Hyperplasia - dab tsi yog qhov no? Glandular endometrial hyperplasia. Lobular hyperplasia ntawm lub endometrium

Hyperplasia - ib tug mob yus muaj los ntawm ib qho kev nce nyob rau hauv cell xov tooj nyob rau hauv ib tug so ntswg los hloov khoom nruab nrog (tshwj tsis yog rau mob nqaij). Cov tshwm sim ntawm txoj kev loj hlob ntawm tus kab mob no yog ib tug mob los yog ib tug cim nce nyob rau hauv lub cev loj.

Tsim hyperplasia tom qab ib tug ntau yam ntawm influences uas cuam tshuam hais tawm ntawm stimulating lub hlwb. Yog li, tej zaum yuav ua txoj kev loj hlob ntawm antigenic stimuli oncogenic tshuaj, kev loj hlob promoters los yog nqaij tsis tau, txawm yog vim li cas, hloov los yog ib feem ntawm cov ntaub so ntswg. Physiological hyperplasia - ib tug sprawl thaum lub sij hawm cev xeeb tub lub mammary epithelium, ib tug manifestation ntawm glandular hyperplasia ua ntej los yog thaum lub sij hawm ua poj niam, thiab lwm yam zoo xws ces.

Raws li ib qho piv txwv, hyperplasia, hnyav pathological tej yam kev mob, yuav tsum tau hu ua qhov kev nce nyob rau hauv lub yam ntxwv hais rau cov neeg mob uas muaj tej yam ntaub ntawv ntawm cov anemia myeloid cov ntaub so ntswg. Nyob rau hauv tas li ntawd, hyperplastic dab yuav tshwm sim nyob rau hauv lub lymphoreticular cov ntaub so ntswg qog, raws li cov kev tiv thaiv kab teb nyob rau hauv tus po, nyob rau hauv cov ntaub ntawv ntawm cov kab mob ntawm cov kab xwm.

Ib tug ntau yam ntawm cov ntaub ntawv uas

Nyob rau hauv cov tshuaj, muaj ntau ntau theem pib hom:

1. Physiological hyperplasia. Cov ntaub so ntswg kev loj hlob tshwm sim, uas yog tej los yog ib ntus. Piv txwv li, hyperplasia ntawm mammary qog thaum lub sij hawm lactation los yog cev xeeb tub.
2. Pathological hyperplasia. Vim ib tug xov tooj ntawm precipitating yam tshwm sim cov ntaub so ntswg kev loj hlob.

Nyob rau hauv tas li ntawd, tus kab mob no tej zaum yuav focal, diffuse thiab polypous:

1. Thaum muaj ib tug meej daim ntawv ntawm focal localization txheej txheem nyob rau hauv daim ntawv ntawm ib tug neeg seem.
2. Nyob rau hauv diffuse hyperplasia tag nrho cuam tshuam nto txheej.
3. Rau polypous daim ntawv yus sis tsis ncaj expansion ntawm lub txuas ntsiab. Nyob rau hauv cov ntaub ntawv no, hyperplasia tej zaum yuav ua txoj kev loj hlob ntawm substandard educations thiab cov hlwv.

Diffuse hyperplasia ntawm lub qog caj pas

Tus kab mob no tshwm sim thaum nyiaj tshuaj tiv thaiv nyob thyroid iodine deficiency. Lub sij hawm "diffuse" nws txhais tau tias pathology muaj feem xyuam rau tag nrho lub cev: yog ib qho kev nce rau hauv nws cov loj vim tu tub tu kiv ntawm prostate hlwb nyob rau hauv thiaj li yuav muaj lub tso pa tawm ntawm lub qog hormones uas txhawb metabolism, mus pab tau txoj lub haum ntawm cov pa txhawb zog.

Thyroid iodine yuav tsum tau kom muaj nws hormonal ua si. Cov tsis muaj los yog tsis tuaj kawm ntawv ntawm iodine txhawb loj hlob ntawm cancer hlwb thiab muaj peev xwm tom qab ua nyob rau hauv kawg.

adrenal hyperplasia

Tus kab mob muaj peev xwm yuav diffuse los yog nodular. Nws yog nrog los ntawm txuas ntxiv adrenal cov ntaub so ntswg nyob rau hauv cov ntaub ntawv ntawm pineal qog thiab Cushing tus syndrome. Nyob rau hauv cov laus, qhov no daim ntawv ntawm hyperplasia, tshwj xeeb tshaj yog tshuav-tso, nrog rau cov ultrasound txoj kev tshawb no yog heev nyuaj kom paub txog thiab tseem hais txog txoj kev tshawv no los ntawm MRI thiab CT.

Tej zaum diffuse adrenal hyperplasia yog nrog los ntawm muaj zog tub ceev xwm thaum tswj li qub tsos qog - nyob rau hauv daim ntawv ntawm cov hypoechoic lug, surrounded los ntawm fatty cov ntaub so ntswg. Nyob rau hauv cov ntaub ntawv ntawm nodular hyperplasia nyob rau hauv lub "daim duab peb sab ntawm cov rog" muaj peev xwm yuav pom puag ncig, homogeneous hypoechoic tsim. Lawv yog cov yooj yim kom paub qhov txawv ntawm ib tug adenoma rau lub ultrasound daim duab.

Prostate - benign prostatic hyperplasia

Hais txog 85% ntawm cov txiv neej laus dua 50 xyoo yuav raug tus kab mob no. Benign prostatic hyperplasia yog tsiag ntawv los ntawm tsim ntawm prostate ob peb me me nodules (los yog ib tug) uas kis tau maj pib mus nias rau lub qhov zis, uas tom qab ua rau muaj teeb meem nrog tso zis.

Tus kab mob tsis ua metastasis, uas tau distinguishes nws prostate cancer, li ntawd, nws yog hu ua benign prostatic hyperplasia. Nyob rau hauv cov ntaub ntawv no, nws twb tsis muaj tseeb ua rau thiab yog feem ntau yog txuam nrog txiv neej lawm.

uterine endometrium

Hyperplasia - ib tug benign nce lub thickness thiab ntim ntawm lub uterine hauv ob sab phlu. Nws yuav tshwm sim raws li ib tug tshwm sim ntawm yug me nyuam raws li cov glandular thiab lwm yam cov ntaub so ntswg hlwb. Tus kab mob muaj peev xwm ua rau muaj kev cuam tshuam ntawm tej kev ua si ntawm lub endometrium (conceiving teeb meem, impaired menses).

Nyob rau hauv tej yam kev mob, lub endometrium hlob nyob rau hauv qhov kev txiav txim ntawm cov tshuaj no nyob rau hauv thawj lub voj voog lub sij hawm, nyob rau hauv tus ntawm progesterone thaum lub sij hawm thib ob lub sij hawm ntawm lub voj voog yog tus me nyuam khi. Nyob rau hauv lub pathology ntawm endometrial txoj kev loj hlob yog uncontrolled, nws muaj peev xwm sawv ntawm capturing ob lub tag nrho puab sheath thiab tus neeg qhov chaw (lobular hyperplasia).

Hom ntawm endometrial hyperplasia

Raws li cov predominance ntawm tej ntsiab nyob rau hauv lub loj hlob endometrium tso tawm:

1. Glandular hyperplasia. Endometrial qog loj hlob nyob rau hauv excess.
2. Polypoid hyperplasia. Mus patchy txoj kev loj hlob ntawm lub endometrium, uas yog glandular, glandular-fibrous thiab fibrous nyob rau hauv cov xwm. Qhov no zoo ntawm hyperplasia tsis tshua yuav phem, tab sis muaj peev xwm pab tau raws li ib lub hauv paus rau txoj kev loj hlob ntawm gynecological kab mob.
3. Adenomatous hyperplasia nrog xub ntiag ntawm atypical hlwb, premalignant. Nyob rau hauv no degeneration nyob rau hauv ib tug mob cancer hyperplasia no hom yuav hu txog 10%.
4. Cystic glandular hyperplasia. Caj pas hlwv thiab loj hlob txog tus qub.

ua rau

Rau hnub tim, lub ntsiab ua rau ntawm tus kab mob no yog qhov tshaj ntawm ib tug txheeb ze tsis muaj progesterone physiological tshuaj no ntau ntau. Xws li ib tug mob yuav ua rau:

1. Transitional muaj hnub nyoog nyob rau hauv yuam cai ntawm lub hormonal metabolism thiab hormonal surges.
2. Poj niam rog.
3. Polycystic zes qe menyuam Syndrome.
4. lawm.
5. Tau txais kev npaj muaj cov tshuaj no, tsis tau txais progesterone.

Heev feem ntau, endometrial hyperplasia (lus los ntawm cov kws txawj paub meej tias qhov no) tshwm nyob rau hauv cov poj niam ua ntej lawm nyob rau hauv cov tub ntxhais nulliparous cov poj niam.

Comorbidities, ua rau kom cov kev qhia ntawm hyperplasia, xam tau tias yog ib qho teeb meem nrog lub adrenal caj pas thiab ob lub mis, cov thyroid kab mob, mob ntshav qab zib mellitus ntawm ob hom, raws li zoo raws li tawg. Los ntawm txoj kev loj hlob ntawm hyperplasia kuj yuav ua xws yam li:

1. Caj ntawm qhov chaw mos kab mob.
2. Adenominoz.
3. uterine fibroids.
4. Rho menyuam thiab curettage.
5. Inflammatory dab genitalia.

Vim li cas rau txoj kev loj hlob thiab cov hom ntawm glandular endometrial hyperplasia

Main ua glandular hyperplasia:

1. Anovulation.
2. Rog.
3. Lub xub ntiag ntawm follicular hlwv.
4. Lawm.

Nws kuj yog ib tug uas yuav muaj persistence follicle syndrome, glycemia thiab granulosa cell hlav.

Tsis muaj kev kho mob thiab ncua mob ntawm tus kab mob no thiaj li fraught nrog yus txim, raws li cov kev loj hlob ntawm endometrial cancer. Feem ntau ntawm kev pheej hmoo yog cov poj niam uas raug kev txom nyem los ntawm atypical hyperplasia ademonatoznoy thiab cov poj niam nyob rau hauv lub sij hawm tom qab lawm. Nws yog focal thiab diffuse hyperplasia - ib tug precancerous daim ntawv ntawm tus kab mob.

Lwm yam ntaub ntawv ntawm cov endometrial hyperplasia pom tau hais tias kev muab siab kho kis ntawm glandular epithelium, cystic dilated qog thiab glandular-cystic hyperplasia.

cov tsos mob

Nyob rau hauv feem ntau tus neeg mob, hyperplasia ntawm lub qog tshwm sim tsis muaj cov kev soj ntsuam cov tsos mob. Nyob rau hauv no ntau ces yog xam tau tias yog dysfunctional uterine los ntshav tshwm sim los ntawm coj khaub irregularities (menses ncua). Qhov no los ntshav yuav ua tau ob qho tib si profuse thiab lub caij nyoog, thiab ntshav poob - hnyav los yog muaj mob loj tsawv. Raws li ib tug tshwm sim, tsim anemic cov tsos mob: tsis qab los noj mov, qaug zog, tsis muaj zog.

Ntawm sij hawm yuav pom spotting. Heev feem ntau nyob rau hauv cov poj niam vim anovulation ntxiv lawm tshob mob. Uas yog raws nraim lub yog vim li cas rau ntxiv lawm tshob yog ib qho chaw twg rau tus kws kho mob uas tom qab kuaj tus kab mob no. Cov tsos mob kuj yuav tau muab sau tseg mob nyob rau hauv lub qis lub plab cheeb tsam.

Diagnosing glandular hyperplasia yuav ua tau los ntawm dilatation thiab curettage, uas yog ua tam sim ntawd ua ntej poj niam. Heev feem ntau siv nyob rau hauv qhov mob ntawm ultrasound, thiab hysteroscopy.

lobular hyperplasia

Lobular hyperplasia (cov kws txawj xyuas tim khawv rau qhov no) yuav hem cov mob cancer thiab ntxiv lawm tshob. Weakly cov lus hais los yog asymptomatic yuav ntes tus kab mob no tsuas yog thaum ultrasound los yog gynecological xeem.

Lobular hyperplasia feem ntau muaj rau yav tom ntej nyob rau hauv hormonal ntshawv siab, tom qab cov kev hloov ntawm Somatic cov kab mob thiab abortions los yog tawm tsam lub keeb kwm ntawm hyperplasia ntawm lub glandular hom.

Lobular hyperplasia ntawm uterine epithelium thiaj paub tias yog nyob rau hauv lub hauv paus ntawm cov hauv qab no cov tsos mob:

• los ntshav tom qab cessation ntawm poj niam;
• acyclic los yog cyclic coj khaub irregularities.

Kev kho mob ntawm tus kab mob no nyob rau hauv ob lub ntsiab txoj kev:

1. Kev kho mob txoj kev - nrog rau cov kev pab los ntawm tshwj xeeb cov tshuaj, xws li hormonal xwm.
2. Phais los yog operative txoj kev - los ntawm scraping lub uterine kab noj hniav.

Mob ntawm endometrial hyperplasia

Lub hauv paus rau qhov mob ntawm tus kab mob no yog ib qho kev xeem los ntawm ib tug gynecologist, rau instrumental thiab kuaj kev tshawb fawb.

Lub ntsiab mob txoj kev muaj xws li:

1. Ultrasound kev soj ntsuam ntawm lub tsev me nyuam thiab appendages paum sojntsuam.
2. Hysteroscopy nrog me nrws rau histological xeem.
3. Diagnostic scraping lub uterine kab noj hniav.
4. Yog hais tias tsim nyog, kom meej lub hom hyperplasia muaj aspiration me.

Ib tug ntawm cov tseem ceeb tshaj plaws kuaj kev tshawb fawb yog lub ntsiab txhais ntawm ntshiab pw ua niam txiv lawm ntau ntau thiab cov thyroid, thiab adrenal qog.

Nws yog ib qho tseem ceeb rau koj nco ntsoov tias txhua yam hauv daim ntawv ntawm hyperplasia yuav tsum tau tseeb paub thiab txheeb xyuas qhov muaj tseeb tiag ua, uas coj mus rau ib qho kev nce nyob rau hauv cov ntaub so ntswg.

kev kho mob

Yog hais tias koj tau raug tshuaj mob nrog hyperplasia, kev kho mob yog nqa tawm sai li sai tau. Cov kev xaiv raws li nyob rau hauv cov tsos mob ntawm tus kab mob thiab muaj hnub nyoog ntawm tus neeg mob.

Qhov zoo tshaj txoj kev - diagnostic curettage los yog hysteroscopic tshem tawm ntawm diffuse txheej txheem ntawm lub endometrium.

Yog hais tias txoj kev kho mob yog ib tug multi-cim, ua ntej ntawm tag nrho cov, ua tau thaum muaj xwm ceev lossis hoob tuamyeem scraping. By resorting mus rau ib tug thawj embodiment thaum anemizatsii los yog los ntshav.

Thaum cov histology tau yog tau txais, cov kws muaj txuj yuav muab raws li nram no kev kho mob:

1. Thaum muaj hnub nyoog ntawm 35 xyoo prescribers antagonists ntawm gonadotropin.
2. IUD "Mirena" nrog progestins.
3. progestin tshuaj ( "Djufaston", "Utrozhestan") yog muab nyob rau hauv lub thib ob lub sij hawm ntawm lub voj voog.
4. Rau lub hom phiaj uas tsis yog-kev khiav hauj lwm nres los ntshav nyob rau hauv cov menyuam ntxhais thaum ib tug hluas uas muaj hnub nyoog, yog tso cai rau yuav siv nyob rau hauv haum loj koob tshuaj ntawm qhov ncauj contraceptives.
5. Thaum lawv tseem qhov ncauj contraceptives ( "regulon" "Yaryna" "Janine") yog muab rau 6 lub hlis nrog pa txais tos Circuit Court.

Npaj hais saum toj no, tsim ib cov nyhuv zoo xws li cov lawm, tab sis reversible.

Tom qab scraping tseem tau rau lub hli saib xyuas, thiab yog hais tias muaj yog ib tug tsis tshua mob heev ntawm adenomatous hyperplasia cov ntaub ntawv, nws qhia tau hais tias cov kev tshem tawm ntawm lub tsev me nyuam. Thaum lwm cov ntaub ntawv ntawm relapsing thiab inefficiency lwm yam kev kho ua dag kev puas tsuaj ntawm cov endometrium (ablation).

Raug thiab mob

Cov feem ntau txaus ntshai mob endometrial hyperplasia - yog nws transformation mus rau hauv cancer ntawm lub tsev me nyuam. Txawm li cas los, tsis muaj tsawg txaus ntshai los ntshav thiab recurrences nrog txoj kev loj hlob ntawm ntxiv lawm tshob thiab anemia.

Nyob rau hauv Feem ntau, ib tug dej siab raug: raws li ib tug tshwm sim ntawm kev phais thiab prima tshuaj rau 6-12 lub hlis yuav tsis tau kiag li kho tau tus kab mob no.

kev tiv thaiv

Qhov tseem ceeb tshaj kev ntsuas ntawm kev tiv thaiv ntawm endometrial hyperplasia - yog los mus tiv thaiv kev nyuaj siab yam teeb meem, ib tug active sib ntaus tawm tsam nyhav dhau heev lawm thiab tam sim ntawd kev kho mob ntawm kev mob ntawm lub cev ntas. Nws tseem yog ib qho tseem ceeb heev raws sij hawm gynecological kev soj ntsuam ntawm cov poj niam.

Tej zaum tub ntxhais hluas ntxhais tus kws yuav kom rau kev tiv thaiv ntawm hormonal tshuaj uas txo cov kev pheej hmoo ntawm endometrial hyperplasia thiab mob cancer. Tej tug poj niam yuav tsum paub hais tias nyob rau hauv cov kev tshwm sim ntawm uterine los ntshav yuav tsum tam sim ntawd sab laj ib tug tshwj xeeb. Nco ntsoov hais tias raws sij hawm kev kho mob rau cov kws kho mob yuav pab tau rau yav tom ntej kom tsis txhob muaj feem ntau ntawm cov teeb meem.