I-Endometrium yinqanaba elingaphakathi lesibindi, esiyimbumba ebutyebi esinezitya zegazi. Umsebenzi walo oyintloko kukudala izimo ezifanelekileyo zokufakelwa kweqanda lomntwana kwiqanda le-uterine, ngaphezu koko, lidlala indima enkulu ekuphumeni kwexesha eliqhelekileyo kubo bonke abafazi.
Yintoni ebeka ubungqina be-endometrium?
I-Endometrium ineziqendu ezimbini - ezisisiseko kunye nezisebenzayo, eziphendula ngokusebenza kweehommoni ziya kutshintshwa kwinyanga nganye. Ngethuba lokuya esikhathini, isithintelo esincinci sendlela esisebenza ngayo, kubangele ukutshatyalaliswa kwemithambo yegazi engena kuyo - oku kuchaza ukuba kwenzeka ukuphuma kwenyanga kwintombi. Ekupheleni kokuya esikhathini, ubukhulu be-endometrium bube butyincinci, emva koko, bubuyiselwa kumandla okuvuselela ububanzi bomhlaba, ubuninzi beeseli ze-epithelial kunye neempahla zecala elingaphezulu liqala ukwandisa. Ubunzima be-endometrium bufikelela ubukhulu obukhulu kwixesha ngaphambi kwenyanga, oko kukuthi emva kokukhawuleza. Oku kubonisa ukuba ubele lukulungele ngokupheleleyo ukukhulelwa kwaye unako ukufakela iqanda elichumayo kwisigxina se-uterine. Ukuba ukuchumisa kweqanda akukwenzeki, ke ngexesha lokuhamba kwimizuzu elandelayo uluhlu olusebenzayo luqala ukucima kwakhona.
Yintoni ekufuneka ibe yi-endometrium ngemihla yomjikelezo?
1. Ukuqala komjikelezo wesini - isigaba sokuphuma kwegazi
Ngokuqala kokuphuma kwegazi, iqalo lokuqhaqhafaza liqala, elihlala iintsuku eziliqela. Ngeli thuba, ubukhulu obuqhelekileyo be-endometrium ngu-0.5 ukuya ku-0.9 cm. Ngosuku lwesithathu lwexesha lokuya esikhathini, le nqanaba ithathe indawo yendawo yokuvuselela, apho ubukhulu be-endometrium bunokuba ngu-0.3 ukuya kwi-0.5 cm.
2. Umjikelezo wesondlo sokuya esikhathini - isigaba sokwanda
Ngethuba lokuqala lokusasazeka, elinqunywe ngomhla we-5 ukuya kwe-7 womjikelezo wenyanga, i-endometrium ine-0.6 ukuya kwi-0.9 cm. Emva koko, ngomhla we-8-10 womjikelo, isigaba esiphakathi siqala, sibonakaliswe ngumlinganiselo we-endometrium we-0.8 ukuya ku-1 , 0 cm. Ixesha lokugqibela lokusasazeka lwenzeka kwiintsuku 11-14 kwaye i-endometrium kule nqanaba ine-0.9-1.3 cm.
3. Ukuphela komjikelezo wesini - isigaba sokuvalwa
Kwinqanaba lokuqala lesi sigaba, esiwela kumhla we-15-18 womjikelezo wenyanga, ukuqina kwe-endometrium kuyaqhubeka kwanda kancane kwaye kufana ne-1.0-1.6 cm. Ngokulandelayo, ukusuka phakathi komhla we-19-23, isigaba esiphakathi siqala, apho ubukhulu obukhulu be-endometrium bubonakala khona - ukusuka kwi-1,0 ukuya kwi-2,1 cm. Sekudlulileyo kwinqanaba le-secretion, malunga neentsuku ezingama-24-27, i-endometrium iqala ukunciphisa ngobukhulu kwaye ifinyelela ubunzima be-1.0-1.8 cm.
Ubunzima be-endometrium kwindoda enesisu
Ngethuba lokuphelelwa yisikhathi, lona wesifazane uguquka utshintsho olunexesha elidala, apho imisebenzi yokuzala iphela kunye nokungabikho kwama-hormone wesini. Ngenxa yoko, ukuphuhliswa kweenkqubo ezinobungozi be-hyperplastic inokwenzeka ngaphakathi kwidumbu le-uterine. Ubungakanani obuqhelekileyo be-endometrium kunye nokunqamuka kwesikhashana akumele kube ngaphezu kwe-0.5 cm. Inani elibalulekileyo li-0.8 cm, apho umfazi ekhuthazwa ukuba ahlaziye ukuxilongwa.
Ukunganyaniseki kwe-endometrial ubukhulu besigaba somjikelezo
Phakathi kweengxaki eziphambili zesakhiwo se-endometrium yi-hyperplasia kunye ne-hypoplasia.
Nge-hyperplasia, kukho ukugqithisa ngokweqile kwe-endometrium, apho ubukhulu be-mucosa buba bukhulu kakhulu kunokuba buqhelekileyo. Iinkqubo ze-Hyperplastic zivame ukudibaniswa nezifo ezifana ne-endometriosis yesisu, u-myoma uterine,
I-Hypoplasia, ngokubhekiselele, ibonakaliswe, ngokuchasene nayo, ngokungapheliyo kwinqanaba elincinci le-endometrium ngexesha lokuhamba kwimizuzu yonke. Njengomthetho, ukubonakaliswa kwesi sifo kubangelwa ukunikezelwa kwegazi okungapheliyo kwe-endometrium, ubukho be-endometritis obungapheliyo okanye ukuphulwa kwabamkeli be-estrogens kwi-endometrium.
Nakuphi na ukuphulwa kobunzima be-endometrium kufuneka kuphathwe, ngelixa, okokuqala, ukuphelisa izizathu zolu okanye ukubonakaliswa.