He aha nā Polyp Uterine? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO nā polyp uterine he mau ulu liʻiliʻi, palupalu e ulu ana ma ka papa o loko o kou uterus, i kapa ʻia ʻo ka endometrium. E noʻonoʻo iā lākou he mau ʻāpana liʻiliʻi, e like me nā manamana lima e hoʻopili ana i ka paia o ka uterus, e like me nā pōpō liʻiliʻi ma ka kaula.

He mea maʻamau loa kēia mau ulu a maʻamau nō hoʻi he benign, ʻo ia hoʻi ʻaʻole lākou he kanesa. Hiki i ka hapanui o nā wāhine e loaʻa ana nā polyp uterine ke hoʻokele pono iā lākou me ka mālama kūpono, a ʻaʻole nui ka poʻe e ʻike iā lākou a hiki i kahi nānā maʻamau.

He aha nā hōʻailona o nā polyp uterine?

ʻAʻole nui nā wāhine me nā polyp uterine e ʻike i kekahi hōʻailona, ʻo ia ke kumu e ʻike pinepine ʻia ai lākou i nā nānā gynecological maʻamau. Eia naʻe, i ka wā e loaʻa ai nā hōʻailona, maʻamau lākou e pili ana i nā loli i kou manawa menstrual.

Eia nā hōʻailona maʻamau āu e ʻike ai:

• Ke kahe ʻana o ka menstrual ʻaʻole kūlike a i ʻole nā manawa menstrual e loli ana i ka lōʻihi a me ke kahe.
• Ke kahe nui o ka menstrual e komo koke i nā pā a i ʻole nā tampons.
• Ke kahe ʻana ma waena o nā manawa a i ʻole ka spotting i nā manawa i manaʻo ʻole ʻia.
• Ke kahe ʻana ma hope o ka menopause, pono e loiloi ʻia e ke kauka.
• Nā manawa menstrual lōʻihi ma mua o ka maʻamau, e hoʻolōʻihi ana ma mua o kou manawa maʻamau.
• Paʻakikī ke hāpai a i ʻole nā pilikia infertility.

ʻIke kekahi mau wāhine i ka ʻeha a i ʻole ka ʻeha pelvic, ʻoiai ʻaʻole maʻamau kēia. Hiki i nā hōʻailona ke mālie i ka hoʻomaka, no laila he mea nui ia e hoʻolohe i nā loli i kou kino a kūkākūkā me kāu mea mālama ola.

He aha nā ʻano o nā polyp uterine?

Hoʻokaʻawale ʻia nā polyp uterine ma muli o ko lākou wahi i loko o kou uterus a me ko lākou cellular composition. Hiki i ka hoʻomaopopo ʻana i kēia mau ʻano ke kōkua iā ʻoe e kūkākūkā maikaʻi i kou kūlana me kāu kauka.

ʻO nā ʻano nui e komo pū ana:

• Endometrial polyps: ʻO ka ʻano maʻamau loa, e ulu ana mai ka endometrium e uhi ana i kou uterus.
• Cervical polyps: E ulu ana ma ka cervix ma mua o loko o ka uterus.
• Pedunculated polyps: Hoʻopili ʻia i ka paia o ka uterus e kahi kumu lahilahi, e ʻae ana iā lākou e neʻe ʻoi aku ka maʻalahi.
• Sessile polyps: Hoʻopili pololei ʻia i ka paia o ka uterus me kahi kumu ākea.

ʻO ka hapanui o nā polyp he liʻiliʻi, mai kekahi mau milimita a i kekahi mau kenimita ka nui. ʻAʻole pinepine, hiki i kekahi ke ulu nui loa, akā ʻaʻole kēia e hoʻonui ai i ko lākou hopohopo mai kahi kūlana olakino.

He aha nā kumu o nā polyp uterine?

ʻAʻole maopopo loa ke kumu pololei o nā polyp uterine, akā ʻike ʻia lākou e pili pono ana i nā loli hormonal i kou kino. ʻO ka estrogen, ka hormone e kōkua ana i ka hoʻonui ʻana i kou papa uterine i kēlā me kēia mahina, e like me ka mea nui i ko lākou ulu ʻana.

Hiki i kekahi mau kumu ke hoʻonui i ka polyp formation:

• Nā loli hormonal, ʻoiai nā pae estrogen kiʻekiʻe.
• Nā loli pili i ka makahiki, ʻoiai e lilo ana nā polyp i mea maʻamau i kou mau makahiki 40 a me 50.
• Ka mumū mau o ka papa uterine.
• Kekahi mau lāʻau lapaʻau, ʻoiai ʻo ka tamoxifen i hoʻohana ʻia no ka mālama ʻana i ka maʻi kanesa umauma.
• Ke koko kiʻekiʻe, hiki ke hoʻopilikia i ke kahe koko i ka papa uterine.

I nā hihia ʻaʻole pinepine, hiki i nā kumu genetic a i ʻole nā kūlana ma lalo e like me ka Lynch syndrome ke hoʻonui i kou pilikia. Eia naʻe, no ka hapanui o nā wāhine, e ulu ana nā polyp me ka ʻole o kekahi kumu ma lalo, a he mea maʻamau loa kēia.

I ka wā e ʻike ai i ke kauka no nā polyp uterine?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i kekahi loli maʻamau i kou manawa menstrual a i ʻike paha ʻoe i nā hōʻailona e hopohopo nei iā ʻoe. Hiki i ka loiloi mua ke kōkua i ka hoʻoponopono ʻana i nā pilikia ma mua o ka lilo ʻana i mea paʻakikī.

Ke kūkākūkā nei, e hoʻokaʻaʻike i kāu kauka inā ʻike ʻoe i:

• Kekahi kahe ʻana ma hope o ka menopause, ʻoiai ka spotting māmā.
• Nā manawa kaumaha e hoʻopilikia ana i kou mau hana o kēlā me kēia lā.
• Ke kahe ʻana ma waena o nā manawa e lōʻihi ana ma mua o hoʻokahi a ʻelua lā.
• Nā manawa e lōʻihi ana ma mua o ʻehiku mau lā mau.
• Paʻakikī ke hāpai ma hope o ka ho'āʻo ʻana no kekahi mau mahina.
• ʻEha nui a i ʻole ka ʻeha pelvic i kou manawa.

Mai kali inā ʻoe e ʻike ana i ke kahe ʻana ma hope o ka menopause, ʻoiai ke koi mau nei kēia i ka nānā koke mai ke kauka. ʻOiai he mea maʻamau ia ma muli o nā kumu benign e like me nā polyp, he mea nui ia e kāpae i nā kūlana ʻē aʻe ma o ka loiloi kūpono.

He aha nā pilikia no nā polyp uterine?

ʻO ka hapanui o nā polyp uterine he mea ʻino ʻole a hōʻeha iki i nā pilikia, akā he mea kōkua ia e hoʻomaopopo i nā pilikia e hiki mai ana. Hiki ke hoʻokele ʻia ka hapanui o nā pilikia me ka mālama kūpono.

ʻO nā pilikia hiki ke komo pū ana:

• Anemia mai ke kahe nui, hiki ke hōʻeha i ka luhi a me ka nāwaliwali.
• Nā pilikia fertility, ʻoiai hiki i nā polyp ke hoʻopilikia i ka embryo implantation.
• Ke nalowale mau ʻana o ka hapai i kekahi mau hihia.
• Ke kahe ʻana ʻaʻole kūlike e hoʻopilikia ana i ka maikaʻi o ke ola.

I nā hihia ʻaʻole pinepine, hiki i nā polyp ke hoʻololi i ka malignant, e lilo ana i kanesa. Hana ʻia kēia i ka liʻiliʻi ma mua o 1% o nā hihia a ʻoi aku ka nui i nā wāhine postmenopausal. Hiki i ka nānā mau a me ka mālama kūpono ke kōkua i ka pale ʻana i nā pilikia koʻikoʻi.

ʻO ka ʻoiaʻiʻo maikaʻi, me ka mālama kūpono, hiki ke pale ʻia ka hapanui o nā pilikia a i ʻole ke mālama maʻalahi ʻia i ka wā e loaʻa ai.

Pehea e pale ai i nā polyp uterine?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i nā polyp uterine, hiki iā ʻoe ke lawe i nā hana e hoʻemi ai i kou pilikia a kākoʻo i kou olakino reproductive holoʻokoʻa. E nānā i ka mālama ʻana i ke kaulike hormonal a me ka maikaʻi holoʻokoʻa.

ʻO nā hana pale kōkua e komo pū ana:

• Ke mālama ʻana i kahi kaumaha olakino ma o ka ʻai kaulike a me ka hoʻoikaika kino maʻamau.
• Ke mālama ʻana i ke koko kiʻekiʻe a me ka maʻi diabetes inā loaʻa iā ʻoe kēia mau kūlana.
• Ke kūkākūkā pono ʻana i nā koho hormone therapy me kāu kauka.
• Ke mālama mau ʻana i nā nānā gynecological maʻamau.
• Ke mālama ʻana i ke kaumaha, hiki ke hoʻopilikia i ke kaulike hormonal.

Manaʻo kekahi mau noiʻi e hiki i kekahi mau mea ola e like me ka hoʻoikaika kino maʻamau a me ka ʻai waiwai i nā hua a me nā mea kanu ke kōkua i ka mālama ʻana i ke kaulike hormonal. Eia naʻe, e hoʻomanaʻo e hiki ke ulu nā polyp me ka ʻano ola olakino loa, no laila mai hewa iā ʻoe iho inā loaʻa lākou.

Pehea e ʻike ʻia ai nā polyp uterine?

ʻO ka ʻike ʻana i nā polyp uterine e komo pinepine ana i ka hui ʻana o ke kūkākūkā ʻana i kou mau hōʻailona a me ka hoʻohana ʻana i nā ʻenehana imaging a i ʻole direct visualization. E hoʻomaka kāu kauka me ka mōʻaukala lapaʻau piha a me ka nānā kino.

ʻO nā ʻano diagnostic maʻamau e komo pū ana:

• Transvaginal ultrasound e ʻike i ka papa uterine a ʻike i nā ulu.
• Hysteroscopy, kahi e hoʻokomo ʻia ai kahi kāmela lahilahi e ʻike pololei i loko o kou uterus.
• Endometrial biopsy e lawe i kahi laʻana o ka ʻiʻo no ka nānā.
• Saline infusion sonohysterography, kahi e hoʻohana ai i ka wai e hoʻonui ai i ka imaging ultrasound.

ʻO ka hana diagnostic maʻamau he mea pololei a hiki ke hoʻopau pinepine ʻia i ke keʻena o kāu kauka. Ua manaʻo ʻia ʻo Hysteroscopy ka mea kūpono loa no ka mea e ʻae ana i ka ʻike pololei a hiki ke diagnostic a therapeutic.

I nā hihia ʻaʻole pinepine kahi e mau ai nā hōʻailona ʻoiai nā ho'āʻo mua maʻamau, hiki i kāu kauka ke manaʻo e hoʻohana i ka MRI imaging a i ʻole nā hana hou e hōʻoia ʻaʻole i hala kekahi mea.

He aha ka lapaʻau no nā polyp uterine?

ʻO ka lapaʻau no nā polyp uterine e hilinaʻi ana i kou mau hōʻailona, ​​makahiki, a inā ʻoe e ho'āʻo ana e hāpai. Hiki ke nānā wale ʻia ka nui o nā polyp liʻiliʻi, asymptomatic me ka ʻole o ka hoʻoponopono koke.

Hiki i kāu mau koho lapaʻau ke komo pū ana:

• Watchful waiting: Ke nānā nei i nā polyp liʻiliʻi, symptom-free me nā nānā maʻamau.
• Nā lāʻau lapaʻau: Nā mālama hormonal e hoʻokele i nā hōʻailona kahe i ka manawa pōkole.
• Hysteroscopic polypectomy: Ke wehe ʻana i nā polyp ma o kahi hana minimally invasive.
• Dilation and curettage (D&C): Ke kāʻili ʻana i ka papa uterine e wehe i nā polyp.

ʻO Hysteroscopic polypectomy pinepine ka lapaʻau makemake ʻia no ka mea he minimally invasive a ʻae i ka wehe piha ʻana ʻoiai e mālama ana i ka ʻiʻo olakino. Hana pinepine ʻia kēia hana ma ke ʻano he hana outpatient me ka manawa hoʻōla iki.

No nā hihia ʻaʻole pinepine e pili ana i nā polyp nui loa a i ʻole nā ​​hopohopo e pili ana i ka kanesa, hiki ke pono nā hana ākea hou aku, akā he mea maʻamau ʻole kēia a e kūkākūkā pono ʻia me ʻoe ma mua.

Pehea e hoʻokele ai i nā hōʻailona ma ka home i ka wā o nā polyp uterine?

ʻOiai ke mālama nei ka lapaʻau lapaʻau i nā polyp iho, hiki iā ʻoe ke lawe i nā hana ma ka home e hoʻokele i nā hōʻailona a kākoʻo i kou olakino holoʻokoʻa. E nānā i nā ana hōʻoluʻolu a me ka hōʻoluʻolu o nā hōʻailona.

ʻO nā hana hoʻokele home kōkua e komo pū ana:

• Ke hoʻohana ʻana i nā pā hoʻomehana a i ʻole nā ʻauʻau mahana e hōʻoluʻolu i ka ʻeha a me ka ʻeha pelvic.
• Ke lawe ʻana i nā mea hōʻoluʻolu over-the-counter e like me ka ibuprofen no ka ʻeha a me ka mumū.
• Ke hoʻohana ʻana i nā huahana menstrual kūpono no ke kahe nui, me nā pā overnight.
• Ke ʻai ʻana i nā meaʻai waiwai i ka hao e kōkua i ka pale ʻana i ka anemia mai ka nalowale koko.
• Ke loaʻa ʻana i ka hoʻomaha lawa, ʻoiai i nā manawa kahe nui.
• Ke hahai ʻana i kou mau hōʻailona e kaʻana like me kāu mea mālama ola.

Hiki i ka hoʻoikaika kino māmā e like me ka hele wāwae a i ʻole ka yoga ke kōkua i ka hoʻokele ʻana i ke kaumaha a hoʻoikaika i ke olakino holoʻokoʻa. Eia naʻe, e pale i ka hana ikaika i nā manawa kahe nui e pale aku ai i ka luhi nui.

E hoʻomanaʻo e pono ke kōkua ka hoʻokele home, ʻaʻole e pani, i ka mālama lapaʻau. E hahai mau i nā manaʻo o kāu kauka no ka mālama a me ka nānā.

Pehea ʻoe e hoʻomākaukau ai no kāu ʻaha kūkā kauka?

ʻO ka hoʻomākaukau maikaʻi no kāu ʻaha kūkā e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike pololei loa a me ka hoʻolālā mālama kūpono. Kūleʻa pū ka hoʻomākaukau maikaʻi iā ʻoe e manaʻo ʻoi aku ka hilinaʻi a komo i kou mālama.

Ma mua o kāu kipa, e hōʻiliʻili i ka ʻikepili aʻe:

• Kahi mōʻaukala menstrual kikoʻī, me ka lōʻihi o ka manawa, ke kaumaha o ke kahe, a me nā ʻano ʻole.
• Kahi papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei.
• Nā memo e pili ana i ka hoʻomaka ʻana o nā hōʻailona a pehea lākou i loli ai.
• Kou mōʻaukala lapaʻau, me nā hana gynecological ma mua.
• Nā nīnau āu e makemake ai e nīnau e pili ana i ka ʻike a me nā koho lapaʻau.

E noʻonoʻo e mālama i kahi diary menstrual no kekahi mau mahina ma mua o kāu ʻaha kūkā, e hoʻomaopopo ana i nā ʻano kahe, nā pae ʻeha, a me nā hōʻailona ʻē aʻe. He mea waiwai loa kēia ʻike no ke kōkua ʻana i kāu kauka e hoʻomaopopo i kou kūlana.

Mai kānalua e lawe mai i kahi hoaaloha a i ʻohana paha i hilinaʻi ʻia no ke kākoʻo, ʻoiai inā ʻoe e manaʻo hopohopo e pili ana i ka ʻaha kūkā a i ʻole nā ​​hana hiki.

He aha ka mea nui e pili ana i nā polyp uterine?

ʻO nā polyp uterine he mau ulu maʻamau, maʻamau benign i ʻike ʻia e nā wāhine he nui me ka ʻole o nā pilikia koʻikoʻi. ʻOiai hiki iā lākou ke hōʻeha i nā hōʻailona e like me ke kahe ʻana ʻaʻole kūlike, loaʻa nā lapaʻau maikaʻi e mālama i nā polyp a me kā lākou mau hōʻailona.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua a me ka mālama lapaʻau kūpono e alakaʻi i nā hopena maikaʻi loa. ʻO ka hapanui o nā wāhine me nā polyp uterine e ola ana i kahi ola maʻamau, olakino ma hope o ka mālama.

Mai ʻae i ka makaʻu a i ʻole ka hilahila ke pale aku iā ʻoe mai ka ʻimi ʻana i ka mālama inā ʻoe e ʻike ana i nā hōʻailona. Aia kāu mea mālama ola ma laila e kōkua iā ʻoe e hoʻokele i kēia kūlana me ke aloha a me ka akamai, a pono ʻoe e manaʻo ʻoluʻolu a ʻike piha i ka hana holoʻokoʻa.

Nā nīnau pinepine e pili ana i nā polyp uterine

Hiki i nā polyp uterine ke lilo i kanesa?

ʻOiai ʻo ka hapanui o nā polyp uterine e noho benign i ko lākou ola holoʻokoʻa, hiki i kahi hapa liʻiliʻi ke hoʻomohala i nā loli kanesa. Hana ʻia kēia i ka liʻiliʻi ma mua o 1% o nā hihia a ʻoi aku ka nui i nā wāhine postmenopausal. Kūleʻa ka nānā mau a me ka mālama kūpono e hōʻoia i ka ʻike mua ʻia o nā loli hopohopo, i ka wā e mālama maikaʻi ʻia ai.

E hoʻopilikia anei ka wehe ʻana i nā polyp uterine i koʻu hiki ke hāpai?

ʻO ka wehe ʻana i nā polyp uterine pinepine e hoʻomaikaʻi maoli i ka fertility ma mua o ka hōʻeha ʻana. Hiki i nā polyp ke hoʻopilikia i ka embryo implantation a hōʻeha i ka nalowale mau ʻana o ka hapai, no laila ʻo ko lākou wehe ʻana e kōkua pinepine i nā wāhine e hāpai. ʻAʻole maʻamau nā hana wehe minimally invasive i ka ʻiʻo olakino o ka uterus, e mālama ana i kou hiki ke hāpai.

Pehea ka lōʻihi o ka hoʻōla ma hope o ka wehe ʻana i ka polyp?

ʻO ka hoʻōla ʻana mai ka hysteroscopic polyp removal maʻamau he mea wikiwiki loa, me ka hoʻi ʻana o ka hapanui o nā wāhine i nā hana maʻamau i loko o kekahi mau lā. Hiki iā ʻoe ke ʻike i ke kahe māmā a i ʻole ka spotting no ʻelua pule, a hiki i kāu kauka ke manaʻo e pale aku i nā tampons, douching, a i ʻole ka moekolohe i kēia manawa hoʻōla. Hoʻopau ʻia ka hoʻōla piha i loko o 2-4 mau pule.

E hōʻeha mau anei nā polyp uterine i ke kahe nui?

ʻAʻole nā ​​polyp uterine a pau e hōʻeha i ke kahe nui, a ʻaʻole nui nā wāhine e loaʻa i kekahi hōʻailona. I ka wā e loaʻa ai nā hōʻailona, ​​hiki iā lākou ke hoʻololi mai ka spotting māmā ma waena o nā manawa a i ka nui o ke kahe menstrual. ʻO ka nui, kahi, a me ka nui o nā polyp a pau e hoʻopilikia i ka mea a me ka nui o ko lākou hoʻopilikia ʻana i kou mau ʻano kahe.

Hiki i nā polyp uterine ke hoʻi mai ma hope o ka wehe ʻana?

ʻOiai ʻo ka wehe ʻana i ka polyp he mea maikaʻi loa, hiki ke ulu hou nā polyp i ka manawa, ʻoiai inā mau nā kumu hormonal ma lalo. Hoʻololi nā helu recurrence, akā hōʻike nā noiʻi e hiki i 10-15% o nā wāhine ke hoʻomohala i nā polyp hou i loko o kekahi mau makahiki. Kūleʻa ka mālama hoʻomau mau e nānā no nā ulu hou a mālama koke inā pono.