Ka maʻi ʻaʻai endometrial (ke kino o ka ʻōpū)
ʻO ka maʻi ʻaʻai endometrial ka maʻi ʻaʻai o loko o ka kōpū, kahi o ka endometrium ka pale e laina ana i ka ʻaoʻao o ka kōpū. I nā wahine me ka maʻi ʻaʻai i kēia pae, hoʻonui pinepine nā hunaola endometrial. Kū pinepine ka maʻi ʻaʻai Endometrial ma hope o ka menopause, akā ʻo 10 a 15% o nā hihia e hoʻopili i nā wahine premenopausal, me 2 a 5% o nā wahine ma lalo o 40 mau makahiki.
Pahu: He aha ka endometrium e hoʻohana maʻamau ai? I ka wahine premenopausal, i ka hapa mua o ka pōʻai menstrual, ua mānoanoa ka endometrium maʻamau a hoʻonui ʻia kona mau huna i ka hapalua mua o kēlā me kēia pōʻaiʻe. ʻO ke kuleana o kēia endometrium ka hoʻokipa ʻana i kahi embryo. I ka nele o ka momona, hoʻoneʻe ʻia kēia endometrium i kēlā me kēia pōʻaiapili ma ke ʻano o nā lula. Ma hope o ka menopause, kū kēia hanana. |
Le hōʻaia endometrial ʻo ia ka lua o ka maʻi ʻaʻai wahine nui pinepine ma Palani, ma hope o ka maʻi ʻaʻai umauma. Aia ia ma 5e ke kūlana o nā maʻi ʻaʻai i nā wahine e pili ana i nā hanana me kahi 7300 mau hihia hou i manaʻo ʻia ma 2012. Ma Kanada, ʻo ia ka 4the i nā hanana wahine (ma hope o ka umauma, nā akemāmā a me nā maʻi ʻaʻai kolone), me 4200 mau hihia hou ma 2008 ma Kanada. Ke emi mau nei ka make no kēia ʻano maʻi ʻaʻai, ka mea e mālama pinepine ʻia nei.
Ke mālama ʻia ka maʻi ʻaʻai endometrial i kona wā mua (pae I), ka helu ola ʻo 95%, 5 mau makahiki ma hope o ka lapaʻau1.
Nā kumu
ʻO kahi mahele nui o maʻi ʻaʻai endometrial e hāʻawi ʻia i a nui estrogen hōmona hana ʻia e nā ovaries a i ʻole lawe ʻia mai waho. Hoʻokumu nā ovaries i nā ʻano ʻelua o nā hormona i ka wā o ka pōʻaiapuni wahine: estrogen a progesterone. Hana kēia mau hormoni i ka endometrium ma loko o ka pōʻaiapuni, hoʻonāukiuki i kona ulu a laila kona kipaku ʻia i ka manawa o ka menstruation. ʻO ka nui o nā hormone estrogen e hana i kahi kaulike kūpono i ka ulu maikaʻi ʻole o nā pūnaewele endometrial.
Hiki i kekahi mau mea ke hoʻonui i nā pae estrogen, e like me ka momona a i ʻole ʻO ka hormone therapy i ka estrogen wale nō. No laila mālama ʻia kēia ʻano o ka hoʻōla hormonone no nā wahine i hemo ka uterus a i ʻole hysterectomy ʻaʻole e makaʻu hou i ka maʻi ʻaʻai endometrial. No ka ʻike hou aku, e ʻike i ka paukū pilikia a me nā ʻaoʻao Pilikia.
No kekahi mau wahine, eia naʻe, ʻaʻole i hoʻokumu ʻia ka maʻi ʻaʻai endometrial e kahi kiʻekiʻe o ka estrogen.
Pili nā kumu ʻē aʻe i ka maʻi ʻaʻai endometrial, e like me ka makahiki kahiko, kaupaona a obesity paha, nā genetics, hypertension…
I kekahi manawa kū ka maʻi ʻaʻai me ka ʻole o kahi mea pilikia e ʻike ʻia.
PalekanaEND_LINK
ʻAʻohe hōʻike loiloi no ka maʻi ʻaʻai endometrial. No laila hana ke kauka i nā hoʻokolokolo e ʻike i kēia kanesa i mua o nā hōʻailona e like me ke kahe ʻana o ke gynecological e hana ana ma hope o ka menopause.
ʻO ka hoʻokolohua mua e hana ʻia kahi ultrasound pelvic kahi e hoʻokau ʻia ai ka probe ma ka ʻōpū a laila i loko o kahi āpau e ʻike ai i ka mānoanoa ʻole o ka endometrium, ka uhi o ka ʻaoʻao o ka kōpū.
Inā loaʻa kahi maʻi maʻamau ma ka ultrasound, e ʻike ai i ka maʻi ʻaʻai endometrial, hana ke kauka i ka mea i kapa ʻia ʻo "endometrial biopsy". Hoʻopili kēia i ka lawe ʻana i kahi membrane mucous liʻiliʻi mai loko mai o ka kōpū. Hiki ke hana ʻia ka biopsy endometrial i ke keʻena o ke kauka me ka ʻole o ka anesthesia. Hoʻokomo ʻia kahi paipu lahilahi a maʻalahi hoʻi ma o ka cervix a hemo kahi ʻāpana liʻiliʻi e ka omo. He wikiwiki loa kēia laʻana, akā hiki ke hōʻeha iki. He mea maʻamau ke kahe ʻana ma hope o ke koko ma hope iki.
Hana ʻia ke kuhi ma ka hale hana e ka microscope e nānā ana i kahi o ka membrane mucous i hoʻoneʻe ʻia.
I ka hanana o ka maʻi a lāʻau paha, pono e hoʻomaopopo i ke kauka inā pono ʻo ia e hana i kēia hoʻokolokolo.