Indlela i-Endometrium idlala ngayo indima ebalulekileyo kwimpilo yakho yokuzala
I-endometrium yinto ephakathi kweentlobo ezintathu zeetyhubhu ezidibanisa isibeleko (ilungu elikhulayo apho umntwana esondliwa khona aze ahlakulele ngaphambi kokuzalwa). Unokuyicinga nje ngekhredithi yesibeleko, kodwa imisebenzi eyenziwa yinto engaphezulu kwento yokuhlobisa. Ngamanye amaxesha kuthiwa yi-endometrial lining, i-endometrium idlala indima ebalulekileyo kumjikelezo wesini kunye nokukhulelwa.
Nanku ukujonga ukuba kutheni i-endometrial lining inobaluleke kakhulu kulezi zigaba zomjikelezo wokuzala.
I-Endometrium kunye nokukhulelwa
I-endometrium yenziwe kakhulu kwiimpawu ze-mucosal kwaye inezo zibini ezimbini. Enye yalezi zihlala zihlala zihlala njalo kwaye apho i-endometrium ifakela kumgca ophakathi kwe-endometrium (i-muscle elula ebizwa ngokuba yi-myometrium.)
Olunye uluhlu, nangona kunjalo, lunamandla-luguqulela ekuphenduleni ukunyuka kwenyanga nganye kwee-hormone ezikhokela umjikelezo wesini. Ngenxa yesi sizathu, kuthiwa uluhlu olusebenzayo. Ngenxa yokuba iyingxenye ye-endometrium apho iqanda liza kutshalwa khona, xa kukho umjikelezo ngaphambi kokuvuthwa kwegazi (ukukhutshwa kweqanda kwi-tube ye-Fallopian), uluhlu olusebenzayo lwe-endometrium luhamba kuzo zonke iintlobo zenguqu nje xa ukuchumisa kwenzeka . Izakhi ezibizwa ngokuba yi-uterine glands zihlala zide kwaye imilambo yegazi ihamba.
Ukubangela i-ovulation, amazinga e-hormone progesterone akhula.
Oku kubangela ukuba i-endometrial yinyani ikhule. Iingqungquthela kunye neetriyri ziyahlangana ukuze zilungele ukuvumela iqanda ukuba lifake (ukuba litsalwa) kunye nokulungiselela ukuphuhliswa kwepentecenta. (Iqumrhu elikhula ngexesha lokukhulelwa ukunyusa umntwana okhulayo.)
I-Endometrium kunye nexesha lakho
Yintoni eyenzekayo xa iqanda likhutshwa kwaye lingenakulinywa?
Ngaloo ndlela, yonke into yokulungiselela ukukhulelwa yayingento, kwaye igazi eliye lanceda ukunqanda uluhlu olusebenzayo lwe-endometrium alisadingeki kwaye kufuneka lucale.
Oku kuchithayo ixesha lakho. Ukuhamba kwimihla kwenziwe ngamaseli achithekayo ukusuka kuluhlu olusebenzayo oluxutywe negazi ukusuka kwimithambo encinci yegazi ejikeleze iingqungquthela. Njengoko umjikelezo olandelayo uqala, uhlaselo olusebenzayo phantsi kwe-estrogen
AmaHormone achaphazela njani i-Endometrium
Ukukhumbula ukuba i-endometrium iyatshintsha ekuphenduleni amazinga e-hormone ngaphambi kokuvuthwa, kunengqiqo ukuba kumantombazana angakhange aqale ukuhamba kwimizi kunye nabesifazana besifazane abaye bayeke ukuba namaxesha, i-endometrium iyafana kwaye ayitshintshi. Zomibini zamaqela aziyi kuba nako ukuhamba kwenyanga.
Nangona kunjalo, i-hormone engaphezulu iyakushukumisa i-endometrium ukuba ibe mkhulu kuneyona nto ibonakalayo. Ngokomzekelo, iiseli ezigqithiseleyo kunamabhinqa ezijongene nokukhuluphala zivelisa kakhulu i-estrogen ngokunjalo. Oku kungakhokelela ekwakheni okongezelelweyo kwe-endometrium kwaye, ekugqibeleni, ngamaxesha anzima. Xa engapheliyo, le yimeko ebizwa ngokuba yi- endometrial hyperplasia .
Ngakolunye uhlangothi, iindlela zokulawula ukuzalwa kwama-hormonal zingaba nempembelelo eyahlukileyo.
Abasetyhini abasebenzisa ukukhulelwa kweprogesterone kuphela njenge- Mirena intrauterine kwisixhobo okanye ukukhulelwa kwe- Nexplanon , ezo zombini ekugqithiseni ukukhawuleza ukwakheka kobuninzi bokusebenza kwe-endometrium, zithatha ukuba nexesha elikhanyayo.
> Umthombo:
> Maybin, JA. Imizi yePhysiology: Impembelelo ye-Endometrial Pathology and beyond. Ukuhlaziywa koBantu. 2015; 21 (6): 748-761