Hyperplasia - waxa uu yahay waxan? kelyaha gooba u jilacsan. kelyaha Lobular xuub-

Hyperplasia - xaalad lagu gartaa in la kordhiyo tirada unugyada ee unugyada ama xubin (marka laga reebo unugyada burada). Natiijada horumarinta cudurkan waa buro ama kor u calaamadeeyay in size jirka.

Horumarisa kelyaha danbe kala duwan oo saamayn saamayn ku yeelan faafinta unugyada madadaalo. Sidaas darteed, waxay keeni laga yaabaa horumarinta meersan antigenic walxaha oncogenic, dhiirrigeliyeyaasha koritaanka ama unugyada khasaare, sabab kasta ha, xubnaha ama qayb ka mid ah unugyada. kelyaha jir - Firirsanaan ah xilliga uurka epithelium caanaha, muujinta ah ee kelyaha jilacsan ka hor ama inta lagu jiro caadada, iyo daliilka kale la mid ah.

Tusaale ahaan, kelyaha, xaaladaha bahal horusocod ah, oo la odhan karaa korodhka waxyaalaha dhismaha bukaanka qaba noocyada qaar ka mid ah dhiig-yaraan unugyada myeloid. Intaa waxaa dheer, geeddi socodka hyperplastic dhici karaan ee qanjidhada unugyada lymphoreticular, sida wax ka qabashada difaaca ee beeryarada, in ay dhacdo cudurada of nooca faafa.

kala duwan oo ka mid ah noocyada

In daawada, waxaa jira dhawr nooc oo aasaasi ah:

1. kelyaha nafsaaniga ah. koritaanka unugyada ku dhacaa, taas oo ah functional ama ku meel gaar ah. Tusaale ahaan, kelyaha ee Qanjidhada caanaha lagu jiro nuujinta ama uurka.
2. kelyaha bahal ah. Sababo la xiriira arrimo dhowr ah qaabo dhici koritaanka unugyada.

Intaa waxaa dheer, cudurka waxaa laga yaabaa in focal, waajihi iyo polypous:

1. Marka ay jirto qaab cad oo geedi socodka deegaamaynta focal qaab qaybaha shaqsi.
2. In waajihi total ee kelyaha lakabka dusha saameeyeen.
3. Waayo, foomka polypous lagu gartaa ballaarinta sinnayn oo ka mid ah xubno isku xidha. Xaaladdan oo kale, kelyaha kicin laga yaabaa in horumarinta waxbarashada oo liita iyo fiix.

kelyaha waajihi qanjirka thyroid ka

Cudurka Tani waxay dhacdaa marka reaction magdhawga on deficiency iodine thyroid. Ereyga "waasac dambidhaafkiisu" waxaa loola jeedaa in cudurada u saameeyaa jirka oo dhan: waa in la kordhiyo ay size ay sabab u tahay taranka unugyada prostate si ay u ilaaliyaan dheecaan ee hormoonnada thyroid in kor-shiid, hagaajinta nuugo ogsijiin taageeraya heerka tamarta.

iodine Hunguriga baahan yahay inay lahaadaan ay hawl hormoon. la'aanta ama maqnaanshaha of iodine kor u badashada unugyada kansarka oo markii dambe waxay keeni kartaa in cillad.

kelyaha

Cudurku wuxuu noqon karaa mid waajihi ama nodular. Waxa ay la socotaa unugyada adrenal socotaa in ay dhacdo burooyinka pineal iyo Cushing ee syndrome. In dadka waaweyn, foomkan of kelyaha, gaar ahaan bidix ee kooxda loo dhiibay, iyadoo waxbarasho ultrasound waa mid aad u adag tahay in la aqoonsado iyo weli mawduuca daraasaddan by MRI iyo CT.

Mararka qaar waasac dambidhaafkiisu kelyaha dushooda waxaa ku weheliyay fulinta kordhay iyadoo la sii qanjidhada muuqaalka caadiga ah - in qaab dhismeedka hypoechoic, hareereysan unugyada dufanka leh. In the case of kelyaha nodular ee "xagalka xaydha" waxaa laga arki karaa wareegsan, formation hypoechoic dhqaalaha. Waa ay adag tahay in la kala saaro ka adenoma ah on sawirka ultrasound ah.

Prostate - kelyaha Prostatic benign

About 85% ka mid ah ragga ka weyn yahay 50 sano ku xiran yahay cudurkan. Caanood ee kelyaha Prostatic waxa lagu gartaa formation of prostate qanjira yar yar (ama mid ka mid ah) kaas oo ku fidaa si tartiib tartiib ah ay bilaabaan in ay wax miiran on kaadi mareenka, taas oo markii danbe ku adkaato marka la kaadinayo.

cudurka ma keeni metastasis, factor in kala kansarka uu prostate, sidaas darteed waxa loo yaqaan ee kelyaha Prostatic benign. Xaaladdan oo kale, waxa uu leeyahay maya sababaha cad oo waxaa inta badan la xidhiidha dayska lab.

siiban makaanka

Hyperplasia - koror benign ka dhumucda iyo mugga of dahaarka minka. Waxaa laga yaabaa inuu dhaco iyadoo ay sabab u sida daran taasoo unugyada kale ee unugyada afgembi. Cudurku wuxuu keeni karaa in ay carqalad ah waxqabadka functional xuub- (dhibaato ah uuraysanayna, caadada oo yaraada).

Under xaaladaha caadiga ah, oo siiban koraa hoos tallaabo ee estrogen in xilliga ugu horreeya wareegga, sarkhaansan progesterone inta lagu jiro xilliga labaad ee wareegga la joojiyey. In cudurada ee koritaanka gooba waa reer caasiyoobay, waa awood u qabsaday labada galkeeda oo dhan gudaha iyo qaybaha shaqsi (kelyaha lobular).

Noocyo of kelyaha gooba

Sida ay ku badan yihiin ee xubno gaar ah oo siiban sii kordhaysa ee la sii daayay,

1. kelyaha jilacsan. qanjidhada Endometrial koraan in xad-dhaaf ah.
2. kelyaha Polypoid. Going koritaanka aan tooska ahayn xuub-, taas oo u jilacsan, jilacsan-buunshada iyo buunshada ee dabiiciga ah. Noocan ah ee kelyaha dhif noqotaa malignant, laakiin uma shaqayn karo ay sal u tahay horumarka cudurada dumarka.
3. kelyaha Adenomatous leh jiritaanka unugyada atypical, premalignant. In xumaanshaha this ee kelyaha dushooda kansarka noocan ah waxaa laga yaabaa in ay gaaraan oo ku saabsan 10%.
4. kelyaha jilacsan fibrosis. fiix qanjirka iyo koraan oo ku saabsan la mid ah.

sababaha

Si aad u taariikhda, sababta ugu weyn ee cudurkan waa xad-dhaaf ah ee la'aan qaraabo ah heerarka estrogen jir progesterone. xaaladda noocan oo kale ah waxay keeni kartaa:

1. da KMG ah xadgudub ku ah shiid hormoon iyo mawjadahaa hormoon.
2. cayilka Haweenka.
3. Polycystic Ugxanside Syndrome.
4. dayska.
5. Qaadashada diyaarinta ka kooban estrogen, oo aan helin wax progesterone.

Inta badan, kelyaha gooba (comments ka khubarada this xaqiijin) u muuqataa in haweenka dayska ka hor ee haweenka da'da yar nulliparous.

Comorbidities, kordhin muujinta kelyaha, loo arkaa dhibaato ah qanjirka adrenal iyo sakaarka, cudurka thyroid, mellitus diabetes labada nooc, iyo sidoo kale hypertension. By horumarinta ee kelyaha sidoo kale waxay keeni karaan arrimo ay ka mid yihiin:

1. Hiddo cudurada xubnaha taranka.
2. Adenominoz.
3. fibroids makaanka.
4. Abortion iyo curettage.
5. geeddi socodka bararka xubinta taranka.

Sababaha horumarka iyo noocyada kala duwan ee kelyaha dushooda gooba u jilacsan

Main sababa kelyaha jilacsan:

1. Anovulation.
2. Xad dhaaf ah.
3. Joogitaanka fiix dalool.
4. Dayska.

Waxaa kale oo halis ah follicle ku dheganaanta syndrome, glycemia iyo cell granulosa burooyin.

La'aanta daaweynta iyo cudurka dib u cudurkan si ben cawaaqib khatar ah, sida horumarinta gooba cadeymaha kansarka. Badanaa halis yihiin haween ay dhibaatadu ka ademonatoznoy kelyaha atypical iyo haweenka in muddo ka dib dhalmo-dayska. Waa focal iyo kelyaha waajihi - foom precancerous cudurka.

noocyada kale ee kelyaha dushooda gooba waxaa loo tixgeliyaa faafinta xoogan ee epithelium u jilacsan, qanjidhada furmo fibrosis iyo kelyaha jilacsan-fibrosis.

calaamadaha

Xaaladaha intooda badan, kelyaha qanjirada ku dhacdaa iyada oo aan calaamado clinical oo kala duwan. In this daliilka caadiga ah waxaa loo tixgeliyaa in dhiig makaanka shaqeynin sababa khaladaad caadada (caadada u dhac). dhiig Tani waxay noqon kartaa labadaba miidhan ah oo daba dheeraata, iyo dhiig la'aan - culus ama dhexdhexaad ah. Sidaas darteed, waxay yeeshaan calaamado dhiig, rabitaanka cuntada oo luma, daal, daciifnimo.

Inta u dhaxaysa waqtiyada loo arki karaa dhiig. Marar badan in haweenka ay sabab u tahay xaaladaha dhalmo la'aan anovulation. Waa arrinkaa sababta dhalmo la'aan waa safar dhakhtarka kuwaas oo markii danbe loo ogaado cudurka. Ka mid ah calaamadaha sidoo kale in la xuso karo xanuun aagga hoose ee caloosha.

Soo ogaanshaha kelyaha jilacsan waxa lagu samayn karaa Dilatation iyo curettage, kaas oo lagu sameeyaa si degdeg ah ka hor inta aan caadada. Waxay jeelyihiin in badan loo isticmaalaa in cudurka of ultrasound, iyo hysteroscopy.

kelyaha lobular

kelyaha Lobular (khubaro u eegista la xaqiijin in this) khatar u keeni karta kansarka iyo dhalmo la'aan. Imaanshada iyo dhawaaqaa ama astaamo lagu ogaan karaa cudurka keliya inta lagu jiro ultrasound ama baaritaanka dumarka.

kelyaha Lobular sida caadiga ah uu yeesho dambe ee xanuunada hormoon, ka dib markii suuqa kala iibsiga cudurada jir iyo ilmo ama ka dhanka ah asalka ah ee kelyaha nooca jilacsan.

kelyaha Lobular of epithelium makaanka waxaa lagu ogaada ayado ku saleysan oo ka mid ah calaamadaha soo socda:

• dhiig ka dib joojinta caadada;
• acyclic ama khaladaad caadada xilliile ah.

Daaweynta cudurka this laba siyaabood oo muhiim ah:

1. Habka Caafimaadka - iyadoo la kaashanayo daawooyin gaar ah, oo ay ku jiraan nooca hormoon.
2. Habka Qalliinka ama operative - by xoqid saabka minka.

Garashada kelyaha gooba

The salaysan lagu ogaado cudurkan waa baaritaan by dumarka, cilmi baarista iyo shaybaarka.

Hababka ugu weyn ee cudurka waxaa ka mid ah:

1. Baaritaanka Ultrasound ee ilmo-galeenka iyo appendages baaritaan siilka.
2. Hysteroscopy la soo xareeyaan biopsy baaritaan histological.
3. Baarista xoqid saabka minka.
4. Haddii loo baahdo, caddeeyo nooca kelyaha qabtay biopsy rajo gelin.

Mid ka mid ah cilmi shaybaarka ugu muhiimsan waa qeexidda heerka serum hormone galmada iyo thyroid, iyo qanjidhada adrenal.

Waxaa muhiim ah in la xasuusto in nooc kasta oo kelyaha u baahan yahay ogaanshaha sax ah oo aqoonsadaan sababaha runta ah, taas oo keentay in la kordhiyo unugyada.

daaweynta

Haddii aad cudurka kelyaha, daaweynta waxaa isla markiiba la fuliyay. Habka la doorto ee ku salaysan astaamaha cudurka iyo da'da bukaanka.

The habka ugu waxtarka badan - curettage ogaanshaha ama nidaamka dalka looga saarayo hysteroscopic in siiban waajihi.

Haddii habka daaweynta waa a multi-qof, ugu horreeya oo dhan, qabtaan xaaladaha degdegga ah ama xoqid la doorto. Iyadoo loo kala soocayo muuqashadii koowaad marka anemizatsii ama dhiig-bax.

Marka natiijada histology waxaa lagu helay, khabiir u yeelaan karaan daaweynta soo socda:

1. At da'da 35 sano qorayaasha ku Doodeen of gonadotropin.
2. IUD "Mirena" la progestins.
3. daroogada progestin ( "Djufaston", "Utrozhestan") lagu qoray in muddo ah ka labaad ee wareegga.
4. Ujeedada stop non-hawlgalka dhiig gabdhaha da 'yar ah, waxaa loo ogol yahay in la isticmaalo qaabab caddaalad ah oo waaweyn ee piller.
5. Kaniiniyada isku dhafan ( "regulon" "Yaryna" "Janine") waxaa loo xilsaaray in 6 bilood la soo wareegi jiray soo dhaweynta caadiga ah.

Diyaargaraw kor ku xusan, abuuro saamayn mid ah dayska, laakiin karo.

Ka dib markii xoqid weli muddo lix bilood ah loola socdo, iyo haddii ay jirto ku xoogeystay of foomamka kelyaha adenomatous, waxa ay muujinaysaa saarista ee ilmo-galeenka. Marka noocyada kale ee noqoshada iyo karti daaweyn kale soo saaray burburinta macmal xuub- (ablation).

Saadaal iyo dhibaatooyin

Dhibka ugu khatarta badan ee kelyaha gooba - waa ay isbadal kansarka ilmo galeenka. Si kastaba ha ahaatee, dhiig iyo heer la horumarinta dhalmo la'aan iyo dhiig lahayn khatar yar.

Xaaladaha intooda badan, saadaal wanaagsan: sabab u ah daroogada qalliin iyo prima 6-12 bilood aan si buuxda u bogsiin karaa cudurka.

ka hortagga

Tallaabooyinka ugu muhiimsan ee ka-hortagga ah ee kelyaha gooba - waa in laga hortago xaalado walaac, dagaalka firfircoon ka dhanka ah daaweyn xad dhaaf ah iyo si degdeg ah xanuunada caadada. Waxa kale oo aad muhiim u ah imtixaanka waqtiga dumarka haweenka.

Mararka qaarkood dhallinyarada takhasus gabdhaha talin karaa ka hortagga daroogada hormoon in la yareeyo khatarta ah ee kelyaha gooba iyo kansarka. Haweenay kasta waa inay ogaadaan in haddii ay dhacdo dhiig minka waa in isla markiiba la tasho dhakhtar takhasus u leh. Xusuusnow in daaweynta waqtigii dhakhtarka ayaa kaa caawin doona mustaqbalka si looga fogaado in inta badan dhibaatooyinka.