Kodi chiberekero chanu chikukulirakulira? Tiyeni tikambirane za (Endometrial Hyperplasia)!

Kodi nthawi zina mumakhala ndi msambo wosakhazikika, kutuluka magazi ambiri kwa masiku angapo, kapena kuoneka pakati pa msambo? Anthu ena amaganiza kuti izi ndi zachilendo, makamaka mukayandikira kusamba kapena pambuyo pake, koma sizili choncho nthawi zonse. Nthawi zina izi zitha kukhala chizindikiro cha chinthu chodetsa nkhawa. Umenewo ndi mkhalidwe womwe tikambirane lero, wotchedwa `(Endometrial Hyperplasia).` Ngakhale dzinalo lingamveke lachilendo pang'ono, ndikofunikira kwambiri kudziwa izi.

Kodi "Endometrial Hyperplasia" ndi chiyani? Tiyeni timvetse mosavuta.

Mwachidule, Endometrial Hyperplasia ndi pamene chiberekero chanu, chotchedwa endometrium, chimakula kuposa masiku onse . Ngati mukuganiza za endometrium, ndi chiberekero chomwe chimatuluka mwezi uliwonse panthawi ya msambo wanu. Komanso, mwana akatenga pakati, mkati mwa chiberekero ichi ndi momwe mwana amayamba kukula. Chifukwa chake, ngati chiberekerocho chikukulirakulira kuposa masiku onse, chimatchedwa Endometrial Hyperplasia. Azimayi ena akhoza kukhala pachiwopsezo chotenga khansa ya chiberekero chifukwa cha vutoli. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.

Kodi pali mitundu yosiyanasiyana ya izi? Kodi ndi chiyani?

Inde, madokotala amagawa Endometrial Hyperplasia kutengera kusintha kwa maselo mu endometrium yanu. Mitundu ina imakhala ndi mwayi waukulu wopita ku khansa, pomwe ina siili ndi mwayi.

• Endometrial Hyperplasia yopanda Atypia: Mu mtundu uwu, maselo omwe ali mu chiberekero amawoneka bwino. Sangakhale ndi khansa. Vutoli likhoza kuchira popanda chithandizo, kapena dokotala wanu angakulangizeni chithandizo cha mahomoni. Izi zimagawidwanso m'mitundu iwiri: yosavuta komanso yovuta. Zimatsimikiziridwa ndi kapangidwe ka maselo.

• `Atypical Endometrial Hyperplasia / Endometrial Hyperplasia yokhala ndi Atypia`: Uwu ndi mtundu womwe tiyenera kuda nkhawa nawo kwambiri. `Atypia` amatanthauza kuti maselo si abwinobwino, koma ndi osazolowereka pang'ono. Ngati pali maselo otere, mwayi wokhala ndi khansa ndi waukulu. Ngati izi sizikuthandizidwa bwino, chiopsezo chokhala ndi khansa ya chiberekero chimawonjezeka. Izi zilinso ndi mitundu yotchedwa `Simple Atypical` ndi `Complex Atypical`.

Ngati dokotala wanu akukuuzani kuti muli ndi vutoli, ndikofunikira kwambiri kumvetsetsa bwino mtundu wake komanso zoopsa zake.

Kodi Endometrial Hyperplasia ndi yofala bwanji?

Ndipotu, Endometrial Hyperplasia si matenda ofala kwambiri. Amakhudza akazi pafupifupi 133 mwa akazi 100,000.Vutoli limapezeka kwambiri mwa akazi omwe akuyamba kusamba kapena omwe asiya kusamba kwathunthu.

Kodi zizindikiro za izi ndi ziti? Onani ngati muli nazonso

Munthu amene ali ndi Endometrial Hyperplasia angakumane ndi zizindikiro monga:

• Kutuluka magazi m'mimba kosazolowereka: Izi zikutanthauza kutuluka magazi pakati pa nthawi ya msambo, kapena kutulukanso magazi msambo utatha (mutatha kusamba).
• Kusamba kwa nthawi yochepa: Kusamba kumachitika pasanathe masiku 21.
• Kutuluka magazi ambiri m'mimba.
• Kutuluka magazi pambuyo pa kusamba. Ichi ndi chizindikiro chakuti muyeneradi kuonana ndi dokotala.
• Nthawi zina kusamba kumasiya kwathunthu (Amenorrhea).

Zizindikiro zimenezi nthawi zambiri zimaoneka panthawi yosintha kupita ku kusamba. Ndizachilendo kuti msambo wanu usokonezeke, kwa miyezi ina sizingachitike, ndipo kutuluka magazi kosakhazikika kumachitika. Komabe, ngati muli ndi zizindikirozi, ndi bwino kulankhula ndi dokotala m'malo mongoganiza kuti ndi chizindikiro cha kusamba. Dokotalayo amatha kusankha ngati izi ndi "Endometrial Hyperplasia" kapena ayi.

Kodi pangakhale ululu?

Nthawi zina, ululu wa m'mimba/chiuno ukhoza kuchitika. Muthanso kumva ululu panthawi yogonana (Dyspareunia). Komabe, chizindikiro chofala kwambiri ndi kutuluka magazi kosazolowereka.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Azimayi omwe ali ndi Endometrial Hyperplasia amapanga mahomoni ambiri a estrogen ndipo progesterone siikwanira. Mahomoni awiriwa amagwira ntchito yofunika kwambiri pa nthawi ya msambo komanso mimba.

Taganizirani izi, panthawi ya ovulation, mahomoni otchedwa estrogen amakulitsa mkati mwa chiberekero (endometrium). Mahomoni otchedwa progesterone amakonzekeretsa chiberekero kuti chikhale ndi pakati. Ngati mimba siichitika, kuchuluka kwa progesterone kumatsika. Kutsika kwa progesterone kumeneko kumawonetsa chiberekero kuti, "Chabwino, tsopano ndi nthawi yoti tichotse mkati mwa chiberekero." Ndicho chimene chimachitika ngati msambo.

Komabe, mwa akazi omwe ali ndi ``Endometrial Hyperplasia``, thupi limapanga progesterone yochepa kwambiri kapena silipanga progesterone konse. Chifukwa chake, chiberekero sichimatuluka. M'malo mwake, chiberekerocho chimapitiriza kukula ndi kukhuthala. Pamene chikukhuthala, maselo omwe amapanga chiberekerocho amakhala pafupi kwambiri ndipo amayamba kusakhazikika.

Ndani amene ali ndi mwayi waukulu wopeza izi? (Zinthu Zoopsa)

Endometrial Hyperplasia imapezeka kwambiri mwa akazi omwe akuyandikira kusamba (perimenopause) kapena omwe adadutsa kale kusamba. Ndikosowa kwambiri kwa akazi osakwana zaka 35 kukhala ndi vutoli. Zina mwa zinthu zomwe zimayambitsa matendawa ndi izi:

• Mankhwala ena a khansa ya m'mawere (monga:"Tamoxifen").
• Kwa iwo omwe ali ndi matenda a shuga (Diabetes Mellitus) .
• Kuyamba kusamba ali wamng'ono kwambiri kapena kusamba mochedwa kwambiri.
• Ngati wina m'banja mwanu wakhala ndi khansa ya m'chiberekero, chiberekero, kapena m'matumbo .
• Kwa iwo omwe ali ndi matenda a ndulu .
• Ngati mukumwa mankhwala a mahomoni okhala ndi estrogen yokha (yopanda progesterone) pamene muli ndi chiberekero.
• Kwa akazi omwe sanatengepo mimba .
• Kunenepa kwambiri .
• Kwa iwo omwe ali ndi `Polycystic Ovary Syndrome' (PCOS) .
• Kwa iwo amene amasuta .
• Kwa iwo omwe ali ndi matenda a chithokomiro .
• Kusasamba kosakhazikika kapena kusasamba kwa nthawi yayitali .
• Ngati mwakhalapo ndi radiation ya m'chiuno .
• Ngati chitetezo cha mthupi chafooka (chifukwa cha matenda odziteteza ku matenda enaake kapena mankhwala ena).

Kodi izi zingayambitse mavuto otani?

Kaya muli ndi vuto la hyperplasia, kutuluka magazi mopitirira muyeso komanso mopitirira muyeso kungakupangitseni kukhala ndi vuto la kuchepa kwa magazi, kapena kusowa kwa magazi . Kuchepa kwa magazi kumachitika pamene thupi lilibe maselo ofiira okwanira, omwe ali ndi chitsulo.

Chofunika kwambiri ndichakuti ngati mtundu wa ``atypia'' (Atypical Endometrial Hyperplasia) suchiritsidwa, ukhoza kukhala khansa.

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Pafupifupi 8% ya akazi omwe ali ndi ``Simple Atypical Endometrial Hyperplasia'' adzadwala khansa ngati sanalandire chithandizo. Pafupifupi 30% ya akazi omwe ali ndi ``Complex Atypical Endometrial Hyperplasia'' adzadwala khansa ngati sanalandire chithandizo.

Ndicho chifukwa chake ndikofunikira kuonana ndi dokotala mwachangu ngati muli ndi zizindikiro ndikupeza chomwe chikukuvutani.

Kodi dokotala amazindikira bwanji izi? (Kuzindikira)

Pakhoza kukhala zifukwa zambiri zomwe zimayambitsa kutuluka magazi m'chiberekero. Choncho, kuti adziwe chomwe chimayambitsa zizindikiro zanu, dokotala wanu angachite chimodzi kapena zingapo mwa izi:

• Kujambula kwa Ultrasound kwa Transvaginal: Izi zimaphatikizapo kulowetsa chida chaching'ono kudzera mu nyini ndikugwiritsa ntchito mafunde a phokoso kujambula zithunzi za chiberekero. Zithunzizi zingathandize kudziwa ngati chiberekero chili chokhuthala kwambiri.
• `Endometrial Biopsy`: Izi zimaphatikizapo kutenga chitsanzo cha minofu kuchokera mu chiberekero. Kenako maselowo amawunikidwa pogwiritsa ntchito maikulosikopu kuti awone ngati pali maselo a khansa kapena mtundu wa `Hyperplasia`.
• Hysteroscopy: Chubu chopepuka, chowala chokhala ndi kamera yolumikizidwa (hysteroscope) chimadutsa m'chiberekero kupita ku chiberekero. Pa nthawiyi, D&C (kukulitsa ndi kuchira) kapena biopsy ikhoza kuchitidwa. Hysteroscopy imalola kuyang'ana bwino mkati mwa chiberekero ndipo, ngati pali malo okayikitsa, biopsy ikhoza kutengedwa.

Kodi mankhwala a izi ndi otani? (Chithandizo)

Endometrial Hyperplasia nthawi zambiri imachiritsidwa ndi mahomoni otchedwa progestin. Progestin ndi mtundu wopangidwa wa mahomoni otchedwa progesterone, omwe thupi lanu limapanga pang'ono. Progestin imapezeka m'njira zosiyanasiyana:

• Mankhwala a progesterone opangidwa pakamwa.
• Monga chipangizo cholowetsedwa mu chiberekero (chipangizo cha `Intrauterine - IUD`, chokhala ndi `Progesterone`).
• Monga jakisoni (monga Depo-Provera® ).
• Kirimu wopaka kumaliseche (kirimu wa kumaliseche kapena gel).

Komabe, pazochitika izi, dokotala angakulangizeni kuti muchotse chiberekero :

• Ngati matenda anu akuipiraipira, kapena ngati maselo a khansa ayamba kukula.
• Ngati vutoli silikuyenda bwino ndi chithandizo cha progestin.

Kodi ndikofunikira kuchitidwa opaleshoni ya chiberekero?

Kuchuluka kwa endometrial hyperplasia nthawi zambiri sikufuna kuchotsedwa kwa chiberekero. Azimayi ambiri amachita bwino ndi chithandizo cha progestin. Komabe, ngati muli pachiwopsezo chachikulu chotenga khansa ya m'chiberekero, makamaka ngati muli ndi vuto lotchedwa Complex Atypical Endometrial Hyperplasia, ndiye kuti kuchotsa chiberekero kungakhale njira ina.

Kodi pali chilichonse chomwe tingachite kuti tipewe kukula kwa `(Endometrial Hyperplasia)`?

Pali zinthu zina zomwe mungachite kuti muchepetse chiopsezo chotenga matendawa:

• Ngati mukumwa mankhwala a mahomoni mutasiya kusamba, gwiritsani ntchito progesterone pamodzi ndi estrogen (ngati muli ndi chiberekero).
• Ngati muli ndi msambo wosakhazikika, ganizirani kumwa mapiritsi oletsa kubereka omwe ali ndi estrogen ndi progestin (monga momwe dokotala wanu wanenera).
• Siyani kusuta.
• Khalani ndi kulemera koyenera.

Kodi tsogolo lidzakhala bwanji ndi vutoli? (Outlook)

Endometrial hyperplasia imayankha bwino chithandizo cha progestin. Komabe, ngati muli ndi endometrial hyperplasia yosazolowereka, imatha kupitirira kukhala khansa ya m'chiberekero. Chifukwa chake, dokotala wanu angakulangizeni kuti mupimidwe pafupipafupi, kuchitidwa opaleshoni, kapena kuchotsedwa kwa chiberekero kuti muchotse chiopsezo cha khansa. Malangizowa aperekedwa kutengera matenda anu, mbiri yanu yaumoyo, komanso chiopsezo chanu chokhala ndi khansa.

Kodi Endometrial Hyperplasia imasanduka khansa kwa aliyense?

Ayi, sizimachitika nthawi zonse choncho. Chiwopsezo chotenga khansa chingachokere pa 8% mpaka 30%, kutengera mtundu wa Endometrial Hyperplasia yomwe muli nayo. Mitundu ina yokha ndi yomwe imasanduka khansa. Dokotala wanu angakuuzeni mtundu womwe muli nawo, chithandizo chabwino kwambiri, komanso chiopsezo chanu chotenga khansa.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati muli ndi zizindikiro izi, pitani kwa dokotala:

• Ngati mukutuluka magazi ambiri kapena osazolowereka.
• Ngati muli ndi magazi m'mimba mutatha kusamba.
• Ngati muli ndi ululu waukulu wa msambo (Dysmenorrhea) .
• Ngati mukumva kupweteka mukamakodza (Dysuria) .
• Ngati mukumva kupweteka panthawi yogonana (Dyspareunia) .
• Ngati muli ndi ululu m'chiuno .
• Ngati pali kutuluka kwachilendo kwa nyini .
• Ngati mumaphonya nthawi yanu ya msambo pafupipafupi .

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Ngati muli ndi endometrial hyperplasia, funsani dokotala mafunso awa:

• Kodi ndi mtundu wanji wa endometrial hyperplasia womwe ndili nawo?
• Kodi ndili pachiopsezo chachikulu chotenga khansa ya m'chiberekero? Ngati ndi choncho, ndingatani kuti ndichepetse chiopsezo changa?
• Kodi chithandizo chabwino kwambiri cha mtundu wanga wa Endometrial Hyperplasia ndi chiti?
• Kodi zoopsa ndi zotsatirapo zake ndi ziti?
• Kodi banja langa lili pachiwopsezo chotenga Endometrial Hyperplasia? Ngati ndi choncho, kodi angachite chiyani kuti achepetse chiopsezo chawo?
• Kodi ndi chithandizo chotani chomwe ndikufunika pambuyo pa chithandizo?
• Kodi ndiyenera kusamala ndi zizindikiro za mavuto?

Kodi vutoli limafala kwambiri m'magulu azaka ziti?

Matenda a Endometrial Hyperplasia amapezeka kwambiri mwa akazi omwe akusintha kapena omwe amaliza kusamba. Avereji ya zaka zomwe amayamba kusamba ndi pafupifupi zaka 51. Chifukwa chake, akazi azaka zapakati pa 50 ndi 60 ndi omwe ali ndi mwayi waukulu wokhala ndi vutoli.

Zinthu zofunika kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Endometrial hyperplasia ndi vuto lomwe chiberekero chimakula. Izi zingayambitse kutuluka magazi modabwitsa komanso nthawi zina kusasangalala. Azimayi ambiri amapeza mpumulo pogwiritsa ntchito mankhwala a progestin hormone. Komabe, akazi omwe ali ndi endometrial hyperplasia yosazolowereka ali pachiwopsezo chachikulu chotenga khansa ya m'chiberekero. Pazochitika zotere, kuchotsa chiberekero kumatha kuchepetsa zizindikiro ndikuchepetsa chiopsezo cha khansa. Ndikofunikira kulankhula ndi dokotala wanu za chithandizo chabwino kwambiri kwa inu. Musaope kufunsa dokotala wanu ngati muli ndi mafunso.

Endometrial Hyperplasia, endometrial hyperplasia, kukhuthala kwa chiberekero, kusamba kosakhazikika, kusamba kwa nthawi yopuma, progestin, khansa ya chiberekero