Ukukhulelwa kuveza izinguquko ezinkulu emzimbeni womama ozayo. Lokhu kwenzeka kuzo zonke izinhlelo, ikakhulukazi eziphathelene nokuzala. Isibeletho ngesikhathi sokukhulelwa siyashintsha ekukhuleni nasekukhuliseni usana.
Isibeletho siyisitho somzimba esiqukethe izingxenye ezintathu:
- i-perimetry - ingxenye engaphandle;
- i-myometrium - ingxenye ephakathi;
- i-endometrium - ingxenye engaphakathi.
I-Endometrium idlala indima ebalulekile ekukhulelweni nasekukhulelweni kwengane.
I-Endometrium ungqimba lwangaphakathi lwesibeletho, oluhluka emazingeni ahlukene omjikelezo. Ngokuvamile, ubukhulu be-endometrium bungaba kusuka ku-3 kuya ku-17 mm. Ekuqaleni komjikelezo, i-endometrium i-3-6 mm kuphela, futhi ekugcineni ikhula ibe yi-12-17 mm. Uma ukukhulelwa kungakaze kwenzeke, ungqimba olungaphezulu lwe-endometrium luphuma nenyanga.
Lesi sitho emzimbeni wesifazane sincike esihlokweni se-hormonal, futhi, njengoba kuyaziwa, ngokukhulelwa, isizinda se-hormonal sowesifazane sishintsha kakhulu. Ubukhulu be-endometrium ngesikhathi sokukhulelwa kuqala ukwanda. Inombolo yemithambo yegazi ikhula, kanye namaseli ahlabayo, amachibi amancane akhiwa lapho igazi lokubeletha lihlanganisa khona. Le nqubo iyadingeka ukuqinisekisa ukuthi umbungu ezinyangeni zokuqala unamathele kakhulu esibelethweni, futhi wathola izakhi zawo zokuqala. Ngemva kwalokho, kusukela emithanjeni yegazi, echaza ingxenye ye-endometrium, i-placenta yenziwa. Ngakho-ke, ngokuvamile ukuphulwa ku-endometrium okuvimbela ukuqala kokukhulelwa.
Usayizi we-Endometrial ekukhulelweni
Ngemuva kweqanda lokubeletha lihlanganisiwe, i-endometrium iyaqhubeka ithuthuka. Ezinsukwini zokuqala zokukhulelwa, ubukhulu obujwayelekile be-endometrium bungu-9 kuya ku-15 mm. Ngesikhathi i-ultrasound ingakwazi ukuhlukanisa iqanda lomntwana, ubukhulu be-endometrium bufinyelela ku-2 cm.
Abesifazane abaningi bakhathazekile ngombuzo othi: "Ingabe ukukhulelwa kungenzeka nge-endometrium encane?"
Akukhona ukuthuthuka kulo lonke umjikelezo we-endometrium ukuphambene nokujwayelekile. Lokhu yi-hypoplasia, noma ngamanye amagama - i-endometrium encane. I-endometrium ye-Hypertrophic, noma i-hyperplasia, ibuye ukuphambene nokujwayelekile. I-Hyperplasia, njenge-hypoplasia, igwema ukuqala kokukhulelwa, futhi kwezinye izimo kungabangela ukukhulelwa kwesisu.