noa. E pāngia ana e te 133 o roto i te 100,000 ngā wāhine.Ko te nuinga o te wā ka kitea tēnei āhuatanga i roto i ngā wāhine e neke ana ki te paheketanga, kua mutu katoa rānei te paheketanga.

He aha ngā tohu o tēnei? Tirohia mēnā kei a koe anō ēnei tohu?

Ka pāngia pea te tangata e te Endometrial Hyperplasia e ngā tohu penei:

• Te toto o te paheketanga rerekē: Ko te tikanga he toto i waenga i ngā paheketanga, he toto anō rānei i muri i te mutunga o te paheketanga (i muri i te menopause).
• Te huringa paheketanga poto: Ka puta te paheketanga i roto i ngā rā e 21.
• Te toto nui rawa o te paheketanga.
• Te toto i muri i te paheketanga. He tohu tēnei me toro atu koe ki te tākuta.
• I ētahi wā ka mutu rawa te paheketanga (Amenorrhea).

Ka kitea pea ēnei tohu i te wā e neke ana ki te wā pāhekeheke. He mea noa te whakararuraru i tō huringa pāhekeheke, mō ētahi marama pea kāore e puta, ā, ka puta te toto koretake. Heoi, ki te mea kei a koe ēnei tohu, he pai ake te kōrero ki te tākuta kaua e whakaaro noa he tohu pāhekeheke. Kātahi ka taea e te tākuta te whakatau mēnā he "Endometrial Hyperplasia" tēnei, kāore rānei.

Tērā pea he mamae?

I ētahi wā, ka pāngia pea koe e te mamae o te puku/te hope. Tērā pea ka pāngia koe e te mamae i te wā e moe ai (Dyspareunia). Heoi, ko te tohu tino kitea ko te toto rerekē.

He aha tēnei e tupu nei? He aha ngā take?

He nui rawa te homoni estrogen e whakaputaina ana e ngā wāhine whai Endometrial Hyperplasia, ā, kāore e nui te homoni progesterone. He tino nui te mahi a ēnei homoni e rua i roto i te huringa paheketanga me te hapūtanga.

Whakaarohia, i te wā o te whakaputa uri, ka whakamātotoru te homoni estrogen i te arai o te kōpū (endometrium). Ka whakarite te homoni progesterone i te kōpū mō te hāputanga. Ki te kore e hāputanga, ka heke te nui o te progesterone. Mā taua hekenga o te progesterone ka tohu ki te kōpū, "Āe, kua tae ki te wā ki te tango i tēnei arai." Koinei te mea ka tupu i te wā o te paheketanga.

Heoi, mō ngā wāhine e pāngia ana e te "Endometrial Hyperplasia", he iti noa iho, he kore rānei e puta te progesterone i roto i te tinana. Nō reira, kāore te arai o te kōpū e marere. Engari, ka tipu tonu te arai, ka matotoru hoki. I a ia e matotoru ana, ka tino piri ngā pūtau e hanga ana i taua arai, ā, ka tīmata te koretake.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei? (Ngā Take Tūpono)

Ko te Endometrial Hyperplasia te mea tino kitea i roto i ngā wāhine e tata ana ki te menopause (perimenopause) kua tae kē rānei ki te menopause. He tino onge te pānga o tēnei ki ngā wāhine kei raro iho i te 35 tau te pakeke. Ko ētahi atu āhuatanga mōrearea ko:

• Ko ētahi maimoatanga matepukupuku ū (hei tauira:Tamoxifen).
• Mō te hunga e pāngia ana e te mate huka (Diabetes Mellitus) .
• Te tīmatanga o te paheketanga i te tamarikitanga , te mutunga rawa rānei o te paheketanga.
• Mena kua pāngia tetahi o tō whānau e te mate pukupuku o te whatukuhu, te kōpū, te koroni rānei .
• Mō te hunga e mate ana i te pūkahukahu .
• Mena kei te tango koe i te rongoā homoni kei roto ko te estrogen anake (karekau he progesterone) i a koe e whānau ana i roto i te kōpū.
• Mō ngā wāhine kāore anō kia hapu .
• Te momonatanga .
• Mō te hunga e pāngia ana e te Polycystic Ovary Syndrome' (PCOS) .
• Mō te hunga e momi hikareti ana .
• Mō te hunga he mate tairoi .
• Te paheketanga koretake, te kore rānei o te paheketanga mō te wā roa .
• Mena kua pāngia koe e te irahiko o te hope .
• Mena kua ngoikore te pūnaha ārai mate (nā te mate pūnaha ārai mate, nā ētahi rongoā rānei).

He aha ngā raruraru ka pā mai i tēnei?

Ahakoa te momo hyperplasia, ka taea e te toto nui rawa, rerekē hoki te whakararu i a koe ki te pāngia e te anemia, te ngoikore rānei o te toto . Ka puta te anemia ina kore e ranea ngā toto whero o te tinana, kei roto nei te rino.

Ko te mea nui, ki te kore e rongoatia te momo "atypia" (Atypical Endometrial Hyperplasia), ka taea te huri hei mate pukupuku.

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Tata ki te 8% o ngā wāhine e pāngia ana e te "Simple Atypical Endometrial Hyperplasia" ka pāngia e te mate pukupuku mēnā kāore e rongoatia. Tata ki te 30% o ngā wāhine e pāngia ana e te "Complex Atypical Endometrial Hyperplasia" ka pāngia e te mate pukupuku mēnā kāore e rongoatia.

Koia te mea nui kia tere te toro atu ki te tākuta mēnā ka puta ngā tohu, kia kitea ai te āhua o te mate.

Me pēhea te tātaritanga a te tākuta i tēnei? (Tauātanga)

He maha ngā take mō te toto kōpū rerekē. Nō reira, kia kitea ai te tino pūtake o ō tohu, ka whakahaerehia pea e tō tākuta tētahi, ētahi rānei o ngā whakamātautau e whai ake nei:

• Te Ultrasound Transvaginal: Ko te whakaurunga o tētahi taputapu iti mā roto i te tenetene, me te whakamahi i ngā ngaru oro hei tango pikitia o te kōpū. Ka āwhina ēnei pikitia ki te whakatau mēnā he matotoru rawa te arai o te kōpū.
• He Endometrial Biopsy: Ko te tikanga o tēnei he tango i tētahi tauira iti o te kiko mai i te arai o te kōpū. Kātahi ka tirohia ngā pūtau i raro i te karuārai hei tirotiro mēnā he pūtau matepukupuku, he āhua rānei o te Hyperplasia.
• Hysteroscopy: Ka tukuna he ngongo angiangi, he rama, me te kāmera e piri ana ki roto (hysteroscope) mā roto i te cervix ki roto i te kōpū. I roto i tēnei tikanga, ka taea te mahi i te D&C (whakawhānui me te curettage) me te biopsy rānei. Mā te hysteroscopy ka taea te tirotiro tata ki roto i te kōpū, ā, ki te mea he wāhi whakapae, ka taea te tango i te biopsy.

He aha ngā maimoatanga mō tēnei? (Maimoatanga)

He maha ngā wā ka rongoatia te Endometrial Hyperplasia ki tētahi homoni e kiia nei ko te progestin. Ko te Progestin he putanga hangai o te homoni progesterone, e hangaia ana e tō tinana i roto i ngā rahinga iti. He rerekē ngā āhua o te Progestin:

• Te rongoā ā-waha mō te progesterone.
• Hei taputapu e whakaurua ana ki roto i te kōpū (he IUD, kei roto ko te Progesterone).
• Hei werohanga (hei tauira, Depo-Provera® ).
• He kirimi e pania ana ki te tara (kirīmi tara, he tiēre rānei).

Heoi, i roto i ēnei āhuatanga, ka tūtohu pea te tākuta kia tangohia te wahine :

• Mena ka kino haere tō āhua, ka tīmata rānei te tipu o ngā pūtau matepukupuku.
• Ki te kore te āhua e pai ake mā te maimoatanga progestin.

He mea tika kia tangohia te kōpū?

Kāore e hiahiatia te tango i te kōpū mō te hyperplasia endometrial. He pai te rongoā progestin mō te nuinga o ngā wāhine. Heoi, ki te mea he nui te tūponotanga ki te pāngia e te mate pukupuku kōpū, inā koa mēnā he mate tōu e kiia nei ko te Complex Atypical Endometrial Hyperplasia, he kōwhiringa pea te hysterectomy.

He aha ngā mea ka taea e tātou te mahi hei ārai i te whanaketanga o te (Endometrial Hyperplasia)?

Anei ētahi mea ka taea e koe te mahi hei whakaiti i te tūponotanga o te whakawhanaketanga o tēnei mate:

• Mena kei te tango koe i te rongoā homoni i muri i te paheketanga, whakamahia te progesterone me te estrogen (mēnā he kōpū tōu).
• Mena he koretake tō paheketanga, whakaarohia te tango i ngā pire ārai whānau kei roto ko te estrogen me te progestin (e ai ki tā tō tākuta i whakahau ai).
• Kati te momi hikareti.
• Kia mau tonu tō taumaha hauora.

He aha te āhua o te heke mai me tēnei āhuatanga? (Tirohanga)

He pai te urupare a te hyperplasia endometrial ki te maimoatanga progestin. Heoi, ki te mea he hyperplasia endometrial rerekē tōu, ka taea e ia te whanake hei mate pukupuku kōpū. Nō reira, ka tūtohu pea tō tākuta kia mahia he ultrasound, he biopsy, he hysterectomy rānei i ia wā, kia kore rawa ai e pāngia e te mate pukupuku. Ka tukuna tēnei taunakitanga i runga i tō tātaritanga, tō hītori hauora, me tō tupono ki te whakawhanake i te mate pukupuku.

Ka huri te Endometrial Hyperplasia hei mate pukupuku mō te katoa?

Kāo, kāore e tupu tonu pērā. Ko te mōrearea o te whakawhanake i te mate pukupuku ka rerekē mai i te 8% ki te 30%, i runga i te momo Endometrial Hyperplasia kei a koe. Ko ētahi momo anake ka huri hei mate pukupuku. Ka taea e tō tākuta te whakamārama ko tēhea momo kei a koe, ko tēhea te maimoatanga pai rawa atu, me te nui o tō mōrearea ki te mate pukupuku.

Kia pēhea te wā me toro atu ahau ki te tākuta?

Mena kei a koe ētahi o ēnei tohu, me toro atu ki te tākuta:

• Mena kei te toto nui rawa koe, kei te rerekē rānei.
• Mena he toto tō tenetene i muri i te paheketanga.
• Mena he mamae nui tō paheketanga (Dysmenorrhea) .
• Mena ka pāngia koe e te mamae i a koe e mimi ana (Dysuria) .
• Mena ka pāngia koe e te mamae i te wā e moe ai (Dyspareunia) .
• Mena kei te mamae tō hope .
• Mena he rerenga rerekē o te tara .
• Mena ka ngaro pinepine tō paheketanga .

He aha ngā pātai nui hei pātai atu ki te tākuta?

Mena kei a koe te Endometrial Hyperplasia, ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He aha te momo Endometrial Hyperplasia kei a au?
• He nui ake te tūponotanga o te mate pukupuku kōpū ki ahau? Mena koinā, me aha ahau hei whakaiti i te tūponotanga?
• He aha te rongoā pai rawa atu mō te momo Endometrial Hyperplasia?
• He aha ngā mōrearea me ngā pānga taha o aua maimoatanga?
• Kei te tūpono tōku whānau ki te pāngia e te Endometrial Hyperplasia? Mena koinā, me aha rātou hei whakaiti i tō rātou tūponotanga?
• He aha te momo tiaki whai muri i muri i te maimoatanga?
• Me tūpato ahau ki ngā tohu o ngā raruraru?

I roto i ēhea rōpū tau ka tino kitea tēnei mate?

Ko te Endometrial Hyperplasia te mea e kitea nuitia ana i roto i ngā wāhine e whakawhiti ana ki te menopause, kua oti rānei te menopause. Ko te tau toharite mō te menopause he 51 tau te pakeke. Nō reira, ko ngā wāhine i waenga i te 50 me te 60 tau te hunga e tino tūpono ana ki te pāngia e tēnei mate.

Ngā mea nui hei maumahara (Karere hei kawe ki te kāinga)

Ko te endometrial hyperplasia he āhuatanga e matotoru ai te arai o te kōpū. Ka puta he toto rerekē, ā, i ētahi wā ka mamae. He maha ngā wāhine e whiwhi ana i te whakamarie mā te rongoā homoni progestin. Heoi, ko ngā wāhine he endometrial hyperplasia rerekē te tūponotanga ki te whakawhanake i te mate pukupuku kōpū. I roto i ēnei āhuatanga, ka taea e te hysterectomy te whakaora i ngā tohu me te whakaiti i te tūponotanga o te mate pukupuku. He mea nui kia kōrero ki tō tākuta mō te maimoatanga pai rawa atu māu. Kaua e wehi ki te pātai ki tō tākuta mēnā he pātai āu.

Te whakanui i te endometrium, te whakanui i te endometrium, te matotoru o te arai o te kōpū, te paheketanga koretake, te paheketanga, te progestin, te mate pukupuku kōpū