I-Endometrium ingqimba yangaphakathi yesibindi, okuyi-ambulance yamangcwaba ecebile emithanjeni yegazi. Umsebenzi walo oyinhloko ukudala izimo ezihle zokufakelwa kweqanda lokubeletha emgodini we-uterine, ngaphezu kwalokho, lidlala indima enkulu ekukhuleni kokuya esikhathini esijwayelekile kubo bonke abesifazane.
Yini enquma ukuqina kwe-endometrium?
I-Endometrium iqukethe izingqimba ezimbili - isisekelo se-basal futhi esebenzayo, esabela ekusebenzeni kwama-hormone shintsha izinguquko zanyanga zonke. Ngesikhathi sokuya esikhathini, isithwathwa esincane sokusebenza kwesendlalelo sisebenza, okuholela ekubhujisweni kwemithambo yegazi engena kuyo - lokhu kuchaza ukuthi kwenzeke ukuphuma kwenyanga ngenyanga kwabesifazane. Ekupheleni kokuya esikhathini, ukuqina kwe-endometrium kuyaba mncane kakhulu, emva kwalokho, ngenxa yesikhundla sokuvuselela sohlaka lwesisekelo, inani lamaseli we-epithelial kanye nezitsha zezingqimba ezingaphezulu liqala ukwanda. Ubuningi be-endometrium bufinyelela usayizi obukhulu kakhulu esikhathini ngaphambi kwenyanga, okungukuthi ngokushesha emva kokuvuthwa. Lokhu kusikisela ukuthi lesi sibeletho silungele ukukhulelwa futhi sikwazi ukunamathisela iqanda elifakwe emanzini emkhunjini. Uma ukukhulelwa kweqanda kungenzeki, khona-ke ngesikhathi sokuya esikhathini esilandelayo isendlalelo sokusebenza siqala ukususa futhi.
Yini okufanele kube ukuqina kwe-endometrium ezinsukwini zomjikelezo?
1. Ukuqala komjikelezo wokuya esikhathini - isigaba sokuphuza
Lapho kuqala ukuphuma kwegazi, isiqalo sokuqala sokuqala siqala, esihlala izinsuku ezimbalwa. Phakathi nalesi sikhathi, ukuqina okujwayelekile kwe-endometrium kungu-0.5 kuya ku-0.9 cm. Ngosuku lwesithathu lwezinsuku zokuya esikhathini, lesi sigaba sithathwe indawo yokuvuselela, lapho ubukhulu be-endometrium bungaba ngu-0.3 kuya ku-0.5 cm.
2. Phakathi nomjikelezo wokuya esikhathini - isigaba sokukhula
Ngesikhathi sesandulela sokukhula, esinqunywe ngosuku lwesishiyagalombili nesikhombisa somjikelezo wenyanga, i-endometrium ine-0.6 kuya ku-0.9 cm. Khona-ke, ngosuku lwesishiyagalolunye (8-10) lomjikelezo, isigaba esiphakathi siqala, siboniswe ukuphakama kwe-endometrium ka-0.8 kuya ku-1 , U-0 cm. Isikhathi sokuphela kwesibalo senzeke ngezinsuku ezingu-11-14 kanti i-endometrium kulesi sigaba sinokuphakama kwe-0.9-1.3 cm.
3. Ukuphela komjikelezo wokuya esikhathini - isigaba sokufihla
Ekuqaleni kwalesi sigaba, ewela ngosuku lweshumi nesishiyagalolunye nesishiyagalolunye (18-18) lomjikelezo wenyanga, ubukhulu be-endometrium buyaqhubeka banda kancane kancane futhi buba ngu-1.0-1.6 cm. Okulandelayo, kusukela phakathi nosuku 19-23, isigaba esiphakathi siqala, lapho ukuqina okukhulu kwe-endometrium kubonakala khona - kusuka ku-1,0 kuya ku-2,1 cm. Sekuyisikhathi esiphezulu sesigaba sokuvimba, cishe izinsuku ezingu-24-27, i-endometrium iqala ukwehla ngesayizi futhi ifinyelela ubukhulu buka-1.0-1.8 cm.
Ubukhulu be-endometrium kowesifazane onokumisa esikhathini
Ngesikhathi sokuya esikhathini, lo wesifazane ubhekene nezinguquko ezihlobene nobudala, lapho imisebenzi yokukhiqiza iphela kanye nokuntuleka kwama-hormone ocansi. Ngenxa yalokho, ukuthuthukiswa kwezinqubo ezingenasifo somzimba kungenzeka ngaphakathi kwendawo yokubeletha. Ukuphakama okujwayelekile kwe-endometrium nokumisa okwesikhashana akumele kube ngaphezu kuka-0.5 cm. Inani elibalulekile lingu-0.8 cm, lapho owesifazane ephakanyiswa khona ukuba athole ukuhlanzwa kokuxilongwa.
Ukungahambisani nokuqina kwe-endometrial yesigaba somjikelezo
Phakathi kwezifo eziyinhloko zesakhiwo se-endometrium yi-hyperplasia ne-hypoplasia.
Nge-hyperplasia, kune-overgrowth ngokweqile ye-endometrium, lapho ubukhulu be-mucosa buba bukhulu kakhulu kunokujwayelekile. Izinqubo ezingenasiplastiki zivame ukuhlanganiswa nezifo ezifana ne-endometriosis yesisu, i-myoma ye-uterine,
I-Hypoplasia nayo ibonakala, ngokuphambene nalokho, ngendwangu encane engapheli ye-endometrium phakathi nomjikelezo wonke wokuya esikhathini. Njengomthetho, ukubonakaliswa kwalesi sifo kubangelwa ukunikezwa kwegazi okwanele kwe-endometrium, ukutholakala kwe-endometritis engapheli noma ukwephula kuma-receptors ase-estrogens ku-endometrium.
Noma yikuphi ukwephula ubukhulu be-endometrium kufanele kuphathwe, kanti, okokuqala, kuqeda izimbangela zalokhu noma lokho kubonakaliswa.