Emzimbeni, abafazi bahamba nge-perestroika nyanga zonke ngaphantsi kwefuthe lamahomoni, kwaye konke oku kulungiselelwa ukukhulelwa, ukuqhubela phambili kwe-blastocyst kwi-uterus kunye nesinamathiselo kwindonga yesisu. I-Endometrium inendima enkulu ekuphunyezweni okuphumelelayo kokukhulelwa.
Yintoni i-endometrium ekukhulelwe?
I-Endometrium ingumlenze wangaphakathi wesibeleko kwaye iqulethwe ngumgca we-basal kunye nomsebenzi. Uluhlu lwesiseko lusisigxina kwaye iiseli zalo zinikezela kumsebenzi osebenzayo. Ubungakanani bomgca osebenzayo obangela impumelelo yokukhulelwa. Ukuba ukukhulelwa akuzange kwenzeke, ngoko ugcino olusebenzayo lugqithwayo kwaye luphuma kwindlela yokuya esikhathini. I-endometrium ngexesha lokukhulelwa kwiintsuku zokuqala emva kokuhamba kweqanda le-fetal kwisisu kufuneka libe yi-9-15 mm. I-endometrium enokuphefumula ngexesha lokukhulelwa ingaqalwa ngeveki emva kokuchumisa, xa elinye iqanda elikhulelweyo lingabonakali kwi-uterus. Xa iqanda lomntwana liqala ukuboniswa yi-ultrasound, ungqimba lwe-endometrium lufikelela kuma-20 mm xa ukhulelwa. Ukukhulelwa kunye ne-endometrium encinci, ngaphantsi kwe-7 mm, ayiyi kwenzeka, ekubeni i-embryo ayikwazi ukudibanisa nodonga lwesibeleko. Kuyathakazelisa ukuba nangokukhulelwa kwe-ectopic kukho ukunyuka kwe-endometrium kunye nokwanda kwayizibilini. Ngaloo ndlela, i-endometrium ene-ectopic pregnancy ifinyelela kububanzi obu-1 cm. Izizathu zokuthi i-endometrium ayifinyeleleli ubungakanani obaneleyo ziquka ezi zilandelayo:
- izilonda ezivuthayo ze-endometrium;
- umonakalo owenzela umbane kwi-endometrium (ngenxa yokukhipha isisu);
- intsholongwane yesisu;
- iingxaki ze-endocrine.
I-pathology ye-endometrium-ukhulelwe?
I-Endometriosis ngexesha lokukhulelwa lidlala indima enkulu ekulondolozweni kwayo, ubukhulu be-endometrium buxhomekeke kwindlela yokuphumelela ngodonga lwe-uterine lweqanda elichumayo, izicubu ze-endometrial kukutya kombungu okhulayo. Kwixesha elizayo, izicubu ze-endometrial ziza kubumba iimbumba ze-fetal kunye ne-placenta. Ngoko ke, ngokuguqulwa kwengqondo kwi-endometrium, ukukhulelwa kungahle kwenzeke. Ukugula okunjalo kwe-endometrium njengoko i-hyperplasia okanye i-polyposis iphazamisa ukuqala kokukhulelwa, kuba ukukhubazeka okunjalo ukufakelwa kombungu kwisisu kunye nokufakela kwayo kuphazamiseka. Isifo sesibini esibalulekileyo se-endometrium yi-endometriosis. Ngaloo ntsholongwane, iiseli ze-endometrium zikhula zibe ngumqolo we-muscular we-uterus, ngokuqhelekileyo le nkqubo ibonakaliswa yi-foci kunye nokubonakala kweentlungu kwisisu esezantsi. Kwi-endometriotic foci i-attachment ye-egg fetal ayikho. Ngeemitha zegazi ezingenamandla zegobolondo langaphakathi le-uterus, i-detometrial detachment inokwenzeka ekukhulelweni kokuqala (kuze kube yinyanga e-1), xa iqanda elichumayo lifakwe kwisibeleko kunye nemithambo yegazi libhujiswa kwisiza sokuncedisa.
Indlela yokulungiselela i-endometrium yokukhulelwa?
Okokuqala kufuneka ufumane isizathu-kutheni i-endometrium ayifinyeleli ubukhulu obufunayo? Ingaba yimiphumo ye-hormonal okanye iinkqubo zokuvuvukala. Kwimeko nganye, indlela yokufikelela kwisigulane iyadingeka. Ukwenza oku, yenza i-ultrasound, unikele iimvavanyo malunga nobukho bentsholongwane, kunye nophando lwangemuva lwe-hormonal. Ngokusekelwe kwiziphumo zezifundo, unyango olufanelekileyo lubekwe.
Ingagqitywa ukuba i-endometrium esebenzayo ngokupheleleyo yinxalenye ebalulekileyo yokuveliswa ngempumelelo kunye nophuhliso lokukhulelwa. Kwimiba yezifo okanye izifo ze-hormone ze-endometrium angeze zifikeleleke ubuninzi obaneleyo kwaye ukhulelwe aluyi kwenzeka.