I ka manawa pinepine, ma hope o ka komoʻana i ka manawa climacteric, piʻi ka wahine i loko ona a haʻalele i ka mālama i kona olakino. ʻO nā maʻi a pau a me ka maʻi maikaʻi āna i kākau ai no nā loli o ka hormonal i ke kino, aneaneʻole e haʻalele iā lākou. ʻO kēia manaʻo iā ia iho he mea nuiʻole ia, no ka mea, aia ia i kēia manawa e kūpono ana i ka pilikia o nā maʻi maʻi nui, mai nā maʻi lolo i ka maʻi kanesa. No laila, pono i ka wahine ke hoʻokolokolo i kekahi manawa ma ke kaukahonua i ka manawa e nānā i ka pilikia paʻakikī. ʻO ka Hyperplasia o ka endometrium -ʻo kēia kekahi o nā pilikia e kali ana i kahi wahine i ka moeʻuhane.
ʻO ka Hyperplasia o ka endometrium he mahele o ka membrane mucous o ka pūpū, e hōʻike ana iā ia iho me ka nui o ke koko uterine. I ka menopause, e ulu ana ka hyperplasia endometrial ma lalo o ka mana o nā loli o ka hormonal i ke kino. ʻO ka nui o ke kaumaha, ka maʻi diabetes a me ke kiʻekiʻe, ka mea maʻamau i nā wāhine iʻoi aʻe ma mua o ka 40, kōkua nui i ka hoʻomakaʻana o ka maʻi. ʻO ka pilikino o ka endometrium i ka menopause ka mea hiki ke'ālunu e pili ana i ka uluʻana o nā maʻi lolo. ʻO ka hyperplasia āpau o ka endometrium ka mea iʻikeʻia e nā mea lapaʻau e like me keʻano kūpono, e hiki ai i ka uluʻana o ka maʻi kanesa i 25% o nā hihia. I mea e pale ai i kēia me ka meaʻoi loa, pono eʻike ka wahine i ka pono o ka hoʻolālā kūpono.
ʻO ke kūlana o ka endometrium ma ka menopause
ʻO ka nānāʻana o ka'ōpū ma ke kaha kiʻiʻana i kahi kūpono loa e nānā i konaʻano ma ka menopause a hoʻoholo i ka nui o ka endometrium:
- ponoʻole ka maʻemaʻe o ka endometrium ma ka menopause ma mua o 5 mm;
- ʻo ke kumu o kēia hōʻailona ma 6-7 mm ka lilo i mea e pono ai no ka nānāʻana i keʻano o ka hopena o ka hopena ma nā hana hoʻokūkū, me ka hana houʻana o ka ultrasound mana ma hope o 3 mahina a me 6 mau mahina;
- ʻO ka mānoanoa o ka endometriumʻoi aku ka nui o 8 mm i ka nānāʻana. No ka hōʻoia pololei i kēia hihia, pono e hoʻokō i ka hōʻailona diagnostic;
- ʻo ka nui o ka endometrium i ka menopause o 10-15 mm he hōʻailona no kahi cure cure separately, me kahi hōʻike hoʻomanaʻo no ka mea.
Pono e hoʻomanaʻoʻiaʻo kaʻokoʻa wale nō o ka nui o ka endometrium mai ka mea maʻamauʻaʻole i hoʻoholo i loko o ka diagnostics, no laila pono e hana i ka hōʻailona diagnostic.
ʻO ka hyperplasia endometrial i loko o ka menopause: maʻi
Hoʻomaʻaʻia i ka hyperplasia endometrial ma ka minuke hiki ke hana i nāʻano he nui:
1. Hormonal therapy. Hoʻoholoʻia ka hopena o nā hormones i mālamaʻia i ka mea maʻi ma hope o ka hoʻokolohuaʻana i nā ultrasound o ka endometrium. Hāʻawi kēia i ka hopena maikaʻi o ka mālamaʻana aʻo ka paleʻana i ka uluʻana o nā hana hana maʻi kahe ma loko o ka pūpū.
2. ka hana 'ana:
- ke hoʻoukaʻiaʻana o ka membrane mucous o ka'ōpū - ke laweʻia i mea e wehe ai i ka hopena o ka maʻi, e hoʻomau i ke kaheʻana
no nā diagnostics; - ka hoʻopiʻiʻana i ka laser (ablation) - ka lukuʻana o nā mea hōʻailonaʻikepili e ka laser;
- weheʻia o ka pūpū (hysterectomy) - i hanaʻia no nā maʻi iʻoi o nā ala haʻahaʻa (hormone therapy), inā hoʻi i ka hopena, aiʻole inā hikiʻole ke mālama i ka mea maʻi.
3. Ka hana maʻamau - kahi hui pūʻia o ka hormonal a me ka lawelaweʻana. Hormonal therapy ma kēia hihia e hiki ke emi i ka nui o ka hana kūikawā ma o ka hoʻohaʻahaʻaʻana i ka foo o ka endometrium kalo.