Khansa ya Endometrial (thupi la chiberekero)
Khansara ya endometrial ndi khansa ya m'kati mwa chiberekero, kumene endometrium ndi kansalu komwe kamakhala mkati mwa chiberekero. Mwa amayi omwe ali ndi khansa pamlingo uwu, maselo a endometrial amachulukana modabwitsa. Khansara ya endometrial nthawi zambiri imapezeka pambuyo posiya kusamba, koma 10 mpaka 15% ya milandu imakhudza amayi omwe ali ndi vuto la premenopausal, kuphatikizapo 2 mpaka 5% mwa amayi osakwana zaka 40.
Bokosi: Kodi endometrium imagwiritsidwa ntchito bwanji? Mu theka loyamba la kusamba, endometrium yachibadwa imakhuthala ndipo maselo ake amachulukana mkati mwa theka loyamba la msambo uliwonse. Ntchito ya endometrium iyi ndi kulandira mwana wosabadwayo. Popanda umuna, endometrium iyi imachotsedwa mkombero uliwonse mwanjira ya malamulo. Pambuyo pa kusintha kwa thupi, izi zimasiya. |
Le khansa ya endometrial ndi khansa yachiwiri yachikazi yachikazi ku France, pambuyo pa khansa ya m'mawere. Ili ku 5e chiwerengero cha khansa mwa amayi malinga ndi zochitika zatsopano za 7300 zomwe zikuyembekezeredwa mu 2012. Ku Canada, ndi 4th.e kuchuluka kwa akazi (pambuyo pa khansa ya m'mawere, mapapo ndi m'matumbo), ndi milandu 4200 yatsopano mu 2008 ku Canada. Imfa zikuchepa pang'onopang'ono chifukwa cha khansa yamtundu uwu, yomwe ikukula kwambiri.
Pamene khansa ya endometrial imachiritsidwa itangoyamba kumene (gawo I), ndi kuchuluka kwa kupulumuka ndi 95%, 5 zaka pambuyo mankhwala1.
Zimayambitsa
Gawo lalikulu la khansa ya endometrial zitha kuchitika chifukwa a mochulukira mahomoni a estrogen opangidwa ndi mazira kapena obweretsedwa kuchokera kunja. Mazira amatulutsa mitundu iwiri ya mahomoni m'kati mwa amayi: estrogen ndi progesterone. Mahomoniwa amagwira ntchito pa endometrium panthawi yonseyi, zomwe zimalimbikitsa kukula kwake ndiyeno kutulutsidwa kwake panthawi ya msambo. Kuchuluka kwa mahomoni a estrogen kungapangitse kusalinganika komwe kumathandizira kukula kosalamulirika kwa ma cell a endometrial.
Zinthu zingapo zimatha kukulitsa milingo ya estrogen, monga kunenepa kwambiri kapena mankhwala a hormone kwa estrogen yekha. Mtundu uwu wa mankhwala a mahomoni amasungidwa kwa amayi omwe achotsa chiberekero kapena hysterectomy omwe salinso pachiwopsezo cha khansa ya endometrial. Kuti mudziwe zambiri, onani magawo a People at risk ndi Risk factor.
Kwa amayi ena, komabe, khansa ya endometrial sikuwoneka kuti imayambitsidwa ndi mlingo wapamwamba wa estrogen.
Zina zomwe zimayambitsa khansa ya endometrial, monga kukalamba, kunenepa kwambiri kapena kunenepa kwambiri, majini, matenda oopsa ...
Nthawi zina khansa imachitika popanda chowopsa chomwe chimadziwika.
matenda
Palibe kuyesa kuyesa khansa ya endometrial. Dokotala amayesa kuti azindikire khansa imeneyi pamaso pa zizindikiro monga magazi achikazi omwe amatuluka pambuyo posiya kusamba.
Kuyeza koyamba kochitidwa ndi ultrasound ya m'chiuno pomwe probe imayikidwa pamimba ndiyeno m'malo a nyini kuti muwone m'maganizo mwawo kukhuthala kwachilendo kwa endometrium, mkati mwa chiberekero.
Pankhani yachilendo pa ultrasound, kuti azindikire khansa ya endometrial, dokotala amachita zomwe zimatchedwa "endometrial biopsy". Izi zimaphatikizapo kutenga kansalu kakang'ono kuchokera mkati mwa chiberekero. The endometrial biopsy ikhoza kuchitidwa mu ofesi ya dokotala popanda kufunikira kwa anesthesia. Kachubu kakang'ono kamene kamatha kupindika kamalowa m'chibelekero ndipo kachidutswa kakang'ono kamachotsedwa ndi kuyamwa. Chitsanzochi ndi chofulumira kwambiri, koma chikhoza kukhala chowawa pang'ono. Si zachilendo kutuluka magazi pakangopita nthawi.
Matendawa amapangidwa mu labotale ndi kuwunika kwa microscope komwe kuchotsedwa kwa mucous membrane.
Pakakhala matenda kapena mankhwala, dokotala ayenera kuuzidwa ngati akufunika kuyesa izi.